WEBVTT 00:00:01.040 --> 00:00:01.260 position:50% align:middle - [Jim] Okay. 00:00:01.260 --> 00:00:07.200 position:50% align:middle Welcome everyone, and thank you for joining us today for The NLC Webinar. 00:00:07.200 --> 00:00:11.410 position:50% align:middle I'm Jim Puente, the director of the Nurse Licensure Compact. 00:00:11.410 --> 00:00:18.120 position:50% align:middle And, today's webinar's going to focus on what nurse employers need to know. 00:00:18.120 --> 00:00:25.060 position:50% align:middle And, I typically will offer this particular webinar, I believe quarterly. 00:00:25.060 --> 00:00:30.900 position:50% align:middle So, there is obviously some overlap between our different webinars. 00:00:30.900 --> 00:00:36.780 position:50% align:middle But, we're happy to take your questions at the end of the presentation. 00:00:36.780 --> 00:00:44.340 position:50% align:middle And, at that time, you can raise your hand and we will call on you to unmute yourself to ask your question. 00:00:44.340 --> 00:00:51.490 position:50% align:middle We ask that you please remain muted throughout the presentation to minimize background noise. 00:00:51.490 --> 00:00:56.060 position:50% align:middle Again, if you're just joining, please save your questions until the end 00:00:56.060 --> 00:00:57.310 position:50% align:middle of the presentation. 00:00:57.310 --> 00:00:58.260 position:50% align:middle All right. 00:00:58.260 --> 00:01:02.660 position:50% align:middle Let's go ahead and get started. 00:01:02.660 --> 00:01:09.260 position:50% align:middle So, we always start out with some definitions of the Nurse Licensure Compact as used mainly in the model 00:01:09.260 --> 00:01:13.820 position:50% align:middle legislation and in our educational materials. 00:01:13.820 --> 00:01:20.060 position:50% align:middle First we want to say that a multistate license and a compact license mean the same thing. 00:01:20.060 --> 00:01:28.200 position:50% align:middle I think a lot of nurses and employers tend to use the term compact license, but, obviously, 00:01:28.200 --> 00:01:35.180 position:50% align:middle we tend to use multistate license because that's the term used in the legislation, 00:01:35.180 --> 00:01:39.090 position:50% align:middle but also to distinguish it from a single-state license. 00:01:39.090 --> 00:01:48.790 position:50% align:middle Every state issues multistate licenses and single-state licenses within the compact. 00:01:48.790 --> 00:01:54.490 position:50% align:middle And, a party state is another word, another term for a compact state, 00:01:54.490 --> 00:01:57.130 position:50% align:middle a state that has joined the compact. 00:01:57.130 --> 00:02:05.550 position:50% align:middle And, the single-state license, again, as I said, issued in all states but only valid in that one state. 00:02:05.550 --> 00:02:09.520 position:50% align:middle So, you may have a single-state license... 00:02:09.520 --> 00:02:16.990 position:50% align:middle Of course you do if you live in a non-compact state, but it's also possible to have a single-state license 00:02:16.990 --> 00:02:20.500 position:50% align:middle in some cases in a compact state. 00:02:20.500 --> 00:02:29.370 position:50% align:middle Sometimes someone doesn't meet the eligibility requirements for a multistate license and therefore may 00:02:29.370 --> 00:02:33.270 position:50% align:middle only be eligible for a single-state license. 00:02:33.270 --> 00:02:43.730 position:50% align:middle It's also a license that in states that have joined the compact since 2018, most of them make it optional. 00:02:43.730 --> 00:02:49.200 position:50% align:middle And, on an application, you're able to select whether you want the single-state 00:02:49.200 --> 00:02:51.410 position:50% align:middle or multistate license. 00:02:51.410 --> 00:03:00.620 position:50% align:middle A single-state license might also be held by someone who's under some levels of discipline or participating 00:03:00.620 --> 00:03:05.780 position:50% align:middle in an alternative to discipline program. 00:03:05.780 --> 00:03:06.090 position:50% align:middle Okay. 00:03:06.090 --> 00:03:09.670 position:50% align:middle And, your home state is your primary state of residence. 00:03:09.670 --> 00:03:13.430 position:50% align:middle We'll talk about that many times throughout the presentation. 00:03:13.430 --> 00:03:22.570 position:50% align:middle And, keep in mind that we don't mean your house or your property, but what we do mean is the state that is your 00:03:22.570 --> 00:03:30.820 position:50% align:middle legal state of residency, again, for legal purposes, which state is that regardless of whether you own 00:03:30.820 --> 00:03:32.430 position:50% align:middle anything or not. 00:03:32.430 --> 00:03:38.830 position:50% align:middle And, usually, that state will be listed on your driver's license. 00:03:38.830 --> 00:03:42.300 position:50% align:middle It is also the state where you register to vote. 00:03:42.300 --> 00:03:47.470 position:50% align:middle And, again, independent of your property or having a home. 00:03:47.470 --> 00:03:54.610 position:50% align:middle And, that's important because people tend to misunderstand primary state of residence. 00:03:54.610 --> 00:04:02.390 position:50% align:middle And, it gets confusing if you don't understand it, especially if you have homes in multiple states. 00:04:02.390 --> 00:04:09.830 position:50% align:middle So, it becomes clearer if you understand that it has nothing to do with those homes. 00:04:09.830 --> 00:04:17.330 position:50% align:middle A remote state is a state in the compact that is not your home state. 00:04:17.330 --> 00:04:26.880 position:50% align:middle So, if my home state is Ohio and I'm practicing in Florida, Ohio is my home state and Florida is 00:04:26.880 --> 00:04:29.290 position:50% align:middle the remote state. 00:04:29.290 --> 00:04:37.800 position:50% align:middle And, then a privilege to practice is the authority you're exercising through your multistate license when 00:04:37.800 --> 00:04:40.170 position:50% align:middle you are practicing in another state. 00:04:40.170 --> 00:04:49.880 position:50% align:middle So, in my example, I'm an Ohio nurse utilizing my privilege to practice in Florida and that privilege 00:04:49.880 --> 00:04:53.750 position:50% align:middle to practice comes from my multistate license. 00:04:53.750 --> 00:05:01.680 position:50% align:middle You'll notice the word privilege is very similar to when we refer to driving privileges to having your 00:05:01.680 --> 00:05:06.180 position:50% align:middle driving privilege taken away or having your driving privilege restored. 00:05:06.180 --> 00:05:14.620 position:50% align:middle It's the same kind of concept in that under a driver's license, you refer to the privilege to drive or the 00:05:14.620 --> 00:05:21.560 position:50% align:middle authority to drive the same concept but we adapt it to nursing and it's referred to as the 00:05:21.560 --> 00:05:23.800 position:50% align:middle privilege to practice. 00:05:23.800 --> 00:05:29.600 position:50% align:middle We have a full list of definitions on our website, and there's a link to it here on this slide 00:05:29.600 --> 00:05:30.820 position:50% align:middle at the bottom. 00:05:30.820 --> 00:05:34.930 position:50% align:middle There are many more definitions in the compact. 00:05:34.930 --> 00:05:41.430 position:50% align:middle And, after this presentation, you'll be provided with a copy of the 00:05:41.430 --> 00:05:43.810 position:50% align:middle slides through email. 00:05:43.810 --> 00:05:54.460 position:50% align:middle So, you'll be able to go to that PDF document and click on any links that are on the slides. 00:05:54.460 --> 00:06:00.890 position:50% align:middle So, the Nurse Licensure Compact, I think many people know or understand that in order 00:06:00.890 --> 00:06:05.590 position:50% align:middle to join the compact, a state has to pass the legislation. 00:06:05.590 --> 00:06:10.110 position:50% align:middle And, that has happened so far in 42 jurisdictions. 00:06:10.110 --> 00:06:16.740 position:50% align:middle Obviously, our goal is for all 50 states and territories to be in the compact, 00:06:16.740 --> 00:06:22.220 position:50% align:middle because once that happens, then a nurse will be able to practice anywhere in the 00:06:22.220 --> 00:06:28.860 position:50% align:middle United States with the multistate license issued from your home state. 00:06:28.860 --> 00:06:37.430 position:50% align:middle In that way, I think people will understand it more to be very much like the driver's license in that the 00:06:37.430 --> 00:06:43.560 position:50% align:middle driver's license is issued in your home state where you live, and it allows you to drive 00:06:43.560 --> 00:06:45.350 position:50% align:middle throughout the country. 00:06:45.350 --> 00:06:50.660 position:50% align:middle And, that's the same model we're emulating here in the nurse compact. 00:06:50.660 --> 00:06:59.070 position:50% align:middle But, again, since the compact started in 2000, we've been ramping up up to where we are in the present 00:06:59.070 --> 00:07:05.900 position:50% align:middle day with 42 jurisdictions and we'll keep going until we get all states and territories. 00:07:05.900 --> 00:07:10.790 position:50% align:middle And, I'm hoping that that happens in the next handful of years. 00:07:10.790 --> 00:07:19.140 position:50% align:middle Keep in mind that whether now or in the future this license is not a national license. 00:07:19.140 --> 00:07:23.510 position:50% align:middle And, that's one of the misunderstandings about the compact. 00:07:23.510 --> 00:07:25.840 position:50% align:middle It is a state-based license. 00:07:25.840 --> 00:07:34.710 position:50% align:middle Obviously, it's issued by your state board of nursing, just like your driver's license is issued by your state 00:07:34.710 --> 00:07:39.840 position:50% align:middle bureau of motor vehicles or department of motor vehicles, okay? 00:07:39.840 --> 00:07:42.020 position:50% align:middle It's not issued by the federal government. 00:07:42.020 --> 00:07:47.410 position:50% align:middle So, I say that because I know there's confusion in that area. 00:07:47.410 --> 00:07:52.570 position:50% align:middle When we move to another state, we need to get a new driver's license. 00:07:52.570 --> 00:07:58.470 position:50% align:middle And, the same thing exists with the multistate license for nursing. 00:07:58.470 --> 00:08:05.910 position:50% align:middle But, people tend to think that you can move and keep renewing the same license from your old state, 00:08:05.910 --> 00:08:07.770 position:50% align:middle and that's not the case. 00:08:07.770 --> 00:08:12.260 position:50% align:middle We'll talk a little bit about that in subsequent slides. 00:08:12.260 --> 00:08:20.570 position:50% align:middle Also, it's important for me to point out that the compact only pertains to RNs and LPNs or LVNs as some 00:08:20.570 --> 00:08:22.580 position:50% align:middle states call them. 00:08:22.580 --> 00:08:26.040 position:50% align:middle It does not pertain to advanced practice nurses. 00:08:26.040 --> 00:08:30.520 position:50% align:middle And, advanced practice nurses will have their own compact one day. 00:08:30.520 --> 00:08:33.440 position:50% align:middle It is gearing up. 00:08:33.440 --> 00:08:40.880 position:50% align:middle In the APRN Compact, they need seven states for it to become operational, 00:08:40.880 --> 00:08:43.610 position:50% align:middle and they only have four states so far. 00:08:43.610 --> 00:08:51.610 position:50% align:middle So, they're probably a couple of years away before there will be such a thing as a multistate advanced 00:08:51.610 --> 00:08:55.920 position:50% align:middle practice nurse license compact, okay? 00:08:55.920 --> 00:09:03.970 position:50% align:middle The other important thing here is to know that this multistate license enables a nurse to either physically 00:09:03.970 --> 00:09:11.930 position:50% align:middle go to another state to practice or to practice via telehealth with patients who are in any of the 00:09:11.930 --> 00:09:14.490 position:50% align:middle other compact states. 00:09:14.490 --> 00:09:19.590 position:50% align:middle So, keep in mind that you're limited to the compact states. 00:09:19.590 --> 00:09:26.230 position:50% align:middle If you need to practice telehealth in a non-compact state this license doesn't cover you 00:09:26.230 --> 00:09:34.510 position:50% align:middle in non-comp states, just like it doesn't cover you there if you're physically go to a non-compact state. 00:09:34.510 --> 00:09:35.970 position:50% align:middle So, keep that in mind. 00:09:35.970 --> 00:09:37.980 position:50% align:middle You need to be licensed. 00:09:37.980 --> 00:09:42.520 position:50% align:middle In the case of telehealth, you need to be licensed in the state where your patient 00:09:42.520 --> 00:09:47.880 position:50% align:middle is located at the time you're practicing with that patient. 00:09:47.880 --> 00:09:54.660 position:50% align:middle One of the misunderstandings there is that people tend to think, "I need to be licensed in the state where 00:09:54.660 --> 00:09:56.810 position:50% align:middle the patient resides." 00:09:56.810 --> 00:09:58.180 position:50% align:middle No. 00:09:58.180 --> 00:10:04.440 position:50% align:middle And, the reason is that the patient may not be in that state at the time you're practicing with them. 00:10:04.440 --> 00:10:08.020 position:50% align:middle They may be in another state, they may be on vacation. 00:10:08.020 --> 00:10:16.310 position:50% align:middle And, that's why the telehealth protocols all start with what state are you located in, 00:10:16.310 --> 00:10:24.160 position:50% align:middle in the initial interaction with the telehealth encounter, because you want to ensure that you are 00:10:24.160 --> 00:10:34.360 position:50% align:middle licensed or you have a compact license that covers that state where the patient is located. 00:10:34.360 --> 00:10:40.530 position:50% align:middle We may have some people who joined us today who are in non-compact states. 00:10:40.530 --> 00:10:47.020 position:50% align:middle So, I'd like to point out that all of the states are trying to join the compact. 00:10:47.020 --> 00:10:51.530 position:50% align:middle All of those that are not in it yet had legislation this year. 00:10:51.530 --> 00:11:02.660 position:50% align:middle We'll get to the update in just a moment looking at the map, however, the state that was successful this year 00:11:02.660 --> 00:11:08.710 position:50% align:middle was Connecticut and, we'll talk about that a little more later. 00:11:08.710 --> 00:11:14.010 position:50% align:middle But, if you're in a non-comp state and you want to support your state joining the compact, 00:11:14.010 --> 00:11:17.640 position:50% align:middle the best thing you can do is to send a letter to your legislator. 00:11:17.640 --> 00:11:23.500 position:50% align:middle And, in the second item here on this slide, we provide you with the link where you can actually do 00:11:23.500 --> 00:11:24.590 position:50% align:middle that very easily. 00:11:24.590 --> 00:11:30.730 position:50% align:middle A template letter is provided that you can customize if you would like. 00:11:30.730 --> 00:11:37.660 position:50% align:middle And, it only needs your ZIP code to route it to the appropriate legislators and your governor. 00:11:37.660 --> 00:11:41.190 position:50% align:middle So, know that that makes a big impact. 00:11:41.190 --> 00:11:45.810 position:50% align:middle And, obviously you might be thinking it's just you, just one individual, 00:11:45.810 --> 00:11:52.650 position:50% align:middle but if you really want to help make an impact, ask everyone you know to do the same thing. 00:11:52.650 --> 00:11:57.920 position:50% align:middle Ask all of the residents, everyone that you know who resides in your state 00:11:57.920 --> 00:12:05.080 position:50% align:middle to also send a letter and that will help to make a truly big impact. 00:12:05.080 --> 00:12:05.730 position:50% align:middle All right. 00:12:05.730 --> 00:12:12.380 position:50% align:middle So, we're looking at the map which includes some implementation information. 00:12:12.380 --> 00:12:16.580 position:50% align:middle So, obviously, the gray states are not in the compact yet. 00:12:16.580 --> 00:12:23.570 position:50% align:middle And, keep in mind, as I said a few moments ago, these gray states did try to join this year and the one 00:12:23.570 --> 00:12:28.020 position:50% align:middle that was successful was Connecticut. 00:12:28.020 --> 00:12:30.150 position:50% align:middle The dark blue states are in the compact. 00:12:30.150 --> 00:12:36.510 position:50% align:middle And, then for the light blue and the purple, there are some nuances. 00:12:36.510 --> 00:12:44.490 position:50% align:middle And, notice on the bottom of this slide that we have a link that goes to a document and that document explains 00:12:44.490 --> 00:12:53.100 position:50% align:middle those nuances between those states because a nurse with a compact license could work in the states that 00:12:53.100 --> 00:13:01.530 position:50% align:middle are purple, which are compact states, but those states are not yet fully implemented in the 00:13:01.530 --> 00:13:07.430 position:50% align:middle compact so they're not issuing compact licenses to their residents yet. 00:13:07.430 --> 00:13:12.180 position:50% align:middle And, then in the light blue states, they are in the compact, 00:13:12.180 --> 00:13:19.290 position:50% align:middle but you cannot work there yet and also, they're not issuing compact licenses yet. 00:13:19.290 --> 00:13:24.820 position:50% align:middle All four of those states, the two purple and the two light-blue, 00:13:24.820 --> 00:13:31.000 position:50% align:middle what's holding up their implementation at this point is the implementation of federal 00:13:31.000 --> 00:13:33.190 position:50% align:middle criminal background checks. 00:13:33.190 --> 00:13:37.000 position:50% align:middle So, we hope in the next year... 00:13:37.000 --> 00:13:44.110 position:50% align:middle And, some of them have been in a holding pattern for a few years already like Guam and Pennsylvania, 00:13:44.110 --> 00:13:52.980 position:50% align:middle but we do hope that that'll come to a resolution if not this year in 2025 so that they can fully 00:13:52.980 --> 00:13:56.180 position:50% align:middle implement the compact. 00:13:56.180 --> 00:14:03.620 position:50% align:middle In 2025, we anticipate that all of these gray states will again, try to join the compact. 00:14:03.620 --> 00:14:06.100 position:50% align:middle Some of them come very close. 00:14:06.100 --> 00:14:17.100 position:50% align:middle There's significant activity in Alaska, in Hawaii, in Massachusetts, in Michigan, in New York. 00:14:17.100 --> 00:14:26.900 position:50% align:middle And, you know, we hope that some of them will be successful next year. 00:14:26.900 --> 00:14:27.670 position:50% align:middle Okay. 00:14:27.670 --> 00:14:32.240 position:50% align:middle So, primary state of residence we talked about it a little bit. 00:14:32.240 --> 00:14:40.590 position:50% align:middle I want to add a little more definition to it because as it says in the second bullet that's not related to the 00:14:40.590 --> 00:14:42.940 position:50% align:middle property that you own. 00:14:42.940 --> 00:14:44.640 position:50% align:middle Why is it important? 00:14:44.640 --> 00:14:53.120 position:50% align:middle Because when you apply for a compact license, the first page of the application is a declaration 00:14:53.120 --> 00:14:55.540 position:50% align:middle of primary state of residence. 00:14:55.540 --> 00:14:58.010 position:50% align:middle This is a legal attestation. 00:14:58.010 --> 00:15:06.400 position:50% align:middle So, it's a form that you're signing and you're adding on the line the state that is your primary state 00:15:06.400 --> 00:15:10.150 position:50% align:middle of residency, okay? 00:15:10.150 --> 00:15:13.350 position:50% align:middle And you have to provide proof that backs that up. 00:15:13.350 --> 00:15:21.440 position:50% align:middle And, normally the proof is a driver's license or a state ID or a voter registration card. 00:15:21.440 --> 00:15:30.250 position:50% align:middle But, you also happen to indicate your state of residency when you file your federal income taxes 00:15:30.250 --> 00:15:36.010 position:50% align:middle because you have to indicate the state that you lived in in the tax year. 00:15:36.010 --> 00:15:44.360 position:50% align:middle So, again, those are all legal documents that demonstrate what your legal state of residency is. 00:15:44.360 --> 00:15:52.210 position:50% align:middle So, that's what we're talking about is your legal state of residency, not which state you own homes in, okay? 00:15:52.210 --> 00:15:58.010 position:50% align:middle So, don't let the word residence confuse you. 00:15:58.010 --> 00:16:06.440 position:50% align:middle This is important because if you change your primary state of residency as many of you know, 00:16:06.440 --> 00:16:12.640 position:50% align:middle or if you drive, then if you move to another state you need to get a new driver's license. 00:16:12.640 --> 00:16:20.900 position:50% align:middle Every state has laws that say you have x number of days in which to get a new driver's license. 00:16:20.900 --> 00:16:29.710 position:50% align:middle Well, you also need to do the same thing if you move to another state with your nurse compact license, 00:16:29.710 --> 00:16:32.880 position:50% align:middle you need to get a new nurse compact license. 00:16:32.880 --> 00:16:42.590 position:50% align:middle The way the nurse compact works is you can practice in any compact state while you maintain residency in one 00:16:42.590 --> 00:16:45.190 position:50% align:middle compact state, okay? 00:16:45.190 --> 00:16:52.770 position:50% align:middle So, if the state of Ohio issues you a compact license because you're an Ohio resident, 00:16:52.770 --> 00:17:00.610 position:50% align:middle you can practice anywhere in the compact, any of those states while you're an Ohio resident. 00:17:00.610 --> 00:17:07.630 position:50% align:middle If I change my residency to Arizona, now I need to get an Arizona compact license, 00:17:07.630 --> 00:17:14.840 position:50% align:middle and then I can practice in any states in the compact with that license. 00:17:14.840 --> 00:17:20.360 position:50% align:middle And, keep in mind, if you're not changing your state of residency, there's nothing you need to do. 00:17:20.360 --> 00:17:22.860 position:50% align:middle You can practice in any compact state. 00:17:22.860 --> 00:17:30.670 position:50% align:middle So, the only time you need to do anything is when you are making that permanent move to another state. 00:17:30.670 --> 00:17:39.210 position:50% align:middle Now, sometimes travel nurses ask, "Well, am I moving when I go to another state for a 13-week 00:17:39.210 --> 00:17:41.740 position:50% align:middle assignment at a hospital in some other state?" 00:17:41.740 --> 00:17:47.550 position:50% align:middle No, that's not moving, you are temporarily going to that state. 00:17:47.550 --> 00:17:51.300 position:50% align:middle You're maintaining your home state, okay? 00:17:51.300 --> 00:17:54.020 position:50% align:middle Now that could change, obviously. 00:17:54.020 --> 00:17:58.620 position:50% align:middle What if that hospital offered you a permanent job and you decided to stay? 00:17:58.620 --> 00:18:01.810 position:50% align:middle Well, then that changes the story, right? 00:18:01.810 --> 00:18:07.300 position:50% align:middle You become a resident of that state and you need to get a new license, new driver's license, 00:18:07.300 --> 00:18:09.830 position:50% align:middle new compact license. 00:18:09.830 --> 00:18:17.340 position:50% align:middle But, for the most part, travel nurses visit other states temporarily, okay? 00:18:17.340 --> 00:18:22.310 position:50% align:middle So, you know, I always think of the difference as when you're going to another state, 00:18:22.310 --> 00:18:29.830 position:50% align:middle are you taking a moving van, a U-Haul truck, or are you just taking a suitcase because you intend 00:18:29.830 --> 00:18:35.730 position:50% align:middle to come back and it is when you're making those permanent moves that you need to get a new license 00:18:35.730 --> 00:18:42.250 position:50% align:middle in the new state. 00:18:42.250 --> 00:18:42.880 position:50% align:middle Okay. 00:18:42.880 --> 00:18:48.770 position:50% align:middle So, this is important because of the rule that was amended January 2nd of this year, 00:18:48.770 --> 00:18:52.300 position:50% align:middle which pertained to permanent relocations. 00:18:52.300 --> 00:18:57.010 position:50% align:middle Now, on the left side of this slide, I show you what the rule looked 00:18:57.010 --> 00:18:59.440 position:50% align:middle like before January 2nd. 00:18:59.440 --> 00:19:03.860 position:50% align:middle So, you can see both of these are rule 402-2. 00:19:03.860 --> 00:19:10.280 position:50% align:middle However, on the left we just said, a nurse who changes their primary state of residency 00:19:10.280 --> 00:19:16.390 position:50% align:middle to another party state shall apply for a new license in a new party state. 00:19:16.390 --> 00:19:20.100 position:50% align:middle Notice that it doesn't give you a number of days. 00:19:20.100 --> 00:19:28.460 position:50% align:middle But to make that more clearer, we changed this January 2nd of this year to add 60 days 00:19:28.460 --> 00:19:35.890 position:50% align:middle in the rule so that when you do move to another state, you need to apply, not obtain, 00:19:35.890 --> 00:19:43.430 position:50% align:middle but apply for a new license in the new state within 60 days of arriving in that state. 00:19:43.430 --> 00:19:50.230 position:50% align:middle Doesn't matter that you don't have your perfect home picked out or your permanent residence, 00:19:50.230 --> 00:19:56.480 position:50% align:middle or you're living in a hotel, or you're living in a temporary place with relatives. 00:19:56.480 --> 00:20:03.390 position:50% align:middle When you move to that state with the intent of living there, of that being your new home state, 00:20:03.390 --> 00:20:09.780 position:50% align:middle the 60 days starts, okay? 00:20:09.780 --> 00:20:20.500 position:50% align:middle This has drawn some questions even though it intends to be clearer than the old rule and we're happy to answer 00:20:20.500 --> 00:20:28.910 position:50% align:middle any of those questions if you find it confusing and we'll talk a little bit more about this in some of the 00:20:28.910 --> 00:20:35.430 position:50% align:middle scenarios that we're going to look at a few slides later. 00:20:35.430 --> 00:20:44.360 position:50% align:middle So, if you want more information about the 60-day rule you can scan this QR code. 00:20:44.360 --> 00:20:47.770 position:50% align:middle We also have the information on our website. 00:20:47.770 --> 00:20:57.280 position:50% align:middle It'll take you to our rule change FAQs, which maybe 10 or 15 different FAQs, 00:20:57.280 --> 00:20:59.630 position:50% align:middle all about the 60-day rule. 00:20:59.630 --> 00:21:08.980 position:50% align:middle And, if you have a specific situation, hopefully, you'll find it listed there on our website. 00:21:08.980 --> 00:21:15.850 position:50% align:middle So, here we have a few scenarios and let's just start with the most basic scenario of moving from one state 00:21:15.850 --> 00:21:17.670 position:50% align:middle to another, okay? 00:21:17.670 --> 00:21:25.410 position:50% align:middle So, again, we're talking about a permanent move in this case, as you can see from Texas to Ohio. 00:21:25.410 --> 00:21:33.420 position:50% align:middle So, Nurse Jones is a resident of Texas with a Texas compact license and is relocating to Ohio. 00:21:33.420 --> 00:21:39.440 position:50% align:middle So, Ohio is going to be his new primary state of residence. 00:21:39.440 --> 00:21:48.020 position:50% align:middle And, what we're talking about with this amended rule that started in January is that Nurse Jones has 60 days 00:21:48.020 --> 00:21:55.720 position:50% align:middle from the time he arrives in Ohio to apply for a license with the Ohio Board of Nursing. 00:21:55.720 --> 00:22:04.110 position:50% align:middle So, obviously, if you're the employer in Ohio, how are you going to know that this nurse has done what 00:22:04.110 --> 00:22:06.060 position:50% align:middle they're supposed to do? 00:22:06.060 --> 00:22:14.660 position:50% align:middle Well, obviously you don't want a nurse working who is unlicensed or not appropriately licensed, you know, 00:22:14.660 --> 00:22:23.080 position:50% align:middle you have a lot riding on it that this nurse needs to be appropriately licensed to work in your facility. 00:22:23.080 --> 00:22:31.310 position:50% align:middle What I've seen a lot of hospitals do is to create a policy, which let's say in this scenario, 00:22:31.310 --> 00:22:38.800 position:50% align:middle this Texas nurse comes to Ohio and upon hire, they say, "Well, you're an Ohio resident now you're going to need 00:22:38.800 --> 00:22:46.650 position:50% align:middle an Ohio license, you know, please, within one week, two weeks, three weeks, 00:22:46.650 --> 00:22:52.870 position:50% align:middle show us proof that you have in fact applied for your Ohio license." 00:22:52.870 --> 00:22:59.030 position:50% align:middle And, this way, when they show you that proof, you can feel comfortable that they've taken the steps 00:22:59.030 --> 00:23:06.570 position:50% align:middle that were required, that they submitted the application for a new license in that new state. 00:23:06.570 --> 00:23:14.800 position:50% align:middle Otherwise, if you don't have any checks and balances like that, you're going to find that nurses maybe did 00:23:14.800 --> 00:23:24.660 position:50% align:middle not know the rule or they thought they didn't have to get a new license because let's say in this case, 00:23:24.660 --> 00:23:29.350 position:50% align:middle the Texas license wasn't going to expire for a long time. 00:23:29.350 --> 00:23:34.580 position:50% align:middle And, I think that's what a lot of people would tend to do just like with a driver's license, 00:23:34.580 --> 00:23:41.400 position:50% align:middle you move to a new state and then say, "Oh, but it doesn't expire for a few years." 00:23:41.400 --> 00:23:47.450 position:50% align:middle That's not in play here because there's a rule that says, "When you move, 00:23:47.450 --> 00:23:50.800 position:50% align:middle you have 60 days to apply for a new license." 00:23:50.800 --> 00:23:56.290 position:50% align:middle So, the amount of time left on your old license is irrelevant. 00:23:56.290 --> 00:24:02.490 position:50% align:middle Keep in mind in this scenario, who gets to hold a Texas compact license? 00:24:02.490 --> 00:24:05.750 position:50% align:middle A resident of Texas, right? 00:24:05.750 --> 00:24:11.960 position:50% align:middle Well, you're in Ohio, now, you're an Ohio resident, you're no longer a resident of Texas, 00:24:11.960 --> 00:24:20.870 position:50% align:middle so you're no longer eligible to hold a Texas compact license, except as the rules dictate, 00:24:20.870 --> 00:24:28.010 position:50% align:middle and the rules say that number one, you have to apply within 60 days for your new license, 00:24:28.010 --> 00:24:34.290 position:50% align:middle and, in that time period that you're waiting for the new license to come in, 00:24:34.290 --> 00:24:40.820 position:50% align:middle you can practice under the former license from Texas in this scenario, okay? 00:24:40.820 --> 00:24:47.780 position:50% align:middle So, that there doesn't need to be any gap in employment you can continue to use that Texas license 00:24:47.780 --> 00:24:57.230 position:50% align:middle upon arriving in Ohio and until the Ohio license is issued, so long as you applied for the Ohio license 00:24:57.230 --> 00:24:58.970 position:50% align:middle within 60 days. 00:24:58.970 --> 00:25:01.830 position:50% align:middle It doesn't need to be issued within 60 days. 00:25:01.830 --> 00:25:07.160 position:50% align:middle The board of nursing may be backed up, they may take three months, doesn't matter, 00:25:07.160 --> 00:25:10.880 position:50% align:middle the rule says you have to apply within 60 days. 00:25:10.880 --> 00:25:15.620 position:50% align:middle So, just for clarity, I added a new bullet to the bottom here, 00:25:15.620 --> 00:25:17.560 position:50% align:middle where it says question. 00:25:17.560 --> 00:25:19.870 position:50% align:middle And, I said, since her Texas... 00:25:19.870 --> 00:25:26.250 position:50% align:middle And, I think it was actually him in this scenario, Texas license doesn't expire for, you know, like, 00:25:26.250 --> 00:25:30.200 position:50% align:middle another year and a half, can she just wait till the expiration date 00:25:30.200 --> 00:25:32.760 position:50% align:middle before applying for the Ohio license? 00:25:32.760 --> 00:25:35.720 position:50% align:middle No, no, absolutely not. 00:25:35.720 --> 00:25:36.420 position:50% align:middle Why? 00:25:36.420 --> 00:25:40.740 position:50% align:middle Because we have a rule that says you have to apply within 60 days. 00:25:40.740 --> 00:25:50.000 position:50% align:middle So, the fact that it's not expiring yet doesn't mean anything, you have to conform or comply with the rule. 00:25:50.000 --> 00:25:56.730 position:50% align:middle Keep in mind, as I said earlier, this Ohio resident is no longer eligible for a Texas 00:25:56.730 --> 00:26:07.500 position:50% align:middle license because a Texas license is for Texas residents and he just became an Ohio resident. 00:26:07.500 --> 00:26:07.770 position:50% align:middle Okay. 00:26:07.770 --> 00:26:11.490 position:50% align:middle Here we have a travel nurse example. 00:26:11.490 --> 00:26:17.590 position:50% align:middle Obviously, with a travel nurse in most cases, there's not going to be a need for a nurse 00:26:17.590 --> 00:26:18.670 position:50% align:middle to do anything. 00:26:18.670 --> 00:26:21.330 position:50% align:middle Notice that the arrow goes both ways. 00:26:21.330 --> 00:26:32.480 position:50% align:middle So, this is an Arizona nurse that's going to Kentucky for a travel assignment and will return to her home 00:26:32.480 --> 00:26:34.110 position:50% align:middle state of Arizona. 00:26:34.110 --> 00:26:40.990 position:50% align:middle So, she's not changing her primary state of residence, she's only going there temporarily. 00:26:40.990 --> 00:26:47.210 position:50% align:middle So, there's no need for this nurse to get a Kentucky license. 00:26:47.210 --> 00:26:54.050 position:50% align:middle But, as I say in the last bullet, something that we see on occasion because nurses may 00:26:54.050 --> 00:27:00.790 position:50% align:middle not be familiar with what types of actions can impact them. 00:27:00.790 --> 00:27:08.240 position:50% align:middle While this nurse is in Kentucky, she happens to notice that her Arizona driver's license 00:27:08.240 --> 00:27:13.560 position:50% align:middle is going to expire and she doesn't want to be caught driving unlicensed. 00:27:13.560 --> 00:27:15.170 position:50% align:middle So, what does she do? 00:27:15.170 --> 00:27:20.280 position:50% align:middle She goes to the Kentucky BMV and gets a Kentucky driver's license. 00:27:20.280 --> 00:27:27.900 position:50% align:middle Well, Kentucky or any state doesn't give a driver's license to anyone but their own residence. 00:27:27.900 --> 00:27:34.620 position:50% align:middle So, when she gets that driver's license, she's actually signing a legal attestation saying that 00:27:34.620 --> 00:27:37.050 position:50% align:middle she's a Kentucky resident. 00:27:37.050 --> 00:27:44.790 position:50% align:middle So, unfortunately she just gave up Arizona as her primary state of residence, 00:27:44.790 --> 00:27:51.000 position:50% align:middle and that puts her in a situation of needing a Kentucky compact license. 00:27:51.000 --> 00:27:53.370 position:50% align:middle It shouldn't be that difficult. 00:27:53.370 --> 00:28:02.610 position:50% align:middle But, she unknowingly got that Kentucky driver's license, which changed her residency. 00:28:02.610 --> 00:28:09.850 position:50% align:middle The same thing would happen if she registered to vote in Kentucky because those are things that are tied 00:28:09.850 --> 00:28:12.840 position:50% align:middle to being a resident of that state. 00:28:12.840 --> 00:28:17.660 position:50% align:middle And, when you get a driver's license, when you register to vote, 00:28:17.660 --> 00:28:25.160 position:50% align:middle when you get a nurse compact license, you sign a declaration form where you swear that you're 00:28:25.160 --> 00:28:28.120 position:50% align:middle a resident of that state, okay? 00:28:28.120 --> 00:28:29.560 position:50% align:middle Hopefully, that makes sense. 00:28:29.560 --> 00:28:32.810 position:50% align:middle And, again, that last bullet here, that's just a caveat, 00:28:32.810 --> 00:28:36.960 position:50% align:middle that just something to be aware of to something to avoid. 00:28:36.960 --> 00:28:42.390 position:50% align:middle What should she do if her Arizona driver's license was about to expire? 00:28:42.390 --> 00:28:47.020 position:50% align:middle She should renew her Arizona driver's license, okay? 00:28:47.020 --> 00:28:54.360 position:50% align:middle Whether she does it before she started that travel nurse assignment or whether she can do it online, 00:28:54.360 --> 00:29:01.470 position:50% align:middle the answer is not getting a new driver's license from a new state. 00:29:01.470 --> 00:29:05.800 position:50% align:middle And, the last example is a military spouse example. 00:29:05.800 --> 00:29:12.930 position:50% align:middle And, I like to think of this because as you know, when the military are stationed in a certain state, 00:29:12.930 --> 00:29:16.940 position:50% align:middle it's usually for a period of years, not weeks, right? 00:29:16.940 --> 00:29:23.980 position:50% align:middle And, the idea of them being stationed in a state is of a temporary nature, not permanent. 00:29:23.980 --> 00:29:28.950 position:50% align:middle Even though it may be three years, they were never told you're going there for the rest 00:29:28.950 --> 00:29:36.820 position:50% align:middle of your life, it was for a defined time, starting on this date to this date for this two or 00:29:36.820 --> 00:29:39.460 position:50% align:middle three-year period or whatever it is. 00:29:39.460 --> 00:29:44.620 position:50% align:middle They could obviously get extended for longer, but the idea is that they're going 00:29:44.620 --> 00:29:47.060 position:50% align:middle to another state temporarily. 00:29:47.060 --> 00:29:58.540 position:50% align:middle So, what I'm talking about on this slide is the spouse of the service person who is a civilian nurse, okay? 00:29:58.540 --> 00:30:05.810 position:50% align:middle The compact benefits them if they maintain one primary state of residence. 00:30:05.810 --> 00:30:12.550 position:50% align:middle So, in this scenario, the primary state of residence is Washington State, 00:30:12.550 --> 00:30:18.550 position:50% align:middle okay, and, then the military family gets sent to Utah for several years. 00:30:18.550 --> 00:30:25.070 position:50% align:middle So, the spouse, again, who's a civilian, not a service person, 00:30:25.070 --> 00:30:28.890 position:50% align:middle this nurse wants to work at a hospital in Utah. 00:30:28.890 --> 00:30:37.440 position:50% align:middle She can work there under the Washington State compact license, okay, as long as she maintains Washington 00:30:37.440 --> 00:30:40.080 position:50% align:middle State as her state of residency. 00:30:40.080 --> 00:30:42.230 position:50% align:middle And, this can go on and on. 00:30:42.230 --> 00:30:49.380 position:50% align:middle As I show here, they might get sent to Virginia next, to South Carolina next, or any other state. 00:30:49.380 --> 00:30:55.240 position:50% align:middle It doesn't matter as long as they're going to another compact state, as long as they're maintaining one 00:30:55.240 --> 00:31:01.480 position:50% align:middle home state, you don't need to be physically there because remember it's a legal status. 00:31:01.480 --> 00:31:06.390 position:50% align:middle On legal documents, Washington is their legal state of residency. 00:31:06.390 --> 00:31:12.940 position:50% align:middle Then you can continue using that Washington compact license in other states where they're stationed 00:31:12.940 --> 00:31:15.390 position:50% align:middle for the military, okay? 00:31:15.390 --> 00:31:23.160 position:50% align:middle That saves this spouse a lot of time, money, and paperwork from getting another license every time 00:31:23.160 --> 00:31:25.840 position:50% align:middle they get stationed someplace else. 00:31:25.840 --> 00:31:35.050 position:50% align:middle That's why the department of defense is such a supporter of compacts because it helps military 00:31:35.050 --> 00:31:40.640 position:50% align:middle with some relief from occupational licensing burdens. 00:31:40.640 --> 00:31:49.630 position:50% align:middle Now, could the nurse claim Utah as the primary state of residence and then claim Virginia as the primary 00:31:49.630 --> 00:31:50.890 position:50% align:middle state of residence? 00:31:50.890 --> 00:31:52.770 position:50% align:middle Absolutely they could. 00:31:52.770 --> 00:31:58.500 position:50% align:middle But, all that means is that they're going to have to get a new license, a new license in Utah, 00:31:58.500 --> 00:32:05.130 position:50% align:middle a new license in Virginia, etc., when they could have saved themselves time and money 00:32:05.130 --> 00:32:12.160 position:50% align:middle by maintaining Washington, which is the original home state as the primary 00:32:12.160 --> 00:32:13.240 position:50% align:middle state of residence. 00:32:13.240 --> 00:32:19.600 position:50% align:middle I hope that makes sense because it's really no different than a travel nurse, 00:32:19.600 --> 00:32:28.710 position:50% align:middle but the amount of time they're in a state is longer in terms of years as opposed to weeks for a travel nurse. 00:32:28.710 --> 00:32:30.410 position:50% align:middle It's the same concept. 00:32:30.410 --> 00:32:33.430 position:50% align:middle Why is this important for an employer to know? 00:32:33.430 --> 00:32:42.760 position:50% align:middle Because you may hire nurses who are military spouses and you know that they're going to be in town for two 00:32:42.760 --> 00:32:45.350 position:50% align:middle or three years, and so you hire them. 00:32:45.350 --> 00:32:53.310 position:50% align:middle So, you need to know that they can use their home state license in your state during the time that 00:32:53.310 --> 00:32:59.820 position:50% align:middle they're there, so long as they're maintaining that home state as their legal state of residence and are 00:32:59.820 --> 00:33:04.670 position:50% align:middle not changing it. 00:33:04.670 --> 00:33:06.360 position:50% align:middle All right. 00:33:06.360 --> 00:33:15.510 position:50% align:middle So, we covered this already and it's that idea that when you move from one state to another, 00:33:15.510 --> 00:33:21.380 position:50% align:middle you can have this seamless practice without an interruption in your employment. 00:33:21.380 --> 00:33:29.110 position:50% align:middle So, it says here, and I'll paraphrase it in this rule, "When a nurse changes their primary state of residence 00:33:29.110 --> 00:33:35.230 position:50% align:middle from one party state to another party state," and remember, party states mean compact states, 00:33:35.230 --> 00:33:43.510 position:50% align:middle "They can continue to practice under the existing license while the application is processed until the 00:33:43.510 --> 00:33:46.050 position:50% align:middle new license is issued," okay? 00:33:46.050 --> 00:33:52.240 position:50% align:middle And then once the new license is issued, you don't go around carrying two compact licenses. 00:33:52.240 --> 00:33:55.150 position:50% align:middle The new one replaces the old one. 00:33:55.150 --> 00:33:59.600 position:50% align:middle So, it supersedes the former license, which is going to go away, which will 00:33:59.600 --> 00:34:01.560 position:50% align:middle be deactivated, okay? 00:34:01.560 --> 00:34:05.540 position:50% align:middle Just like when you get a new driver's license, when you move to a new state, 00:34:05.540 --> 00:34:10.040 position:50% align:middle you don't continue on into the future with two driver's licenses. 00:34:10.040 --> 00:34:14.320 position:50% align:middle The new one takes the place of the old one, okay? 00:34:14.320 --> 00:34:20.400 position:50% align:middle And, again, this is a benefit of the compact so that when you move from one state to another, 00:34:20.400 --> 00:34:30.960 position:50% align:middle you don't need to be in a period of unemployment due to not having a license to work in the new state. 00:34:30.960 --> 00:34:31.360 position:50% align:middle Okay. 00:34:31.360 --> 00:34:37.790 position:50% align:middle So, again, how can an employer ensure that nurses are appropriately licensed? 00:34:37.790 --> 00:34:41.350 position:50% align:middle Obviously, you know, there's many regulations. 00:34:41.350 --> 00:34:51.010 position:50% align:middle And, although an employer is not bound or I should say the compact has no authority over employers, 00:34:51.010 --> 00:34:54.260 position:50% align:middle the compact rules do apply to nurses. 00:34:54.260 --> 00:35:02.490 position:50% align:middle And, a nurse violating the compact rules or laws, you know, could get into some trouble with the 00:35:02.490 --> 00:35:04.050 position:50% align:middle board of nursing. 00:35:04.050 --> 00:35:07.170 position:50% align:middle Employers have their own obligations. 00:35:07.170 --> 00:35:13.780 position:50% align:middle Even though their obligation is not to the compact, employers have their own obligations to joint 00:35:13.780 --> 00:35:23.980 position:50% align:middle commission perhaps to payers, to CMS, to have nurses appropriately licensed because you're 00:35:23.980 --> 00:35:27.710 position:50% align:middle claiming reimbursement for the work of those nurses. 00:35:27.710 --> 00:35:35.570 position:50% align:middle And so, when you're hiring a nurse from another state, obviously you need to get down to that basic question, 00:35:35.570 --> 00:35:42.090 position:50% align:middle is this nurse from within the state, are they moving here from another state, 00:35:42.090 --> 00:35:48.600 position:50% align:middle are they just living across the border in another state, or are they coming across the country? 00:35:48.600 --> 00:35:54.760 position:50% align:middle But, you need to get to the heart of that question, are they changing their legal state of residency 00:35:54.760 --> 00:36:02.250 position:50% align:middle to your state or not, because if they are, then they need to get into the application process. 00:36:02.250 --> 00:36:10.020 position:50% align:middle If they're not, then there is nothing they need to do then. 00:36:10.020 --> 00:36:17.300 position:50% align:middle Unfortunately, when I talk to a lot of employers, to nurse executives, to HR departments, 00:36:17.300 --> 00:36:22.950 position:50% align:middle the nurse sometimes is telling the employer, "I'm not getting a new license." 00:36:22.950 --> 00:36:28.060 position:50% align:middle And, oftentimes the rationale is, "I don't want to spend that money." 00:36:28.060 --> 00:36:34.120 position:50% align:middle Well, that's not how it works that you don't get it because you don't want to spend the money. 00:36:34.120 --> 00:36:37.860 position:50% align:middle You have to follow what the rules or laws are. 00:36:37.860 --> 00:36:44.080 position:50% align:middle And, sometimes there's a true misunderstanding that, again, as I said earlier, 00:36:44.080 --> 00:36:49.600 position:50% align:middle nurses sometimes think it's a national license, that once I get a compact license, 00:36:49.600 --> 00:36:54.870 position:50% align:middle I just keep renewing it no matter where I live in the country and that's not the case. 00:36:54.870 --> 00:37:02.280 position:50% align:middle It's a state license that's valid in many places, just like your driver's license is a state license 00:37:02.280 --> 00:37:04.340 position:50% align:middle valid in many states. 00:37:04.340 --> 00:37:07.760 position:50% align:middle So, make that determination. 00:37:07.760 --> 00:37:16.030 position:50% align:middle You know, if I'm an employer in Arizona and I'm hiring a nurse from Maryland, the other side of the country, 00:37:16.030 --> 00:37:21.730 position:50% align:middle and that nurse tells me they don't want to get an Arizona license and I'm hiring them for a full-time 00:37:21.730 --> 00:37:25.460 position:50% align:middle permanent position in Arizona, something's wrong there. 00:37:25.460 --> 00:37:29.810 position:50% align:middle They're not commuting back and forth every day across the country, right? 00:37:29.810 --> 00:37:30.830 position:50% align:middle Okay. 00:37:30.830 --> 00:37:35.670 position:50% align:middle So, you're going to be living here in this state, this is your new state of residency, 00:37:35.670 --> 00:37:37.750 position:50% align:middle you need to get a license. 00:37:37.750 --> 00:37:44.820 position:50% align:middle Now there's some caveats here, namely, when you live on a border, or I'm sorry, 00:37:44.820 --> 00:37:50.180 position:50% align:middle maybe the employer is located on a border with another state. 00:37:50.180 --> 00:37:59.330 position:50% align:middle So, you know, maybe this is the border between Texas and New Mexico or the border 00:37:59.330 --> 00:38:02.900 position:50% align:middle between Kansas and Missouri. 00:38:02.900 --> 00:38:08.310 position:50% align:middle You know, your hospital may be in one state and the person lives right across the state line 00:38:08.310 --> 00:38:10.540 position:50% align:middle in the other state. 00:38:10.540 --> 00:38:15.030 position:50% align:middle In that case, where are they supposed to get their compact license? 00:38:15.030 --> 00:38:16.830 position:50% align:middle In the state where they live. 00:38:16.830 --> 00:38:24.950 position:50% align:middle It's not based on the state of the employer, but as we've said many times in the past 40 minutes, 00:38:24.950 --> 00:38:34.020 position:50% align:middle the primary state of residency of the nurse is where the nurse should be getting his or her license, okay? 00:38:34.020 --> 00:38:42.190 position:50% align:middle The primary state of residency of the nurse. 00:38:42.190 --> 00:38:42.520 position:50% align:middle All right. 00:38:42.520 --> 00:38:51.550 position:50% align:middle Hopefully, you're all familiar with Nursys and Nursys being the national database for licensure, 00:38:51.550 --> 00:38:54.870 position:50% align:middle but it also contains discipline information. 00:38:54.870 --> 00:38:59.240 position:50% align:middle And, know that when you're hiring a nurse, you should be going to Nursys. 00:38:59.240 --> 00:39:03.000 position:50% align:middle This is a screenshot of the homepage. 00:39:03.000 --> 00:39:08.500 position:50% align:middle And, you want to go to the quick confirm feature in the middle to do look up a license. 00:39:08.500 --> 00:39:14.860 position:50% align:middle And, you're going to look that nurse up and you're going to see all the licenses that the nurse holds 00:39:14.860 --> 00:39:16.380 position:50% align:middle in the country. 00:39:16.380 --> 00:39:20.080 position:50% align:middle And, where does Nursys get its information from? 00:39:20.080 --> 00:39:25.280 position:50% align:middle It's uploaded every day from every board of nursing in the country. 00:39:25.280 --> 00:39:33.820 position:50% align:middle So, this is the composite or the aggregate of all of the nursing information in all the boards of nursing 00:39:33.820 --> 00:39:36.290 position:50% align:middle in the U.S., okay? 00:39:36.290 --> 00:39:41.070 position:50% align:middle And, it all comes into Nursys every day and is constantly updated. 00:39:41.070 --> 00:39:48.310 position:50% align:middle So, if you go to the board of nursing website to do a lookup, you are only going to see information 00:39:48.310 --> 00:39:50.520 position:50% align:middle about that one state. 00:39:50.520 --> 00:39:59.460 position:50% align:middle Obviously, if a nurse has 2, or 5, or 20 licenses, you want to be aware of all the licenses that 00:39:59.460 --> 00:40:01.080 position:50% align:middle that nurse holds. 00:40:01.080 --> 00:40:01.670 position:50% align:middle Why? 00:40:01.670 --> 00:40:07.340 position:50% align:middle Because there may be discipline on one or more of those licenses. 00:40:07.340 --> 00:40:14.180 position:50% align:middle And, if you understand how the compact works, when you have discipline in any one state, 00:40:14.180 --> 00:40:20.610 position:50% align:middle you're no longer eligible for a compact license until the discipline is resolved. 00:40:20.610 --> 00:40:28.090 position:50% align:middle So, whether the nurse disclosed that to you or not, that they have discipline in another state, 00:40:28.090 --> 00:40:33.950 position:50% align:middle maybe they do, maybe they don't, this is your way to confirm it, okay? 00:40:33.950 --> 00:40:40.900 position:50% align:middle And, eventually that discipline will catch up with the individual nurse and the multistate license will be 00:40:40.900 --> 00:40:48.700 position:50% align:middle pulled back and probably changed to a single-state license if there is discipline and they're kind 00:40:48.700 --> 00:40:54.300 position:50% align:middle of in transition. 00:40:54.300 --> 00:41:00.180 position:50% align:middle So, this is what it looks like when you pull a nurse up in QuickConfirm. 00:41:00.180 --> 00:41:05.670 position:50% align:middle And, you can see in the middle of the screen, the middle of the slide, 00:41:05.670 --> 00:41:08.320 position:50% align:middle the information that it gives you. 00:41:08.320 --> 00:41:15.410 position:50% align:middle Notice under license status it says that the nurse is unencumbered, which is what you want to see. 00:41:15.410 --> 00:41:24.090 position:50% align:middle That means free and clear, in good standing, no types of discipline against the nurse, okay? 00:41:24.090 --> 00:41:29.380 position:50% align:middle Otherwise you'll see something different there like suspended or revoked or something like that. 00:41:29.380 --> 00:41:35.970 position:50% align:middle Then you're also looking on the far right for the compact status, where you see it says 00:41:35.970 --> 00:41:38.030 position:50% align:middle the word multistate. 00:41:38.030 --> 00:41:43.590 position:50% align:middle And, that's what you want to see if you expect the nurse to have a compact license. 00:41:43.590 --> 00:41:49.440 position:50% align:middle Above this ribbon of information, you'll see the question, 00:41:49.440 --> 00:41:51.870 position:50% align:middle "Where can this nurse practice?" 00:41:51.870 --> 00:41:57.570 position:50% align:middle So, if you have a question about where they can practice, you can click View Now and based on all 00:41:57.570 --> 00:42:05.320 position:50% align:middle of the active licenses the nurse holds, it'll show you a map and or a list of all the states 00:42:05.320 --> 00:42:11.270 position:50% align:middle where that nurse is authorized to practice. 00:42:11.270 --> 00:42:17.710 position:50% align:middle One of the other options on that homepage of Nursys is nurses e-Notify. 00:42:17.710 --> 00:42:23.440 position:50% align:middle And, you may or may not be familiar with this necause it's a free notification service. 00:42:23.440 --> 00:42:33.800 position:50% align:middle As an employer, you can enroll all of your nurses in e-Notify very easily with an Excel spreadsheet. 00:42:33.800 --> 00:42:39.170 position:50% align:middle And, what it does is provide the hospital or the employer, I should say, 00:42:39.170 --> 00:42:46.340 position:50% align:middle with notifications of any changes to the license status for any of the nurses. 00:42:46.340 --> 00:42:52.080 position:50% align:middle Now, keep in mind that the change to license status could be for any number of reasons. 00:42:52.080 --> 00:42:57.860 position:50% align:middle Yes, it could be that they got suspended or revoked or put on probation, but it could also be that the 00:42:57.860 --> 00:43:06.320 position:50% align:middle license expired, that the nurse forgot to renew the license, and now it's expired and obviously you don't 00:43:06.320 --> 00:43:10.840 position:50% align:middle want a nurse working who's under an expired license. 00:43:10.840 --> 00:43:14.130 position:50% align:middle So, there's no cost for this. 00:43:14.130 --> 00:43:20.360 position:50% align:middle It's real-time information because it comes directly from nurses, which comes directly from the 00:43:20.360 --> 00:43:22.000 position:50% align:middle boards of nursing. 00:43:22.000 --> 00:43:31.190 position:50% align:middle So, again, just a feature of Nursys that you should know about. 00:43:31.190 --> 00:43:34.560 position:50% align:middle That takes us to the end of the presentation. 00:43:34.560 --> 00:43:40.590 position:50% align:middle I have time for questions, but I do want to point out my email address here, 00:43:40.590 --> 00:43:47.050 position:50% align:middle nursecompact@ncsbn.org, because you can ask your questions here in the time 00:43:47.050 --> 00:43:53.470 position:50% align:middle that we have left, but if not, you can always send in your question through email and 00:43:53.470 --> 00:43:55.660 position:50% align:middle we will respond to you. 00:43:55.660 --> 00:43:57.500 position:50% align:middle Let me see. 00:43:57.500 --> 00:44:02.630 position:50% align:middle It looks like there's one more slide. 00:44:02.630 --> 00:44:07.640 position:50% align:middle It's just our socials, which you can access from this QR code, 00:44:07.640 --> 00:44:11.130 position:50% align:middle and of course our website, nursecompact.com. 00:44:11.130 --> 00:44:17.110 position:50% align:middle Also, I want to say, I said in the beginning that we will send these slides 00:44:17.110 --> 00:44:23.510 position:50% align:middle to you, but along with the slides, we're going to send a link to an evaluation. 00:44:23.510 --> 00:44:26.890 position:50% align:middle So, there are only about three questions in the evaluation. 00:44:26.890 --> 00:44:33.970 position:50% align:middle We truly appreciate it if you would complete the evaluation to let us know how we're doing, okay? 00:44:33.970 --> 00:44:37.810 position:50% align:middle And if you have any questions, we're happy to start taking them now. 00:44:37.810 --> 00:44:43.240 position:50% align:middle If you want to raise your hand, we'll call on you and then you can unmute yourself. 00:44:43.240 --> 00:44:44.740 position:50% align:middle Okay, Catherine, 00:44:44.740 --> 00:44:47.770 position:50% align:middle - [Catherine] Thank you. 00:44:47.770 --> 00:44:49.930 position:50% align:middle Thank you for your presentation, I really... 00:44:49.930 --> 00:44:50.180 position:50% align:middle - Sure. 00:44:50.180 --> 00:44:50.810 position:50% align:middle - ...appreciated it. 00:44:50.810 --> 00:45:01.420 position:50% align:middle I have a employee, a nurse who has their advanced practice nursing license in our state. 00:45:01.420 --> 00:45:07.600 position:50% align:middle Their registered nurse license is from another state where they moved from. 00:45:07.600 --> 00:45:17.110 position:50% align:middle So, they said that they did not have to change their RN license from the other state because it's compact. 00:45:17.110 --> 00:45:25.920 position:50% align:middle And, they said that state is where they consider themselves residents for tax purposes for that state, 00:45:25.920 --> 00:45:30.290 position:50% align:middle but they have their APRN license here in our state. 00:45:30.290 --> 00:45:33.630 position:50% align:middle So, can you help me with that? 00:45:33.630 --> 00:45:34.470 position:50% align:middle - Yeah. 00:45:34.470 --> 00:45:34.780 position:50% align:middle - Does that make sense? 00:45:34.780 --> 00:45:43.280 position:50% align:middle - I'm not as concerned about the APRN license, but the RN license has to be in the state 00:45:43.280 --> 00:45:46.260 position:50% align:middle where they live. 00:45:46.260 --> 00:45:48.600 position:50% align:middle Are you able to mention the two states? 00:45:48.600 --> 00:45:50.230 position:50% align:middle - Yeah, sure. 00:45:50.230 --> 00:45:55.930 position:50% align:middle So, Texas is the state where they have their APRN license, and of course, 00:45:55.930 --> 00:45:58.640 position:50% align:middle they say their state of residence is Florida. 00:45:58.640 --> 00:46:04.610 position:50% align:middle They don't live in Florida, they live in Texas, and they practice as an APRN and as a registered nurse. 00:46:04.610 --> 00:46:12.570 position:50% align:middle - So, that's one of those misunderstandings, like in the examples I was giving you. 00:46:12.570 --> 00:46:17.020 position:50% align:middle They think that, you know, well, this is my primary resident. 00:46:17.020 --> 00:46:22.530 position:50% align:middle No, the primary residence is Texas in this case, it sounds like where you're located, 00:46:22.530 --> 00:46:23.570 position:50% align:middle where they're living. 00:46:23.570 --> 00:46:26.610 position:50% align:middle They moved there, right? 00:46:26.610 --> 00:46:31.320 position:50% align:middle - And they're keeping their driver's license in Florida. 00:46:31.320 --> 00:46:33.400 position:50% align:middle - Well, they're [crosstalk]... 00:46:33.400 --> 00:46:36.220 position:50% align:middle - They don't go to Florida every day, like you were saying earlier. 00:46:36.220 --> 00:46:44.020 position:50% align:middle - So they're breaking the Texas Driver's License Law requirement by not getting a Texas driver's license and 00:46:44.020 --> 00:46:52.200 position:50% align:middle then violating the compact law rule that required them to get the new license within 60 days. 00:46:52.200 --> 00:46:55.490 position:50% align:middle So, I think that's a very clear example. 00:46:55.490 --> 00:47:02.360 position:50% align:middle I'm assuming it's a full-time permanent job that she's working in? 00:47:02.360 --> 00:47:02.840 position:50% align:middle - Yes. 00:47:02.840 --> 00:47:07.060 position:50% align:middle - And so that is very clear they should have a license in that state. 00:47:07.060 --> 00:47:08.200 position:50% align:middle - Okay. 00:47:08.200 --> 00:47:08.510 position:50% align:middle Thank you. 00:47:08.510 --> 00:47:15.150 position:50% align:middle I've talked to the Board of Nursing here in Texas, and their answers have not been as clear as yours, 00:47:15.150 --> 00:47:17.160 position:50% align:middle so I'm really glad I came to this workshop. 00:47:17.160 --> 00:47:17.490 position:50% align:middle Thank you. 00:47:17.490 --> 00:47:18.710 position:50% align:middle - Sure. 00:47:18.710 --> 00:47:20.650 position:50% align:middle Anytime. 00:47:20.650 --> 00:47:22.770 position:50% align:middle Next we have, is it Doreen? 00:47:22.770 --> 00:47:24.230 position:50% align:middle I only see part of the name. 00:47:24.230 --> 00:47:24.540 position:50% align:middle Yeah, Doreen. 00:47:24.540 --> 00:47:25.290 position:50% align:middle - [Doreen] Yes. 00:47:25.290 --> 00:47:25.650 position:50% align:middle Hi. 00:47:25.650 --> 00:47:26.240 position:50% align:middle Thank you. 00:47:26.240 --> 00:47:28.360 position:50% align:middle This is actually regarding myself. 00:47:28.360 --> 00:47:29.210 position:50% align:middle - Sure. 00:47:29.210 --> 00:47:35.360 position:50% align:middle - I have past discipline with the State of New Hampshire, and it was a reprimand. 00:47:35.360 --> 00:47:41.050 position:50% align:middle I was required to do some continuing education and a fine. 00:47:41.050 --> 00:47:45.830 position:50% align:middle And, that was resolved in June of 2023. 00:47:45.830 --> 00:47:54.140 position:50% align:middle And, the one year that I had to notify the schools and everything was up in January of 2024. 00:47:54.140 --> 00:48:03.120 position:50% align:middle I've since been communicating with the board of nursing because they're not changing my status to unencumbered. 00:48:03.120 --> 00:48:08.690 position:50% align:middle And, I technically have an unencumbered license, I do not have any current discipline, 00:48:08.690 --> 00:48:15.150 position:50% align:middle I have no notifications or anything, I don't have to have anything done by any board... 00:48:15.150 --> 00:48:17.980 position:50% align:middle - But, is your license back to multistate? 00:48:17.980 --> 00:48:19.450 position:50% align:middle - It is. 00:48:19.450 --> 00:48:20.970 position:50% align:middle - Okay. 00:48:20.970 --> 00:48:26.390 position:50% align:middle - So, they're not changing it. 00:48:26.390 --> 00:48:30.470 position:50% align:middle They changed it to reprimand, and I said, "But I don't currently have a reprimand that's 00:48:30.470 --> 00:48:35.290 position:50% align:middle in historical," and they're refusing to change it to unencumbered. 00:48:35.290 --> 00:48:36.250 position:50% align:middle So, I'm... 00:48:36.250 --> 00:48:40.160 position:50% align:middle - So, when you see that, are you seeing that on the board of nursing website 00:48:40.160 --> 00:48:41.530 position:50% align:middle or on nursys.com? 00:48:41.530 --> 00:48:43.980 position:50% align:middle - nursys.com 00:48:43.980 --> 00:48:44.940 position:50% align:middle - Okay. 00:48:44.940 --> 00:48:51.460 position:50% align:middle You can put in a complaint to Nursys that... 00:48:51.460 --> 00:48:52.060 position:50% align:middle - Okay. 00:48:52.060 --> 00:48:53.440 position:50% align:middle - ...that it's incorrect... 00:48:53.440 --> 00:48:54.230 position:50% align:middle - Okay. 00:48:54.230 --> 00:48:57.260 position:50% align:middle - ...and they will follow up with the board of nursing... 00:48:57.260 --> 00:48:57.860 position:50% align:middle - Okay. 00:48:57.860 --> 00:49:00.850 position:50% align:middle - ...until the board of nursing updates it to make it correct. 00:49:00.850 --> 00:49:01.310 position:50% align:middle - Okay. 00:49:01.310 --> 00:49:03.330 position:50% align:middle Thank you so much. 00:49:03.330 --> 00:49:08.560 position:50% align:middle It's preventing me from actually even doing continuing education and I've been a nurse for 27 years. 00:49:08.560 --> 00:49:14.800 position:50% align:middle It's really, really affecting me and my ability to do my [crosstalk]... 00:49:14.800 --> 00:49:16.190 position:50% align:middle - Sorry to hear that. 00:49:16.190 --> 00:49:16.610 position:50% align:middle But [crosstalk]... 00:49:16.610 --> 00:49:17.230 position:50% align:middle - That's okay. 00:49:17.230 --> 00:49:18.960 position:50% align:middle I just wanted to make sure it was clear. 00:49:18.960 --> 00:49:26.250 position:50% align:middle I know if they have concerns and they have confusion I just went by, I sent them a letter, 00:49:26.250 --> 00:49:29.430 position:50% align:middle they have all the documentation, and yet they were still refusing. 00:49:29.430 --> 00:49:31.260 position:50% align:middle So, I was really happy when I saw this. 00:49:31.260 --> 00:49:34.700 position:50% align:middle And, I did see that Ashley, who was the director of our board of nursing, 00:49:34.700 --> 00:49:35.940 position:50% align:middle was logged on to this. 00:49:35.940 --> 00:49:40.460 position:50% align:middle So, I'm hoping she's hearing my question and she is going to resolve this quickly for me, 00:49:40.460 --> 00:49:43.470 position:50% align:middle but I really appreciate the presentation, it has really helped us greatly. 00:49:43.470 --> 00:49:45.260 position:50% align:middle - Okay. 00:49:45.260 --> 00:49:46.630 position:50% align:middle - Thank you so much. 00:49:46.630 --> 00:49:51.250 position:50% align:middle - Thank you. 00:49:51.250 --> 00:49:52.980 position:50% align:middle Raelle Gaston. 00:49:52.980 --> 00:49:54.270 position:50% align:middle - [Raelle] Hey. 00:49:54.270 --> 00:49:55.930 position:50% align:middle Can you hear me? 00:49:55.930 --> 00:49:56.830 position:50% align:middle - Yep. 00:49:56.830 --> 00:49:57.460 position:50% align:middle - Okay. 00:49:57.460 --> 00:49:58.680 position:50% align:middle Hi. 00:49:58.680 --> 00:50:00.660 position:50% align:middle So, I have a question. 00:50:00.660 --> 00:50:06.780 position:50% align:middle This recently came up during one of our HR huddles regarding new grads. 00:50:06.780 --> 00:50:12.790 position:50% align:middle We have a couple of programs and we're just trying to perfect it as much as possible. 00:50:12.790 --> 00:50:13.200 position:50% align:middle And... 00:50:13.200 --> 00:50:13.520 position:50% align:middle - And... 00:50:13.520 --> 00:50:13.570 position:50% align:middle - [crosstalk] 00:50:13.570 --> 00:50:16.270 position:50% align:middle - ...I'm sorry, are you with a nursing program or? 00:50:16.270 --> 00:50:17.080 position:50% align:middle - Yes. 00:50:17.080 --> 00:50:17.780 position:50% align:middle - Okay. 00:50:17.780 --> 00:50:23.130 position:50% align:middle - Yes, I work here at Memorial Hospital and I kind of oversee our new grad program for new graduates that 00:50:23.130 --> 00:50:25.670 position:50% align:middle have graduated and are coming on. 00:50:25.670 --> 00:50:25.840 position:50% align:middle So,... 00:50:25.840 --> 00:50:26.080 position:50% align:middle - Sure. 00:50:26.080 --> 00:50:30.490 position:50% align:middle - ...we just wanna make sure that we're properly doing everything correctly when it comes to, like, 00:50:30.490 --> 00:50:32.930 position:50% align:middle them having their... 00:50:32.930 --> 00:50:39.250 position:50% align:middle They're in a nurse resident position, but they're with a licensed nurse. 00:50:39.250 --> 00:50:45.120 position:50% align:middle And, we were under the impression that they could be supervised by that licensed nurse in that 00:50:45.120 --> 00:50:51.610 position:50% align:middle patient's room, but we were just notified from the Georgia Board that they have to be licensed even though 00:50:51.610 --> 00:50:53.730 position:50% align:middle they're in a resident program. 00:50:53.730 --> 00:50:54.020 position:50% align:middle [crosstalk] 00:50:54.020 --> 00:51:01.780 position:50% align:middle - So are these students or have they gotten licensed already in past end class? 00:51:01.780 --> 00:51:06.090 position:50% align:middle - So, some of them, so we have a resident 1 and a resident 2 position. 00:51:06.090 --> 00:51:10.590 position:50% align:middle So, when you're a resident 1, typically you're not required to have a license because 00:51:10.590 --> 00:51:12.520 position:50% align:middle you're doing your classroom training. 00:51:12.520 --> 00:51:15.750 position:50% align:middle But, recently from division, that has changed. 00:51:15.750 --> 00:51:19.110 position:50% align:middle So, classroom time is shorter, and then they're on the unit 00:51:19.110 --> 00:51:21.520 position:50% align:middle during their preceptorship earlier. 00:51:21.520 --> 00:51:25.840 position:50% align:middle Before it was, like, 8 to 10 weeks classroom and then after the 8 to 10 00:51:25.840 --> 00:51:28.380 position:50% align:middle weeks you're on the unit doing preceptorship. 00:51:28.380 --> 00:51:35.270 position:50% align:middle But, that has recently changed as of July 22nd and now their, like, classroom time is shorter, 00:51:35.270 --> 00:51:40.140 position:50% align:middle so they're on the unit much faster with that licensed nurse. 00:51:40.140 --> 00:51:48.760 position:50% align:middle But, then some of them either we come across they don't have their ATT, so they haven't even taken their 00:51:48.760 --> 00:51:55.420 position:50% align:middle NCLEX yet, or they have a single-state, which I'm, like, completely against because I don't 00:51:55.420 --> 00:52:01.630 position:50% align:middle think they should be with a nurse, or they're pending taking their NCLEX and 00:52:01.630 --> 00:52:02.640 position:50% align:middle haven't gotten their license. 00:52:02.640 --> 00:52:06.690 position:50% align:middle So, we're just trying to verify what is the most accurate, like, what do they need? 00:52:06.690 --> 00:52:11.920 position:50% align:middle Do they need to be completely licensed, or can they work under a licensed nurse? 00:52:11.920 --> 00:52:19.110 position:50% align:middle - Well, the thing is that it sounds like what you're asking is going to be related to a Georgia requirement 00:52:19.110 --> 00:52:22.470 position:50% align:middle as opposed to a compact requirement. 00:52:22.470 --> 00:52:27.990 position:50% align:middle So, unfortunately that's something that the Georgia Board... 00:52:27.990 --> 00:52:28.920 position:50% align:middle It is Georgia, right? 00:52:28.920 --> 00:52:29.950 position:50% align:middle - Yes, that's correct. 00:52:29.950 --> 00:52:38.520 position:50% align:middle - That would be a state-specific requirement that's different than a compact requirement, 00:52:38.520 --> 00:52:47.310 position:50% align:middle so you would have to find out what George's Board of Nursing is requiring because that's what you would 00:52:47.310 --> 00:52:50.370 position:50% align:middle have to follow. 00:52:50.370 --> 00:52:52.510 position:50% align:middle - Okay. 00:52:52.510 --> 00:52:57.380 position:50% align:middle Because we had a meeting yesterday and we're just trying to verify, so I guess I just need to reach 00:52:57.380 --> 00:53:02.910 position:50% align:middle out to the Georgia Board in order to just kind of find out because their website basically says they have 00:53:02.910 --> 00:53:07.880 position:50% align:middle to be licensed in order to practice with a patient. 00:53:07.880 --> 00:53:12.500 position:50% align:middle So, I just wanted to make sure we were doing everything accurate on our end. 00:53:12.500 --> 00:53:18.170 position:50% align:middle - I wouldn't want to take a guess as to what their requirement is in that state in that situation 00:53:18.170 --> 00:53:19.600 position:50% align:middle in the residency program. 00:53:19.600 --> 00:53:25.680 position:50% align:middle So, I would suggest speaking with them by phone so you can get clarification. 00:53:25.680 --> 00:53:30.490 position:50% align:middle - Okay. 00:53:30.490 --> 00:53:31.490 position:50% align:middle Thank you. 00:53:31.490 --> 00:53:33.470 position:50% align:middle - You're welcome. 00:53:33.470 --> 00:53:34.440 position:50% align:middle Carol Whitman? 00:53:34.440 --> 00:53:35.550 position:50% align:middle - [Carol] Yes. 00:53:35.550 --> 00:53:35.920 position:50% align:middle Hi. 00:53:35.920 --> 00:53:39.080 position:50% align:middle I was just wondering... 00:53:39.080 --> 00:53:40.510 position:50% align:middle Sorry, did you hear me? 00:53:40.510 --> 00:53:41.130 position:50% align:middle I was... 00:53:41.130 --> 00:53:42.460 position:50% align:middle - I hear you now. 00:53:42.460 --> 00:53:44.680 position:50% align:middle - My mic was up over. 00:53:44.680 --> 00:53:53.510 position:50% align:middle My question is, I just want to gain some understanding because as far as my, like, 00:53:53.510 --> 00:54:02.270 position:50% align:middle our New Hampshire License here, nursing license, are you saying that we are automatically a part of the 00:54:02.270 --> 00:54:11.730 position:50% align:middle multistate compact or do we have to apply for some other, like, licensure to be able to be a part of that? 00:54:11.730 --> 00:54:16.830 position:50% align:middle I guess I've never really understood all of that. 00:54:16.830 --> 00:54:25.570 position:50% align:middle - As far as I remember, I think that if you are a resident of New Hampshire, 00:54:25.570 --> 00:54:30.790 position:50% align:middle because it's different in different states, but I believe because New Hampshire's one that was 00:54:30.790 --> 00:54:39.080 position:50% align:middle around during the original compact that if you applied as a resident of the state, 00:54:39.080 --> 00:54:42.590 position:50% align:middle that you were automatically applying for a compact license. 00:54:42.590 --> 00:54:43.190 position:50% align:middle - Okay. 00:54:43.190 --> 00:54:43.410 position:50% align:middle Because... 00:54:43.410 --> 00:54:43.500 position:50% align:middle - Now. 00:54:43.500 --> 00:54:49.650 position:50% align:middle - ...I looked up Nursys just now and I was surprised to see it said, "You can practice in all these different 00:54:49.650 --> 00:54:53.570 position:50% align:middle states," and I was like, "Wow, I never realized that I had that ability." 00:54:53.570 --> 00:55:00.090 position:50% align:middle - So that's the way to verify it, is to go on Nursys and as I was showing you that field 00:55:00.090 --> 00:55:06.460 position:50% align:middle that says Compact Status, if it says multi-state, then you can practice in all the compact states. 00:55:06.460 --> 00:55:07.710 position:50% align:middle - Okay. 00:55:07.710 --> 00:55:08.200 position:50% align:middle Thank you. 00:55:08.200 --> 00:55:10.900 position:50% align:middle - You're welcome. 00:55:10.900 --> 00:55:12.030 position:50% align:middle Holly? 00:55:12.030 --> 00:55:14.880 position:50% align:middle - [Holly] Yes. 00:55:14.880 --> 00:55:27.940 position:50% align:middle My question is if I have relocated from a non-compact state to a compact state, and I have licensure in both, 00:55:27.940 --> 00:55:34.470 position:50% align:middle and I'm not practicing in both, my primary state of residence is in a compact 00:55:34.470 --> 00:55:40.430 position:50% align:middle state now, but there is a chance that I'm going to move back to the non-comp state, 00:55:40.430 --> 00:55:47.280 position:50% align:middle I just want to make certain there's no issue with continuing to renew that non-comp license while I live 00:55:47.280 --> 00:55:49.730 position:50% align:middle in a compact state. 00:55:49.730 --> 00:55:53.780 position:50% align:middle - No, no issue with renewing the non-compact license. 00:55:53.780 --> 00:55:57.630 position:50% align:middle You can always keep non-compact licenses. 00:55:57.630 --> 00:55:59.630 position:50% align:middle That's no problem. 00:55:59.630 --> 00:56:03.490 position:50% align:middle In the compact state, is your license single-state or multistate? 00:56:03.490 --> 00:56:06.580 position:50% align:middle - It's a multi-state. 00:56:06.580 --> 00:56:07.700 position:50% align:middle - Okay. 00:56:07.700 --> 00:56:16.140 position:50% align:middle So, in the event that you move back to a non-compact state, the only thing you need to do is notify the 00:56:16.140 --> 00:56:22.700 position:50% align:middle board of nursing of your change of address because they're going to need to downgrade you 00:56:22.700 --> 00:56:24.660 position:50% align:middle from multistate to single-state... 00:56:24.660 --> 00:56:26.010 position:50% align:middle - Okay. 00:56:26.010 --> 00:56:31.980 position:50% align:middle - ...because you won't be eligible for the multistate when you go back and reside in a non-compact state. 00:56:31.980 --> 00:56:32.480 position:50% align:middle - Okay. 00:56:32.480 --> 00:56:33.710 position:50% align:middle That was my understanding. 00:56:33.710 --> 00:56:35.750 position:50% align:middle I just wanted to make certain that that was correct. 00:56:35.750 --> 00:56:36.550 position:50% align:middle Thank you. 00:56:36.550 --> 00:56:38.760 position:50% align:middle - Sure. 00:56:38.760 --> 00:56:39.750 position:50% align:middle Barbara. 00:56:39.750 --> 00:56:43.580 position:50% align:middle - [Barbara] Hi. 00:56:43.580 --> 00:56:44.300 position:50% align:middle - Hi. 00:56:44.300 --> 00:56:46.420 position:50% align:middle - Thank you for taking my question. 00:56:46.420 --> 00:56:52.890 position:50% align:middle I heard you say that Pennsylvania State Board of Nursing is held up because of some kind of complication 00:56:52.890 --> 00:56:54.540 position:50% align:middle with the criminal background check. 00:56:54.540 --> 00:57:01.610 position:50% align:middle Is there any idea of a timeframe of when Pennsylvania will complete the multistate? 00:57:01.610 --> 00:57:04.100 position:50% align:middle - There's not. 00:57:04.100 --> 00:57:12.580 position:50% align:middle So, the holdup is waiting for approval from the FBI and it's been in a holding pattern for several years. 00:57:12.580 --> 00:57:22.810 position:50% align:middle However, this year the the legislators passed a criminal background check legislation, 00:57:22.810 --> 00:57:25.520 position:50% align:middle which the FBI asked them to do. 00:57:25.520 --> 00:57:29.750 position:50% align:middle So, that just happened four weeks ago. 00:57:29.750 --> 00:57:38.050 position:50% align:middle And, now they're sending it back to the FBI and saying, "Here, look, we have it in law now, 00:57:38.050 --> 00:57:40.130 position:50% align:middle will you approve it now?" 00:57:40.130 --> 00:57:47.110 position:50% align:middle So, again, after all this time that happened most recently, and now we're waiting for the FBI 00:57:47.110 --> 00:57:50.930 position:50% align:middle to respond to, "It's now in law." 00:57:50.930 --> 00:57:54.760 position:50% align:middle How quickly they'll respond with no idea. 00:57:54.760 --> 00:58:00.070 position:50% align:middle Could be months, could be next year until we know more. 00:58:00.070 --> 00:58:02.700 position:50% align:middle You know, they're a federal agency. 00:58:02.700 --> 00:58:08.170 position:50% align:middle Obviously, this is one of many things that they're dealing with. 00:58:08.170 --> 00:58:08.770 position:50% align:middle So,... 00:58:08.770 --> 00:58:10.230 position:50% align:middle - Well, thank you... 00:58:10.230 --> 00:58:10.310 position:50% align:middle - ...until... 00:58:10.310 --> 00:58:11.050 position:50% align:middle - ...for that answer. 00:58:11.050 --> 00:58:16.680 position:50% align:middle - Until they give us an update, we won't have anymore, but thank you. 00:58:16.680 --> 00:58:18.300 position:50% align:middle Here's another one, Anna. 00:58:18.300 --> 00:58:20.800 position:50% align:middle - [Anna] Hi, can you hear me okay? 00:58:20.800 --> 00:58:21.830 position:50% align:middle - Yes. 00:58:21.830 --> 00:58:23.150 position:50% align:middle - Okay. 00:58:23.150 --> 00:58:36.220 position:50% align:middle I'm here in Delaware and I have a military spouse nurse who on Nursys is listed as having a multistate license 00:58:36.220 --> 00:58:39.210 position:50% align:middle in North Dakota, I believe. 00:58:39.210 --> 00:58:48.920 position:50% align:middle On our Delaware Board of Nursing website, she does appear there with a nursing military 00:58:48.920 --> 00:58:54.790 position:50% align:middle registration through the service member Civil Relief Act. 00:58:54.790 --> 00:59:07.460 position:50% align:middle So, does that qualify as holding her license in Delaware as her new primary state of residence? 00:59:07.460 --> 00:59:14.530 position:50% align:middle - So you said her license was issued out of North Dakota, correct? 00:59:14.530 --> 00:59:16.050 position:50% align:middle - Correct. 00:59:16.050 --> 00:59:24.560 position:50% align:middle - Is she changing it to Delaware or not changing it to Delaware, her primary state of residence? 00:59:24.560 --> 00:59:28.310 position:50% align:middle - She hasn't been quite as forthcoming. 00:59:28.310 --> 00:59:32.050 position:50% align:middle It sounds, like, she's telling me at this point she's not. 00:59:32.050 --> 00:59:37.840 position:50% align:middle They did just very recently move here. 00:59:37.840 --> 00:59:40.690 position:50% align:middle They did advise they're purchasing a home. 00:59:40.690 --> 00:59:45.470 position:50% align:middle So, if she was to, let's say, obtain her driver's license here, 00:59:45.470 --> 00:59:52.730 position:50% align:middle would she need something additional other than the nursing and military registration that's currently 00:59:52.730 --> 00:59:56.370 position:50% align:middle appearing on our board's website? 00:59:56.370 --> 00:59:56.830 position:50% align:middle - Yeah. 00:59:56.830 --> 01:00:01.880 position:50% align:middle If she became a Delaware resident, she needs to apply for a Delaware license. 01:00:01.880 --> 01:00:02.860 position:50% align:middle - Okay. 01:00:02.860 --> 01:00:09.680 position:50% align:middle - As long as she's saying, "I'm only here temporarily for military purposes, 01:00:09.680 --> 01:00:15.810 position:50% align:middle my real home is North Dakota, then she can stay on the North Dakota compact license. 01:00:15.810 --> 01:00:20.020 position:50% align:middle But if she says, "No, I want to be here permanently, this is my new home state, 01:00:20.020 --> 01:00:26.660 position:50% align:middle this is my new primary state of residence," then she needs to get a Delaware compact license, 01:00:26.660 --> 01:00:28.370 position:50% align:middle which will replace the other one. 01:00:28.370 --> 01:00:29.640 position:50% align:middle - Okay. 01:00:29.640 --> 01:00:30.790 position:50% align:middle And, one more question. 01:00:30.790 --> 01:00:37.320 position:50% align:middle As a military member, if she is here, let's say temporarily, 01:00:37.320 --> 01:00:45.400 position:50% align:middle but she does obtain a Delaware driver's license, is that allowed, is there a clause because she is 01:00:45.400 --> 01:00:49.990 position:50% align:middle military that she can do that, or would it be that she would still need to return 01:00:49.990 --> 01:00:54.900 position:50% align:middle to her home state of North Dakota if that's the case [crosstalk]... 01:00:54.900 --> 01:00:59.460 position:50% align:middle - Is this the spouse or the service person we're talking about? 01:00:59.460 --> 01:01:01.260 position:50% align:middle - She is the spouse. 01:01:01.260 --> 01:01:03.140 position:50% align:middle Her husband's the service member. 01:01:03.140 --> 01:01:06.070 position:50% align:middle - Okay. 01:01:06.070 --> 01:01:11.650 position:50% align:middle I believe getting a Delaware driver's license would change her residency to make her a 01:01:11.650 --> 01:01:13.720 position:50% align:middle Delaware resident and... 01:01:13.720 --> 01:01:14.110 position:50% align:middle - Okay. 01:01:14.110 --> 01:01:18.800 position:50% align:middle - that would mean she would need a Delaware compact license. 01:01:18.800 --> 01:01:19.890 position:50% align:middle - Okay. 01:01:19.890 --> 01:01:20.510 position:50% align:middle Thank you. 01:01:20.510 --> 01:01:24.500 position:50% align:middle - Sure. 01:01:24.500 --> 01:01:26.440 position:50% align:middle Let's see who's next. 01:01:26.440 --> 01:01:27.020 position:50% align:middle Tessa? 01:01:35.000 --> 01:01:37.010 position:50% align:middle - [Tessa] Can you hear me? 01:01:37.010 --> 01:01:37.500 position:50% align:middle - Yep. 01:01:37.500 --> 01:01:38.980 position:50% align:middle - Okay. 01:01:38.980 --> 01:01:41.320 position:50% align:middle I'm in Tennessee. 01:01:41.320 --> 01:01:49.860 position:50% align:middle So, I'm curious for new grad nurses when they're in a compact state and they move to another compact state, 01:01:49.860 --> 01:01:56.470 position:50% align:middle they do not want to establish residency, they want to continue to have residency 01:01:56.470 --> 01:02:01.680 position:50% align:middle in their parents' home. 01:02:01.680 --> 01:02:07.600 position:50% align:middle How are we as employers supposed to deal with that other than telling them what they should do? 01:02:07.600 --> 01:02:08.840 position:50% align:middle - So... 01:02:08.840 --> 01:02:12.970 position:50% align:middle - They choose not to do the driver's license because they say that they're only going to be here for a 01:02:12.970 --> 01:02:15.840 position:50% align:middle certain amount of time, it's not a contracted amount of time. 01:02:15.840 --> 01:02:19.020 position:50% align:middle - Okay. 01:02:19.020 --> 01:02:26.160 position:50% align:middle So, they're saying, "My primary state of residency is this other state, I'm only here temporarily," right? 01:02:26.160 --> 01:02:27.860 position:50% align:middle - Yes. 01:02:27.860 --> 01:02:34.240 position:50% align:middle - Then they shouldn't have to get a license in that state. 01:02:34.240 --> 01:02:39.890 position:50% align:middle - Even if they've, you know, signed for a job that is considered a permanent job 01:02:39.890 --> 01:02:43.760 position:50% align:middle with a one to two-year commitment, not an end date. 01:02:43.760 --> 01:02:48.110 position:50% align:middle So, it's not a traveler contract, it would be, like, an employer contract. 01:02:48.110 --> 01:02:54.220 position:50% align:middle So, it's, like, these young people that just don't want to establish their own residency. 01:02:54.220 --> 01:03:03.770 position:50% align:middle - But they are being upfront in saying that I'm only going to be here for a year or two? 01:03:03.770 --> 01:03:04.590 position:50% align:middle - Correct. 01:03:04.590 --> 01:03:13.890 position:50% align:middle - I think that they should be able to work on the license from the home state. 01:03:13.890 --> 01:03:20.390 position:50% align:middle It's another story if they were not being upfront because sometimes it's the other way. 01:03:20.390 --> 01:03:27.080 position:50% align:middle Sometimes they accept the job of a permanent nature, the employer thinks that they're there indefinitely, 01:03:27.080 --> 01:03:30.790 position:50% align:middle and in the nurse's mind, "I'm just trying it out." 01:03:30.790 --> 01:03:37.610 position:50% align:middle But, if they're being upfront that they have no intention of staying there permanently, 01:03:37.610 --> 01:03:41.590 position:50% align:middle then I think it would be okay to work under the license from that other state. 01:03:41.590 --> 01:03:43.520 position:50% align:middle - Okay. 01:03:43.520 --> 01:03:51.780 position:50% align:middle And, then do you have any comments on, I recently had somebody that was licensed in Texas, 01:03:51.780 --> 01:03:58.240 position:50% align:middle but they weren't allowed to renew their Texas license because they currently live in Tennessee and they were 01:03:58.240 --> 01:04:06.440 position:50% align:middle being told that they might be fined for trying to renew their Texas license because they didn't 01:04:06.440 --> 01:04:08.160 position:50% align:middle currently live there. 01:04:08.160 --> 01:04:16.990 position:50% align:middle Do you have any comments on, like, states that are fining nurses for not 01:04:16.990 --> 01:04:18.160 position:50% align:middle changing their license? 01:04:18.160 --> 01:04:28.540 position:50% align:middle - I mean, you can't renew a license in a state that you're no longer a resident. 01:04:28.540 --> 01:04:33.770 position:50% align:middle I mean, I don't know that it's necessary to find someone that's up to the state, 01:04:33.770 --> 01:04:43.010 position:50% align:middle but they just need to decline renewing it because you can't renew a compact license in a state that you're 01:04:43.010 --> 01:04:44.350 position:50% align:middle not residing in. 01:04:44.350 --> 01:04:47.120 position:50% align:middle It sounds like she used to be in Texas, now she's in Tennessee? 01:04:47.120 --> 01:04:48.770 position:50% align:middle - That's correct. 01:04:48.770 --> 01:05:00.050 position:50% align:middle - So, she needs to get a Tennessee license and Texas should decline to renew that Texas license. 01:05:00.050 --> 01:05:09.950 position:50% align:middle I haven't heard of penalties about that unless she falsified some information... 01:05:09.950 --> 01:05:12.910 position:50% align:middle - Thank you. 01:05:12.910 --> 01:05:15.240 position:50% align:middle - ...maybe. 01:05:15.240 --> 01:05:21.440 position:50% align:middle Anything else? 01:05:21.440 --> 01:05:23.440 position:50% align:middle Okay. 01:05:23.440 --> 01:05:24.560 position:50% align:middle Who is next? 01:05:24.560 --> 01:05:25.520 position:50% align:middle Julie? 01:05:25.520 --> 01:05:27.390 position:50% align:middle - [Julie] Hi. 01:05:27.390 --> 01:05:28.710 position:50% align:middle I have two questions. 01:05:28.710 --> 01:05:29.180 position:50% align:middle First... 01:05:29.180 --> 01:05:29.920 position:50% align:middle - Sure. 01:05:29.920 --> 01:05:41.290 position:50% align:middle - ...one, for a nurse in a supervisor or manager position overseeing nurses doing telehealth 01:05:41.290 --> 01:05:43.210 position:50% align:middle and if it's... 01:05:43.210 --> 01:05:50.220 position:50% align:middle So, they have to be licensed if the state is a non-compact state, they have to get an additional 01:05:50.220 --> 01:05:52.910 position:50% align:middle license by endorsement with that state? 01:05:52.910 --> 01:05:57.190 position:50% align:middle - Are you asking about the nurse practicing telehealth or the supervisor? 01:05:57.190 --> 01:05:59.510 position:50% align:middle - Well, I'm asking about the supervisor. 01:05:59.510 --> 01:06:07.220 position:50% align:middle My question is, does the supervisor also need to be licensed in that non-compact state because she's 01:06:07.220 --> 01:06:10.200 position:50% align:middle overseeing the nurse that's doing the telehealth? 01:06:10.200 --> 01:06:15.266 position:50% align:middle - I think that's a very good question. 01:06:28.480 --> 01:06:33.190 position:50% align:middle Are you giving them direction related to patient or clinical care? 01:06:33.190 --> 01:06:44.570 position:50% align:middle - Well, at times there are questions that are asked that guidance is provided. 01:06:44.570 --> 01:06:49.920 position:50% align:middle - Okay. 01:06:49.920 --> 01:06:53.620 position:50% align:middle That's a very unique question. 01:06:53.620 --> 01:07:03.120 position:50% align:middle The way I feel, I think if you wanted to be on the safe side, you would get the license in a non-compact state. 01:07:03.120 --> 01:07:10.640 position:50% align:middle The other way to be sure about it is to contact the board of nursing in that non-compact state and pose 01:07:10.640 --> 01:07:11.880 position:50% align:middle that question to them. 01:07:11.880 --> 01:07:13.410 position:50% align:middle - Okay. 01:07:13.410 --> 01:07:18.320 position:50% align:middle - And, then you won't have to get a license unnecessarily. 01:07:18.320 --> 01:07:26.150 position:50% align:middle You know, for example, California, a non-compact state, they make it very clear that someone practicing with a 01:07:26.150 --> 01:07:29.800 position:50% align:middle patient in the state through telehealth needs to be licensed in this state, 01:07:29.800 --> 01:07:33.830 position:50% align:middle but that doesn't address the person supervising them. 01:07:33.830 --> 01:07:35.810 position:50% align:middle - Okay. 01:07:35.810 --> 01:07:41.930 position:50% align:middle My second question was in regards to Connecticut joining the compact. 01:07:41.930 --> 01:07:48.190 position:50% align:middle Do we know how long the waiting process is for them to implement or... 01:07:48.190 --> 01:07:53.550 position:50% align:middle - So, they have a target date of October of 2025, but... 01:07:53.550 --> 01:07:55.370 position:50% align:middle - Okay. 01:07:55.370 --> 01:07:57.780 position:50% align:middle - ...a lot needs to happen before then. 01:07:57.780 --> 01:08:02.230 position:50% align:middle And so, we're actually starting that implementation process now. 01:08:02.230 --> 01:08:10.150 position:50% align:middle And, even though we'll have everything in place, the one outlier for them as well will be when will the 01:08:10.150 --> 01:08:12.930 position:50% align:middle FBI approve their background checks? 01:08:12.930 --> 01:08:16.110 position:50% align:middle So that's an outlier that we don't have an answer to. 01:08:16.110 --> 01:08:18.190 position:50% align:middle It could come at any time. 01:08:18.190 --> 01:08:23.650 position:50% align:middle But, when we get to October, if it's still not in place, probably everything else, 01:08:23.650 --> 01:08:27.800 position:50% align:middle but the background checks will be in place if we don't hear from the FBI. 01:08:27.800 --> 01:08:33.060 position:50% align:middle So, that's the one question mark, but that is their target date. 01:08:33.060 --> 01:08:34.300 position:50% align:middle - Okay. 01:08:34.300 --> 01:08:35.080 position:50% align:middle Thank you. 01:08:35.080 --> 01:08:37.440 position:50% align:middle - Sure. 01:08:37.440 --> 01:08:44.360 position:50% align:middle Any others? 01:08:44.360 --> 01:08:45.250 position:50% align:middle Okay. 01:08:45.250 --> 01:08:46.590 position:50% align:middle I don't see any others. 01:08:46.590 --> 01:08:53.740 position:50% align:middle And, know that you can email your question into me at nursecompact@ncsbn.org, okay? 01:08:53.740 --> 01:08:58.680 position:50% align:middle Thanks for coming and hope you'll join us at our next month's webinar. 01:08:58.680 --> 01:09:01.410 position:50% align:middle And, please, we will send you the PowerPoint slides. 01:09:01.410 --> 01:09:04.660 position:50% align:middle Please, complete the evaluation, we'd much appreciate it. 01:09:04.660 --> 01:09:05.430 position:50% align:middle Thank you. 01:09:05.430 --> 01:09:07.010 position:50% align:middle Bye-Bye. 01:09:07.010 --> 01:09:09.000 position:50% align:middle Enjoy the rest of your week.