Discipline

While the vast majority of nurses are competent and caring individuals who provide care according to the standard, violations of the nurse practice act do happen. The board of nursing (BON) is responsible for reviewing and acting on complaints.

From Complaint to Resolution

If the after a thorough investigation, the BON determines there is sufficient basis that the nurse violated the act or regulations, the BON may take disciplinary action on the nurse’s license. Currently, the annual rate of discipline on a nursing license is less than one percent.

The steps below demonstrate the disciplinary process from receipt of complaint to resolution and reporting. The process is also summarized in the NCSBN video Board of Nursing Complaint Process: Investigation to Resolution.

1. Filing a Complaint

A complaint against a nurse can be filed by patients, employers, colleagues, or the public.

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2. Initial Review of Complaint

The BON reviews the complaint to determine if it falls within its jurisdiction and if there is sufficient information to proceed.

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3. Investigation

If the complaint is valid, the BON conducts an investigation, gathering evidence, interviewing witnesses, and reviewing relevant records to assess whether the nurse violated nursing regulations.

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4. Board Proceedings

Based on the investigation, the BON may hold informal or formal hearings where the nurse has an opportunity to respond.

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5. Board Actions

If a violation is found, the BON may impose disciplinary actions, such as reprimands, fines, license suspension, probation, or revocation, depending on the severity of the violation.

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