A.
DEFINITIONS
OF TERMS IN THE COMPACT
For the purpose of the Compact:
1. "Board" means party state's regulatory
body responsible for issuing nurse licenses.
2. "Information system" means the coordinated
licensure information system.
3.
"Primary state of residence" means the state of a person's declared fixed
permanent and principal home for legal purposes; domicile.
4. "Public" means any individual or entity
other than designated staff or representatives of party state Boards or the
National Council of State Boards of Nursing, Inc.
5. "Alternative program" means a voluntary,
non-disciplinary monitoring program approved by a nurse licensing
board.
6. "Coordinated Licensure
Information System" means an Integrated process for collecting, storing, and
sharing information on nurse licensure and enforcement activities related to
nurse licensure laws, which is administered by a non-profit organization
composed of state nurse licensing boards.
7. "Home state" means the party-state which
is the nurse's primary state of residence.
8. "Multistate licensure privilege" means
current, official authority from a remote state permitting the practice of
nursing as either a registered nurse or a licensed practical/vocational nurse
in such party state.
9. "Nurse"
means a registered nurse or licensed practical nurse, as those terms are
defined by each party's state practice laws.
10. "Party state" means any state that has
adopted this Compact.
11. "Remote
state" means a party state, other than the home state,
(a) where the patient is located at the time
nursing care is provided, or,
(b)
in the case of the practice of nursing not involving a patient, in such party
state where the recipient of nursing practice is located.
12. "Current significant investigative
information" means;
(a) investigative
information that a licensing board, after a preliminary inquiry that includes
notification and an opportunity for the nurse to respond if required by state
law, has reason to believe is not groundless and, if proved true, would
indicate more than a minor infraction; or
(b) investigative information that indicates
that the nurse represents an immediate threat to public health and safety
regardless of whether the nurse has been notified and had an opportunity to
respond.
13. Licensed
Practical Nurse or Licensed Vocational Nurse means a person who has been
licensed as an LPN or LVN by a party state licensing board.
Other terms used in these rules are to be defined as in the
Interstate Compact.
B.
ISSUANCE OF A LICENSE BY A COMPACT
PARTY STATE
For the purpose of this Compact:
1. A nurse applying for a license in a home
party state shall produce evidence of the nurses' primary state of residence.
Such evidence shall include a declaration signed by the licensee. Further
evidence that may be requested may include but is not limited to:
a. Driver's license with a home
address;
b. Voter registration card
displaying a home address; or
c.
Federal income tax return declaring the primary state of residence.
2. A nurse changing primary state
of residence, from one party state to another party state, may continue to
practice under the former home state license and multistate licensure privilege
during the processing of the nurse's licensure application in the new home
state for a period not to exceed thirty (30) days.
3. The licensure application in the new home
state of a nurse under pending investigation by the former home state shall be
held in abeyance and the thirty (30) day period in section B.2. shall be stayed
until resolution of the pending investigation.
4. The former home state license shall no
longer be valid upon the Issuance of a, new home state license.
5. It a decision is made by the new home
state denying licensure, the new home state shall notify the former home state
within ten (10) business days and the former home state may take action in
Accordance with that state's laws and rules.
6. Party states shall recognize and honor
either the LPN or LVN title used for Licensed Practical Nurses and Licensed
Vocational Nurses, respectively.
C.
LIMlTATIONS ON MULTISTATE LICENSURE
PRIVILEGE
Home state Boards shall include in all licensure disciplinary
orders and/or agreements that limit practice and/or require monitoring the
requirement that the licensee subject to said order and/or agreement will agree
to limit the licensee's practice to the home state during the pendency of the
disciplinary order and/or agreement. This requirement may, in the alternative,
allow the nurse to practice in other party states with prior written
authorization from both the home state and such other party state
Boards.
D.
INFORMATION SYSTEM
1. Levels of
access
a. The public shall have access to
nurse licensure information limited to:
(1)
the nurse's name,
(2)
jurisdiction(s) of licensure,
(3)
license expiration date(s),
(4)
licensure classification(s) and status(es),
(5) public emergency and final disciplinary
actions, as defined by contributing state authority, and
(6) the status of multistate licensure
privileges.
b. Non-party
state Boards shall have access to all Information System data except current
significant investigative information and other information as limited by
contributing party state authority.
c. Party state Boards shall have access to
all Information System data contributed by the party states and other
information as limited by contributing non-party state authority.
2. The licensee may request in
writing to the home state Board to review the data relating to the licensee in
the Information System.
In the event a licensee asserts that any data relating to Rim or
her is inaccurate, the burden of proof shall be upon the licensee to provide
evidence that substantiates such claim. The Board shall verify and within ten
(10) business days correct inaccurate data to the Information System.
3. The Board shall report to the
Information System within ten (10) business days:
a. Disciplinary action, agreement or order
requiring participation in alternative programs or which limit practice or
require monitoring (except agreements and orders relating to participation in
alternative programs required to remain nonpublic by contributing state
authority),
b. Dismissal of
complaint, and
c. Changes in
status of disciplinary action, or licensure encumbrance.
4. Current significant investigative
information shall be deleted from the Information System within ten (10)
business days upon report of disciplinary action, agreement or order requiring
participation in alternative programs or agreements which limit practice or
require monitoring or dismissal of a complaint.
5. Changes to licensure information in the
Information System shall be completed within ten (10) business days upon
notification by a Board.