Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.
It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.
Exercise
Post a comparison of at least two Advanced Practice Registered Nurses (APRNs) board of nursing regulations in Illinois State with those of two other state/region (New York & California States).
Describe how they may differ. Be specific and provide examples.
Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide two examples of how APRNs may adhere to the two regulations you selected.
Illinois:
In Illinois, Advanced Practice Registered Nurses (APRNs) are required to obtain licensure from the Nurse’s and Advanced Practice Council of the Department of Financial and Professional Regulation. To be licensed as an APRN in Illinois, nurses must have a current RN license from any state in the U.S., complete an accredited program for advanced practice nursing, pass both a national certification exam and a jurisprudence examination specific to Illinois law, and obtain an endorsement or recognition by the council with documentation of proficiency in their specialty area
New York: In New York State, APRNs are required to hold licensure with the New York State Education Department, Office of Professions. Requirements include having a valid RN license, completing an accredited graduate program in advanced practice nursing that meets specified course requirements, passing a nationally recognized certification exam within their chosen specialty role/population focus such as family nurse practitioner or adult-gerontology primary care nurse practitioner (AGPCNP), meeting continuing education requirements every three years (30 contact hours each biennium), completion of 30 hours on opioid prescribing practices including 3 hrs on New York State Medical Use Law every three years if they prescribe controlled substances schedule II through V medications; renewal fees; maintaining liability insurance; and meeting certain professional background check requirements.
California: In California, APRNs must be licensed with the Board of Registered Nursing (BRN). BRN licenses can be obtained after completion of approved graduate programs for advanced practice nursing that meet specified criteria defined by BRN regulations along with successful completion of both national certifying exams relevant to specialty roles/populations focuses such as family nurse practitioner or adult gerontology primary care nurse practitioners (AGPCNP); possession of current unrestricted RN license in any US state; successful completion criminal background check ; confirmation letter or similar document verifying clinical experience applicable to board’s regulations if needed; payment fee for application processing; verification form completed by faculty member indicating satisfactory academic performance at institution where applicant completed program if needed ;and two references completed by peers who have seen applicant work in direct patient care settings over past five years .
How They May Differ: All three states require an unrestricted RN license from another US state prior to obtaining licensure as an APRN but there are differences between each states regarding other licensing requirements such as graduation from accredited educational programs , passage specific examinations pertinent to specialty area/focus , continuing education requisites , criminal background checks , fee payments & references . For example , while all three states require passage of nationally recognized certification tests appropriate for selected specialties / population focuses , only New York requires additional testing on opioid prescribing practices & NY medical use laws whereas neither Illinois nor California do so . Additionally , California requires applicants provide verification forms signed off by faculty members indicating satisfactory academic performance whereas neither Illinois nor NY do so .
Examples Of How The Regulations May Apply To APRNs : 1) An APRN wishing to practice across multiple states may adhere to the various licensing regulations by obtaining licensure from each jurisdiction separately following respective procedures outlined under applicable board guidelines . 2) An experienced FP who is planning transition into AGPCNP role would need meet qualifications laid out under respective BONs which may involve re-certification exams besides necessary formalities like educational prerequisites & paperwork submission etc depending upon jurisdiction .