North Carolina: A look at the realities of 10 years in the NLC

1. North Carolina: A look at the realities of 10 years in the NLC Julia L. George, RN, MSN, FRE Executive Director North Carolina Board of Nursing

2. Objectives • Discuss the historical perspective of NLCA participation • Identify at least three exemplars of NLCA collaboration

3. Survivor! • July 1, 2000 • Revenue • Personnel • Expenses • Complaints • Discipline

4. North Carolina Experience • NC nurses working in compact states • Actions on privilege to practice • Actions taken by other states on NC nurses • Nurses in AP programs

5. North Carolina Experience cont… Communicate externally and internally Takes time to adjust to new model Collaboration is essential!

6. North Carolina Experience cont… Exemplars for: • Investigation • Discipline • Border calls

7. Lessons Learned • Important that home and remote state collaborate to ensure appropriate handling of case from receipt of complaint to resolution • Establish relationships and trust • Use one staff member to monitor flow of information for compact cases

8. Lessons Learned cont… • Support and education of staff is very important • Resilience is important • Establish early communication links with border states • There WILL be a period of adjustment!

9. Concerns • Need for uniform licensure requirements, irrespective of licensure model • Timely sharing of investigative information

10. Concerns cont… • Need consistency in posting and removing current significant investigative information in Nursys • Need consistency in defining key terms and key licensure actions • CBC

11. Summary We all want the same things: • Facilitation of regulation and practice that affords public protection • Core licensure requirements that facilitate mobility and access to care