The Board Of Nursing History, Purpose, Legislation

1. The Board Of NursingHistory, Purpose, Legislation DATL February 9, 2012

2. Kansas State Board for Examination & Registration of Nurses • Established by Legislative action in 1913 • First meeting July 1, 1913 • Fee for registration was $5.00 • 8,518 nurses registered from 1913 to 1940

3. History • 1949-licensure of practical nurses • 1973-licensure of mental health technicians • 1976-Continuing education required to • renew license • 1984-Regulations written and passed for • certification of advanced nursing practice • 1994-LPN’s allowed to practice IV therapy • in expanded role

4. Purpose Protecting the citizens of Kansas from the practice of nursing by unscrupulous and unqualified individuals.

5. Four Duties of KSBN • Enforcement of the Nurse Practice Act • Licensure of qualified nurses • Approval of education programs • Disciplinary action against licenses

6. The Board of Nursing is… • Administered under the Executive Branch of Government (the Governor) • Subject to legislative oversight through the legislative process • Assisted with legal matters by the Judicial Branch through the Attorney General’s office • Self-supporting-No tax dollars

7. Board Members • Eleven---appointed by the Governor • Serve without compensation (expenses only) • Serve a four year term • Six registered nurses • Two from nursing service • Two from education • One from practice as an ARNP or RNA • One from any area of nursing • Two licensed practical nurses • Three public members • At least one shall not have been involved in health care

8. Staff • Executive Administrator • Nursing Practice Specialist • Nursing Education Specialists (2) • Assistant Attorney General (2) • Investigators (5) • Office Assistants/Secretaries/IT Personnel

9. Current Committees • Education • Continuing Nursing Education • Investigative • Finance • Advance Practice (ARNP) • Practice/IV Therapy

10. Legislative Process Statutes • KSBN Requests Introduction of Bill • Committee • Health and Human Services Committee of the House of Representatives • Hearing • House of Representatives • Public Health and Welfare Committee of the Senate • Hearing • Senate • Governor Signs the Bill • Effective Date

11. Legislative ProcessRegulation • Appropriate Committee Agrees Upon Language • Board of Nursing Agrees Upon Change(s) • Reviewed by Department of Administration • Reviewed by Assistant Attorney General • Published for 60 days • Hearing • Testimony Reviewed by Board of Nursing • Board of Nursing Makes Final Decision • Effective 15 days after Publication

12. Political Influence • What is political influence? • The ability to influence or persuade decision makers to act in a way that is congruent with your desired outcome • The ability to get things done; to mobilize resources

13. Nurse Responsibility • Act as a Patient Advocate • Support nursing goals that relate to health care of our patients • We are influential as a profession

14. Nurses Influencing Politics • Largest professional group in the health care arena • Bring a unique quality to politics • Bring knowledge and skills • Have clinical observation skills and interpersonal communication • Content of the practice of nursing

15. Steps to Become Involved in Politics • Know the players of the issue • Show commitment • Put your opinion in writing • Consolidate and share your information • Keep in regular communication • Schedule meetings with elected officials and their staff • Provide testimony • Work on congressional campaigns

16. How to Start on the Path of Political Influence • Seek out political mentors • Volunteer your time on a decision-making committee • Board of nursing has committees that ask for volunteers • Education • ARNP • Practice • Continue Nursing Education • IV Therapy

17. Political InfluenceCan it Help Nursing? • YES! • Agency level • State Level • Federal Level • International Level

18. Application Process • KSBN application http://www.ksbn.org/forms/Initiallicense.pdf • $75 RN $50 PN • NCLEX application https://www.ncsbn.org/nclex.htm • $200.00

19. Fingerprints Helps the board to meet its mission to protect the public Required on all original applications Submitted for a state and national criminal history record check Used to identify the applicant and to determine character Results will be used as a road map only for staff Results will only be given to applicant if requested KSBN received a $50,000 grant for implementation of fingerprint requirement

20. Initial Application Process

21. NCLEX

22. Kansas Examination History • First examination given in December 1913 • 10 candidates took the examination • 8 passed, 2 failed • Passing Score = 80% • Board of Nursing wrote the examination • Examination essay questions on cards • Wrote answers in blue books • 2 Board members graded each examination

23. What is NCLEX The examination is designed to test: • Knowledge • Skills • Abilities Essential to the safe & effective practice of nursing at the entry level.

24. Your Tools • Computer • Computer mouse • Drop down calculator on computer • NCLEX Examination Tutorial • Can be reviewed at the NCSBN Web site atwww.ncsbn.org. • Click on testing services and follow the links to the tutorial.

25. What You Can Not Do • Skip questions • Review questions • Change answers once submitted

26. When is the Test Over • Minimum and maximum number of items that can be asked. • RN: 75-265 • PN: 85-205 • Computer determines if ability is either above or below passing standard • Run out of time NCSBN

27. Registration Process • Follow Candidate Bulletin • If email address used when registering, ALL correspondence from Pearson VUE will arrive ONLY by email • Register via Web, Mail, Phone, or Electronic Scan • Pearson VUE registration valid for 365 days, Board of Nursing for 6 months

28. Testing & Sites • Topeka • Wichita • Hays (not open full time) • You are guaranteed a time to test within 30 days of when you request a time. (45 for retest) • If you have difficulty – call the Board of Nursing • Arrive at least 30 minutes before scheduled testing time

29. Things You Can Do • Go through 4,000 to 6,000 practice questions • questions with rationales are best • Review Courses • www.KONL.org • Click on Support for the Graduate Nurse • Take the test as soon as you can but be well prepared!

30. Web Page • www.ksbn.org • Forms • Nursing Newsletter Library • Follow Updates on Twitter • Q & A’s • Position Statements • Nurse Practice Act • Annual Report • Pass Rates for Nursing Schools • On-line services • Renewals • Address Changes • Check status of application

31. Kansas Nurses Assistance Program • KNAP is supported by funds from the Board of Nursing • Fees charged to Participants • Started in late 1987 • KNAP is overseen by a voluntary Board of Directors comprised of nurses who are knowledgeable about impairment • Maintains about 220 in the program • National average is about 13% of licenses • Kansas is below the national average

32. Kansas Nurses Assistance Program • Self-referrals to the program are encouraged • KNAP is a confidential program • Nurse stays compliant with program their name is not shared with board of nursing • Referrals can be made by family, friends, employer • Reporting requirements under the risk management law and KSBN regulations are satisfied by a report to KNAP

33. Mary Blubaugh, MSN, RN • Executive Administrator • 785-296-5752 • Mary.blubaugh@ksbn.state.ks.us • www.ksbn.org • Not to be reproduced without permission.