The
Nurse Licensure Compact (NLC) is an agreement that allows Registered Nurses (RNs) and Licensed Practical/Vocational Nurses (LPNs/VNs) to have one multistate license, with the privilege to practice in their home state and other compact states. This initiative aims to enhance the mobility of nurses, thereby improving access to healthcare while maintaining public protection at the state level.
The NLC offers numerous benefits for nurses, including the ability to practice across state lines without the need for additional licenses. This can be particularly advantageous for
travel nurses, military spouses, and nurses who live near state borders. Additionally, it can provide more opportunities and flexibility in career choices and help in
addressing nursing shortages in various states, especially during emergencies and public health crises.
As of now, over 30 states have joined the NLC. However, the specific states participating can change, so it is essential for nurses to check the latest list of
NLC member states from official sources like the National Council of State Boards of Nursing (NCSBN). Notably, states can also choose to join or leave the compact over time.
How do nurses obtain a multistate license?
To obtain a multistate license, nurses must meet specific eligibility criteria, including holding a valid license in their home state, which must be a member of the NLC. They must also meet the uniform licensure requirements, which typically include passing the
NCLEX examination, undergoing a criminal background check, and maintaining a clean professional record. Nurses should apply through their state board of nursing, which will verify their eligibility.
What are the responsibilities of nurses under the NLC?
Nurses practicing under the NLC must adhere to the nursing practice laws and regulations of the state where the patient is located at the time care is provided. This means staying informed about the
scope of practice and legal requirements in each state where they practice. Failure to comply can result in disciplinary action, including losing the privilege to practice in compact states.
How does the NLC impact patient care?
The NLC can significantly improve patient care by increasing the availability of qualified nurses, especially in underserved areas. It allows for quicker deployment of nurses in response to public health emergencies, natural disasters, and other crises. Moreover, it supports continuity of care for patients who move between states or require specialized care not available in their home state.
Despite its many advantages, the NLC is not without limitations. For instance, not all states participate in the compact, which can be a barrier for nurses looking to practice nationwide. Additionally, the compact does not apply to
Advanced Practice Registered Nurses (APRNs), who must still obtain individual state licenses. Nurses must also stay updated on the differences in practice laws and regulations across states, which can be complex and time-consuming.
How can nurses stay informed about NLC updates?
Nurses can stay informed about NLC updates by regularly visiting the
NCSBN website, subscribing to newsletters from their state boards of nursing, and participating in professional nursing organizations. Continual education and awareness are crucial as changes to the compact and state participation can occur.
