Interstate Licensure a Boost to Travel Nursing
By Claire Brocato, feature writer

With the implementation of the Nurse Licensure Compact, many travel nurses can now take advantage of a more streamlined and flexible licensure process.

Registered nurses and licensed practical nurses who reside in states that have implemented the Nurse Licensure Compact can practice under the same license in states that have adopted the mutual recognition model, according to the National Council of State Boards of Nursing. Eliminating the time, expense and 'red tape' of obtaining a license in a new state is a boon to the travel nursing profession.

Under the Nurse Licensure Compact, nurses must follow the practice laws and regulations of the state where they are practicing. Accountability is similar to having a driver's license for one particular state, but you're expected to follow the laws of whichever state you're driving in.

The National Council of State Boards of Nursing (NCSBN) created this mutual recognition plan in 1997. The 17 states that have implemented the compact to date are Arizona, Arkansas, Delaware, Idaho, Iowa, Maine, Maryland, Mississippi, Nebraska, New Mexico, North Carolina, North Dakota, South Dakota, Tennessee, Texas, Utah and Wisconsin. Virginia is set to implement the licensure compact on Jan. 1, 2005. Although New Jersey, Indiana and New Hampshire have passed the legislation, the implementation date is yet to be determined. Also, as of Oct. 1, 2004, the Florida Board of Nursing has announced that it has decided to pursue multistate licensure for its nurses and will seek legislative authority to join the Nurse Licensure Compact.

"Nursing practices and technology have changed," said Connie Kalanek, RN, BSN, MSN, executive director of the North Dakota Board of Nursing, one of the most recent states to join the compact. "The Nurse Licensure Compact addresses the growing need for nursing across state lines and the variety of settings in which nurses work and the technologies they use in their practice."

The compact ensures that all pertinent information about a nurse's licensure and discipline, past and present, is integrated and readily accessible in one location. This shared information system makes it easier for party states to monitor nursing practice.

To learn more about the interstate compact, visit the NCSBN's official Web site at www.ncsbn.org and click on Nurse Licensure Compact. If you want further details about licensing and travel nursing, please talk to your travel company recruiter, who will gladly answer your questions and offer advice.

Quick Facts on the Nurse Licensure Compact

  • To work in other compact states, a nurse's primary state of residence must be one of the 17 compact states. Primary residence is determined by where the nurse declares residence on his/her tax return.
  • A nurse whose primary state of residence is a compact state will be issued a license by that state. The nurse will no longer need additional licenses to practice in other states that are members of the compact.
  • Nurses must still obtain licenses to work in non-compact states.
  • Nurses who live in non-compact states, but practice in a compact state will be issued a nursing license valid only in that member state (single state license). The nurse will not be granted the "multi-state privilege to practice" in other compact states.
  • Nurses are responsible for complying with the provisions of the Nurse Practice Act in all states where they practice.
  • RNs, LPNs and LVNs are included in the compact. Advanced practice nurses are not.
  • Currently there is no such licensure arrangement for allied health care professionals.