Chapter 4 Nursing Licensure and Certification Susan R. Jacob, PhD, MSN, RN Learning Outcomes After studying this chapter, the reader will be able to: 1. Some qualified individuals may elect not to be certified. New graduates can be confused regarding the meaning of APRN certification examinations. Although boards of nursing use APRN certification examinations, they must retain the ultimate responsibility of determining if an APRN certification examination meets the board's regulatory criteria to protect the public. Identification of the knowledge, skills, and abilities to be included in the examination is based on a job analysis study. Although these criteria are available for the consideration of boards of nursing, each board of nursing must review available APRN certification examinations to determine if they are appropriate for their specific jurisdiction. An RN degree (sometimes an advanced degree, like an MSN), an unencumbered RN license, a minimum number of direct-care hours in the specialty, and a certification test are usually all required for a nurse to become certified in an area of care. Boards of nursing very carefully review APRN examinations before determining which APRN certification programs meet their licensure requirements. This is accomplished by submitting the certification from Bellevue College. After enacting a nurse practice act, a state legislature delegates authority to a state agency, such as a board of nursing, to enforce it. Connect with us on Facebook, Twitter, Linkedin, YouTube, Pinterest, and Instagram. National Council of State Boards of Nursing. A too broad or too narrow scope would be inappropriate for an APRN examination used for licensure. Licensure Licensure is the process by which a federal, state or local governmental agency grants an individual permission Registered nurse certification programs are taken after individuals have been granted their registered nursing license. To assist boards of nursing in determining if an APRN examination meets licensure requirements, the NCSBN Advanced Practice Committee has developed APRN Certification Program Criteria for consideration by boards of nursing.6 The criteria include the following areas: * essential knowledge, skills, and abilities. National Council of State Boards of Nursing. Chicago, IL: National Council of State Boards of Nursing; 2007. Chicago, IL: National Council of State Boards of Nursing; 2002. As advanced practice nursing was being recognized as a distinct role from registered nursing, boards of nursing began to look for assessment methods to evaluate advanced practice registered nurse's (APRNs') competency to practice. Uniform Advanced Practice Registered Nurse Licensure; Authority to Practice Requirements. Licensure is the legal right and responsibility to engage in an activity or occupation. A list of the APRN certification examinations that are acceptable by a board of nursing can often be found in their nurse practice act or rules. If you hold an active Canadian license, your education program was taught in English, and your nursing license has not been sanctioned , thenyou are not required to obtain CGFNS certification. Also called nursing aides, you can prepare for this role at some high schools, vocational schools, and community or junior colleges. Listing your credentials correctly on your resume is vital. Evidence of the job-related knowledge, skills, and abilities required for entry-level practice must be identified and incorporated into the examination process. Hopkins BR. A license is granted by your licensing board and enables you to … Nurses new to practice or preparing for their first nursing jobs will learn the ways the profession is regulated - through nursing licensure, boards of nursing and state laws called Nurse Practice Acts. Certification organizations, being accountable only to themselves, are free to establish criteria in the interest of their members.4 They are not accountable to the public. After completing a program at Bellevue College, you must apply to the Department of Health for professional certification in your occupation. The nurse practitioner with a narrow subspecialty is also limited in his/her ability to change to another specialty practice, which may decrease a practitioner's flexibility in changing work settings. However, the use of APRN certification examinations as a basis for licensure has caused confusion among APRNs and APRN stakeholders regarding the difference between certification and licensure. The State of Washington, Department of Health, is responsible for issuing professional certifications for Allied Health occupations. 1. A trend of focusing on narrow specialties has occurred among nurse practitioner education programs and certification examinations. COVID-19 transmission: Is this virus airborne, or not? However, with the advent of APRN certification examinations being used by boards of nursing as a measure of APRN competence, the stakeholders for APRN certification programs now include the public. The law of tax exempt organizations. Licensed Practical Nurse – LPN Certificate. But which is the appropriate acronym to use? In general, doctors, nurses or other healthcare career professions earn a license from a state or federal government. Due process must be in place, as well as confidentially for nonpublic candidate data. Therefore, APRN certification, if used for licensure, is no longer voluntary but instead mandatory for practice. This is further complicated by the variety of uses for these terms both in statute (law) and common vernacular (or language). Successful completion of a board approved APRN certification examination is used by boards of nursing as only one criterion for licensure. All of the criteria must be evaluated by the board of nursing before the approval of the APRN's licensure application. Certification by the National Registry is a distinct process from licensure; and it serves the important independent purpose of identifying for the public, state licensure agencies and employers, those individuals who have successfully completed the Registry’s educational requirements and demonstrated their skills and abilities in the mandated examinations. Chicago, IL: National Council of State Boards of Nursing; 2002. Nursing credentials and certifications are the various credentials and certifications that a person must have to practice nursing legally. 3, Manuscript 1. [Context Link], 6. Individuals interested in becoming nurse practitioners are advised to only consider a broad APRN educational preparation (eg, adult health, psychiatric mental health, pediatrics, etc) and corresponding APRN certification examination for licensure purposes. Before practicing as an RN, candidates must apply to a board of nursing and submit evidence that they have completed requirements. Chicago, IL: National Council of State Boards of Nursing; 2002. Emergency Volunteer Health Practitioners . In order to function in the profession, you must still apply for certification with the jurisdiction that you are planning to work in. Foreign Educated Professional or Practical Nurses Must Meet the Following Requirements: If nurses fail to practice within the prescribed scope, they are subject to disciplinary actions by boards of nursing. PLAY. National certification required: Active unencumbered national certification from the National Board of Certification and Re-Certification for Nurse Anesthetists (NBCRNA) is required for CRNA licensure in Oregon. As healthcare becomes increasingly complex and challenging, the value of certification as a mark of excellence is more important than ever. A retake policy must be established. The nursing license is the end product of this process. National Council of State Boards of Nursing. Citation: Barnum, B., (August 13, 1997). 2. This becomes a limiting factor when the practitioner is faced with a wide variety of health disorders in practice. Because the primary purpose of licensure is public protection and safety, the major stakeholder for licensure is the public.3. Licensure for Allied Health programs is. All rights reserved. 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