compact license applicationcompact license application

(c) Estimated average infection factor for the residents of each municipality in the SMR at any labor business-day segment in the first two weeks of March, 2020, and multidimensional poverty index. The contagion probability will depend on the number of present individuals in the former, but not on the latter. However, the state the nurse accepting a job at must be state is a compact state as well. Still, we can take it as a first approximation that a one-year-long full lockdown would cost as much as 30 percent of GDP. Our proposal is to take advantage of the flexibility that the simulation approach provides, and incorporate as much detail regarding the policy variations over time and space as possible, to better infer those parameters. This is similar to a driver's license where you are licensed in one state and can practice in other states that are members of the compact without having to obtain another license in that state. Section 5 concludes. The multistate license issued by the prior home state must be deactivated in accordance with applicable rules adopted by the Interstate Commission which governs the Nurse Licensure Compact. If you have not had your fingerprints done and sent to the Board in the last 60 days, you must submit fingerprints as required by the NLC statute. What ORI # will I use if I need to be fingerprinted to upgrade to a Multi-State License (MSL)? The application requires a $100.00 fee and updated Livescan results to be submitted no more than 90 days prior to submission of the application. Percentage of inhabitants (blue) and municipalities (red) under lockdown in the SMR. License for graduates of an international nursing program Select the Conversion application. A nurse can apply for a compact license in 2 ways: This involves applying for a license with the state board of your primary state of residence and taking the NCLEX. Hold a current, valid PT or PTA license in your home state of residence, which must be actively issuing compact privileges. As such, it is a measure of the profoundness of the shock. We adopt a Monte Carlo simulation approach, and implement it on the Santiago Metropolitan Region (SMR). The brown bars represent size, as they are proportional to the fraction of workers that live in each municipality. Once the NCLEX is passed, a multi-state license will be issued to the nurse. Pennsylvania and the Virgin Islands have passed legislation to enact the eNLC but have not yet established an implementation date. On the other extreme, under full lockdown (S2), the total number of cases is a fifth of S0s. Our model is rich in the spatial labor composition and disease tracking dimensions, which seem critical for the recovery of the contagion parameters. A licensee renews the single state or multistate license which is held at the time of a biennial renewal. Nurses are eligible to work in Louisiana when they hold a valid multistate license from another Compact State. Can I put my Multistate license into Military Status? Please allow up to 60 days for processing once a complete application is submitted. https://doi.org/10.1371/journal.pone.0252938.s001, https://doi.org/10.1371/journal.pone.0252938.s002. Click through the PLOS taxonomy to find articles in your field. In this article, learn more about compact nursing licenses, the steps in getting and maintaining a multistate license, and the benefits and drawbacks of having one. Fig 6a depicts the actual cumulative number of cases for the Metropolitan Region in the first 22 weeks of the epidemic, as reported in the official weekly reports; the mean of 100 realizations run with the estimated parameters, as well as a the 5th and 95th percentiles of these realizations. For more information provided by the National Council of State Boards of Nursing about the eNLC click https://www.ncsbn.org/NLCA_Employers_Fact_Sheet. [22] emphasize that equilibrium is not socially optimal, because the contagion process introduces externalities. You must complete the jurisprudence requirements of each state you want to get a compact privilege in to be eligible. (a) Daily contagion probability as a function of the number of infected individuals and the confinement degree. However, many workers do work in a municipality other than their residences, which means that output will be lost not only in the municipality under lockdown, but also elsewhere. The states that are part of the eNLC are not exactly the same as the original NLC. Fig 5 summarizes the NSE obtained in the first (Fig 5a) and second (Fig 5b) rounds, in the plane (, g). This also makes it easy for nurses to sign up with a nursing agency and look for work in their home state or elsewhere. You can find an overview of the compact as well as a list of member states at www.ncsbn.org/nlc. According to official estimations, the population . A compact nurse state allows nurses with a nurse compact license to work in different states without getting additional state licenses. Make sure to select the Department of Health/Division of Medical Quality Assurance, the selection Board of Nursing is not for the Department of Health licensing purposes. Effective January 1, 2020, applicants who meet the requirements for multistate licensure (ABN Administrative Code 610-X-4 Licensure) may apply for licensure under the Enhanced Nurse Licensure Compact (eNLC). namely, the number of workers that reside at j and go to work at k in day t. M0 reflects the initial situation, without any lockdown; different lockdown policies would produce different OD matrices each day, {Mt}, where Mt M0, as is clear from Eq 2. [50], using [49]s methodology on household surveys find that for Chile, the overall figure is 27 percent. (9) Proof of residency would include; Uniform Licensure Requirements for a Multi-State License. For instance, Maip and Puente Alto, the largest municipalities by population and mostly residential in nature, as can be appreciated in Fig 3b, with roughly one third of their workforce being sensitive (Fig 3a), affect the rest of the region more than themselves when put under lockdown. At the onset of the epidemic this is best achieved through tracing and testing [1]. Note that in this scenario, the fraction of output that is permanently lost, corresponding to those workers who died, is very small. We used the model to assess the effectiveness of the pursued lockdown policy in SMR, as well as what it would have taken to get the maximum possible protection against the epidemic. These estimates find that overall, in the US, about 37 percent of jobs can be done at home. Application for licensure by examination must be on file; Have the official transcript (conferred degree and graduation date) sent the Board . If you want to live and work as a nurse in Texas, a compact state, you can apply for a compact license from Texas. Change my address on my license. Table 2 shows their estimated joint distribution of essentiality and remoteness ability (Panel A), as well as our own estimates for SMR (Panel B). A complete evaluation of the alternative policy options should consider the full duration of the event. Are current NLC states the same as the eNLC states? In these latter cases, the agents remain strictly confined at home from the beginning of their (mandatory or self-imposed) confinement, regardless of spatial targeted lockdowns. The second stage is to run 100-realization simulations on the selected parameter configurations and choose the best according to NSE. Hence, we measure (or rather approximate) output ot as a factor of the sum of wages of the work that is actually done (either on-site, or remotely): With the cumulative effect on output, the lines in Fig 10b are the integrals of the respective flows, starting January 1st. With the eNLC, nurses can hold a multi-state license in their primary state of residence (or home residence) and practice in other states that are part of the Nurse Licensure Compact. while the number of susceptible individuals present at municipality j at shift s is given by No, Is the Subject Area "Salaries" applicable to this article? This is motivated by the Google COVID-19 Mobility Report [54, May 15 to June 15] that shows an average decline in grocery-and-pharmacy-related mobility of 44 percent. (3). It also will allow nurses to have better career mobility and the ability to expand their career options. Adverse action may be taken if the jurisprudence requirement is not met. 3. Cities are population-dense and highly interconnected areas; small villages are neither. Do I need to get my fingerprints done to apply for the upgrade? https://accounts.binance.com/en/register?ref=P9L9FQKY, https://accounts.binance.com/de-CH/register?ref=V2H9AFPY, Meet the home states requirements for licensure, Have graduated from an approved educational program or an international program that an appropriate accrediting body has approved, Have passed an English proficiency exam (applies to graduates of an international education program not taught in English, or if English is not the applicants native language), Is eligible or holds an active, unencumbered RN license, Have submitted fingerprints and/or a criminal background check, Has no misdemeanor convictions related to the nursing profession, Not currently participating in an alternative program, and must disclose if so. To answer this question, we compare the simulated trajectory of cumulative cases under the actual policy (scenario S0, or actual) with two extreme simulations: one without any lockdown (scenario S1, no lockdowns), and another that resembles scenario S0 until March 26, but considers a full lockdown since March 27 (scenario S2, full lockdown). The eNLC is only for registered nurses (RNs) or licensed practical/vocational nurses (LPNs/VNs), not for advanced registered nurse practitioners (ARNPs). The NLC pertains to RN and LPN licenses only. If a nurse moves from one state to another and establishes residency, the nurse must apply for licensure in that state. This is still the case in non-compact states and is costly and time-consuming. Succeptible individuals become Infected with probability it: infected individuals may be detected and/or isolated, after which they are Removed (meaning they recover or die). At the beginning, I was still puzzled. This includes applications for: License by Exam (new graduates seeking to take NCLEX) License by Endorsement (when you need a license in another state; "transferring your license") Renewal. We apply our methodology to the Santiago Metropolitan Region, Chile. Thus, type-II workers are the lockdown-sensitive group: They are actually deprived of their right to work during a lockdown. The probability of dying is set to d = 0.4%. In the actual scenario (S0), 50.4 percent, that is, the estimated cumulative loss of five months of lockdown is 8 percent of GDP. Once the eNLC is effective, your nurses will now be able to practice (in person or by telehealth) in other eNLC states with just one license obtained in their state of residence. APRN licenses are not currently in a compact. The state vector contains the indicator functions , , , and whether she is susceptible, infected, recovered, or dead, respectively, at day t; , whether she is isolated o not; , whether or not she has a shift at day segment s at day t; and the stringency of her confinement, itsto be explained shortly. suspension or probation of a license); Misdemeanor offense, including an agreed disposition, related to the practice of nursing as determined by the board; Felony offense, including an agreed disposition. The multistate license will provide nurses with the privilege to practice in any compact state whether they are going to that state in-person or practicing via telehealth from Louisiana with a patient located in another compact state. Which professions are eligible to obtain a multi-state license under the eNLC? First, the disease spreads locally, through contact. We track output as a fraction of the baseline: . Under no restrictions, S1 shows a quick evolution: in about four months herd immunity is reached with about 70 percent of the population having caught the disease at the end. If a nurse is from a compact state and is transferring to a new state, they must first identify if their new state of residence is a member of the eNLC. The Interstate Medical Licensure Compact offers a voluntary, expedited pathway to licensure for qualified physicians who wish to practice in multiple states. A lockdown doesnt hinge upon the mobility of either type I or IV, but only on the other types. PSOR (Primary State of Residence) Explained, Licensees and Applicants Scope of Practice, https://www.ncsbn.org/Legalmemotoemployers2018.pdf, https://www.ncsbn.org/nurse-licensure-compact.htm, http://www.legis.la.gov/legis/ViewDocument.aspx?d=1102938, https://www.ncsbn.org/NLCA_Employers_Fact_Sheet.pdf, Enroll in the eNotify system to track your licenses. Therefore, it does not consider the increase in mortality due to congestion and inability to care for overload in the health care system, a likely event in S1 scenario. Methodology, A compact license enables nurses to work in any other state that has adopted this measure using their multi . Indeed, the official data [44] always report detected cases. Instituto de Economa, Pontificia Universidad Catlica de Chile, Santiago, Chile. Nursys will not track temporary licenses and employer must verify licensure directly from the state issuing the temporary permit/license. Please refer to the requirements for the state that has issued any other single state license to you. For more information provided by the National Council of State Boards of Nursing about the NLC click https://www.ncsbn.org/NLCA_Employers_Fact_Sheet.pdf. Upon issuance of a new multistate license, the former license is inactivated. Once infected, the model assumes that disease cannot be detected during the first five days; yet, the individual is spreading the disease since the first day. There are no applications on this website. We work with real data (scaled 1:15) with an exhaustive description of the worker characteristics, and we simulate the model in a stochastic and individual-mechanistic fashion. In the spatial dimension, we observe large differences in labor composition among municipalities that translate directly into varying reactions to lockdowns. https://doi.org/10.1371/journal.pone.0252938.g011. A compact license removes barriers and unburdens nurses looking to work in various states. All simulations run from March 1, 2020, till August 1, 2020. (a) As a percentage of the baseline, daily, production. From a theoretical standpoint, we view metapopulation differential-equation models as mean-field-like approximations of agent-based models. During this work, we have encountered several questions that call for further research. When I renew, will I receive the multi-state license automatically? (1) You must meet all of the uniform license requirements to be able to qualify for this conversion. What is my primary state of residence? Competing interests: The authors have declared that no competing interests exist. Our results show that in the absence of any lockdown policy, the disease spreads quickly, and herd immunity is reached just within four months, with about 70 percent of the population infected. The eNLC is only for RN and LPN licenses. First, considering flows, the actual scenario (Fig 10a, orange line) exhibits considerable variability while the dynamic lockdown policy was in effect. Louisiana); Is required to self-disclose current participation in an alternative program; and, Has a valid United States Social Security number; and. Any nurse who holds an unencumbered nursing license in their state of residence can apply for a compact nursing license that allows them to travel to other states to work as a nurse. The immediate consequences include output loss, income loss for the most vulnerable workers (mainly the self-employed and the informal workers), and decreased consumption for those people lacking savings, insurance, or out-of-reach from governmental relief programs. Home stayers still go out for essential-good shopping; confinement reduces contact, but not completely. A compact license enables nurses to practice in clinical settings or via telehealth in other participating compact states without securing another license from another state. The aim of public policy in an epidemic is to minimize the death toll, with the least possible sacrifice in other dimensions. Chief among those concerns is avoiding the loss of jobs and livelihoods. Watch the webinar, download the toolkit, or learn more by clicking here! Indeed, while some job vacancies are destroyed, others are created, as people cope with the new conditions; such dynamics are absent from our model. (10) Upon permanently relocating to another compact state, apply for licensure by endorsement and complete the Declaration of Primary State of Residence for the new home state, which can be found on your board of nursing (BON)'s website.The declaration form is generally a page within the application.It is important to note that you must apply once . Your primary state of residence is determined by your drivers license, voter registration, and where you file your annual income tax. Has graduated from a board-approved education program; or B. For more information about PLOS Subject Areas, click In this sense, the actual lockdown policy (S0) proved effective, reducing the number of cases by 56 percent by August 1, 2020, as compared to S1. In light orange, the decrease in the rest of the SMRs output when each municipality is put under lockdown. The PT Compacts online system makes the process of purchasing and renewing a compact privilege in other states simple. Instead, they must hold an individual APRN license in each state where they practice. On January 10, 2000, the Nurse Licensure Compact Administrators (NLCA) were organized to protect the public's health and safety by promoting compliance with the laws governing the practice of nursing in each party state through the mutual recognition of party state licenses. Hence, the ability of the lockdown to affect mobility and its economic costs depends on the local composition of the labor force. Since work-related travel is a large fraction of total travel in normal times, and much more so under lockdown, it is bound to be determinant to the disease spread. The states that participate in the eNLC are not exactly the same as the original NLC. where Lockdowns that only affect some areas within a municipality can be accommodated by assuming , with the interpretation that a person that works or lives at municipality j has a probability of being confined. The Nurse Licensure Compact (NLC) is an interstate agreement that allows nurses (RNs and LPNs/VNs) to practice with one multistate license in all states that are part of the NLC. The input variables are listed in S1. All Rights Reserved / Designed & Maintained by, Professional Facilitated Support Group Program, Tools for Identifying Mitigating and Disclosing Relevant Financial Relationships, Financial Identification Mitigation Algorithm. Moving from a nonparty state to a party state- obtain license from the new home state; license from the non-compact state is not affected and remains in full force. Discover a faster, simpler path to publishing in a high-quality journal. How do I apply for an APRN license if I have a Multi-State Compact RN license in another state? You are then eligible to work anywhere within the NLC member states. (a) Cumulative detected cases: observed vs. simulated, March 1August 1, 2020. (4) Copyright 2020 New Jersey State Nurses Association (NJSNA). There is no grace period. The methodology combines labor market data with simulation of an agent-based model. You are not required to own property in order for a state to be considered your PSOR. Access to care has expanded and telehealth has transformed care delivery and erased geographic boundaries. I read many of your blog posts, cool, your blog is very good. The strength of connections between municipalities is conjectured to be of the upmost importance in the initial stages of the transmission of the disease. For instance: [58] estimate that only 7.1% of the cases in China were reported at the beginning; [59] estimate for the United States 89% of undocumented cases until April 8 (i.e., a detection probability of 11.2%, with a 95% confidence interval of 4.9%32.2%); finally, [60] estimate for Italy, Germany, Spain, UK, Greece, and Austria, until April 18, much higher detection rates (44.8%, 43.5%, 45.2%, 42.2%, 43.3%, and 41.7%, respectively). Yes Compact states are states that have joined together to legally permit their nurses to obtain a multi-state license called a compact license. broad scope, and wide readership a perfect fit for your research every time. We apply our methodology to the Santiago Metropolitan Region, Chile. We recover the model parameters from observed data, taking into account the recurring policy adjustments that . There is a $45 Commission fee and an optional state fee charged for each Compact Privilege. This means that it doesnt take into account production interdependencies among industries. The model is used to build counterfactual scenarios. Also, the fact that municipalities are interconnected through commuting implies that there are externalities among them: locking down one municipality might have even larger effects on another than on itself, in variables such as employment, income, and disease spread. Others, mostly the informal workers, the self-employed, and those under short-term contracts lose their income during a lockdown (type IIb) because their pay is conditional on coming to work and working. Under the assumption that conditional earners lose their income under lockdown, total welfare flow is measured by the following social utility function: This is to say, increasing the loss from 8 to 10.5 percent would have had the benefit of diminishing the number of cases, from 56 percent of S1, to 92 percent. This is true with regards to job essentiality, the ability to work from home, and whether pay is contingent upon showing up to work. Moving between 2 party states- obtain license from the new home state; license from the former home state is no longer valid. Visualization, A list of the jurisprudence requirements for each state is availablehere. The methodology combines labor market data with simulation of an agent-based model. The NLC allows a registered nurse licensed in a Compact state to practice across state lines in another Compact state without having to obtain a license in the other state. The size of the type-I group sets a lower bound on mobility, as the size of the type-III group sets an upper bound. We assume that by default, when a municipality is locked down (a policy that includes both, restrictions to economic activity and stay-at-home rules), people who stay at home are under soft confinement. This application can be completed . These requirements are the following: Before applying for a multi-state license, make sure that your primary state of residence is an eNLC state. Thus, we provide an empirical framework against which the feasibility of an optimal targeted lockdown can be evaluated. For instance, the number of susceptible individuals at municipality j at day t is the number of susceptible residents at j: The calibration proceeds in two stages. The model is used to produce counterfactual scenarios. If you are moving from a party state to a nonparty state- license issued by the prior home state converts to a single state license valid only in___. Use the board of nursing's (BON's) application for licensure by exam or by endorsement, as found on your BON's . Grupo Interdisciplinar de Sistemas Complejos (GISC), Spain, Roles Second, the epidemic arrived two months after it was found in Europe, but it spread with particular intensity: as of July, Chile was among the top ten countries in the world in terms of per capita infections. As such, it should not be interpreted as reflecting actual welfare, even under the narrow focus on consumption, but as to the material welfare loss that would have realized should nothing had been done to alleviate deprivation. The eNLC allows a registered nurse or licensed practical nurse licensed in a Compact state to practice across state lines in another Compact state without having to obtain a license in the other state. The multistate license does not provide nurses with the privilege to practice in any non-compact state. Fig 4a relates it to population. There are two conditions that are particularly relevant for the co-evolution of economic activity and the disease: the ability to work from home (), and the character of essential worker that a job may or may not possess (). In most cases, the state jurisprudence exam must be completed and passed before compact privileges may be applied for. In addition, this model could be used to devise better, or more efficient policies. Chapter 464, Part I: Nurse Practice Act to see the statute, Selecting/Identifying the reason for fingerprinting (ORI). The estimated detection probability seems low, for a country such as Chile that has done much testing. Fig 11 illustrates the eventual welfare outcomes should no aid package had been delivered, assuming a parameter = 0.75. Hence, GDP is the sum of daily output throughout the year, of all workers. Fig 10 depicts output flows and cumulative output, as a percentage of the baseline. https://doi.org/10.1371/journal.pone.0252938.t001, https://doi.org/10.1371/journal.pone.0252938.t002. Twelve days after contagion (i.e., at the beginning of the thirteenth day), the individual becomes either recovered (and immune afterwards), or dead. Our own estimates, based on an ad-hoc classification from employment survey data, is that in the SMR the figure is 33 percent. Only realizations with positive NSE are depicted. Please review the instructions for licensure by examination or endorsement which are available on LSBNs website for further information for applicants educated outside of the United States. The Act that was signed by the governor approving the NLC is available to be viewed at http://www.legis.la.gov/legis/ViewDocument.aspx?d=1102938.