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2007 Annual Conference “ When Education Isn’t Enough” Charlotte Beason, EdD,RN, Executive Director Kentucky Board of Nursing Moderator.

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Presentation on theme: "2007 Annual Conference “ When Education Isn’t Enough” Charlotte Beason, EdD,RN, Executive Director Kentucky Board of Nursing Moderator."— Presentation transcript:

1 2007 Annual Conference “ When Education Isn’t Enough” Charlotte Beason, EdD,RN, Executive Director Kentucky Board of Nursing Moderator

2 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Panelists Chris Schillemore, Ontario College of Pharmacists Patricia Spurr, EdD, RN Kentucky Board of Nursing Sue Derouen, BSN, RN Kentucky Board of Nursing Regina Dinger, AL Board of Licensure for Professional Engineers and Land Surveyors Jonathan Bracken, Bircham Dyson Bell LLP

3 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation 2007 Annual Conference “When Education Isn’t Enough” Chris Schillemore Manager, Registration Programs Ontario College of Pharmacists A Model for Pharmacy

4 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation 2007 Annual Conference “When Education Isn’t Enough” Kentucky Board of Nursing: Patricia Spurr, Ed.D., MSN, RN Education Consultant Sue Derouen, BSN, RN Operations Manager A Model for Nursing Regulatory Initiative to Bridge Education & Practice

5 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation

6 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Mission Statement Protect public health and welfare by development and enforcement of state laws governing the safe practice of nursing

7 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Safety: Growing National Attention Each year a million or more people are injured and as many as 100,000 die as a result of errors in their care. This makes medical care one of the leading causes of death, accounting for more lost lives than automobile accidents, breast cancer, or AIDS.

8 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Every Patient Deserves A COMPETENT Nurse

9 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Are New Graduates Competent To Function Independently At the Time of Graduation?

10 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Our Journey Fall 1995: KBN Competency Taskforce Formed February 1997: KBN Working Position Paper Adopted “Accountability and Responsibility of Licensees to Assure Nursing Competence”

11 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation PRE-GRADUATION Integrated Practicum: (201 KAR 20:320) Shall be completed within a period not to exceed seven (7) consecutive weeks during the last semester or quarter of a nursing program. Effective for any student entering the program on or after July 1, hours of concentrated clinical experience of direct patient care in a healthcare facility or healthcare organization.

12 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Clinical Hours in Basic Nursing Programs Baccalaureate Degree RN Programs Average # hours: 908 Range: Associate Degree RN Programs Average # hours: 677 Range: Practical Nursing Programs Average # hours: 703 Range:

13 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation “A supervised nursing practice experience, which involves any component of direct patient care". POST GRADUATION: Clinical Internship Shall last a minimum of 120 hours and shall be completed within six (6) months of the issuance of the provisional license. The clinical internship is required for any new graduate that makes application for licensure to Kentucky beginning January 1, 2006

14 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Critical Components Minimum of 120 hours Components of direct patient care Supervised by a licensed nurse Setting? Wherever the components can be achieved.

15 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation What is Meant By “Direct Patient Care” Any component of “direct patient care” includes: Nursing practice experiences that influence and/or impact direct patient care. Example: Supervisory Capacity

16 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Process Tests Competes the Clinical Internship Candidate Granted A Provisional License Valid for 6 Months Candidate Submits Application for Licensure to the Board of Nursing

17 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Provisional License To Avoid Interruption in Practice To Avoid Interruption in Practice …… Candidates should not apply for licensure until they are comfortable that they will be able to complete the internship and the NCLEX within a six month period of time

18 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Until Full Licensure is Achieved: New Graduates sign their documentation entries as either RNA or LPNA. Must be under the supervision of a licensed nurse

19 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation How are we Evaluating the Implementation?

20 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Operational Issues Attempts to Beat Implementation Deadline Difficulty Finding Internship Sites Nurse Licensure Compact (NLC) Policy Foreign Nurse Licensure Examination Candidates Who Failed NCLEX New Graduates Seeking to Delay Practice

21 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Lessons Learned Decisions Need to be Evidence Based Critical Eye on Implementation Involve All Stakeholders Open Minded – Critical Thinking Skills Review All Affected Regulations Research and Think the Change Through Before Taking Action

22 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Contact Information Charlotte Beason Patricia Spurr Sue Derouen Kentucky Board of Nursing 312 Whittington Parkway Louisville, KY

23 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation 2007 Annual Conference “ When Education Isn’t Enough” Regina Dinger Executive Director AL Board of Licensure for Professional Engineers and Land Surveyors An Engineering Model

24 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation 2007 Annual Conference “When Education Isn’t Enough” Jonathan Bracken Bircham Dyson Bell LLP The Legal Profession in the United Kingdom

25 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation By Way of Explanation…

26 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Northern Ireland 2,500 Solicitors Scotland 10,000 Solicitors England and Wales 100,000 Solicitors The “UK” Legal Profession

27 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Solicitors: The Regime in Outline 9 years Academic Stage Additional Skills Training Training Contract Professional Skills Training Practice Limitation Period

28 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Pluses and Minuses Plus:comprehensive training supervised experience ethical guidance Minus:time cost access

29 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation Speaker Contact Information Jonathan Bracken Partner and Head of Public Policy Bircham Dyson Bell LLP 50 Broadway London SW1H 0BL United Kingdom

30 Atlanta, Georgia 2007 Annual Conference Council on Licensure, Enforcement and Regulation WHEN EDUCATION ISN’T ENOUGH DISCUSSION


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