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The BON gives due procedure to medical caretaker staff by informing them of the examination and the charges, unless doing so would endanger the examination, and medical caretakers are given a chance to react to the claimed direct and to show consistence with the Nursing Practice Act (NPA). Over the span of the examination, applicable confirmation is obtained and the appropriate witnesses are contacted. While the majority of most examinations are conducted via the mail and via telephone, on-site examinations can also occur.

Once enough evidence has been acquired, the investigation team audits the evidence keeping in mind the end goal to figure out if or not an infringement of the NPA happened. In view of the survey of the proof, a few cases are shut, and, contingent on the particular kind of conclusion, the dissension and all confirmation will either be erased quickly from the nurse’s file or closed for a particular timeframe as indicated by the Board’s maintenance arrangements. Closed cases in which the document has been held might be reopened if additional evidence has transpired.

Cases in which the evidence at hand demonstrates that an approval against the nurse is required; keeping in mind the end goal to ensure people in general will bring about an Order of the Board and will incorporate both the assent and any prerequisites set on the nurse for maintenance of his/her nursing license. Sanctions may incorporate a warning, fine, education, suspension, probation, and revocation. The majority of board orders are public data and, with the exception of conceded disciplinary requests that have been effectively finished, are lasting assignments in the licensing records of the nurse.

A BON investigation commonly takes five (5) to twelve (12) months to finish, depending on the unique circumstances. While various components outside the ability to control of Board staff and the nurse under scrutiny influence resolution time, case determination time is determinedly observed and inner procedures are routinely assessed and frequently enhanced to guarantee grievances are determined as fast as could be allowed. Both the complainant and the medical caretaker being under review are updated occasionally of the status of every examination.  Unless otherwise indicated, all complainants are notified of the ultimate results of examinations.


The informal settlement process generally begins with medical attendants being offered proposed agreed requests containing the investigative disclosures, conclusion of law, sanctions, and stipulated essentials that are vital to ensure that the nurse is able to practice nursing.

Exactly when the nurses agree with the substance of the proposed agreed demand, they sign their demand before an official public rotary and return it to the Board’s office. Concurred requests are then anticipated study and support by the Board each month. Notwithstanding the way that the predominant piece of agreed solicitations examined by the Board are recognized and endorsed, the Board may of course vote to modify or expel any demand with which they contradict this thought.

In the occasion the nurse doesn’t agree with the proposed orders, he/she may submit specific prescribed rectifications to the proposed orders for the Board’s review. In case any of the submitted changes are accepted, new proposed agreed requests merging the recognized amendments will normally be sent.

From time to time, and at the Board’s caution, medical attendants may be welcome to go to the informal settlement meeting, much of the time booked a month or more in advance, at the Board’s areas in Austin, Texas. Informal conferences are driven by the Executive Director, or his/her designee, and are gone to by the Director of Enforcement, one of the Board’s legal advisors, and the designated authority, and moreover other Board staff. In the midst of each meeting, the medical caretaker and Board staff trade as for the current proof, possible encroachment, and satisfactory settlement. At the finish of the gathering meeting, the medical caretaker is educated of the board’s proposed conclusion of their case. Right when the board chooses action is defended to guarantee individuals by and large, new proposed concurred requests are sent to the medical caretaker. Also as with other proposed agreed requests, the medical attendant may sign their demand before a lawful authority and return it or they may submit specific prescribed upgrades to the proposed arranges in creating for the Board’s consideration & review.

Right when solicitations are authorized, they get the opportunity to be last Board orders and the terms get the opportunity to be effective. A copy of each and every Board request is sent to the nurse and to the last known business, and complainants are educated of the outcome. Most disciplinary moves made by the Board are open information and transform into an immutable part of the licensure record. Disciplinary exercises are engraved in the Board’s quarterly notice and are moreover offered an explanation to the National Council of State Boards of Nursing, Inc., and the National Practitioner Data Bank (NPDB).


Whenever medical caretakers and the Board can’t achieve understandings for an informal settlement, or if the Board can’t reach nurses amid examinations, the Board documents formal charges, which oblige nurses to record answers to the charges in writing. At the point when obliged answers to formal charges are not recorded, cases may continue toward revocation of the license(s) as a matter of course.

If by chance the responses to the formal charges are documented, negotiations may proceed toward concurred settlements while formal, open disciplinary hearings before the Administrative Law Judge (ALJ) are being booked. At the point when cases don’t achieve concurred settlements, they continue to hearings at which Board staff presents evidence and nurses exhibit their side of the case. After every listening to, the ALJ presents a proposition for choice (PFD) to the Board, and each PFD contains the Judge’s discoveries of actuality and finalities of the law. The Board surveys and follows up on each PFD by enforcing disciplinary action or by shutting the case with no further action.


Need more information regarding the official Board of Nursing complaint process including the investigation, disciplinary and settlement process?

This video was developed by the NCSBN 2010 Disciplinary Resource Committee and produced by NCSBN which shows the Nursing Board Compliant Process: YouTube – Uploaded by NCSBNInteract on May 7, 2010