North Carolina Board of Nursing

News, Resources & Statistics

News & Announcements

  • Enhanced Nurse Licensure Compact

    Update! Raleigh --- The signing of Nurse Licensure Compact legislation by Governor Roy Cooper on July 20, 2017 triggered the establishment of the enhanced Nurse Licensure Compact ( eNLC), ushering in a new era of nurse licensure and mobility in the United States. North Carolina is the 26th state to pass eNLC legislation. During the planning stages 26 was determined to be the critical number of states needed to implement the updated compact agreement.

    The original Nurse Licensure Compact was ratified in North Carolina in 1999. The Compact gives nurses greater mobility when making career moves and eliminated the cost of holding multiple licenses for those nurses who chose to pursue employment in other states that were also members of the Nurse Licensure Compact.

    “Boards of nursing were the first health care regulatory bodies to develop a model for interstate licensure, “reported Julie George, Executive Director of the North Carolina Board of Nursing. “In establishing the new eNLC patient safety was of paramount importance.”

    Rep. John Szoka, of Fayetteville, championed this legislation in the North Carolina General Assembly. “This legislation is especially important in North Carolina because it allows service members and spouses who have a nursing license to more quickly enter the workforce,” said Rep. Szoka. “Also the eNLC establishes uniform licensure requirements with a higher threshold for issuing a license with a multistate privilege.”

    To date the North Carolina Board of Nursing has identified more than 17,600 nurses who have taken advantage of the old Compact and with the addition of more states joining the new eNLC this number is expected to grow substantially.

    Executives from each of the 26 states* that make up this new compact will form the eNLC Commission. The Commission’s first priority will be to adopt operational rules and set implementation dates. Once set, dates of implementation will be shared with licensed nurses and the public. More information about the eNLC will be posted on the NC Board of Nursing website in the coming weeks.

    eNLC states include: Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Iowa, Kentucky, Maine, Maryland, Mississippi, Missouri, Montana, Nebraska, New Hampshire, North Carolina, North Dakota, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia and Wyoming.

    The Enhanced Nurse Licensure Compact (ENLC), HB 338/HB 550 & SB 362, is an updated and enhanced version of the nurse licensure compact that North Carolina originally adopted in 2000. To learn more about the ENLC’s impact on Nurses & employers, please read the following documents:

    Enhanced Nurse Licensure Compact

    Leader to Leader – Special Issue/March 2017

    Questions? Please email David Kalbacker, Chief Communications Officer, at

  • New NCBON Position Statements

  • Nurse Gateway

    Nursing GatewayAvailable to all Nurses and Nurse Aide II's

    What is the Nurse Gateway?

    • A web-based application which gives you as a Nurse or Nurse Aide II a single portal to manage your license/listing (no fee) 
    • Also allows for access to applications to request licensing in NC For example: Renewal application, Exam/Endorsement application, APRN applications, Nurse Aide II Listing applications

    How will this help me?

    Provides one single access point to submit your licensure application; check your application status; provides a channel for the Board to communicate directly with the Nurse or NA II; print necessary licensure documents, and many more functions.

    You will need to create a Username and Password to access your information and applications.

    Note: If you have already created a Username and Password, you will only need to log in.

    Steps for Registering on Nurse Gateway:

    1. Click on Enroll Now
    2. Enter your name, date of birth, social security number and email address. You will only be asked this information one time. Once the Gateway is available for licensure applications you will only be required to enter your username and password.
    3. After you enter the information, you will be prompted to create a Username and Password.
    4. A confirmation page will be shown when you have completed the registration.
    Note: Please keep your user name and password in a secure location as you will need this information to access your Gateway.

    Steps for Accessing your Renewal Application or to Request Inactive / Retired Status:

    1. Log onto the Nurse Gateway with your Username and Password.
    2. Select the "Expiring Soon!" tile. Click on Renewal/Reinstatement, Request Inactive Status or Request Retired Status.
    3. Select Continue at the bottom of the page to access the Application.
    4. Enter all required information, pay the required fee and then submit. No fee required for Inactive Status.
    Note: To report issues, contact In your message, please include your complete name along with your license number and license type.

    Computer Requirements and Conditions:

    • Printer along with Adobe Reader
    • Your browser must be set to accept cookies
    • Pop-up blockers disabled or temporarily allow pop ups for this application
    • Have Javascript enabled
    • Internet Explorer 6.0 or higher or equivalent Netscape/Firefox with compatibility mode activated
    • Compatibility with Apple computers is NOT guaranteed

    Click here to start your application process

  • CNS Requirement

    Effective July 1, 2015, the new CNS Rules (21 NCAC 36.0228) require all Clinical Nurse Specialists to be recognized by the North Carolina Board of Nursing in order to practice as a CNS in North Carolina.

    CNS Rules and Recognition Process

    Clinical Nurse Specialist Rules - Effective July 1, 2015

    Clinical Nurse Specialist Documentation Requirements

    Clinical Nurse Specialist Online Application
  • Abandonment, Neglect and Ebola

    Abandonment, Neglect and Ebola

    Nurses are questioning if the NC Board of Nursing (NCBON) considers refusal to accept an assignment to care for a client with Ebola Hemorrhagic Fever to be abandonment or neglect.

    • Refusal of an assignment is not considered abandonment, nor neglect. 
    • Licensed nurses are legally mandated to accept only assignments within scope of practice and for which they:
      • are qualified and competent,
      • have adequate resources available, and
      • function within policies and procedures supportive of safe care and the prevailing standards of care.
    • Employer policies addressing refusal of assignment guide management responses and are beyond NCBON jurisdiction.

    For details, refer to NCBON Position Statements on Accepting Assignments and on Staffing and Patient Safety (which explains Abandonment) at the links below: 

    For specific information on Ebola Hemorrhagic Fever, refer to:

  • Delegation of Medication Administration to Unlicensed Assistive Personnel

    Board clarifies Rule interpretation - Click here to view our quick reference

  • Advanced Practice Registered Nurses, RNs and LPNs: New NC Medical Board Policy on the Use of Opioid Medication for the Treatment of Pain

    At the NC Medical Board's May 2014 meeting, a new policy on the use of opioid medications for the treatment of pain was adopted. The effective date is June 1, 2014. The policy provides guidelines and information regarding the expectations for patient management. Click here to obtain the policy.