North Carolina Board of Nursing

News, Resources & Statistics

News & Announcements

  • Enhanced Nurse Licensure Compact

    Enhanced Nurse Licensure Compact (eNLC) Interstate Commission Sets Jan. 19, 2018, as Implementation Date for ENLC

    On July 24, 2017, the State of North Carolina changed the way it regulates the Multistate Licensure Privilege consistent with the enhanced Nurse Licensure Compact (eNLC) recently enacted and signed by Governor Roy Cooper. Although quite similar, the new eNLC was designed to effectively repeal and replace the existing Nurse Licensure Compact (NLC), originally adopted in 1999.

    If licensed in North Carolina, a nurse may practice nursing consistent with the scope and duties of that license in this State. However, the new eNLC will affect some nurses’ ability to utilize a multistate licensure privilege currently available under the old compact (NLC). This notice is posted to provide information concerning some of the most important changes.

    Beginning January 19, 2018, the eNLC will supersede the NLC adopted in 1999. Although most of the prior NLC states have adopted the new eNLC, beginning January 19, 2018, a nurse in North Carolina will not have a multistate licensure privilege in those states which have not yet enacted the eNLC. These states include: Colorado, New Mexico, Rhode Island and Wisconsin. These states may join the eNLC at some time in future.

    Beginning January 19,2018, a North Carolina licensee who holds an unencumbered multistate license will have an unencumbered multistate licensure privilege in all those states which have adopted the eNLC. Those 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.

    If you are a North Carolina licensee who was issued a single state license, or if you have any stipulation on your license which limits your practice to North Carolina only, you will not be eligible for a multistate license or a multistate licensure privilege.

    An applicant for North Carolina licensure must meet all the Uniform Licensure Requirements (ULRs) in order to have a multistate licensure privilege. The ULRs may be found here: https://www.ncsbn.org/eNLC-ULRs_031717_FINAL.pdf

    The most significant effect relative to the ULRs is that any North Carolina applicant for licensure who has been convicted of a felony, or pled guilty to a felony, will not be eligible for a multistate license under the new Compact. If they are determined to be eligible for a license in North Carolina, they will receive a single state license to practice in North Carolina only. If a nurse wishes to practice in another compact state, that nurse will be required to apply to each state to determine whether they will be eligible for a single state license to practice there based on their felony history.

    Any current licensee who receives a felony conviction, or pleads guilty to a felony after the effective date of the new compact, July 20, 2017, if still eligible to retain their license in North Carolina, will lose the multistate licensure privilege and retain only a single state license going forward. Further, any current North Carolina licensee who has a past felony conviction or pleads guilty to a felony prior to the effective date of the new compact, if eligible to retain their license in North Carolina, will be eligible to maintain a multistate licensure privilege under the new compact.

    For more information on the new eNLC visit: https://www.ncsbn.org/enhanced-nlc-implementation.htm

  • 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 help@ncbon.com. 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: 

    http://www.ncbon.com/myfiles/downloads/position-statements-decision-trees/accepting-an-assignment.pdf

    http://www.ncbon.com/myfiles/downloads/position-statements-decision-trees/staffing-and-patient-safety.pdf 

    For specific information on Ebola Hemorrhagic Fever, refer to:  http://www.publichealth.nc.gov

  • 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.