The recommendations regarding rapid endorsement address this issue. Nursing practice is affected by new health care delivery systems and continuously evolving technology resulting in increasing interstate and multistate practice. Interstate practice is the delivery of nursing services across a state border. Such nursing services include advice lines, outreach services, poison control centers and video consultations. The nurse is in one state, the patient in another.
Multistate practice occurs when a nurse practices in multiple jurisdictions.
This may be an educator who is responsible for students of one academic institution having clinical placements in several states or a home health nurse who sees patients in more than one state even in a given day. Or a nurse may hold positions in more than one state. The House of Delegates specified that ANA develop strategies which facilitate interstate and multi state practice and would serve as alternatives to mutual recognition compacts. North Dakota, the only state to implement a baccalaureate degree for entry into practice, would be required to recognize a license from other states without that requirement. Multistate practice requires no new regulatory scheme.