If you’ve been notified of pending disciplinary action against you as a nurse practitioner, agreeing to a simple restriction on your license rather than a more formal disciplinary hearing may seem like the obvious best choice to diffuse the situation. Perhaps the Board of Nursing puts an agreement on the table that allows you to practice provided that your charts are simply reviewed by a physician. Not too shabby given the alternative, right? 

A restriction on your license to practice is a stipulation, usually given as a result of disciplinary action, that limits your scope of practice. A restriction may be a prescribing restriction or an oversight mandate, for example. What many nurse practitioners don’t know is that even the smallest restriction placed on your NP license can send your career into a tailspin

There are times when agreeing to restrictions on your license as part of disciplinary action is going to be your best bet. But, agreeing to restrictions on your license should never be taken lightly or done without legal counsel as it can have some serious implications. 

Restrictions placed on your license could, and often do, trigger administrative action from other organizations such as the DEA. As a result, your DEA license may be revoked. Restrictions may also result in decertification essentially making you ineligible to practice. As a result of changes to your certification and prescribing status, you may lose hospital privileges and ultimately your job.

Restrictions placed on your nurse practitioner license can ruin your ability to practice. Always seek legal council if you face disciplinary action, regardless of the offer put on the table by your board of oversight. You may be able to get a better deal or approach the matter in a way that allows you to keep your career.

Earlier this month, I had a chance to discuss license restrictions with healthcare attorney Alex Fisher who often represents nurse practitioners before the board of nursing. The following clip provides added insight on the positives and negatives of agreeing to restrictions on your license.



For more video content discussing the legalities of practice and prescribing, visit MyMidlevelU, our online portal containing message boards and eCourses. Get started by creating an account here

A big “Thank You” to Alex Fisher, associate at Frost Brown Todd, LLC, for partnering with MidlevelU to help educate nurse practitioners in regards to licensing and prescribing issues.


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