What is top-of-license nursing practice?

Katherine Virkstis explains what we mean when we talk about top-of-license nursing practice.

When we talk about top-of-license practice, we're usually referring to care team members across many different levels—including APRNs, RNs, LPNs, and support staff.

Each care team member works within a different scope of practice, so that a nurse practitioner can do more than an RN, an RN can do more than a CNA, and so on. The idea of operating at the top of your license means practicing to the full extent of your education and training, instead of spending time doing something that could be effectively done by someone else.

In today's changing health care landscape, it's important that we maximize the limited hours and dollars we have—and spend them on the highest-skilled work each care team member can do.

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