How LACE considerations differ from APN Clinical Roles for California, Washington and Allinois

How LACE considerations differ from APN Clinical Roles for California, Washington and Allinois

Nursing organizations have been meeting for several years now seeking to clarify the murky territory of advanced practice nursing. Absence of clarity and consistency in the titles that are used to regulate advanced practice nurses at the state level reduce the ability of nurses to move to different states and practice there. According to Carrington (2012), the regulation of nursing practice is determined by the states’ nurse acts of the various states despite of all the work cited which represent the efforts for clarifying and standardizing RACE.

How LACE from clinical roles differ for California, Washington and Illinois.


California’s advanced practice nurses are usually under jurisdiction of California Board of registered Nursing. A practitioner must be licensed as a registered nurse so as to get certification as an advanced practitioner nurse. The following graduate level specialty areas are the only ones recognized by the board:

– Nurse-midwife

– Psychiatric (mental health Nurse)

– Nurse anesthetist

– Clinical Nurse Specialist

– Nurse practitioner



The Nursing quality care assurance commission is the one that regulates Washington’s’ state advanced registered Nurse practitioners. The board license category of ARNP includes three roles of advanced nursing:

  • Certified nurse midwife
  • Nurse practitioner
  • Certified registered Nurse anesthetist.

Nurse practitioner is the most common of these entire specialties. The clinical Nurse specialists are not licensed in Washington. The state doesn’t belong to the Nurse license compact.


The advanced practice Nurses in Illinois are licensed by the Illinois department of Financial and Professional Regulation. The following practice roles are recognized in Illinois:

  • Certified nurse midwife
  • Certified Nurse practitioner
  • Certified registered Nurse Anesthetist
  • Certified Nurse practitioner.

An advanced practitioner Nurse in Illinois must be in hold of RN and APN licensing.




Carrington, J. M. (2012). The usefulness of nursing languages to communicate a clinical event. Computers Informatics Nursing, 30(2), 82-88. Rutherford, M. (2008).

Standardized nursing language: What does it mean for nursing practice. OJIN: The Online Journal of Issues in Nursing, 13(1), 243-50.