Under which circumstances must an employer report to the CNO?

• A. Terminate a nurse for any reason.
• B. The nurse resigns in lieu of termination.
• C. Suspend, revoke or place restrictions on a nurse's privileges for any reason.
• D. All of the above

Answer: (D)

The key idea here is that regulators require employers to report anything that affects a nurse’s ability to practice, so the public is protected and the regulator can track a nurse’s disciplinary history. If a nurse is terminated for any reason, that change in employment status can signal issues about competence, conduct, or fitness to practice that the licensing body should be aware of. Even more, if a nurse resigns in lieu of termination, the regulator needs to know because the underlying concerns don’t disappear—the action is a way to avoid formal discipline, and the regulator must have a complete picture of the nurse’s professional history. Finally, actions that suspend, revoke, or place restrictions on a nurse’s privileges directly limit what the nurse can do in practice, so they must be reported to ensure timely protective steps and appropriate regulation. Since all of these scenarios involve changes that affect safe, competent practice, the correct choice is that all of the above apply.