The time is now...the call for the creation of state boards of nursing practice. Traditional state boards of nursing fail to provide effective or necessary oversight of nurses practices because the role of these boards is to protect the public from harm and not to oversee the actual practice of nurses. State boards of nursing are comprised of more than just nurses, most boards are staffed with non-nurses appointed by the Governors of individual states. These individuals do not have the specialized training, experience, or education to oversee the actual practice of nurses, yet they are the very individuals who are making decisions about nurses' practices. It is mere hypocracy for licensed professionals not to have a practice board made up of only nurses who have the knowledge and experience to judge the practice of another nurse as a prudent nurse peer. The very practice act and scope of practice which govern nurses' practices includes the requirement for nurses to exercise prudent and professional nursing judgment to ensure the nursing standards are met at all times. Each nurse must practice within the level of his/her education preparation, experience, knowledge, and physical and emotional ability to provide safe and effective care, but they need a reliable board who can guide and support the practice of nurses as experts and experienced nursing professionals. It is time to restructure the profession of nursing to include state boards of nursing practice. These boards must operate separately, yet in collaboration with the current boards of nursing to protect nurses and patients. We can no longer accept the status quo which is destroying the lives and professions of nurses.