VaCNS President Linda Thurby-Hay's comments to the Department of Veterans Affairs regarding AP44- Proposed Rule - Advanced Practice Registered Nurses
I wholeheartedly support the incorporation of APRNs (i.e. CRNA, CNM, CNP and CNS) into the VA practice environment along with the authority to implement the full use of their skill set. Our veterans deserve the knowledgeable and skilled care that these master's or doctorally-prepared clinicians provide. We begin our work with a thorough nursing assessment that guides the development of a plan of care with the patient that utilizes interventions that the patient is equipped to use in moving toward better health. Professional nursing has been repeatedly acknowledged for their trustworthiness and willingness to remain patient-centered and team players. We know when to get another healthcare professional involved. This rhetoric of who is educated enough to lead the team must end and be replaced by an acceptance that the patient is the leader of their team. They are the decision-makers and determine what they believe they need. We must embrace this central premise if we are to create a healthcare system that employs the appropriate professional at the precise time that assists the patient to achieving their health care goals.