2016 Nurse Lobbying

[OrdinaryDO]

I know some of you just love the nursing agenda and I found it kind of interesting while doing some homework for my masters program to look up the lobbying records of Nursing associations. Here are some policies they are pushing for just in 2016 alone, along with their respective group affiliation. Anything interesting stick out to you? I know a few do for me..

Nurse Practitioners (2016):
Veterans Health Administrations Proposal of APRNs as Full Practice Providers and increased positions (American Association of Nurse Practitioners;2016)

S.488, H.R. 3355 A bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs.

H.R. 6277 To prohibit the implementation of a proposed Department of Veterans Affairs rule relating to the practice authority of advanced practice registered nurses.

H.R.6261 - To amend title XVIII of the Social Security Act to improve the way beneficiaries are assigned under the Medicare shared savings program by also basing such assignment on primary care services furnished by nurse practitioners, physician assistants, and clinical nurse specialists.

American Nurse Association:
Opposition to the Restoring America's Access to Freedom Reconciliation Act, H.R. 3762

Nursing Issues; Issues regarding Advanced Practice Registered Nurses authority practice (APRN) at VA facilities.

National Association of Pediatric Nurse Practitioners:
S. 1461 - Extending a moratorium on enforcement of direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2015

Federal funding for Nurse Managed Health Clinics

Revision of the Veterans Health Administration nursing handbook regarding full practice authority for advanced practice nurses

Section 2706 of the ACA regarding provider non-discrimination

S. 2100 - Tobacco to 21 Act

American College of Nurse-Midwives:
reimbursement and recognition for certified nurse midwives and CNM/CM supervisors in federal programs and academic institutions.

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[GimpGenius]

So... Basically they get federal independent practice, which would set up state by state campaigns for full scope practice.

Seems very.... Osteopathic of them.

 

[OrdinaryDO]

So... Basically they get federal independent practice, which would set up state by state campaigns for full scope practice.

Seems very.... Osteopathic of them.

Sure, except Osteopathic physicians go through the same rigor of medical school training as MDs do, therefore they have a valid reason to have full practice rights in the US. However, nurses can earn their BSN completely online and then go into an APN degree 100% online. So, basically they are saying "we have experience in nursing and medical policy, so why not let us practice MEDICINE independently..in CRITICAL CARE!" This year alone they have spent well over a few million dollars trying to get these agendas passed. This has been lobbied for for years. That's a lot of money flowing through for practice rights.

 

[GimpGenius]

Totally missed the thrust of my last line. Sarcasm doesn't come across well online, I suppose.

At any rate, this isn't something you or I can control, so embrace the suck.

 

[ParallelLines]

I want to throw up

 

[JustPlainBill]

I have recorded my disgust with certain NPs and midwives in other threads. I am of 2 minds on this --- 1) let them have full practice rights -- when they screw the pooch and start getting sued into oblivion, they will go away as did the Edsel. 2) Unfortunately, with #1, there comes the public harm that will inevitably occur and we, as medical professionals, have a duty in that case to fight this political agenda.

Again, everyone wants to be a doctor but no one wants to go to medical school.

 

[FourniersGreenGang]

Guys I think we'll be OK. They get 500 hours of supervised patient contact, no way they can screw up with all that experience.

 

[Brorthopedic]

Guys I think we'll be OK. They get 500 hours of supervised patient contact, no way they can screw up with all that experience.

Not sure how anyone in their right mind can be comfortable working with such little experience

 

[FourniersGreenGang]

Not sure how anyone in their right mind can be comfortable working with such little experience

Yep I don't get it one bit.

 

[OrdinaryDO]

Totally missed the thrust of my last line. Sarcasm doesn't come across well online, I suppose.

At any rate, this isn't something you or I can control, so embrace the suck.

Tone is not something easily conveyed online, lol. Sorry about that, I gotcha.


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[wxman393]

I have worked with some tremendous and very intelligent RNs/APNs in the past. However, intelligence within the nursing model/realm is not the same as being a physician.

I always ask if they considered going to medical school. From my anecdotal experience, I usually hear:

1) "I don't want to take the MCAT"
2) "I don't do well on standardized tests"
3) "I don't have time to get all the pre-reqs"
4) "My grades aren't good enough"

I agree with @JustPlainBill. If you want to be a physician and practice medicine, go to medical school.





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[Dr. Death]

Guys I think we'll be OK. They get 500 hours of supervised patient contact, no way they can screw up with all that experience.

Pretty sure the people taking my order at McDonalds have more than 500 supervised hours before they get turned loose on their own.