pwrslm Posted July 22, 2016 Share Posted July 22, 2016 (VA) Proposed Rule: https://www.regulations.gov/docket?D=VA-2016-VHA-0011 on allowing nurses to practice without an MD's supervision. Link for comments while it is still open. Comments close 25 July 2016. Agree or disagree, This is your chance to make your opinion heard, and why you feel the way you do about it. Inarticulate&Distorted 1 Link to comment Share on other sites More sharing options...
0 Content Curator/HadIt.com Elder Vync Posted July 22, 2016 Content Curator/HadIt.com Elder Share Posted July 22, 2016 The hope that they would be allowed to write IMO's would be very promising. If that is the case and if I read the proposed stereo instructions properly, then that would mean that only certain masters degree-level nurse specialists would be allowed to participate. If that is really true, then I'm sending my wife back to earn just one more degree... I have a funny feeling that the VA would not allow them anywhere near IMO's. If they did, then they would have some oddball restriction or something limiting it to nurses employed by the BVA C&P clinics, not the VHA side or non-VA... ArNG11 and Andyman73 2 Link to comment Share on other sites More sharing options...
0 Berta Posted July 23, 2016 Share Posted July 23, 2016 I was thinking Vync, that if VA APRNs start doing all C & P exams (since VA wants to give them "full practice authority") that a vet could get a non VA APRN for an IMO that might cost less than one done by a medical doctor, if the C & P denies the claim. And the VA would have to accept it. But I am not sure how this proposed rule will play out. Comments from anesthesiologists at the Fed Register site were against APRNs doing their jobs. Many nurses were in favor of the proposal. The brief chance I had to read some comments from vets were both for and against this idea. Link to comment Share on other sites More sharing options...
0 Andyman73 Posted July 23, 2016 Share Posted July 23, 2016 Done it. Link to comment Share on other sites More sharing options...
0 Berta Posted July 23, 2016 Share Posted July 23, 2016 THANK YOU Andyman! They give us a tracking number but it is easier to just pop our name into their search feature at the top to make sure our comment pops up. You just click on View all comments, and in Search feature click on New search within this document and your commenter name will pop up with your comment. I have not found any of the vet lawyer's comments yet but one other hadit member has commented too. A VA anesthesiologist made the point that there is no lack of qualified anesthesiologists in the VA. This could change the VA in many many ways. I am not even sure if the nurses ,like the VA docs, dont have to carry malpractice insurance, and how it would work out if a VA APRN makes a critical medical error with a patient. There is the NPDB mandate as well...and the VA's reporting requirements of doctors who have caused FTCA awards. Will that apply to these nurses too? I have nothing against nurses and known many who are superb at their work. Still, as many commenters (vets and/or their family members said) you all earned the best medical care the VA has to give. Maybe this change will ensure the best care. But maybe it wont in every case. And how much weight will the VA give to APRNs in the claims process? Andyman73 1 Link to comment Share on other sites More sharing options...
0 Andyman73 Posted July 23, 2016 Share Posted July 23, 2016 3 hours ago, Berta said: And how much weight will the VA give to APRNs in the claims process? That is the million dollar question, isn't it? Inarticulate&Distorted 1 Link to comment Share on other sites More sharing options...
0 HadIt.com Elder Buck52 Posted July 23, 2016 HadIt.com Elder Share Posted July 23, 2016 Well if this is approved then they (APRN) have the Authority! I would say the same as Dr. but I don't truly see this happening for approvel it would to controversial It may get a lot of veterans pro votes...but to know medine to me there's a big difference in a Dr' Opinion and RN. Andyman73 and Inarticulate&Distorted 2 Link to comment Share on other sites More sharing options...
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pwrslm
(VA) Proposed Rule: https://www.regulations.gov/docket?D=VA-2016-VHA-0011 on allowing nurses to practice without an MD's supervision.
Link for comments while it is still open. Comments close 25 July 2016. Agree or disagree, This is your chance to make your opinion heard, and why you feel the way you do about it.
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Buck52
I prefer veterans have a choice with their healthcare. I want the veteran to be able to choose his Dr for his health care rather VA or the private sector I'd choose the private Sector, Simp
Berta
Can this be moved into Claims Research forum so everyone reads it? This will have an impact on every VA patient. And claimants. This is part of my comment: ( I added more at the Fed Reg
Inarticulate&Distorted
A dual edged sword indeed. We would run the risk of having our shitty yet guaranteed-by-Law healthcare, and to throw it into a medicaid-like system would be just be bringing us as perilously close to
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