December 2016, the U.S. Department of Veterans Affairs announced VA Grants Full Practice Authority to Advance Practice Registered Nurses. Certified Registered Nurse Anesthetists (CRNAs) were not included in this provision as one of the APRN roles that may be granted full practice authority at this time.
David J. Shulkin, MD., is currently serving in the Obama administration as VA undersecretary, he will lead the Department of Veterans Affairs under the new administration. Shulkin was the primary voice inside the VA for excluding nurse anesthetists from the APRN practice authority regulations. Concerns going forward include whether this provision will be repealed/amended and how it will be implemented across practice areas throughout the VA facilities.
HealthCetera’s Barbara Glickstein asked Mary Chesney PhD, APRN, CNP, FAANP, FAAN, to weigh in on Shulkin’s appointment and potential impact on the future of APRNs and CRNAs full practice authority. Dr. Chesney is a Full Clinical Professor and Distinguished University Teaching Professor, University of Minnesota School of Nursing. She is past president of the National Association of Pediatric Nurse Practitioners (NAPNAP) and chaired The Health Policy Committee.
Tune into HealthCetera Thursday, January 19 at 1 PM to 99.5 FM streamed live www.wbai.org or you can listen to the interview here