Advanced Practice
Funds earmarked to enable nurse-led research
The United States is amid a conversion to a value-based system of healthcare. Although this new delivery model has contributed to the closure of some hospitals and the realignment of others into larger health systems, the primacy of the OR as a source of revenue for hospitals has remained constant.…
CRNAs not included in new VA nurse practice rule
Editor's Note The Department of Veterans Affairs (VA) on December 13 issued a final rule allowing full practice authority for certain advanced practice registered nurses working in VA facilities, including certified nurse practitioners, clinical nurse specialists, and certified nurse midwives. The rule excludes certified registered nurse anesthetists (CRNAs), following lobbying…
Johns Hopkins transitions to all graduate school of nursing
Editor's Note After 30 years, the Johns Hopkins School of Nursing baccalaureate program is ending with its July 22 graduation ceremony. Last fall, Johns Hopkins transitioned to an all-graduate school when it welcomed its first class of the Master of Science in Nursing: Entry into Nursing Practice program. The degree…
Effect of practice restriction, physician supervision on anesthesia patient safety
Editor's Note Scope of practice restrictions and physician supervision requirements for nurse anesthetists have no impact on anesthesia patient safety, this study finds. Examining 5.7 million anesthesia cases, researchers found that anesthesia complications differed significantly with: patient characteristics patient comorbidities the procedures being administered. Complication odds did not differ by…
Proposed rule grants full practice authority to APRNs working at VA hospitals
Editor's Note The Department of Veterans Affairs (VA) on May 25 published a proposed rule that would amend its medical regulations to permit full practice authority without the clinical oversight of physicians to all of its advanced practice registered nurses (APRNs). APRN categories include certified nurse practitioner, certified registered nurse…
Post-OR career path may lead to business opportunity--Part 2
Deciding to become an entrepreneur is an exciting first step in launching a new career, but ensuring the success of that career requires several other steps. Part 1 of this series on entrepreneurship (OR Manager, March 2016, pp 1, 11-13) explored several self-assessment strategies for making the decision to take…
Post-OR career path may lead to business opportunity--Part 1
Some perioperative services leaders retire from the OR with plans to become consultants, drawing on their years of experience to help facilities and remain active in the field. Some do not envision this or any other type of post-retirement career, yet they find themselves lured into a business opportunity. Entrepreneurship…
Study: Relationship between anesthesia providers and socioeconomic factors
Editor's Note Certified Registered Nurse Anesthetists (CRNAs) are the main anesthesia providers ensuring patient access to anesthesia care in lower-income areas where patients are more likely to be uninsured, unemployed, and/or Medicaid eligible, this study finds. Anesthesiologists are more closely aligned with counties that have higher income populations. Lessening restrictions…
Significant progress made since IOM future of nursing report
Editor's Note Significant progress has been made toward transforming nursing roles, responsibilities, and education to meet the nation’s healthcare needs, according to a report from the National Academy of Sciences, Engineering, and Medicine. The report assesses the progress made since the Institute of Medicine’s 2010 report on the future of…
Industry payments to nurses not reported in federal database
Editor's Note Though a nurse practitioner in Connecticut pleaded guilty recently to taking $83,000 in kickbacks from a drug company, the payments were not listed in the Centers for Medicare & Medicaid Services Open Payments Database. That’s because companies are not required under the Physician Payment Sunshine Act to publicly…
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