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IOM's Long Road to Reform Nursing Begins



In October, the Institute of Medicine released a landmark report outlining how nurses are crucial to meeting the country's healthcare needs. The report says that to handle the increasing complexity of care and greater responsibilities, nurses will need higher levels of education and training. Now, the Institute is taking the first steps toward making that happen.



3 comments on "IOM's Long Road to Reform Nursing Begins"
vickie armstrong (12/20/2010 at 9:31 PM)

I can't agree with the IOM's initiative to improve nursing in this country. As an advance practice nurse I deliver quality health care to the sickest frailest population that we have-long term care residents but there are multiple barriers for me and others that practice in this setting. Examples: Anthem Insurance company does not recognize NPs or PAs, and those visits have to be billed as incident to physician and would be reimbursed at the higher 100% rate BUT incident to does not apply in long term care or skilled nursing SO it may not be paid at all! I have to be SUPERVISED by a physician here in Virginia but not other places. Home health care requlations that are starting effective 1-1-11 effectively bar me from ordering home health care service when I am discharging patients to home from SNF! Nursing education-let's start with requiring CEU's to renew nursing licenses in all states! It scares me to think that a nurse can be licensed 30 years ago and never have to learn or read another thing and can still practice. Employer requirements for CEUs? That won't happen because they don't want to pay for it. These are crucial needs and I hope that IOM and the initiative make a difference.
Michael Karns NP (12/17/2010 at 12:38 PM)

The work required is straight uphill, but what worthy goals these are to strive for. Do our patients deserve any less? All NP's need to roll up their sleeves and pitch in just as those before us did.
Christy Price Rabetoy, NP (12/15/2010 at 10:48 AM)

WOW!! Maybe the 1965 mandate for entry level for future nurses to be BSN prepared will become a reality. Maybe nurses will actually move from being the LEAST educationally prepared to being finally closer to all other health care providers. Maybe nurses will be able to have a true professional identity with a university, professioanl degree, in lieu of a technical, junior college degree.