More than 1,000 CRNAs work with the Veterans Health Administration and they can’t operate with full practice authority like their counterparts serving in every branch of the military. The Association of Veterans Affairs Nurse Anesthetists is working to change that despite significant pushback, and former president Diane Boettger, MHS, CRNA, joins the show to talk about her time on the board and the work the organization is doing to push CRNAs forward.
Check out the timestamps below to help you navigate through the many topics we discussed.
On This Episode:
The issue of full practice authority is one that’s been around for many years and one we’ve discussed quite a bit on this podcast.
We want to take that conversation in another direction today with Diane Boettger, MHS, CRNA. She’s a former president of the Association of Veterans Affairs Nurse Anesthetists, which represents the more than 1,000 CRNAs that work within the Veterans Health Administration across the country. It’s a volunteer, grassroots organization that relies solely on membership dues to help them continue to advocate on behalf of CRNAs.
Now that Boettger is no longer employed by the AVANA, she can speak a little more freely about the work they’re doing and the challenges they’re up against. Plus, she opens up about why a lack of full practice authority is impacting veterans and their access to care.
So as you listen to the episode, keep an ear out for these topics:
- The work they're doing towards establishing full practice authority.
- The different standards that have been established for service members versus veteran services.
- The impact these rules have had on veterans and the care they receive.
- What happened during COVID and how practices changed.
- Details on the amount of pushback that’s been received against full practice authority.
- The opioid crisis on the AVANA agenda and the role CRNAs can play.
Check out the interview at the top of the page and use the timestamps to help you navigate through the many topics we discussed.
[spp-timestamp time="2:17"] – Background on this topic
[spp-timestamp time="3:18"] – Why this is important
[spp-timestamp time="4:25"] – How AVANA is structured
[spp-timestamp time="8:59"] – Establishing full practice authority
[spp-timestamp time="13:33"] – Different standards while serving
[spp-timestamp time="16:20"] – How veterans have been affected
[spp-timestamp time="20:15"] – What changed during COVID
[spp-timestamp time="22:57"] – Why the huge pushback
[spp-timestamp time="25:55"] – What can CRNAs do to help?
[spp-timestamp time="29:41"] – Opioid crisis
[spp-timestamp time="31:37"] – How to help AVANA
[spp-timestamp time="31:57"] – Closing message
Earn MAC Dev Credit by listening to this episode
"It definitely has affected veteran’s access to care, and what we have been suggesting is to enable us to have these national standards of full practice authority. If there’s a CRNA that’s available, a CRNA can perform that procedure. We’re not in any way, shape or form trying to get away with or do away with or eliminate the role of a physician anesthesiologist, but perhaps the practice model might change."
-Diane Boettger, MHS, CRNA
