A very disturbing proposal of the VA’s new nursing handbook would require all advanced practice nurse practitioners (APNs) and nurse anesthetists to practice independently. This proposal would abandon the current consensus model of physician-led, team-based surgical anes-thesia care and replace it with solo nursing care. Nearly 70 of the VA’s own surgical anesthesia experts, including the VA Chiefs of Anesthesiology, informed VA leadership through an internal whistleblower program “Stop the Line” that the new policy “would directly compromise patient safety and limit our ability to provide quality care to Veterans.” Recently, more than 200 VA physician anesthesiologists invoked “Stop the Line” in a second letter to VA leaders. Concerns were also voiced to VA leadership by prominent national veteran service organi-zations such as AMVETS, the Association of the U.S. Navy, and the National Guard Association of the United States....

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