My mission as a nursing leader in Kentucky for the past 28 years has been to remove barriers to practice that prevent NPs from providing care to their patients. We have had many successes, but barriers at the state and federal level still remain. As your AANP state representative, I have kept you informed about AANP’s work in Washington and utilized AANP expertise to help remove practice barriers in Kentucky. My work for NPs over the years has provided me a unique knowledge and my service as an AANP State Representative has increased my ability to benefit and inform Kentucky NPs. Many of you have met me in person and others may have conversed with me via email or read my postings on the KANPNM list serv. I hope all of you know that I am dedicated to our profession and I will work hard for you every day.
RHC practice owner providing primary care.
One of the biggest challenges facing NPs in the next decade will be education. Many student NPs are forced to solicit preceptors for their clinical rotations. The schools should do this. Many preceptors are poorly vetted and faculty is not visiting clinical sites to verify the quality of the student’s practicum. Further, preceptors are not compensated for their time, expertise or challenges of having a student in a busy practice. This leads to little incentive for preceptors to accept students. For anyone paying attention, the pleas of students and the concerns voiced by practicing NPs and preceptors should be enough to alert everyone to the problem. The system needs to be revamped. While AANP does not regulate NPs or the universities they attend, AANPCB could exert influence through requirements for certification. As the leading national NP organization, AANP should host a summit with invitations extended to NONPF, CCNE, AACN, ANCC, NCSBN and other organizations that lead NPs to discuss and develop a solution to this serious problem. NPs do provide excellent care and their patients benefit. However, the risk of diminished education exists as the number of programs and students increases and the availably of clinic sites and preceptors decreases.
I have served in a leadership role with the Kentucky Association of Nurse Practitioners and Nurse Midwives for 28 years. During that time, I was elected to various officer positions, and throughout my entire tenure with KANPNM, I have served as chairperson of the Legislative Committee. In that role I have led, or helped to lead, all legislative efforts since 1993. I have also written, or helped to write, all NP legislation since 1995. I served three terms on the Kentucky Board of Nursing, during which, I served as an officer and chaired the Advanced Practice Council, the Practice Committee and the Credential Review Panel. In my role on the Board, I helped to develop nursing regulations and polices. A number of pieces of legislation have passed under my leadership, but the most significant legislation to pass under my leadership were prescriptive authority for non-scheduled and scheduled drugs and the removal of physician collaboration requirement for prescribing non-scheduled drugs.
I have been a strong advocate for nurse practitioners and the patients we serve for many years and have played a leadership role in all Kentucky NP legislation brought forward in the past 28 years. Because of this, I am well known to NPs, policymakers and legislators in Kentucky. I currently serve as the Vice-President of the Kentucky Association of Nurse Practitioners and Nurse Midwives and as the Legislative Committee chairperson. I also serve as chairperson for the Kentucky Medicaid Advisory Council, a position appointed by the Governor. I am well situated to help advance the AANP mission. If elected, I will use my visibility to help engage and empower NPs. I will use my influence to help policymakers and legislators understand the benefits of health care provided by NPs to bring about positive legislative and policy change consistent with the AANP mission.