CNSs are advance practice registered nurses, a vital part of the health care team and recognized as APRNs in the new LACE model and in the Model Nurse Practice Act and Regulations of the National Council of Boards of Nursing.  Now is the time to get the states' statutes and administrative rules in order.  2015 is right around the corner.  CNSs MUST be officially recognized as APRNs in each state and allowed, indeed, protected, to practice their profession to the fullest extent as called for in the Institute of Medicine's Report on the Future of Nursing. 

It is time to drop the turf wars and come together as a nation for the benefit of our patients and yes, for ourselves when we are patients.  I'm sure YOU would want the best care possible delivered by these nurses.  Make it happen!  Vote yes on this regulatory action.

Wailua Brandman MSN APRN-Rx PMHCNS/NP-BC FAANP

Clinical Director, Ke`ena Mauliola Nele Paia LLC

Immediate Past President, Hawai`i Association of Professional Nurses

Member, APRN Advisory Committee, Hawai`i Board of Nursing