DOD Health Care:

Issues Involving Military Nurse Specialists

HRD-89-20: Published: Mar 29, 1989. Publicly Released: Mar 29, 1989.

Additional Materials:

Contact:

Office of Public Affairs
(202) 512-4800
youngc1@gao.gov

In response to a congressional request, GAO examined the Department of Defense's (DOD) policies concerning military nurse anesthetists, midwives, and practitioners, focusing on military policies on nursing practice and supervision.

GAO found that: (1) generally, DOD physicians were responsible for care provided to patients in military medical facilities; (2) DOD did not permit nonphysicians to perform medical functions independent of physicians; (3) DOD issued a quality-assurance directive requiring physicians to supervise nurse specialists, consistent with traditional procedures in military hospitals; (4) military services lacked a formal process for receiving input from nurse specialists; and (5) DOD required higher-ranking nurse specialists to assume supervisory or management responsibilities in their specialties. GAO also found that various nursing associations: (1) expressed concern that nurse specialists could not be promoted to higher ranks and continued to perform clinical duties; and (2) believed that physician supervision of nurse specialists should be based on written medical guidelines and individual education, training, and demonstrated skills.

Nov 2, 2017

Oct 31, 2017

Oct 27, 2017

Oct 26, 2017

Oct 16, 2017

Oct 10, 2017

Oct 5, 2017

Sep 29, 2017

Sep 28, 2017

Looking for more? Browse all our products here