{"id":10202,"date":"2022-03-22T19:59:27","date_gmt":"2022-03-22T19:59:27","guid":{"rendered":"https:\/\/tvn.tv-multi-theme.com.216-70-96-51.jvv2-rfnp.accessdomain.com\/?p=10202"},"modified":"2022-04-13T15:46:54","modified_gmt":"2022-04-13T15:46:54","slug":"breaking-down-veterinary-practice-acts-and-our-credentials","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarynurse.com\/personal-professional-development\/breaking-down-veterinary-practice-acts-and-our-credentials\/","title":{"rendered":"Breaking Down Veterinary Practice Acts and Our Credentials"},"content":{"rendered":"<p class=\"p1\"><span class=\"s1\">\u201c<\/span><span class=\"s2\">W<\/span><span class=\"s1\">hat is the most important issue for our profession today?\u201d was a question that Ashli Selke, NAVTA president, asked the veterinary community over social media while serving as president elect. The hope was to spark discussion among the community. Among the answers that came up were \u201ctitle protection,\u201d \u201cunified credentials,\u201d \u201cscope of practice,\u201d \u201ccredential title,\u201d \u201creciprocity,\u201d and \u201cpay.\u201d There was an especially robust discussion surrounding the relationship of title protection and pay. Many people felt that if there was title protection then the pay would follow. If the pay was better, the retention rate would vastly improve for credentialed technicians.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">We\u2019ll set the topic of pay aside for today. We all know that a national average of $17\/hour in 2020 is not sufficient pay for credentialed veterinary technicians in the way we function.<sup>1<\/sup><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">The rest of the issues brought up by the community can often become a complicated discussion because they are so intermingled that it is often hard to keep the concepts separate. And ultimately, all items mentioned need to be addressed; progress on one of them is often progress in other areas due to their relation. It is, however, useful to be clear on the terminology when discussing the profession and solutions.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Let\u2019s dive into some of these concepts:<\/span><\/p>\n<ul>\n<li class=\"p4\"><span class=\"s1\">Credentialing requirements<\/span><\/li>\n<li class=\"p4\"><span class=\"s1\">Credential title<\/span><\/li>\n<li class=\"p4\"><span class=\"s1\">Title protection<\/span><\/li>\n<li class=\"p4\"><span class=\"s1\">Scope of practice<\/span><\/li>\n<li class=\"p4\"><span class=\"s1\">Unified credentials<\/span><\/li>\n<li class=\"p5\"><span class=\"s1\">Reciprocity<\/span><\/li>\n<\/ul>\n<p class=\"p2\"><span class=\"s1\"><b>Credentialing requirements<\/b> are set by each individual state\u2019s governing organization for a person to become credentialed as a part of the veterinary nursing profession. The veterinary field has a mostly standardized set of requirements based on standards established over the course of many years. The current standards include obtaining an associate or bachelor\u2019s degree from a program accredited by the AVMA\u2019s Committee on Veterinary Technology and Education Activities (CVTEA), a passing score on the veterinary technician national examination by the American Association of Veterinary State Boards (AAVSB), and a varying number of continuing education hours within the renewal process. While these standards exist, there are many states that have alternate routes in which individuals can qualify, and there are many members of the profession who have qualified in various manners as standards have changed over the decades (see \u201c<a href=\"https:\/\/todaysveterinarynurse.com\/articles\/navigating-the-veterinary-technician-credential-conversation\/\">Navigating the Veterinary Technician Credential Conversation<\/a>\u201d in the Fall 2020 issue of <i>Today\u2019s Veterinary Nurse<\/i>). Credentialing requirements are about how we qualify to do the work that we do.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\"><b>Credential titles<i> <\/i><\/b>are used by credentialed individuals to provide an identifiable label for the profession and describe the profession in the type of work it conducts. In the 40 states with state-governed credentialing for our profession, certified veterinary technician, licensed veterinary technician, registered veterinary technician, and licensed veterinary medical technician are written into the state laws as the titles used. In the 10 states with private certification, certified veterinary technician is used. NAVTA\u2019s Veterinary Nurse Initiative includes within its goals a title change to \u201cveterinary nurse,\u201d which describes the type of work veterinary technicians are performing today. This doesn\u2019t just apply to the veterinary nursing profession either\u2014a recent article was published regarding the efforts by the physician assistant and nurse anesthetist professions to change their titles to reflect the work they do and to eliminate public confusion.<sup>2<\/sup> Titles serve as a description of who we are and need to make sense to people outside of our field.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\"><b>Title protection <\/b>laws are ones that not only define a title but also specify that the title can be used only by those holding the legal credentials, so that it is clear to the public which individuals have met the qualifications and which have not. Title protection for veterinary technicians exists in varying forms around the nation. Twenty-one U.S. states have laws governing title protection while 29 do not. In states that do have title protection, 5 specify a penalty (fines or misdemeanor). While title protection does exist in 21 states, a common concern from our profession is the low degree of compliance to the title protection laws. We have seen many veterinary medical boards being more proactive in issuing statements advocating for better title protection in their states (e.g., Tennessee, Alabama, South Carolina). Title protection is about who can call themselves a \u201cveterinary technician.\u201d<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">This takes us to <b>scope of practice<\/b>, which describes the type of work performed by the profession and defines the roles played in practice. From a national overview standpoint, there are not many states that strictly define the scope of practice of a veterinary technician. The reason why we emphasize \u201cstrictly\u201d is because while many states describe the type of work performed by veterinary technicians, they do not restrict the work to those who are credentialed. In effect, veterinary practice acts often designate what veterinary technicians can do, but not what non-credentialed individuals cannot do. As a result, veterinary practices sometimes use discretion in determining who can perform the role of a veterinary technician. NAVTA gave input into the AAVSB\u2019s Model Regulation on the Scope of Practice for Veterinary Technicians and Veterinary Technologists through our representation on the Regulatory Policy Task Force and endorsed the document for state veterinary medical boards to use as reference on our scope. The scope of practice is about who can perform the veterinary technician\u2019s role.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">There are often discussions of establishing a <b>unified credential <\/b>system for veterinary technicians to have the same credentials in requirements, titles, title protection, and scope of practice. The governmental system in the United States allows states to create their own laws, which leads to the current situation of our profession being governed by differing state-to-state laws. When we discuss unified credentials, we should keep in mind it is an effort focused on bringing all of the states on the same page in all aspects instead of creating a single, federal credentialing system (which happens only for professions that require federal oversight). Creating a unified credential is about making the laws and regulations look the same across all states.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">This then takes us to the topic of what is commonly referred to as <b>reciprocity<\/b>, though phrases like \u201clicense portability\u201d and \u201clicense transferability\u201d might be more descriptive. As credential requirements are standardized across different states, members of the profession should be able to cross borders and continue their career without disruption to their licensing status. This is helpful for those who permanently (e.g., upon moving) or temporarily (e.g., emergency response, travel work, military family reassignments) relocate to a different state and the people and animals we serve. The current situation is that some states allow for licensees from other states to obtain a license in theirs through an expedited licensing application process, which many times can take just as long as applying anew. There are efforts by the veterinary state boards to create ways in which \u201clicensure by endorsement\u201d can be facilitated, such as their AAVSB Veterinary Care Elite program, though its effectiveness and adoption is yet to be proven as it is a new program. Reciprocity is about the ability to use your credentials across state borders.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">When discussing these issues, it is helpful to ensure that we all have a good understanding of each aspect of our credential to have a productive discussion. Terms like \u201ctitle protection\u201d should not be confused with \u201cscope of practice\u201d in that the veterinary technician title being protected is a separate point from what non\u2013veterinary technicians are restricted from doing. The effect of achieving title protection is lessened if the scope of practice isn\u2019t set, and setting the scope of practice alone will not be a complete solution without title protection. Each of these elements are separate but intermingled. All of them are necessary to unify our credentials. As you could imagine, bringing 50 different states to agree fully on every detail down to the scope of practice of a profession is a very heavy lift and takes years of work. And truthfully, the work will never end since our profession will continue to evolve and change over the course of time. Let\u2019s use these terms intentionally and with clarity to raise the awareness of our issues within the profession.<span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>When discussing these issues, it is helpful to ensure that we all have a good understanding of each aspect of our credential to have a productive discussion.<\/p>\n","protected":false},"author":236,"featured_media":4834,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":0,"footnotes":""},"categories":[228],"tags":[],"class_list":["post-10202","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-spring-2022","column-navta_corner","clinical_topics-personal-professional-development"],"acf":{"hide_sidebar":false,"hide_sidebar_ad":false,"hide_all_ads":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin 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