Amen sumara, remember what Jernigan taught us about the difference between a hospital and a law school. Even Chris Cole got rid of the nurse. And then of course, there is the psychiatrist in the left-handed dissertation. Remember what Dr. Jay called him? from the world's smallest keyboard. On Oct 7, 2016, at 8:29 AM, wrote: Maurice, I?m pretty sure there was discussion about the role of a psychologist on staff in a training program in Jim Omvig?s book, Freedom for the Blind. In looking through the table of contents, however, I don?t see reference to this in a chapter title. We do have nurses on staff at our agency, and they are most definitely involved in treatment?no question about it?and they buy into the other professionals? notion that you can rehabilitate folks by giving them the latest and best gadgets. I believe this does interfere with the adjustment process because the focus is on maximizing vision use?regardless of how ineffective the vision. The professionals who have challenged me about why I don?t authorize for low vision exams and devices for certain consumers, and why I don?t authorize for every device recommended by a low vision doctor, are the nurses. Blindness is seen as a pathology. In my view, both nurses and psychologists are plentiful in the community and these are not disciplines that require expertise in blindness in order to work with blind people. That?s my two-cents worth. Sumara From: NOMC [mailto:nomc-bounces at lists.nbpcb.org] On Behalf Of Altman, Jeff Sent: Tuesday, October 04, 2016 4:21 PM To: Maurice Peret; NOMC at lists.nbpcb.org Subject: Re: [Nomc] nurses in the training center Hi Maurice, I do understand your interest in this subject, but it is truly a minefield of a basis for an article. This is not one of those issues that can be simply handled through philosophical argument, this one would require research, especially examining outcomes between those Centers that do versus those that don?t. Unless there is clear evidence that there is some correlation between having nurses on staff and less desirable outcomes, it really won?t move the needle. Here in Nebraska, we have the best of both worlds, our Center is located in an old hospital building, and the owners of the building run a medical clinic in the building, so there are doctors and nurses right next door, but the clinic has no direct relationship with NCBVI. Another issue are the Centers that have Psychologists on staff, and I personally think this is potentially an even more serious problem. Jeff From: NOMC [mailto:nomc-bounces at lists.nbpcb.org] On Behalf Of Maurice Peret Sent: Tuesday, October 04, 2016 2:08 PM To: NOMC at lists.nbpcb.org Subject: [Nomc] nurses in the training center Can anyone point me to something in the literature that directly deals with the question of medical staff in the SDCT training center? IN many work places these days there are nurse educators or wellness professionals who are simply available to help reduce insurance liability. There is a fine line, however, when the nurses? role with students in a rehabilitation center drifts into a ?treatment? rather than in an instructional role. Thanks in advance for your thoughtful reply. Maurice This E-mail, including any attachments, may be intended solely for the personal and confidential use of the sender and recipient(s) named above. This message may include advisory, consultative and/or deliberative material and, as such, would be privileged and confidential and not a public document. Any Information in this e-mail identifying a client of the Department of Human Services or the Department of Children and Families is confidential. If you have received this e-mail in error, you must not review, transmit, convert to hard copy, copy, use or disseminate this e-mail or any attachments to it and you must delete this message. You are requested to notify the sender by return e-mail. _______________________________________________ NOMC mailing list NOMC at lists.nbpcb.org http://lists.nbpcb.org/listinfo.cgi/nomc-nbpcb.org