RNs fight veterinary technicians over the word 'nurse'

RNs fight veterinary technicians over the word 'nurse'

Human nurses say they—and only they—have the right to use this word to describe their work.
Sep 11, 2018

The American Nurses Association says, "We are not suggesting any pet owner will confuse a staff member in a veterinary clinic or hospital as a human healthcare practitioner. The issue at hand is the title 'nurse' and the connotations and respect that come with that title." (Shutterstock.com)Webster’s defines “nurse” as a person who cares for the sick or infirm. While the definition doesn’t specify whether the recipient of that care is an animal or a human, the debate over whether to extend this title to veterinary technicians is a heated one.

The National Association of Veterinary Technicians in America (NAVTA) initiated the conversation about changing the title of veterinary technicians to “veterinary nurse” nationally in 2015. The Veterinary Nurse Initiative includes a proposal to establish a national credentialing process similar to that used for registered nurses. While NAVTA has support for the change within the veterinary profession, stakeholders in human nursing have not joined in the call to action.

‘Veterinarians are not called "physicians"; physicians are not called "veterinarians"’

Janet Haebler, MSN, RN, senior director of state government affairs for the American Nurses Association (ANA), says NAVTA first approached ANA about the change in 2015 after a referral from the National Council of State Boards of Nursing. While discussions have been ongoing, Haebler says NAVTA pushed ANA last summer for an official statement endorsing the change—something the ANA opted not to give.

In its official statement on NAVTA’s proposal, the ANA shared concerns about the title change: “We are not suggesting any pet owner will confuse a staff member in a veterinary clinic or hospital as a human healthcare practitioner. The issue at hand is the title 'nurse' and the connotations and respect that come with that title.”

“Before 1903, anyone could be a nurse,” Haebler says, “and they fought hard to change that and improve credibility of nursing.” There are statutes limiting the title of "nurse" right now, she adds, and ANA discussed these distinctions with NAVTA.

“Veterinarians are not called 'physicians'; physicians are not called 'veterinarians.' There are four titles [for veterinary technicians] across the county, and it’s confusing,” she says. “They should definitely standardize, or create a new title that accurately reflects the education and credential.”

Adopting the term "nurse," however, isn’t necessarily the answer, according to Haebler.

“We’re not saying they shouldn’t be able to practice how they want to practice. We just don’t want them to be called nurses. … We’ve already got a slippery slope with an evolution of roles,” Haebler says. “I would hate to see us put our political capital [in]to this when there’s so many things happening. It just doesn’t feel right.”

NAVTA announced plans to introduce legislation in several states to make the title change official last year, but Haebler says the state nursing associations in those states worked hard to oppose those efforts. Haebler says she’s confident that NAVTA will reintroduce legislation in those states and expand their efforts.

‘Co-opting another profession’s title to garner respect’

Tina Gerardi, MS, RN, CAE, executive director of the Tennessee Nurses Association (TNA), says TNA helped ANA draft its official position on the veterinary technician bill and worked to halt legislation in Tennessee for the 2018 session.

“We anticipate it will be back in 2019 in some form. While we laud the efforts of the veterinary techs to standardize their education and licensure, we believe the title 'nurse' should be protected and only used for the care of humans,” Gerardi says. “One of the reasons cited for the name change by the vet techs is the confusion over their titles and the lack of respect for what they do. The issue at hand is the title 'nurse' and the connotations and respect that come with that title.”

Like Haebler, Gerardi says that trust in the title of "nurse" is a big sticking point for the nursing profession in supporting NAVTA’s proposal.

“For 16 years in a row, the Gallup poll has recognized nurses as the most ethical and trusted profession. We believe that a distinction should be made between those who provide care for human beings and other forms of life—just as those providing medical care for animals are called veterinarians, not physicians,” Gerardi says. “Rather than co-opting another profession's title to garner respect for what they do for animals, we urge NAVTA to unify under one of the four existing titles currently in use.”

Not everyone in the nursing profession shares the opinions of its leadership, though.

‘My understanding … expanded since my daughter returned to school to become a licensed veterinary technician’

Mary Ann Friesen, PhD, RN, CPHQ, says she was not supportive of the change to the title “veterinary nurse” when it was first proposed, but she has had a change of heart.

“As a member of the Texas Nurses Association, at the time I supported the title protection of RNs,” Friesen says. “However, my position has evolved. My understanding of the role of a vet tech has expanded since my daughter returned to school to become a licensed veterinary technician (LVT). I realized the range of course work, skills and clinical experience she needed to become a credentialed technician.”

The knowledge and skill of the veterinary technician includes the same foundational skills that are taught in nursing—assessment, planning, implementation and evaluation, Friesen explains, adding that continuing education requirements are also “robust and rigorous.”

“Now, having a better understanding of the requirements to become a credentialed technician—graduation from an accredited program, passage of a national board exam and application to practice as a vet tech from the state—I support the Veterinary Nurse Initiative and properly credentialed technicians using the title ‘veterinary nurse,’ similar to doctors of veterinary medicine being called doctors,” Friesen says.

Her endorsement does, however, come with some stipulation and differentiation.

“While I do not personally agree with the title ‘registered veterinary nurse,’ I do feel allowing properly credentialed technicians to use the title ‘veterinary nurse’ is appropriate for their professional skills and educational achievement,” she says. “The term ‘nurse’ would be more readily understandable to the general public and more reflective of the position in healthcare provided to animals.”

‘Changing the title … will allow veterinarians to call any personnel on their staff “registered veterinary nurse”’

But not everyone in the veterinary profession supports the change either. Liz Hughston, MEd, RVT, CVT, VTS—past president of the Academy of Internal Medicine Veterinary Technicians and current president of the National Veterinary Professionals Union—says she has a lot of concerns about the proposed title change because there are deeper issues at hand than just the name.

“I believe that a title change will not address the problems that veterinary technicians face in our industry,” Hughston says. “While some states have title protection for credentialed veterinary technicians, veterinarians can still hire personnel that are not credentialed and have no formal education or training as a veterinary technician and have not passed the Veterinary Technician National Examination (VTNE).”

Hughston says there are veterinarians hiring unlicensed personnel and giving them the title of "veterinary technicians," and the real problem is that there is no enforcement in the veterinary profession over who uses this title.

“Changing the title to registered veterinary nurse will then allow veterinarians to call any personnel on their staff ‘veterinary nurse,'” Hughston says.

Additionally, Hughston says she’s concerned that the title change “may be a shortcut in gaining some public understanding, which is the primary reason given by the organization pushing for this change.”

“The bigger obstacles in our profession include standardized educational requirements, title protection, state reciprocity and enforcement of these measures to protect the future of profession,” Hughston says.

Fighting against the nursing profession for the name change might cause more problems, she says, without fixing the root problem.

“The national and state nursing associations as well as some associations within our profession are actively opposed to [these efforts]. The title ‘nurse’ has some degree of title protection in at least 39 states. This means that if just one state does not pass ‘veterinary nurse,’ we will not have a unified title across the United States, which will increase confusion and further muddy the public's understanding of what we do and our role on the veterinary healthcare team,” Hughston says. “There is no need to add another title to the mix and further confuse the public. I believe our profession should choose one of the existing titles to unify our profession. Registered nurses have worked for decades to earn respect for their title, and it’s irresponsible for another profession to hijack it—especially without the infrastructure and enforcement to protect the title of veterinary nurse.”

Freelance writer Rachael Zimlich worked as a reporter for dvm360 magazine before returning to school to become a registered nurse. She now works at The Cleveland Clinic.

Protecting their title? Not surprising...

It comes as no great surprise that members of the nursing profession would be concerned about veterinary technicians co-opting the term 'nurse.' Continuing to press for the name change seems to me to be wasted effort when there are so many more meaningful efforts our professional organizations are engaged in. If the surveys are valid, even most vet techs don't favor the change - but many of us do applaud the efforts of our organizations to increase standardization of licensure. I don't care if we are all RVTs, LVTs, or CVTs -- I am just not interested in being called a 'nurse.'

Embrace the name Vet Tech

I am a veterinarian as well as a nurse (Bachelor of Science in Nursing - BSN).
Interestingly, my cousin happens to be a physician and a nurse. She became a nurse first and then went to med school.
However, I became a vet first and then went to nursing school. I have an interest in both veterinary and human medicine.

But anyway, on this topic - nurses are for taking care of human patients and vet techs are for veterinary patients. There is truly no justification for taking over the term ‘nurse’ in the veterinary profession. It just confuses the issue and serves no purpose. Why do some people think it’s okay to take the name of another profession?

As was previously stated, vets are not physicians. They have their own term: veterinarian. Just as vet techs have their own term: veterinary technician (or one of the similar variations on the title). The name is a perfect description of the job - taking care of all aspects of veterinary patient care.

Now, if different states have several different terms for registered vet techs, then perhaps people might want to encourage the states to pick one title for all states. But, at least pick one of the names that is already referring to veterinary technicians. No need to co-opt the name ‘nurse’.

It seems as if some people are thinking that ‘vet tech’ is not a good term anymore for some unknown reason. When did this occur? And who decided it was not a good term? Don’t let someone take away a good title just because they’ve illogically decided they no longer like it.

This reminds me of what linguists call the ‘euphemism treadmill’ as referred to by author Steven Pinker. I wonder when ‘nurse’ will no longer be a good enough term for vet techs? Embrace the term ‘vet tech’ now.

See below:

“The euphemism treadmill shows that concepts, not words, are in charge. Give a concept a new name, and the name becomes colored by the concept; the concept does not become freshened by the name.”

“Stephen Pinker in his 2003 book “The Blank Slate” coined the name euphemism treadmill for the process whereby words introduced to replace an offensive word, over time become offensive themselves.”

This article infuriated me.

This article infuriated me. Veterinarians are Doctors and are referred to as Doctors. Technicians are actually nurses and should be referred to as nurses. And just like nurses in the human field we too have fought really hard to be recognized as key players in our craft. Our skills cover every species BESIDES a human and our disciplines include anesthesia, radiology, dentistry, husbandry, reproduction, phlebotomy, behavior, and on and on and on. RN's should be embracing us as their counterparts in nursing not fighting us for the right to use a term that as per its definition CERTAINLY applies to veterinary technicians. My education is vast, my national exam was incredibly difficult as were my state boards.

Go be a human nurse, embrace your RN designation and the work it took. I applaud you. Glad you are finally are receiving the pay and recognition you deserve. Now, do the same for me and the nursing profession in veterinary medicine.

Physicians vs. Veterinarians

I don't agree with the statement that physicians are not veterinarians and veterinarians are not physicians. Physicians could care less, which is what nurses need to do. "Chill Out". The term Veterinary Physician is a valid term. We are not claiming to be "M.D."s, but we are veterinary physicians, just as we are veterinary surgeons. LVT's or whatever are not claiming to be R.N.'s. Most certified technicians could care less, it's nurses that are acting as if their "Turf" is being invaded. No one is going to think that a Certified Veterinary Nurse is an RN. This has been debated since the 90's.

Maybe veterinarians should

Maybe veterinarians should adopt veterinary physician.

Veterinary Physician

Maybe that would further define our role and increase out public "status". Not a bad idea. Those veterinarians that receive the degree "VMD" are Veterinary Medical Doctors, those dentists that receive DMD's are Dental Medical Doctors, but no one confuses them with "MD"'s.