We, the undersigned Iowa nurses want to make it clear that we oppose changes to our scope of practice without our knowledge, input and ability to affect those changes. We make it clear that only with the direct input of staff nurses who perform the scope of practice should any changes be considered.  We request email/mail notification to all Iowa staff nurses prior to any consideration.  We would want included in that notification, the following: a copy of the proposed changes to our scope of practice, identification of those parties that have requested the changes, evidence of fact-based decision making ensuring patient safety. 

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