Please note (26/09/08):
This website contains documents with links to various Premier's Circulars. These links may be broken due to recent changes to the Department of the Premier and Cabinet website. Use the search tool on the Premier's Circulars site to locate specific circulars.
|Title:||Scope of Enrolled Nursing Practice and Enrolled Nurse Competencies|
|Document ID:||Operational Circular OP 1988/05|
|Date of issue:||Thursday, 25 August 2005|
|Description:||This Operational Circular should be read in conjunction with the Liquor Hospitality Miscellanious Union (LHMU), Enrolled Nurse and Nursing Assistants, Department of Health Industrial Agreement 2004, Nurses Act 1992, Poisons Act 1964, Poisons Regulations of 1965, Nurses Code of Practice, Medication Administration Guidelines (Nurses Board of Western Australia, 2001), Scope of Nursing Practice Decision-Making Framework (Nurses Board of Western Australia 2004) and policies governing practice in the specific health care agency.|
|Applicable to:||All Nursing Staff in Government Hospitals|
|Period of effect:||from 8 August 2005|
|Authorised by:||Dr Phillip Della, Chief Nursing Officer, Office of the Chief Nursing Officer, 24-Aug-2005|
Scope of Enrolled Nursing Practice and Enrolled Nurse Competencies
This Operational Circular should be read in conjunction with the Liquor Hospitality Miscellanious Union (LHMU), Enrolled Nurse and Nursing Assistants, Department of Health Industrial Agreement 2004, Nurses Act 1992, Poisons Act 1964, Poisons Regulations of 1965, Nurses Code of Practice, Medication Administration Guidelines (Nurses Board of Western Australia, 2001), Scope of Nursing Practice Decision-Making Framework (Nurses Board of Western Australia 2004) and policies governing practice in the specific health care agency.
The Liquor Hospitality Miscellaneous Union (LHMU), Enrolled Nurse and Nursing Assistants, Department of Health Industrial Agreement 2004 (the Agreement) Clause 8(8) and 8(9) requires the Department of Health’s Chief Nursing Officer is responsible for publishing a policy of the scope of enrolled nursing practice and recognition of enrolled nurse competencies. The agreement further requires that the Department of Health’s Chief Nursing Officer, monitors the uptake in hospitals, and reports on their implementation on a six monthly basis.
Clause 8(8) and Clause 8(9) requires the publication, monitoring and implementation of a policy on the scope of enrolled nursing practice which will have uniform application in all hospitals and give uniform effect to the Report of the Scope of Nursing Practice Project (2002) including the Decision-Making Framework.
Scope of Nursing Practice – Decision Making Framework
The Nurses Board of Western Australia developed the Scope of Nursing Practice Decision-Making Framework (Framework) in consultation with the nursing profession to provide guidance for individual nurses, the nursing profession, and other health personnel and health services providers. As stated by the Nurses Board of Western Australia the Framework should be used in conjunction with other tools and standards such as competency standards, policies, regulations and legislation. Implementation of the Framework and the use of the guiding principles will assist enrolled nurses and employers to negotiate practice issues including advancement and expansion of the scope of practice. It is noted that the advancement and expansion of enrolled nursing scope of practice must be based on the legislation, individual nurse’s authority to practice, education, experience and assessed competence.
The Nurses Board of Western Australia, Scope of Nursing Practice Decision-Making Framework should be used when implementing and expanding the scope of practice for enrolled nurses. The learning guide is available from the Nurses Board of Western Australia and can be downloaded from the Board’s website http://www.nbwa.org.au/.
The Framework provides a series of questions to be used when delegating nursing care to other nurses. The questions include preparation and experience, acceptance of delegation, legality and clinical assessment. It is important to acknowledge that the acceptance of delegation means that the nurse who accepts the activities being delegated is responsible for the care given. In this respect the enrolled nurses are responsible for their own actions and accountable to the registered nurse who delegated the tasks.
Enrolled Nurse Competencies
It is important that an enrolled nurse should not engage is areas of practice without being competent. Enrolled nurses may gain competencies that can be included in their scope of practice by either formal or informal education. The Australian Nursing and Midwifery Council and the Nurses Board of Western Australia govern enrolled nurse pre-registration competencies leading to registration, were as extending competencies post-registration are guided by health service policies. The Framework should be used to negotiate practice issues include recognition of prior competencies, extending scopes of practice or the development of individual enrolled nurses scopes of practice.
Recognition of prior competencies gained by enrolled nurses should be within the context of the Framework. It is noted that nursing competence is a combination of skills, knowledge, attitudes, values, and abilities that underpin effective performance in a professional/ occupational area. Enrolled nursing competencies gained in one clinical setting should therefore be transferable to another similar clinical area. The employer using the principles of recognition of prior learning and competency should establish an assessment format that allows enrolled nursing competencies gained in a different clinical setting to be recognised.
Enrolled nurses who have gained medication competencies by completing pre-enrollment or post enrollement course may administer Schedule 2, Schedule 3 and Schedule 4 medications as prescribed by a medical practitioner/nurse practitioner.
4. Policy Statement
If you have a Query
Contact the Office of the Chief Nurse on 9222 4075.
To ensure continuous improvement in the development of policies, please refer any feedback regarding this policy to the Office of the Chief Nursing Officer on 08 9222 4075.
Dr Phillip Della
This circular last updated: Wednesday, 24 August 2005 at 4:08pm