1 / 26

DIVISION REGISTERED NURSE DIVISION 2 PROJECT ENHANCED SCOPE OF PRACTICE

DIVISION REGISTERED NURSE DIVISION 2 PROJECT ENHANCED SCOPE OF PRACTICE. Dr Jane Redden-Hoare F.R.C.N.A. DHS NURSE POLICY BRANCH OCTOBER 2007. Development of an organisational framework for Medication Endorsement Mental Health acute and psycho geriatric units Community Mental Health

erol
Download Presentation

DIVISION REGISTERED NURSE DIVISION 2 PROJECT ENHANCED SCOPE OF PRACTICE

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. DIVISION REGISTERED NURSE DIVISION 2 PROJECTENHANCED SCOPE OF PRACTICE Dr Jane Redden-Hoare F.R.C.N.A

  2. DHS NURSE POLICY BRANCH OCTOBER 2007 • Development of an organisational framework for Medication Endorsement • Mental Health acute and psycho geriatric units • Community Mental Health • Community Health • Sub acute Program • New Roles • Highlight differences between concept and reality of project plan • Post project plan

  3. Inflow – Summary, 2004/05 Source: PiMS & DHS VAED 2004/05

  4. AGE COMPARISON

  5. REGISTERED NURSE DIVISIONS

  6. BACKGROUND TO PROJECT 2003 Issues identified byMental Health Team • GP’s, mental health clinicians, drug & alcohol staff. Opportunities in early intervention, counselling, development & rehabilitation support services. Division 2 Registered Nurses • Limited options for professional development. • Lack of career advancement. • Lack of career opportunities.

  7. MENTAL HEALTH BED BASE • Acute Admission Unit • 25inpatient beds Mental Health Sub-acute • 15 inpatient beds • Mental Health Aged Care • 30 inpatient beds

  8. AGED PSYCHIATRY SERVICE AIM Barwon Region Community Team Offers assessment, treatment and case management for 65 years + affected by serious mental illness and or major behavioural problems associated with dementia

  9. ADULT COMMUNITY MENTAL HEALTH TEAMS AIM Provide crisis management treatment and case management for people aged 16-65 who are affected by serious mental illness. Teams with Division 2 Registered Nurses • Geelong West • Corio

  10. JIGSAW YOUNG PERSONS HEALTH SERVICE AIM • 16-25 year old • Provides a comprehensive service designed to engage and work with the young people of Corio and North Geelong • It combines mental health services, drug & alcohol services, youth counselling and disability support with a bulk billing GP service

  11. PROJECT PLAN Acute Mental Health Service Subacute and Aged Care Community Mental Health Community Health Swanston Centre Focus Area • Hiliary Blakiston House • Inpatient Rehabilitation Centre CMH Clinics HARP Steering Group Project Officer Focus Areas Focus Area

  12. PROJECT APPLICATION 2005 PROJECT AIM • Establish framework & sustainable plan for the implementation of enhanced scope of practice for the Division 2 RN to work in Mental Health, Community, Medical, Sub Acute & Aged Care Services • Address concerns of the B.H. Division 2 RN workforce regarding career pathways & job security

  13. PROJECT OBJECTIVES 2005 • Increase participation in anatomy & physiology course at BH • Develop policy • Establish supportive peer network • Facilitate preparation for medication endorsement course • Develop new roles in community health care

  14. CHANGE MANAGEMENT ISSUES

  15. POLICY FRAMEWORK • Competency Resource Package • Responsibility of Nurse Manager • Approved Assessors • Performance & Knowledge Test • Register • Professional Accountability • Not Automatically Transferable

  16. POLICY, PROCEDURE &PRACTICE CHANGES • YES!!!!!!!! • Spoken • Unspoken

  17. CONCLUSION OF PROJECT 2006 ROLE DESCRIPTIONS DEVELOPED • Mental Health & Community Resource role evaluated • New Job Descriptions developed for: • Clozapine Resource role • Domiciliary RN Division 2 in general Community Health • Division 2 Registered Nurse in H.A.R.P

  18. SUSTAINABILITY – PHASE 2 • Subacute Sector • Acute Sector

  19. SUBACUTE – 97 BEDS AIM Plan to test policy framework in Inpatient Rehabilitation Centre • Outcome: • Team roles required redesign • Mix of RN Division 2 medication endorsed (10%) • Complexity of role structure of Division 1 RN • Staggered implementation plan

  20. ACUTE GEELONG HOSPITAL 307 INPATIENT BEDS • Plan to test the policy framework in Geelong Hospital • Project on 5th floor medical & surgical wards • Day Surgery Centre • Outcome • Plan for full implementation by May 2007

  21. EVALUATION TRIAL 2007 • RN Division 1: 47.5% response rate • Pre trial :Mixed response to questions of barriers • Post trial: Significant support for role • High level of support provided during implementation • Staff allocation improved with RN Division 2 ME • Patient improvements • More timely delivery of medications • Greater continuity of care • More holistic care as RN Division 2 are involved in all care • Works well for staff and patients • Reduces workload ‘Are Div 1 going to be ‘phased out’ in the long term? Very good to support Div 2s increase their skills but as always, is there an ulterior motive – time will tell!!’

  22. PROJECT LEARNINGS • Extreme sport • Flexible • Reality

  23. RESIDENTIAL AGED CARE AIM • Plan to test the policy framework in Residential & Aged Care Settings • Project underway in many of the homes • Outcome • Implementation by May 2008

  24. Questions Thankyou for Listening

More Related