NurseClick, Info on nursing at your fingertips
Subscribe to NurseClick
NurseInfo
3LP RCNA's Life Long Learning Program
Submit your event

About RCNA

Royal College of Nursing, Australia (RCNA) is the peak professional body for nurses. As a member you can influence a range of local and national issues by getting involved in the activities of RCNA. Read more.

Get published with RCNA!

RCNA is currently calling for contributions for the December issue of Connections magazine. Do you have a clinical piece, a research summary, a profile, a report on a new innovation, or a first-person nursing story you'd like to share? Read more!

Not an either/or question


Since experiencing the International Council of Nurses Congress and Council of National Representatives meeting in Durban earlier this month, I’ve been thinking about the similarities among nurses despite the wide variation among their practice settings.

There were approximately 5,600 participants at the Congress, and it was great to be able to discuss topics of mutual interest with colleagues from all corners of the world. Despite the gaps in service that many of the nations represented there experience, so many of the topics of conversation over meals or in seminars were familiar. Patient safety, nurse safety, primary health care, human and material resource deficits, and how nurses must continue to lobby to be involved in all levels of health care delivery and policy formulation were frequently discussed.

A deeply moving presentation by Miriam Were on human rights captured a great deal of attention. She proposed that we need to ensure that nurses don’t become barriers to access to health care, and that we should start thinking of registered nurses as the “generals” in nursing care and assistants (however titled) as the “foot soldiers”.

From her perspective it is not an either/or question, but rather about adding to the capacity of nurses to provide the care that is needed. While her talk raised some debate, her examples of places in the world where, without the assistant level there would be no health care, were certainly sobering. And nurses in Australia are certainly aware of places where this is true in our own country. Substitution is certainly not appropriate, but we need to, at least, keep an open mind.




Dr Stephanie Fox-Young FRCNA
President

RCNA video update


See the latest video from CEO Debra Cerasa and find out about RCNA's new strategic directions. Click the image below to view.


Top links


National Health and Hospital Reform Commission's Final Report
RCNA media release - NHHRC report must recognise benefits of collaborative care
Billions 'wasted' in health system: report
Hospital errors cause 4550 deaths a year
Health groups give cautious welcome to planned overhaul
Ageing population to add to pressure
Hospitals of the future are already here
AMA welcomes NHHRC final report
Primary health care will improve access, but opportunities for aged care missed again
Australian practice nurse study
Practice nurses play pivotal role: report
Nurses under pressure amid GP drought
More nurses in GP clinics but more help is needed
Primary health care in Australia needs reform: researchers
Charting new roles for Australian general practice nurses
General practice in Australia: Health priorities and policies 1998-2008
Changes in general practice activity - effects of an ageing population and changing health policies
Better care requires multidisciplinary team working
Report highlights importance of GPs - AMA
Report highlights importance of our GPs
Swine flu update
Fresh warning as swine flu worsens
High-risk to get free flu shots
Swine flu attacking mothers, new borns
Flu pandemic still in early stages: WHO
Ten die, and pregnant women told to don masks

What else happened this month?
ICN elects new president
Launch of Snapshot of primary health care research 2009
Theory that birth pain is good for women blasted
Nurses vote to stop bringing in of unregistered workers
Hon Nicola Roxon on H1/N1 influenza update, health and hospital reform and suicide prevention

The big issue - Roxon introduces ‘landmark’ legislation


On 24 June 2009, the Federal Minister for Health and Ageing, The Hon. Nicola Roxon MP, introduced legislation to give nurse practitioners and midwives access to the Medicare Benefits Schedule (MBS) and Pharmaceutical Benefits Scheme (PBS). In the second reading of the Health Legislation Amendment (Midwives and Nurse Practitioners) Bill 2009 (the Bill) before Parliament, Minister Roxon remarked that in her travels around Australia’s health system the issue of access to MBS and PBS had constantly been raised by the nursing and midwifery professions and said the proposed amendments to the legislation represented a ‘long overdue recognition of our highly skilled and capable nursing and midwifery workforce’ and signified a ‘landmark change’ for the professions. The Bill also introduces professional indemnity insurance for eligible midwives, with a Commonwealth-supported scheme proposed to commence by July 2010.

While nurse practitioners are already legislated to prescribe medications, without access to MBS and PBS their clients have had to pay the full cost of prescriptions. According to Minister Roxon, the new legislation will remove this ‘barrier to the provision of care and will lead to improved access to services for the community.’ It is anticipated that the changes will help to relieve the current strain on the Australian health workforce through encouraging a primary health care approach based on collaborative and multidisciplinary health service delivery, improving the ‘overall capacity, efficiency and productivity’ of the workforce. Minister Roxon said nurses and midwives practising in rural and regional areas, where GPs are few and community access to primary health care remains limited will particularly benefit from the changes.

Arrangements for nurse practitioner and midwife access to MBS and PBS are set to commence on 1 November 2010, while the professional indemnity insurance scheme for midwives will commence on 1 July 2010.

Read more on this topic
Communities will benefit from nurse practitioner legislation
Roxon says maternity boost will improve services
Nurses win battle for MBS rights
Midwives and nurse practitioners
PBS and MBS access a win for the community and quality outcomes
Wide support for legislation

Policy in nursing

RCNA on Review of the Accreditation Process for Residential Aged Care Homes
RCNA recently provided a submission to the Department of Health and Ageing in response to the discussion paper, Review of the Accreditation Process for Residential Aged Care Homes. The review raised questions for consideration and sought to identify ways to improve the current accreditation process. RCNA’s submission, developed in consultation with expert members from the Pilot Advisory Council, called for a paradigm shift away from a compliance based system toward one which places greater emphasis on continuous quality improvement.

The submission stressed that the current aged care accreditation process is too compliance driven, focusing on monitoring and reporting at the expense of quality improvement. RCNA said there needs to be a shift away from the current punitive sanctions focussed approach toward prioritising the needs of the people living within aged care. RCNA believes a best practice approach which strives to reflect the needs of the client population and reduces administrative burden would be of great benefit to the sector. RCNA recommended a step towards achieving this would be the development of tailored quality indicators to reflect the needs of the residential aged care population.

RCNA also expressed strong support for the legislated inclusion of a registered nurse on assessment teams visiting high care facilities, to ensure that a clinical and psychosocial examination is considered in accreditation processes.
RCNA on Recognition and Management of the Deteriorating Patient
Recognising and responding to clinical deterioration has been identified by governments at both the state and federal level as a safety and quality priority to improve patient outcomes and reduce adverse flow-on effects such as prolonged hospital stays. In May this year Queensland Health (QLD Health) sought stakeholder feedback on a series of draft recommendations in response to issues outlined in the technical discussion paper, Recognition and Management of the Deteriorating Patient.

RCNA provided a range of overarching comments in response to the discussion paper noting the key and predominant role nurses play in identifying early warning signs and in initiating appropriate and timely management. RCNA argued that streamlining early warning systems across jurisdictions would promote safety and quality and foster greater flexibility within Australia’s highly mobile health care workforce.

At the federal level, the Australian Commission on Safety and Quality in Health Care (ACSQHC) now seeks to develop a nationally agreed Consensus Statement setting out the essential elements required for effectively recognising and responding to clinical deterioration. RCNA members have your say by reviewing the Consultation Paper and the draft Statement and send us any thoughts based on your personal and/or professional experience by Friday 28 August to Ayleen O'Hanlon.
The ASQHC documents can be found here.

Opportunities


RCNA - Information Technology (IT) Online Training Program
The International Computer Drivers Licence (ICDL) online training program aims to assist nurses and midwives to increase their IT practice skills by offering a nominal fee-for-service training program. The program is an online training program which participants will be able to complete at work and/or home. For further information visit the RCNA website.
New website for clinical placements
The Department of Human Services has recently launched a new clinical placements website titled Clinical Placements in Victoria. The website is intended to provide practical assistance for clinical teaching staff and placement coordinators. It includes publications, links, resources and project updates to assist educators to plan and develop clinical placements for healthcare students. To access the web resources or submit your own case studies please click here.
RCNA – Mental Health Emergencies Workshops
The RCNA Mental Health Emergencies continuing professional development (CPD) program provides two-day workshops for registered and enrolled nurses, registered midwives, paramedics, newly recruited mental health staff, Return-to-Work-Program staff, Indigenous health workers, allied health and other health care providers employed in a variety of settings in metropolitan, regional, rural and remote areas of Australia. For further information visit the RCNA website.
Non-compliance notices to be made public from 1 July 2009
Information from notices of non-compliance (NNCs) issued since 1 July 2007 will be made public through the Aged Care Australia website from 1 July 2009. For more information, please visit the website.
Management of Chronic Kidney Disease (CKD) in general practice
This publication from Kidney Health Australia provides a summary of current guidelines and recommendations from various sources on the management of Chronic Kidney Disease (CKD) in general practice. Health professionals can order a free copy of this booklet by phoning 08 8334 7555 or by emailing Kidney Health Australia.
Click here to find out more.
New clinical guidelines from the Stroke Foundation.
The Stroke Foundation has developed a series of evidence-based recommendations for stroke, based on a comprehensive Australian review. Both the acute and rehabilitation guidelines have been endorsed by the NHRMC.

Find out more or download the guidelines by clicking here.
New drug use evaluation tool for residential aged care facilities
The National Prescribing Service (NPS) has developed a set of Drug Use Evaluation (DUE) Toolkits in consultation with the nursing profession. These kits support better use of medicines in residential aged care facilities.

Two new kits are now available: Laxative use for chronic constipation and Benzodiazepine and non-benzodiazepine hypnotics for insomnia (e-kit).

For more information or to access the kits please visit the NPS website.
Australian type 2 diabetes risk assessment tool
On behalf of federal, state and territory governments, the Baker IDI Heart and Diabetes Institute have developed a diabetes risk assessment tool called AUSDRISK as part of the COAG initiative to reduce the risk of type 2 diabetes.

AUSDRISK is a short list of questions that have been developed to help both health professionals and health consumers to assess the risk of developing type 2 diabetes over the next five years.
Click here for more information and to access the assessment tool



International nursing news

International Council of Nurses
Flight or flight - Survey shows mounting challenges require attention to keep nurses from leaving
Nurses survey - Patients pay the pricefor insufficient staff, high workloads
ICN partners in development award goes to Elsevier
World Health Organisation
The Research and Knowledge Management unit of the World Health Organisation (WHO) Patient Safety is now accepting applications for the WHO Patient Safety Small Research Grants. Click here for information, eligibility criteria, resources for applicants and resources for reviewers.
Other
New California Nursing Board members sworn in
Donna Shalaha heads initiative on the future of nursing
National Council of State Boards of Nursing - Annual Meeting
The National Council of State Boards of Nursing will host an annual meeting in Philadelphia from 12 - 14 August 2009, titled Unlocking the possibilities - the key to regulatory excellence. Nurses interested in attending are required to register via email.
Submit your event
Join RCNA Subscribe to NurseClick
For further information about NurseClick please contact:
Royal College of Nursing, Australia (RCNA)
PO BOX 219 | Deakin West | ACT 2600
nurseclick@rcna.org.au | free call 1800 061 660
Hannah Collett
Communications  Officer
Royal College of Nursing, Australia (RCNA)
PO Box 219 | Deakin West | ACT 2600
e hannah.collett@rcna.org.au | p +61 2 6215 8317

Unsubscribe