It was envisaged that the introduction of an NP model of care would provide increased opportunities to improve the disease treatment processes, target lifestyle factors associated with hepatitis C and increase the range of health settings for treatment and prevention of the disease.
To ensure the success of the hepatology nurse practitioner (HNP) role in the Liver Service at Royal Perth Hospital (RPH), the incumbent was expected to have postgraduate education and demonstrate competence to practice at a level commensurate with a nurse practitioner.
In 2003, a postgraduate degree in Clinical Specialisation commenced at the
School of Nursing and Midwifery, Curtin University of Technology, Perth, WA. This course was approved by the Nurses Board of Western Australia for
authorisation as a NP. The NP course includes a clinical internship developed by the Liver Service specifically for the HNP. In 2004, the current HNP was awarded this degree in the clinical specialization of hepatology and was registered by the NBWA as a nurse practitioner. The new title of HNP was the first of its kind in Australia.
Following amendments to various acts and regulations by the Western Australian Parliament and Department of Health, a legislative framework and a code of practice were produced which provided the foundation for the HNP’s scope of practice. This scope of practice was subsequently approved by the Director of Nursing and Head of Liver Service at RPH. A key part of the legal framework is that the HNP must work within the approved clinical protocols that guide the HNP’s scope of practice in the designated area of the Liver Service.
The expanded scope of practice for nurse practitioner includes:
• prescription of Schedule 1 and 4 medications (as defined in the clinical protocols);
• Performance of advanced physical assessment;
• Initiation of routine pathology and diagnostic tests; and
• Referrals to other members of the multidisciplinary team.
It was envisaged that the introduction of an NP model of care would provide increased opportunities to improve the disease treatment processes, target lifestyle factors associated with hepatitis C and increase the range of health settings for treatment and prevention of the disease. To ensure the success of the hepatology nurse practitioner (HNP) role in the Liver Service at Royal Perth Hospital (RPH), the incumbent was expected to have postgraduate education and demonstrate competence to practice at a level commensurate with a nurse practitioner.In 2003, a postgraduate degree in Clinical Specialisation commenced at theSchool of Nursing and Midwifery, Curtin University of Technology, Perth, WA. This course was approved by the Nurses Board of Western Australia forauthorisation as a NP. The NP course includes a clinical internship developed by the Liver Service specifically for the HNP. In 2004, the current HNP was awarded this degree in the clinical specialization of hepatology and was registered by the NBWA as a nurse practitioner. The new title of HNP was the first of its kind in Australia.Following amendments to various acts and regulations by the Western Australian Parliament and Department of Health, a legislative framework and a code of practice were produced which provided the foundation for the HNP’s scope of practice. This scope of practice was subsequently approved by the Director of Nursing and Head of Liver Service at RPH. A key part of the legal framework is that the HNP must work within the approved clinical protocols that guide the HNP’s scope of practice in the designated area of the Liver Service.The expanded scope of practice for nurse practitioner includes: • prescription of Schedule 1 and 4 medications (as defined in the clinical protocols); • Performance of advanced physical assessment; • Initiation of routine pathology and diagnostic tests; and • Referrals to other members of the multidisciplinary team.
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