Introduction
National decision-making framework
National principles for the development of decision-making tools
The Nursing and Midwifery Board of Australia
Templates for tools for nursing and midwifery practice decisions The Nursing and Midwifery Board of Australia (the National
Board) undertakes functions as set by the Health Practitioner
Regulation National Law, as in force in each state and territory (the National Law).
The National Board regulates the practice of nursing and midwifery in Australia, and one of its key roles is to protect the public by making sure that only nurses and/or midwives who are suitably qualified to practise …show more content…
Through the principles, and tools based on them, health consumers, regulators, governments, employers, professional groups and workforce planners can be confident that nurses and midwives, irrespective of their category of registration or where they practice, are supported to make decisions in a consistent way.
The national principles
Decision-making tools:
1 guide nurses and midwives in making decisions about everyday practice and changes to practice over time to meet the health needs of the community
2 facilitate planning, negotiation and implementation of practice change for individuals or groups of nurses and midwives to meet the health needs of the community
3 acknowledge that the promotion and provision of quality health services for individual consumers and for the broader community are the drivers for change in practice
4 enhance safety and quality when integrated with a comprehensive approach to managing risk
5 recognise and apply to all domains and contexts of practice
6 facilitate responsiveness to consumers’ needs by health workers through changes to the repertoire of skills of individuals or groups by: …show more content…
If the organisational capacity is not sufficient to support the activity, further planning and consultation should be undertaken before proceeding and referral may be necessary in the meantime.
If not, then the client will need to be referred to an appropriate health professional or health service provider, and the registered nurse will need to establish a collaborative relationship with that person/service to ensure the provision of ongoing nursing care for the client.
3 Current professional standards, such as the competency standards for the RN and EN, clearly give certain responsibilities exclusively to registered nurses, including making professional judgements about the scope of nursing practice and delegation of activities in a nursing plan to others.
The registered nurse will need to conduct a risk assessment to determine the appropriate person to perform the activity.
Factors to be considered by the registered nurse in making this decision include whether a nurse should perform the activity because:
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