Community Nursing Program Information Session 4 Guidelines for the provision of community nursing services - 2010 Perso

1. Community Nursing Program Information Session 4 Guidelines for the provision of community nursing services - 2010 Personnel, Policies and Care Documentation December 2010

2. Session Objectives At the end of this session the participants will have • A good understanding of the Guidelines for the provision of community nursing services (Guidelines) applicable from March 2010 • A good understanding of DVA’s requirements regarding personnel, policies and care documentation • Knowledge of how DVA can support DVA-contracted community nursing providers’ ongoing learning and future education needs regarding the Community Nursing Program

3. Personnel Provider may use a mix of personnel to deliver CN services These personnel include • Registered nurses (RN) • Endorsed Enrolled nurses (EEN) • Enrolled nurses - includes RN Div 2 in Victoria (EN) • Nursing support staff (NSS)

4. Registered and Enrolled Nurses • All RNs, EENs and EN must work within national standards developed by Australian Nursing and Midwifery Council (ANMC) • Information on the national standards for RNs and ENs can be accessed online at www.anmc.org.au • RN and EN are governed by a national Registration Board

5. Registered and Enrolled Nurses RNs and EEN/ENs must • Hold current practicing certificate in State or Territory where the CN services are provided • Have updated competencies for CPR and manual handling annually • Have either • Practiced within the last five years; or • Completed a recognised refresher course in the last five years

6. Nursing Support Staff NSS must have • Certificate Level 3 in Home and Community Care, Aged Care Work or Disability Work • Worked in a NSS role in the last five years • Update manual handling competency annually • Hold current First Aid certificate • The CPR component of the First Aid certificate must be maintained on an annual basis

7. Nursing Support Staff All CN services provided by NSS must be in accordance with Community Services Training Package (CSTP) which • Was developed by the Community Services and Health Industry Skills Council • Provides standards, qualifications, training and assessment framework for certification of NSS • Information on CSTP is online at www.cshta.com.au

8. Continuing Education Personnel must have access to, and undertake: • appropriate continuing education and professional development • particularly in relation to the provision of aged care services • on a regular and on-going basis Provider must maintain current education and professional development records for all its personnel Training must be offered to all levels of personnel Education and training must be relevant to Community Nursing Care

9. Clinical and Administrative Policies Provider must have written clinical and administrative policies in place Policies must • Adhere to provisions contained in the relevant State or Territory legislation • Be appropriate for a community nursing setting • Be reviewed at a minimum of once every three years

10. Clinical and Administrative Policies At a minimum, these policies must include • Occupational health and safety • Incident, accidents and dangerous occurrence management • Infection control • Medication management • Delegation of care

11. Care Documentation Provider must develop and maintain an appropriate care documentation framework for a community nursing setting Care documentation must be based on the principles of community nursing industry and evidence based practice

12. Care Documentation Clinical and administrative records belong to provider Providers must develop, maintain and appropriately store documentation relating to • Claims for entitled persons • Administrative records relating to entitled persons • Clinical aspects of entitled person’s care Storage and security must be in accordance with the Commonwealth Information Privacy Principles

13. Delegation of Care • The RN’s responsibility for the delivery of delegated care by enrolled nurses is dependent on the State or Territory in which they work • The RN is responsible for the delivery of all delegated care by nursing support staff, regardless of the State or Territory • The supervision of enrolled nurses and nursing support staff must be appropriate and ongoing, and must include regular verbal and written communication • All delegated care details must be appropriately documented in clinical records and kept on the entitled person’s file

14. DVA’s right to access records Documents relating to • the care of an entitled person • payments claimed for the entitled person must be retained in accordance with State or Territory legislation Care, administrative and claiming documentation must be made available to DVA upon request

15. Ongoing Learning and contacts Further Information • E-mail questions to nursing@dva.gov.au • Phone: 1300 550 466 to speak to a DVA Contract Manager or Community Nursing Advisor • Check the DVA Community Nursing website for up-to-date information and education resources