Nurses scope of practice Flashcards
What legislation drives nursing practice?
Health Practitioner Regulation National Law Act, 2009 (Qld)
Who is nurses regulatory body?
Nursing & Midwifery Board of Australia (NMBA)
Who is AHPRA?
Australian Health Practitioner Regulation Agency
Who is ANMAC?
Australian Nursing & Midwifery Accreditation Council
What scope of practice frameworks are available?
Codes • Conduct & amp; Ethics Guidelines • Competency Standards • Decision Making Framework • Professional Boundaries • Professional Practice
In reference to your own scope of practice? what is ACEing yourself?
- Authorised
- Competent/Confident &
- Educated to clinically perform
How can we be competent?
6 steps
- Self reflection – AHPRA license declaration; peer review
- Written transcripts - formal course
- In-service education session records – SEDB
- Direct observation of the skill
- Questioning of their/your knowledge base
- Consumer’s perspective / feedback
What are professional boundaries?
limits which protect the space between the professional’s power and the client’s vulnerability; that is they are the borders that mark the edges between a professional, therapeutic relationship and a non-professional or personal relationship between a nurse and a person in their care.
What is the continum of professional behaviour?
Disinterested neglectful (under involement)
Therapeutic relationship
Zone of helpfulness
Boundary violations
(over involvement)
What are boundary violations?
result when nurses confuse their needs with the needs of the person in their care
What is sexual misconduct?
is an extreme form of boundary violation and includes any behaviour that is seductive, sexually demeaning, harassing or reasonably interpreted as sexual by the person who is in a therapeutic relationship with a nurse.
Sexual misconduct is sexual assault!
What are the 4 main categories of boundaries?
- Therapeutic relationships
- Access to/disclosure of information
- Gifts/services & financial relationships
- Dual relationships
