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Victorian Palliative Care Nurse Practitioner Program

Victorian Palliative Care Nurse Practitioner Program. Jo Hall Cancer & Palliative Care Department of Health Collaborative Forum – 10/12/2009. Overview. Background Auspicing agencies Potential NPCs and location Summary of submissions

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Victorian Palliative Care Nurse Practitioner Program

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  1. Victorian Palliative Care Nurse Practitioner Program Jo Hall Cancer & Palliative Care Department of Health Collaborative Forum – 10/12/2009

  2. Overview • Background • Auspicing agencies • Potential NPCs and location • Summary of submissions • Overview of 5 year plans – NP appointment, reporting and endorsement • Common elements

  3. Background • Victoria’s Cancer Action Plan • Applications invited April 2009 • Eleven health services • Eight regions – 3 metro, 5 rural • Metropolitan models (6) VNPP • Rural models (5) VCAP • Inpatient, community and outpatient • Currently 4 PCNPs endorsed in Victoria

  4. Metropolitan models Northern Health Peninsula Health Peter MacCallum Cancer Centre St Vincent’s Health Southern Health Calvary Health Care Bethlehem Regional models Ballarat Health Service Barwon Health Bendigo Health Central Gippsland Health Service Northeast Health Wangaratta Auspicing agencies

  5. Potential Nurse Practitioner Candidates Outreach from practice locations

  6. Rural NP Auspicing agency Potential Nurse Practitioner Candidates Outreach from practice locations

  7. Interim reportsSummary of submissions Description of models • Settings and context • Proposed practice • Key collaborations/structures • Accountability Five year plan

  8. Settings and context • Aged care • Cancer-related PC • Acute and sub-acute • Non-cancer • Neurological PC • General PCNP - including ambulatory clinics • Organisational • Sub-regional • Regional

  9. Proposed practice • Advanced/extended practice skills (ANMC competency standards) e.g. assessments; treatment plans; pharmacological and other therapies/investigations; referrals to other specialists; inpatient admission • Rapid response • Education & research • Leadership

  10. Key collaborations/structures • Consortia and PC services/clinicians • GP Divisions • Specialist medical mentoring/support • Existing programs/services e.g. acute care, aged care, district nursing • Other providers e.g. oncology • Organisational and clinical governance • Pharmacy, diagnostic and related services • Department of Health • VPCNP Collaborative • Other NP collaboratives e.g. renal, emergency

  11. Five year plans - rural models

  12. Five year plans - metro models

  13. Common elements - clinical • Triage criteria • Referral criteria/pathways e.g. high complexity • Assessment and care planning – tools and measures • Scope of practice • Clinical learning plans

  14. Common elements - management • Curriculum – RACP Clinical Diploma in Palliative Medicine • Policies, protocols, practice guidelines • Clinical governance • Project governance • Terms of Reference for committees, etc • Position Descriptions • Memoranda of Understanding • Project evaluation

  15. Contact details and links • Palliative Care, DH http://www.health.vic.gov.au/palliativecare/nurseprac.htm • Nurse Policy Branch, DH http://www.health.vic.gov.au/nursing/furthering/practitioner • Victoria’s Cancer Action Plan, DH http://www.health.vic.gov.au/cancer/vcap.htm • Victorian Palliative Care Nurse Practitioner Collaborative http://www.vpcnpc.unimelb.edu.au/about/overview.html

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