Victorian Palliative Care Nurse Practitioner Program

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Victorian Palliative Care Nurse Practitioner
Program
Jo Hall Cancer Palliative Care Department of
Health Collaborative Forum 10/12/2009
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Overview

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

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Background

• Victorias 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

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Auspicing agencies

• Metropolitan models
• Northern Health
• Peninsula Health
• Peter MacCallum Cancer Centre
• St Vincents Health
• Southern Health
• Calvary Health Care Bethlehem

• Regional models
• Ballarat Health Service
• Barwon Health
• Bendigo Health
• Central Gippsland Health Service
• Northeast Health Wangaratta

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Potential Nurse Practitioner Candidates Outreach
from practice locations
6
Rural NP
Auspicing agency
Potential Nurse Practitioner Candidates Outreach
from practice locations
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Interim reportsSummary of submissions

• Description of models
• Settings and context
• Proposed practice
• Key collaborations/structures
• Accountability
• Five year plan

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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

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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

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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

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Five year plans - rural models
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Five year plans - metro models
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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

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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

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Contact details and links

• Palliative Care, DH http//www.health.vic.gov.au/p
  alliativecare/nurseprac.htm
• Nurse Policy Branch, DH http//www.health.vic.gov.
  au/nursing/furthering/practitioner
• Victorias 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/abo
  ut/overview.html