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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 Jo Hall Cancer & Palliative Care Department of Health Collaborative Forum – 10/12/2009
Overview • Background • Auspicing agencies • Potential NPCs and location • Summary of submissions • Overview of 5 year plans – NP appointment, reporting and endorsement • Common elements
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
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
Potential Nurse Practitioner Candidates Outreach from practice locations
Rural NP Auspicing agency Potential Nurse Practitioner Candidates Outreach from practice locations
Interim reportsSummary of submissions Description of models • Settings and context • Proposed practice • Key collaborations/structures • Accountability Five year plan
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
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
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
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
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
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