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Assistants in Nursing working in the acute care environment

Assistants in Nursing working in the acute care environment Health Service Implementation Package Revised edition NSW Ministry of Health 100 Christie Street ST LEONARDS NSW 2065. Tel. (02) 9391 9000. Fax. (02) 9391 9101. TTY. (02) 9391 9900. Produced by: NSW Ministry of Health This work is copyright. It may be reproduced in whole or in part for study or training purposes subject to the inclusion of an acknowledgement of the source. It may not be reproduced for commercial usage or sale. Reproduction for purposes other than those indicated above requires written permission from the NSW Ministry of Health. The NSW Ministry for Health acknowledges the traditional custodians of the lands across NSW.

Assistants in Nursing Working in the Acute Care Environment Health Service Implementation Package NSW HEAltH PAGE 5 This section includes a number of tools to assist ...

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Transcription of Assistants in Nursing working in the acute care environment

1 Assistants in Nursing working in the acute care environment Health Service Implementation Package Revised edition NSW Ministry of Health 100 Christie Street ST LEONARDS NSW 2065. Tel. (02) 9391 9000. Fax. (02) 9391 9101. TTY. (02) 9391 9900. Produced by: NSW Ministry of Health This work is copyright. It may be reproduced in whole or in part for study or training purposes subject to the inclusion of an acknowledgement of the source. It may not be reproduced for commercial usage or sale. Reproduction for purposes other than those indicated above requires written permission from the NSW Ministry of Health. The NSW Ministry for Health acknowledges the traditional custodians of the lands across NSW.

2 We acknowledge that we live and work on Aboriginal lands. We pay our respects to Elders past and present and to all Aboriginal people. NSW Ministry of Health 2019. SHPN (WPD) 190608. ISBN 978-1-76081-296-6. Further copies of this document can be downloaded from the NSW Health webpage First published in 2009. Updated in September 2019. Contents SECTION 1 .. 4. Introduction SECTION 2 .. 5. Incorporating Assistants in Nursing into the acute care Clinical Skill Mix Stage 1: Identifying opportunities for AIN positions in acute care clinical areas ..6. Stage 2: Skill mix review and management process for incorporating AINs ..6. Stage 3: Key questions to evaluate the stage 2 skill mix review process.

3 6. SECTION 3 .. 12. Education and Development General information on the Certificate III in Health Services Assistance (Assisting in Nursing Work in acute care ) ..13. Assessments included in Certificate III in Health Services Assistance (Assisting in Nursing Work in acute care ) ..14. AIN qualification and experience in the NSW public health system ..14. Upskilling existing workers for work in acute care ..14. Clinical placements ..15. Other opportunities in health and Nursing ..15. SECTION 4 .. 16. Scope of Practice of acute care AINs Position description ..17. care Activities SECTION 5 .. 24. Delegation and Supervision SECTION 6 .. 25. Definitions SECTION 7.

4 29. References NSW Health Assistants in Nursing working in the acute care environment 3. SECTION 1. Introduction The Assistants in Nursing working in the acute care The Policy Directive PD2018_017 - Employment of environment document was originally developed Assistants in Nursing (AIN) in NSW Health acute in 2009 following an extensive consultation process. care ' supports this document. The purpose of this The document establishes a consistent approach supporting Policy Directive is to facilitate uniformed of education, role and employment of Assistants practice for employing, expanding and within Nursing services in the NSW public health developing the AIN role in public health acute system.

5 care facilities. The 2009 document has been reviewed and This document supports health services to: updated to remain relevant to current practice improve the utilisation of AINs in Nursing teams and to reflect changes to the national qualification integrate AINs in a ward and/or unit setting relevant to Assistants in Nursing (AINs). This utilise AINs in appropriate models of care and reviewed document strengthens the supports to into team work practices consistency in service, clinical allocation and further develop the assistant role in supporting employment of AINs. It also promotes the role of health professionals and better utilise skills within an AIN as a valuable team member within acute the professional workforce care Nursing services.

6 Facilitate appropriate training programs for The Health Professionals Workforce Plan 2012-2022 Nursing assistant roles, in consultation with health (HPWP) sets out the actions required to deliver a professionals health workforce with the right people, right skills standardise titles and position descriptions for and in the right place. The Assistants in Nursing AINs across the NSW public health system. working in the acute care environment document The document is comprised of four sections: supports Strategy of the HPWP to 1. Incorporating Assistants in Nursing into the grow Nursing and midwifery acute care Clinical Skill Mix workforce in line with forecast 2.

7 Education and Development health service demand and 3. Scope of Practice of acute care AINs delivery requirements'. 4. Delegation and Supervision This strategy is in line with the NSW State Health Plan to support and develop the workforce. Assistant in Nursing The title Assistant in Nursing ' is used throughout this document to describe a health care worker who assists health care professionals in the provision of Nursing care to patients in acute care settings. 4 NSW Health Assistants in Nursing working in the acute care environment SECTION 2. Incorporating Assistants in Nursing into the acute care Clinical Skill Mix Having an appropriate skill mix is a complex process with a range of consideration to account for.

8 This section includes tools to assist managers to make decisions about how to incorporate AINs in their clinical areas. These tools provide an overarching guide to simplify the navigation. The following three stages are recommended to identify suitable areas for AINs. Stage 1 identify appropriate opportunities for AINs in acute care clinical areas. Stage 2 review Nursing skill mix and manage the process for incorporating AINs. Stage 3 ask key questions to evaluate the stage 2. review process. Implementation recommendations: Review all documents and modify to meet local requirements. Investigate, evaluate and modify Local Health District and Specialty Network (LHD/SN).

9 Organisational structure to incorporate AINs. Develop the required policies, protocols and guidelines to support the incorporation of AINs into the clinical environment . Identify the clinical areas that are appropriate for AIN positions. Isolate target positions for AINs. Develop a change management plan. Obtain an AIN employment plan. NSW Health Assistants in Nursing working in the acute care environment 5. Stage 1: Identifying Stage 2: Skill mix review and opportunities for AIN positions management process for in acute care clinical areas incorporating AINs Stage 1 identifies broad steps to assess the clinical Stage 2 provides specific elements to be environment .

10 Each step develops support for considered when undertaking a skill mix review specific reviews of clinical area with a view to and management process to incorporate AINs. incorporate AINs in the clinical skill The steps in Stage 2 reflect a review and management process following on from Stage 1. It is important for nurse managers to use a process Stage 2 consists of the following four steps which is to clearly distinguish between each of the steps. presented as a flowchart in Figure 2. Figure 1 represents a process to identify the steps in a flowchart, which include: Step A: Assessment, recommends the analysis and alignment of patient needs, staff numbers, Legislative or regulatory requirements that staff characteristics and the clinical could prohibit the allocation of an AIN in any environment using established and locally particular clinical area.


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