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National registration: the impact on Victorian nurses and midwives

21 May 2010, 11:17am

National registration for nurses and midwives will start on 1 July 2010 when the Health Practitioner Regulation National Law Act 2009 comes into effect.
 

The new legislation provides nationally consistent regulation for 10 health professions: chiropractors, dental care practitioners, medical practitioners, nurses and midwives, optometrists, osteopaths, pharmacists, physiotherapists, podiatrists and psychologists.

One new national Act and 10 ten new regulatory national boards, supported by the Australian Health Practitioner Regulation Agency, will replace more than 85 health profession boards in eight states and territories, governed by 66 Acts of Parliament.

The new Nursing and Midwifery Board of Australia is expected to make more announcements in June about national registration for nurses and midwives. The table below explains what we know about how Victorian nurses and midwives will be affected.

There may be changes to the name of your registration. ANF (Victorian Branch), the Victorian Government and the Nurses Board of Victoria unsuccessfully lobbied against some of these changes. Because many of the individual registers only existed in Victoria it was a difficult debate to win in the interests of national consistency.

If you have any questions about your personal registration details or how the new system will work visit the Nursing and Midwifery Board of Australia or the Australian Health Practitioner Regulation Agency (APHRA) or call the APHRA hotline on 1300 088 590.

An edited version of this table appeared in the June 2010 On The Record. Bookmark this page as ANF will continue to add information as it is announced by the Nursing and Midwifery Board of Australia.

Victorian registration until 30 June 2010 National registration from 1 July 2010 
Registration title  
RN Division 1 Registered Nurse (RN)
RN Division 2 (with medication endorsement)

Enrolled Nurse (EN)

An EN will be taken to have medication endorsement unless noted otherwise. However, there will be nothing to identify what medication routes, oral, intramuscular, subcutaneous or intravenous, the nurse is qualified to administer. It will be up to the employer to sight qualification documentation. It will be up to the EN to practise within their scope of practice.

RN Division 2 (without medication endorsement) Enrolled Nurse (EN)

with a notation on the register "Does not hold a Board approved qualification in medication administration"

Registered Nurse with midwifery endorsement

Registered Nurse (RN) and Registered Midwife (RM)

Appear on both registers

Direct entry midwife Registered Midwife (RM)
RN Division 5 (mothercraft nurse - division already closed)

Enrolled Nurse (EN)

There is no notation on restricting whether you are able to administer medications or not. ANF believes this is an oversight of the NMBA.

Maternal and Child Health Nurse Registered Nurse (RN) and Registered Midwife (RM)
Immunisation Nurse Registered Nurse (RN)
RN Division 3 (mental health nurse - division already closed) Registered Nurse (RN)
RN Division 1 with nurse practitioner endorsement 

Registered Nurse (RN) with nurse practitioner endorsement. In Victoria only, there will be a notation of the particular Nurse Practitioner category, for example, acute and supportive care.

Nursing and midwifery students  
Registration not required Will be automatically put on the register upon enrolment in a nursing or midwifery course. No fee will apply. This will start from March 2011.
Undergraduate Division 1 students are eligible to apply for registration as a Division 2 nurse

Undergraduate Division 1 students will not be eligible to apply for registration as an Enrolled Nurse.

Qualifications  
Psychiatric, Immunisation, and Maternal and Child Health are noted on the register

Psychiatric, Immunisation and Maternal and Child Health will not be noted as qualifications on the register

Public register details  
Full name, registration, endorsements and conditions of registration are publicly available

In addition to full name and registration the register will also have the suburb and postcode of the nurse or midwife's principal place of practice, whether registration endorsed or if a condition has been imposed or registration suspended.

The Nursing and Midwifery Board of Australia has powers under the national law not to publish information if it believes the inclusion would present a serious risk to the health or safety of the practitioner.

Accreditation body  
Nurses Board of Victoria Australian Nursing and Midwifery Council - this body has been newly constituted
Registration body  
Nurses Board of Victoria (this body will cease to exist from 1 July 2010) Nursing and Midwifery Board of Australia
Registration period  
1 January to 31 December

Transition arrangements are in place so that all nurses and midwives will be required to register by 31 May each year.

Victorian nurses and midwives are registered until 31 December 2010 and will be required to renew for the first five months of 2011to bring your registration in line with the new registration cycle (paying a pro rata fee accordingly). You will be sent a reminder when your registration is due. You will still be able to renew online.

Registration fees  

Initial registration or re-registration $145

Registration renewal $95

Late registration renewal $142

The Nursing and Midwifery Board is expected to announce further details regarding registration fees in June 2010. However the registration renewal fee will be $115.

Registrants who are on both the nursing and midwifery register will only pay one fee.

Recency of practice

 

Work experience in the area of registration within the past five years (no set amount).

Nurses and midwives must demonstrate they have practised for a period equivalent to a minimum of three months full-time which can be accumulated over the previous five years.

Criminal history

 
Nurses and midwives must declare on registration and renewal if they are guilty of an indictable offence

Nurses and midwives must declare on registration and renewal all convictions, every guilty plea or finding of guilt, every charge made against a person for an offence (the notion of spent convictions will not apply). This will appear on the public register for five years.

Division 2/ enrolled nurse entry to practise education  

Certificate IV and Diploma. Most other states have been running the Diploma as enrolled nurse entry to practise for a number of years. Only Victoria and New South Wales still have the Certificate IV entry to practise.

ANF understands the Certificate IV will continue for a limited period until about 2014. Enrolled nurses will then have to complete a diploma to register. This will not affect existing Certificate IV or pre Certificate IV enrolled nurses, who are already on the register.
Continuing professional development  
Continuing professional development was a requirement of annual re-registration, there was not a stipulated number of hours. Registered nurses, enrolled nurses and registered midwives will be required to undertake 20 hours of continuing professional development every year. If you are on more than one register the total number of CPD hours required has not been announced. A Registered nurse with endorsement to practise as a nurse practitioner will be required to undertake 20 hours plus an additional 10 hours every year.
Nurses and midwives were required to maintain a continuing professional development portfolio. The Nurses Board of Victoria audited five per cent of nurses and midwives each year Nurses and midwives will be required to maintain a continuing professional development portfolio. The NMBA has not announced what percentage of nurses and midwives will be audited. 
Professional indemnity insurance  

Not usually required

 

Nurses and midwives must not practise unless they are covered by appropriate professional indemnity insurance. ANF membership includes full PI insurance with the exception of independent midwives (some other exclusions apply).

Further information:     
 

Nursing and Midwifery Board of Australia (NMBA)
www.nursingmidwiferyboard.gov.au 

chair@nursingmidwiferyboard.gov.au

Australian Health Practitioner Regulation Agency
www.nursingmidwiferyboard.gov.au

APHRA hotline 1300 088 590

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The Australian Nursing Federation (Victorian Branch) changed its name to the Australian Nursing and Midwifery Federation (Victorian Branch) on 26 July 2013

© Australian Nursing & Midwifery Federation (Victorian Branch), 2006
Last Modified: 03 Jun 2010
This page: http://www.anmfvic.asn.au/issues/news/23734.html
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