aod nurse practitioner #vaada13
DESCRIPTION
Joint presentation by Victoria's two AOD Nurse Practitioners at the VTRANSCRIPT
Experiences as Nurse Practitioners
Rose McCrohan
(ReGen and Western Health)
Presentation
In this presentation the AOD NP’s will discuss the benefits of their practice, where they see their directions in the future especially as pharmacotherapy prescribers.
Background
Two AOD NP’s in Victoria
Both provide access to substitution pharmacotherapies in their roles.
There are no funded roles for AOD Nurse Practitioners in Victoria. Organisations must fund these out of existing roles.
NP roles
They provide timely treatment access for clients seeking support for all substance types.
Endorsed in Primary Health Category
Completed Methadone and Suboxone prescribers course
AOD NP at ReGen
Primarily in the Nurse Unit manager role with added clinical role as one of 5 prescribers in the CRDWU
Private outpatient clinic in 2012
Short term care
Experiences in Residential
Major benefit of NP role incorporated into existing role
Continuity of careExtension of the non prescribing
aspects of the role acknowledgedGP Shared Care ModelOnsite prescribingUnderstanding the needs of the
Physician, GP and the RN
Experiences in Private practice
Establishment of a businessFunded through Medicare itemsSupport from ReGenRoom, administrationOnce weekly clinic with 2 morning
reviews of inpatientsLimited Medicare items restrict full
scope of practice as NP. Only face to face clinical sessions attract remuneration.
Experiences in Private Practice
Only client attended activities attract remuneration
Client non attendance impactAfter hours and non remunerable work
Opportunities
Gaps in the substitution pharmacotherapy workforce
Consultation liaison in public hospitalsOutpatient / non residential
withdrawalAdult and youth withdrawal unitsChronic disease management General practice