[katie258]

A circular went around my hosp about a month ago with a list of competancies(I can never spell that word, you should hear me pronounce it!) for EENs, also a list of proposed ones included catheterisation, placing NG tubes and cannulation. But no extra pay and we have to pay to do the courses just like the endorsment. If I wanted to have that level of responibility I'd have done the RN course. Next thing you know they'll want us to do in charge too!! Health service will go a long way to save some $$.

[talaxandra]

And, on the flip side, some Div 1's ask why they bothered with doing a degree if the Div 2's can do pretty much everything they can.

At least the courses, if you choose to do them, are tax deductable, but I agree - this expanding scope of practice is out of some Div 2's comfort zone, and opens the door further for unlicensed staff to perform basic nursing care.

Where I work Div 2's don't cannulate (in fact, lots of Div 1's, including me, don't either - but at least my work provides the training and for free). They can catheterise women and insert NGs if they're comfortable doing so, but there's no course involved.

[Fiona59]

This is really eye opening. I'm a LPN in Canada. We are expected to be able to insert a foley catheter in either sex (adult or child). IV starts and med hangs belong to us. We are educated in how to insert a NG but most hospitals hold that skill back for the RNs. We care for the same number of patients as an RN. Patients are assigned by available not not acuity. So if you are fresh out of ICU and my assignment has the empty bed, you come to the LPN. We carry our own malpractice and report to the Charge Nurse as do the RNs working along side of us. We are ultimately responsible for our own safe practice.

We don't have different wage levels for different training levels of LPNs. Currently it's a two year college education with roughly half of the time spent working (for free as student nurses) in hospitals.

We are very unhappy because currently an employed BScN student makes more money than us with fewer patients and on overage make $12/hour less than an RN.

[redrecks]

I am graduating from my Endorsed Enrolled Nurse course in SA in just 3 more weeks

So things have just changed. (Again)

Before EEN there was just EN. No medication endorsement and a ONE year course to gain a Certificate IV.
No medication could legally be given.
But EN's can go and do an additional 6 month course in medication.

Then they introduced the Diploma of Nursing (EEN). This is a 1.5 year full time course. The 6 months spent studying medications via all routes BUT NOT IV!
Once this course was finished you are legally allowed to give medications under the direct/indirect supervision of the RN.

The new course is now the National Diploma of Nursing. Same thing BUT now if you are in another state, I am Victorian, I NO LONGER need to enrol with the SA Nurse's Board then register in Victoria. Wow!
Now we can just take the diploma and go to what ever state we want and register/enrol there.

Now Victoria has gone and changed it's nursing course. Injectable Endorsed RN Div 2's (me) now give ALL medications, ALL routes. IV, IM, subcut etc. And Schedule 8 drugs, DD's and schedule 9 too. Scary really.

WE GET PAID EXTRA. And are in high demand. Taking the massive burden off the RN's allowing them to do what they have trained hard for.

TALAXANDRA: A RN just stated the same thing the other week. "Why bother doing all this when they can now do what we do?"
But we can't do IV starts but can do trach suctioning, cath placing and removal etc. all the technical stuff but no IV's.

I completed my Diploma through Spencer TAFE SA. Thanks Belinda. Love Ya You have the patience of a Saint.

[AussieTina]

Originally Posted by redrecks

I am graduating from my Endorsed Enrolled Nurse course in SA in just 3 more weeks


Now Victoria has gone and changed it's nursing course. Injectable Endorsed RN Div 2's (me) now give ALL medications, ALL routes. IV, IM, subcut etc. And Schedule 8 drugs, DD's and schedule 9 too. Scary really.

First up, congrats on finishing

and for the second bit ..... OMG that is a bit of shock!! I wonder if they are planning on bringing that in in the other states??

[katie258]

Oh man that is too bizarre! I am an EEN in New South Wales and I can give up and including S4s, check S8 (always have been able to though) and start IV's give meds IV and SC,IM, not S8s though. I can't hang bloods though. The difference state to state is amazing. I did my EEN last year recieved cert4 in enrolled nursing and it took a year. fifteen weeks in total in TAFE the rest on the ward and got payd to do it.