Enrolled Nurse vs. Endorsed Enrolled Nurse

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What's the difference? Im sure Endorsed EN is higher than the EN, but what's mainly the difference in their jobs and how do you become an Endorsed EN from mainly a graduate of EN diploma(or Cert IV)?

Others can correct me if i'm wrong, but I believe that being an Endorsed Enrolled Nurse simply means that you've also been taught the medication module/course. A "standard" enrolled nurse isn't taught that, but can do it as a later update.

Specializes in Med onc, med, surg, now in ICU!.

An endorsed EN also gets a whopping $15 a week extra!

Specializes in Med/Surg/Ortho/HH/Radiology-Now Retired.

I think you'll find it means the EN is simply medication accreditated. Whether the EN achieves this as part of their training or post training depends on when the nurse trained, where, etc etc.

Before this course was introduced, EN's administered certain medications under the direction and supervision of the RN. There was never any course or training undertaken.

While the EN still works under the direction and supervision of an RN, having this, (medication), qualification makes it 'legal' to do what EN's have been doing for over 40 years or more!

Having it does make the EN more attractive to prospective employers and it's following the American and English model for second tier nurses.

Anyone registered with the Nurses and Midwives board in NSW as an enrolled nurse prior to 1990 is able to complete the medication component at TAFE. If you completed enrolled nursing prior to 1990 you will need to complete a conversion course then the medication component. You will then be elegible to register as an Endorsed Enrolled Nurse.

Anyone commencing studies with TAFE now will complete the Endorsed Enrolled Nurse (IV) program. There are no more Enrolled Nursing programs now that the Endorsed program has commenced.

This may be in NSW only.

hi melanie! i suppose TAFE NSW has not updated their website yet as Cert IV is still called Enrolled Nursing. Thanks for clearing it, though. Now im more interested than ever.

Cheers!

Specializes in Palliative,Rehab, Sub acute, Aged.

Hi bethem do you get $15 dollars extra? My god, wow!!!

I don't get nothing extra with my endorsement, well thats not really true I get a drug round.LOL

I work in Victoria and they don't pay me extra, I work mainly nights, and now they expect me to be the Division 1. I have been endorsed for two years, and nothing much has changed. I hope other states are far better at handling these things than Vic.

Specializes in Medical.

Tina you might want to contact the ANF - you should be getting more money for your endorsement

Specializes in Jack of all trades, and still learning.

Most of the ENs up here in the NT are endorsed, mainly through their CertIV training. But ENs are paid a straight wage, despite the qualification. About the only way an EN can earn extra money is by Becoming an 'exemplary practitioner'. You have to fill out pages of stuff, sit in an interview, display your knowledge and prove you go above and beyond, and then you get a few extra dollars a fortnight. Oh, and every three years it is reviewed...

Specializes in Medical.

Well that sucks! In Victoria Div 2's with endorsement get an additional allowance - I should have known not to assume that would be universal

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 $$.

Specializes in Medical.

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.

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