• Home
  • Nursing
  • Understanding the Scope of Practice of Division 1 Nurses in Victoria

Understanding the Scope of Practice of Division 1 Nurses in Victoria Essay Example

  • Category:
  • Document type:
  • Level:
  • Page:
  • Words:


Understanding the Scope of Practice of Division 1 Nurses in Victoria


.) 1996Beck&
Rebbeca, JonesThe nursing profession is very dynamic and is continuously changing in order to accommodate patient care activities that are complicated (he third principle guiding the practice of registered nurses requires that division 1 nurses to be very accountable in deciding the appropriate healthcare giver to be delegated an activity. Freckelton (2006) tThe board of nurses of Victoria created a framework and principles that guide nurses in their operations. They also guide them in making decisions concerning the practice of nursing. In this regard, they help them determine situations under which they can delegate activities to other healthcare team members. According to

Division 1 nurses in Victoria have an obligation of providing proficient and safe nursing care. The existence of the scopes of practice in division 1 nursing industry in Victoria, for example, for the registered nurse is meant to ensure that a safe and proficient nursing care is provided to all people. The scope of practice sets out the standards, limitations and conditions under which the nurses are supposed to operate (Nay & Garratt 2009). Apart from that, scope of practice gives an explanation to the activities that nurses are restricted to and explains the delegation process.

By defining the scope of practice of nurses, was intended to recognize the presence of functions that are overlapping between registered nurses and physicians. This permitted division 1 nurses to additional share and provided clear legal authority for common usage and acceptance procedures and functions (Cherry & Jacob 2005).

Prior to defining the scope, advanced roles were assumed by nurses who had been educated to do so. That was effectively and safely proven by nurses through demonstration projects. Readiness of nurses to effectively perform their duty was demonstrated even before legal amplification of their roles since their roles were already expanded.

The practice of nursing entails functions which constitute basic healthcare that assists individuals handle difficult situations in their daily operations. The situations are related to their real or potential illness or health problems. Treatment in such cases requires significant technical skills and scientific knowledge (Freckelton 2006).

Scopes of practice for division 1 registered nurses are the activities that nurses are authorized to perform as well as educated on them. Accountability and boundaries or limits are defined in the scope of practice. Expected competence of a nurse is identified by scope of practice upon one entering the nursing industry. Functioning below the standard scope of practice renders a registered nurse not competent.

In the profession of nursing, various kinds of caregivers exist. Every licensed professional in this industry has his scope of practice that is legally defined. Scope of practice of registered nurses entails their procedures and actions that are allowed by the law. The scope is limited to what the law allows and is based on educational qualifications and specific experience.

In the state of Victoria, division 1 registered nurses are monitored in their practices by a nurse’s board and a Nursing regulatory authority. The bodies respond to complain of misconduct and then begin investigating the nurse’s misconduct (Willis, Reynolds & Helen 2008). If proved that a nurse acted beyond her scope, he/she can have her license of practice suspended. Legal actions are taken against employees who make their nurses operate beyond the required scope of practice.

Why division 1 registered nurses in Victoria should understand their scope of practice

.Nurses should recognize that practicing nursing activities and processes is a common act. In this regard registered nurses professionals in their practice do not require standardized procedures
.) 1996Beck&
Rebbeca, Jones. The inability to differentiate between medical practice and nursing practice results in registered nurse’s practice being limited. In addition to that, it results in development of standardized procedures that are unnecessary. The registered nurses are under caution not to confuse standardized procedures with nursing procedures and policies ( 1999) Reveley & Crumbie,Walsh(Having knowledge of the registered nurse’s scope of practice is important since it helps in determination of which activities overlap the practices required in the medical profession as well as their required standardized procedures

Division 1 registered nurses’ roles are divided into: Independent functions; dependent functions and interdependent functions. Dependent functions in these litigation days authorizes indirect and direct patient care services which ensures comfort, safety, patient’s protection and personal hygiene as well as restorative measures performance and disease preventive. Patient care services executed by subordinates are supervised and delegated in the indirect services.

Nurses are authorized to carry out skin tests performance, withdrawal of human blood from blood vessels and immunization techniques are part of the nursing practice. They are also required to observe the following: reactions to treatment; characteristics that indicate abnormality; symptoms and signs of illness. Having observed the above, nurses are supposed to do a determination and implementation of proper referral and reporting upon which emergency procedures are initiated. Willis, Reynolds & Helen (2008 argue that registered nurses should have an understanding of the independent nursing functions. For them to have this understanding, they are supposed to be educated on their implied responsibility in order to stick to their scope of operation.

Cherry & Jacob (2005), claim that dependent function is the second category which authorizes registered nurses to provide direct and indirect care services to patients. The services includes but are not limited to, therapeutic agents and administration of medications that are necessary for treatment implementation, prevention of diseases, regimen rehabilitation that is ordered and is within physicians and dentist’s scope of licensure.

Interdependent function is the third category and authorizes division 1 registered nurses in Victoria to appropriately implement changes in treatment regimen or standardized procedures. These should be in line with standardized procedures which are done after observation of symptoms and signs of illness, general behavior, reaction to treatment and the general physical upon which a determination of whether abnormal characteristics are exhibited is done. Activities in this category overlaps the medicine practice hence requires registered nurses to adhere to standardized procedures when they are the ones to determine that the practice is to be undertaken. Information about standardized procedures and overlapping activities can only be acquired and identified if nurses are educated to understand well their scope of practice (Freckelton 2006).

The scope of practice of registered nurses entails their procedures and actions that are allowed by the law. The scope is limited to what the law allows and is based on educational qualifications and specific experience. It is important for a registered nurse to know his scope of practice and the scope of practice of other professionals in the nursing industry. In terms of appropriateness division 1 nurses are accountable for delegating a task or an activity to another care providers.

Division 1 nurses in their operation must be within the required scope of practice (Walsh, Crumbie & Reveley 1999). For the nurses to know that they are operating within their scope of practice, they have to: clearly define the issue they are dealing with. Under this, they need to clarify what the activity entails and also get more sufficient information needed, like facility procedures and policies. They are also supposed to carry out personal assessment of their abilities and skills and their competitiveness. In this regard, understanding the scope of practice makes division 1 nurses have a good definition of the issue they are undertaking and know that by accepting an assignment, they are obliged to safely an competently complete it (Buppert 2011). In addition to that, available options to them are revealed in the scope of practice which they can explore and get assistance incase they are not sure on how to proceed.

Division 1 nurses in Victoria are also supposed to do a review of the standards, rules and laws pertaining to their duty. In a facility, what is termed common is not necessarily legal or appropriate regarding the way tasks or activities are performed by nurses and other caregivers. Operating beyond the scope of practice or inappropriately delegating a duty to a different person creates potential grounds for disciplining the registered nurse involved (Hunt & Wainwright 1994). The nursing board clearly indicates what is within a nurse’s scope and what is not within. Having adequate information about what is within the scope and what is not within, helps registered nurses know what is expected of them. This knowledge helps them avoid activities that are outside their scope of practice hence avoiding disciplinary measures.

Finally division 1 nurses have rights of making decisions (Cherry & Jacob 2005). With the above consequences that nurses can encounter for performing a certain duty, they have rights of accepting or refusing to carry on with the duty. If they are not willing they can simply refuse to undertake the task or activity. Making of the right decision whether to undertake or decline to undertake the duty can be appropriately done if the nurses have a clear understanding of the scope of practice binding them. In this case registered nurses are able to avoid duties that they are not well placed to undertake hence avoiding disciplinary measures and offering high quality services to their clients.

Rebbeca, Jones & Beck (1996) suggest that division 1 nurses in some cases carry out their operations without being ordered. In such cases, they make decisions of carrying out restricted and unrestricted activities. High degree of judgments, skills, attitude and knowledge are necessary while making such decisions. In those circumstances, registered nurses are supposed to have clear understanding of their scope of practice. With higher understanding, they are likely to make appropriate decisions about the issue.

Hunt & Wainwright (1994) put it that in several circumstances, division 1 nurses are found in situations that require them to make independent decisions. These are the moments when they make decisions to carry out an activity without order. Even with the independence that the nurses might have, their actions must be within the required scope of practice hence a need for them to understand the scope of practice.

Registered division1 nurses in Victoria are required by the scope of practice to demonstrate certain performance criteria. High competence and accountability is required of them and should be in accordance with the scope. The nurses should understand and recognize the scope of practice’s boundaries and one’s limits of competence. They should actively be involved in activities that enhance client’s access to various services that they need for appropriate healthcare.

White (2010), views that adequate knowledge about the scope of practice ensures that their operations are in line with regulatory legislative and policy guidelines required in this industry. Ideas about their scope of practice increases the competence of registered nurses since they are likely to get involved in promotion of health activities. In this regard, nurses know that they have a health promotion as well as prevention of diseases roles to play which positively impacts the society (Freckelton 2006).

Division 1 nurses in Victoria are required to have an extensive knowledge base that puts focus on people of all gender and ages in various environments of healthcare. Operating within the scope of practice helps registered nurses to maintain high professional standards which in return ensure that people get quality healthcare. The nurses have a professional requirement of developing themselves, supporting their colleagues and other providers of healthcare. This obligation can only be realized if registered nurses have adequate information about their scope of practice (Nay & Garratt 2009).


.) 1996Beck&
Rebbeca, Jones( They must identify potential risks and come up with strategies of how to prevent them. They are supposed to know the procedures and policies which support the nursing practice. In addition to the above, registered division 1 nurses in Victoria must show high competence and confidence in their practices . 2010). Their activities must be of high professional standards. Before starting the nursing practice, they must have proper certificationWhiteDivision 1 nurses in Victoria are to ensure that they continuously improve their outcomes. They must comply with the necessary regulatory and statutory standards (


Buppert, C., 2011. ‘Nurse Practitioner’s Business Practice and Legal Guide.’ Edition4 Jones &

Bartlett Publishers, pg. 45

Cherry, B., & Jacob, S. R., 2005. ‘Contemporary nursing: issues, trends, & management.’


Freckelton, I. R., 2006. ‘Regulating health practitioners.’ Federation Press.

Hunt, G & Wainwright, P., 1994. ‘Expanding the role of the nurse: the scope of professional

Practice.’ Wiley-Blackwell.

Nay, R., & Garratt, S., 2009. ‘Older People: Issues and Innovations in Care.’ Edition3, Elsevier


Rebbeca, A, Jones, P., Beck, S. E., 1996. ‘Decision making in nursing. Volume 0 of Nursing

Education Series.’ Edition illustrated Cengage Learning, pg. 21

Walsh, M., Crumbie, A., Reveley, S., 1999. ‘Nurse practitioners: clinical skills and professional

Issues.’ Health Sciences.

White, K. W., 2010. ‘The Doctor of Nursing Practice Essentials: A New Model for Advanced

Practice.’ Jones & Bartlett Nursing, Learning,

Willis, E., Reynolds, L., Helen, K., 2008. ‘Understanding the Australian Health Care System.’

Elsevier Australia,