Registered Nurses' Scope of Practice in Australia: A Reflective Essay

This essay defines the 'scope of practice' within nursing in the Australian context, discussing the registered nurses' responsibilities in light of current healthcare demands. It identifies cardiovascular invasive specialist as a desired area of clinical practice, reflecting on previous clinical placement experiences and supporting thoughts with research evidence. The essay highlights the importance of nursing competency standards and regulatory bodies like ANMAC and NMBA in maintaining high standards of care. It concludes by emphasizing the need for continuous improvement and specialization within the nursing profession to meet the evolving healthcare needs of the Australian population. The essay also provides insights into the roles and responsibilities of a cardiovascular invasive specialist, including performing cardiac catheterization procedures, monitoring patient vital signs, and understanding cardiovascular anatomy and physiology.

PROFESSIONAL NURSING
CONCEPT

Nursing Concept 1
Nurses are the vital to the community and career in nursing is considered difficult,
challenging and rewarding because it engages in providing help to sick individuals for becoming
them healthy again (Mozaffarian, 2016). There are many ways of becoming a nurse in Australia,
including TAFE or university courses. As there are many people in need of nurses nationwide. In
this essay scope of practice within nursing and terms of current Australian health care demands
will be discussed. Apart from this, the primary objective of the health care concepts it to ensure
that the proper health promotion activities are taking into consideration which should minimize
the illness prevention.
The scope of practice within nursing is considered the concept, methods, techniques,
which is used by the professional in the subject matter of professional regulation. It is the carious
aspect which the person has to carry out while conducting their role. However, the objective of
the nursing structure is to develop the flowchart for providing support to nurses on the clinical
practices (Nordestgaard & Varbo, 2014). The scope of practice provides the direction to the
nurses to pursue the roles on the matter relating to the safety, quality as well as patient care. The
framework also provides guidance about the skills level, responsibility channel and the resources
required for treating them effectively. This structure also provides assistance in decision making
regarding the personal scope of practice and draws the values which should be adopted by the
nurses in the practice. Further, the scope of practice in the context of Australian healthcare
demand is discussed (Nordestgaard & Varbo, 2014).
The registered nurse's scope of practice in terms of current Australian health care
demands increases that are the registered nurses usually needs the degree and the nurses who are
enrolled needs the certificate and diploma. The government of Australian develops the nursing
competency standards for assisting the nurses for practicing and guiding them to develop
professionally. In Australia, Interpretive toolkit is developed for supporting the standards of
nursing by providing the sample and planning of professional development. This tool also
provides the sample which describes the job as well as helps in reviewing the scope of nursing
practices for the employed nurses (Piepoli, et. al., 2016). The scope of practices increases and
continuously improving the care quality, which delivers in the common practice. The
government develops various Australian practices nursing involvement strategies for practicing

Nursing Concept 2
nursing which includes assisting associates to be recognized, supporting their members for being
professional, supporting members for being empowered (Rader & Hovingh, 2014).
A structure is developed for providing the mentoring, suggesting, guiding as well as
addressing the future requirements for performing nursing. The government of Australia also
develops norms for practice nursing in clinical education as well as several educational programs
is organized for guiding them to enhance the skills and abilities for clinical care. In Australia, the
new practice is also created for the nurses to understand them about the treatment of the patient s
as well as informing the patients about their treatment. In Australia, nurses have to follow
various standards while treating their patients which are thinking in a critical manner,
maintaining the ability to practice, provides the safe, suitable and quality treatments to the
patients (Sabatine, et. al., 2017).
After completing my studies, I want to be a Cardiovascular Invasive specialist. The
cardiovascular intrusive specialist is the person who treats heart or cardiac diseases. I need to
work with doctors to inspect and treat patients with heart disease or cardiac disease. In particular,
cardiovascular intrusive specialists help doctors with heart catheterization strategies in which a
little tube (catheter) is guided through the patient's veins into the heart or another region of the
cardiovascular framework (Nordestgaard & Varbo, 2014). This strategy commonly dispenses
with the requirement for progressively convoluted methodology. For example: heart medical
procedure. It can decide whether a blockage exists in the veins that supply the heart muscle and
help analyze auxiliary or electrical variations from the norm of the cardiovascular framework
(Mozaffarian, 2016).
The reason for selecting this course is that a cardiac specialist performs various functions
such as motivating patients and gear them for cardiovascular catheterization and mediations.
Performing heart treatment functions like stent implanting in heart, expand angioplasties, heart
valve substitutions and electrophysiology tests (Nursingmidwiferyboard.gov.au, 2019). Apart
from this, the cardiac specialist also works on intravascular ultrasound gear and fluoroscopy
hardware. Checking pulse and pulse utilizing electrocardiogram (ECG or EKG) gear during
systems including coronary angiography, pacemaker implantation, aortic stenosis studies, and
patent foramen ovale terminations. The duties of a cardiac specialist also include figuring
hemodynamic or physiologic qualities of the heart of the patients (Piepoli, et. al., 2016). Apart

Nursing Concept 3
from this, cardiovascular life systems and physiology, and cardiovascular pathophysiology focus
on the capacities and sickness procedures of the heart. Electrophysiology and heart pacing,
which focus on the cardiovascular electrical framework and its determination and treatment
(Anman.org.au, 2019).
The Australian Nursing and Midwifery Accreditation Council (ANMAC) is the free
certifying expert for nursing and maternity care instruction under Australia's National
Registration and Accreditation Scheme. ANMAC ensures the wellbeing and security of the
Australian people group by setting up excellent measures of nursing and maternity care
instruction, preparing and evaluation. Nursing and Midwifery Board of Australia (NMBA) is the
Australian health practitioner regulation agency. They provide the nursing guidelines and
certifications to the nurses and other health care professionals in the country
(Nursingmidwiferyboard.gov.au, 2019).
From my previous clinical experience, I can conclude about the specific points related to
the cardiac specialist's work. I had learned that there are no conventional roads of specialization
for cardiovascular intrusive specialists, yet it is critical to increasing a profound comprehension
of numerous exceptionally specific systems, especially for jobs at an organization that plays out
a wide assortment of catheterization methods. Significant characteristics for an effective
cardiovascular obtrusive authority incorporate functioning admirably in groups, keeping up
certainty under pressure, rapidly learning specialized conventions and enthusiasm for heart life
systems and physiology (Sydney.edu.au, 2019).
It is concluded that numerous cardiovascular invasive specialists beginning their career as
a cardiovascular technologist to acquire experience in heart and vascular checking through the
clinical practice. Cardiovascular intrusive specialists can work in emergency clinics, working
rooms, therapeutic and analytic labs. Positions can be full-or low maintenance, frequently with
the end of the week, occasion, or available to come back to work movements included. The
chosen health care concept in this assignment is Cardiovascular intrusive specialists.

Nursing Concept 4
References
Anmac.org.au. (2019) Accreditation standards. Retrieved from:
https://www.anmac.org.au/program-accreditation/program-accreditation/apply-
accreditation
Mozaffarian, D. (2016) Dietary and policy priorities for cardiovascular disease, diabetes, and
obesity: a comprehensive review. Circulation, 133(2), 187-225.
Nordestgaard, B. G., & Varbo, A. (2014) Triglycerides and cardiovascular disease. The Lancet,
384(9943), 626-635.
Nursingmidwiferyboard.gov.au. (2019) Regulating Australia's nurses and midwives. Retrieved
from: https://www.nursingmidwiferyboard.gov.au/
Piepoli, M. F., Hoes, A. W., Agewall, S., Albus, C., Brotons, C., Catapano, A. L., & Graham, I.
(2016) 2016 European Guidelines on cardiovascular disease prevention in clinical practice:
The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on
Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of
10 societies and by invited experts) Developed with the special contribution of the
European Association for Cardiovascular Prevention & Rehabilitation (EACPR).
European heart journal, 37(29), 2315-2381.
Rader, D. J., & Hovingh, G. K. (2014) HDL and cardiovascular disease. The Lancet, 384(9943),
618-625.
Sabatine, M. S., Giugliano, R. P., Keech, A. C., Honarpour, N., Wiviott, S. D., Murphy, S. A., ...
& Sever, P. S. (2017) Evolocumab and clinical outcomes in patients with cardiovascular
disease. New England Journal of Medicine, 376(18), 1713-1722.
Sydney.edu.au. (2019) AHPRA registration. Retrieved from: https://sydney.edu.au/students/ahpra-
registration.html