The Nursing and Midwifery Board of Australia (NMBA) undertakes functions as set by the Health Practitioner Regulation National Law, as in force in each state and territory (the National Law). The NMBA regulates the practice of nursing and midwifery in Australia, and one of its key roles is to protect the public. The NMBA does this by developing registration standards, professional codes, guidelines and standards for practice which together establish the requirements for the professional and safe practice of nurses and midwives in Australia.
Registration as an enrolled nurse (EN) means you need to meet the NMBA’s mandatory registration standards. ENs are expected to practise within the relevant NMBA-approved standards for practice and decision-making frameworks.
The following questions answer common queries that you might have about the Enrolled nurse standards for practice (the standards), which are available on the NMBA website.
Download a PDF of the Fact sheet: Enrolled nurse standards for practice (175 KB,PDF).
The Enrolled nurse standards for practice are the core practice standards that provide the framework for assessing EN practice. The standards:
These standards replace the National competency standards for the enrolled nurse that were first published in 2002 by the Australian Nursing and Midwifery Council (ANMC) and adopted by the NMBA at the start of the National Registration and Accreditation Scheme (the National Scheme) in July 2010 (18 October in Western Australia).
The standards have been developed following an extensive literature review, a survey of ENs, interviews with ENs, observations of ENs in practice, and consultation with consumers and other key stakeholders including education providers.
Research suggested that confusion existed between the use of the term ‘competency based assessment’ in the vocational education and training (VET) sector and use of the term ‘competency’ in other settings.
The standards provide clarity about supervision, delegation and role relationships, including:
Direct supervision is when the supervisor is actually present and personally observes, works with, guides and directs the person who is being supervised.
Indirect supervision is when the supervisor works in the same facility or organisation as the supervised person, but does not constantly observe their activities. The supervisor must be available for reasonable access. What is reasonable will depend on the context, the needs of the person receiving care and the needs of the person who is being supervised.
The Enrolled nurse standards for practice reflect the role of the EN in the current health environment, remaining broad and principle-based, to ensure they are sufficiently dynamic and applicable for a range of practice settings.
Under the Enrolled nurse standards for practice an EN needs to practice within their scope of practice, in line with the relevant state drugs and poisons legislation and their own educational preparation and experience. ENs may administer medication if they have completed the required education and are competent to do so. ENs are also expected to work in accordance with the relevant polices of their employer.
Supervision by an RN may be direct or indirect according to the nature of the work delegated to the EN. For further information see the NMBA fact sheet: Enrolled nurses and medicine administration and the NMBA Decision-making framework available on the NMBA website. You may also wish to refer to local protocols approved by your employer/health service.
The scope of practice of an EN and RN are different. An EN must work under the direct/indirect supervision of an RN at all times. An EN should only be carrying out practice that they are appropriately trained and competent to do, and which is within their scope of practice. This does not include working at the level of an RN.