Download a PDF copy of this Enrolled nurses and medicine administration fact sheet (107 KB,PDF)
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.
Enrolled nurses (ENs) are able to administer medicines if they have completed medication administration education at some stage in their career. An EN is able to administer medicines unless they have a notation on their registration which advises that they have not completed medication education. The following information answers common queries about ENs and medication administration.
ENs who can administer medicines do not have a notation on their registration. This means they have successfully completed EN medication administration education. This education may have been completed before or after the introduction of the National Registration and Accreditation Scheme (National Scheme).
ENs who cannot administer medicines have the notation ‘Does not hold Board-approved qualification in administration of medicines’ on their registration, which is available on the national register of practitioners (the public register).
ENs with a condition on their registration limiting their practice to mothercraft nursing only are also unable to administer medicines.
It is expected that all ENs who do not have a notation have successfully completed EN medication administration education and have the competence and confidence to administer medications safely, regardless of when the initial education occurred.
In order to have the notation removed, an EN must have successfully completed medication administration education at some stage in their career.
ENs who have not previously completed medication administration education
ENs wishing to remove the notation must complete the unit of study Administer and Monitor Medicines and Intravenous Therapy HLTENN007 which is provided within an NMBA-approved Diploma of Nursing.
Education providers who offer an NMBA-approved Diploma of Nursing are published under the Approved programs of study section on the NMBA website. ENs should contact the education provider regarding any questions relating to eligibility for recognition of prior learning.
ENs who have previously completed medication administration education
If you have successfully completed the current or previous medication administration education (outlined below) and wish to have the notation removed you need to complete an Application for removal of notation form APRN-40.
Previous medication administration education
Prior to the release of the current Diploma of Nursing (HLT54115) in December 2015, removal of the notation required the successful completion of two units (if delivered within an NMBA-approved Diploma of Nursing) as follows:
Note: Prior to the commencement of the National Scheme, ENs may have successfully completed medication administration education other than the units listed above. These ENs can administer medicines if they do not have a notation.
ENs with a notation cannot administer medicines, including intravenous medicines.
ENs without a notation can only administer intravenous (IV) medicines if they have completed intravenous medication administration education.
An EN who does not have a notation on their registration and, has not completed education in IV medication administration, can expand their scope of practice to include intravenous medication administration by undertaking further relevant education. ENs should use the NMBA’s National framework for the development of decision-making tools for nursing and midwifery practice to ensure that they are competent and confident in their proposed expanded scope of practice.
Employers must ensure that they are satisfied that employees are educated, competent and confident for any nursing activity they undertake.
Employers and ENs should ensure that the EN is familiar with the state and territory drugs and poisons legislation, and relevant health department and health service policy requirements as well as relevant workplace policies, procedures and protocols.