Joint presentation by Victoria's two AOD Nurse Practitioners at the V

2. Experiences as
Nurse Practitioners
Rose McCrohan
(ReGen and Western Health)

3. Presentation
In this presentation the AOD NP’s will
discuss the benefits of their practice,
where they see their directions in the
future especially as
pharmacotherapy prescribers.

4. Background
Two AOD NP’s in Victoria
Both provide access to substitution
pharmacotherapies in their roles.
There are no funded roles for AOD
Nurse Practitioners in Victoria.
Organisations must fund these out of
existing roles.

5. NP roles
They provide timely treatment access
for clients seeking support for all
substance types.
Endorsed in Primary Health Category
Completed Methadone and Suboxone
prescribers course

6. AOD NP at ReGen
Primarily in the Nurse Unit manager role
with added clinical role as one of 5
prescribers in the CRDWU
Private outpatient clinic in 2012
Short term care

7. Experiences in
Residential
Major benefit of NP role incorporated
into existing role
Continuity of care
Extension of the non prescribing aspects
of the role acknowledged
GP Shared Care Model
Onsite prescribing
Understanding the needs of the
Physician, GP and the RN

8. Experiences in
Private practice
Establishment of a business
Funded through Medicare items
Support from ReGen
Room, administration
Once weekly clinic with 2 morning
reviews of inpatients
Limited Medicare items restrict full
scope of practice as NP. Only face to
face clinical sessions attract
remuneration.

9. Experiences in
Private Practice
Only client attended activities attract
remuneration
Client non attendance impact
After hours and non remunerable work

10. Opportunities
Gaps in the substitution
pharmacotherapy workforce
Consultation liaison in public hospitals
Outpatient / non residential withdrawal
Adult and youth withdrawal units
Chronic disease management
General practice