Primary Nursing Care .

Primary health care nurses adopt the definition of health in the Declaration of Alma-Ata that health is
a state of complete physical, mental and social wellbeing and not merely the absence of disease or
infirmity.
They reaffirm health as a human right and see economic and social development as a prerequisite
to the attainment of health for all. They see the promotion and protection of health, including the
reduction of social exclusion and disparities in health, as having positive effects on economic and
social development and on world peace.
Primary health care nurses see the participation of people as a group or individually in planning and
implementing their health care as a human right and duty. One way of expressing this is through a
phrase that originated in the disability movement, Nothing about me without me. Primary health care
nurses acknowledge the dignity, culture, values, beliefs and rights of individuals/groups.
scope of practice
Primary health care nurses are enrolled nurses, registered nurses and nurse practitioners eligible for
registration by the Nursing and Midwifery Board of Australia whose competence, as specified by the
registering authority's license to practice, educational preparation, relevant legislation, standards and
codes is specific to (though not exclusive to) the primary health care context.
Like nurses in other settings, primary health care nurses have professional, legal and ethical
responsibilities which require demonstration of a satisfactory knowledge base, accountability for
practice, functioning in accordance with legislation affecting nursing and health care, and the
protection of individual and group rights primary health care

Primary health care is the first level of contact that individuals, families and communities have with
the healthcare system. In Australia, this:
 Incorporates personal care with health promotion, the prevention of illness and community
development
 Includes the interconnecting principles of equity, access, empowerment, community self-

determination and inter-sectoral collaboration
 Encompasses an understanding of the social, economic, cultural and political determinants of health.
Grounded in their scope of practice, nurses provide socially appropriate, universally accessible,
scientifically sound, first level care. They work independently and interdependently in teams to:
 Give priority to those most in need and address health inequalities
 Maximise community and individual self-reliance, participation and control
 Ensure collaboration and partnership with other sectors to promote public health.
settings do primary health care nurses

work
 Primary health care nurses work in a range of settings, each sharing the characteristic that they are
a part of the first level of contact with the health system.
 Community settings including the community controlled health services, the community
health sector and roles within social service settings
 General practice
 Residential aged care
 Domiciliary settings in the home, custodial/detention settings, boarding houses and outreach
to homeless people
 Educational settings including preschool, primary and secondary school, vocational and
tertiary education settings
 Occupational settings, occupational health and safety and workplace nursing
 Informal and unstructured settings including ad hoc and Good Samaritan roles in daily life,
like sports settings and community groups.
roles of a primary health care nurse

A model of the roles of nurses is that their work may cover:
 Health promotion
 Illness prevention
 Healthy ageing
 Antenatal and postnatal care
 Child and family health nursing
 Treatment and care of sick people
 Rehabilitation and palliation
 Community development
 Population and public health
 Education and research
 Policy development and advocacy.
nurse contribute to practice

Patient carer
Clinical activities including:
 Wound management
 Triaging patients for urgent appointments
 Injections, application and removal of casts
 Suturing
 Preventive health checks including cervical screening and immunisation
 First aid and emergency management
 Diagnostic services including ECGs, stress tests, urine drug screening, hearing tests, peak flow,
spirometry and mood and memory assessment
 Providing outreach services such as home assessments for the elderly, immunisations at
workplaces and childcare centres.
Organiser
Coordinate organisational aspects of patient care such as:
 Maintaining, monitoring and improving patient information systems including patient register and
recall systems
 Brokering referrals to community services
 Coordinating and undertaking patient health assessments
 Triaging patients
 Maintaining treatment room equipment and resources
 Sterilising instruments, managing contaminated waste
 Identifying and understanding the role of community agencies and service providers and networking
with these services
 Planning and coordinating care including routine monitoring and follow up of patients with care
plans.
Quality controller
Managing quality and risk activities such as:
 Infection control
 Maintaining cold chain for vaccines
 The safe disposal of sharps
 Contributing to practice accreditation
 Arranging patient follow up of pathology results with evidence of audit trails
 Writing and/or updating practice and clinical policies and procedures
 Participating in/leading a team approach to managing adverse events.

Problem solver
Solving problems that arise on a day-to-day basis such as:
 Managing high patient demand on busy days
 Supporting receptionists’ decision making
 Solving issues with practice software systems
 Sourcing information such as referral options.
Educator
Providing education in various ways, including:
 Other members of the general practice team including GPs
 Students who enter the practice for clinical placement
 Patients in areas of prevention and health promotion, management of specific health conditions
 Participation in local and/or national disease prevention campaigns (e.g. influenza).
Agent of connectivity
Connecting different disciplines within the practice, between patients and clinicians, between
administrative staff and GPs and between the community setting and hospitals:
 Liaising with local hospital networks and other health services
 Building and maintaining relationships across the practice team
 Arranging appointments, managing internal and external referral processes and procedures,
arranging case conferences and providing information and feedback between the services, patients
and GP
 Planning and coordinating care including routine monitoring and follow-up of patients with care plans
 Patient advocacy.

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Primary health care nurses adopt the definition of health in the Declaration of Alma-Ata that health is

protection of individual and group rights primary health care

 Includes the interconnecting principles of equity, access, empowerment, community self-

 Maximise community and individual self-reliance, participation and control

settings do primary health care nurses

 Residential aged care

 Occupational settings, occupational health and safety and workplace nursing

roles of a primary health care nurse

 Child and family health nursing

 Treatment and care of sick people

 Rehabilitation and palliation

 Population and public health

 Education and research

 Policy development and advocacy.

nurse contribute to practice

Clinical activities including:

 Triaging patients for urgent appointments

 Injections, application and removal of casts

 Preventive health checks including cervical screening and immunisation

 First aid and emergency management

Coordinate organisational aspects of patient care such as:

 Brokering referrals to community services

 Coordinating and undertaking patient health assessments

 Maintaining treatment room equipment and resources

 Sterilising instruments, managing contaminated waste

Managing quality and risk activities such as:

 Maintaining cold chain for vaccines

 The safe disposal of sharps

 Contributing to practice accreditation

 Arranging patient follow up of pathology results with evidence of audit trails

 Writing and/or updating practice and clinical policies and procedures

 Participating in/leading a team approach to managing adverse events.

Solving problems that arise on a day-to-day basis such as:

 Managing high patient demand on busy days

 Supporting receptionists’ decision making

 Solving issues with practice software systems

 Sourcing information such as referral options.

Providing education in various ways, including:

 Other members of the general practice team including GPs

 Students who enter the practice for clinical placement

 Participation in local and/or national disease prevention campaigns (e.g. influenza).

 Liaising with local hospital networks and other health services

 Building and maintaining relationships across the practice team

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