Jump to content
Diploma and Degree in Nursing
7 replies to this topic
Posted 29 December 2012 - 10:56 AM
I am thinking about having a career change. I have wanted to do Nursing since i finished school but didn't get the marks and ended up doing Accounting at tafe. I haven't really worked in the last 6 years as i have been at home with the kids. I have three kids 6,4 and 2 and i am feeling it is now time to start thinking about going back to work and a good time to change my career.
Anyway, I have been looking into doing a Certificate 111 in Aged Care and Home & Community Care and then once i am working and i will do the Cert IV in Aged Care or Health Nursing and once all kids are in school i might do a Diploma in Nursing. Then i might think of a Degree but who knows.
My question is what is the difference between Diploma and Degree qualified? What do Degree qualified nurses do that Diploma nurses can't say when working in a hospital?
Posted 29 December 2012 - 11:42 AM
I'm a Registered Nurse working on a busy medical ward.
An aged care certificate will qualify you to work in a nursing home, or as an aged carer in the community. In this job you will perform a lot of personal care, such as helping incapacitated older people to shower, use the toilet, change incontinence pads, get dresssed, brush their teeth. You might help to prepare or serve meals, dispense medications from a pre-packed Webster pack, do dressings on wounds and assist with leisure activities, like trips to the shops. I found working as an aged carer very heavy and stressful, personally.
A diploma in nursing should qualify you to be an enrolled nurse (EN) or an endorsed enrolled nurse (EEN). An EEN is endorsed to give medications under the direction of the doctor and with indirect supervision from a registered nurse. An EN does not give medication. ENs and EENs work in different wards of hospitals, including medical, surgical, operating theatre, emergency and in doctors surgeries and aged care homes, they do all of the things that aged carers do, (personal care) plus more dressings, taking observations and monitoring vital signs, hospital paperwork such as admitting patients and discharge planning, and other tasks specific to their work area (for instance theatre ENs will spend a good portion of their day setting up for surgeries and cleaning up after them)
I did a three year degree to become a registered nurse, which qualifies me to do all of the above, as well as give prescribed medications including oral meds, intravenous injections and drips, and other needles (but not immunisations - thats another short course) As an RN you often have other nurses working under your direction, and are ultimately responsible for the patients' wellbeing and care. RNs work in hospitals, nursing homes, doctors surgeries and the community in lots of diverse roles, and their is a vast number of ways in which you can advance your career as an RN (some examples include diabetes education, child and family health, midwifery, scrub nurse in theatre, nurse leadership, High dependency or intensive care nurse.)
I hope that answers your question, it's a actually a really big question
Posted 29 December 2012 - 12:36 PM
I'm not sure where the pp is or where you are but here in wa an EN can do everything an RN can do except for IV medications. You can become an advanced skills EN who can do everything an RN can do except for the management side of things. ENs can't coordinate shifts and there isn't the career progression opportunities.
Hospital nursing is hard physical as well as mental work.
Posted 29 December 2012 - 12:45 PM
ens cant give meds
eens (med endprsed) can give meds - although may need in house training to do iv's
some hospis wont have ens on various wards...
ens can supervise at aged care, but still report to a rn
Posted 29 December 2012 - 01:21 PM
I am an IV endorsed EEN in QLD so can do basically the same as an RN except the management/supervision side of things. It all depends on the policy of the hospital you are working at. I work at private hospital but I know EENs working in the public system aren't allowed to do IV medications due to the public hospital policy.
Posted 29 December 2012 - 02:58 PM
ASEN's in WA do IV meds and in critical care areas look after monitored pt's, inotropes, BiPAP, artlines etc. Only thing they can't do is co-ordinate, hold the DD keys and as of 2 years ago give DD's but that will be changing again when they revise the Poison's Act. We work under the direction of a RN.
Once an ASEN in WA there is no further career progression. I would advice you just to do your RN.
Posted 29 December 2012 - 08:44 PM
Edited by BeachedAsBro, 30 December 2012 - 06:28 AM.
Posted 29 December 2012 - 09:08 PM
It must depend which state you are in, because in Victoria and South Australia ENs can give medications and can pretty much do most of what RNs can do, the difference is ENs do it under the direction of an RN, where as an RN can just do it. For example, As needed (PRN) medications an RN can give as prescribed on the medication chart, and EN need to clear it with an RN first. Nurse initiated medications are the same, RN can just give, EN needs to clear it with the RN first. ENs have to get an RN to sign off on a lot of things, like wound management plans.
Sometimes things will be designated RN only tasks, such as more complex wounds, high risk feeds etc, but that is at the discretion of the hospital / facility and or doctor.
ENs where I work (aged care facility) do not typically do any personal care work unless they decide to help the carers out or there are addition needs for that person, which is the same for the RNs. Hospital was a different matter though, did much more care work, however the same applied to ENs regarding what they could and couldn't do. A lot of the time is it difficult to work out who is a RN / EN unless you can see their ID.
Carers where I work don't give out any medication or dressings.
0 user(s) are reading this topic
0 members, 0 guests, 0 anonymous users
Kelly Clarkson has shown off the first photos of her son, Remington Alexander Blackstock.
Birth is an unpredictable, mysterious process that intrigues us all, and there is a lot of misinformation out there.
A US mother has been shot by her toddler while driving on a highway in Wisconsin.
The seven-minute-work out is old news. Research shows the effectiveness of going hell-for-leather for just one minute.
Pregnant woman in country Australia will help Adelaide researchers figure out why cases of type 1 diabetes have doubled over the past two decades.
It's the perfect solution to combat those toddler meltdowns when they no longer want to be in a pram but can't walk long distances.
A pit bull mix that fatally bit a 3-day-old infant last week has been euthanised, authorities said.
While meeting with a lactation consultant can make an enormous difference to a new mother, it's not a service that is available through the public health system.
Members of a popular forum are fiercely debating whether it is acceptable to dislike a friend's child.
A pregnant woman who unexpectedly gave birth on a flight has named her new baby after the airline, Jetstar.
Children living in foster care can feel like their future is less than clear. But that uncertainty disappears the day they are adopted by their "forever family"
When the cramps started to kick in, Klara Dollan just assumed a painful period was starting.
Kerryn has a unusual present planned for daughter Imi's 13th birthday celebrations - she hopes to be able to be able to give the soon-to-be the teenager her first ever photo of her dad.
Our houses are cleaner than ever before. But how clean is too clean? Could a sterile home be putting your family's health at risk?
Here's a puzzle that grows with them; the Puzzle Grow Pack by Millions of Monkeys.
If you grew up in the 90s you might want to look to the genre of Britpop music for baby name inspiration.
When you catch a bug that causes acute infectious gastroenteritis (gastro), your stomach and intestinal tract become inflamed, causing diarrhoea, nausea, vomiting, abdominal cramping and pain. The last thing you probably feel like doing is eating.
Would I have survived if I hadn't crossed that street?
Caitlin is a firm believer in the importance of immunisation to protect children from harmful and deadly diseases.
There is no make-up or special outfits and hairdos, but the five-year-old boy who took this picture captured the essence of motherhood as well as any professional photographer.
Studies have shown that infants in the first months of life try to avoid dealing with social wrongdoers - for example, sharing less with them and helping them less - and they expect others to, too.
Top 5 Articles
Bethani Webb was excited to find out she was pregnant, but the first time mum did not realise she was carrying four babies not one.
A Sydney cafe is offering breastfeeding mums free cups of tea in a bid to show support for the right of women to nurse their babies wherever they choose.
Jamie Oliver, who considered a vasectomy, is to be a father again. A fellow dad reflects on his own decision 11 years ago
To everyone's surprise, Kristen Miller "kept doing better each day", keeping her second baby safe.
Before my son was born I was given a lovely baby book full of blank pages waiting to be filled with weights and heights and first words.
There is no doubt seeing their child smile for the first time is an unforgettable moment for parents everywhere.
When Alison Johnson put her 18-month-old Caleb down for a nap, she had no reason to believe her son was in any danger.
All my panic and tears aside, my biggest question looking back is about the kind of security measures used in the maternity ward.
Everyone who visits a mum in hospital in the days following childbirth wants to get a photo with the new baby.
Finally, there's a way to keep warm while breastfeeding through winter.
What to do with this information? My advice would be to try not to think about it during the throes of passion.
From niplash to tight boobs, biting to milk supply issues, Pinky McKay looks at common breastfeeding issues and how to solve them.
Six months on we're all still alive, and the more we get to know each other the easier the days become.
Kirsty Carrington thought nothing of giving her newborn son a kiss, little did she know it would leave the baby fighting for life.
After children, 'me time' looks a little different.
A stroller can make or break travelling with a baby or toddler. Here are 15 great single travel stroller options.
It always pays to remind yourself of how terrific toddlers can be - they're little like this for such a short time
This is the comp for you! We have $800 worth of Myer gift cards and boxes of Australian Bananas to be won. Entry is simple: just post a pic of your little one enjoying a banana in the comments of the FB post to enter.