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.
1 user(s) are reading this topic
0 members, 1 guests, 0 anonymous users
A little fun never goes astray when celebrating special occasions and Father's Day is no different. We've rounded up some funny Father's day cards for your husbands, fathers and other important men in your lives.
The possibility of using electronic bracelets for mothers and their newborn babies is being investigated by Adelaide's Women's and Children's Hospital.
As a parent there are so many milestones to look forward to. That first smile, first word - and, of course, that first step.
Tomorrow my friend Julia launches her first book. And while we're all overjoyed, the success is tinged with sadness. You see, Julia has stage 4 bowel cancer.
Call me boring, but I don't think that when it comes to choosing my twins' names is the right time to use a good pun.
The babies of 2015 will thus be thrilled to paddle their happy baby legs in these brand new flamingo and swan baby inflatables.
When Chicago mum Ivette Ivens saw a French bulldog puppy who had the same birthdate as her son Dilan, she "just knew it?s meant to be" and took him home. Five months later, puppy Farley and Dilan are the best of friends - as Ivens says, "I?m pretty sure Dilan thinks they?re both the same species, as they walk at the same level and are both going through the stage of chewing on everything.?
Here are 10 tips to help make breastfeeding successful and stress free for both you and your baby as quickly as possible.
This mum had a big clean up job on her hands.
Pandas are the only ones who benefit from under-eye shadows. If you're not fluffy and cute, you'll just look tired.
A mother has died after she was denied a pap smear because she was deemed "too young" to need it.
A childcare centre in Sydney has banned birthday cakes after parent complaints about excessive sugar and children with allergies being left out.
As the radiographer moved the wand over her abdomen, Shelley King got the surprise of her life.
Louise Fulton Keats shares her recipes for babies and toddlers, including corn and sweet pikelets, pumpkin and pea risotto, and cheesy bunny biscuits.
A 31-year-old man has been arrested over the death of two-year-old Nikki Francis-Coslovich in Mildura.
Pregnant women will no longer be barred from adoption waiting lists in NSW, after the Baird Government decided the practice was discriminatory.
Magnesium is the fourth most abundant mineral in the body, but we don't talk enough about it and the vital role it plays in great health and energy, as well as disease prevention.
Take heart in these principles that will transfer seamlessly from the workplace into your new life as a parent.
A creative outlet for many, there are some savvy women complementing their blogs and businesses with riveting Instagrams feeds. We've chosen a few which have bucketloads of appeal; there are some big time players and some smaller local ones, and they each bring their special brand of magic to the Instagram experience.
The new Volvo XC90 SUV's focus on keeping you safe does not come at the expense of comfort in the XC90.
Kim Kardashian has revealed complications during pregnancy means she might have to have a hysterectomy after the birth of her second child.
Loath as you may be to admit it, chances are that at some point you have found yourself in the kitchen late at night, devouring food.
They say twins have a unique connection. If this cute clip is anything to go by, these toddler sisters like to use their special bond to try to fool their mother.
Getting out of the house is a big priority in the early years of parenthood and you need to take a well-stocked kit with you. We've chosen 10 of the best nappy bags sure to appeal to dads in style and function.
To celebrate Essential Baby reaching half a million Facebook fans, we have a Mountain Buggy Swift to giveaway to a lucky fan.
Get your free ticket to the Sydney Essential Baby & Toddler Show for September 25-27 - register online now.
Top 5 Articles
For women trying to encourage their partners to take more interest in fatherhood, it could be the ultimate incentive.
Conditions affecting the gastrointestinal tract are common in modern humans, and many are on the rise - including irritable bowel syndrome (IBS), inflammatory bowel disease (IBD) and coeliac disease.
Tired of being asked about their baby-making plans, Australian couple Matt and Abby decided to give a creative answer.
I bet your to-do list today is long. But somewhere on that massive list, are you making time for your pelvic floor?
Some babies get excited when mum or dad come to get them from their cot after a nap.
Even if you aren't heading to the Northern hemisphere in the next six months, you can't help but love the amazing food-themed knits for babies and kids by cult kids brand Oeuf.
A paediatricians' group is recommending that infants at high risk of peanut allergies be given foods containing peanuts before they turn one.
Supermarket home brand foods, long derided as cheap and inferior, contain far lower levels of salt than pricier, branded rivals, new research shows.
Ever dreaded the prospect of a long flight, dreaming about how wonderful it would be for a nanny to entertain the kids?
Tired of being asked about their baby-making plans, Australian couple Matt and Abby decided to give a creative answer: with an unusual photo shoot with their 'baby', a groodle (poodle/golden retriever cross) named Humphrey. The talented Elisha from Elisha Minnette Photography caught all the precious shots.
My husband was sure that Danger was a good option for a boy. And as the pregnancy progressed, it actually started to sound really good.
In a world first, a healthy baby has been born from the same womb that nurtured his own mother.
It's one way to make your baby stand out from the pack – giving them not one, but two first names.
When I fell pregnant with my second child I was, naturally, very excited. Then it all started to come back to me - and I freaked.
You're out shopping with your little one and they're incessantly whining that they want a treat. It's easy to say no ... the first time, at least.
Three months ago, my wife, Chrysta, and I were driving along Melrose Avenue in Los Angeles when she let out a harrowing cry.
There comes a time when your child starts having different views to you. I didn't realise that time would come so soon.
To celebrate dads and families, we are giving away a Picos Pack from Pacapod Australia filled with a few extra goodies ENTER NOW
Get your free ticket to The Essential Baby & Toddler Show and save $20 - register online now!