Urgent Care Nurses expected knowledge and skills Survey

1.What location is the Urgent Care Clinic in?(Required.)

Australia

North Island New Zealand

South Island New Zealand

2.How would you describe the setting of your Urgent Care Clinic(Required.)

Urban within a 30 mins drive of a major hospital

Urban within an hour's drive of a major hospital

Regional within one hours drive of a minor hospital

Rural / Remote

Urban next door or very close to a major hospital

3.What resources are attached to your Urgent Care Clinic, e.g. Dental, Pharmacy etc(Required.)

6.Urgent Care Nurses should triage using the RNZCUC-approved ATS triage scale?(Required.)

7.Urgent Care Nurses should be appropriately trained in the Australasian Triage Scale (ATS)(Required.)

8.Urgent Care Nurses should perform a nursing assessment after patients are triaged(Required.)

9.Nursing assessment in Urgent Care should include gathering vital signs, weight if applicable, past medical history, family history, allergies, and medications prior to the patient seeing a clinician for diagnosis and treatment(Required.)

10.Nurses in Urgent Care should perform advanced nursing assessments(Required.)

11.Advanced nursing assessment in Urgent Care should include the nursing assessment as stated above and also an exploration of the presenting complaint, specific subjective data about the presenting complaint, and a presenting complaint-focused physical assessment?(Required.)

12.Advanced assessment nurses in Urgent Care should be able to make clinical decisions about and order musculoskeletal limb x-rays (as per guidelines set out by the medical director of each Urgent Care Clinic)?(Required.)

13.Advanced assessment nurses in Urgent Care should be able to make clinical decisions about and order musculoskeletal limb x-rays autonomously based on advanced education and experience?(Required.)

14.Advanced assessment nurses in Urgent Care should be able to make clinical decisions about ordering and order a series of simple diagnostic tests for example but not limited to wound swabs, urinalysis, ECG, BSL, visual acuity, covid swab, throat swab?(Required.)

15.Advanced assessment nurses in Urgent Care should be trained and proficient in making clinical decisions about ordering and ordering a series of diagnostic blood tests?(Required.)

16.Advanced assessment nurses in urgent care should be trained and proficient in identifying abnormalities in diagnostic tests and be able to escalate these to the responsible diagnostic and treatment clinician?(Required.)

17.Urgent Care Nurses should be able to use a wide variety of standing orders to administer medication to patients based on their yearly competence assessment to do so, under the direction of the medical director?(Required.)

18.Urgent Care Nurses should be able to use a wide variety of standing orders to supply medication to patients on a practitioner supply order (PSO) for nurse-only consultations based on their yearly competence assessment to do so under the direction of the medical director?(Required.)

19.Urgent Care Nurses should be trained and proficient in taking blood from patients using phlebotomy and sending it to the lab?(Required.)

20.Urgent Care Nurses should be trained and proficient in the insertion of Intravenous catheters?(Required.)

21.Urgent Care Nurses should be able to prepare complex IV infusions and IV medications?(Required.)

22.Urgent Care Nurses should be trained and proficient in taking ECG?(Required.)

23.Urgent Care Nurses should be trained and proficient in Basic ECG 3 and 12 lead interpretation and able to recognize abnormalities and escalate these appropriately?(Required.)

24.Urgent Care Nurses should be trained and proficient in taking and interpreting results of wound swabs, urinalysis, BSL, visual acuity, covid swab, throat swab, and similar diagnostic tests and able to escalate abnormalities appropriately?(Required.)

25.Urgent Care Nurses should be trained and proficient in fracture management, including clinical decisions about treatment including but not limited to building custom temporary splints, casting, and application of splints, moon boots, etc?(Required.)

26.Urgent Care Nurses should be trained and proficient in making clinical decision about musculoskeletal injury management including but not limited to crutches indication and education, slings of varying types, advice on self-management of injuries including OTC medication strategies?(Required.)

27.Urgent Care Nurses should be trained and proficient in Plaster of Paris checks at between 12 – 24 hours after application, assessing for suitability of cast and ensuring patients have no adverse effects?(Required.)

28.Urgent Care Nurses should be trained and proficient in removal of but not limited to Plaster of Paris and fiber glass casts?(Required.)

29.Urgent Care Nurses should be trained and proficient in acute wound assessment and should be trained and proficient in making clinical decisions about wound closure requirements and technique or best practice wound closure management for the optimum wound healing?(Required.)

30.Urgent Care Nurses should be trained and proficient in acute wound preparation for closure and or dressing, for example, but not limited to , washing out of the wound, debriding unsalvageable skin, skin tear flap relocation, debris removal and cleaning?(Required.)

31.Urgent Care Nurses should be trained and proficient in acute wound preparation for closure with selection of appropriate local anesthetic for block, and appropriate block either field or ring as per standing orders and guidelines?(Required.)

32.Urgent Care Nurses should be trained and proficient in acute wound closure techniques including but not limited to many types of suturing, skin adhesive, steri strip and hair tying techniques?(Required.)

33.Urgent Care Nurses should be trained and proficient in chronic wound assessment and management. They should be able to make clinical decision about wound healing techniques and dressings and best management plans for wound healing, with access to topical creams and other products on standing orders and guidelines?(Required.)

34.Nurse-led consultations should take place by Urgent Care Nurses that trained and proficient in but not limited to ear suctioning, morning-after pill administration, wound checks and/ or redressing or management, as well as others supported by standing orders and guidelines (mentioned above cast removal, pop checks)?(Required.)

35.Urgent Care Nurses should be able to provide healthcare education to improve health literacy for patients presenting to urgent care with a variety of health concerns?(Required.)

36.Urgent Care Nurses should understand community resources and referral pathways to inform patients about access to healthcare services within their communities?(Required.)

37.Are there any other areas of knowledge and/or skills you would expect of a highly trained Senior Nurse working within Urgent Care? (Required.)

38.Is there anything else you would like to share with us? (Required.)