Orientating Nurses to General Practice - General Practice Queensland

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The Practice Nurse role may include:• Identifying eligible patients who would benefit from a caseconference• Understanding and promoting the process of a case conference• Assisting with the organisation and facilitation of the case conference• Assisting in the implementation of the short term management plan֠TIPFamiliarise yourself with the MBS requirements for Case Conferences byreading the explanatory notes in the MBS Schedule to be confident in theprocesses.CHRONIC DISEASE MANAGEMENT ITEMS:(GP Management Plans and Team Care Arrangements)GP Management Plans (GPMP)GP Management Plans are written comprehensive plans for the care of anindividual patient of any age, with a chronic or terminal condition. Therecommended frequency is once every two years, supported by regularreview services. The Practice Nurse can assist in preparing or reviewing aGPMP on behalf of the GP. The GP must review and confirm assessmentsconducted by the Nurse and must see the patient as part of the service.The Practice Nurse role may include:• Identifying eligible patients who would benefit from a GPManagement Plan• Assessing the patient• Agreeing management goals for the patient• Identifying actions to be taken by the patient• Identifying treatment and ongoing services to be providedand make arrangements for these servicesTeam Care Arrangements (TCA)Team Care Arrangements is team assisted care planning for patients with achronic or terminal condition AND who require ongoing care from amultidisciplinary team of at least two other care or service providers. Therecommended frequency is once every two years, supported by regularreview services.23
The Practice Nurse role may include:• Identify eligible patients who would benefit from a TeamCare Arrangement• Assess the patient• Agree management goals for the patient• Identify actions to be taken by the patient• Identify treatment and ongoing services to be provided andmake arrangements for these services by collaborating withthe participating providersInteractive templates for GP Management Plans, Team Care Arrangementsand the review of these plans have been developed by the AustralianDivisions of General Practice (ADGP). These templates can be downloadedfrom the ADGP website at www.adgp.com.au and installed into MedicalDirector. If you have trouble installing or using these templates please emailcdm@adgp.com.au.֠TIPFor comprehensive information relating to the Chronic Disease ManagementItem numbers access the BSDGP website at http://www.bsdgp.com.au Clickon Resources, then chronic disease management items. Here you will findgeneral information and fact sheets, MBS explanatory notes, frequently askedquestions, case scenario, interactive templates for Medical Director, Proformasand checklists, Allied Health and Dental Referral Forms.֠TIPYour Area Manager can also assist you with the Chronic Disease ManagementItem numbers.CHRONIC DISEASE INITIATIVES:DiabetesThe aim of the diabetes incentive is to enhance prevention, earlier diagnosisand management of people with established diabetes mellitus. The role of thePractice Nurse is to support the GP in the task of prevention, promotion andmaintenance of diabetes health issues.GPs may choose to enrol their patients in the 12 month Annual Cycle of Care.The Annual Cycle of Care is based on guidelines developed by the RACGP and24
Page 2 and 3: Disclaimer: Every effort has been m
Page 4 and 5: • INTEGRATING WITH THE BRISBANE S
Page 6 and 7: INTRODUCTIONThis manual has been de
Page 8 and 9: HUMAN RESOURCE MANAGEMENTORIENTATIO
Page 11 and 12: Unit Number Components of Unit Pers
Page 13 and 14: significant involvement in complex
Page 15 and 16: milestone was accomplished in the M
Page 17 and 18: • Royal Australian College of Gen
Page 19 and 20: • If the vaccines are not packed
Page 21: The following ACIR Forms can be dow
Page 24 and 25: General Duties:Depending on the job
Page 26 and 27: Other Key Duties:The Enhanced Prima
Page 30 and 31: Diabetes Australia. This allows the
Page 32 and 33: ֠TIPYou can access excellent resou
Page 34 and 35: ֠TIPFamiliarise yourself with the
Page 36 and 37: the palms and tops of the hands, an
Page 38 and 39: confidentiality must be maintained
Page 40 and 41: • To assist with the development
Page 42 and 43: ֠TIPFor further information on the
Page 44 and 45: Practice Nurses can contribute to t
Page 46 and 47: Competency StandardsPROFESSIONAL IS
Page 48 and 49: COMMON ACRONYMS USED IN GENERAL PRA
Page 50 and 51: SECTION 2Integrating With Divisions
Page 52 and 53: BRISBANE SOUTH DIVISION OF GENERAL
Page 54 and 55: INTEGRATING WITH THE BRISBANE SOUTH
Page 56 and 57: SECTION 3Education and Professional
Page 58 and 59: Brisbane South Nursing Forums - Pra
Page 60 and 61: flaps, grafts and donor sites, mana
Page 62 and 63: COORDINATING PATIENT SERVICESThe Pr
Page 64 and 65: BRISBANE SOUTH DIABETES REFERRAL SE
Page 66 and 67: • Support groups• Vision/hearin
Page 68 and 69: ֠TIPFor an extensive profile of th
Page 70 and 71: The varieties of services which can
Page 72 and 73: COMMUNITY ALLIED HEALTH SERVICESIn
Page 74 and 75: For a full list of services see htt
Page 76 and 77: MEALS ON WHEELSMeals on Wheels prog
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The role of the Centre is to provid
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IImmunisation Australia Infoline 18
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COMMONLY USED WEB SITESAged and Com
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REFERENCES1. National Health and Me
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