Professional accountability: You are responsible for the decisions you do not make.
 
One of the key drivers of the rural and isolated practice nursing model in Victoria was the need for nurses to make more autonomous clinical decisions about patient treatment when there was no doctor available.  There are a whole range of medico-legal issues relating to this model which Dr Heather Wellington set out in her report "Medico-Legal Issues - Rural Collaborative Practice Project".  One issue that I think might surprise many doctors and nurses, is that deferring the clinical decision to another clinician does not necessarily dilute ones accountability.  
 


"Just because a nurse calls a doctor or seeks the assistance of another person
does not mean this accountability is diluted; to the contrary, a nurse's accountability encompasses any decision to call on a doctor, or any other member of the clinical team, for advice and/or assistance." 
(Dr Heather Wellington)
 


If you'd like to hear more about this and the other medico-legal implications of the RIPRN model, join us at the Victorian RIPRN Forum on 27 October where Heather will be discussing this very subject. An updated program brochure can be found here.
 

 

 

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Rural & Isolated Practice Nursing (RIPRN) Forum

October 27-28, 2014 
Melbourne City Mission 
 
 
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