The Victorian Preceptor Program and continued nurse quality

By Sandy Anderson

Nurses practice in cervical screening

• Currently there are 364 credentialled nurse Pap test providers in Victoria.

• Currently there are 108 registered Victorian Preceptors

Course options

Accredited nurse training courses are currently provided by:

• Family Planning Victoria • Melbourne Sexual Health Centre• Melbourne University, The Department

of General Practice.

Victorian Preceptorship Program

Highlights since late 2006• Surveyed credentialled nurses• Development of the joint Victorian Clinical

Assessment Document• VPP courses and PSV MOU developed• First VPP preceptor PD held 28 April 2007• Ongoing consultation with current preceptors and

keeping them informed• New preceptor PD was held on Friday 14

September

VPP 2008

• Finalised registration of the current preceptors • Preceptor and organisational agreement

developed and distributed for signing• Preceptor Pack developed and distributed• PSV website find or become a preceptor• VPP Preceptor PD planned for 14 November 2008• Recognition of registered Victoria Preceptors

through credentialling process• Second VPP MOU between courses and PSV being

signed

VPP 2009

• Continue with Recruitment Plan• Preceptor support• Review Clinical Assessment Document• Preceptor evaluation

PapScreen Website

www.papscreen.org.au

Percentage of nurses’ Pap tests

0.0%

0.5%

1.0%

1.5%

2.0%

2.5%

3.0%

3.5%

1998 1999 2000 2001 2002 2003 2004 2005 2006 2007

Year

Per

cen

tag

eSummary from Evaluation of Pap tests taken by nurses in Victoria during 2007,

Cathryn Wharton, Victorian Cervical Cytology Registry, March 2008.

Nurse Practice Types – 2007

Practice type No of nurses

% of Pap test by practice type

General Practice 90 40.8%

Community Health

98 35.5%

Women’s Health 7 4.0%

Sexual Health 36 6.1%

Hospital & dysplasia clinic

37 13.6%

Total 268 100%

Nurse Practice Types – 2007 (2006)Practice type No of

nurses% of Pap test by practice type

General Practice 90 (66) 40.8% (31.1%)

Community Health 98 (91) 35.5% (40.9%)

Women’s Health 7 (6) 4.0% (4.6%)

Sexual Health 36 (35) 6.1% (6.8%)

Hospital & dysplasia clinic

37 (38) 13.6% (16.6%)

Total 268 (236) 100% (100%)

DHS Region % screened 2005-2006 (2004-2005)

Barwon South Western 62.5% (65%)

Eastern Metropolitan 66.9% (68%)

Gippsland 60.8% (64%)

Hume 64.4% (67%)

Loddon Mallee 61.5% (63%)

North West Metropolitan

61.6% (63%)

Southern Metropolitan 61.6% (68%)

Grampians 58.4% (61%)

Nurse endocervical component rates

Com parison betw een nurses' endocervical component rates and all other Victorian Pap tests

collected

74

76

78

80

82

84

86

88

2000 2001 2002 2003 2004 2005 2006 2007Year

Perc

enta

ge o

f end

ocer

vica

l co

mpo

nent

Nurses Endocervical rate -percentage

Of all Pap tests taken inVictoria endocervical rate -percentage

Nurse are doing it better

• 15.0% of Pap test collected by nurses were from women aged 60 -69 years compared to 9.9% for all Victorian providers

• 25.0% of Pap tests taken by nurses are for women who it has been at least 2.5 years since their last test, compared to 20.8% for all Victorian providers.

• 26.5% of Pap tests taken by nurses are for women who it has been less than 2 years since their last test, compared to 35.2% for all Victorian providers.

Proportion of Pap tests collected by nurses in 2007 by DHS region

The PapScreen team

Kate BrounPapScreen Manager

Peta ReynoldsAboriginal Education Program Coordinator

Michelle Cook & Hiranthi PereraCommunity Programs Project Officers

Clare Price Media and Communications Coordinator

Sandy AndersonNurse Consultant

Credentialling Secretariat

Sandy AndersonPapScreen VictoriaPhone: 0407 190 207Email: sandya@ncable.net.au

Royal College of Nursing, AustraliaHelen Morrison or Anne AgnewPhone: 1800 061 660Email: helenm@rcna.org.au or

annea@rcna.org.au