Registered Nurses & Enrolled Nurses

In Australia, Registered Nurses (RNs) and Enrolled Nurses (ENs) have distinct roles, responsibilities, and educational requirements, although both are integral to the healthcare system. Here are the key differences:

Education and Qualifications:

• Registered Nurses (RNs) typically complete a Bachelor of Nursing (a three-year university degree) or equivalent. This higher level of education provides them with a broad understanding of healthcare, critical thinking, and leadership skills.
• Enrolled Nurses (ENs) undergo a Diploma of Nursing (usually an 18-month to two-year course at a TAFE or vocational training institution). This diploma prepares them for hands-on, practical nursing tasks under the supervision of an RN.

Scope of Practice:

• Registered Nurses (RNs) have a broader scope of practice. They are responsible for more complex tasks such as patient assessments, developing and managing care plans, administering medications (including intravenous medications), and providing leadership to other nursing staff. RNs often have supervisory roles over ENs and other healthcare staff.
• Enrolled Nurses (ENs) provide direct patient care, such as administering medication (excluding intravenous in most cases), wound care, and basic assessments. They work under the supervision of an RN and have a more task-oriented role in patient care.

Autonomy:

• RNs work with greater autonomy and decision-making authority, managing patients' overall care, including making complex clinical decisions.
• ENs typically work within a defined scope and require supervision from RNs for tasks that are more complex or involve significant clinical decision-making.

RNs have a higher level of education, a broader scope of practice, and more autonomy, while ENs focus on practical, direct patient care under supervision. Both are crucial in delivering quality healthcare.