These guidelines should be read in conjunction with our General provider guidelines.
Who can provide nursing services?
You can provide services if you are a nurse registered under the Health Practitioner Regulation National Law (e.g. AHPRA) to practice in the nursing profession (other than as a student).
What we can pay for
Within the first 90 days of a client’s accident, we can help pay for nursing without the need for you or the client to contact us for approval first. The treatment or service must be recommended by a health professional, related to the client’s accident injuries and delivered in line with the Clinical Framework.
If you intend to continue treating a TAC client beyond 90 days after their transport accident you will need to send us a request in writing or a copy of their treatment plan. We will review our client’s treatment to ensure it’s reasonable, clinically justified, outcome focused and in line with the Clinical Framework. We will assess your request and let you and the client know our decision about what we can help pay for and for how long.
If our client has not received treatment in 6 months they will need to seek approval from us before we will pay for further treatment. Ask our client for a copy of their approval if you haven’t seen them in 6 months.
We can help pay for:
- Nursing consultations in the patient’s home.
- Specialist training to others involved in the patient’s care, such as attendant care workers.
- Nursing from a Bush Nursing Hospital to attend the scene of an accident while waiting for an ambulance to arrive.
- Travel to conduct treatment in the community, where this is clinically justified. Travel time can be paid for travel to and from your practice address and your patient's residence. Where more than one patient is visited in a single travel period, total travel costs should be apportioned equally between patients.
Other things to note
Patients with a severe injury
If your patient has a severe injury, the discussion, referral and approval of services may form part of the independence planning process between the patient's treating team and our TAC coordinator. This may include:
- long-term nursing
- specialist nursing assessment and reports to review the management of a client’s condition
- reviewing management of particular nursing tasks such as bladder and bowel management
- pressure care and wound management
If your patient already has an individualised funding package, nursing services may be included as part of that.
How much we can pay
We can pay for services in line with our Nursing fees.
If your fee is higher than our fee, you may choose to charge the client the difference in the form of a gap payment.
What we cannot pay for
We cannot pay for:
- specialist training intended to replace standard staff training provided by attendant care agencies
- long-term nursing during periods of time when active nursing tasks are not required, such as when attendant care services would be able to provide the required care
For more information
Access our policies for health and support services.