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Nurse Navigators

The nurse navigator role has been introduced into Queensland Health to support a patient’s journey through the increasingly complex health system.

Nurse Navigators focus on the patient’s entire health care journey and all their health needs, rather than just on a specific disease or condition. This will ensure patients are directed to and linked in with the most appropriate service when needed, to enable them to move seamlessly between different health services. This will make the journey through the health system easier for the patient and more efficient for the Hospital and Health Service.

Find out more about Nurse Navigators in frequently asked questions

Eligibility criteria for the Nurse Navigator Service

Are you finding it a challenge to coordinate all the services a complex patient requires?

Does your patient have: 

  • Multiple co-morbid diagnosis
  • Multiple or anticipated to have multiple services involved in providing care
  • Unmet care needs as demonstrated by having multiple preventable visits to hospital as an inpatient or to emergency
  • History of not attending outpatient appointments
  • Low health literacy about their condition/s
  • Difficulty navigating the health system and managing self-care

Your patient must:

  • Consent to Nurse Navigator
  • Reside within the MSH catchment
  • Assessed as safe for Community Home Visits

 

Refer to the Nurse Navigator Service

Nurse Navigtor referrals are to be sent via the Metro South Health Central Referral Hub. Please include all relevant patient information and history in your referral for the nurse navigator service. 

To meet the referral requirements for a Nurse Navigator your patient must:

  • Have a condition/s that requires multiple service providers and their condition has a significant impact on their health and well-being.
  • In additon, the patient must have at least two of the following:  
    • a history of discharge from hospital against medical advice
    • >6 emergency department presentations for their condition in the last six months
    • 2 or more unplanned hospital presentations/admissions within the last 28 days 
    • involvement of 2 or more services as part of patient's care
    • is at imminent risk of hospitalisation
    • has multiple co morbidities/complex cares
    • involvement of multiple specialists in patient's care
    • a history of non-attendance at out patient department appointments (2 or more times in the last 6 months)
    • patient experiences difficulties navigating through the health system and self managing their care
    • patient experiences low health literacy impacting their health management and care
    • evidence of engagement with multiple GP’s
  • Age bracket
    • 0-18 years pediatrics
    • >18 years adults
Last updated 16 July 2019
Last reviewed 4 July 2019