Position Statement


Promoting excellence in Emergency
Nursing within New Zealand

In this area:

CENNZ Publications

Position Statement


Role of the Clinical Nurse Specialist - Emergency Department

Endorsed at the CENNZ NZNO Annual General Meeting October 2013

The College of Emergency Nurses New Zealand (CENNZ) NZNO is committed to the advancement of professional nursing roles and highlighting the connection between higher education for nurses and quality health care.

CENNZ believes that the Clinical Nurse Specialist (CNS) role within the emergency setting makes a significant contribution, to the health of the New Zealand community.

CENNZ believes that the uniqueness of emergency nursing requires knowledge, experience and advanced preparation of a CNS, to ensure quality patient care.

Position statement on Triaging Away

Endorsed at the 2007 CENNZ-NZNO Annual General Meeting.

The College of Emergency Nurses believes that health care should not be denied to any patient requesting care from an emergency department.

The College of Emergency Nurses does not support the practice of triaging away.

Patient Handover - Emergency Department

Endorsed at the CENNZ NZNO Annual General Meeting held in October 2013

CENNZ recognises that the impact of ineffective handoffs/transfers includes such adverse events as delays in diagnosis and treatment, fragmented care, breaches in care, medication errors, conflicting communication, duplication of procedures/tests, lower provider and patient satisfaction, higher costs, longer and more frequent hospital stays, and patient deaths.

The patient handover includes the transfer of care; at the change of shift, transfer between diagnostic areas, transfer to inpatient units or wards, or to other healthcare facilities.

CENNZ believes that nurses should utilise a standardised approach to communication for the handover of a patient’s care between staff i.e. when the responsibility of the patient’s care is transferred between healthcare team members.

Nursing Staff requirements in Emergency Departments

May 2006

The College of Emergency Nurses believes that Emergency Departments must have appropriate infrastructure and staffing requirements so emergency nurses have the environment to provide safe quality patient and family centred care ensuring optimum patient outcomes.

Managers and administrators have the responsibility to ensure effective, efficient emergency care delivery systems (2003).

CENNZ believes nursing leaders are responsible to ensure adequate staffing requirements are attained and maintained.

Nursing Graduates in Emergency Departments

The College of Emergency Nurses New Zealand CENNZ – NZNO:

  • Defines a nursing graduate as a qualified nurse in their first year of nursing practice.
  • Advocates for an intensive development programme to support graduate nurses through ongoing education, supervision and mentorship throughout the first year of practice.
  • Recommends that employers work with the NetP programme (NETP Programme Steering Group, 2006) to offer new graduate placements as emergency nurses.

Education Position Statement

College of Emergency Nurses New Zealand (CENNZ) – NZNO
Position Statement: Education

Introduction: Quote from mission statement “The College of Emergency Nurses New Zealand - NZNO is committed to the advancement of Emergency Nursing in New Zealand/Aotearoa.”

Education enables nurses to meet current and the future changing health needs of our patients.

Nursing education is a process that begins with the preparation of nurses for registration and continues throughout the nurse’s professional lifespan.

Determining Nurse to Patient Ratios in New Zealand Emergency Departments

May 2006

An Emergency Department (ED) provides a clinically integrated 24 hour service that is part of a secure pathway from pre-hospital to definitive care (National Service Specifications for NZ Emergency Departments, 2002 [NEDSS]).

New Zealand EDs are rated from level 2 through to level 6 based on the range of services provided.

All levels of ED are required to be able to offer resuscitation services (NEDSS).

Resuscitation is considered a normal part of the spectrum of ED care which requires a high level of preparedness.