Delivering a Healthy WA
Nursing and midwifery in Western Australia

Career structure

A registered nurse

Cartoon character of a male nurse

Nursing and midwifery are professions with opportunity for advancement. Below is a chronological list of generic positions available for nurses and midwives in Western Australia.

Enrolled nurses

Graduate enrolled nurse – EN Level 1
After completing an 18 month Diploma qualification, the enrolled nurse (EN) is eligible for registration with the Nursing and Midwifery Board of Australia. Graduate ENs undertake a graduate program, which is a 6 – 24 month paid position offering a supportive transition into the workforce.

Enrolled nurse (EN) – EN Level 1 – 4
The EN helps provide nursing care under direct supervision of the registered nurse (RN). ENs retain responsibility and independence, while remaining accountable to the RN for all delegated functions.

Advanced skill enrolled nurse (ASEN)
“Advanced Skill Enrolled Nurse Level 1” (ASEN 1) is an Enrolled nurse who has either:

  • at least 3 years experience and a post registration qualification of at least 6 months duration, relevant to their area of clinical practice.
  • at least 4 years experience and sufficiently demonstrated competencies, relevant to their area of clinical practice. “Sufficiently demonstrated competencies” means the employee has satisfied the competencies process contained in the Advanced Skill Enrolled Nurse Competencies Workbook.

Advanced Skill Enrolled Nurse Level 2 (ASEN 2) is an Advanced Skill Enrolled Nurse in the second year of employment as an Advanced Skill Enrolled Nurse.

Registered nurses and midwives

Graduate registered nurse – ANF Level 1, increment 1 or determined by previous enrolled nursing experience.
These nurses have recently completed a three to three and a half year university degree (or equivalent if from overseas). On completion, they are eligible for registration with the Nursing and Midwifery Board of Australia. Graduate RNs undertake a graduate nurse program, which is a 12 – 24 month paid position offering the graduate RN a supportive transition into the workforce.

Graduate midwife – ANF Level 1, increment 1 or determined by previous registered nursing experience.
Graduate midwives have either completed a 3 year direct entry university degree or are RNs who have undertaken further education at university and in hospitals. On completion of education they are eligible for registration with the Nursing and Midwifery Board of Australia as a midwife. The graduate midwife then undertakes a further 12 months transition or graduate program in hospitals.

Registered nurse (RN), midwife– ANF Level 1, increment 1 to 9.
RNs and midwives act as role models and undertake a teaching role in nursing and midwifery practice for ENs and other junior staff.

Further advancement

All higher positions are considered promotional positions.

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