Clinical Education Department

Head: Rick Peebles

The Clinical Education department has a centralised model of education with a core curriculum informed by organisational risk, workforce requirements and Cabrini’s customers. Our department develops resources and training programs for nursing, midwifery and allied health staff, ensuring quality standards are maintained throughout our organisation. Our focus is to provide educational opportunities that build a smart, change enabled workforce inspiring confidence, professionalism, expertise and excellence in clinical care.

Director Rick Peebles, Acting Director of Clinical Education

Administration Support Barbara Miles, Curriculum Administrator Donna Li, Infrastructure & STP Coordinator Leesa Horrigan, Undergraduate Student Coordinator Jacky Fernandez, Clinical Placement Administrator

Clinical Education and Allied Health Education Team Tanya Harding, Clinical Education Curriculum Developer Lauren Williams, Clinical Education Curriculum Developer Amanda Peat, Quality and Safety Curriculum Developer Abby Falla, Transition to Professional Practice Educator Louise Suttie, Transition to Professional Practice Educator Natalie Horvath, Perioperative Educator Tegan Proctor, Adult Deterioration and Resuscitation Educator Kelly Sherman, Paediatric Deterioration and Resuscitation and Undergraduate Educator Sophie Jennings, Allied Health Educator Anie Abraham, Medical Clinical Support Nurse Jess Bakouline, Emergency Department Clinical Support Nurse Irene Zhao, Perioperative Clinical Support Nurse Lydia Burnage, Midwifery Clinical Support Nurse Illona McArthur, Cancer and Palliative Care Clinical Support Nurse Andrea McDonald, Cardiac Clinical Support Nurse Michelle Wigg, Perioperative Clinical Support Nurse Margot Dobie, Perioperative Clinical Support Nurse Claire Loveridge, Deterioration Clinical Support Nurse Clare McCosker, Intensive Care Clinical Support Nurse Madeline Marcelino, Emergency Department Clinical Support Nurse Lauren Boyce, Physiotherapy Clinical Supervisor Ran Li, Physiotherapy Clinical Supervisor James Gaudin, Physiotherapy Clinical Supervisor

Clinical Placement Facilitators Marina Necoski Stefanie Adlam-Smeele Chris Stafford-Arnold Gail Iglesia Cassie Lieschke Megan Hayes Sarah Nettleton Jess Radin Nicole Milne Jordan Lakin Sabrina Velik

Acknowledgement of Staff who have left (2019-2020) Jo Schlieff, Director of Clinical Education Kristen Hamer Sarah Mann Alice Wandke

Highlights

Undergraduate Program Cabrini is a teaching hospital, providing clinical training opportunities for our future health professionals. Over the 2019-20 year, Cabrini provided 14,400 placement days for nursing, midwifery and allied health students. Across the year Allied Health and Ambulatory Services worked collaboratively with our education providers to support student programs across seven disciplines and three education provider partnerships.

Our primary partnerships remain strong for nursing, midwifery and allied health with Monash University, Australian Catholic University (ACU) and ACU College, La Trobe University and Swinburne University. The ‘ACCENT program’ (ACU College and Cabrini Educating Nurses Together) is in its second intake. The ACCENT program has seen the transition of eight students complete their Diploma of Nursing and all clinical placements at Cabrini. The opening of the Gandel Wing in June of 2019 extended a range of exciting clinical opportunities for students, including the addition of clinical placements now being offered in chronic disease services.

Graduate Program Our Transition to Professional Practice (TTPP) program for newly registered nurses, enrolled nurses and midwives is designed to support the transition from an undergraduate into the workforce. The structured program enables consolidation of clinical skills whilst enhancing critical thinking and clinical reasoning in a supported learning environment. The program also incorporates simulation scenarios based on Cabrini’s risk data with a focus on patient deterioration, communication skills and cognitive impairment. In 2019-20 our team provided learning opportunities and clinical support to over 67 graduates.

Postgraduate Program Cabrini offers several postgraduate programs to support nurses to expand their scope of practice and pursue their personal and professional development goals. We offer courses in Cancer Nursing (University of Melbourne), Emergency Nursing (Monash University), Intensive Care Nursing (Monash University), Perioperative Nursing (Monash University) and Cardiac Nursing (La Trobe University). We have a team of dedicated Clinical Support Nurses who provide clinical learning opportunities to assist course participants to contextualise their academic learning. There are currently 25 postgraduate nursing students progressing well through their studies alongside six allied health staff members who are undertaking postgraduate qualifications. A further four allied health staff members are completing Higher Degree by Research.

Curriculum Development Nursing, allied health and medical staff have access to a wide variety of professional development opportunities. Cabrini’s eLearning platform, provides staff with access to eLearning courses that support their clinical practice and align with workforce needs. This platform also offers bookings into face-to-face workshops where staff can apply their knowledge, develop new skills and collaborate with peers to explore complex case scenarios and topics. Our curriculum development team have developed 44 new courses throughout 2019-20.

Clinical Support Nurses We have nine Clinical Support Nurse (CSN) roles across Cabrini that are designed to support novices, postgraduates and clinical staff. There are three additional CSN roles this year to ensure timely, context relevant teaching occurs at the patient’s bedside. In addition to this we have a clinical facilitation team who provide support to our undergraduate students and their preceptors.

Interprofessional Learning

In Situ Simulation Program Last year the Clinical Education department piloted a customer led program titled ‘In Situ Simulation Program – Clinical Handover’. The program involved collaborative design with a previous Cabrini patient, who guided the content and learning outcomes. This program set out to

(R-L) Clinical Educator Anie Abraham with ACU student Teonnie Dimitrakis and RN Carissa Long.

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NEW COURSES WERE DEVELOPED

create an authentic learning context by simulating a clinical handover scenario, utilising the past patient to encourage active consumer involvement in clinical handover and provide feedback to participants. A total of six sessions were delivered with 12 participants with approximately half of the Prahran inpatient nursing workforce. Evaluation data demonstrated that: • 86% of participants felt more confident in clinical handover and admission planning with consumer involvement • 86% believed they would change their handover performance as a result of participating in the training • 100% of participants felt the learning that occurred during the simulation training is transferable to the care of future patients • 93% of participants were satisfied with the program and felt well supported by the educators running the simulation • 93% of participants believed the program should be offered ongoing

Medical Mystery Evenings Clinical Education, nursing, allied health and medicine, facilitated a series of inter-professional learning events. These Medical Mystery Evenings focused on providing an opportunity for undergraduate students to collaboratively explore an evolving patient case and develop team based clinical care pathways. The learning session is designed to engage the participants in discussions that will promote interdisciplinary understanding and collaboration.

Simulation Centre Clinical simulation is used in the training and assessment of healthcare professionals. Cabrini’s simulation activities provide engaging learning opportunities, ultimately 121 PRACTICAL PPE TRAINING SESSIONS WERE PROVIDED promoting the delivery of safe and high quality patient care. The Simulation Centre has state of the art mannequins which provide staff and students with the opportunity to practice their skills in a safe learning environment prior to performing these clinically. Last year there were over 95 sessions held in the Simulation Centre. These sessions included; Advanced Life Support training, graduate study days, clinical skills workshops and medical student training.

COVID-19 Response

The leadership, professionalism and responsiveness of the Clinical Education department during these challenging times was recognised organisationally. The Clinical Education COVID-19 response focused on Personal Protective Equipment (PPE) training, simulation training in the Emergency Department, Perioperative Services and Intensive Care Unit (ICU). In addition, we rapidly developed a program to support nurses returning to work in the ICU to increase the ICU workforce staff numbers. We delivered over 30 sessions of PPE training which captured approximately 1700 clinical and non-clinical staff. This training is essential in ensuring our staff, patients and visitors are protected and safe and aids in reducing the spread of COVID-19. To support predicted increase in bed capacity in ICU an additional 15 nurses were upskilled in BASIC training. This course involved; lectures, case studies and simulation, which were all delivered remotely. Additionally, COVID-19 has provided many challenges for student placements and program delivery however the Clinical Education team has developed innovative models of delivery to ensure we continue to meet our focus on a smart, change enabled workforce inspiring confidence,

professionalism, expertise and excellence in clinical care.

(L-R) Graduate Nurse Raj Kayastha being supervised by Transition to Professional Practice Program Educator Louise Suttie in safe preparation and checking of intravenous medication using electronic medication management (eMM).

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MEDICAL STUDENT RESEARCH SCHOLARSHIP RECIPIENTS ($21,000 TOTAL IN RESEARCH GRANTS)

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MONASH UNIVERSITY STUDENTS ATTENDED CABRINI FOR CLINICAL ROTATIONS