Canterbury DHB CEO Update 29 June 2015

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CEO Update Monday 29 June 2015

Looking after ourselves this winter Winter has certainly hit home this week and in a devastating way. Together with Michael Frampton, GM People & Capability, I would like to acknowledge the sad loss of HR staff member Charlotte Armstrong who was tragically killed on Tuesday morning when her vehicle hit black ice near Gebbies Pass on Banks Peninsula. Our thoughts are with her family and friends. It’s a sobering reminder to us all to take extra care on the roads during winter, to check the conditions, and always drive, ride or walk with them in mind. As part of your plan to get around safely in wintery conditions, allow extra time for your journey. Harsh as our in-house weather warnings may sometimes sound, health is an essential service and we need you to get to work safely and talk to your manager early if for any reason you can’t. Check our adverse weather policy and consider what your alternative arrangements for getting to work might be, sooner rather than later. Above all though, stay safe.

Congratulations to everyone who has already had their flu jab and as always we are doing very well as a DHB, especially considering the vaccine was more than a month later this year. Our goal is to have 80 percent of staff immunised this year – a tough target, but tough targets have never held us back before. As well as getting your flu vaccine, make sure you look after yourself by keeping active and eating healthy, nutritious food which is more important than ever over the colder months. I know it’s hard to drag yourself outside or to the gym when it’s freezing, raining, or just plain miserable but I guarantee that making the effort will make you feel better and do wonders for your wellbeing. I’d also like to urge you to attend one of the Wellbeing Workshops if you haven’t already. Registrations are now open for the remaining 2015 workshops in July, August and September. There are also new Mindfulness sessions running twice a week at Ashburton Hospital, and don’t forget that for all DHB staff there’s access to free counselling for work or personal issues. Wellbeing is hugely important so make sure you take time out to look after yourself this winter. Before we can care for others we must first care for ourselves.

Miguel Lopez won a double movie pass for his selfie pic. Macpac drink bottles and a Body Shop pamper pack still up for grabs.

With winter taking hold, it’s not surprising many of us are getting a little under the weather with colds and flu germs starting to hit. It’s important to ensure you ‘immunise your selfie’ to protect yourself, your family and the people you work with, many of whom are in our care because they are vulnerable. Get your flu jab and don’t forget to take a ‘selfie’ pic and post it to our Canterbury DHB Facebook page by tagging it with #FLUHQ.

David Meates

CEO Canterbury District Health Board

In this issue »» Monday Facilities Fast Facts...page 3. »» Christchurch Hospital’s new Child Haematology Oncology Centre has a new resident...page 7.

»» Nurse Practitioner role making a difference for patients...page 8.

»» Why CDHB remote access needs another layer of security...page 10.

»» Dedicated Educating Units supporting nursing students since 2007...page 9.

»» Three weeks to go to the CDHB Certification Audit...page 14.

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CEO Update

Bouquets Wards 10 and 14, Christchurch Hospital and Rangiora Hospital I would like to thank everyone so much for the service and help all doctors, nurses and staff have given me in the last six weeks at Christchurch Hospital and especially at Rangiora Hospital. You are all very special people. Ward 1, Ashburton Hospital To the nurses and doctors of Ward 1 who looked after our dearly loved wife, mother, grandmother and great grandmother during her short illness. Thank you for taking such good care of her, and us, her family. She was a huge part of our lives and will be sadly missed. A letter sent to Mr Saxon Connor, Pancreatic Surgeon, Christchurch Hospital Dear Mr Saxon Connor I am writing to thank you. I am not sure about you (or any others for that matter) but the dusty eaves of my memory carry a bank of visual bites of moments I have captured. While I’d like to think the shelves would be full of beautiful vistas of those, oh-so-ever elusive Zen-moments, I have found instead that they tend rather to be stocked with life-altering flashes, both good and bad. Not so much the outcomes that sneak up on you but the ones that are so blatantly defining that when they are happening you know life is never going to be the same again. I have a new moment and it contains you. You, a near stranger – and my beloved mum.

We had not met until the day I came to Outpatients with [my mum]. We met once again the following week but I doubt, because you will not be operating on her, that we will ever meet again. Thus I am writing to tell you how grateful I feel. As an aside, we fully endorse your strong guidance not to operate. I once read that the operation with the best outcome can be the one a surgeon decides not to do. Independence matters and your encouragement to leave my mother with hers at a time when the things she actually has left are diminishing, is appreciated. So thank you Mr Saxon Connor. I am extremely grateful to you. I envy your grace and compassion. I am in awe of the responsible tasks you undertake in a regular working day at the coalface of life and death. Suddenly my own semi-responsible job looks like child’s play. You took an unbearable situation and made it not only palatable but also meaningful. I hope to be better from the privilege of watching you in action, fully present with us and the emotion of the moment, in that moment. Surgeons put things right, and even now, I feel that writing this to you has assisted in healing me. Thank you for helping me to piece the bits together. Editor’s note: This letter has been abridged due to space restrictions. Lincoln Maternity Hospital The care at Lincoln is fantastic and I cannot compliment the staff enough.

Birthing Unit - Rangiora Hospital Just wanted to say a huge thank you to all the staff at Rangiora Maternity Hospital. Third time here and so wonderful. Staff are so supportive and friendly and the food is awesome! It definitely has helped me to feel more rested and ready to face reality :-) You all work so hard and it is greatly appreciated! Thank you again. Rangiora Convalescent Unit Excellent meals and help where needed. Encouraged to regain strength and confidence post op. Lovely friendly atmosphere. Rangiora Convalescent Unit Atmosphere good and staff pleasant and caring. Food more than adequate and varied. Gynaecology Ward I would like to compliment all the nurses and doctors, orderlies and everyone else that worked during my stay. I admire the compassion, empathy and general care I was given. It was a really difficult time for me, but it was made so much easier by the wonderful staff. Thanks. Gynaecology Ward Thank you to all the staff on the Gynaecology Ward for the treatment I received during my stay. A special thank you to my day nurse Katherine C and also a big thank you to the nurse aids who do a wonderful job. Vivien (nurse aid), what a lovely woman you are, keep up the good work.

Lincoln Maternity Hospital The staff have been lovely, helpful and respectful. cdhb.health.nz 2


CEO Update

Monday’s Facilities Fast Facts

In May we flew a quadcopter over the Burwood site for the second time, to film our progress. The resulting video is now ready to view on the intranet, as well as on the CDHB website. It shows, area by area, how the architects’ plans are being translated into reality. The photo shows a frame from the video, looking west across the outpatients and ward blocks.

Staff can now also view Dan Coward, GM of Older Persons’ Health and Shared Services, talking about project progress to date. Follow this link on the intranet.

Christchurch At the rear of the Eyes outpatients department, the ground is being prepared for the forthcoming electricity substation building. Because the site is so close to existing buildings that contain sensitive equipment, including the Eyes department, Endoscopy and the Labs building, vibration and noise must be kept to a minimum. To help build an underground fuel tank, a silent sheet piler is currently on site. The piler grabs and pushes the 12m long steel sheet piles into the ground, with about 250 tonnes of force, instead of vibrating them or hammering them. The only noise comes from the generator used to power the rig. User group news User groups have begun feeding back to the design team on their review of the detailed design plans and room data sheets for the Acute Services building. At the end of the process each user group will have an agreed list of actions to resolve plan and room data sheet issues. These will then be incorporated in the next set of plans delivered by the design team. This process is expected to take the next three-four weeks to complete.

Above: A silent sheet piler is currently on site at the rear of the Eye outpatients department.

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CEO Update

Arcade games without the bugs Children receiving treatment in our Child Haematology Oncology Centre (CHOC) have an awesome new toy that provides a welcome distraction from the day to day challenges they face in their patient journey. Using recycled and salvaged materials, Biomedical/Electronics Technician, Lawrence Quek and some of his colleagues, have created a retro, arcade style game for them to use. Lawrence came up with the idea of a gaming machine because he wanted to create something the children could play together with other children on the ward, or with parents or family members. He has configured and tweaked an old computer system with 50 games to replicate a real arcade system, all vetted to be suitable for the wide age range of the children in CHOC. Most of the children’s parents will know the games from their own childhood days – so will be able to play easily enough.

“It’s been built with infection control in mind. All the surfaces can easily be cleaned down between uses. It has volume control so players can quietly listen to the ‘old school’ gaming arcade sounds. I just think Lawrence has done a fantastic job,” says Chris. Charge Nurse Manager for CHOC, Chrissy Bond thinks it will be a great distraction from everything else that’s going on. It will encourage the children to get out of bed, which is better for their physical and mental health as it makes them feel like they are in the mall in “Time Zone”. “However if needed the game can be wheeled right up to the bedside. As it can be a two player game, the kids

can get a little competitive, which also is great for helping them break the ice with the other children,” says Chrissy. Deanna (pictured right sitting next to game creator, Lawrence Quek) was the first to try out the game on the ward. Her mother, DJ Lambert says it is brilliant. “Deanna loves the Timezone game centre but it’s ‘full of germs’ and too risky when you have a child with cancer. So this way it’s like bringing “Timezone” to her.” You can follow Deanna’s journey here and here, see her fundraising page here and her facebook page. Below: Deanna with game creator Lawrence Quek.

It took Lawrence about a month to build – most of it was done in his own time. Medical Physics Bioengineering team leader, Chris Morison says he’s very impressed with the level of detail Lawrence has put into designing the machine.

Canterbury Grand Round Friday 3 July 2015, 12.15 to 1.15pm, with lunch from 11.45am. Venue: Rolleston Lecture Theatre Speaker one : Emma-Jane McDonald, Haematologist Speaker two: Andrew Collie, Consultant Psychiatrist “Premature Mortality in Psychiatric Patients” “As a group, people with mental illnesses have high mortality rates, and lower life expectancy than the general population. Suicide is only one cause of the excess mortality. Many patients die prematurely from preventable medical conditions.”

Chair: Peter Ganly Video Conference set up in: »» Burwood Meeting Room »» Meeting Room, Level 1 TPMH »» Wakanui Room, Ashburton »» Administration Building, Hillmorton All staff and students welcome Talks (with Speaker approval) will be available in two weeks on the intranet. Next Grand Round is – Friday 10 July 2015 Convenor: Dr RL Spearing Email: ruth.spearing@cdhb.health.nz

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CEO Update

There’s no ‘I’ in Dry July team One of the fun things about signing up to Dry July is being part of a team. You can create and name your own or join an existing one. Our Oncology/ Haematology team has created the “CDHB & Christchurch Hospital DJ Team” and invites any CDHB staff member to join it. Iain Ward, Radiation Oncologist and Dry July champion says he’d like it to be an inclusive team. “Many cancer patients are treated by Canterbury DHB teams other than Oncology and Haematology. We invite them to join with us to raise money for Dry July-funded projects that will improve the wellbeing of cancer patients, wherever they come into contact with Canterbury DHB,” says Iain. The team is also organising a number of other fundraising events – lend your support: »» Non alcoholic punch stand – next Tuesday 30 June, 11.30am1.30pm, foyer by Great Escape Café, Christchurch Hospital. Come along and grab a drink – gold coin donation »» Bake sale – Thursday 9 July, 9am – 11am, inside front entrance of Christchurch Hospital »» Raffles – end of July. If you can help with any of these events (raffle prizes, baked goods etc) please email Hayley Beckman. You’ll find more information on our Dry July webpage. Sign up now for Dry July and support adults living with cancer who receive treatment from the Canterbury Regional Cancer & Haematology Service (CRC&HS).

Department of Psychological Medicine, University of Otago, Christchurch & SMHS CDHB Tuesday Clinical Meeting

Special notes These meetings will be held on a weekly basis (except during school holidays).

Tuesday 30 June 2015

»» A light lunch will be served at the School of Medicine venue, 7th Floor, from 12 noon.

12:30 pm – 1:30 pm

»» Psychiatrists can claim CME for attending these meetings.

Venue: Beaven Lecture Theatre, 7th Floor, School of Medicine Building, University of Otago

»» The sessions will be broadcast to the following sites:

Title: “A joint treatment group for Binge Eating Disorder” Presenter: Rachel Tauamiti (Clinical Psychologist) of the South Island Eating Disorders Team Abstract: The presentation will focus on the clinical characteristics of Binge Eating Disorder, the comorbidity of Binge Eating Disorder and Type 2 Diabetes, and a joint treatment group provided by the Diabetes Centre and the South Island Eating Disorders Service. Preliminary results from this pilot Cognitive-Behavioural Therapy group will be presented.

For TPMH attendees the venue is the Child, Adolescent & Family Inpatient Unit, Ground Floor. Access is from the main reception at TPMH. For Hillmorton attendees the venue is the Lincoln Lounge, Admin Building, Hillmorton Hospital The dial in address is: Psych Med Grand Round. If you have difficulties dialling in please call 0800 835 363 to be connected.

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CEO Update

Good Sort retires from Ashburton role Following her boyfriend to Ashburton at the age of 18 turned out to be a great move for Yvonne Luxton, who retires from the Ashburton Hospital’s Laboratory on Friday.

grandchild due in October and a wedding in November, it’ll be the end of the year before they know it.

She was originally from Waimate and upon finishing school, she applied for three jobs – Dunedin, Timaru and Ashburton – and was offered all of them.

She will be missed by her colleagues in the lab, who nominated her for the’ Good Sort of the Month’ award for her hard work, dedication and great teaching ability to new people in the lab.

With a boyfriend in Ashburton, the choice became simple, and it’s a choice that she is very happy with, considering that boy is now her husband.

“We’re going to miss her warmth and understanding, her caring attitude and her dedication to both her work and her colleagues,” Jackie Wright said.

Yvonne started at Ashburton in 1969 and in those days, you completed your training on the job. It was an unusual choice at the time, when most of her peers went on to become nurses or teachers, but she liked science and maths.

Editor’s note: This story was sourced from the Rural Rave newsletter

The lab technician worked for three years up to her intermediate certificate and then took a number of years off to get married and raise five children. Once they all grew up, there was a job advertised back at Ashburton Hospital and despite being nearly 50, she was happy to jump back into the working world. Since then, it’s been 15 and a half years of work, 12 grandchildren (with another on the way) and one greatgrandchild. But Yvonne has loved every minute of her time in the lab, and intends to come back as a casual – if she can find time. With a husband newly retired as well, they’ve got quite a full schedule – especially considering he’s just written a book. Throw in a national show in Wellington in September, a

2015 Quality Improvement and Innovation Awards Key dates The Canterbury Health System Quality Improvement and Innovation Awards are back in 2015! Written submissions are due 24th July, email to Amanda.Bielski@cdhb.health.nz Entrant Materials are available on the Awards Page at Quality and Patient Safety. The contribution of Assessors is essential to the success of the Awards programme. Please email Amanda.Bielski@cdhb.health.nz to register your interest in being an Assessor this year.

Above: Yvonne Luxton.

The Awards recognise, reward and publicly acknowledge the excellent quality improvements and innovations taking place within the Canterbury health system. Entrants are invited to submit EITHER the full Written Project Submission OR a Poster Submission outlining the quality initiative.

Become a mentor, assessor or enter your project in 2015 Written Project Submission Expression of Interest form due

24 April

Mentor Workshop

20 April

Assessor Workshop

20 July

Written Project Submission

24 July

Assessor Site Visits

7-18 Sept

Poster Submission Expression of Interest form due

Poster Submission due

Quality Improvement and Innovation Awards Ceremony

7 August

28 August

2 November

The awards are open to all DHB staff and providers whose services are funded by the DHB. For more information including entrants guides visit the Awards page on http://cdhbintranet/Corporate/Quality/SitePages/Home.aspx or email Amanda.Bielski@cdhb.health.nz

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CEO Update

CHOC brightened with artwork – and a giraffe Christchurch Hospital’s new Child Haematology Oncology Centre (CHOC) has a new resident. ‘Dot’ the Giraffe took up residence on the ward on Friday. The Giraffe was purchased and donated by the Child and Adolescent Cancer Trust. Christchurch artist Justine Ottey has spent a great deal of her time towards getting Dot prepped and ready for her big move to her new home in CHOC. A very pale ‘Dot’ fitted right in and was welcomed by the ward’s existing residents who plan to brighten up her complexion with a splash of colour with a range of test pot paints kindly donated by Dulux. “The whole idea is that the children will be able to paint Dot and she will eventually be completely covered in bright paint and all the children will have a connection to her,” said Chrissy Bond Charge Nurse Manager. Also set to brighten up the ward in the family areas is a quirky piece by our very own Tin Man (Tony Cribb), donated by Corbel Construction, as well as three gorgeous paintings donated by parents of a former patient. “It’s so nice to be able to put something up on the walls for families to admire and look at and perhaps even lose themselves in for a moment as means of escape, especially when they so much stress and worry going on for them here.”

Above: Zucchi Leonard - House Manager, Ronald McDonald, Matthew Mark –CEO Ronald McDonald House South Island with Issy Cowlishaw – patient in CHOC.

Do you enjoy eating kiwifruit? Do you use kiwifruit to help keep your bowels regular? Plant & Food Research are looking for volunteers for a study looking at the effects of kiwifruit on gut health. This is a 16 week study which involves eating kiwifruit and pysllium (fibre). We require people aged 18 to 65 years who suffer from constipation or suffer from irritable bowel syndrome (with constipation).

Above: Patients from CHOC meeting the new additon to the ward.

You will be required to visit 40 Stewart Street, Central Christchurch for periods of 30 minutes on 6 occasions. You will be reimbursed for your participation.

To find out more about the study contact: Sarah Eady on (03) 325 9671 or 027 476 6137. Email: sarah.eady@plantandfood.co.nz

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CEO Update

Nurse Practitioner role making a difference for patients Gill Currie is Christchurch’s first Nurse Practitioner (NP) working exclusively in urban General Practice. Gill has over 30 years of nursing experience within many areas of Canterbury DHB, including a role as Clinical Charge Nurse. She worked in General Practice for over 14 years after leaving secondary care. It was a desire to offer an expanded clinical service to patients and increase her own knowledge that led her to study to become an NP– a role she has held for the past year. “When I moved into a community setting I began to increasingly recognise and value the role patients have in their own healthcare,” Gill says.

progression to the NP role. “While there has been a small number of negative comments from some quarters, by far the majority of feedback is positive and supportive. I have patients who request to see me specifically and who seek the opportunity to enrol with me.” Gill says her valued and respected GP colleagues and GP mentor at Ferry Road Medical Centre recognise that the NP role and its scope requires collegiality and collaboration.

the changing nature of the nursing scope.” Gill is looking forward to further progression of the NP role with legislative changes currently in final progression through Parliament. “The ‘Omnibus Bill’ will further advance NP’s ability to practice without the confines of the current legislative constraints. This will further enhance our autonomous clinical practice and thereby directly benefit patients,” Gill says.

“They have not only supported me, but accepted the challenge of

At the same time the nursing role was developing and becoming more autonomous. “I really valued the progression and advancement of nursing that would enable us to offer patients an expanded service. I decided to make my foray into a Clinical Master’s qualification because being grounded in clinical practice is where I felt I could make a difference”. Gill says that it quickly became apparent that post graduate study was indeed enabling her to make a difference to patients. “Being an NP gives me the opportunity to practice autonomously and independently and enable increased access and choice for patients. The trusting relationships I already had with patients increased to another level.” Gill says reaching her goal involved many years of arduous work, academically and clinically. She feels privileged to be surrounded by nursing and medical colleagues who have supported and enabled her Gill Currie

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CEO Update

Dedicated Educating Units supporting nursing students since 2007 Dedicated Educations Units (DEUs) have been supporting nursing students since 2007. Back then there were five units and now there are 40. The next exciting step is that this year Child Health and the Acute Medical Assessment Unit (AMAU) teams will adopt the DEU model and other clinical areas are discussing how the model could work for them. Canterbury DHB Executive Director of Nursing, Mary Gordon says the DEU model is the preferred model of clinical teaching and learning for nursing students in Canterbury and the West Coast. The Canterbury DEU model continues as a successful partnership between the Canterbury DHB, West Coast DHB and the Christchurch Polytechnic Institute of Technology (CPIT). DEUs are dedicated to supporting nursing students on clinical placement. The unit encourages collaborative relationships between students, staff and lecturers. A minimum of six nursing students is required for each DEU to function effectively. The unit has two key roles, the Clinical Liaison Nurse (CLN), who is a Registered Nurse (RN) and Canterbury DHB/West Coast DHB staff member and the Academic Liaison Nurse (ALN), a CPIT RN staff member. These two roles work collaboratively to ensure the student integrates theory into practice and are jointly responsible for facilitating the student placement and completing all student assessments. “The DEU partnership between CPIT, Canterbury DHB, West Coast DHB, Nurse Maude and Health Care NZ, is very strong, with representatives from each organisation meeting regularly to ensure planning, maintenance and innovation of student learning and clinical readiness is achieved,” says Mary. In 2014, CPIT placed 518 students into the Canterbury DHB/West Coast DHB DEU’s and a further 68 students into the DEU’s in the community setting. These students were completing the Bachelor of Nursing Programme, Diploma in Enrolled Nursing, Competency Assessment Programme or the Master of Health Science programmes. “The success and growth of the DEU model in Canterbury and on the Coast is dependent on the support, skill, enthusiasm and dedication of all DEU staff. We are very privileged to be working with such committed clinicians,” says Mary “Thank you for sharing your knowledge and clinical expertise and contributing to educating our future nursing workforce.” DEUs are currently running in 50 areas across the Canterbury and West Coast health systems. These include the Emergency Department, Medical, Surgical, Specialist Mental Health Services, Women’s Health, Older Person’s Health and Rehabilitation, Community Nursing Services and Ashburton and Grey Hospitals. The West Coast DHB successfully implemented the DEU model in 2014. Nelson Marlborough Institute of Technology and CPIT have integrated clinical placement to meet the needs of students from two educational institutes.

Below left: The child health educators who are helping to prepare the team for DEU implementation for semester two this year. From Left to right, Tracey Bruce, Becky Conway & Alison Duggan.

Child Health team

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CEO Update

Why CDHB remote access needs another layer of security Many Canterbury DHB staff find it convenient to be able to access emails or even their work/clinical desktop from a remote location, including from home. Up until now (and until the end of the month), all you had to do was to visit the Canterbury DHB website, click on ‘Webmail and Staff Resources’, then sign in as you normally would at work. We are about to add an extra layer of security, and for very good reasons. From July 1 you will be required to supply a 6 digit passcode in addition to your login and password. CDHB emails contain confidential and private information. Our choice is to either stop using internal email for any matter that might be confidential or to improve the security. As a DHB we have taken the second option - health systems around the world are experiencing ever more frequent attacks on security. We have a responsibility to minimise potential risks to confidential information and to protect the integrity of our systems. Stepping up security on remote access is now essential and having to put in an extra six digit number is a pretty small price to pay.

should have a lock code on them to enhance security. If a device is lost or stolen and that lock code is somehow bypassed, the users would still need to know how to use the MobilePASS App and the network user name and password for that person before they could access emails. So, what do you need to do before 1 July? Either (and this is the strongly recommended option) install the MobilePASS application on a compatible smartphone (see list below) that generates a one-use passcode every time you need to login externally. There is no cost for MobilePASS. Compatible Phones: »» Apple iOS from Version 5 »» Android from Version 1.6 »» Windows Phone from Version 8.1

There is a SharePoint page set up by ISG that can be accessed from the intranet homepage via a very prominent button, or click here for more detailed information if you need it: 2FA Enrolment and Application Guide Or, and really only if you can’t install the App for some reason, request a physical token but you may have to wait a while as we have none in stock. A physical token is about 5 x 2 x 1 cm and can attach to a keyring\lanyard. It too generates a single use passcode for each time you need to login. There is a one-off cost for these tokens that could be anywhere in the range $25-50, so you will need to provide a cost code and confirm where you would like it sent when you request one by completing the appropriate request form. One final piece of advice/note of caution: People have been providing their passwords when requesting tokens and you shouldn’t share passwords, not even with ISG staff.

Smart phone email is not affected by this additional security level, which is why it’s so important that all phones or tablets used to access work emails or systems

Public Health Association Conference 2015 This year’s Public Health Association Conference, the public health event of the year, will take place in Dunedin 7-9 September (with opening activities taking place on 6 September). The overarching theme of the conference is “Public Health is everybody’s business”. Only by working together across society we can achieve much more than the sum of our individual efforts, and we want to look at how we can better achieve this right now as well as into the future.

discussion, this is the place to be. Some great and interesting speakers are already lined up and you can also expect some pretty awesome and enlightening parallel sessions and posters. The Conference will be central to your professional development, but will also provide a wonderful opportunity to share your experiences on an informal level and to network with like-minded colleagues. Early bird registrations close 29 July and we encourage you to get in early to save money. Full registrations close 20 August. Find out more and register at http://conference.pha.org.nz.

If you want to be part of this thought-provoking and stimulating cdhb.health.nz 10


CEO Update

Plots and farewell hijinks for Tuarangi healthcare assistant Owen Hawkes was well prepared for his last day at Tuarangi Home last week, where farewell hijinks are a well- known tradition. He started the day equipped with a change of clothes in case he was thrown in the shower, but spent part of the day tied to the main entrance sign covered in toilet paper. It was just an example of the fun times he’s spent working there, as a career of 38 years with Ashburton and Rural Health Services came to a close. It was sad to say goodbye after so long, but Owen said he is getting to the stage where he’s not as young as he used to be. He spent nine years working in the old Tuarangi, before moving on to the old Ward 6. He returned to Tuarangi in 1998, but still remained a face around the hospital, splitting his time between the two sites for many years.

plotting against you,” he said. Other than continuing to volunteer, Owen said there were no other real plans for retirement, other than probably downsizing the house. There will be more time for dog walking, for pottering in the vege garden and for spending time with grandchildren, and he was more than happy with that. A farewell afternoon tea for Owen will be held at Tuarangi on Thursday the 2nd of July at 3pm. Editor’s note: This story was sourced from the Rural Rave newsletter.

It means he knows a lot of people, whether it’s by name or just by face, and it means he will miss a great bunch of people that he’s worked with. He’s not washing his hands of the place completely though, already having signed up as a volunteer to help at Tuarangi at meal times. “The patients do remember you and have a bond so I can’t just walk out of their lives like that. “I’ve seen a lot of things in my time but patients are what makes it special—they’re what kept me coming back,” he said. He originally got into caring following a heart operation. He had been working as a machinist at the old meat works but always wanted to help people. Since then, he’s made some great friendships, including those who helped stitch him up on his last day. “What goes around comes around, and I’ve helped with a few in my time. It’s become a bit of a tradition that you either have to leave clean (by going through the shower) or be done up so I was prepared for it.

Above: Owen Hawkes was well prepared for his last day at Tuarangi Home last week, where farewell hijinks are a well- known tradition.

“If you’re leaving after so many years, you know they will be

Professional Development & Recognition Programme Important dates »» PDRP New Assessor Training 25 and 26 August »» Resource Person Training 17 September A reminder for anyone looking to submit their PDRP Portfolio in September, October or November. We only take a maximum of 10 portfolios on these submission dates and you are required to book in. To book a place email Seonaid.macmillan@cdhb.health.nz

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CEO Update

One minute with… Adib Khanafer, Vascular, Endovascular and Transplant Surgeon What does your job involve? I am a Senior Medical Officer in vascular, endovascular and renal transplantation. Why did you choose to work in this field? It is one of the most challenging surgical fields and requires superb surgical skills, endurance and stamina. What do you like about it? »» The satisfaction of helping my patients and bettering their life. »» I enjoy training junior surgeons. »» Planning difficult interventional procedures with my radiology colleagues. »» Performing complex difficult surgery. What are the challenging bits? The variety and the complexity of vascular and endovascular surgery. Endovascular surgery is a new, challenging field and at Christchurch Hospital we have performed successful surgery, some of it being the first in New Zealand and others one of the few such procedures in the world.

Who do you admire in a professional capacity at work and why? Prof. Justin Roake, for sound advice.

My favourite music is… All (but not Hard Rock)

Prof. Frank Frizelle, for support and having me in his iPhone contact list under “The Best Vascular Surgeon in The World”. Dr Andrew Laing, for calmness and taming down my challenging, crazy ideas. Interventional radiology staff, for hard working and smiles, all the time, 24/7. Theatre staff, for their encouragement and never turning down my challenging, emergency cases. The last book I read was… Fiji, by Daryl Tarte If I could be anywhere in the world right now it would be… Kuwait, where my parents are. My ultimate Sunday would involve… Lying on the couch watching television in peace, or in theatre doing emergency vascular surgery.

Adib Khanafer, Vascular, Endovascular and Transplant Surgeon

If you would like to take part in this column or would like to nominate someone please contact Naomi.Gilling@cdhb.health.nz.

One food I really dislike is… None

Volunteer Chaplain Assistants training People from various Christian churches in Christchurch are in training to become assistants to the team of professional Chaplains in our Christchurch hospitals. All have experience in pastoral care, and are motivated by a desire to be a listening ear, a gentle presence, and a source of comfort for the sick, says Chaplain, Hilary Barlow.

Volunteer Chaplain Assistants, Class of 2015: Back row, from left, Kate Hamilton, Lorna Robertson, Trudi Bouman and Barry Gallen. Front row, from left, Lorraine Harris, Wilhelmina Wynia, Merle Stead, and Brother Dennis Turner. Absent: Alison Carter, Joan Carroll.

After completing the basic course they will continue their training by visiting patients on the wards under the supervision of a Chaplain.

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CEO Update HQSC Safe Use of Opioids National Collaborative Update Learning Session two for the national opioid collaborative was held at the Hagley Pavilion in Christchurch (23–24 June). Teams from the District Health Boards learned about quality improvement methodologies and tools through theory and group exercises – the focus of the session was on measurement and testing (using Plan-Do-Study-Act). The learning session was supported by Dr John Krueger, from the Institute for Healthcare Improvement in the United States. The session also set out to equip participants to:

For more local details or to share your work or ideas on reducing harm from opioids contact the CDHB Project Lead Mary Young, Medication Safety Pharmacist maryy1@cdhb.health.nz

»» learn methods to accelerate testing of changes and improvements »» develop a strategy and a plan for action period two.

To read the latest Open for Better Care e update click here

The Canterbury DHB team are currently focusing on the acute surgical setting with the introduction of opioid dosing

Wellbeing Workshops Registrations are now open for the remaining 2015 workshops in July, August and September. Click here to register Mindfulness – new sessions running in Ashburton NEW - 20 minute mindfulness sessions running twice a week at Ashburton Hospital. Click here for details Free counselling available to all staff Free and confidential counselling is available to all staff – for work or personal issues. Click here for more information Social Interest Groups Click here to visit the SIG intranet page. Have some fun with like-minded colleagues – or start your own group! For more information on all wellbeing initiatives visit the Staff Wellbeing Programme intranet page. Andy Hearn, Staff Wellbeing Coordinator Canterbury and West Coast DHB Phone: 03 337 7394 | Ext: 66394 | Mobile: 027 218 4924 | andy.hearn@cdhb.health.nz

The two days were a good opportunity for the DHBs to share progress notes and discuss what has worked and what has not in the drive to reduce harm (constipation, nausea and vomiting, respiratory depression) from opioids. The next Learning Session will be held in October in Auckland with the aim to complete the project by March 2016.

»» develop change ideas to reduce harm associated with opioids and learn how to apply them practically

Staff Wellbeing Programme: Staff Wellbeing Workshops – learn to actively manage your wellbeing

guidelines. The aim is to reduce uncontrolled pain to pain scores < 2. The team comprises representatives from the Acute Pain Team, nursing, pharmacy and quality departments. The work is ongoing with weekly data gathering to check pain scores – is the pain under control? This data is then checked against respiratory rate and sedation scores to confirm we are not causing other harm.

Wellbeing Workshops

“ The greatest wealth is health

-Virgil

2015

For All CDHB Staff To support your wellbeing, the CDHB Staff Wellbeing Programme and MHERC are running a series of 2.5 hour wellbeing workshops. The CDHB acknowledges the crucial role you play in the delivery of high quality care to the Canterbury community. In the current Christchurch environment it is more important than ever that you take the time to focus on your own wellbeing.

2.5 hours to focus on YOUR wellbeing! We are running a number of workshops in 2015 to allow you to put your wellbeing first. Evidence suggests that by doing this, those around you – your family, friends, your colleagues and patients will also benefit. Workshop Overview: • The importance of wellbeing; psychological and emotional effects • Learn about stress responses and how to cope with stressful environments • Understand the science and practice of applications of self-care • Appreciate the progress of recovery for communities and individuals • Gain skills and take ownership of tools for increasing your own and others’ wellbeing • Improve your health and wellbeing: 5 Ways to Wellbeing, Staff Wellbeing Programme • Enhance positive relationships and social connections Workshop Details:  All workshops run for 2.5 hours, including refreshments  For dates and to register for a workshop click here Facilitated by Alison Ogier-Price MSc Psyc, B.Comm, BA Hons, C.AT, MNZAPP

Click here to register

For more information contact: Lee Tuki Lee.Tuki@cdhb.health.nz 027 689 0285 Andy Hearn Andy.Hearn@cdhb.health.nz 027 218 4924

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CEO Update

Three weeks to go to the CDHB Certification Audit The full CDHB Certification Audit against the Health and Disability Standards will take place from Monday the 20 July to Thursday 23 July. During this time auditors will assess the Canterbury DHB’s Compliance against the Health & Disability Standards. The Audit will take place using the tracer methodology and meetings with key staff. Tracers are done within the main service areas i.e. Maternity, Medicine, Surgery, Rehabilitation and Mental Health. The patient tracer methodology is used to assess standards related to the continuum of care and consumer rights. Tracer methodology is an evaluation method in which surveyors select a patient and use that individual’s record as a roadmap to move through an organisation, to determine the consistency of care provision and treatment for patients. A complex patient is chosen from a small sample. Complexity is based on the number and types of services a patient has received and not necessarily the complexity of the medical condition. Charge Nurse Managers assist with the selection and verbal consenting of patients selected for tracer audits on the morning of the audit. If consent is not granted another patient will be chosen.

that the individual received care Auditor will then go through the notes noting multidisciplinary involvement, nursing care plans, consents, transfer documentation, clinical notes etc. Medication charts are also reviewed to look for: allergy status recorded, patient ID, discontinued meds signed for, evidence of pharmacy involvement etc. Auditors will then talk to as many staff associated with patient as possible, eg physiotherapist, OT, Registrar/house surgeon/consultant, nurse looking after patient that day, pharmacist, social worker. The auditor will then talk to the patient (if appropriate) and their family/whanau. Staff are also asked about the training they have had to maintain their competence or the orientation they received when they started working in the clinical area. If concerns or anomalies arise then the technical expert will review additional patient files to verify processes or issues. During the tracer, the audit team member will observe care, treatment and services being provided, medication processes, infection control issues, process for planning care and the environment as it relates to the safety of individuals.

Surveyors then retrace the specific care processes that an individual experienced by observing and talking to staff in areas

College of Science Department of Psychology

PARTICIPANTS WANTED EEG Study: Alcohol, Personality and Attention

Wanted:

Smokers and Non-Smokers For a study that will test the effectiveness of smartphone apps for smoking-cessation.

Looking for people aged 18-50, who drink alcohol

EEG headcap records brain activity

to complete some questionnaires + simple problem-solving tasks + a visual task

@ NZ Brain Research Institute 66 Stewart Street (near CHCH hospital)

Participants receive a $20 voucher for their time (one session of 2—2½ hours)

 visit http://bit.ly/1EZkNH1 for more details and to sign up or  jessica.langbridge@pg.canterbury.ac.nz

 This study has been reviewed and approved by the University of Canterbury Human Ethics Committee

Involves two visits of 2 hours performing simple cognitive tasks while recording brain activity.

Follow bit.ly/1N5YsPS to complete the screening survey and see if you’re eligible!

Smokers will use smartphone* intervention for 22 days, designed to help you quit smoking!

Participants will receive a $20 grocery or petrol voucher for their participation.

* Smoking participants must own an iPhone 4 or later a phone with Android Version 2.3.3 or later.

Email stephanie.henderson@pg.canterbury.ac.nz or text 022-341-0867 for more info.

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CEO Update

FREE professional advice for a warm, healthy home Build Back Smarter is a FREE, face to face, home improvement advice service available to all home owners and landlords in the Greater Christchurch area. Thinking about home repair or renovation? Want a warmer, dryer, more efficient and healthy home? Talk to the experts. Your chance to Build Back Smarter: »» Free »» No obligation »» Face to face »» Professional advice tailored to your needs and budget »» Available to all homes in Greater Christchurch

YOGA

»» Advisors provide a prioritised list of ways to improve the health, comfort and efficiency of your home »» Subsidies are available for some households Your home assessment will consider: »» Insulation »» Heating »» Ventilation »» Lighting »» Glazing »» Draft stopping »» Water efficiency To find out more or to book your appointment: www.buildbacksmarter.co.nz

FOR STAFF

Join Lisa and Sarah at Christchurch

Campus (Lounge of the great escape) Monday (Lisa) 4.45pm - 6pm

Monday and Wednesday (Sarah) Flexibility is NOT a prerequisite ...each class provides a level of options for a beginner Hatha practice –

enabling you to practice at your own pace & within your own capabilities.

Email: Lisa- aljwood@clear.net.nz

Sarah- yogasavitri@hotmail.com

Please notify instructor before attending a class

12.30-1.30pm Only $10 Concession cards available

Please bring a yoga mat, your drink bottle and comfortable clothing.

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CEO Update

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