CE_ Upd_te Monday 22 August 2016
New facilities at Burwood Hospital officially opened by the Prime Minister last week Following a welcoming mihi from our GM of Māori and Pacific Health, Hector Matthews, a waiata from the Māori Health team, and a second waiata from the Rockers of Ages choir, the Prime Minister was introduced to the assembled guests by Canterbury DHB chair Murray Cleverley. The Prime Minister, the Rt. Hon John Key was then invited to unveil a plaque and cut a cake, assisted by two special guests – Geoff Dacombe, a current patient at Burwood, and Michael Turner, a former patient and volunteer at the hospital. There was a crowd of more than 300 people who had all been involved in some way in the design or build process. It was a complex and demanding project and I would like to acknowledge the huge contributions of everyone involved in the Burwood Hospital redevelopment. It has been a remarkable journey and we can all be thrilled with the results. The 100-strong Rockers of Ages choir filled the entrance foyer with song. At the end of the formalities they finished the event nicely with an uplifting rendition of Lou Reed’s ‘It’s a perfect day, I’m so glad I spent it with you….” Visitors to the hospital and customers in the Burwood café were also able to be part of the celebrations with the toe-tapping tunes, and videos showing the development of the new facilities since 2013. The Prime Minister and a number of guests toured one of the new wards and we met some wonderful patients who are enjoying the new facilities at Burwood. Thanks to everyone involved in the festivities on Friday – it was a great turn out, and provided a great chance to reflect on our collective achievements, and re-connect with some people who were involved earlier on in the process. I particularly enjoyed meeting the two special gentlemen who were invited to cut the Burwood cake: volunteer worker Michael Turner and patient Geoff Dacombe.
Above: Geoff Dacombe and Michael Turner assisted by ward clerk Linda Archbold cut the celebratory cake with Prime Minister, Rt Hon John Key.
Geoff has lived in Canterbury all his life. A builder by trade he ended up in Burwood after a fall at home. He’s been in the new wards for about three weeks and is due to head home next week. He’s also spent time at The Princess Margaret Hospital, so can compare wards and I’m reliably informed he much prefers the new wards at Burwood. We talk a lot about family at Burwood Hospital. And one person who epitomises that is Michael Turner. Michael was born with cerebral palsy and first visited Burwood Hospital ›› Article continues on page 2
In this issue »» New Zealand Blood Services’ campaign to recruit blood donors...page 7
»» More enhancements to Health Connect South...page 10
»» University of Otago Research Radar... page 12
»» Exercise tests Kaikoura’s emergency response...page 8
»» Canterbury Grand Round...page 10
»» Year 10 students donate to Christchurch Hospital Activity Room...page 13
»» Growing delicious communities together... page 9
»» New resource for Christchurch Hospital physiotherapists...page 11
»» NZMSA Sports Exchange 2016...page 14
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about 12 years ago after a fall. He spent nearly a month in ORU (Orthopaedic Rehabilitation Unit) and became a firm favourite with the staff. Michael is always ready with a smile and is quick to offer to help as much as he can. He became so popular around the wards that one day someone suggested he ‘might as well do something useful’ and they gave him the job of delivering mail. Charge Nurse Manager Caroline McCullough even organised a bright red T-shirt for him that says No. 1 Mailman – and he proudly wore it at the opening. Michael has gone from patient to part of the Burwood family. He volunteers four days a week at Burwood delivering mail, visiting patients, even helping people do jigsaw puzzles. He’s been an ambassador for Burwood on trips away, and most recently he has been an active participant in the consumer groups that had input into the design of our new facilities. Michael and Geoff did a great job reminding us why we all come to work each day, to make it better for people who use our health system.
Above: Rt. Hon John Key and Hector Matthews.
Above: Rockers of Ages choir.
Above: Hon. Amy Adams, June Shoesmith and Hon. Jo Goodhew.
Rt Hon. John Key speaking with Terri O’Sullivan and Beryl Cowen.
Above: Christchurch Mayor Lianne Dalziel with John Bax.
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The Loft – a new health, wellbeing and social services hub also opened last Friday The Prime Minister also opened The Loft on Friday afternoon. It’s a new health and social services hub based in the Eastgate Mall shopping centre. Our Older Persons Health Community team has a number of staff based in the new facility, as part of our new ‘Hub & Spoke’ model of providing services where we have staff based in the communities they serve. It was wonderful to see a wide range of health and social services – both government and NGO providers coming together to provide a true ‘one stop shop’ with a very accessible front door to the local community. You can read more about The Loft in a recent media article.
Coming together to respond to an emergency exercise in Kaikoura Last week a number of staff from our Emergency Management and Communications teams took part in an emergency response exercise in Kaikoura. The scenario involved a whale watching boat which caught fire, and resulted in mass casualties. The exercise involved a range of agencies including St John, Fire, Police, the local health services at Kaikoura Health Te Hā o Te Ora along with the local volunteers and tourist operators in Kaikoura. Read more about the exercise further in the update.
Have you thought about your blood type recently? We rarely think about our blood type, but what if that ‘type’ was to go missing? The New Zealand Blood Service (NZBS) is looking for 10,000 people to register to become first-time donors. In New Zealand, 85 per cent of the population has A and O blood types, which means these groups are most in demand. Last week the NZBS launched ‘Missing Type’ - the world’s largest blood donor recruitment campaign. You may have noticed that some New Zealand businesses, charities and celebrities have been removing A and O from names, brands and logos nationwide in support of Missing Type #MissingType #NZBlood. Read more about the campaign further in the update and take the quiz to see if you’re eligible to donate. Blood is a lifesaver and that is a pretty amazing gift. I hope you had an opportunity to get out and enjoy the wonderful Canterbury weather last weekend it was a welcome reminder that Spring is just around the corner! Have a great week, David p.s. I’m hosting a public meeting with Cashmere/Spreydon residents at the Cashmere Club at 30 Colombo Street from 6:45pm tomorrow night. I’ll be talking about our health system: how we plan, fund and provide health services. Of particular interest to the locals is the range of services available locally and the services still provided from The Princess Margaret Hospital. I will also discuss the future of the TPMH site. If you live in the Cashmere/Spreydon area you’re welcome to come along.
D_vid Me_tes
CEO Canterbury District Health Board
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Facilities Fast Facts Fast Facts - Burwood Friday 19 August saw the official opening of the new facilities for Older Persons’ Health and Rehabilitation at Burwood Hospital, by the Prime Minister, Rt Hon John Key.
Above: Bruce Chambers with Prime Minister, Rt Hon John Key.
Above: L-R: Hon. Amy Adams, Hon. Jo Goodhew, Murray Cleverley, Rt Hon. John Key, David Meates Hon. Jo Hayes and Hon. Gerry Brownlee.
Above: Staff selfies with the Rt Hon John Key.
Above: Welcoming mihi from Hector Matthews.
Staff forums Dan Coward, General Manager of Older Persons’ Health & Rehabilitation, is planning to run two staff forums over the coming days, to update staff on progress on the Burwood and Princess Margaret sites. The first forum is on Wednesday 24 August at 3 pm in the Riley Meeting Room at The Princess Margaret Hospital. The second is on Wednesday 31 August at 2.30 pm in Burwood Hospital’s Meeting Room 2.3. All staff are welcome to attend. Reminder Orange Line buses now stop on the Burwood Hospital site, and 135 buses by request. A shelter with a seat has been installed, including a real-time screen to show when the next bus is due.
Fast Facts - Christchurch Concrete pours continue at the Acute Services building site. Around 140 contractors are now on site every day. Steel erection is also ongoing, and work will soon begin to coat the steelwork in intumescent (blister-proof / fireproof) paint.
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Outpatients Compare these two photographs of the Outpatients site – one taken this week from our webcam on the roof of the School of Medicine, one taken in around 1978 from roughly the same position.
The building in the foreground of the old picture is the Avon nurses’ hostel, demolished in 1984. The photo also shows the Hospital Board offices on the left, and St Andrews Church, moved off the site in 1987. The Aulsebrook’s factory, in the right background, was a biscuit factory.
Staff influenza vaccinations – last chance! Additional clinic scheduled: »» Wednesday 31 August, 13:30 -15:00 at the Endo room (off ward 26), Christchurch Hospital Please note the clinic on Wednesday 24 August, 12:30 -14:00 at Burwood Hospital has been cancelled. (Influenza vaccine and general vaccinations)
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Bouquets Ward 16 (General Surgery), Christchurch Hospital I am writing on behalf of my husband who has been in hospital for the last six months. He was admitted with severe pancreatitis and from that time has had the very best of care. For everyone involved in his long journey we have nothing but praise. For all the care and compassion shown to him and all his family, thank you all for everything. Pre-admission Clinic, Christchurch Hospital Thank you for your prompt service. You were professional, friendly and very helpful. Surgical Assessment and Review Area (SARA) and Ward 11, Christchurch Hospital Great service, quick and prompt help. Thank you. Ward 15 (General surgery and gastroenterology), Christchurch Hospital Great service – our father after surgery has enjoyed cheerful, helpful nurses and astounded at the extent of help and support offered (outpatient care and accessories). Keep up the good work, thank you. SARA, Christchurch Hospital I had the most wonderful experience of kind compassionate nurses in the Emergency Department, SARA and now in Ward 17 for my mother-in-law. You coped with severe understaffing and never complained once. So professional! You all deserve medals of honour, thank you so very much.
Security Thank you to all security staff. You guys wait for the staff coming out from the 3pm-11pm shift in the blistering cold outside to make sure the staff are safe outside. I do not use the car park myself because I bike but I see you guys standing in the cold for us. Thank you. From two nurses. Interpreting Service We had interpreter, Jenny Barnes come to assist with an assessment in Mandarin at the Youth Specialty Service.... Psychiatric assessments are always complex with an interpreter. I thought the interpreter did an exceptional job of adjusting to what would be useful at different times in the process and also double-checking technical terms. I was impressed and would highly recommend her for mental health bookings. East crisis resolution team, adult mental health services The east crisis resolution team in adult mental health services was delighted to receive some beautiful flowers this week as a thank you from a consumer and their family. The flowers were addressed to Social Worker Lisa Greenhalgh, to thank her, and all of the Crisis Resolution staff who supported the consumer during their crisis.
Emergency Department, Christchurch Hospital Lovely, reassuring neurological nurse, Ms Wright and nurse Shannon. Very accommodating orderly Gavin. Helpful and kind. Ward 18 (Orthopaedics), CT and X-ray, Christchurch Hospital Amazing care from everyone involved in my dislocation and fracture of my humerus after a cycling mishap. Love the road cone lady. Oncology Day Ward, Christchurch Hospital Nurse Kim is wonderful, friendly, professional, kind, organised, skilled with putting the needle into the vein. A joy to have her as my nurse today.
Above: East crisis resolution staff pictured with the flowers received from a grateful consumer. L to R: RN Leonie Yu hoi (RN), Lisa Greenhalgh (Social Worker), Mark Lowerson (RN) and Jennine Percival (RN).
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With y_ur help, we c_n fill the g_ps People rarely think about their blood type – but what if that ‘type’ was to go missing in everyday life? New Zealand Blood Service (NZBS) is looking for 10,000 people to register to become first-time donors. A and O blood types are always the most in demand. Last week the NZBS launched ‘Missing Type’ - the world’s largest blood donor recruitment campaign. You may have noticed that some New Zealand businesses, charities and celebrities have been removing A and O from names, brands and logos nationwide in support of Missing Type #MissingType #NZBlood. The Service is seeking Kiwis between 16 and 65 years-old, to step up and register to become blood donors. NZBS National Manager Marketing and Communications, Asuka Burge, says “It is an ambitious goal but we are seeking 10,000 first time blood donors to join our life saving team. In New Zealand, 85 per cent of the population has A and O blood types, which means these groups are most in demand. Even if someone doesn’t know their blood type, there is a very good chance they can help. Simply by registering on our website (nzblood.co.nz/Missingtype) a first time donor is taking the first step to finding out their blood type and how best they can help.” “The idea was based on the understanding that people rarely think about their blood type, but if that ‘type’ was to go missing in everyday life, people would start to pay closer attention”. “We have been overwhelmed by the response we have had from some of New Zealand’s leading businesses and organisations. Their support and commitment to this campaign is helping us spread the message across New Zealand. New and young donors are the key to safeguarding New Zealand’s future blood supply and we want this campaign to encourage more people to find out if they are eligible and register to become a blood donor.” Currently less than four per cent of eligible New Zealander’s donate blood. There is no alternative for patients in need of blood or blood products. Put simply, blood donors save lives. NZBS currently has a database of 110,000 amazing blood donors who last year saved the lives of about 42,000 kiwis. But every year around 28,000 people leave the donor registry. “Donors are lost due to a variety of reasons; from personal choice, to no longer meeting the eligibility criteria, or to ill health and retirement. Whatever the reason, it means there is a constant need for new donors. So far this year we already have around 9,600 new donors, through various different initiatives, we also expect to successfully reinstate about 10,000 lapsed donors. This leaves a disparity of around 10,000, which is the number of donors we hope to attract with this campaign. Working together we can ensure we continue to save lives now and into the future,” continues Asuka. To find out if you are eligible to give blood take NZBS’s short quiz. If you meet the criteria please take a moment to register.
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Exercise tests Kaikoura’s emergency response systems Kaikoura was the scene for an emergency exercise this week led by Canterbury DHB involving emergency services, territorial authorities, volunteers and tourism operators. The EmergoTrain© scenario was set on tourist operator Whale Watch’s vessel ‘Paikea’ hitting a submerged object with 43 people on board. The impact splits the hull and causes a fire on board, forcing the skipper to put out a mayday call and abandon ship. The rescue exercise involved all emergency services (Canterbury DHB, St John, Fire, Police), the Ministry of Health, Kaikoura District Council, Downer, Civil Defence, New Zealand Coast Guard and tourist operators: Whale Watch, Wings over Whales and Dolphin Encounter. There was also external support from RCCNZ (Rescue Coordination Centre NZ) in Wellington and the Deputy Harbourmaster. Police were the lead agency in the response exercise and Kaikoura Police Sergeant Matt Boyce, says he found the exercise really valuable. “Everyone played it like it was a live exercise. The intensity and everything about it felt very real.
Above: From left, nurse for Kaikoura Health Raylene Clearwater, volunteer and recently retired Nurse Manager for Kaikoura Health Adrianne McNabb and Sergeant Matt Boyce.
“For me, it was comforting knowing the expertise was all there on hand. It gives me confidence we have the ability to respond and cope with the challenges something like this would bring.” Matt says he was impressed with the speed of how St John and the health centre staff worked to triage and evacuate patients. “It showed they can deal with a mass casualty event.” Matt says it also highlighted the important part the community’s volunteers play. “They are prepared to put themselves out there and do what they do but what’s really impressive is they will face up to any criticism or shortcomings if things don’t go so well.” Jenny Ewing, Canterbury DHB Emergency Planning Manager, says the exercise went brilliantly.
Above: From left, a St John volunteer, Kaikoura Station Manager for St John Don Wright and St John Emergo training instructor Steve Graham.
“I’m really happy with how it all went,” Jenny says. “It was a really good opportunity to put our systems to the test and to build some relationships with the community. “I couldn’t have done it without the support of all stakeholders involved in the exercise.” Tim Chiswell, St John Emergency Planning Advisor South Island says the opportunity for St John to support Canterbury DHB in running a multi-agency exercise such as the one in Kaikoura is greatly appreciated and will certainly pay enormous dividends to the community in an improved coordinated major emergency response. ›› Article continues on page 9
Above: From left, Steve Graham, St John Emergency Planning Advisor South Island, Tim Chiswell and Dr Chris Hendry triaging patients from the scene.
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“The EmergoTrain© exercise tool is perfect for agencies such as Canterbury DHB and St John, or indeed any response organisation, to practice their plans and procedures in a realistic and safe way. “The energy in the room during the exercise could be easily felt by all there. The Canterbury DHB, with the support of St John’s EmergoTrain© tool, was able to build an exercise that engaged everyone there. “A number of participants came up to me at the end and commented on how much they learned from the exercise about themselves, local agency plans and how we all can work more closely together in such an emergency.” Susan Fey, Kaikoura Health Clinical Nurse Manager, says the exercise was an excellent opportunity to test their emergency response systems and identify any gaps. “It really helped us see where we can improve and what we do well. It made us think about how we can be organised and ready.” Dr Chris Hendry, Kaikoura GP, says being prepared for any mass casualty response is vital. “Something like this is a very real possibility and could happen at any time. We have to make sure we have our emergency response systems well and truly thought out, and tested to ensure we are ready for whatever comes our way.” Roger Williams, Whale Watch operations manager, says the best part of the exercise had been the networking. “Being involved in this sort of thing helps break down any barriers and remove silos. It gets us all thinking about how we need to work together to ensure we can respond seamlessly. “We would hope something like this never happens but we also have to be realistic that it’s a very real possibility and we need to be able to kick into action.”
Growing delicious communities together Canterbury is on its way to being more food resilient, as a number of schools embrace creating awesome community gardens and food forests. The gardens at St Bernadette’s in Hei Hei are among them, with its gardens set to flourish after planting 30 heritage apple saplings today, which include a mixture of cooking and eating apples. Janne Pasco, Canterbury DHB Community Nutrition Advisor and member of Edible Canterbury, says network members, lead by Krystina Hill, have grafted 100 different heritage apple varieties with 500 saplings in total over the past year, which will be planted at St Bernadette’s and a number of other schools over the coming month. “The community support has been fantastic. We’ve had trees donated from the Horticultural Society, from Waimea Nurseries and of course the heritage fruit tree archive here in Canterbury.
Above: Peniamina Pua (left) and Sven Christensen (right) plant an apple sapling with the help of Xavier at St Bernadette’s Catholic School in Hei Hei today. Credit: Kirk Hargreaves, Christchurch City Council, Visual Journalist, Newsline.
“Pears, peaches and plum trees are next to be planted as the gardens start to thrive.”
It also helps to meet the five ways to wellbeing, Janne says.
Janne says the project is also part of the Health Promoting Schools programme. “A lot of children think all of their food just comes from the supermarket and they don’t connect the fact that vegetables grow from seeds planted in the ground and that they can do this,” Janne says.
“You’re connecting, giving, taking notice, learning and being active – it’s one way to do it all.” St Bernadette’s Principal Graeme Norman is a keen gardener and says we need to get people back to the cheaper and healthier option of growing their own food. “Teaching children where their food comes from and to grow their own vegies and fruit is the start,” Principal Norman says.
“Creating edible community gardens helps food security and also teaches children where their fruit and vegetables come from.”
“We are hoping that not only will our garden and orchard provide food for our community but also provide a place where the community can gather and get to know one another.”
Shirley Primary School pupils certainly know about planting pumpkin seeds and harvesting their prize pumpkins after six months of nurturing.
The apple tree planting was held today at 1pm, at St Bernadette’s Primary School, 74 Hei Hei Road, Hei Hei.
“Creating community gardens, especially at local schools, brings enormous benefit for everyone involved.” cdhb.health.nz 9
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More enhancements to Health Connect South As another example of how the Health Connect South team and Orion Health are responsive to suggestions that improve the usability of HCS, an enhancement to the Add New Document function was released as part of Release 45 which went live on the 21 July. Jacqui Hoey of Orion Heath said this improvement was made in response to clinicians telling us that they didn’t like the big long list. “With no hint of irony, an Orion Consultant was approached by a clinician and asked to ‘make it better please’. So, working in conjunction with ISG in between projects, they took up the challenge and did just that.” The new ‘Add New Document’ page now displays all documents in alphabetical order, in two columns and allows users to select favourites and save that configuration to allow them to locate those options quicker. This improvement will soon allow them to self-select frequently used documents rather than scrolling down very long lists as they currently do. HCS users will be able to choose to view the list in two columns and/or to be able to select favourites and save that configuration. Users will also have the ability to search for documents or types of documents to add. Visibility/access to the list of documents remains the same for users as the previous Add New Document view; no access rights have been altered. Follow these simple instructions.
Canterbury Grand Round Friday, 26 August 2016 – 12.15pm to 1.15pm with lunch from 11.45am Venue: Rolleston Lecture Theatre Speaker one: Dr Dave Cole, General Medicine “Medical Heuristics – How to make better decisions” There is increasing literature on the alarming rates of unintentional medical error. One of the causes is poor decision making. Critical patient management decisions often have to be made at speed and in the face of uncertainty. How do you choose the best option? Heuristics is an attempt to understand the mental processes behind decision making and recognise the mistakes that can occur.
Video Conference set up in: »»Burwood Meeting Rooms 2.3a and 2.3b »» Wakanui Room, Ashburton »» Administration Building, Hillmorton »» The Princess Margaret Hospital »» Please note Pegasus, 160 Bealey Ave is not available this week All staff and students welcome. These talks will be uploaded to the intranet within approximately two weeks. Next is Grand Round is Friday 2 September 2016 Convener: Dr R L Spearing Email: ruth.spearing@cdhb.health.nz
Speaker two: Dr Brandon Strange, Child, Adolescent and Family Emergency Service (CAFÉ) “Child, Adolescent and Family Emergency Service (CAFÉ)” This is a presentation about the CDHB’s response to the urgent mental health crisis for youth in the Christchurch region. Chair: Melissa Kerdemelidis
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New resource for Christchurch Hospital physiotherapists Physio 24/7 is an exciting new online acute care resource for physiotherapists at Christchurch Hospital. Physio 24/7 aims to support Physiotherapy staff, particularly those who are new, on-call or working after hours to access up-to-date evidence based information. This aids clinical decision making for complex clinical presentations thus enhancing timely and effective interventions. The irregular frequency and complexity of high need patients can make physiotherapy staff vulnerable and challenged to deliver safe and effective patient care at the right time and in the right place. Physiotherapists often work in isolation with limited peer support and minimal access to physiotherapy specific policies and procedures in the patient care environment. Therefore, access to evidence-based clinical knowledge at point-of-care was identified as a key driver for the development of Physio 24/7. The collaboration between Streamliners (Health Pathways) and our Physiotherapy Department on the Christchurch campus has been incredibly effective. Having developed the concept of a mobile information solution to fulfil the need for clinical information access bedside, ‘right time, right place, accurate information’, Physiotherapists Gabrielle Donnelly and Sarah Fitzgerald have worked alongside the Clinical Lead for Informatics Rebecca George and Streamliners to achieve this.
Above: Project Leads: Gabrielle Donnelly (Physiotherapist), Sarah Fitzgerald (Physiotherapist), Rebecca George (Clinical Lead for Informatics).
Physio 24/7 was launched in June 2016 and has been extremely well received by Physiotherapy staff at Christchurch Hospital. The success of Physio 24/7 has also expanded nationally with this resource being presented at the Allied Health Conference earlier this year and soon to be presented at the HINZ Conference and the Physiotherapy New Zealand Conference. Additionally, Physio 24/7 will be presented as a poster at the APAC Conference 2016 in Sydney. Key outcome measures include: »» Sustained up-to-date physiotherapy evidenced-based source of key clinical information and resources »» Reduced time away from patient bedside between initial consult and intervention. Site analytics demonstrate that Physiotherapy staff save 9.5 hours per day in locating physiotherapy specific resources. »» Point-of-care access to information that aids professional judgement
Above: Physio 24/7 resource at a glance.
Looking ahead, the future vision of Physio 24/7 includes: »» Adding multimedia options »» Increasing specialist information »» Expanding across Allied Health disciplines
»» Increased staff confidence outside usual work hours
»» Audit and identify user patterns/clinical confidence
»» Aligned to a 24 hour seven day physiotherapy service
Acknowledgements and thanks go to Streamliners and Allied Health Services, CDHB.
»» Standardised and aligned pathways and processes of care for patient specific presentations
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Canterbury Health Laboratories staffer in two-year Masters nursing course It’s not often patient forms and paperwork inspire a person’s career decision, but for Master of Nursing Science student Rachel Sanders, the clinical details on diagnostic laboratory forms sparked an ambition to know the reality behind the words. Rachel is part of the first Master of Nursing Science (MNSc) programme at the University of Otago, Christchurch. “Straight out of high school, I got an internship working in the diagnostic labs at Christchurch Hospital. I had an amazing year in the labs, but I was always interested in the clinical details and wanted to know what was happening with the patients on the other side of the request forms.” She completed an Anatomy degree at Otago’s Dunedin campus, and kept her sights keenly on target. “I loved my degree,” Rachel says, “so I took the Honours year and thoroughly enjoyed the research, except I wanted a more patient-focused career path. When I heard about the Master of Nursing Science (MNSc) I jumped at the opportunity. The MNSc programme, based at Otago’s Christchurch campus, involves two years of course work including clinical placements (aged care, primary/community health care, mental health and acute care) and project research. Successful students can apply for nursing registration. It’s a busy schedule for Rachel, who also works part time at the Canterbury Health Laboratories. “So far the course has exceeded my expectations! I’ve found it a lot harder than I expected. It’s tough but there’s a good mix of subjects. When it comes to the clinical work we have simulation labs every week that we are in class. Nursing puts you in some really confronting situations and the simulation labs allow us to begin developing some of the skills we will need in our careers. The labs have ranged from learning how to give injections and care for wounds to having meaningful therapeutic conversations with patients.” Find out more at www.otago.ac.nz/ nursingmasters Above: Rachel Sanders
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Year 10 students donate to Christchurch Hospital Activity Room A class of 14 year old St Margaret’s College students has donated $1500 to Christchurch Hospital’s Activity Room Each Year 10 student at St Margaret’s College was given a $10 note in term one with the challenge to raise as much money as possible for charities during term two. The idea was to make a small profit and then reinvest that money to buy more ingredients or products to raise more funds, paying for all expenses incurred along the way out of their money. Collectively the students raised just over $10,000 to support local charities as part of the school’s Rite Journey programme. Each class chose a charity to donate their money to, and there was a class competition for the best average amount raised per student. Students of 10TA decided to give the $1500 they raised selling a variety of items, to Christchurch Hospital’s Activity Room. Hospital can be a stressful time for children and having distraction toys can help make their stay a little easier, says student Mya Reid.
Above: From left, Team Leader Hospital Play Specialist Service, Allie Bower, St Margaret’s College students Mya, Paris and Pieta, all aged 14, and Hospital Play Specialist, Rachael Clarke.
Mya has a brother who has had many hospital stays and always finds the toys and activities something to look forward to and they help with his recovery. Hospital Play Specialist Service Team Leader, Allie Bower, says they are extremely grateful for all donations to the service. “The money will go towards replacing items in our resource library and art and craft supplies, things that we run out of often or need regular replacement.”
Department of Psychological Medicine, University of Otago, Christchurch & SMHS, Canterbury DHB Clinical Meeting Tuesday 23 August 2016
»» Psychiatrists can claim CME for attending these meetings.
12:30 pm – 1:30 pm
»» The sessions will be broadcast to the following sites:
Venue: Beaven Lecture Theatre, 7th Floor, School of Medicine Building
»» For TPMH attendees the venue is the Child, Adolescent & Family Inpatient Unit, Ground Floor. Access is from the main reception at TPMH.
Title: “Clozapine; a hard pill to swallow” Presenter: Dr Steve Duffy, Clinical Director Special notes: »» These meetings are held on a weekly basis (except during school holidays). »» A light lunch will be served at the School of Medicine venue from 12 noon.
»» For Hillmorton attendees the venue is the Lincoln Lounge, Admin Building, Hillmorton Hospital »» For Burwood Hospital the venue is the Spinal Unit. »» 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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NZMSA Sports Exchange 2016, August 12 – August 14 The annual New Zealand Medical Students Association (NZMSA) sports exchange proved to be a memorable occasion for all involved, despite the weather! This exchange consists of representatives from medical schools from Auckland, Wellington, Christchurch and Dunedin all coming together for a weekend to compete in many sports and create new friendships off the field. This year the event was held in Wellington and the sports involved were Rugby 7s (boys), netball (girls), basketball, volleyball, football and mixed netball. Dunedin were the reigning champs, and it was up to the other schools to try and win the trophy off them this year. Most of the Christchurch Medical Students Association (CMSA) members arrived on the Friday afternoon and were quick to prepare for the social event on the Friday night. As always, new friendships were made with those from the various medical schools, and this was also a great way to catch up with many familiar faces. Unfortunately the constant rain affected the sports on the Saturday. However, all students involved did not let this dampen their spirits! Rugby 7s carried on, in the mud bath that was Wellington Girls College sports field (a personal highlight of mine!), and schedule changes were made to accommodate most sports within the indoor gymnasium. Superior numbers from the Wellington and Dunedin medical schools proved to be the deciding factor in the exchange, being the two clear leaders. However, the CMSA did show our competitive spirit, winning the rugby 7s and proving to be difficult to beat in the other sports. At the end of the day, it was Wellington who deservedly came out on top. Following this, there was another social event on the Saturday night, which allowed us all to reflect on what had been a great weekend in the rain!
Above: Troy Wilson takes the ball into contact, with Jared McLauchlan, Josh Tiro and Harrison Koens in support.
I extend my utmost appreciation for the generous support that the Canterbury Hospitals Medical Staff Association provided CMSA for this sports exchange. Without this, we would not have been able to provide a competitive team and all involved are extremely thankful! We look forward to competing again next year and helping to securing the NZMSA sports exchange trophy for the medical students of Christchurch! Edward Henley Sports Representative 2016 CMSA
Above: Ella Thompson takes a contested shot against Wellington.
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Recruitment Clinical Manager – Allied Health, Ashburton Hospital Health services in Canterbury continue to transform and we have an exciting opportunity to reshape the way we operate here as Ashburton Health Services, developing Allied Health services that will sustain us well into the future. The Clinical Manager of Allied Health, Ashburton Hospital is a newly created role, to redefine and assist in the lead delivery of integrated health care across the Ashburton Health system. Reporting to the Manager of Ashburton Health Services, you will work in partnership with Allied Health Teams to establish the shared vision and operation strategy that is aligned with the CDHB strategy and goals, delivering a patient and family focused service that optimises health outcomes. You will be accountable for the operational and professional leadership of the Allied Health workforce across the Ashburton Health Services and the operational management of the Allied Health workforce. Working with key stakeholders to strategically develop service models of care that meet the needs of the patients and their families, you will participate in the negotiation of service contracts and fiscally manage resources within budget. As an expert in leading service and/or professional change, you will be accountable for leading quality programmes, innovation and research, and will guide Allied Health professionals forward and break down clinical and knowledge silos to ensure that patients benefit from quality, coordinated and timely care. We are seeking an experienced leader, with a qualification in an Allied Health profession and current practising certificate, who is innovative, outcome focused, and driven to achieve professional and operational excellence. You must be able to clearly articulate a vision that resonates with others, and have a deep commitment to working in collaboration across disciplines. This is a permanent role of 32 hours per week. We’re flexible in the arrangement of these hours. Perhaps you’re interested in working 4 days a week? Or maybe shorter hours across 5 days a week? If this sounds like your sort of challenge, we want to hear from you! Enquiries should be directed to Heather Ewing, Recruitment Specialist on email heather.ewing@cdhb.health.nz. Applications are only accepted online so please click the “Apply Now” button below to send us your CV and covering letter today! Location: Ashburton Closing Date: Monday, 5 September 2016
Registered Nurse - Waikari Permanent/Part Time Waikari Hospital is looking for a part time Registered Nurse with an interest in rural nursing to join our small friendly team. In this role you will deliver excellent nursing care as a sole charge practitioner to a variety of patients and will be involved with aged care, rehabilitation and convalescent care. This position would suit an experienced nurse who is available for ALL shifts working across 40 hours per fortnight. Waikari Hospital is located in North Canterbury, approximately one hour’s drive north of Christchurch in Waikari Village. It meets the needs of the local community as well as a large rural district including care of the elderly, general medical, surgical rehabilitation, carer support and respite care. Please ensure you include a cover letter with your application. For more information please contact Helen West, Nurse Manager, ph (03) 3144005; but to apply please go online at the CDHB Careers website Location: Waikari Closing Date: Wednesday, 31 August 2016
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CEO Update Midwife - Ashburton Maternity Services Casual Ashburton Maternity Services is looking for a casual midwife to join their small and friendly team assisting local women and their babies. Ashburton Maternity is a primary unit comprised of five postnatal beds, and two delivery rooms with birth pools. There are approximately 140 births per year, with local women also returning postnatally from Christchurch Women’s Hospital. As the Core Midwife you will be predominantly working sole charge, therefore midwifery experience and clinical competence is essential as you may be required to assist with stabilising women and babies before being transferred to Christchurch Women’s Hospital. You will also need excellent interpersonal skills, confidence, and a good sense of humour. There will also be opportunities to become a preceptor for student midwives. Your APC and MSR costs will be covered by the CDHB. You will be required to be available to work across rotating rostered shifts with a small on-call component. Apply online or for more information contact Kathryn Clark, Recruitment Specialist – Nursing ph: 03 3377923 or kathryn.clark@cdhb.health.nz Location: Ashburton Closing Date: Sunday, 28 August 2016
Registered Nurse - Ward 14 Permanent/Full Time, Fixed Term/Contract/Part Time We have roles available on Ward 14 for a Registered Nurse with a background in Nephrology/Cardiology or general medicine nursing. We are a busy 30 bed ward that specialises in the care of Nephrology (including renal transplantation), Cardiology and general medicine patients. We need your experience and expertise in quality patient care in these areas to complement our multidisciplinary team. You will need to be flexible and adaptable as duties require, have a desire to learn, and to demonstrate exceptional interpersonal skills. We have one 40 hours per week permanent position and one 12 month fixed term parental leave role working 32 hours per week. Please outline in your cover letter which role you are applying for. Please apply on the CDHB Careers website or email kathryn.clark@cdhb.health.nz if you have any questions. Location: Christchurch Closing Date: Wednesday, 31 August 2016
Health Quality & Safety Commission e-update, Issue 53 online now The latest issue of the Health Quality & Safety Commission’s e-update for the period of 25 July–14 August 2016 is now available online. In this issue: »» Registration open for quality improvement scientific symposium »» Accident highlights the need to share your advance care plan »» Programme available for advance care planning national forum »» Anaesthetic technicians to audit team engagement during checklist sign out Read issue 53 of the Commission e-update.
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CEO Update
One minute with…Gabrielle Wicks, Social Worker, Burwood Spinal Unit What does your job involve? Working with patients and their families after critical issues in relation to body function, which has a significant impact on not only their ability to mobilise but also affects the wider aspects of the person in relation to family, social connectedness, housing and work. Thus, the social worker acts as an agent of change. We work closely with our patients to re-establish connectedness with their community, supporting them to find a way to “be me” again which is actually empowerment to selfactualisation. One of our main tasks is to address the trauma issues and offer grief counselling. Life for a person that has had such a life changing event takes a good while to adjust. How brave they need to be to listen to the clinicians and change the way every day activities can work for them. It is so humbling and a privilege to work in this area. Because the patients come from different parts of the country to the spinal unit, family connection is critical and offering an environment for the family to continue to be the main focus is essential. Our patients may be here for three to six months and they will eventually go home to the family and the environment that they have come from. There are two of us FTE full-time at the spinal unit, and I gladly share this role with Maree Tippett. Why did you choose to work in this field? I’ve worked in the social work field for many years. Because of the reputation of the spinal unit, I felt that it was somewhere I wanted to continue to work as a senior practitioner. It is known throughout the world because of the high standard of care that is delivered to our patient group. And this environment is key to my fundamental professional role because it offers in most cases the beginning stages to a successful outcome to move forward when a spinal cord injury has such a profound impact. What do you like about it? »» The people I meet. »» The mix of patients. »» Their long stay means that they are forever in our system. »» The family environment that we create for them. »» The privilege to work with staff and patients. What are the challenging bits? »» De-escalating crises. »» Supporting patients in their newness to their injury. »» Having to discuss bowel and bladder issues at meetings, but that is the new life for a patient with a spinal cord injury. »» A massive challenge is to let go of work at the end of the day. Who do you admire in a professional capacity at work? The doctors, they are marvellous. I have a huge amount of respect for the work that they do. For example, during the
Above: Gabrielle Wicks
earthquakes they were exceptional in their care for patients. Also the nursing team. Their care to the patients is second to none. What do Canterbury DHB’s values (Care and respect for others, Integrity in all we do and Responsibility for outcomes) mean to you in your role? Respect of patients and client groups. I like the overall umbrella environment which creates a sense of protection and support and assistance to allow us to do our job. The only thing I have an issue with is why are we calling this Ward HG when the world knows us as the Burwood Spinal Unit? The mind boggles. The last book I read was… A Long Way to Come to Die, written by my husband, Bill Wicks. It is the story of three young New Zealanders who enlisted in 1914, determined to be in before the war was over by Christmas. It describes their blooding at Gallipoli, subsequent service in France, followed by death and disillusionment. Now a sergeant, one man is forced to shoot an officer who broke under fire and whose actions were likely to cause the death of some of his command. Faced with court martial the soldier is forced to take on the identity of a dead comrade. Disfiguring ›› Article continues on page 18
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wounds and a transfer to the Royal Flying Corps make the deception possible. With the realisation that he must now bear the responsibility of another man’s name, he is forced to commit to actions to ensure that the dead man’s name is not sullied. On return home he is faced with picking up his life and the problem of exorcising his devils. A good read. Publication within the next six months. If I could be anywhere in the world right now it would be… Manhattan, New York, in the fall, a bucket list item. My ultimate Sunday would involve… A family day. One food I really dislike is… None, that’s evident.
Bernie Taupin – lovely people, unforgettable time. We were staying at the same hotel when they all came over to do the Too Low for Zero concert. We were on the top floor in the room next to theirs (the honeymoon suite of course as Elton and Renata had just married). We shared the same exclusive lounge as the band and crew. The champagne flowed and the talk was extraordinary and yet the connectedness was just as you would expect of any ordinary person. What a privilege it was to be amongst them and how lucky we were. We knew that it was Elton’s wedding so we knocked on their door and gave them a little present. Oh heart flutters etc. Great memories. If you would like to take part in this column or would like to nominate someone please contact Naomi.Gilling@cdhb.health.nz
My favourite music is… I’m an unashamedly Elton John fan. The Beatles and the Rolling Stones are up there as well. I met Elton John and his then wife Renata and the band, plus
Great learning opportunities coming up next month Write for the Patient – Tuesday 6 September Communicating well with patients is at the core of effective healthcare. Patients who understand their condition, treatment and the consequences of different courses of action can be much more active partners in their own care. This workshop takes you through the basics of health literacy and readability. It explores common mistakes in writing for patients, and how to avoid them. Both online and paper-based writing will be discussed. More info here: Write for the Patient Presentation Skills – Tuesday 20 September and Tuesday 25 October Most of us get nervous when having to speak in front of others however we can make things easier for ourselves. Presentation Skills focuses on how to make any presentation more effective; how to keep your audience engaged; how to structure and deliver a presentation, and importantly, how to increase our confidence as a presenter. Enrol here: Presentation Skills Elev8 – Friday 23 September This one day programme introduces you to principles of the CDHB Process for Improvement. This is an applied science that emphasises rapid cycle improvement through small scale testing in order to generate knowledge about what changes, in what context, produce improvements. Elev8 aims to start focussed improvement efforts on a small scale and leveraging the generated learning to plan for spread and scale up. The day covers a combination of expert subject knowledge with improvement methods, the Model for Improvement, drawing on clinical science, systems theory, the human side of change, and measurement. Click to enrol: Elev8 Courses already full for the following month: »» Stepping up to Leadership »» Tikanga Maori »» Effective Communication Enrol now so you don’t miss out on courses coming up in the future. Take a look at all our courses on our Learning and Development Intranet site or alternatively if you are outside of the CDHB, visit http://www.healthleadership.org.nz For enquires please contact the Learning and Development team on Phone: 03 337 7807 Email: learninganddevelopment@cdhb.health.nz cdhb.health.nz 18
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In brief Ara Graduate Nursing Study in 2017 Applications for study starting in Semester one - 2017 open on 1 September 2016. Please apply using the online application form which will be activated on 1 September. Closing date for applications is Friday 7 October 2016. Timetable for Ara Graduate Nursing Study in 2017 Applications for Semester two - 2017 will open in March 2017 Process: »» All applications will be considered after the application deadline. »» Applications are forwarded to CNMs to confirm support. »» Confirmed applications are forwarded to the relevant Director of Nursing for final approval.
Submit your Improvement Posters in the Canterbury Health System Quality Improvement & Innovation Awards Enter a poster you have already prepared or use our template to showcase your quality improvement initiative. Please complete an Expression of interest form by 26 August. And submit your poster by 30 September to amanda.bielski@ cdhb.health.nz Visit Quality Improvement and Innovation Awards page for more information.
CDHB Education Fair – Starts Monday 29 August! Have you been thinking about your development? We have some good news for you, the annual Education Fair is on its way! The CDHB Education Fair is an opportunity for you to discover your next learning opportunity. Our virtual site will be available from Monday 29 August to Monday 12 September via the CDHB Careers website. In addition to the virtual fair, postgraduate nursing sessions will also be held on the following days: »» Monday 29 August – Christchurch Hospital Foyer at Medici – 11:00am – 2:00pm »» Tuesday 30 August – Burwood Hospital foyer of main entrance– 11:00am – 2:00pm »» Wednesday 31 August – Ashburton Hospital Café – 11:00am – 1:30pm »» Thursday 1 September – Hillmorton Hospital Fountain Room – 11:00am – 1:30pm We have invited a variety of tertiary providers to come and talk to you about your specific post-graduate nursing studies. Tertiary providers include ARA, University of Otago, Massey University and University of Canterbury. This is a fantastic opportunity to ask any questions you may have about further studies, enquire about tailored solutions or enrolment information. If you have any questions, please contact learninganddevelopment@cdhb.health.nz
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In brief
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