Canterbury DHB CEO Update 13 October 2014

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Monday 13 October 2014: It really is all happening at Christchurch Hospital Last Friday we hosted the Prime Minister, the Right Honourable John Key, along with the Minister for Earthquake Recovery, Hon. Gerry Brownlee and the Associate Minister for Earthquake Recovery, Hon. Nicky Wagner together with senior leaders from the Ministry of Health, Christchurch Mayor Lianne Dalziel and Ngai Tahu Board representative Nuk Korako. They were given a briefing on the design for the new Acute Services Building (ASB), planted a kowhai tree – one of the first of 100 new trees to be planted in Hagley Park, and met with some of the new volunteers recruited to assist the increased numbers of people who will be coming into our main entrance. The ASB is a massive building by anyone’s standards. If you’ve seen the temporary fence that’s gone up out the back of the hospital, that only covers part of the site! As part of the enabling works, which are underway, some trees are being removed next week. This is necessary to clear the site before foundations are prepared ahead of construction starting next year. There will be trucks and associated equipment moving around the back of the site. While the work will take place behind the fence, there will be trucks coming in via the Riverside entrance, and exiting behind Hagley Outpatients, onto Riccarton Avenue. Around 48 trees will be removed in total. An independent arborist has reported that many of the trees are in poor structural condition and/or near the end of their natural life, despite looking healthy – the large oak tree next to the Oral Health building, for example, has crown rot – and several are dangerous. For every tree removed, two more will be planted elsewhere in Hagley Park. We have worked closely with the CCC’s Botanic Gardens staff on suitable locations for new planting. The works also extend over a small area of the daffodil planting. The bulbs are being lifted and replanted.

L-R: Darryl Haines, Project architect – Warren and Mahoney; Waren Warfield, project manager; John Key, Prime Minister; Nicky Wagner, Associate Minister for Earthquake Recovery; Nuk Korako, Ngai Tahu Board member; David Meates, chief executive officer; Gerry Brownlee, Minister for Earthquake Recovery; Lianne Dalziell, Mayor of Christchurch; Murray Cleverley, chair Canterbury District Health Board and Steve Wakefield, Board member Canterbury District Health Board. Continues on the following page...


Continued…. Riverside entrance closing from 6am this Wednesday Just a reminder – due to the fact we will be having trucks entering the site via the Rolleston bridge, and site enabling works are underway, the Riverside entrance will be locked from 6am on Wednesday morning, with everyone asked to use the main entrance. These doors will become an emergency exit only and will automatically open in the event of a fire or other emergency. Free wi-fi Today we are announcing that patients and visitors at most Canterbury District Health Board hospitals can now stay connected wirelessly free of charge. Our IS team has been working with Snap to provide free public access to Wi-Fi at most of our hospital sites. The access is part of a six month trial. Due to technical issues some of our older sites, like The Princess Margaret Hospital, will not be able to offer the service to the public. It is important to note too that support for the service will only be via our website where you’ll also find a full list of terms and conditions. Ps. I hope you made the most of the learning opportunities on offer during Mental Health Awareness week last week. Remember to look after yourself, look out for others and respect your colleagues. Everyone’s under a lot of pressure with multiple projects on the go. Have a great week, David Meates

John Key met with volunteer coordinator Jan Danrell (middle) and volunteers, Zita Matthies (left) and Lynette Raffle (right) who will be greeting and assisting patients and visitors at Christchurch Hospital.

Canterbury Medical Grand Round 17 October 2014, 12.15-1.15pm (lunch from 11.50am) Venue: (Rolleston Lecture Theatre) Speaker: Spencer Beasley, Paediatrician Title: Good clinical decision-making: how some clinicians do it much better The feature that distinguishes the outstanding physicians and surgeons from the rest of the pack is the quality of their clinical decision-making. This talk outlines some of the principles behind good clinical decision-making, the importance of teaching it well, and how an understanding of the processes involved may help each of us to become better at it, ultimately to the benefit of our patients. Conveyor: Ruth.Spearing@cdhb.health.nz DVD Recordings available within two weeks on majority of sessions Video Conference set up in: • Burwood Meeting Room • Meeting Room, Level 1 PMH • Wakanui Room, Ashburton • Telemedicine Room, Admin. Building 6 – Hillmorton

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Monday’s Facilities Fast Facts Burwood Work is progressing well at Burwood. The Back of House building roof is well on the way to being complete (see picture) and concrete pours continue. There may be some temporary disruption to power and water at the west end of the site (including for the Champion Centre) as future services are added in. Any affected staff will be informed ahead of time and disruptions will be kept to a minimum. Work to install the sewer pipe continues at Gate 1. The contractor has also erected dust barriers around the admin area (the old main entrance) and the Travis Café.

Christchurch Site works including tree removal The main tree removal work is expected to take place at the beginning of this week, as outlined in David Meates’s introduction. A number of trees need to be removed, but for every tree removed two more will be planted in Hagley Park. The roading work at the front of Christchurch Hospital is continuing into its third week. It’s being done in small sections to minimise disruption and is expected to take until the end of October. The current public car park at the rear of the site will still be available to patients and visitors during this time. A reminder to staff who walk or bike across the Rolleston Avenue bridge or around the Oxford Terrace intersection to please take extra care while the works are going on. Riverside exit to close Please note that from 6 am on 15 October the rear exit from the Riverside building will become an emergency fire exit only. This means that the doors will normally be locked, but in the event of a fire the doors will open automatically. Staff should please enter and leave the building via alternative entrances. Patients and visitors will be encouraged to use the main hospital entrance. Signs will be installed inside the building and outside, to warn people of the change. This closure is for public and staff safety – construction traffic will be using the road as a main way into the site. Access to the park will be maintained, along the riverbank path.

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Hon Gerry Brownlee and Prime Minister John Key with some of the construction workers.


Bouquets Ward 15, Christchurch Hospital Thank you all for caring and help while I was in Ward 15, also I have to mention the Emergency Department. The day I arrived they were very helpful and kind. Top marks. Ward 11, Christchurch Hospital From admission in Day Of Surgery Admissions (DOSA) to leaving two days later from Ward 11 the service by all staff including the doctors, aides, nurses and cleaning and catering staff has been awesome! I cannot praise you all enough, a big thank you from a very grateful patient. Acute Medical Assessment Unit (AMAU), Christchurch Hospital My son was in AMAU on 14/15 September. I would like to say a huge thank you to RN Paula for her wonderful care. Paula was very understanding, kind and spent the time with me and my son to make sure we had everything we needed. Paula made a stressful situation a lot more bearable. Thank you again Paula. God Bless. Security, Christchurch Hospital I would like to thank security for their help when my son was admitted. They treated him with respect and dignity at all times. My son really appreciated this as he was in a very stressful situation. I would especially like to thank Tee for her understanding and support to both my son and myself. Thank you. Ward 24, Christchurch Hospital As usual best of care for my wife. Dedicated staff. Ward 27, Christchurch Hospital What wonderful caring staff. Thank you for taking such good care of Dad. We really appreciated it. Ward 16, SARA, Christchurch Hospital Thank you to all your amazing staff. They are more than helpful and would do anything for the sick people in the ward. Best ward ever. Thank you, you are all wonderful. Canterbury Eye Service, St Asaph Street The service here is excellent. The staff friendly and proficient. The patient is well informed with clear expectations. The tea/coffee provided by volunteers is very appreciated. Parking is a bonus. We are more than happy with the professional, friendly, efficient service we have received during Dad’s care. Hagley Outpatients, Christchurch Jannene, the receptionist is brilliant. She deals with an unending queue of patients efficiently, patiently and professionally. Cystology, Outpatients, Christchurch Lovely manner and very good at the basics. Colposcopy, Christchurch Women’s Hospital I was anxious before my procedure. Nurses and doctor/consultant made me feel at ease, explaining procedure carefully. This made a difference.

Monday 13 October 2014


Spark to illuminate our Design Lab

We are coming together with Spark Digital and partners to showcase the latest technological innovations in the Health-e-home at the Design Lab. On Tuesday 21 and Wednesday 22 October from 9-5, and from 9 ‘til noon on 23 October you can see a special full-scale model of how technology solutions can support people-centred healthcare in the home. Alongside Spark Digital’s display, we are showcasing some of our own technology-based initiatives including HealthPathways and HealthInfo, HealthOne (formerly known as eSCRV) and ERMS (Electronic Referrals Management System). Health-e-home is all about providing the sector with solutions that achieve better health outcomes, more efficiently. Our own theme is about communication: Empowerment through access to high quality information (HealthInfo and HealthPathways), better integration by providing access to clinical information where and when it’s needed (HealthOne), and improved systems that reduce errors and save time (ERMS). Executive sponsor and Executive Lead - Health Innovation Stella Ward says she is delighted to be able to host such a great event where our innovations are showcased alongside that of our Strategic Partners – Hewlett Packard and Orion Health. “Spark Digital have been working with the Via Innovations team on how best to showcase future technologies to our community and our clinicians. Our health system goal of keeping people well and safely supported in their own homes can be enabled by the use of technology so I hope as many people as possible from across the Canterbury Health System take advantage of this opportunity to preview what is possible.” We will be using the four mocked up hospital rooms to demonstrate how each of our own innovations work, using dummy data in the case of ERMS and HealthOne but presented in a realistic scenario that shows just how connected our clinicians now are. We hope to have ‘explainers’ available most of the time to help walk you through systems that require some experience to drive them (all except HealthInfo). The Spark Digital team will showcase some of these latest innovations in technology, partnered with leading healthcare technology providers, including: Continues on the following page... Monday 13 October 2014


Continued…. Vigil Guardian wristband - monitors patient heart rate, skin temperature and activity levels (including fall detection) and sends this data wirelessly to the Vigil Gateway. This is then monitored at a Community Care Centre and can automatically trigger an emergency response. Kinross Application Messaging Service (AMS) – a mobility platform that enables healthcare workers to capture, send, receive or share information using a range of devices including standard mobile phones. SHI Global’s Healthlynx - a secure cloud-based injury management and wellness website that enables health professionals to create and deliver dynamically progressive prescriptive exercise programmes tailored to a patient’s ability and condition. HSA Global’s CCMS Patient Portal *- a secure cloud-based portal providing patients with test results, access to their care plan and assigned tasks, educational links and contact details for their care team. * Note, with collaborative care in mind this aims to address the needs of patients with long term or complex conditions and is quite separate from our own Patient Portal currently in its proof of concept phase which is intended to have a much wider application. Medimap’s Medi-map application - a cloud-based solution which delivers medicine charting and administration by linking the prescriber, rest home and pharmacy in a shared interface. Gen-i Virtual Clinic – a secure, cloud-based video conferencing service that enables healthcare providers and patients from different locations to meet via a range of video-enabled devices. Gen-i ReadyCloud Collaboration – a hosted, unified communications solution that knits together voice, presence, messaging and video into a single interface. Cisco EX90 – a personal telepresence system for the desktop. All are welcome and the set up works best with teams of 10 or so – you do need to book though, so that parking demand and visitor flow can be accommodated. To book your space please choose the day and time you would like to attend on this booking page: https://v1.bookwhen.com/healthinnovation

Reminder to staff re Wi-Fi access We hope our staff are enjoying access to the new DHB staff Wi-fi. You may have read earlier in the update that free Wi-Fi has now been made available to patients and visitors at most CDHB hospitals. It is very important that staff only use the wireless network set up for them and not the public system. The name of the staff wireless network is “DHB Staff Wi-Fi”. It can be used by any device that is wireless enabled. You’ll find instructions on how to setup the wireless for the most popular mobile devices here. You will not be able to access clinical applications directly from your device. To access any clinical application you will need to use Citrix. Should you encounter any issues, please click on this Link and your query will be passed to our Service Desk staff. Due to the large volume of calls, we do ask that you do not phone the Service Desk. Similarly support for the public system will only be available via our website.

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Forty year career milestone Tony Blackler has seen huge changes in four decades working in the field of medical electronics at Christchurch Hospital. “When I started here in 1974 the wards were quite Florence Nightingale-ish and medical electronics often meant bulky older generation equipment,” says Tony. “Things like infusion pumps and monitoring equipment that we take for granted today were somewhat less available back then.”

Tony Blackler and David Meates.

Tony’s initial training was in the aircraft avionics field. He moved into clinical engineering to pursue a new direction and to gain more regular working hours. Today, Tony is Manager of Clinical Technologies which includes the areas of Clinical Engineering, Medical Illustration, Mobility Services and Sterile Services. Recently, Clinical Engineering activities on the West Coast have also been added to his area of responsibility. The diversity of the work and keeping up to date with every changing technology means no two days are the same. “People say to me, ‘you’ve had the same job for 40 years’, but I haven’t really, there has been so much change.” General Manager, Hospital Support and Laboratories, Trevor English, says, "Tony is recognised for his leadership and knowledge which has been developed through his interest and commitment to the job." As the lead Clinical Engineering resource for CDHB he is involved in many aspects of technology management for clinical equipment and how it is associated with clinical service delivery. Tony says, one of the best things about the job is the people he works with.

Patient Information Care System demonstration - 17 November If you deal with patient registrations, appointments or other patient flow administration, please make a date in your diaries for this important session. Orion Health and CDHB specialists will present a working demo of PICS (Patient Information Care System) which will begin to replace some of CDHB’s patient administration systems from next September. Past sessions have been well presented, lively and informative, with opportunities for many questions from a very engaged floor. This is the last of the PICS demos before Christmas and will take place in the Lecture Theatre, Level 5, The Princess Margaret Hospital from 11am. You will need your security card to gain access. Please indicate your interest early as there is limited space and interest in previous sessions has been strong. For more information and to book contact Shannon de Bruin (CDHB PICS Project Coordinator) 03 367 4241 - Ext 82241 - Shannon.Debruin@cdhb.health.nz

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Nurses passionate about increasing organ donation awareness Public awareness and education is a key priority for organ donation link nurses at Christchurch Hospital. Organ Donation New Zealand received government funding last year for dedicated link nurses based in Intensive Care Units (ICUs). For Christchurch Hospital’s ICU the role is being shared between Di Stevenson, Fiona Blythe and Melissa (Mel) Girvan. Di, Fiona and Mel are passionate about helping and supporting families through the process of organ donation. Mel says they are committed to helping to remove the taboos around Right – Melissa (Mel) Girvan and Fiona Blythe. organ donation. Absent—Di Stevenson. “New Zealand’s culture in the past has been not to really talk about organ donation and part of our role is to help change that,” Mel says. Di says previously support and education efforts around organ donation in hospital were done on a voluntary basis and still is for two link nurses based in theatre. “So we’re really grateful to have received funding so we’re able to fully dedicate part of our time to educate and support both families and our own staff in ICU around the issues of organ and tissue donation,” Di says. “We hope eventually resource will extend to our theatre nurse colleagues.” Organ Donation New Zealand’s awareness campaign this year is focused on having ‘that conversation’ with family/ friends and whānau. Fiona says many people often do not realise that having you’re an organ donor on your driver’s licence holds little power. “If you are critically ill in ICU there will always be a discussion about donation with your family and donation will not go ahead without their agreement,” Fiona says. “So this is why it’s so important to have that conversation and tell your family, partner, parents, daughter, brother, aunty, uncle – whoever’s your next of kin – that you want to donate your organs if ever the situation arises.” Di, Fiona and Mel are there to educate and support staff and families of patient’s in ICU to help them fully understand what’s involved and deal with any concerns they have. “We’re there to help those faced with such a tragic life changing event – we’re not there to make people donate organs – we’re there to guide them with that choice if it’s the right choice for them,” Fiona says.

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Spotlight on Christchurch Hospital Emergency Department ED’s 4th annual open day welcomed 56 people throughout Wednesday 8 October. Visitors from various disciplines including nursing, medicine, blood bank, IT, finance and clerical sectors spent a few hours with a nurse working alongside ED staff. The open day was also the perfect occasion to present the winners of the Paul O’Donovan Memorial Cup for Excellence in Emergency Nursing award. This year we had the largest number of nominations yet received (13) and joint winners - Emily Fielder and Barb Nelson. Here are some of the things Emily’s and Barb’s colleagues said about them: Emily is one of the unsung heroes of the Christchurch Hospital Emergency Department, she doesn’t clamour for attention but just quietly and effectively gets on with providing excellent care to her patients. I always look forward to a shift where Emily is on. Although it often means you’re in for a busy shift knowing you have a colleague who is knowledgeable, respectful, calm, has a great sense of humour and is professional makes all the difference. At triage I have witnessed Emily calming and diffusing difficult patients and irate relatives where others may not have managed to do so. By being on the pilot course for the Advanced Emergency Care Course, Emily demonstrates her commitment to ongoing learning and advancement of nursing in ED. Knowledge she is willing to share with her colleagues and is always clinically supportive to other members of the team. I believe Barb is very passionate about her work in emergency nursing because she shows enthusiasm, professionalism, great energy and spirit in delivering the best nursing care. She is a great leader in her Associate Clinical Nurse Manager role, always a great example for her colleagues, always very willing to help the team of nurses, doctors, nurse aides, receptionists, and so on. We have many busy days and Barb's critical thinking is always excellent, she is always calm and positive, nothing seems out of her control when she is on. Barb is also a great teacher. She is talented in explaining, she has patience, understanding and respect. She is great at sharing her knowledge and experience.

Above: Joint recipients –Emily Fielder (left) and Barb Nelson (right). Left: Emily and Barb with past recipients Keith Fraser, Donna Brown and Kate Cooper (far right).

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Phantom device dispelling mystery around digital dental images In September 2008 digital radiography replaced conventional radiographs (a wet film taken at the clinic which is then sent to a dark room for processing) for patients of the Canterbury Dental Service (CDS). CDS provides oral care for approximately 77,000 Canterbury children. The new digital imaging system is now very much a part of the daily oral health care for these children. Therefore it is essential to ensure that the diagnostic x-ray facilities are providing consistent, high quality images with a minimum of exposure to patients and staff.

Above: Quality Assurance Phantom device.

CDHB Clinical Director, School & Community Dental Service Martin Lee and Public Health Dentist Tule Fanakava Misa approached the Medical Physics Bioengineering (MPBE) team for their help in developing systems to test the three components involved in the new digital imaging system. These components are the x-ray generator, plate and scanner, and computer/monitor on which the images are displayed. Tule teamed up with Nick Cook, MPBE Imaging Scientist and he developed a quality assurance programme which monitors performance and function of these components on a regular basis. Central to this new quality assurance programme was a special device, the Quality Assurance Phantom (QA Phantom) that could simulate the demanding aspects of dental x-ray imaging and test the true performance of equipment for clinical imaging. The phantom consists of a small block of Perspex with a series of different size and depth holes. The Perspex block is placed over an aluminium plate to mimic a tooth with subtle density changes. MPBE also constructed a positioning device and special protective carry case for the phantoms. Each dental clinic and mobile dental facility now has a QA Phantom device so that trained staff can perform monthly checks of the equipment. These checks ensure that the digital dental images are accurate and achieve the performance required to catch any dental problems before they lead to bigger issues. The QA Phantom is used in Christchurch Hospital and community dental clinics but has not been adopted elsewhere in New Zealand as yet because not all dental clinics have switched to digital images. Read the full story about the QA Phantom.

Be part of the MPBE $10,000 Health Innovation Challenge If you have a clinical challenge and think you may know of a solution but lack the technical expertise or funding to make it a reality, then we can help. The MPBE $10,000 Health Innovation Challenge, offered in association with Via Innovations, is open to everyone in the Canterbury Health System who has an idea about improving patient care. The winner/s will receive $10,000 worth of development time, materials and marketing to help make their idea a reality. ‘Runner-up’ projects may also be considered for development. The challenge will run in November – more information will become available over the next couple of weeks including an official entry form. More information about the team including departmental contact details, for potential innovators who want to find out more about MPBE’s capabilities can be found at www.cdhb.health.nz/mpbe. You can contact them on ext. 80852; (03) 364 0852 or by email at mpbe@cdhb.health.nz

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Lest we forget: Remembering the Marquette nurses While the Christchurch Hospital Nurses Memorial Chapel is closed due to earthquake damage, we plan to remember our heroic World War One nurses at a special event. We invite you and your colleagues to “Lest we forget: Remembering the Marquette nurses.” We would be delighted if you are able to join us on Thursday 23 October 2014 at 4.00pm at St Michael’s School Hall, Durham Street, Christchurch (entrance between Oxford Terrace and Tuam Street). As well as remembering the nurses who perished or survived when the Marquette was torpedoed by a German U boat in the Aegean Sea on 23 October 1915, there will be an update on plans to restore the earthquake damaged Nurses Memorial Chapel. Visit the Christchurch Hospital Nurses Memorial Chapel website at http://www.cnmc.org.nz/ Please pass this invitation on to your colleagues and friends. Next year an important centenary commemoration service is planned for 23 October 2015. If you would like to be kept in touch with 2015 events and progress as we work towards re-opening the Chapel, we would be delighted to hear from you.

Piki Te Ora Celebrates 25th Anniversary

Piki Te Ora, the Union and Community Health Centre (UCHC) celebrated its 25th anniversary recently with an evening of remembrance and humour. Previous board members, management, staff and the wider community got together last month to mark the occasion. Piki Te Ora was established in 1988 to provide primary care services and is part of a not-for-profit network of community owned practices focused on providing primary health care to high needs populations in Canterbury. It is one of just a few Very Low Cost Access clinics in Canterbury. General Manager, Jeremy Tumoana, says challenging aspects remembered included the earthquakes, which had a large impact on the practice both from a financial and clinical aspect. “Enrolled patient numbers dropped from pre-quake by approximately 1100 in 2011 but have recuperated slowly to a full operating register.” Post-earthquake consequences are evident in the rise of mental health issues among the clinic’s patients, he says. “Social impact issues such as housing also continue to impact on our patients’ general, physical and emotional wellbeing.” With the clinic’s primary focus to provide support to the most vulnerable, financial sustainability is an ongoing challenge. “However the practice is well supported by Pegasus Health and it is with a long established, dedicated and caring team that we will continue to provide innovative and effective healthcare services to our most vulnerable communities”, Jeremy says. Right: The Piki Te Ora, Union and Community Health Centre.

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Pegasus Health announces appointment of Director of Nursing Media release from Pegasus Health Pegasus Health (Charitable) Ltd, Canterbury’s leading primary health network, has announced the appointment of Michael McIlhone as the new Director of Nursing. The Director of Nursing position, recently vacated by Shelley Frost, current Chair and Executive Director (Nursing) of General Practice New Zealand and Deputy Chair of the NZ Health Quality and Safety Commission, is focused on providing nursing leadership and a strategic vision and direction for nursing within the context of Primary Healthcare Teams. Reporting to Pegasus Health CEO Vince Barry, the Director of Nursing plays an integral clinical leadership role and provides strategic advice on nursing issues to the Pegasus Health (Charitable) Ltd Board, Pegasus Health Nurse Membership Board, Pegasus Health Clinical Board and other key Above: Michael McIlhone stakeholders. Michael joins Pegasus Health after many years of leadership in the health system in Canterbury and overseas, with his most recent roles being Nursing Director, Women’s and Children’s Health Division of the CDHB and Project Specialist, North Canterbury Hubs, also with the CDHB, where he was responsible for engaging with North Canterbury General Practice to progress a sustainable model of care and support infrastructure for this community. “Michael’s experiences provide a great opportunity for us to build further an integrated nursing response to the challenges ahead of the health system here in Canterbury,” says Vince Barry, CEO Pegasus Health. “His understanding of clinical issues across the entire health system and his passion and commitment to nurse leadership make him a clear fit for the position.” Commencing at Pegasus Health on 17 November, Michael is delighted at the opportunity he has been presented with as the Director of Nursing, “I have a strong belief in the integrated approach to health care, and my own professional journey has lead me to the obvious conclusion that health care should be provided as close to the patient’s home as possible, utilising and integrating all aspects of primary health care. “Nurses are key to this care provision and there currently exists many opportunities, with some already underway, for nurses in primary health care settings to advance their practice utilising numerous approaches that compliment and support existing models of care. There is a great opportunity out there to create distinct and well developed pathways for nurses who are currently working in primary care and for our nursing students and new graduates who want to work in this area."

Old Intranet/SharePoint sites are being switched off soon If your department or team has a red SharePoint 2007 or blue HTML intranet site and have not yet migrated your site information as part of the intranet migration project over the past 24 months, your department will now need to organise to move or copy your information to avoid it being deleted. Timeframe: The SharePoint 2007 (Red) intranet and the older HTML (blue) intranet are scheduled to be closed down during November 2014 so that the cost of maintaining old systems is removed and we free up our resources to work on improving new systems. Your action: Please log a service desk request if you believe that you have information on either of these old intranet platforms that needs to be migrated or backed up. ISG can assist your department intranet publishers to migrate the content to the new SharePoint 2010 intranet if required. Monday 13 October 2014


Staff winners in Student/Staff Debate The Rolleston Lecture Theatre was packed to the rafters on the evening of 26 September for the annual student/staff debate and the assembled hordes were treated to one of the most entertaining debates yet. This year’s moot - ‘the next generation of doctors will be better than the current ones’ – provoked fierce and parochial debate between the two sides. The student team of Phil Brown, Felix Lamarche and Chris Bloomer came out swinging with their claims that ever improving technology and a focus on the finer aspects of communication and health were building a better generation of doctors. But the staff team of Gordon Beadel, Sean MacPherson and Maggie Meeks were up to the task, exuding confidence as they illustrated how, despite the best efforts of the current teaching staff, future generations of doctors may not quite attain the high standards of those that have gone before them. Both sides soon dropped any pretences of serious debating and the debate descended into a hilarious and at times unusual discussion of all things relating to medical education. There were discussions about the differences between a real and a simulated baby, a full length rap and constant reminiscing about the golden days of being a medical student and doctor sometime last century. Ultimately there could be only one winner, and after years of student dominance the staff team finally managed to reclaim the trophy! Thanks to all who attended, without an enthusiastic audience such a great evening would not have been possible and we look forward to seeing you all again next year. Left: Staff team Gordon Beadel, Maggie Meeks, Sean MacPherson. Student team - Chris Bloomer, Felix Lamarche and Phil Brown.

Nurses undertaking CPIT courses in 2015 The procedure for applying for funding for CPIT courses in 2015 is changing. Instead of applications being processed all year, there will now be twice-yearly funding rounds. The first funding round is now open and will close on 10 November. Please note extension to closing date. A second funding round will be held in March/April 2015 for papers later in the year. CPIT is releasing the timetable for 2015 shortly but anticipate the papers offered will be the same as this year. Please apply for the paper you are interested in and dates of study will be confirmed with you once the timetable is finalised. Applications for the first funding round are now being accepted. Please apply using the on-line application form on the Nursing page of the intranet: http://cdhbintranet/corporate/NursingInformation/SitePages/CPIT.aspx Further information is available from Jenny Gardner on jenny.gardner@cdhb.health.nz or Vicki Christoffersen on Vicki.Christoffersen@cdhb.health.nz

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Asthma Awareness Week 2014 Asthma Awareness Week aims to raise awareness of the high number of children who are affected by and end up in hospital with asthma. Asthma Awareness Week is from 13 to 19 October 2014 with Balloon Day on Friday 17 October. The Asthma Foundation uses balloons as part of this awareness week, as one in four children will struggle to blow up a balloon - their asthma won’t let them. Why is this? Asthma causes the breathing tubes to swell making breathing in or out more difficult. Take some time during Asthma Awareness to review your (or your child’s) asthma and find out if it is under good control. CanBreathe Nurses will be available from 10am to 2pm throughout the week to provide free information and advice on asthma on the following days at these locations:  Tuesday 14 October—Westfield Riccarton  Wednesday 15 October—The Hub Hornby  Thursday 16 October—Eastgate  Friday 17 October— Northlands Come and talk to CanBreathe’s Nurse Educators to find out more about asthma or to take a free Asthma Control Test to check how well controlled your (or your child’s) asthma is. Go to the Canbreathe website

Free Lectures on Breast Cancer at the University of Otago, Christchurch You are invited to the University of Otago, Christchurch on Wednesday 15 October for an evening of short lectures by breast cancer specialists and researchers to mark October being breast cancer awareness month. Wednesday, 15 October: 6pm to 7.30pm  6pm: Opening address, Professor Bridget Robinson, CDHB oncologist and University of Otago, Christchurch, researcher. 

6.05pm: BreastScreen Aotearoa’s South Island success, Dr Kim Burgess, BreastScreen South Ltd

6.20pm: Q&A

6.25pm: Unzipping your genes for breast cancer research, Dr Logan Walker, University of Otago, Christchurch geneticist

6.40pm: Q&A

6.45pm: Updates on surgical management of breast cancer, Dr Josie Todd, Canterbury District Health Board surgeon.

6.55pm: Breast cancer under the microscope, Dr Gavin Harris, Canterbury Health Labs anatomical pathologist.

7pm: Q&A

7.05 pm: Reconstructive techniques for breast cancer, Jeremy Simcock, Canterbury District Health Board plastic surgeon.

7.20 pm: Q&A

7.25 pm: Closing address, Professor Bridget Robinson

Event held in the University of Otago, Christchurch’s Rolleston Lecture Theatre, 2 Riccarton Ave (On Christchurch Hospital campus). Contact Kim Thomas if you have any questions, 027 222 6016 or kim.thomas@otago.ac.nz Monday 13 October 2014


One minute with… Ian Mann; Occupational Therapist; Youth Day Programme; Child, Adolescent and Family Mental Health Service What does your job involve? I work at the Youth Day Programme (YDP) and have done for 14 years. YDP is a CAF Service out-patient programme that focusses on empowering adolescents (13-18) to move on with their lives in a positive and productive way after they have experienced functional deterioration due to a moderate to severe mental health condition. We provide opportunities through multiple different groups and individual work that allow our clients to learn the skills they need to; manage their mental health, return to education, develop and build satisfying relationships with the people in their lives, and plan and take charge of their own futures. One modality I am particularly passionate about is the Adventure Therapy group as it allows me to share my love for the outdoors and utilise my outdoor instruction skills/qualifications and therapeutic knowledge.

Why did you choose to work in this field? I believe that this age group is at an ideal developmental level and life stage for therapeutic work that will make a real difference to their futures.

What do you like about it? When you can tap into the energy and knowledge that young people bring to a group it’s fantastic. By engaging young people physically and cognitively in therapeutic activity, indoors or outdoors, it captures their interest and engages them in new learning.

What are the challenging bits? Managing the rollercoaster that is working in mental health.

Who do you most admire in a professional capacity at work and why? Jill McCracken - A long-time YDP colleague who has very clear views and can articulate them well.

The last book I read was… Huts, the untold stories of back country New Zealand.

Ian Mann

If I could be anywhere in the world right now it would be… With my sons Jake and Ollie in Thailand rockclimbing or Tonga swimming with the whales.

My ultimate Sunday would involve… A warm sunny summer barbeque with friends and family around the pool.

One food I really dislike is… Durian fruit (smell it and you’ll understand).

My favourite music is… Acoustic guitar, Rock, Drum and Base and Soul. If you would like to take part in this column or would like to nominate someone please contact Naomi.Gilling@cdhb.health.nz.

Monday 13 October 2014


Staff Wellbeing Programme: Wellbeing Workshops - all staff Wellbeing Workshops – all staff A limited number of wellbeing workshops are available to all staff during October/November. Click here to register. For more information click here or visit the Staff Wellbeing Programme intranet page Staff Wellbeing Programme intranet page – Pilates, Zumba, Yoga, Mindfulness… Check out this page for information on yoga, Zumba, Pilates, mindfulness, walking groups, Earthquake Support Coordinators, Employee Assistance Programme (EAP - free counselling for staff), and more…see the Staff Wellbeing Programme intranet page for more information.

Earthquake Support Coordination (ESC) Service ESCs will run drop-in desks at main hospital cafes from 10001330hrs during October as follows:  Hillmorton café – Monday 13 October  CHCH Campus – Great Escape café – Wednesday 22 October Our Earthquake Support Coordinators (ESC) are dedicated to helping CDHB staff deal with issues related to EQC, insurance, accommodation etc. Contact an ESC directly on 371 5598 or visit the Staff Wellbeing Programme intranet page for more information. Andy Hearn Staff Wellbeing Coordinator, Canterbury & West Coast DHB Ph: 03 337 7394 / Ext: 66394 / Mobile: 027 218 4924 Email: andy.hearn@cdhb.health.nz

Back to the Future; i-care The Neonatal Nurses College Aotearoa (NNCA) is organising a conference entitled “Back to the Future; icare” to be held in Christchurch from November 11 – 13 2014 at the Rydges Hotel. The conference is being organised on behalf of NNCA by CDHB Neonatal Nurses. It will provide a wonderful opportunity for us to showcase the innovation within our Neonatal service and organisation, as well as the city of Christchurch. We have gained a huge amount of support from CDHB which will help to make the conference an interesting and successful event. Keynote speaker will be Professor Philip Darbyshire, who is a Professor of Nursing at Monash and Flinders Universities, Australia, and a proud ambassador for AWCH (Association for the Wellbeing of Children in Healthcare). He is internationally recognized as a leader in nursing and health care research and service development. The aim of the conference is to explore the integration of information technology within the medical care we deliver on a daily basis. This is a chance for us to explore how information technology is affecting, and being used within, the neonatal environment. Current uses and future possibilities are being examined. There are other speakers who will be known to Christchurch delegates, including Dr Mark Jeffries and Dr John Garrett. For further details, go to: www.nncaconference.co.nz Closing date for registrations will be October 31 2014. Enquiries can be directed to Jan McKenzie jan.mckenenzie@cdhb.health.nz or Jenny Liley jenny.liley@cdhb.health.nz

Monday 13 October 2014


Emergency Planning Manager — CDHB At the Canterbury District Health Board we have a big challenge. It’s not for everyone, but it could be just what you’re looking for. After countless earthquakes, snow storms, and flooding we have emerged stronger and more determined than ever to improve the way we work - and make CDHB a great place to work.

Latest CDHB Opportunities

Service Manager (Fleet, Courier, and Car We’re looking for an Emergency Planning Manager to develop, maintain, and operate the CDHB Emergency Plans in Parking) accordance with the MoH Operational Policy Framework and provide leadership in Emergency Management within the Business Systems Analyst - PICS CDHB. This important role also has the responsibility of managing the CDHB Emergency Coordination Centre when activated and ensuring that CDHB is ready to provide a predictable, integrated, and sustainable whole of health system response to Registered Nurses Emergency emergencies. If you have a keen interest in Emergency planning, a desire for continuous improvement, and are up to the challenge of making a difference to CDHB, read the full vacancy online now!

Facilitator - Adverse Event System

Enquiries should be directed to Heather Ewing, Recruitment Specialist, phone (03) 364 0599, email: heather.ewing@cdhb.health.nz

Graphic Designer

Operations Manager—WCDHB We’re seeking an Operations Manager to play a key role in our leadership team at Grey | Westland. With a new build about to get underway at Grey Base Hospital, there has never been a better time to join us.

cdhb.careercentre.net.nz

Latest WCDHB Opportunities Dental Therapist Physiotherapist westcoastdhb.careercentre.net.nz/

Reporting directly to the General Manager Grey | Westland, you will provide a focus on communication, integration and consistency across the multiple service areas within the Grey | Westland region. Playing a key role in strategic business planning and improvement, you’ll provide day to day leadership, encourage and actively participate in identifying service development opportunities. You will also work with clinical leaders and managers to enable the transformation of services to align with the WCDHB vision and the overall strategic vision of the West Coast Health System. This is a great opportunity to play your part in transforming health on the West Coast. Read the full vacancy online now! To find out more contact Stacey Flintoff, Recruitment Specialist on (03) 378 6676 or email: stacey.flintoff@cdhb.health.nz

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Monday 13 October 2014

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In brief… Our carers make a difference! Foster parents are caring people who value and care about their community. They provide our children in care the opportunity to have a normal kiwi childhood. Child, Youth and Family continue to seek loving foster parents for our children and young people in care. More details click on the image to the left.

Research Volunteers Wanted Do you have PCOS (Polycystic Ovary Syndrome)? The Christchurch Heart Institute is seeking volunteers for a research study of insulin levels in PCOS. More details click on the image to the left.

International Pregnancy and Infant Loss Day Wednesday 15 October, 10.00am Service of Remembrance Followed by morning tea. Christchurch Women’s Hospital Front Lawn (beside the chapel) Then Great Escape Cafe Side Room for Morning Tea. (If wet Service and morning tea will be in the Great Escape Cafe Meeting Room)

Alzheimers Canterbury—Community Education Seminars For adult children of people with dementia Find out more about the impact of dementia on families, including changing roles and managing conflicts, plus a word on genetic inheritance and dementia Wednesday, 15 October 2014 More information. Dementia and Communication When talking with a person with dementia it can be difficult to understand them and to make yourself understood. Wednesday 22 October 2014 More information.

Monday 13 October 2014


In brief… We need new donors...come and give blood at… Christchurch Hospital, Great Escape Café Annex Thursday 23 October 10am—3pm...more information

The New Zealand Nursing Practice Survey The New Zealand Nursing Practice Survey is the first large scale study to apply a research framework to the many different nursing roles and titles we have in New Zealand and address the confusion about the difference between them. Professor Jenny Carryer and Dr Jill Wilkinson from Massey University are conducting the study. As a Registered Nurse or Nurse Practitioner currently employed in a clinical service environment you are invited to participate in the survey. Nurses in any type of hands-on, management, leadership, research, or education roles, including senior nursing leadership roles are invited. We need as many nurses as possible to participate to get reliable research results. There is more information about the study and the survey itself at this link: https://www.surveymonkey.com/s/Nursing_practice_survey If you have any questions about the survey, or have difficulty accessing the site, please email j.wilkinson@massey.ac.nz or Liz.manning@kynance.co.nz

Canterbury Health Laboratories Night Lecture Series Human disease, just how much can we blame our genes? Part 2 cancer and inflammatory bowel disease Tuesday 14 October, 7pm—8.30pm Speaker: Dr Tony Raizis For a list of future Canterbury Health Laboratories Night Lecture Series refer to this poster.

Read the latest SCIRT news here

Monday 13 October 2014


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