Health Times April 2019

April 2019

Education special feature + Mature age study a help, not a hinderence, when it comes to nursing + Chance to travel and train a tempting prospect for nurses + Berwick Centre for Health provides virtual simulation learning + Nurses play a critical role in improving outcomes for trauma patients

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April 2019 We hope you enjoy perusing the range of opportunities included in this issue.

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Mature-age study a help, not a hindrence, when it comes to nursing

N

ursing is a career of passion – with many in the profession proudly claiming to have known all their lives that they would one day become a nurse.

So it’s a common assumption that nursing careers are born from degrees commenced direct from high-school, with first positions secured during a graduate’s mid to late twenties.

But that isn’t necessarily so, as Wesley Hospital’s Director of Nursing, Sara Kena will attest.

Ms Kena was in her early thirties when she heard the call.

“I was 32 years old when I commenced a Bachelor of Nursing degree at the Australian Catholic University,” says Ms Kena.

“I gave birth to my second child during my second year of studying, and had my third baby following the completion of my degree - I took him to my graduation ceremony as a new-born!”

Growing up, Ms Kena wanted to be classical ballet dancer, and studied classical ballet from the age of four.

“I went to a classical ballet school in Monte Carlo and then worked as a soloist in a professional ballet company in Germany.”

After a successful career as a classical ballerina, Ms Kena’s first qualification was a bachelor degree in human movement, born from her desire to work in the area of health

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and management.

“During my early career, I was the manager of a fitness department at a large health and beauty organisation in Hong Kong.”

But after 19 years in the health and fitness industry, Ms Kana felt she wasn’t able to fully reach the people that needed the most help.

“I observed most people who attended health centres to be fairly fit and healthy already, and really wanted to progress my career in a direction that would have a more direct connection with people in need.

“I discussed this with family and friends - many of my family are nurses, and my sister is a psychologist - and nursing was suggested as an ideal profession for me, as it would also utilise my health management experience and qualification.”

For Ms Kena, age wasn’t considered a barrier, nor a deterrent.

“Definitely not.

“I was extremely focussed and applied myself to the course very well.

“My life experience also gave me an advantage over students that had come straight out of high school.”

Ms Kena’s first position was as nursing assistant at a nursing home in Ashfield, to make sure this was the career for her.

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the course.

“During a clinical placement I was offered a position as an undergraduate assistant in nursing at a private mental health hospital, which I gladly accepted.

“I was then offered a position as a registered nurse upon completion of my university studies.”

There are various pathways to become a nurse as a mature age student.

One pathway is direct entry to university via a Bachelor of Nursing degree, which then leads to becoming a registered nurse.

The registered nurse is responsible for all other nurses as well as leading the units and coordinating patient care.

Another pathway is via technical and further education (TAFE) at which there are 2 course available.

The first is Certificate III in Health Services Assistance, which takes approximately 6 months to complete and results in an Assistant

in Nursing qualification (AIN).

The other is a Diploma of Nursing, which takes about 18 months and results in and endorsed enrolled nurse qualification.

While a person that completes the AIN is not a registered clinician, an enrolled nurse can administer medication and must maintain registration, like a registered nurse.

“All roles are extremely valuable in the provision of care to patients in the healthcare system,” says Ms Kena.

“An enrolled nurse can attend university, joining the bachelor degree course during their second year to become a registered nurse.”

Ms Kena now holds a Bachelor of Nursing degree, Post Graduate Diploma in Midwifery, Post Graduate Certificate in Mental Health and a Masters of Business Administration.

“The latter two qualifications has led me to my current role as a registered mental health nurse (MHN) and Director of Nursing at Wesley

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Hospital in Ashfield.

“I commenced as a registered nurse at the hospital I had been working in as an undergraduate AIN, as I was certain I wanted to specialise in the area of mental health.

“The majority of people do a post graduate course and work as part of a large teaching hospital in order to experience a variety of different areas of nursing before choosing an area to specialise in.

While Ms Kena studied midwifery, and also has experience in aged care, she has paved a successful career working in mental health.

“I progressed my career from a registered nurse, to a nurse unit manager, to an assistant director of clinical services, and now I am the Director of Nursing at Wesley Hospital in Ashfield.

“Currently, I’m studying the National Safety and Quality Health Service (NSQHS) online training course.”

Ms Kena says it’s never too late to consider a career in nursing.

“A mature age student has a lot to bring to the nursing profession in terms of life experience, maturity and the ability to apply themselves to a career that is extremely rewarding.

“It is also a very flexible job with a multitude of career paths that incorporate past experience and qualifications.”

Far from being a barrier, Ms Kena found being a mature age graduate to be beneficial when it came to job seeking.

“I had the common sense and experience to practice autonomously without requiring a lot of direction.

“In my observations, the younger graduates

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require a lot more support with the basic skills of time management and being able to assess what needs to be done and getting on with it.

“I think that an older person may benefit from things such as financial security, psychosocial stability, and professional and personal experience, which, in turn, may better enable them to successfully achieve the study and practicalities involved in becoming a nurse.”

As with anything though, there are some challenges, such as financial and familial commitments, which may make it difficult to dedicate to a new career.

“In all, if you are considering a career change and looking at nursing as an option, it is a great career choice.

“There are a huge variety of specialties, such as midwifery and mental health, and many areas of career development within the nursing umbrella itself.

“Some of these are education, management, sales and insurance.

“When considering nursing as a career, it is advisable to think about where you might like to end up and what the pathway would be to get there before choosing which qualification you enrol in.

“Some people choose to do the AIN course first, as it is relatively short and most other work may be continued at least parttime.

“This also makes it possible to “trial” nursing, if you have never been exposed to the healthcare before.”

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HealthTimes - April 2019 | Page 19

Chance to travel and train a tempting prospect for nurses

T

ravelling the world may not be top of mind when considering a nursing career, but many nurses are taking the opportunity to explore exotic places while earning continuing professional development (CPD) points and the benefits are numerous.

Many professions combine education with travel and nursing is no exception, said Sue Walker, Conference Co-ordinator of The Nurses for Nurses Network, who has partnered with Education at Sea to combine exotic destinations and CPD experiences for nurses.

“The education content meets the same exacting standards as any conference offered in Australia and the experience is enhanced as we marry this with a great travel destination.

“Outside of conference hours attendees can explore the location at their leisure either with other conference attendees or with friends and family that may have accompanied them.

“Being able to bring friends and family is a great benefit – we all have super busy lives with shift work complications being thrown in for some nurses – so to be able to spend quality time with family and access exceptional CPD content is a great bonus.

“Another benefit is the ability to visit and network with colleagues in the locations we visit.

On most conference locations we can organise hospital and health service visits that allow us to network with colleagues from that location and

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discuss our shared nursing experience.

“We are also able to provide education sessions to our destination colleagues as well as learn from them,” said Ms Walker.

This type of professional development is costly, and many nurses may deliberate over whether finances permit. Others may wonder if hectic work schedules and family commitments should take priority, but Ms Walker says these aren’t obstacles if nurses plan ahead.

“If you book early enough work commitments can be altered and leave applied for, the family can join you so it can become an annual holiday for them as well as the delegate outside of conference hours.

“Finances are always a consideration no matter the profession.

We believe the concept provides value for money and there are payment plans available should it be required,” said Ms Walker.

A personal attendee at many travel and CPD events herself, Ms Walker says though the education and fabulous destinations are the main attraction, the opportunity to network with nurses from around Australia and meet colleagues from different parts of the world is a significant benefit.

“Nurses are an inclusive group, and other attendees are just friends you haven’t met yet.

On the first night at registration we always have a welcome function where people get to meet each other and get to know each other,” said Ms Walker.

What nurses say about travel and CPD events “A great experience to attend lectures and to get CPD points and have a fabulous holiday.

To communicate with nurses from different hospitals and to hear and share stories is great.”

Linda, Perioperative Nursing | Papua New Guinea “It was a great opportunity to learn an essential nursing skill in a lovely environment.

I have now completed my yearly CPD obligation for the year in July.”

Cheryl-Anne, The Fabulous World of Wounds | The South Pacific “Friendly atmosphere, very well presented and researched content (not stuffy lectures).

The offer to complete tasks missed, e.g. CPR, medications.

Visit to the ship’s medical centre and hospital. Ability to dine with partners and the group, opportunity to network and of course… travel!”

Natalie, Focus on Nursing Fundamentals | Melbourne Combining a love of travel with a nursing career If travelling for professional development isn’t enough for those nurses who catch the travel bug, then a position as a repatriation nurse might be an ideal career choice.

What is a repatriation nurse?

A repatriation nurse is a nursing career that is open to registered nurses who are highly trained to oversee all-encompassing critical, emergency and pre-hospital care for patients during rescue operations or for travellers who are sick or injured overseas or in remote locations throughout Australia.

Repatriation nurses play a vital role in ensuring the safe repatriation of Australian travellers who are injured, commonly due to multi-trauma, from remote and international destinations.

Wendy Keating, a Repatriation Nurse for Allianz Global, said her job requires frequent travel to international destinations and remote locations throughout Australia to assist sick or injured travellers.

“Since I began my role at Allianz, I’ve been involved in six repatriation missions to countries such as China, Mauritius, and others. I’ve also repatriated patients involved in terrorist attacks in Barcelona and Nice,” said Ms Keating.

However, it’s not all work and no play because the work of a repatriation nurse also inevitably leads to days off that can be used to sight-see and enjoy some relaxation.

“While on a repatriation mission to Mauritius and Reunion Island, I managed to squeeze in a bit of local island adventuring on Reunion Island, where the patient was located in the hospital.

“A full day of beaching, leisure, and a bit of shopping was a fun way to enjoy a bit of down time before the intensity of an international repatriation assignment,” said Ms Keating.

HealthTimes - April 2019 | Page 21

Berwick Centre for Health provides virtual simulation learning

T

he Berwick Centre for Health, a $15 milliondollar purpose-built teaching and simulation facility, has officially opened in Victoria to provide students in nursing, community services and allied health the chance to experience virtualsimulation learning.

Incorporated into the State Government’s vision for the Berwick Health and Education Precinct, it complements the training partnership that Chisholm has with the nearby St John of God Hospital, Specialist Centre and Casey Hospital.

Chisholm CEO, Dr Rick Ede said the facility is equipped with the latest technology to support vocational education and training in health.

“Students and staff now have access to the latest technology and learning spaces to support careers in a range of health services and being located just a couple of hundred metres from the local hospitals will also benefit our students.

“For our staff, it is a different way of teaching and working – it’s very collaborative. It provides the students with a much more engaging and immersive experience so that when they transition to the workplace, they’re already very familiar with the environment,” Dr Ede said.

General Manager, Health, Chisholm Institute, Dr Susan Maastricht said students and staff had embraced the new facility.

“From our first day of teaching in our new location, students were amazed by the technology, life-like patients and training rooms which are designed to replicate hospital wards, counselling services and home care.

“We have two simulated laboratories with observation rooms, which allows students to discuss a training procedure or to review the activity of their peers,” Dr Maastricht said.

CEO, St John of God Hospital, Lisa Norman said the new facility presents benefits for both students and nursing staff.

Page 22 | HealthTimes.com.au

“It’s an opportunity for us and the students to develop a more predictable relationship, where we understand the classes and education delivery, and how industry-ready the students are.

“Equally for the students to become more familiar with how we operate. When I walk through the facilities, I see unlimited potential,” Ms Norman said.

The facility has 30 beds throughout four replica hospital wards, each with patient beds and specialised Laerdal Simulation Mannequins that can be programmed to respond to treatment and medication, explain their symptoms and use AI technology to engage in a real-time conversation.

There are also 12 collaborative classrooms, informal learning commons, group study pods, and open plan staff workspaces.

Taryn Kellerman, a nursing teacher at the facility, said the interactive nature of the environment enables active learning and realworld confidence in nursing.

“The students are able to learn not only in classrooms designed for active learning but also in simulation labs, set up with observation rooms.

“Virtual simulation has become a big part of the learning environment, and we’re seeing students feeling more prepared for placement than what they were before.

“One of the biggest benefits is the ability to increase our engagement in the classrooms with the students. Through the use of these classrooms, simulation labs and Mannequins we are seeing an increased level of critical thinking.

“They love the lab time where they can watch their peers demonstrate and go through a simulation, and then all debrief and reflect on it together in a safe environment,” said Ms Kellerman.

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HealthTimes - April 2019 | Page 23

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HealthTimes - April 2019 | Page 27

Are your Leaders skilled coaches and mentors?

When a hospital CEO incorporated a Married at First Sight Clip, along with a scene from The Office into their presentation at a Leadership Forum earlier this year, the audience was immediately engaged.

It was an example of the kind of supportive leadership that builds a culture of trust, according to the Director of FIREUP Coaching, Kathy McKenzie, who was invited to facilitate the forum for the 60 leaders of a large women’s hospital.

“The CEO used humour well to highlight what happens when you are not present in a conversation and only thinking of yourself,” says Ms McKenzie.

“The ability to engage with your leaders needs careful consideration and a high level of skill and knowledge.

“Thankfully now in Healthcare the investment is being made in ensuring leaders do know how to coach and mentor.”

The challenge that leaders in any business face, is how to disrupt the kind of thinking that fosters an organisational culture of judgement and prejudice.

Jacinda Ardern’s recent act of courageous leadership in horrendous circumstances is a prime example of how a quality leader can steer daring conversations, while both demonstrating and managing emotion simultaneously.

She wasn’t turning on compassion for the cameras – she is compassionate. So how we prepare our business managers to be able to lead positively and with the willing participation of their team?

How do we prepare our leaders to have courageous conversations and to manage their emotions as well as Jacinda Ardern

Page 28 | HealthTimes.com.au

demonstrated recently in the most horrendous circumstances.

The answer is simple: coaching.

“One of the expected skills of all leaders now is the ability to coach,” says Ms McKenzie.

“Coaching is now becoming a main stream approach for business.

“A recent whitepaper by Korn Ferry on the impact of leadership styles on organisational climate found that a coaching style enhanced a positive, engaged organisation culture by 50%.

“Developing a coaching culture has been shown to improve communication by 63%, team effectiveness by 68%,self esteem by 29% and performance management by 77%.”

Ms McKenzie has developed a new coaching model designed to teach leaders to have conversations that create trust.

The REACH Model, an acronym for Rapport, Explore, Action, Clarify and Honour, aims to support health professionals to have better conversations with their peers and patients.

“This foundational coaching conversation model is a holistic model that incorporates the evidence that research around positive psychology, emotional intelligence and neuroscience.

The proof is in – it is no longer just about return on investment, but return on intelligence - and coaching is an ideal method for creating emotionally and socially intelligent leaders. If you would like to know more about customising a program for your team, contact FIREUP at info@fireup.com.au OR 1300 347387 – For Accredited Programs commencing near you see www.fireup.com.au

Mental Health Nursing Opportunities Exciting opportunities exist for Registered Nurses to work within the Acute Mental Health Inpatient Units at Royal North Shore Hospital.

Working closely with our friendly, supportive and innovative Multidisciplinary Team, the successful candidate will be given the opportunity to further develop their skills in the Acute Mental Health setting. The teams across the Mental Health Inpatient Unit and Psychiatric Emergency Care Centre at Royal North Shore Hospital are dedicated to improve the health and wellness of patients and carers utilising the recovery framework.

Royal North Shore Hospital is centrally located within St Leonards and is conveniently located on the train line just minutes away from the Sydney CBD. As part of your position within the Northern Sydney Local Health District, you will be given the opportunity for ongoing education support, continuing professional development and clinical supervision.

To find out more about these exciting career opportunities, to come and visit the unit to meet the staff or if you wish to apply for a position-contact us today!

Contact: Alison Sutton (Inpatient Services Manager) Phone: 0404 026 516 Email: Alison.Sutton@health.nsw.gov.au

https://facebook.com/nslhd.mhda http://www.nslhd.health.nsw.gov.au/ We look forward to welcoming you into our friendly and supportive team!

HealthTimes - April 2019 | Page 29

Nurses play a critical role in improving outcomes for trauma patients

I

njury is a pandemic in Australia and with nurses at the forefront of emergency care, they play a critical role in ensuring positive outcomes for patients, says emergency clinical nurse consultant and academic, Professor Kate Curtis.

According to Professor Curtis, emergency department presentations have increased to more than 8 million per year in 2017-18, which is about 22,000 patients per day.

Despite progress in emergency care, the field lags behind in applying a scientific approach to identifying critical knowledge gaps resulting in considerable variance in care.

“In 2018 the AIHW reported increased inhospital adverse event rates, particularly for emergency admissions which were more than double that of non-emergency admissions.”

Emergency nurses are responsible for the initial assessment, management and safety of critically ill patients, making the quality of their role critical.

“They are the first clinicians that patients see, so the quality of their initial assessment and treatment is vital.

“This assessment underpins clinical decisions and safe care by detecting and acting upon deterioration.

“The quality of this assessment is also crucial as emergency patients often have extended wait times for medical officer review.”

Across Australia, only 64% of urgent patients were seen within 30 minutes of arrival to the ED in 2017-18, says Professor Curtis - a decline since 2013–14.

“Nation-wide intervention in our EDs is required to improve emergency nursing assessment; reduce unwarranted variation in care; recognise and respond to clinical

Page 30 | HealthTimes.com.au

deterioration; reduce time to treatment and; escalate care to medical officers as needed An emergency and trauma clinician for 26 years, Professor Curtis identified a need for improvement, and began undertaking research in order to generate evidence to change practice.

As a combined clinician and academic, Professor Curtis is dedicated to making real change, to improve outcomes for patients.

“As an example, when I was developing the Emergency Nursing Masters Curriculum for the University of Sydney, I identified there was no validated framework or ‘best way’ to guide the initial nursing assessment of the patient presenting to emergency.

“This is important because emergency nurses are required to assess and mange a diverse range of patients with different clinical presentations of varying degrees of clinical urgency.

“Emergency nurses therefore need to make decisions under conditions of uncertainty, while working in an unpredictable environment.

“So, with a team of expert clinicians and educationalists I led the development, validation and implementation of an emergency nursing assessment framework.

“Along with my colleague Dr Belinda Munroe, we demonstrated that using this new model improves emergency nurse’s selfefficacy, communication and detection of clinical and historical indicators of urgency.”

This model is now being embedded in all NSW emergency departments.

In Australia, injury is the leading cause of death and disability for healthy people aged under 45 years, often leaving them unable to

work, in chronic pain, and/or experiencing depression.

“Injury happens in the blink of an eye and is life changing for the patient, their family and their social network “We need to support our injured patients better. But the best thing we can do is prevent the injury from happening in the first place.”

When it comes to children, injuries are responsible for double the number of hospital admissions than respiratory, cardiovascular disease and cancer combined.

“Injury can change that child’s life for ever, meaning they may not grow up to have the opportunities of others, or be able to work in the profession they wanted to.

“And, up to 50% of parents of severely injured children get PTSD. “So much injury is preventable, but in our most precious resource, injury rates have not changed in the past 10 years, and deaths have actually increased.”

Professor Curtis says working on the front line in the Emergency Department enables her to identify real world problems that need addressing for patients, staff and the way care is delivered.

While her academic appointment affords me the time to implement change, such as founding the Childhood Injury Prevention Alliance, a team of clinicians, researchers, industry partners and funders.

“CHIPA’s mission is to reduce the incidence and impact of childhood injury across Australia.

“The expertise of CHIPA’s members spans all aspects of the injury journey, from prevention to reintegration.”

Combined with the Paediatric Critical Injury Program, CHIPA’s work and advocacy prompted the federal government to pledge $0.9 million to develop a National Injury Prevention Strategy.

The National Injury Prevention Strategy will provide an evidence based strategic framework for injury prevention and safety to achieve

a positive safety culture in Australia and the creation of safe environments.

“It will also include how to implement change, the funding required to do so, and ways to monitor the impact of injury prevention interventions,” says Professor Curtis.

“I am really excited to have been part of the team that demonstrated we need to act urgently to address the pandemic that is injury in Australia.”

Professor Curtis leads the Paediatric Critical Injury Research Program whose research discovered that childhood injury rates have not changed in 10 years, reflective of the fact that Australia has not enacted an injury prevention plan.

“We developed a position statement and recommendations to protect Australian children from injury.

“Our ultimate goal is to reduce the incidence and impact of injury in Australia.”

Professor Curtis says her vision is to use the synergies between her clinical and academic roles to maximise evidence implementation to improve access, equity and quality of emergency care, to result in the best possible patient and health service outcomes.

“I will engage with those at the coal-face to design and conduct clinically-relevant, evidence-informed emergency research and translate it to health practice and consumerfocused care.

“I also aim to also continue to build clinician capacity by nurturing clinicians’ translational research skills through mentorship and research supervision.”

But despite the exponential gains Professor Curtis’ dedication to research has brought to emergency care, she says she’ll continue to be hands on in her clinical role.

“I just love working clinically with patients and other emergency clinicians.

“I love being a nurse.”

HealthTimes - April 2019 | Page 31

Tools to help allied health professionals with palliative care

By Susan Gravier Research Associate, CareSearch, Flinders University, South Australia Nurses and allied health professionals (AHPs) continually make decisions as to when and how to continue or modify care, and in the choice of advice and educational materials to share with clients, families and carers.

In making care decisions, AHPs draw on the best available research evidence along with clinical expertise, the patient’s values and circumstances, and the clinical context.

Not always a specialised role, the growing demand for palliative care means that AHPs are increasingly likely to see clients with palliative care needs.

Palliative care provides a support system for people living with a life-limiting condition to live as actively as possible for as long as possible. T he National Palliative Care Strategy 2018 highlights the importance of evidence and person-centredness as essential ingredients of quality palliative care.

The strategy emphasises the importance of access to trustworthy resources for people receiving and providing palliative care. It also stresses that the evidence base be accessible and integrated into education and training for care providers and carers.

To support AHPs working in any setting looking after a person with palliative care needs, the Allied Health section offers evidence-based and peer-reviewed information, tools and resources.

A similar section exists to support nurses.

For AHPs, “Getting Started� links to a selection of tailored resources that explain important aspects of palliative care and help build

Page 32 | HealthTimes.com.au

confidence in using evidence to inform and improve palliative care practice.

Current best evidence is the foundation of effective, efficient and safe care , yet finding the best evidence can be time-consuming.

CareSearch provides tools to help nurses and AHPs find and use evidence. This includes PubMed searches on a multitude of topics and sections dedicated to Searching for Evidence and Using Evidence in Practice.

Providing advice or education to a client, their family or carers can enable them to adjust and adapt to consequences of the illness.

Education and counselling are therefore an integral part of palliative care.

CareSearch and palliAGED host trustworthy information and resources for clinicians to offer to people in their care. The My Information Kit makes it easy to select factsheets to print out for clients, carers or colleagues.

Continuing professional development (CPD) helps AHPs to maintain and improve knowledge, skills, and personal and professional qualities.

The CareSearch Education section proposes a range of evidence-informed learning resources. The eLearning resources for nurses and AHPs provide opportunities for independent learning.

Through these options, nurses and AHPs are supported to focus on delivering evidencebased care.

Time to give your career a lift?

MD (Doctor of Medicine) Online and Classroom - Samoa

Immunisation for Health Practitioners Online Course

Fundamentals of Foot Ulceration Workshop Classroom - Brisbane

Master of Nursing Online with placement

Graduate Diploma of Domestic and Family Violence Practice Online Course

Introduction To Cosmetic Injectables Classroom - Melbourne

Search Postgraduate and CPD course opportunities at HealthTimes.com.au

HealthTimes - April 2019 | Page 33

Great jobs for health professionals (you won’t find anywhere else)

Director of Clinical Services VIC. Excellent career and lifestyle opportunity with a future-focused, multi-campus health service.

General Practitioners NT. If you're looking for an opportunity to contribute to the health of remote Aboriginal communities, this could be the role for you!

Nurse Practitioners QLD. Providing nursing leadership and clinical care to patients in a custodial setting. Salary package up to $148K.

Associate Nurse Unit Manager SA. In this pivotal management position, you will lead the delivery of proficient, person-centred, clinical nursing care within Northgate House.

These and hundreds more great job opportunities at

HealthTimes.com.au Page 34 | HealthTimes.com.au

Coming this June - Hospital Representatives from the King Faisal Specialist Hospital & Research Centre - Jeddah, Saudi Arabia.

The Jeddah Campus is a 470 bed tertiary hospital located right next to the Red Sea. Have the perfect work-life balance - grow professionally in an international setting then hit the beach on your days off!

Information sessions & Interviews 10 June - Auckland 12 June - Melbourne 13 June - Brisbane 16 June - Sydney This is your chance to have all your questions answered direct from the source. The hospital is currently undergoing a mega expansion project bringing it to a bed capacity of 2000 beds which will cover all specialities except mental health.

Benefits include: Salary paid tax free, Fully furnished accommodation provided, Flight paid at beginning and end of contract, Annual return flight home upon re-contracting, Full medical insurance, Sign on bonuses, Year-end bonuses and Severance pay, Generous annual leave and more Nurses from all specialities are encouraged to apply* Specialised vacancies include: ICU, Paediatrics, Managers, Educators & Research Specialist *except mental health and aged care

To register your interest or apply, please contact us: raquel@ccmrecruitment.com.au rowena@ccmrecruitment.com.au AUS Free Call 1800 818 844 NZ Free Call 0800 700 839

HealthTimes - April 2019 | Page 35

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