Health Times July Edition

H

July 2016

Bupa Leadership Opportunities See Page 3

Theatre & Critical Care Feature + Improving the psychological recovery of ICU patients + Post-operative and post-anaesthesia care for ICU nurses + New Zealand’s unique mobile surgery service + Nurse to patient ratios begin in Queensland

HealthTimes - June 2016 | Page 05

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Page 02| www.HealthTimes.com.au

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My Kaywa QR-Code

www.bupaagedcare.com.au/leaders

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Download the Kaywa QR Code Reader (App Store &Android Market) and scan your code!

Extraordinary opportunities for inspirational Health & Care Leaders Join our Talent Community to be kept in the loop!

View our QR code or visit the link below to learn more. bupaagedcare.com.au/leaders

HealthTimes - July 2016 | Page 03

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July 2016 We hope you enjoy perusing the range of opportunities included in this Issue.

If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or would like to receive our publication, please email us at contact@healthtimes.com.au

Australian Medicines Handbook Barwon Health Bendigo Health Bupa CCM Recruitment International

DISTRIBUTION 46,300

Critical Care Education Services

The HealthTimes magazine is the most widely distributed national nursing and allied health publication in Australia.

For all advertising and production enquiries please contact us by telephone on 1300 306 582, email contact@healthtimes.com.au or visit www.healthtimes.com.au Published by Seabreeze Communications Pty Ltd trading as HealthTimes.

ABN 29 071 328 053. Š 2015 Seabreeze Communications Pty Ltd. All right reserved. No part of this publication may be copied or reproduced by any means without the prior written permission of the publisher. Compliance with the Trade Practices Act 1974 of advertisements contained in this publication is the responsibility of those who submit the advertisement for publication.

Next Publication: Midwifery Publication Date:

Advertiser list

Monday 29th of August 2016

Colour Artwork Deadline: Monday 22th of August 2016

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Geneva Health Latrobe Regional Hospital Medacs Healthcare Australia Miwatj Aboriginal Health Service Monash University Oceania University of Medicine Quick and Easy Finance Royal District Nursing Service Royal Flying Doctor Service Smart Salary Sunrise Health University of Derby

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WHAT CAN I USE THE LOAN FOR?

Anything you want! Guilt-free shopping; gift purchases; a holiday of a lifetime; home renovations; a new car; repairs or new tyres; dental or medical expenses; new furniture and whitegoods; upgrade to a new wide screen TV… in fact, it’s your loan – so use the funds however you choose!

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HealthTimes - July 2016 | Page 05

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1300 221 971 | www.smartnurses.com.au *Savings example is indicative only and is based on the following assumptions: living in NSW 2123, salary: $70,000 gross p.a., travelling 15,000 kms p.a., lease term: 48 months. The purchase price discount represents a typical saving and is compared to the manufacturer’s on-road price of the new vehicle. All tax savings calculations include budgets for fuel, servicing, tyres, maintenance and re-registration over the period of the lease. These calculations also include comprehensive motor insurance, 2 year extended warranty and gold aftermarket pack, which includes window tint as part of the offer. The total amount saved is a comparison to financing the purchase price of the vehicle over 4 years and paying for all running and maintenance costs out of your post-tax earnings. Your actual savings will depend on your income tax bracket, the GST processing method nominated by your employer, administration fees payable under your employer’s salary packaging plan, the negotiated Smartleasing discount on your chosen vehicle and your personal circumstances. **The vehicle price stated for CX-5 Maxx Sport 2.5i AWD is correct at the time of print and may be subject to change. Vehicle price stated includes all NSW on-road costs and government charges, and excludes gold aftermarket pack.

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Page 06| www.HealthTimes.com.au

5/05/2016 3:34:08 PM

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BIOETHICS AT MONASH INTENSIVE BIOETHICS COURSE

MASTER OF BIOETHICS

2 – 5 December 2016 This three-day professional development opportunity provides healthcare professionals, members of human research ethics committees, and those with a general interest in bioethics, with an in-depth introduction to bioethical thinking.

The Master of Bioethics at Monash explores ethical theory, applied ethics, healthcare ethics, research ethics, and related policy issues. The program is wellsuited to healthcare professionals and scientists who face complex ethical issues in their working lives, as well as individuals involved in public policy and law regarding these issues. The course is designed to accommodate students with no prior background in ethics or philosophy, but is also suitable for philosophy graduates who wish to pursue further studies in bioethics.

Take part in seminars and forums led by experts in bioethics focusing on topics such as: ■■ Ethical theory ■■ Clinical and research ethics ■■ Reproductive ethics ■■ End of life care and decision making WHERE Country Place Retreat, Dandenong Ranges Victoria, Australia REGISTRATION For early bird rates book before August 31st. Registration details and further information can be found at: future.arts. monash.edu/intensive-bioethics-course

■ Offered on-campus and online ■ May be taken full-time or part-time (depending on prior education/ experience, students may be able to complete the course in 1–2 years full time or 2–4 years part time) For further information about the Master of Bioethics visit: future.arts.monash.edu/ master-bioethics

For more information on either of these courses please contact Ryan Tonkens: ryan.tonkens@monash.edu

HealthTimes - July 2016 | Page 07

Career Opportunities General Practitioner Supervisor (GPS)

Regional Tobacco Coordinator

PN 407

PN 517 Total Remuneration package $101,830 - $134,871 depending upon experience & qualifications

The principal focus of the General Practitioner Supervisor (GPS) position is the provision of clinical leadership, management and support to General Practitioner Registrars (GPRs). The role involves direct supervision to GPRs and provision of General Practice services, support for and sharing of skills with other team members and participation in key primary health care initiatives and community consultation.

This position is responsible for the Regional coordination of the Tobacco Control Program which aims to improve the health of Aboriginal and Torres Strait Islander people in the Katherine East region of the Northern Territory by minimising the harmful effects of tobacco, reducing smoking rates and tobacco exposure.

In conjunction with Clinic Staff, provide advice on clinical issues and the development and implementation of health programs and services that enhance service provision. Participate in and support health screening, surveillance programs and other primary health care activities including health promotion programs.

Sunrise invites applications for this pivotal position from professionals who are able to make a significant contribution to the planning, implementation and evaluation of a comprehensive approach for achieving health improvements in tobacco control, based on evidence around effective interventions.

The GPS is expected to work as a member of a multi-disciplinary team, led by the Director of Health Services and Planning (DHSP), and to practice in a manner responsive to local health needs, including those expressed through local Community Health Committees.

The successful applicant will have formal health promotion qualifications and relevant demonstrated experience in the field of Alcohol, Tobacco and Other Drugs.

Benefits include: • 6 weeks Leave per year • Generous relocation and repatriation

Sunrise has a comprehensive staff training and development program which is designed to ensure that all staff have the necessary skills and knowledge to perform their duties.

• Up to 10 days study leave • Salary packaging options up $15,899 per packaging year

Applications close COB 5th September 2016

Although the position is based in Katherine, regular travel to remote communities within the Sunrise region is an essential requirement.

Benefits include: • 6 weeks Leave per year • Up to 10 days study leave • Generous relocation • Salary packaging options up and repatriation $15,899 per packaging year Applications close COB 8th August 2016

SUNRISE HEALTH SERVICE Page 08| www.HealthTimes.com.au

Remuneration package $167,487 – $175,394 depending upon experience & qualifications About the Organisation: Sunrise Health Service Aboriginal Corporation is a community controlled Health Organisation.

About the Opportunities: Sunrise Health Service Aboriginal Corporation has a number of exciting opportunities for Registered Nurses and RN’s with Midwifery qualifications, to join their dedicated teams in the Katherine, NT region. These roles are being offered on a full time basis.

Locations in which the opportunities exist include – communities east of Katherine, NT. About the Benefits: • Attractive remuneration benefits include • 6 weeks Leave per year • Up to 10 days study leave • Midwifery allowance where applicable • Full support from the health team • Generous relocation and repatriation • Salary packaging options up to $15,899 per packaging year • Foil – every 3/ 4 months receive 2 days paid leave and $1110.00 cash (covers long weekend away to Darwin or Katherine) • Subsidised air-conditioned housing, plus utilities covered and subsidized phone line rental and up to $100.00 in phone calls (accommodation will vary in each community) Sunrise also has a comprehensive staff training and development program which is provided to all employees.

Please note all applicants must be Australian or New Zealand Citizens or Permanent Residents with the right to live and work in Australia For further information contact the Human Resources Manager, Mr Tony Hopp on PH: 08 8971 9521.

Additionally, working at Sunrise Health Service and living in the Katherine region has lifestyle benefits that are unique to the Northern Territory.

With the Katherine Gorge on your doorstep and an incredible outdoor lifestyle on offer, combined with some of the best fishing in the world, the Northern Territory is the place to be to make the most of life’s adventures.

Applicants must address the Selection Criteria (As contained in the Position Profile) Appointment is subject to a current Driver’s Licence, Criminal History Check and a Working With Children Clearance (WWCC) or the ability to obtain. Further information on Working with Children is available from www.workingwithchildren.nt.gov.au The Position Profile is available on careers section of our website www.sunrise.org.au for further information contact Human Resources on PH: 08 8971 9500. Send Applications “In Confidence” to HR Manager, Sunrise Health Service, PO Box 1696, Katherine NT 0851 or Fax: 08 8971 2511 or to: hr@sunrise.org.au Indigenous people are strongly encouraged to apply. Sunrise Health Service is an equal opportunity employer.

We maintain a strong No Smoking Policy.

HealthTimes - July 2016 | Page 09

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Remote Area Nurses (RAN) & or RAN/Midwives – Katherine Region

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Page 10| www.HealthTimes.com.au

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READY FOR A CAREER HEALTHCHECK ?

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Our online courses equip you with the skills and knowledge needed, allowing you to practice transferable skills effectively. Our range of online short courses, undergraduate and postgraduate degrees are designed to help you in your personal development, whether that’s for your CPD or as part of your training and development plan.

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Peri-anaesthesia/Recovery Room Nurse Exciting opportunities exists for experienced Peri-anaesthesia/Recovery Room nurses to join our Interventional Suite team at Bendigo Health, both full and part time applications will be considered.

A postgraduate qualification in peri-anaesthesia or critical care nursing is desirable, current experience is essential.

The Interventional Suite consists of 8 main theatres, 3 procedure rooms, recovery stage 1, 2 & 3, sterilising services and day of surgery admissions.

Approximately 12,000 operations are completed each year.

In January 2017 we will be moving into a brand new hospital and we are seeking enthusiastic staff to assist with developing our new services.

Please contact Kim Pentreath for further information (03 5454 7975) or go to our website: www.bendigohealth.org.au and click on Bendigo Health Careers.

HealthTimes - July 2016 | Page 11

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522-008 1/2PG FULLCOLOUR COLOURCMYK CMYKPDF PDF 423-001 419-001 417-002 416-001 418-001 420-002 421-001 424-002 422-002 503-017 509-009 502-023 514-007 501-027 512-009 507-012 1PG FULL 508-006 505-011 506-008 504-009 524-008 516-007 518-008 520-008 601-017 601-035 604-021 00092 1/2PG 603-019 606-017 605-015 OUM’s innovative teaching style is fantastic and exciting.

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Make the dream of becoming a doctor a reality, earn your MD at Oceania University of Medicine. n Attractive fee structure for our Graduate Entry Program. n Over 150 students currently enrolled and over 50 graduates in Australia, New Zealand, Samoa and USA. n Home-based Pre-Clinical Study under top international medical school scholars, using world leading Pre-Clinical, 24/7 online delivery techniques. n Clinical Rotations can be performed locally, Interstate or Internationally. n Receive personalised attention from an Academic Advisor. n OUM Graduates are eligible to sit the AMC exam or NZREX.

Applications are now open for courses starting in January and July - No age restrictions

OCEANIA UNIVERSITY OF MEDICINE INTERNATIONALLY ACCREDITED For information visit www.RN2MD.org or 1300 665 343

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Miwatj Health is an Aboriginal Community Controlled Health Organisation delivering primary health care service in the East Arnhem Region in the Northern Territory. We are currently looking at filling several positions to complement much needed services aimed at improving the health of local people in Aboriginal communities within East Arnhem Region.

Exciting opportunities exist for experienced Remote Area Nurses who are passionate about making a positive contribution to the health of Aboriginal remote area communities and would like to be a part of a dynamic team, located in stunning and beautiful coastal communities at East Arnhem Land, NT. The opportunities that exist include:

VACANCIES Malmaldharra Health Centre, Millingimbi, East Arnhem Land • Remote Area Nurse, Child Health • Remote Area Nurse, Acute Health • Remote Area Nurse, Men’s Health • Remote Area Nurse, Chronic Disease • Remote Area Nurse, Homelands Ngalkanbuy Health Centre, Elcho Island • Remote Area Nurse, Acute Health • Remote Area Nurse, Pediatrics • Remote Area Nurse, Primary Health

Gunyangara Clinic, Gove • Registered Nurse Nhulunbuy Health Centre, Gove • Regional Oral Health Coordinator (Dental Therapist) • Registered Nurse Yirrkala Health Centre, Gove • Aboriginal Health Practitioner

A Job Description and Selection Criteria can be obtained from our website www.miwatj.com.au All applications must address the selection criteria to be considered for the role.

General enquiries and applications to Human Resources on (08) 8939-1900, or email recruitment@miwatj.com.au For more information, contact Jeni Stubbs, Area Service Manager on 08 8939 1900 for a confidential discussion.

Aboriginal and Torres Strait Islanders are encouraged to apply.

HealthTimes - July 2016 | Page 13

New Zealand’s unique mobile surgery service

By Karen Keast

A

n operating theatre on wheels is changing the face of day surgery in rural New Zealand.

The 20m-long and 4.2m-high Mobile Health bus, which is 2.5m wide when closed and 4.7m wide when open, was designed and manufactured in New Zealand as a fully-equipped operating theatre that can operate standalone or connected to a host site.

The mobile surgical bus travels to 23 rural towns on a five week cycle, with three weeks in the North Island and two weeks in the South Island, where District Health Boards decide on the surgeries to be completed during the unit’s visit.

Mobile Health, which also runs a mobile lithotripter service and the NZ Telehealth Resource Centre, has had an ongoing contract with the Ministry of Health to provide the service, since the surgical unit first took to the roads.

Mobile Health general manager Mark Eager said the mobile theatre was first launched in 2002 when several rural hospitals were being rebuilt, and provides the only known service of its kind world-wide.

“There are other mobile operating theatres in the world however our service is unique,” he said.

“We operate for one day, pack up at the end of the day, and move to the next town - same again next day, and so on.”

Page 14| www.HealthTimes.com.au

The mobile surgical unit provides low-risk day surgery ranging from general surgery, such as lap hernias and haemorrhoids, gynaecology including ablations and tubal ligations, plastics such as grafts and carpal tunnel, through to orthopaedics.

It also provides general anaesthetic dental and colonoscopies - two growing areas that make up 35 per cent of the unit’s operations.

The mobile unit’s team features a clinical nurse leader and an anaesthetic technician, who travel with the bus for a week at a time, as well as three drivers.

Each day the bus has a different surgeon and anaesthetist while each rural town provides four local nurses to work in scrub, circulating, and recovery in first and second stage.

The mobile unit provides more than 1500 surgeries a year, and after visiting rural towns for 14 years has provided more than 20,000 surgeries.

Mr Eager said the surgical bus has become a part of the fabric of the nation’s rural health care delivery.

“We are described by the towns as being ‘our bus’. It is a big deal to the towns that we go to,” he said.

“In the early days there was a lot of naysayers.

That chatter has gone now. We have a low profile few people outside of the rural towns would know that we exist.”

For the full article visit HealthTimes.com.au

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Upcoming Courses in 2016 Anaesthesia & PACU Nursing Course

Brisbane - 22nd & 23rd July Perth - 7th & 8th Oct Sydney - 25th & 26th Nov

Anaesthesia & Recovery Room Essentials Course

Melbourne - 5th & 6th Aug Townsville - 4th & 5th Nov

Advanced Cardiac Life Support Workshop Single day ALS Course

Brisbane - 21st July Melbourne - 4th Aug Perth - 6th Oct

Advanced Life Support Workshop Two day ALS Course

Melbourne - 14th & 15th Oct Sydney - 28th & 29th Oct

Paediatric Advanced Life Support Workshop

Melbourne - 16th Oct Sydney - 30th Oct

The ALERTTM Course Acute Life-threatening Emergencies Recognition & Treatment

Melbourne - 30th & 31st July Brisbane - 20th & 21st Oct Adelaide - 11th & 12th Nov

Care of the Deteriorating Patient Course

Melbourne - 17th & 18th Nov

For more information see www.criticalcare.edu.au or call (03) 9390 8011

Take your knowledge to a whole new level There’s no better time to organise your continuing professional development with the leaders in acute care education • Face-to-face teaching and hands-on workshops to maximise learning and skills development • Learn from highly qualified, experienced, and motivated expert professionals • Tailor-made courses for your organisation

Registrations are now open for all courses Australia-wide via our website.

Alternatively, stay informed by signing up to our eNews at criticalcare.edu.au

HealthTimes - July 2016 | Page 15

OPTIMISE CARE TO THE ELDERLY WITH THE NEW 2016 AMH AGED CARE COMPANION 2016 Aged Care Companion Book Release.

This companion is a trusted, practical reference for doctors, nurses and pharmacists who work with older people. It contains the latest evidence-based information and is useful when conducting medication reviews and other activities (eg case conferencing) aimed at improving patient outcomes.There is also information on the management of more than 70 conditions common in older people, including dementia and its behavioural symptoms, delirium, cardiovascular diseases, fall prevention, osteoporosis, COPD, insomnia, depression and wound management.

It also contains general principles on the use of medicines in older people.

ial Spec rice P Printr Health fo only ders s rea Time

The May 2016 release contains new content including a topic on actinic keratosis, information on the process of deprescribing, which is important for optimising the use of medicines in older people, along with a simple diagrammatic guide to inhaler devices with links to instructions for use and considerations for choosing a suitable device in older patients. Other topics reviewed include asthma, COPD, gout, hypertension, dyslipidaemia and dyspepsia.

$89

ht!

Freig incl. ions apply dit *Con

Online version also available.

For more information go to www.amh.net.au

ORDER DETAILS (All prices include GST)

AMH Special Price (single item) + Postage & Handling (single item) Quantity

$89.00

AMH Aged Care Companion - 2016 (Print)

Total Price (inc P&H)

no charge TOTAL

PURCHASER DETAILS

$

Please complete all sections

Purchaser Name

Profession

Delivery Address Phone

Fax

Email

Personal information will only be accessed and used for the primary purpose for which it is collected, and for purposes related or ancillary to the main reasons we collect it, such as invoicing, reminder notices and services offered by us. We engage third party contractors to perform services for us which involve the contractor handling personal information we hold. We will take all reasonable steps to ensure that personal information is protected against loss, unauthorised access, modification or disclosure, and other misuse.

PAYMENT DETAILS TOTAL AMOUNT

Full payment (Cheque/Money Order/Credit Card Details) MUST be included with Order

$

CREDIT CARD DETAILS

PAYMENT METHOD: Please tick applicable box VISA

MASTERCARD

NUMBER

AMEX** **A surcharge of 2.5% applies to any purchase made using AMEX

NAME ON CARD EXPIRY DATE

SIGNATURE

*Order must be placed prior to 31st August. For P&H charges on multiple items, please contact AMH on 08 7099 8800.

CHEQUE/MONEY ORDER (Send by post; make payable to Australian Medicines Handbook) EFT (Invoice will be forwarded with bank details enclosed.

Use invoice number as reference when paying.)

SEND THIS ORDER FORM SCAN & EMAIL to: sales@amh.net.au

BY FAX: 08 7099 8899

BY MAIL: Australian Medicines Handbook PO Box 240, Rundle Mall, SA 5000

Australian Medicines Handbook Pty Ltd as Trustee for The Australian Medicines Handbook Unit Trust. Level 13, 33 King William Street, Adelaide SA 5000. ABN 73 586 204 918

Page 16| www.HealthTimes.com.au

IS THE INFORMATION YOU HAVE ON DOSING FOR CHILDREN RELEVANT AND UP TO DATE? July 2016 Children’s Dosing Companion Print and Online Release

The evidence-based and peer-reviewed content provides detailed dosing information to assist health care practitioners in hospital and community settings.

Clearly written and concisely laid-out, it now offers information for over 370 drugs.

The July 2016 Print and Online release has expanded its coverage on doses for drugs used in hospital and in neonates.

This update includes a number of new monographs and other changes, some of those that may be of interest include:

ial Spec rice P Printr Health fo only ders s rea Time

• new monographs for ezetimibe, mannitol, micafungin, propofol and a range of antiretroviral drugs for HIV.

$99

• a review of antifungal uses and doses, including amphotericin, caspofungin, fluconazole, flucytosine and voriconazole.

ht!

Freig incl. ions apply dit *Con

• dosing regimens for vancomycin together with advice regarding therapeutic drug monitoring.

• details regarding name changes to some drugs in Australia.

Online version also available.

For more information go to www.amh.net.au.

ORDER DETAILS (All prices include GST)

AMH Special Price (single item) + Postage & Handling (single item) Quantity

$99.00

AMH Children’s Dosing Companion - 2016 (Print)

Total Price (inc P&H)

no charge TOTAL

PURCHASER DETAILS

$

Please complete all sections

Purchaser Name

Profession

Delivery Address Phone

Fax

Email

Personal information will only be accessed and used for the primary purpose for which it is collected, and for purposes related or ancillary to the main reasons we collect it, such as invoicing, reminder notices and services offered by us. We engage third party contractors to perform services for us which involve the contractor handling personal information we hold. We will take all reasonable steps to ensure that personal information is protected against loss, unauthorised access, modification or disclosure, and other misuse.

PAYMENT DETAILS TOTAL AMOUNT

CREDIT CARD DETAILS NUMBER

Full payment (Cheque/Money Order/Credit Card Details) MUST be included with Order

$

PAYMENT METHOD: Please tick applicable box VISA

MASTERCARD

AMEX** **A surcharge of 2.5% applies to any purchase made using AMEX

NAME ON CARD EXPIRY DATE

SIGNATURE

CHEQUE/MONEY ORDER (Send by post; make payable to Australian Medicines Handbook) EFT (Invoice will be forwarded with bank details enclosed.

Use invoice number as reference when paying.)

SEND THIS ORDER FORM SCAN & EMAIL to: sales@amh.net.au

BY FAX: 08 7099 8899

BY MAIL: Australian Medicines Handbook PO Box 240, Rundle Mall, SA 5000

*Order must be placed prior to 31st August. For P&H charges on multiple items, please contact AMH on 08 7099 8800.

Australian Medicines Handbook Pty Ltd as Trustee for The Australian Medicines Handbook Unit Trust. Level 13, 33 King William Street, Adelaide SA 5000. ABN 73 586 204 918

HealthTimes - July 2016 | Page 17

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The AMH Children’s Dosing Companion is Australia’s national independent dosing guide for prescribing and administering medicines to children from birth to 18 years.

Improving the psychological recovery of ICU patients

By Karen Keast

A

ustralian researchers will examine whether providing critically ill or injured patients with information such as an Intensive Care Unit (ICU) diary or discharge summary will help improve their psychological recovery.

Researchers have begun recruiting about 100 patients at Brisbane’s Princess Alexandra Hospital (PAH) for the study, which is also hoped to be replicated in the United Kingdom as part of a collaboration with hospitals in London and Dundee, Scotland.

In recent years, the focus on the physical survival of patients admitted to the ICU has shifted to also include their psychological and cognitive recovery.

“Research shows about a third of ICU patients develop psychological problems after their ICU discharge, and experience depression, anxiety, post-traumatic stress symptoms or post-traumatic stress disorder.”

Critical care nursing researcher Professor Leanne Aitken, who holds visiting appointments at Griffith University and Princess Alexandra Hospital and is now a Professor of Nursing at City University in London, says providing patients with information that details their ICU experience may improve their psychological recovery and help process their memories of ICU. “Quite a number of ICU patients have gaps in their memory - they don’t remember their time in ICU or they have some really weird memories about it, with lots of delusions and hallucinations,” she says.

“The thought is that, for some, filling in those gaps will help them get rid of the anxiety and depression and post-traumatic stress

Page 18| www.HealthTimes.com.au

that they’re experiencing. The biggest problem is we don’t know who will benefit from what.”

While not standard practice, ICU diaries have been used as interventions in Europe, particularly in Scandinavian countries, and in the UK. Professor Aitken’s previous research, analysing literature regarding the use and impact of diaries on ICU patients, revealed a range of models have been used to create diaries, which are often completed by staff and family members to provide the patient with a record of events during their ICU stay.

“On the surface, that seems a great idea and the diary is given to the patient at some point after ICU and they can read it,” Professor Aitken says.

“Some patients love it but for other patients that actually causes them more stress because it suddenly becomes apparent what they’ve been through - how sick they were and, for some, how much they put their family through as well. So, for some, that isn’t the right intervention.”

The review examined 11 studies using ICU diaries. While the findings were positive, there were inconsistencies across the studies’ measures and methods.

Other research has examined the feasibility and effectiveness of a critical care discharge information pack, written in lay language, for patients and their families.

Professor Aitken, a Fellow of the Australian College of Critical Care Nurses (ACCCN), says research in the field is still in its infancy, and more evidence is needed to support the effectiveness of interventions, such as diaries and discharge summaries, for ICU patients.

The new study will investigate using ICU diaries, completed by family, friends and ICU staff, or discharge summaries compared to standard care at PAH ICU, which includes limited psychological support.

Patients who experience psychological distress after ICU discharge will be able to choose their intervention while those who are not distressed will be randomly allocated to the interventions.

Researchers will then measure the patients’ psychological health post-ICU at both the three and six month mark.

Professor Aitken says the research aims to explore patients’ perceptions of receiving information about their ICU admission.

She hopes the results will provide vital, new knowledge that will direct research into ways to improve care in Australian ICUs. “We know that there’s a close relationship between psychological health and physical health, so if a person is feeling really down or depressed or stressed or anxious then they may not want to get moving with their physical health, and may delay getting back out to work and back into society.

“If we don’t get this right, then the implication of critical illness is not just while they’re in intensive care or while they’re in hospital, but it’s ongoing for months and for some years, and that obviously costs them in terms of their ability to enjoy life as well as the costs associated with accessing health care.

“I think this is an area where you can make a huge amount of difference to a patient - to

understand what they’ve been through and feel as if they’ve got the tools to get on with living life again.”

Professor Aitken says it’s imperative ICU nurses and staff as well as staff on other wards, post-ICU, look beyond the patients’ physical injuries or illness.

“We need to be taking some responsibility within the hospital for how we equip our colleagues in the wards to be providing that information to our patients as well,” she says.

“Is that by giving our patients a discharge summary soon after they’ve left ICU, that they can read while they’re in the wards, so that the nurses on the wards might be able to answer some of those questions?

“Or if they see somebody that’s really struggling, for nurses to call the ICU and say - can somebody come down and talk to this patient?

“At the moment, if a patient is physically having problems when they’re in the wards, so struggling to breathe or low blood pressure or something like that, there’s a very clear process for wards to seek support for the patient - they can call support from the ICU.” There’s not the same level of support for people who are struggling psychologically, Professor Aitken says.

“We need to get better at recognising that’s just as important in some ways.”

For more articles visit HealthTimes.com.au HealthTimes - July 2016 | Page 19

Post-operative and postanaesthesia care for ICU nurses

By Karen Keast

I

mproved patient handover and understanding of post-operative and post-anaesthesia complications will elevate the practice of Intensive Care Unit (ICU) nurses when recovering immediate post-operative patients and boost patient safety, according to a leading perioperative nurse researcher.

Dr Paula Foran, the Education Officer for the Australian College of Perioperative Nurses, says ICU nurses providing immediate postoperative and postanaesthesia nursing care face different challenges to nurses on the surgical ward.

With many patients transferred directly to ICU post-surgery, bypassing the Post Anaesthetic Care Unit (PACU), or transferred in the early postoperative period after a short stay in PACU, Dr Foran says it’s crucial ICU nurses have a good knowledge about the range of patient complications that can occur following surgery and anaesthesia.

“If you are about to take responsibility for a patient and you do not fully understand the general and specific complications for that surgical procedure, you must ask, possibly at the time of handover,” she says.

Surgical patients can be directly admitted to ICU for reasons ranging from a pre-existing illness to major surgical procedures, such as a coronary artery bypass grafting that requires ongoing ventilation support and management.

Page 20| www.HealthTimes.com.au

Patients can also be admitted to ICU due to complications from either surgery or anaesthesia, following a major haemorrhage or major blood transfusion, and after developing life-threatening conditions such as malignant hyperthermia or anaphylaxis.

While surgical techniques and anaesthetic agents have evolved in the past 70 years, Dr Foran says the main purpose of providing immediate post-anaesthetic and post-operative care in PACU or ICU has stayed the same.

“The focus remains on critical evaluation and stabilisation of patients after surgery, with an emphasis on preventing and treating complications arising from either the anaesthetic or the surgical procedure,” she says.

Dr Foran, a perioperative nurse with 30 years’ experience, co-authored a new chapter for the salient Australian text in intensive care nursing, the Australian College of Critical Care Nurses’ (ACCCN) Critical Care Nursing 3rd Edition, in a bid to assist ICU nurses understand the challenges of post-operative and post-anaesthesia nursing care.

Research shows surgical patients are prime candidates for clinical deterioration with complications from surgery estimated to comprise about 40 per cent of all adverse events.

For the full article visit HealthTimes.com.au

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Latrobe Regional Hospital Mental Health Service The Latrobe Regional Hospital (LRH) Mental Health Service is the regional provider of mental health services in Gippsland. LRH Mental Health Service operates an integrated mental health program across ten sites and provides inpatient and community mental health care for adults, children and young people, and aged persons. LRH Mental Health Service also operates a Community Residential Care Unit, Prevention and Recovery Care Unit and a Parent and Infant Unit. Eight community mental health centres are located in Traralgon, Sale, Bairnsdale, Orbost, Wonthaggi, Korumburra, Warragul and Yarram.

Gippsland provides a fantastic rural lifestyle with easy access to Melbourne.

LRH Mental Health Service is currently implementing a recovery based model of care and we are seeking dynamic staff to join our team.

The following positions are available now: Acute Complex Care Co-ordinators - Psychiatric Enrolled Nurses Grade 3 Intentional Peer Support Workers – Consumer and Carer – Full-time/Part-time Acute Community Intervention Service – Mental Health Clinicians – Grade 3/4 Consultation Liaison Psychiatry Nurse – Grade 4 Registered and Enrolled Nurses – Inpatient Units – Full-time/Part-time Registered and Enrolled Nurses - Casual Bank Community Mental Health Clinicians – various sites

LRH Mental Health Service offers a supportive environment with clinical educators, preceptors, clinical supervision and professional development opportunities.

Please visit www.lrh.com.au and go to our employment sections to view current vacancies and register your interest.

For enquiries please contact Cayte Hoppner, Director of Mental Health on (03) 5173 8549 or email choppner@lrh.com.au.

HealthTimes - July 2016 | Page 21

Nurse to patient ratios begin in Queensland

Q

ueensland has become the second state in Australia to begin rolling out legislated nurse and midwife to patient ratios in public hospitals.

Under the staggered roll out of the historic laws, nurse patient ratios are being introduced at medical and surgical wards at 22 hospitals across the state, including Cairns Hospital, Gold Coast University Hospital, Mackay Hospital and Warwick Hospital.

Ratios are also being introduced to medical wards at Caloundra Hospital, Gympie Hospital and Mareeba Hospital, and to medical, surgical and mental health wards at the Royal Brisbane Women’s Hospital and the Princess Alexandra Hospital.

Under ratios, wards are required to maintain a minimum of one nurse to four patients for morning and afternoon shifts and one nurse to seven patients for night shifts.

Queensland Nurses’ Union (QNU) secretary Beth Mohle said the move to mandated ratios will help improve patient safety.

“Nurses and midwives the world over know being over-loaded can have serious impacts on patient outcomes and mortality rates,’’ she said.

“Nurses and midwives have fought long and hard for the safety of their patients and we are very proud that Queensland will today become just the fourth government in the world to roll out mandated nurse to patient ratios.

Page 22| www.HealthTimes.com.au

“The roll out will be a marathon, not a sprint and nurses and midwives will play an integral role in reporting on ratios and the associated patient outcomes in Queensland.’’

Ratios were first introduced in Victoria through the public sector enterprise agreement in 2001.

Last year, Victoria became the first state in Australia to enshrine nurse and midwife to patient ratios in law.

New South Wales has ratios in selected wards as part of its enterprise agreement. On the back of a lengthy New South Wales Nurses and Midwives’ Association (NSWNMA) campaign, ratios were introduced in medical, surgical, mental health and palliative care wards in 2010.

With the passing of the laws in Queensland, the Hospital and Health Boards (Safe Nurse-to- Patient and Midwife-to-Patient Ratios) Amendment Bill 2015 makes Queensland just the fourth government in the world, alongside California and Wales, to enshrine nurse to patient ratios in law.

The QNU’s Ratios Save Lives Campaign highlighted international evidence which shows every patient added to a nurse’s workload results in a seven per cent increase to patient mortality rates.

United States’ patient safety researcher Dr Linda Aiken, in her research spanning 30 countries, found nurse levels and skills mix also has a significant impact on patient survival rates, hospital inquired infections and falls.

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HealthTimes - July 2016 | Page 23

Emphasising the strengths & taking the opportunities of online learning

By Gemma Sinead Ryan, Senior Lecturer in Health (Nursing) at the University of Derby Online Learning (UDOL)

O

nline learning can be daunting for many, working with technology and studying alone are frequently discussed as both weaknesses and challenges of online learning. I challenge you to take the opportunities and emphasise the strengths of online learning with the University of Derby Online Learning (UDOL).

In the current [and rapidly changing] international, social and economic climate, working with tutors and peers from across the globe, from different backgrounds, cultures & countries develops a wealth of knowledge and understanding.

UDOL provides the opportunity for rich, flexible and diverse learning experiences that can enhance your practice; exposing you to a wealth of wisdom, through shared learning with peers and academic staff from a range of health and social care professions. This student centred, international and interprofessional approach to learning is a rare, yet valuable opportunity.

Take the opportunity to: • Start your studies at three points during the year • Improve your social and professional mobility with international & interprofessional learning experiences

Page 24| www.HealthTimes.com.au

• Learn with purpose, confidence and enthusiasm to confidently improve care quality and practices • Improve and enhance your professional practice in the care of a diverse and changing society Working in health and social care is a physical, emotional and lifelong profession. We are committed, compassionate and genuinely want to be the best at what we do; providing high quality and effective care to those we work with.

In order to do this we need to remain current, employ evidence based practice and understand the processes by which to do this effectively. Our range of short courses, undergraduate and postgraduate degrees are designed to help you in your personal development, whether that’s for your CPD or as part of your training and development plan.

The strengths of online learning include: • Study at the right time, the right place and for the right reasons • Develop your practice while sharing your wealth of experiences with peers around the world • Enhance your knowledge, skills and experience through learning opportunities that assimilate theoretical knowledge with your practice

We must strive to challenge, improve, innovate and have outward facing confidence in our essential role that can make an impact on so many lives.

Embrace the opportunities and overcome the challenges, give yourself the confidence and competence to improve yourself, your practice and the health & social care sector. Take heed of the opportunities and strengths of online learning and let UDOL support your enhancement.

Deliver impact within your chosen healthcare profession through part-time, online learning. Our courses equip you with the skills, knowledge and support needed for a rewarding career in healthcare, allowing you to practice transferable skills effectively so you can focus on what matters: making a difference in people’s lives.

“If you need additional qualifications to advance your career as a health and social care professional but are struggling to find the time to study, online learning offers you the flexibility to study alongside your work and personal commitments.”

Our online degrees meet the same rigorous quality standards as on-campus courses, and our certificates make no reference to the mode of study, meaning no distinction between studying on-campus or online.

Health and social care courses to suit your needs We offer a wide range of health and social care qualifications to suit all levels, ranging from short course to Masters Degrees. Subject areas include: • Nursing Studies • Perioperative Practice • Clinical Supervision • Dementia Care • Integrative Health and Social Care • Cognitive Behavioural Therapies

• Counselling Studies • Child and Adolescent Mental Health • Social Pedagogy • Health Psychology • Leadership and Management in Health and Social Care Gemma Ryan is a Senior Lecturer in Health for University of Derby Online Learning as well as an honorary research fellow for Leicestershire Partnership NHS Trust, UK. Prior to this she has worked to help set up a college research centre at the University of Derby and was also a Senior Lecturer in Nursing. Gemma is a qualified teacher with QTLS/QTS and a registered adult nurse and recorded nurse teacher. Her experience includes post-16, work-based and higher education, research management, private and NHS healthcare (community, endoscopy, elderly care and surgical settings).

Visit our website at www.derby.ac.uk/care to try a free course taster and to learn more about our part-time, online courses. We are now accepting applications for September.

To view a great range of online courses from the University of Derby please visit http://tinyurl.com/zdoo8yr Courses include : Master of Science – Integrative Health and Social Care Postgraduate Certificate in Clinical Supervision Advanced Diploma in Cognitive Behavioural Studies and Skills Advanced Diploma in Dementia Care Bachelor of Science in Nursing Studies (Top up)

HealthTimes - July 2016 | Page 25

Melbourne’s world-class cancer centre opens

V

ictoria has officially opened its new centrepiece in cancer treatment, training, research and care.

The $1 billion, 13-storey Victorian Comprehensive Cancer Centre (VCCC) in Parkville was officially opened with US Vice President Joe Biden, who lost his son to brain cancer last year, announcing an agreement that will see Victoria and the USA join forces to share information on cancer prevention, control and management.

The deal will also strengthen research ties, supporting the exchange of up to four senior cancer researchers a year between Victoria and the USA’s National Cancer Institute sites.

The VCCC provides a new home for the Peter MacCallum Cancer Centre, which cares for about 30,000 patients each year, and has more than 2,220 clinical and research staff.

Peter Mac occupies about 85 per cent of the new building which features 160 inpatient beds, 110 chemotherapy, medical and same-day beds and chairs, eight operating theatres, two procedure rooms, and eight radiation therapy bunkers with six linear accelerators.

Nurses, doctors, allied health professionals and other staff moved into the facility, which was built on the site of the former Royal Dental Hospital, last month.

The centre has education and training facilities comprising 47 seminar and meeting spaces and three lecture theatres.

Page 26 www.HealthTimes.com.au

It will also host about 1200 cancer researchers, with cancer research and clinical facilities for Peter Mac, Melbourne Health, and research and education facilities for the University of Melbourne.

The VCCC includes the development of four new floors on top of the Royal Melbourne Hospital, which comprises a new $33 million 42-bed Intensive Care Unit (ICU), linked to the VCCC via a covered bridge above Grattan Street.

The ICU, which opened its doors in May, has four separate pods, with each pod able to operate as a mini ICU, while 22 beds can be converted into negative pressure units in the event of a pandemic.

Premier Daniel Andrews labelled the VCCC’s opening as a “momentous step forward” in the fight against cancer.

“This is Australia’s first ever, purpose-built comprehensive cancer centre, built with the vision to save lives by connecting the world’s best cancer research, education, treatment and care under one roof,” he said.

“In this iconic, state-of-the-art building, the best and brightest medical minds will work side-by-side to fast-track future cancer breakthroughs and deliver first class care and treatment to patients.”

For the full article visit HealthTimes.com.au

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HealthTimes - July 2016 | Page 27

Robotics in rehab How one Australian hospital is testing a robot to help children engage in rehabilitation. By Karen Keast

I

t stands just 58cm tall, talks, makes eye contact, sings and dances.

What’s more, NAO, the humanoid robot, is assisting young patients at Melbourne’s Royal Children’s Hospital (RCH) to complete their rehabilitation exercises.

While technology such as virtual reality and video games are increasingly being embraced in rehabilitation, NAO is believed to be the first robotic paediatric rehabilitation tool used in an Australian hospital.

With a unique combination of hardware and software, equipped with motion and sonar sensors, sound and vision tracking as well as voice recognition, Swinburne University computer scientists have developed software for the Brainary Interactive robot - enabling it to perform more than 20 rehabilitation exercises for patients with neurological or orthopaedic injuries.

Jo Butchart, a senior physiotherapist at RCH’s Victorian Paediatric Rehabilitation Service (VPRS), has worked with developers to program the robot with the range of strength training exercises, such as bridging and quads exercises.

Ms Butchart, an Australian Physiotherapy Association (APA) titled member in paediatrics, says the robot first started visiting the hospital with the team of Swinburne engineers about 18 months ago, after the project received a grant from the Transport Accident Commission (TAC).

Page 28| www.HealthTimes.com.au

“Initially it was getting to know him and what his capacities are and trying to think of how that might be useful in our setting,” she says.

“He spent some time just meeting a variety of kids and initially we were really just observing how the kids interacted with him, and how they felt about having a robot around in the clinic.

“He would do different little games and then we started to teach him some specific exercises and you would see kids walking past, get down, and try and copy what he was doing.”

NAO is still in its development stage.

Physiotherapists are using the robot to assist children with cerebral palsy after gait correction surgery and to help children with spinal cord injuries.

NAO instructs children on how to perform each exercise and records their activity.

Most importantly, the robot also engages with children, providing motivation and encouragement with chatter, jokes, singing and dancing to pop songs, like Gangham Style.

Ms Butchart says NAO captures the attention of children and convinces them to get moving.

“As physios, we believe that the first part of someone improving in their rehab is actually committing to do the exercise - that’s really important,” she says.

For the full article visit HealthTimes.com.au

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Senior MentalFlight HealthNurse Opportunities Responsibilities include: • First line management of Flight Nurses based in Port Augusta; • Participation in the development of the strategic direction for RFDS Flight Nurses;

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Our operations are ever evolving and we In return we offer: are seeking Expressions of Interest from and motivated Registered • Attractive remuneration andsuitably benefiskilled ts (salary packaging); Nurse / Midwives wanting to join our flight nurse teams at our regional • Company motor vehicle anddynamic relocation assistance bases within Western Australia. provided; The role of a Flight Nurse is fun, rewarding and challenging while valuing team work • Extensive training and orientation; and independent practice. If you are

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Join a great Australian icon. Working with the Royal Flying Doctor Service (RFDS) you will be joining a team of dedicated professionals providing and enhancing health care to people living and working in regional, rural and remote Australia.

Exciting and challenging opportunities are now available with the RFDS Central Operations for suitably qualified and motivated staff for the following roles: 201607.01 201607.02 201607.03

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Working in a challenging, diverse and rewarding environment in beautiful Central Australia, you will deliver mental health services to communities south-west and south-east of Alice Springs within the scope of the Mental Health Services in Rural and Remote Areas (MHSRRA) program.

To be successful in this role, you will have the following qualifications, skills and experience:  Current registration with Australian Health Practitioner Registration Agency as one of the following: Mental Health Nurse Psychologist Occupational Therapist

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Accredited Mental Health Social Worker – member of the Australian Association of Social Workers High level customer service skills with a professional approach to service delivery Awareness of cross cultural communication and the needs of people with different physical abilities Evidence of appropriate experience in delivering mental health services in rural and remote settings and evidence of high level clinical documentation skills Excellent communication skills and ability to participate in a multi-disciplinary team

In return, we are offering an attractive salary, including salary packaging benefits, relocation assistance and a supportive environment where staff are valued and personal development is encouraged.

To view the position description for any of the positions please visit our website: https://www.flyingdoctor.org.au/careers/job/mental-health-opportunities/ If you are looking for a unique experience and an exciting career change, apply now.

Please submit your application (quoting the applicable role reference number) to: Kate Guerin, HR Coordinator

via email: careers@flyingdoctor.net The Royal Flying Doctor Service is an Equal Opportunity Employer

HealthTimes - July 2016 | Page 29

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

Nurse Practitioner QLD - Exciting opportunity to become a valued, integral member of the ED team

Perioperative Services Manager Wangaratta, VIC - Enjoy the naturally beautiful scenery, history & culinary delights of Wangaratta

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These and hundreds more great job opportunities at

HealthTimes.com.au Page 30| www.HealthTimes.com.au

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Cleveland Clinic Abu Dhabi is now hiring Critical Care Nurses Interviews on the 20th-22nd of October The intensive care unit is an exciting and challenging environment at CCAD, offering world class innovative experiences and opportunities for nurses. You will be challenged with high acuity critical patients, work with a world class team and receive support to provide patient centered care. While patients are complex, CCAD will support your professional growth and offer mentorship.

Come and meet us!

CCAD representatives will be attending the ANZICS ACCCN Annual Scientific Meeting at Perth Convention and Exhibition Centre. Concurrent to the conference, CCAD will be holding interviews on the 20th-22nd of October. Please bring an updated CV if you are interested in job opportunities at CCAD. Skype interviews are also available for nurses located in other cities in Australia and New Zealand. Please contact CCM for more information.

Cleveland Clinic Abu Dhabi (CCAD), part of Mubadala’s network of world-class healthcare facilities, is a multispecialty hospital on Al Maryah Island in Abu Dhabi, UAE. CCAD is a unique and unparalleled extension of US-based Cleveland Clinic’s model of care, specifically designed to address a range of complex and critical care requirements unique to the Abu Dhabi population.

Benefits: In addition to being part of an international clinical team, successful applicants will receive accommodation, a transportation allowance, health insurance, annual travel allowance to their home country and a generous annual leave package.

To apply, please email: Dawn at dawn@ccmrecruitment.com.au or Raquel at raquel@ccmrecruitment.com.au or by phone at Free Phone AUS: 1800 818 844, Free Phone NZ: 0800 700 839

www.ccmrecruitment.com HealthTimes - July 2016 | Page 31

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Theatre & Critical Care Opportunities Medacs Healthcare are currently seeking experienced nurses for the following opportunities: Permanent Vacancies in Sydney & Melbourne: • ICU & CCU Registered Nurses • Scrub/scout Registered Nurses/Enrolled Nurses • Anaesthetic & PACU Registered Nurses/Enrolled Nurses • Day Surgery Registered Nurses/Enrolled Nurses Rural Contract Vacancies: • 2 month scrub/scout in Alice Springs • 3 month perioperative in Kalgoorlie • 3 month perioperative in Goulburn Valley • 3 month scrub/scout in southern NSW • 2 month ICU/CCU in Western NSW Speak to Medacs Healthcare today for more information For more information call or email the Medacs Healthcare Nursing Team today.

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