H
July 2017
Theatre & Critical Care Feature + Transforming perioperative nursing education into webinars + How nurses are tapping into smart bedside solutions + Understanding traumatic brain injury + The effects of childhood stroke on motor skills
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HealthTimes - July 2017 | Page 29
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HealthTimes - July 2017 | Page 03
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July 2017 We hope you enjoy perusing the range of opportunities included in this Issue.
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Š 2017 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:
Monday 21st of August 2017
Colour Artwork Deadline: Monday 28th of August 2017
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Mercy Health Miwatj Health Service Northern Sydney Local Health District Oceania University of Medicine Pulse Staffing Quick and Easy Finance Royal Flying Doctor Service SkinScience Australia Smart Salary St Andrew’s Hospital Sun Super University of Derby
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Mental Health Service
Mental Health Career Development Program Are you : • • •
A Registered or Enrolled Nurse looking for a career change? A newly graduated Enrolled or Registered Nurse? A newly qualified allied health practitioner?
If you are seeking career growth within a fantastic regional service then this is the opportunity for you. 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 specialist mental health program across ten sites and provides inpatient and community mental health care for adults, children and young people, and older persons. LRH Mental Health Service also operates a Community Residential Care Unit, Prevention and Recovery Care Unit, a Parent and Infant Unit and specialist alcohol and drug and forensic programs. Eight community mental health centres are located in Traralgon, Sale, Bairnsdale, Orbost, Wonthaggi, Korumburra, Warragul and Yarram. Gippsland provides a fantastic regional lifestyle with easy access to Melbourne. LRH Mental Health Service is seeking dynamic and passionate staff to join our team and participate in our Career Development program. This program will enable you to begin a career in mental health within a supportive environment. Study days, on-line learning and workshops will support your development. At the successful completion of the 12-month program you will be eligible to apply for ongoing employment. LRH Mental Health Service provides clinical educators, preceptors, clinical supervision, a nurse practitioner mentoring program and a wide range of 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 2017 | Page 05
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More and more, people are choosing the salary packaging specialists at Smartsalary to help them make their pay packet go further, whether they’re spending a little or a lot. That’s because Smartsalary does salary packaging differently: customers are at the centre of everything they do -and they have the awards to prove it -so when people choose Smartsalary, they stay. Making set-up and management of your benefits easy Mobile apps and online tools for easy claims on the go Fast payment with funds in your bank account within 48 hours Award-winning customer service when and where you need it Exclusive discounts across a range of national retailers
Talk to Smartsalary today and find out how much you could be saving every day. 1300 221 971 | smartnurses.com.au Page 06 | HealthTimes.com.au
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Take your knowledge to a whole new level Book your CPD with the leaders in Critical Care Education! Anaesthesia & Recovery Room Essentials
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This essentials course is designed to provide those early in their Anaesthesia & Recovery Nursing career with greater insight into their clinical practice.
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This program will help nurses gain the knowledge & skills required in an Anaesthesia & Post-Anaesthesia Care Unit (PACU) environment. It would also provide a great refresher for those who would like to update the essential concepts.
This will be achieved by the presentation of a range of issues pertinent to current practice & include newer concepts & developments which will shape the future of clinical practice.
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HealthTimes - July 2017 | Page 07
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Nursing in Saudi Arabia Take your career to the exotic Middle East
Tax free salary | flights | accommodation | one or two year contracts Aussie and Kiwi nurses are highly regarded and very well rewarded. A nurse who recently returned tells us that in two years she has visited 15 countries and saved enough to put a deposit on a house and pay off her student debt. Apply online, or contact Shane King to find out more. shanek@genevahealth.com www.genevahealth.com
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Registered Nurses Time for a change? Want to try something new? This is the perfect opportunity for you if you are looking for a new career or challenge. • Permanent full time and part time WORK FROM HOME opportunities • Evening, night, weekend or split shifts are available This is a unique opportunity to be involved in Telehealth whilst working from home anywhere in Australia (using a suitable internet and land line), with additional employee benefits such as annual leave. We are open to Registered Nurses who want to work anywhere between 19 to 38 hours per week. Your role as a Triage Nurse will allow you to utilise your existing acute nursing skills and expertise to be the first line of contact. To support the success of this program we are seeking experienced Registered Nurses with a minimum of three years full time clinical nursing experience with recent Acute/Primary Health Care experience. Search Medibank Careers to apply, or contact Stephanie August at stephanie.august@medibank.com.au
Medibank Careers
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Adding passion + possibilities to health
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Paediatric Nurses DUBAI
Nursing and Allied Health vacancies are now available for experienced paediatric and neonatal professionals in a new, purposely designed children’s hospital in the luxurious Dubai. The speciality hospital is a dedicated referral centre comprising of six Centres of Excellence - Cardiac, Renal, Mental Health, Neurology, Criical Care and Cancer/Blood Disorder. The state of the art, 200 bed hospital caters for all medical, surgical and outpaient needs. Health Professionals with a minimum 2 years current paediatric experience are encouraged to apply today!
Hospital Presentaaon & Interviews in Australia & New Zealand this September: Auckland 15 Sydney 18 Melbourne 20 Brisbane 22 Nurses, Physios, Occupaaonal & Speech Therapists are encouraged to apply. Skype interviews can also be arranged for those located in other ciaes. Working as part of a highly skilled, internaional team, you will receive a compeiive salariy paid tax free, generous accommodaion allowance, relocaion assistance and flights to/from your contract. Living in Dubai also offers unique cultural experiences, travel opportuniies and an acive social life within large expatriate communiies where you are sure to make lifelong friendships.
Contact CCM today raquel@ccmrecruitment.com.au dawn@ccmrecruitment.com.au AUS Free Call 1800 818 844 NZ Free Call 0800 700 839
HealthTimes - July 2017 | Page 09
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Home... As the leading provider of nursing staff across Australia for over 15 years, we have a variety of fantastic permanent, temporary and contract roles available in metro and rural areas across Australia, for midwives and nurses specialising in: – Aged care – Theatres – General medical and surgical – Mental health – ICU – Emergency – Paediatrics
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HealthTimes - July 2017 | Page 11
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Completing medical school was a tough assignment, but with OUM’s unique curriculum and continued support, I graduated as a culturally, worldly, more rounded doctor.” Dr Paris-James Pearce
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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 200 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.
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The effects of childhood stroke on motor skills Stroke is one of the top 10 causes of death in children, yet there is very little research around childhood stroke. Researchers from the Murdoch Children’s Research institute (MCRI) have undertaken a first ever study to systematically evaluate motor function across a 12 month period, following the diagnosis of arterial ischaemic stroke (a stroke that is caused by a blood clot). The longitudinal study looked at three groups of children – neonates (before 30 days), preschool (30 days to five years) and school age (over five years to 18 years) and analysed their progress over four time points – acute, one month, six months and 12 months. Researchers reviewed the 64 children involved in the study across these four time periods, looking primarily at how each child’s motor skills had been
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impacted by the stroke and their recovery. They also looked at the impact of motor impairments on their daily lives. Stroke has traditionally been linked to older people and not to children; however it is quite common in children, particularly newborns. In fact, in their first week of life a term newborn has a stroke risk that is three times that of a hypertensive, smoking diabetic adult. This study has clearly demonstrated that children who suffer a stroke require individualised care over a much longer period than adults who experience a stroke. Lead researcher, Anna Cooper said they found that motor outcomes were different depending on what age the child had the stroke. For the full article visit HealthTimes.com.au
HT-707-CTR-01001 1PG FULL COLOUR CMYK PDF Are you looking for a challenging and rewarding career in nursing? Do you want to improve the health of indigenous people living in remote Northern Australia? Do you strive to make a difference? Are you passionate about your work? Are you interested in a rewarding and challenging nursing career? Are you eager to work with a wonderful team of professionals? Are you eager to work for one of the most innovative, leading best practice and unique remote health organisations in Australia? If this sounds like you, then we want you at MIWATJ HEALTH
At MIWATJ HEALTH we take pride in our Organisation and our achievements. We offer our team excellent remuneration. Miwatj Health Aboriginal Corporation is one of the largest community controlled Indigenous organisations in Australia. Situated in beautiful and pristine East Arnhem Land we provide a primary health care service second to none to 6 000 Indigenous people and a public health service to 10 000. We operate five clinics and one wellness centre. At MIWATJ HEALTH we strive to make a difference. Don’t wait, visit our website and apply today at http://miwatj.com.au/employment/
HealthTimes - July 2017 | Page 13
Great opportunities for Theatre Nurses
Peninsula Health is looking for skilled Nurses to join our dedicated team. WE HAVE VACANCIES:
• ANAESTHETICS
• SCRUB SCOUT
• PACU/RECOVERY
Are you a passionate and dynamic Theatre Nurse looking for variety and flexibility? A career as a Theatre Nurse at Peninsula Health is rewarding – you can make a difference every day. Join us today.
peninsulahealth.org.au/careers
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From the moment she did her first rotation in theatre as a graduate, Alison Jenkins was hooked on becoming a perioperative nurse at Peninsula Health. “Working in theatre with high acuity patients is exciting. Every day is different,” says Alison, an Anaesthetic and Recovery Nurse at Frankston Hospital. “You never know what you’re going to get until you walk in and see your name on the list. Today I’m on the orthopaedic trauma list, but it could be a caesarean list, a kids list or recovery for the day.” One of Alison’s most memorable moments from her five years at Peninsula Health is from her time working on the caesarean list. “My first caesarean is the one I remember the most,” recalls Alison. “Seeing them pull out the baby, I didn’t cry but I was emotional. It was the first baby I’d seen born and it was just so overwhelming to watch them pull out a little human – it was special.”
Alison enjoys seeing so many different patients every day – whether it’s for life-saving surgery, or something more routine like removing tonsils. “Every day here is rewarding because the work is interesting and there are so many specialties.” Alison’s advice for others thinking of specialising in perioperative nursing at Peninsula Health: “ just do it, definitely do it!”
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ALISON JENKINS, ANAESTHETIC AND RECOVERY NURSE
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DID YOU KNOW? Bendigo Health has additional operating theatres in our brand new world class facility. We have nursing opportunities for all people in the theatre space.
“
“
DON’T TAKE OUR WORD FOR IT
The new Bendigo Hospital is an amazing place to work with the latest technology. There are many opportunities and a supportive team environment combined with a great work-life balance. BRIDGETTE HOLT
Perioperative Nurse
www.bendigohealth.org.au
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Mental Health Nursing Positions Hornsby Kuring Gai Mental Health Service (HKMHS) is a dynamic mental health service, part of the Northern Sydney Local Health District located in an area of natural beauty with surrounding national parks but close to all the attractions Sydney has to offer. The Service has undergone expansion and redevelopment to include a Psychiatric Emergency Care Centre, a Mental Health Intensive Care unit and an Adult Mental Health Inpatient Unit, all in modern purpose built facilities. The service offers a range of career opportunities for nurses and current vacancies include: • Clinical Nurse Specialists Level 2 • Registered Nurses • Enrolled Endorsed Nurses HKMHS as part of Northern Sydney Local Health District is committed to supporting staff in salary packaging, education support and professional development. Why don’t you call today to hear more about these exciting career opportunities! Contact: Anne Bajuk (Inpatient Services Manager) Telephone: 0422 001 221 Email: Anne.bajuk@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!
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Are you a Peri-operative Nurse looking for a change? Adelaide is the world’s 5th most liveable city. St Andrew’s hospital in Adelaide’s CBD is only a stone’s throw from sandy beaches and just a short drive from award winning wineries and the Australian Outback. St Andrew’s overlooks the South Eastern Park Lands and is one of Australia’s largest independent stand-alone private hospitals. With a new development nearing completion, St Andrew's will see expansion of the Theatre Suite, Day Surgery, Cardiac Unit and Angiography labs. A new multi-level car park will deliver heavily subsidised staff car parking. It’s the staff at St Andrew’s that sets us apart. We have a culture where relationships matter. The Director Nursing & Clinical Services values her team and is committed to providing ongoing professional development and mentorship. We offer generous salary packaging arrangements and subsidised meals prepared by chefs on-site. Paid study leave & flexible rostering arrangements cap off what is already a very competitive Enterprise Agreement. Staff recognition and social programs make St Andrew's an employer of choice as evidenced by our considerable staff tenure. Our theatres cater for all surgical specialities including Cardiothoracic, Vascular, Robotic, Neurosurgery, Orthopaedic, Spinal, Hepatobiliary, Colorectal, Breast & Endocrine, Plastics, Ophthalmic, IVF, Gynaecology, Paediatrics, ENT, Urology, Otorhinolaryngology, Gastroenterology, General Surgery and Surgical Oncology.
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Cardiothoracic & Vascular Clinical Nurse A vacancy exists at St Andrew’s for an experienced senior scrub Nurse to lead our team of Cardiothoracic and Vascular theatre nurses. If this sounds like you and you have recent cardiothoracic scrub experience and would like to showcase your leadership skills then call Alison on +61 8 84082120 or visit our website. If you would like to express interest in joining our Recovery, Anaesthetics or Theatre team, please visit the careers page of our website https://www.stand.org.au/careers
HealthTimes - July 2017 | Page 19
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Opportunity Spotlight
Transforming perioperative nursing education into webinars From infection prevention and workplace fatigue to asepsis, perioperative attire, chemicalfree cleaning and innovations in allocations, thousands of perioperative nurses are tapping into webinars right across Australia. In 2014, the Australian College of Operating Room Nurses (ACORN) launched a webinar initiative in a bid to deliver education to its 5,000 members across 4,000kms of the nation, spanning cities, regional, and rural and remote areas. The education program is the only perioperative nursing education in Australia delivered via webinars, and has been such a success, the webinars are often booked out within 24 hours. Dr Paula Foran, the education officer at ACORN and a perioperative nurse with 30 years’ experience, recently presented on the unique perioperative education initiative at the European Operating Room Nurses Association (EORNA) Congress in Greece. Dr Foran says the live, interactive online presentations with experts in the field are designed to provide accessible, regular and affordable online education for perioperative nurses, regardless of where they live and work. “It reaches our members from all over Australia,” she says. “Access to face to face education at conferences, run in the cities, is not only difficult but expensive when accommodation and travel are included.”
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Research shows while the percentage of Canadian perioperative nurses with postgraduate qualifications stands at 77 per cent, only 29 per cent of Australian perioperative nurses have postgraduate qualifications. Other research shows only 21 per cent of perioperative nurses working at 10 metropolitan hospitals in Australia in 2014 had postgraduate perioperative nursing qualifications. With a growing body of research pointing to a link between the quality of patient care and nurses’ education and expertise with patient health outcomes, the webinars are working to increase the education of the nursing specialty. The national perioperative webinar education program features monthly webinars, and those members who are unable to tune in live can utilise recorded versions of the webinars to access education at their fingertips, whenever and wherever they choose - on any mobile device. The program features two streams of webinars - standards and education. The standards stream focuses on the release of new or updated standards, covering areas such as environmental sustainable perioperative practice to surgical hand antisepsis and loan equipment. “This allows explanation and discussion with members about changes to practice in an effort to maintain compliance to current standards,” Dr Foran says.
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Aesthetic Training Australia www.aesthetictrainingaustralia.com
We provide students with a programme that leads to real opportunities and excellent understanding of Aesthetic procedures. This is a three day post graduate certificate workshop. Our trainers and staff provide students with knowledge and ongoing support vital to success in this field. On completion each delegate will be competent in the delivery of basic techniques of Botulinum Toxin and Dermal Fillers. Expand your clinical skills as a healthcare professional. Enjoy additional income by offering rewarding treatments that can improve clients self esteem. Upcoming workshops: Melb:
11, 12 & 13 September 2017 23, 24 & 25 October 2017 27, 28 & 29 November 2017
Visit www.aesthetictrainingaustralia.com for more information, call 1300 817 524 or email ata@skinscience.co Finance available through Maccredit.
HealthTimes - July 2017 | Page 21
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The education stream covers areas such as malignant hyperthermia, perioperative inadvertent hypothermia anaphylaxis, difficulties with intubating and ventilating as well as human factors in the perioperative environment, the role of the perianaesthesia nurse, an introduction to orthopaedic surgery, evidence to action, and introductions to both general surgery as well as ear, nose and throat surgery. Dr Foran says the webinars are aimed at all perioperative nurses, and are being developed on management, clinical and educational topics, in response to member feedback. “My first job is to find experts on the particular topics members have requested, and then I brief them on the level of education delivery, novice to expert,” she says. “The presenter and I have practice sessions prior to the webinar, mainly to test the internet connections and explain the system to the presenter. “During the webinar, I troubleshoot the system where possible, usually assisting members having problems at their end. “If I am not presenting myself, I manage the questions and answers at the end, allowing the presenter to just verbally respond.” While the webinars are at the mercy of internet access and speed, Dr Foran says the webinars have been a huge hit with perioperative nurses, receiving positive feedback. An Echuca nurse applauded the program, saying - “Been a perioperative nurse for 20 years and still learning. Love these webinars.” Another regional Victorian nurse also credited the program for overcoming barriers to education, such as distance. “Love, love, love this type of education straight to the point,” she says. “Not so easy for us country folk to get the education in the city. This is a perfect way to see that we are keeping up with current practices.”
HT-707-00964 1/2PG FULL COLOUR CMYK PDF MERCY HEALTH: CARING FOR A LIVING
Perioperative Nurses - Mercy Hospital for Women, Melbourne Opportunities for experienced Perioperative Nurses. Mercy Hospital for Women is a fully accredited L3 Specialist Teaching Hospital in Heidelberg. • Variety of permanent and fixed term contracts available • Anaesthetic / PACU, Scrub Scout, Day Surgery & ANUM roles available, experience required • Seeking high performing, patient focused, and motivated individuals that thrive working in teams We provide specialist surgical care in: Obstetric, Urogynaecology, Reproductive Medicine, Gynaecological Oncology, Endosurgery and General Gynaecology. WHAT WE OFFER: • Strong commitment to staff education & ongoing professional development • Career development opportunities & salary packaging benefits FOR MORE INFORMATION AND TO APPLY PLEASE CONTACT: Jonelle Mais, Mercy Health Recruitment Advisor, 0429 984 863 or jmais@mercy.com.au For more information and to apply, please visit careers.mercy.com.au
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READY FOR A CAREER HEALTHCHECK ? Stay at the forefront of your practice
Choose a course to suit you:
Deliver impact within your chosen healthcare profession through part-time, online learning and achieve a globally recognised degree. 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.
Try a free course taster online Whether you’re starting out, moving up or starting again WE’RE READY WHEN YOU ARE
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• Nursing • Perioperative Practice • Child and Adolescent Mental Health • Dementia Care • Integrative Health and Social Care • Clinical Supervision • Cognitive Behavioural Therapies • Counselling Studies • Master of Public Health
www.derby.ac.uk/healthtimes Apply now, start September, January or May
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BIOETHICS AT MONASH INTENSIVE BIOETHICS COURSE 1 – 4 DECEMBER 2017 This three-day professional development opportunity provides health professionals, members of human research ethics committees, and those with a general interest in bioethics, with an in-depth introduction to bioethics. Take part in seminars and forums led by experts in bioethics focusing on topics such as:
MASTER OF BIOETHICS The Master of Bioethics at Monash explores ethical theory, applied ethics, healthcare ethics, research ethics, public health ethics, and related policy issues. The program is well-suited to health professionals and scientists who face complex ethical issues in their working lives, as well as those involved in relevant aspects of public policy and law. The course is designed to accommodate students with no prior background in ethics or philosophy, but is also suitable for graduates (from associated disciplines) who wish to pursue further studies in bioethics.
Q
Ethical theory
Q
Clinical and research ethics
Q
Reproductive ethics
Q
End of life care and decision making
Q
Offered on-campus and online
Q
Public health ethics
Q
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)
WHERE Country Place Retreat, Dandenong Ranges Victoria, Australia
For further information about the Master of Bioethics visit: future.arts.monash.edu/master-bioethics
REGISTRATION For early bird rates book before 31 August. Registration details and further information can be found at: future.arts.monash.edu/intensive-bioethics-course
MONASH BIOETHICS CENTRE Designed and produced by SMC Monash: 17P-0702. June 2017. CRICOS provider: Monash University 00008C.
HealthTimes - July 2017 | Page 23
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ONLINE CPD FOR NURSES, MIDWIVES AND ALLIED HEALTH PROFESSIONALS All courses consist of interactive training modules, videos, quizzes and more Continence Assessment An examination of the clinical strategies and approaches to assess and manage incontinence.
Bullying in the Healthcare Workplace Reviews the important legislation that applies to healthcare workers and considers bullying scenarios that are typical in the healthcare workplace.
Advanced Life Support Build an understanding of the major electrical and pharmacological interventions used in Advanced Life Support.
Care of Clients with Bariatric Needs A unique opportunity to develop your understanding of: what bariatric care is, societal views on morbid obesity and implications for care.
And many more... Go to healthtimes.com.au/cpd-online/
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Unique Career Opportunities
Royal Flying Doctor Service Central Operations – SA & NT Join a great Australian icon. Working with the Royal Flying Doctor Service (RFDS) you will be joining a team of dedicated professionals providing health care to people living and working in rural and remote Australia.
Alice Springs, NT • • •
Aboriginal Liaison Worker Aboriginal Health Worker Mental Health Clinicians
Unique opportunities are now available for the above roles to work in a diverse and rewarding environment delivering mental health services to communities outside of Alice Springs. Please visit our website for more details.
Port Augusta, SA •
Medical Practitioner
An exciting opportunity to join a team of dedicated health professionals at our Port Augusta Base. Working in a fulfilling and rewarding environment, our Medical Practitioners deliver a range of clinical primary care and aeromedical services. You will be an AHPRA registered General Practitioner, fellowship with RACGP, ACRRM or equivalent with comprehensive experience in primary care are essential. Experience in emergency medicine including resuscitation and advanced cardiac and trauma life support are highly desirable.
If you are keen to move your career into an organisation that makes a real difference to all Australians, apply now. For further details please visit our website at: www.flyingdoctor.org.au
The Royal Flying Doctor Service is an Equal Opportunity Employer
HealthTimes - July 2017 | Page 25
Understanding traumatic brain injury
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unique Australian study into Traumatic Brain Injury (TBI) is helping health professionals better understand the range of factors that improve rehabilitation outcomes for people with TBI. The Longitudinal Head Injury Outcome Project, which examines the psychological and cognitive consequences of brain injury, is a large, ongoing study which has tracked 3000 people with TBI since 1995. The project, a collaboration between the Monash Epworth Rehabilitation Research Centre and TAC, is led by Centre director and Monash University Professor of Neuropsychology Jennie Ponsford. Professor Ponsford says the study, which recently received renewed TAC funding, records and examines the experiences of TBI patients treated at Epworth, following their discharge from rehabilitation. “We set up this longitudinal study where we follow up people at one, two, three, five, 10, 20 and soon we will be starting 30 year follow ups of the patients,” she says. “It’s enabled us to identify what are the key long-term problems they experience, which tend to be more problems with their cognitive function and their behaviour and their emotional state, more than physical problems. “That then has enabled us to make changes to our rehabilitation program and we’ve also, based on the findings, set up specific treatment trials to address some of the key issues that have emerged from the study.”
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What is TBI? TBI is a complex injury to the brain, often the result of a blow to the head, which leads to temporary or permanent disruption in brain function, that impacts a range of physical, sensory and cognitive systems. While mild TBI can cause short-term symptoms such as dizziness, blurred or double vision, headaches, insomnia and poor balance, moderate or severe TBI can result in longterm cognitive and behavioural changes, including a shortage of attention, difficulties with new learning and memory, and impaired planning and problemsolving. Professor Ponsford, who has coauthored a book on rehabilitation for TBI, says while the physical outcomes of achieving independence in activities of daily living is positive, more than two thirds of people with TBI experience continuing problems with memory, concentration, speed of thinking, and difficulties when it comes to planning and organising their daily activities. “They also unfortunately often have personality changes - so they’re more irritable or short tempered, more impulsive, and that makes them more difficult to get on with, and so they have a lot of social interaction problems and tend to lose their friends,” she says. “They may get back to study but they then have difficulty holding down a job, and then in the long-term they become anxious and depressed and socially isolated.”
How to care for TBI patients Professor Ponsford says it’s important for
clinicians to understand people with TBI will experience long-term difficulties, that impact much more than their physical capabilities. “A physiotherapist who is working with the patient needs to really understand how to manage their behaviour, how to interact with them appropriately to do that, and the team really has to be all working on the same goals, which are in the interests of the client,” she says. “And to also be thinking about what motivates the client from the beginning, not just about what the therapist wants to achieve. “The therapist might want to achieve better mobility, better range of movement, better upper limb function, better independence in preparing meals but that might not be what matters to the patient. “What matters to the patient is that they might want to get back to driving or get back to work or be with their mates, and so I think it’s very important to try and craft rehabilitation to be meeting the goals of the patient to maximise their motivation.” Professor Ponsford says in the early stages of recovery, people with TBI often have little awareness of the changes to their brain function, which can create challenges for rehabilitation. “They can’t see the reason why they are in rehabilitation - they just want to get out and go home. It can be very easy for therapists to set all their goals for them and then the person with a brain injury is not really kind of with them on the same page.” As a result, Professor Ponsford says it’s imperative clinicians engage the patient’s family from the beginning of recovery, and throughout the rehabilitation process. “Clinicians need to understand the perspective of this young person who has got all the sort of goals and aspirations in life that they had before they had their injury, and who really have no idea of what lies ahead of them in terms of how the effects of this injury is going to impact on them,” she says. “They need to get alongside that person, and go forward with them, in setting the goals of rehabilitation.”
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Research and treatment The centre’s research is now pointing to a greater understanding of effective treatments for people with TBI. Professor Ponsford says psychologists are now being encouraged to use an adapted form of Cognitive Behaviour Therapy that taps into teaching people with TBI more repetition, using handouts and shorter sessions, to reduce anxiety and depressive symptoms. Some of the centre’s other treatment studies focus on tackling the significant problem of fatigue and sleep disturbance in people with TBI. Professor Ponsford says the centre is studying the impact of melatonin on sleep difficulties and light therapy for fatigue. “Light therapy is exposing the person to short wave length light in the morning,” she says. “It helps them be more aroused for the rest of the day and reduces their fatigue and day time sleepiness. “The other study is doing psychological therapy for people with fatigue and insomnia helping them to better pace their lifestyle and manage their sleep problems. “We’ve also just published some papers that are showing that that is also effective in helping their fatigue and sleep problems.” Another large study, funded by the Institute for Safety, Compensation and Recovery Research (ISCRR), provides positive behaviour support intervention to people with severe behaviour problems in the community. “I’ve got six clinicians who are psychologists or occupational therapists or speech pathologists who work with us to deliver the therapy, and it’s about going into people’s homes and creating a more positive environment around the person, helping make them more motivated and changing the triggers of their behaviour around them.”
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How nurses are tapping into smart bedside solutions At Epworth Eastern, nurses are using an innovative Point Of Care (POC) bedside system to access patients’ pathology results, streamline discharge processes, and provide patient education. This Oneview Healthcare technological solution, introduced several years ago at Epworth Eastern, is optimising patient engagement, clinical outcomes and workflow efficiencies. It’s been such a success, the system has been rolled out to thousands of bedsides spanning all Epworth campuses of Victoria’s largest not-for-profit private health care group. The technology not only provides a range of entertainment, health care education and information services for patients, it also provides clinical staff with access to a range of applications, from electronic prescribing and administration to electronic nurse rounding, managing room cleaning services and electronic meal ordering. The system uses 22 inch Cybernet terminals at the patient bedside which are linked to nurse station locations. Clinical staff log on to the bedside terminals using thumb print recognition technology. Epworth Eastern Acute Surgical Ward Nurse Unit Manager Ian Kite says the digital technology is revolutionising the way nurses manage patient care at the bedside - all at the touch of a button. “You can log in to a nursing access screen which gives you an overview of where your
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patient is currently sitting from a medical acute surgical prospective in terms of their condition,” he says. “It gives you access to the recent pathology results, access to their recent tests and investigations, that can be in the form of an X-Ray or a CT or an ultrasound, so you can physically see what tests patients have had and what their results may well be. “It gives you the ability to update patient requirements in terms of dietary intake, and certainly from my nursing perspective, my patients have had acute abdominal surgery. “They need to start off on a particular type of diet and they need to progress upwards, so from fluids to a different type of fluid, and then through to a meal. “It gives the nursing staff that ability to make that live, which then informs the catering department, as an example, that the menu access has changed and they need to then update what the patient can have for their meals.” Mr Kite says the system’s online electronic drug chart works to reduce the risk of medication errors and improve patient safety. “Obviously drug charts previously were written by doctors and anaesthetists with handwritten skills that could be interpreted as not very good,” he says. “Now they electronically type in what medication they want, the frequency, the dose, any variations or variables to the medication.
and refer to rehabilitation, confirm appointments and print out information for patients. It also assists with patient flow, enabling nurses to discharge the patient directly from POC. Mr Kite says the digital process reduces the amount of phone calls to other departments and accelerates and streamlines discharge process efficiencies. “That alerts the kitchen department so that they then don’t put together the next meal for the patient…and that limits waste,” he says. “You can log on and request that the cleaning department comes through and perform a discharge clean on the room - that seamlessly improves the progression of your next patient coming in from theatre or from home, because the room is ready and in an appropriate time and fashion.” The system caters to nursing documentation but Mr Kite says nurses and doctors are currently using handwritten documentation for their clinical and risk assessments. Mr Kite says the digital POC system has unlimited potential. “It gives nursing staff more time, I would say, to perform the clinical aspect of the job,” he says. “Previously you might not have had the option to look for your pathology results. From the POC terminal, nursing staff can review the pathology results and they can see what potassium levels are doing, and what haemoglobin levels are doing. “They can put together what is happening from a pathological perspective, and relate it to their patient, who is lying in their bed in front of the screen,” he says. “That can have an impact on the patient care and the patient condition because if you can see that the blood count is dropping, and the patient is physically looking as if they are deteriorating, that escalation process can follow.”
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“In terms of dosing, it’s a more accurate way of establishing when a patient’s had a medication and when they are next due to have a medication, and it gives you an alert to say that something’s due.” POC also assists nurses to complete their hourly rounding, where nurses log on to the system to ask a series of questions and record the answers, which is designed to eliminate risk and improve patient safety. Nurses question patients about whether their possessions or the call bell are in reach, ask about pain levels, whether the patient has moved recently as part of their pressure area care, or whether patients have been to the toilet. “This has a big impact with my particular patient cohort, who are waiting a lot of the time to pass urine or to have their bowels opened, so it gives you a tracking device as to where they are with their acute care,” Mr Kite says. “If we are not asking these questions on a regular basis, patients may well just choose to get up and go to the toilet themselves, and that way if they’re of a particular age or if they’ve got particular conditions or comorbidities there’s a falls risk. “If you’ve had an operation, you’ve got an anaesthetic on board and that can limit your balance and your ability to move, so we need to make sure we’re keeping patients safe by reducing risk, and obviously we do that by assisting patients to and from the bathroom. “The impact it has on the statistics of falls… certainly in our organisation it has reduced the amount of falls in hospital, which obviously is improving patient outcomes.” POC features leader rounding, where the nurse in charge will visit each patient daily to discuss with them their stay and record any patient feedback, which can escalate any patient concerns or potential problems, and report positive feedback to staff. The system boasts discharge planning, where clinicians can plan ahead for patient discharge
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Innovative digital collaboration brings the future of patient education to GPs and Pharmacists
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n innovative digital collaboration between Healthily and Western Victoria Primary Health Network (WVPHN) will soon give 800 health professionals in Western Victoria access to the GoShare patient education platform. GoShare supports health professionals to share engaging, timely and evidence-based health resources with patients, empowering them to play a more active role in their healthcare. According to Dr Tina Campbell, founder of Healthily, GoShare is an easy-to-use tool for health professionals, which includes health information in a variety of formats (video, animation, text, apps) to accommodate a range of learning styles. Used to complement faceto-face or telehealth interactions, the resources are designed to build the knowledge, skills and confidence of patients, particularly in relation to the self-management of chronic conditions. Leanne Beagley, CEO WVPHN said “With a population in excess of 600,000 people, Western Victoria Primary Health Network (PHN) is focused on ensuring better health outcomes for the rural and regional communities across western Victoria. We are partnering with Healthily to provide local general practitioners and other health care providers with up to date health information for their patients. GoShare is an innovative patient self-management technology platform that will support people
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to be as independent as possible if they live with a chronic condition, will help prevent complications and potentially the need to go into hospital”. There is now considerable evidence that interventions that promote patient empowerment and the acquisition of selfmanagement skills are effective in diabetes, asthma, and other chronic conditions. In addition, research shows that Australians of all ages are embracing the digital life. According to the ACMA 2014 Report 92% of adult Australians use the internet with 68% of those aged 65 years engaging online. In 2014, people aged 55 and over showed the largest increase in app downloads. GoShare’s functionality makes it easy for health professionals to provide care that is responsive to individual patient preferences and needs. Ms Beagley said “The platform is ‘patient centred’ supporting health professionals to efficiently tailor and personalise information that responds to questions, concerns or interests expressed in a face to face or telephone consult. It’s about ensuring patients have access to the right information at the right time, to gain the knowledge, skills and confidence necessary to manage their health to the best of their ability.” For the full article visit HealthTmes.com.au
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Imagine the possibilities…
Benalla Health Nursing Opportunities Registered Nurse Grade 2 Position Status: Permanent Full-time positions Available Benalla Health is set in picturesque surroundings, with spacious court yards, free staff car parking and a positive working environment. We are focused on being recognised as a learning facility with an environment that offers opportunity for employees to access education and encourages ongoing development. Take up the opportunity to become a valued member of a dedicated team, which provides excellent person centred care to the community. Our organisation offers a work environment that encourages innovation and excellence. We support staff to achieve best practice outcomes for our community by ensuring that all staff has access to an innovative education program. The Registered Nurse will have the opportunity to work across the areas of Acute, Aged Care, Emergency & Home Nursing. Benalla Health will consider Employee sponsorship for international applicants For more information please contact: Lisa Waite, Deputy Director Clinical Services on 03 5761 4750 We are committed to offering our employees: • Work/Life balance options; • Access to a team of experienced professionals; • A supportive learning environment; • Access to professional development; and • Salary Packaging incl.Remote Area Housing for eligible staff. • Accommodation Available APPLICATION PROCESS: To apply and for full details, please log-on to: www.benallahealth.org.au/benalla/careers Applications Close: Sunday 10th September 2017 at 5.00pm.
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Saudi Arabia Nursing Interviews in August Living & working in Saudi Arabia offers unique cultural experiences whilst gaining invaluable clinical exposure. The King Faisal Specialist Hospital & Research Centre, in Riyadh, is a large internalonally renowned hospital offering high standards of care in all specialles. Professional development and career progression is encouraged within this facility with mullple nursing opportuniles currently available. Employment benefits include salary paid tax free, free accommodalon with Empl recrealonal facililes, transportalon and travel allowances, health insurance and generous annual leave enltlements. Hospital Representaaves will be holding Informaaon sessions and interviews in Australia & New Zealand this August Christchurch 16 Auckland 17 Sydney 21 Brisbane 22 Melbourne 23 Nurses in all specialles are encouraged to explore their career oplons and apply to kick start an overseas adventure. To register your interest or apply, please contact us: dawn@ccmrecruitment.com.au raquel@ccmrecruitment.com.au AUS Free Call 1800 818 844 NZ Free Call 0800 700 839
HealthTimes - July 2017 | Page 35
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