Health Times November 2016

H

November 2016

Education Feature + Why graduate midwives should work in continuity of care models + Simulation project trains the physiotherapists of the future + Empowering tracheostomised patients to speak

HealthTimes - November 2016 | Page 19

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It was one of those fierce summer storms that comes after a week of hot weather.

Worst of all, the storm hit the clinic during the night, so nobody realised the roof was damaged.The next day, we found the reception counter drenched.

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I got hold of our Officeworks Business Specialist, who helped me organise what we needed to replace. She recommended plastic filing cases instead of cardboard folders, and a wireless keyboard that could be put away each night. And because everything was ordered online before 11.30am, it was delivered the same day.

Get all over it.

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Printed for 21/11/2016.

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HealthTimes - November 2016 | Page 03

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November 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 DISTRIBUTION 46,300 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.

Advertiser list Austra Health AACDS Australian Medical Handbook Avondale College Barwon Health CCM Recruitment International Charles Sturt University CQ University Geneva Health Health Recruitment Specialists Medacs Healthcare Australia Monash Health Navitas Oceania University of Medicine Officeworks Pulse Staffing Quick and Easy Finance Royal District Nursing Service Signostics Smart Salary Sunrise Health Service University of Tasmania University of Wollongong

Next Publication: Regional & Remote Health Publication Date:

Monday 19th of December 2016

Artwork Deadline:

Monday 12th of December 2016

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CAREER OPPORTUNITIES Remote Area Nurses (RAN) & or RAN/Midwives – Katherine Region Remuneration package $148,247 – $156,154 depending upon experience & qualifications

Sunrise Health Service Aboriginal Corporation is an Aboriginal Community Controlled Health Organisation that has a number of exciting opportunities for Registered Nurses and RNs with Midwifery qualifications to join our dedicated teams in the Katherine, NT region.

The successful applicant will have a role in working with other health care professionals, both internally and externally to achieve positive outcomes in overall levels of health and well-being through the provision of primary and acute health care.

Attractive remuneration benefits include: • 6 weeks Leave per year • Up to 10 days study leave • Midwifery allowance where applicable • Fully subsidised air-conditioned housing, subsidised phone line rental and up to $100.00 in phone calls • 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) can be taken in conjunction with Annual leave • Full support from the health team • Generous relocation and repatriation Sunrise also has a comprehensive staff training and development program which is provided to all employees.

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.

Please note all applicants must be Australian or New Zealand Citizens or Permanent Residents with the right to live and work in Australia Applicants must address the Selection Criteria (as contained in the position description) For further information contact the Human Resources Manager, Mr Tony Hopp on PH: 08 8971 9521. Applications are to be sent “In Confidence” to HR Manager, Sunrise Health Service, PO Box 1696, Katherine NT 0851 or Fax: 08 8971 2511 or email: hr@sunrise.org.au

Chronic Disease Program Coordinator – PN 516 Aboriginal Health Practitioner (AHP)/Remote Area Nurse (RAN)

Total remuneration $86,336 – $130,186 Salary is dependent on experience & qualifications As a member of the Sunrise Health Service multidisciplinary team this position will promote culturally appropriate clinical care and healthy lifestyle messages to clients and community members.

The Chronic Disease program currently has a vacancy for a suitably qualified Aboriginal Health Practitioner or Remote Area Nurse who can effectively manage, coordinate and supervise the broader Chronic Disease team activities.

The purpose of the Chronic Disease Program Coordinator position is to facilitate the access of patients to the treatment of their chronic diseases. This includes delivering services directly as well as giving additional support to those who have trouble accessing recommended specialist and allied health care services.

Applicants should have personal initiative, be a team player and possess strong reporting writing abilities.

The position is located in Katherine and will include regular travel to remote communities in the Sunrise region. Clinicians applying for these positions should have unconditional Australian Health Practitioner Regulation Agency (APHRA) registration.

Benefits: • 6 weeks Leave per year • Up to 10 days study leave • Salary packaging options up to $15,899 per packaging year • Relocation and repatriation Applicants must address the Selection Criteria (As contained in the Position Profile). The Position Profile is available for download on the careers section of our website www.sunrise.org.au Applications close COB 25th November 2016

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 Indigenous people are strongly encouraged to apply. Sunrise Health Service is an equal opportunity employer. We maintain a strong No Smoking Policy. Providing primary health care services to remote communities East of Katherine Bulman, Jilkminggan, Manyallaluk, Mataranka, Minyerri, Ngukurr, Weemol, Wugularr, Urapunga

ABN: 26 778 213 582 ICN: 4170

SUNRISE

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HealthTimes - November 2016 | Page 07

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HealthTimes - November 2016 | Page 09

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HealthTimes - November 2016 | Page 11

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HT-611-00497 1/2PG FULL COLOUR CMYK PDF Nurse Unit Manager – Acute Services Rural lifestyle. Exciting career challenge.

Seymour Health is seeking an experienced and suitably qualified nursing professional for this exceptional opportunity in a small rural health service which is committed to the provision of high quality care. Candidates will have an approved Bachelor of Nursing or equivalent qualification to enable current AHPRA registration as a Registered Nurse (Division 1) and a minimum 5 years post-graduate experience as a Registered Nurse.

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Page 12| www.HealthTimes.com.au

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HealthTimes - November 2016 | Page 13

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HealthTimes - November 2016 | Page 17

Simulation project trains the physiotherapists of the future

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world-first national simulation project has changed the face of education and training for physiotherapy students across Australia.

The large-scale project, which was supported under the now defunct Health Workforce Australia, rolled-out innovative simulation, using mostly professional actors as patients, into 16 physiotherapy courses across 2014 and 2015.

Almost 1800 physiotherapy students participating in the project completed more than 13,200 days or 99,000 hours of simulation training across the three main practice areas - cardiorespiratory, neurological and musculoskeletal physiotherapy.

The groundbreaking initiative, which involved widespread support from universities, clinicians, professional bodies and students, has transformed physiotherapy education practice in Australia.

It’s also generated interest from countries, such as Ireland, the United States, Canada, Brazil and Israel, and from other allied health disciplines, such as occupational therapy and speech pathology.

Professor Tony Wright, from Curtin University’s School of Physiotherapy and Exercise Science, guided the multi-million dollar project with a team including Dr Penny Moss, Dr Kate Watson and Stephen Rule.

Professor Wright said the project has been a major success, with simulation training now provided as part of the education program across all of Australia’s 19 physiotherapy courses.

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“Initially there was a bit of resistance and reluctance from people in terms of thinking that working with actors can’t be as good as working with proper patients,” he said.

“As people actually got into the project and began to experience it and began to see the benefits of being able to use simulation, both on the part of the students and the staff, people really strongly embraced it as an approach.

“It’s now become much more embedded as an approach across all of the physiotherapy courses, and in different parts of courses - both students early on in the course as well as students in the clinical practice phase.”

Under the project, leading physiotherapy clinicians and academics developed 45 simulated scenarios.

Students engaged with actors and high fidelity mannequins portraying patients, while accessing chart histories, X-rays and test information developed for the scenarios, to practise patient assessment and management in clinical environments for the five-day training sessions.

More than 300 physiotherapy educators, with no prior experience in simulation training, were also up-skilled in clinical simulation, while universities were able to tap into resources to inject into equipment to create the simulated learning environments.

For the full article visit HealthTimes.com.au

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HealthTimes - November 2016 | Page 19

Why graduate midwives should work in continuity of care models

O

nly a small number of new graduate midwives are working in continuity of care maternity models across Australia despite universities educating students to work in the ‘gold standard’ of care, research shows.

Allison Cummins, a University of Technology Sydney midwifery lecturer and PhD candidate, says new graduate midwives are prepared and eager to work in one-to-one midwifery care, midwifery group practice and team midwifery - yet only about 30 newly graduated midwives are estimated to be working in continuity of care across the nation.

A practising midwife of 26 years and a former hospital clinical educator, Ms Cummins says graduates have limited opportunity to work in the renowned midwifery-led model.

Instead, most graduates complete the transition to professional practice programs in hospitals, where they often rotate through antenatal clinics, birth suites and postnatal wards.

“They lose their skills in the transition to professional practice program - they work in one area for three to six months and by the time they finish one placement, and they are rotated to another, they forget their skills,” Ms Cummins says.

“When you work alongside the woman and provide care throughout pregnancy, you care for around four women a month, so some will be pregnant, some will have given birth and some they will be on-call for, so you are using all of your skills all of the time, and your work is around the

Page 20| www.HealthTimes.com.au

needs of women rather than around the needs of the organisation.

“In the transition to practice program, the midwives work around rostered shifts - whether there’s women in the ward or not.

“When they work in midwifery-led continuity of care models, they work when the woman needs them. It’s more woman-centred and they use all of their skills.”

Continuity of care, also known as caseload midwifery or one-to-one midwifery, is care provided throughout the pregnancy, birth and early parenting period from one midwife or a small group of midwives.

The model has been shown to reduce interventions, such as epidural anaesthesia, episiotomy and caesarean section operations, and Australia is experiencing a gradual shift in maternity services towards the midwifery-led models.

Ms Cummins, who has examined the experiences of new graduate midwives in continuity of care models in a study, says an essential part of midwifery curriculum at university is for students to ‘follow through’ a number of women.

Yet, when job positions are advertised for continuity of care models, the criteria often lists a minimum of two years’ experience, which prevents new graduates from applying.

Ms Cummins says midwives are becoming frustrated with working in the fragmented hospital model of care, prompting some to exit the profession.

“When midwives provide continuity of care they are highly satisfied, they have good job satisfaction,” she says.

“There’s also a lot of fear mongering that midwives don’t have enough experience to work in continuity of care - what if something happens, what if the woman dies or the baby dies, you’re going to be held responsible.

“There’s a lot of fear mongering that’s not true. Nothing bad has happened as far as I know but bad things happen all of the time in the fragmented model because the midwives don’t know the women, they don’t know their history.”

In her qualitative descriptive study, Ms Cummins interviewed 13 new midwifery graduates working within continuity of care, who listed the benefits of the model as the relationship with both the woman and with the midwifery group.

“All of the midwives said they felt more confident and consolidated skills better when they know the woman, they know her history,” she says.

“They’ve known her since the beginning of the pregnancy, so by the time she goes into labour they know everything about her - her physiological requirements, her blood group, any problems she’s had in her pregnancy, how she’s going to manage labour - it’s really important.

“It’s like if you go to a hairdresser who knows what colour your hair is, what highlights and cut you want, and you don’t have to explain - it’s continuity.

“When you’re pregnant, you don’t want to turn up every visit and tell your story. Women really like continuity and midwives find it better to work in it’s highly satisfying, it’s all about the relationships.”

Ms Cummins’ other research into graduate midwives found mentoring support helps build their confidence in transitioning from student to practising midwife.

ForCOLOUR the full article visitCMYK HealthTimes.com.au HT-611-00487 1/2PG FULL PDF

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HealthTimes - November 2016 | Page 21

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Now’s the time to book “The Book” and share in rewards valued at over $26,000* Last year our pre-publication promotion was a huge success, with many happy winners. Thus, we would like to continue to offer professional business rewards to support you the nurse, the midwife, the allied health professional.

All you have to do is purchase the 2017 AMH book or any current resource – between November 14 and December 31 – and you will receive an automatic entry to win one of these great rewards* to help you further in your quest for knowledge and excellence.

Prizes include attending a conference related to your profession, new laptop computers and future editions of AMH resources.

National Winner A major prize comprising flights, accommodation, conference registration, transfers & meal vouchers for up to 2 people to attend an Australian conference in their field, to the maximum value of $6,000.

Regional Winners (NSW/ACT, VIC/TAS, QLD/NT, SA/WA) 4 x first prizes of either an Apple MacBook, a Microsoft Surface Pro or HP Spectre Rose Gold to the maximum value of $3,500. Each region will also have 6 secondary runners-up who will receive a free copy of the next edition of Australian Medicines Handbook (Book or Online) valued at $210 each. Each region will also have 3 supplementary runners-up who will receive a free copy of the next edition of the AMH Children’s Dosing Companion (Book or Online) valued at up to $109 each. Maximum total prize pool of $26,348*. *Terms & Conditions Apply. For full details and conditions of entry and to order your AMH resource, just go to www.amh.net.au.

NSW Permit No. LTPS/16/08354. ACT Lic. No: TP 16/02127. SA Lic. No: T16/1892. The promoter is Australian Medicines Handbook, Level 13, 33 King William St, Adelaide SA 5000. The random prize draw will take place at Level 13, 33 King William St. Adelaide 2pm on 24/1/17. Winners will be notified by email by 27/1/17 and draw results published on AMH website on 31/1/17.

HealthTimes - November 2016 | Page 23

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We’re building Victoria’s new children’s hospital Due to open in early 2017, the new 230-bed Monash Children’s Hospital will be a dedicated hospital for the children and families of Victoria.

Our service profile Monash Children’s Hospital is one of Australia’s leading provider of integrated children’s health services, and one of the largest children’s hospitals in Australia. It’s part of Monash Health, Victoria’s largest healthcare service, with a network of paediatric healthcare services across Monash Medical Centre, Dandenong Hospital and Casey Hospital.

Our paediatric medical staff is comprised of 110 consultants, 70 junior medical staff and 410 equivalent full time nurses, care for more than 100,000 children every year.

monashchildrenshospital.org

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Education at Monash Children’s Hospital A $6.8 million school will be built at the new Monash Children’s Hospital so children who are chronically ill or in hospital for long periods don't fall behind in their studies while they undergo treatment.

The school will employ a principal and up to 15 teachers to support 170 students per day in four classrooms, a laboratory and office space.

Students will also have access to bedside patient education systems to keep up with their schoolwork and stay connected to their usual schools, teachers and classmates.

Monash Children’s Hospital is also a teaching hospital and international research centre of Monash University, as part of the renowned Monash Partners Academic Health Science Centre.

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Nursing in Saudi Arabia

INTER V IN DEC IEWS EMBE R

Meet with King Faisal Specialist Hospital and Research Centre Riyadh for face-to-face interviews in Australia and New Zealand in December.

This hospital offers one of the best all-inclusive recruitment packages available to nurses who want to work in the Middle East:

Interviews will be held as follows:

• Free Flights

• Auckland – Wednesday 7 December • Brisbane – Thursday 8 December • Sydney – Monday 12 December • Melbourne – Tuesday 13 December

• Free Accommodation

Can’t make it in person? Don’t worry!

We can arrange Skype interviews.

Nurses of all hospital based specialities are encouraged to apply – you must have a minimum of 2 years post-graduate experience.

• No utility bills • Tax free salary - nurses tell us they can save 85% of their earnings • Contracts of 1 – 2 years • Over 50 days annual leave per year • Medical cover and emergency dental

Senior and management level nurses are also encouraged to attend as there are many opportunities for higher grade positions.

To book your slot, apply online or contact Shane King: NZ free phone 0800 900 801 AU free phone 1800 123 900 email: shanek@genevahealth.com www.genevahealth.com

HealthTimes - November 2016 | Page 25

Advance care and palliative care planning for general practice nurses

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pioneering new toolkit and training package has been designed to equip the nation’s 4000 general practice nurses with the skills to initiate advance care planning and palliative care planning as part of their every-day practice.

The free Advance toolkit of screening and assessment tools coupled with a training package has been specifically designed to support general practice nurses to broach the conversations with patients and their families.

The project, led by HammondCare and funded by the Australian Government Department of Health, aims to deliver the appropriate training and education to break down barriers to advance care planning with patients aged 75 and over or chronically ill patients, and to identify patients who may be at risk of deteriorating and dying.

It will also help nurses to assess and address both the supportive care needs of patients and carers while working to identify patients who may benefit from early referral to specialist palliative care services.

Advance project director Dr Josephine Clayton, a HammondCare palliative medicine physician and Associate Professor of Palliative Care at the University of Sydney, says general practice nurses come into contact with a large number of patients with chronic, debilitating diseases, malignant and non-malignant conditions, and play a key role in patient management.

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“It’s so much easier for people and their families for these conversations to start much earlier outside of a crisis situation, so when people are relatively well and with people that they trust,” she says.

“GPs themselves are incredibly busy and there’s huge demands on their time and nurses can work very well and very effectively with GPs to enable advance care planning to happen in other settings, and so we think that general practice nurses are ideally placed to be able to start these conversations.

“They are not currently very involved in this area. It’s certainly under-utilised these advance care planning discussions and I think there’s room for nurses to get much more involved in collaboration with the GP.” Dr Clayton says often the initial hurdle for health practitioners is knowing how to start the discussion.

She says the toolkit provides education and a structured approach to guide nurses in their conversations on advance care planning and palliative care planning.

Dr Clayton says one example where nurses can initiate the discussion is with a patient, aged 75 or above, coming in for their annual flu shot.

“The nurse might say - ‘in the next five to 10 minutes could I ask you a few questions about your future health wishes?’

For the full article visit HealthTimes.com.au

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Flexible

HealthTimes - November 2016 | Page 27

Empowering tracheostomised ICU patients to speak

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ritically ill patients are being given their voice back thanks to world-leading speech pathology research and practice in Queensland.

Invasively ventilated Intensive Care Unit (ICU) patients are now using the speaking valve on tracheostomy tubes to communicate with health professionals and family.

Previously, patients have been unable to speak due to the inflated tracheostomy cuff while widespread concerns about the potential negative impact on the patients’ recovering lungs often prevented patients from using the valves.

New research shows there is no evidence of lung de-recruitment while patients are weaning from mechanical ventilation. Instead, a recent study of 20 mostly cardiothoracic patients found speaking valve use actually improved patients’ lung function.

The Prince of Charles Hospital has become the first in the world to embrace the practice of using speaking valves with mechanically ventilated ICU patients, generating interest from hospitals nationally and world-wide.

Anna-Liisa Sutt, a critical care speech pathologist at Prince Charles Hospital and a University of Queensland School of Medicine clinical researcher, says her research was prompted while watching ICU patients struggling to speak.

“I noticed that all of these patients were really awake and alert and really trying to communicate, trying to mouth words across and these valves were never used,” she says.

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“It just came across as a clinical question why are we not using these valves with these patients?

“There was really no research to say that it was harmful for their lungs or that it wasn’t harmful. In medicine, it’s always ‘do no harm’ and we weren’t using them because it was feared they could be causing harm.”

Ms Sutt says it was the introduction of an innovative piece of equipment - Electrical Impedance Tomography (EIT), a radiation-free realtime bedside imaging tool, that enabled the hospital’s critical care research group to visualise patients’ lungs.

“My supervisor, Professor John Fraser, gave me an idea about this piece of equipment - that maybe we should use that to check how their lungs really are going with the speaking valve,” she says.

“This way, we didn’t have to take patients down to radiology and expose them to radiation.”

Funding from the Prince Charles Hospital Foundation and an NHMRC postgraduate research scholarship kick-started the novel project.

Ms Sutt’s study found all participants showed lung improvement while using the speaking valve.

“That was great - it was actually something that we didn’t expect,” she says.

For the full article visit HealthTimes.com.au

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Step into a new challenge with Pulse

Pulse is a leading provider of nursing staff across Australia. We have been recruiting for over 15 years and have long-standing relationships with various clients, so whether you’re looking for the next step in your career or a new challenge, our specialist nurse-led recruiters will support you.

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

Call us to find out more

pulsejobs.com

Why choose Pulse?

• You’ll have access to a nurse-led specialist team • Flexibility of when and where you want to work • Free online CPD courses for your professional portfolio • Access to roles exclusive to Pulse • Free accommodation for contract placement* *Dependent on each contract

+61 (0)2 9965 9455 People Perfectly Placed

HealthTimes - November 2016 | Page 29

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

Post Graduate Midwife QLD - This role presents an opportunity to join an enthusiastic and dedicated team.

Nurse Unit Manager - Theatre NSW - Ideal position for someone with a strong interest and background in a theatre environment.

Director of Accreditation Services ACT - Opportunity for a Director of Accreditation Services (DAS) to join their team based in Canberra.

Registered Nurse Melbourne - Opportunity is available for a motivated RN to join our Imaging team in Berwick.

These and hundreds more great job opportunities at

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

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Adventure Awaits in Saudi Arabia

Experience the unique culture and traditons of Saudi Arabia whilst gaining invaluable work experience.

The King Faisal Specialist Hospital & Research Centre is a large well established hospital offering high standards of care in many specialles.

Professional development and career progression is encouraged within this facility with mullple nursing opportunites currently available.

Employment benefits include salary paid tax free, free accommodalon with recrealonal facilites, transportalon and annual flights, health insurance and generous annual leave enltlements.

Hospital Representalves are holding informalon sessions and interviews this December: Auckland Wednesday 7th Brisbane Thursday 8th Sydney Monday 12th Melbourne Tuesday 13th Further interview arrangements are available via Skype

To register your interest or apply, please contact CCM today Dawn at dawn@ccmreruitment.com.au Sarah at sarah@ccmrecruitment.com.au AUS Free Call 1800 818 844 or NZ Free Call 0800 700 839

HealthTimes - November 2016 | Page 31

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Rural & Remote Specialists Medacs Healthcare are currently offering contracts across Australia: NSW (4-12 wks) - All NSW districts ED, Med/Surg, Theatre & Midwifery WA (13 wks) - Goldfields, Pilbara, Kimberley ED, Midwifery & Theatre NT (13 wks) - Alice Springs, Darwin, Tennant Creek Midwifery, ED, Renal & Theatre QLD (12 mths) - Rockhampton, Mt Isa, Cairns Midwifery & Diabetes Educator roles Depending on the contract - Free/subsidised accommodation and travel are provided.

For more information call or email the Medacs Healthcare Nursing Team today.

We care about our Nurses!

Contact Us Email: nurses@medacs.com.au Telephone: 1800 059 790 www.medacs.com.au

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