Issue 1 14/01/13 fortnightly
New Year, New Career Nurses demand government action Nurse aims to improve quality of life for palliative care patients Pharmacists urged to ignite their leadership potential Report applauds mental health nurse incentive program
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Reference No: 2102262V11 For Publn:SCO SCO Daily Dates:2x 11dec12 Weekly Dates: Daily First:11dec12 Next:11dec12 Reference No: 2102262V11 ForDaily Publn:SCO SCO Week First: Week Next: Daily Dates:2x 11dec12 Weekly Dates: Adtype: SD Classification: CPVG Daily First:11dec12 Daily Next:11dec12 Size: 15.0 Cms X 4 Cols Lines: 0 Week First: Week Next: Price:$1399.20 Weekly:$ 0.00 CPVGTotal:$2798.40 Adtype: SD Classification: Size: 15.0 Cms X 4 Cols Lines: 0 Price:$1399.20 Weekly:$ 0.00 Total:$2798.40
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Nursing Careers Allied Health - Issue 1 | Page 3
www.ncah.com.au )SSUE p *ANUARY We hope you enjoy perusing the range of opportunities included in Issue 01, 2013. 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 if you would like to receive our publication, please email us at careers@ncah.com.au m&!#4 ./4 &)#4)/.n The NCAH Magazine distribution is independently audited by the Circulations Audit Board. Total Audited Print and Digital Distribution: 28,090 The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email careers@ncah.com.au or visit www.ncah.com.au If you would like to change your mailing address, or be included on our distribution, please email careers@ncah.com.au
Published by Seabreeze Communications Pty Ltd Trading as NCAH. ABN 29 071 328 053. Š 2013 Seabreeze Communications Pty Ltd. All rights 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.
!DVERTISER ,IST AHN Recruitment Australian College of Nursing Bairnsdale Regional Health Service CCM Recruitment International Central Queensland University CQ Nurse Employment Office Kimberley Aboriginal Medical Services Council Koala Nursing Agency Lifescreen Mark Moran at Little Bay Medacs Australia Mercy Health and Aged Care Central QLD North East Health Wangaratta Oceania University of Medicine Oxford Aunts Care Patricia Whites Remote Area Health Corps Royal Flying Doctor Service Central Operations Sidra Medical and Research Centre Swan Hill District Health Unified Healthcare Group University of Technology Sydney WA Health
Next Publication: Regional & Remote feature Publication Date: Tuesday 29th January 2013 Colour Artwork Deadline: Monday 21st January 2013 Mono Artwork Deadline: Wednesday 23rd January 2013
Page 4 | www.ncah.com.au
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Nursing Careers Allied Health - Issue 1 | Page 5
Adtype: No: SD 2102262V11 Reference Daily Dates:2x 11dec12 Size: 15.0 Cms X
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s X
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and independent practice. If you are !) ) ! &!$ $( &$ " $ & ! % % % &! registered with AHPRA as a registered nurse and midwife, have 3-5 ! years post ""! & & '% %& " %% ! & ( ' &! & "!% & ! !$ grad experience in emergency or critical
& '$% ! & !$& ' '%& & % $! % $ %"! % !$ & * $%& care and great communication skills RFDS Western Operations may have the role & ! #' &) '$% % $( !$ & !$& ' '%& % for you.
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2ESPONSIBILITIES INCLUDE )N RETURN WE OFFER generous salary and salary packaging benefits, assistance with relocation and o &IRST LINE MANAGEMENT OF &LIGHT .URSES BASED IN 0ORT o !TTRACTIVE REMUNERATION AND BENEĂź TS SALARY PACKAGING subsidised rental and utility costs along !UGUSTA o #OMPANY MOTOR VEHICLE AND RELOCATION ASSISTANCE with district loadings and gratuities are PROVIDED o 0ARTICIPATION IN THE DEVELOPMENT OF THE STRATEGIC some of the incentives offered to the o %XTENSIVE TRAINING AND ORIENTATION DIRECTION FOR 2&$3 &LIGHT .URSES successful candidates. o ! SUPPORTIVE ENVIRONMENT WHERE STAFF ARE VALUED AND o 2OSTER DEVELOPMENT AND COVERAGE AS REQUIRED If you are seeking the opportunity to work innursing all our locations within WA, Derby, PERSONAL DEVELOPMENT IS ENCOURAGED o 5NDERTAKE &LIGHT .URSE PERFORMANCE APPRAISALS AND Are you keen to utilise ALL your skills? !) ) ! &!$ $( &$ " $ & ! % % % Jandakot, Meekatharra, Kalgoorlie &! and CLINICAL COMPETENCY TESTING Opportunities exist for casual Flight Nurses to join the Royal Flying Doctor at our Port Hedland and wouldService like to know ""! & & '% %& " %% ! & )F YOU ARE KEEN TO MOVE YOUR CAREER INTO AN ORGANISATION ( ' &! & "!% & ! ! !$ Adelaide o 0ARTICIPATION IN RECRUITMENT ACTIVITIES more about being nurses a flight nurse contact base. Working in a diverse, fulfilling and rewarding environment, RFDS are at the forefront in o ,IAISON WITH OTHER (EALTH 3ERVICES Gabrielle West, % !$ & * Director of Nursing $%& on
& '$% ! & !$& ' '%& & % $! % $ %"! THAT MAKES A REAL DIFFERENCE TO ALL !USTRALIANS APPLY NOW delivery of aeromedical health services. (08) 9417 6300. The RFDS are open to a o 0ROVIDE SUPPORT TO STAFF AFTER HOURS and & ! #' &) '$% be % $( !$ & !$& ' '%& % 6 monthnurse plus flight nurse contract for Qualifications experience: Must a registered general with midwifery endorsement. 0LEASE DIRECT YOUR CONĂź applicants seeking DENTIAL ENQUIRIES TO employment with Comprehensive experience and/or post graduate qualifications in a critical care area essential. 1UALIĂź CATIONS AND EXPERIENCE the RFDS. 'REG -C(UGH 0H )N RETURN WE OFFER 2ESPONSIBILITIES INCLUDE o 'ENERAL AND -IDWIFERY .URSING QUALIĂź CATIONS Information on positions obtained !PPLICATIONS TO +ATE 'UERIN (2 #OORDINATOR Features: $60/hour, working shifts of 8 – 12 hour duration on a 7 day roster. can be o !TTRACTIVE REMUNERATION AND BENEĂź TS SALARY PACKAGING o !TTRACTIVE REMUNERATION AND BENEĂź TS SALARY PACKAGING o &IRST LINE MANAGEMENT OF &LIGHT .URSES BASED IN 0ORT from Rosemary Hunt, by phoning REGISTERED WITH !(02! 0/ "OX -ARLESTON "# 3! o #OMPANY MOTOR VEHICLE AND RELOCATION ASSISTANCE o #OMPANY MOTOR VEHICLE AND RELOCATION ASSISTANCE !UGUSTA Applicants must be able to commit to at least one shift per week. (08) 9417 6300 during offi ce hours or o #OMPREHENSIVE EXPERIENCE IN AEROMEDICINE AND A send yourÄŒ YINGDOCTOR NET e-mail request to PROVIDED o 0ARTICIPATION IN THE DEVELOPMENT OF THE STRATEGIC %MAIL CAREERS CRITICAL CARE AREA ESSENTIAL Also seeking expressions of interest for Flight Nurses at all Bases (Alice Springs, Port nursing@rfdswestops.com.au. o %XTENSIVE TRAINING AND ORIENTATION DIRECTION FOR 2&$3 &LIGHT .URSES o %XTENSIVE TRAINING AND ORIENTATION o 0OST GRADUATE QUALIĂź CATIONS IN CRITICAL CARE ESSENTIAL Augusta & Adelaide) for future vacancieso ! SUPPORTIVE ENVIRONMENT WHERE STAFF ARE VALUED AND – please CV as per below. Closingemail date foryour applications is Monday !PPLICATIONS CLOSE !PRIL o ! SUPPORTIVE ENVIRONMENT WHERE STAFF ARE VALUED AND o 2OSTER DEVELOPMENT AND COVERAGE AS REQUIRED o !BILITY TO LEAD AND MANAGE A GROUP OF STAFF 6th February 2012. PERSONAL DEVELOPMENT IS ENCOURAGED PERSONAL DEVELOPMENT IS ENCOURAGED o 5NDERTAKE &LIGHT .URSE PERFORMANCE APPRAISALS AND Please direct your confidential enquiries to: o !BILITY TO WORK BOTH INDEPENDENTLY AND AS PART OF A CLINICAL COMPETENCY TESTING 4HE 2OYAL &LYING $OCTOR 3ERVICE IS AN %QUAL /PPORTUNITY %MPLOYER Vikki Denny Ph: (08) 8150 1303 MULTI DISCIPLINARY TEAM o 0ARTICIPATION IN RECRUITMENT ACTIVITIES )F YOU ARE KEEN TO MOVE YOUR CAREER INTO AN ORGANISATION )F YOU ARE KEEN TO MOVE YOUR CAREER INTO AN ORGANISATION o #ONĂź DENT IN DECISION MAKING ABILITIES Applications to: o ,IAISON WITH OTHER (EALTH 3ERVICES THAT MAKES A REAL DIFFERENCE TO ALL !USTRALIANS APPLY NOW THAT MAKES A REAL DIFFERENCE TO ALL !USTRALIANS APPLY NOW o 0OST GRADUATE QUALIĂź CATIONS IN AEROMEDICINE DESIRABLE HR Coordinator RFDS Central Operations o 0ROVIDE SUPPORT TO STAFF AFTER HOURS PO Box 381, Marleston DC SA 5033 o 'ENERAL COMPUTER LITERACY 0LEASE DIRECT YOUR CONĂź 0LEASE DIRECT YOUR CONĂź DENTIAL ENQUIRIES TO DENTIAL ENQUIRIES TO Email: careers@flyingdoctor.net 1UALIĂź CATIONS AND EXPERIENCE 'REG -C(UGH 0H 'REG -C(UGH 0H BlazeS052637 Applications close: 25 January CATIONS 2013 The Royal Flying Doctor Service is an Equal Opportunity Employer o 'ENERAL AND -IDWIFERY .URSING QUALIĂź !PPLICATIONS TO +ATE 'UERIN (2 #OORDINATOR !PPLICATIONS TO +ATE 'UERIN (2 #OORDINATOR REGISTERED WITH !(02! 0/ "OX -ARLESTON "# 3! 0/ "OX -ARLESTON "# 3! o #OMPREHENSIVE EXPERIENCE IN AEROMEDICINE AND A %MAIL CAREERS ÄŒ YINGDOCTOR NET YINGDOCTOR NET CRITICAL CARE AREA ESSENTIAL
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Nursing Careers Allied Health - Issue 1 | Page 7
Nurses demand government action by Karen Keast More than 97 per cent of respondents to an
A spokesman for Ms Plibersek said the
Australian Nursing Federation survey have called
government will work “with the Australian
on Federal Health Minister Tanya Plibersek to
Nursing Federation, the universities and other
take action on the graduate nursing crisis.
key stakeholders to facilitate a sustainable
The ANF’s online poll, held in December, found
outcome in coming months”.
97.4 per cent of the 680 respondents want Ms
He also stated the government was investing
Plibersek to step in and do more to solve the
heavily in developing a highly qualified and skilled
nation’s growing workforce crisis.
nursing workforce to meet Australia’s current
It also found 87 per cent want Prime Minister
and future health needs, including $523 million
Julia Gillard to waive HECS fees for nurse
outlined in the 2010 budget, over four years,
graduates who accept employment in areas of
for training and incentive programs for nurses
need.
and $84.7 million for nursing scholarships.
The union launched its ‘Stop passing the buck,
“HECS-HELP benefits also reduce HECS debt
Australia’s nursing grads need jobs’ campaign
repayments for nurses working in specific
late last year.
locations,” he said.
It follows a major drop in the number of public
The ANF is calling on federal and state
health sector jobs offered to nursing graduates
governments to support a raft of strategies
across most of Australia, with hundreds of
in a bid to secure employment for nursing
graduates missing out on nursing jobs.
graduates and for the ongoing promotion of
ANF federal secretary Lee Thomas said the poll
safe patient care.
results sent “a very loud” pre-election message
Measures include state and federal government
to the Gillard Government that it needs to work
funding for 24-hour daily clinical supervision
with state and territory governments to fix the
and mentoring, rotation through non-traditional
graduate nursing crisis.
graduate areas such as primary care and aged
“The poll results clearly show that the growing nursing crisis is set to become a real election
care, and joint state and federal funding for graduate positions.
issue for the Gillard Government…and it’s an
The ANF campaign has resulted in more than
issue the government must address and solve,
2650 emails to politicians, including 800 emails
otherwise safe patient care will be compromised
sent to Ms Plibersek, while almost 10,000
and unfortunately, it will be the sick and the
people signed up to show their support for the
vulnerable who will suffer,” she said.
campaign.
Page 8 | www.ncah.com.au
CQUniversity is proud to announce the introduction of our new Graduate Diploma of Midwifery available to study from term 1, 2013*. sæContemporary midwifery education sæFlexibility to study by distance education sæProfessional practice experience at one primary clinical site while you study Visit www.cqu.edu.au/midwifery or call 13CQUni 13 27 86 for more information.
CO13721 CRICOS Provider Codes: QLD-00219C, NSW-01315F, VIC-01624D
NEW BEGINNINGS FOR MIDWIFERY AT CQUniversity AUSTRALIA
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Located at the gateway to the Lakes and Wilderness region and an easy three hour drive from Melbourne, you can enjoy close access to the Gippsland lakes and beaches, national parks and the Located at the gateway to the Lakes and Wilderness region, you can enjoy easy access to the snowfields. An array of fantastic lifestyle options is available combined with the opportunity to fast Gippsland and beaches, national parks and snowfields. As the largest healthcare provider track your lakes Nursing career.
in East Gippsland, the Bairnsdale Regional Health Service (BRHS) provides services to a growing population of 40,000 people across a land mass of 21,000 square kilometres. BRHS operates three fixed campuses in conjunction with itinerant healthcare services in remote communities.
EMERGENCY DEPARTMENT ASSOCIATE NURSE UNIT MANAGERS
Midwives
As the largest healthcare provider in East Gippsland, Bairnsdale Regional Health Service (BRHS) provides services to a growing population of 40,000 people.
Full time/part time negotiable
Applications are invited from experienced Registered Nurses interested in joining a high functioning and
Due to internal promotion andteam staffinretirement, we positions are seeking experienced and negotiable. enthusiastic committed emergency nursing these ongoing with full/part time hours We are seeking experience in supporting and/or leading a nursing Midwives to join applicants our team. who Withcan 350demonstrate births per year, our service offers 3 different models of care: team. Postmidwifery; graduate qualifications in Critical Emergency Nursing be well regarded. caseload shared care; and Care GP or only care. We arewillinterested in discussing The successful will benefit from: opportunities toapplicants suit individual requirements. • • •
Access to extensive salary packaging options Ongoing paid professional development leave Accommodation and relocation assistance
Elective Surgical Access Coordinator
Grade 4, 0.8 on eft/full time Enquiries to: Tim Wood, Nurse Unit Manager 03 5150 3360 negotiable Please visit www.brhs.com.au for a position description application details. An exciting vacancy for a Registered Nurse with a and strong clinical background to hone existing skills in management, data analysis and system development. This newly created position will provide you with an excellent opportunity to develop and lead a Careers team of multidisciplinary Nursing Allied Health - Issue 1 | health Page 9 professionals and create effective systems to manage elective surgery access.
Physiotherapist
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Come and enjoy this exciting role with one of the largest areomedical services in Australia, providing a range of emergency services and primary health care to the state of Western Australia. Our operations are ever evolving and we are seeking Expressions of Interest from suitably skilled and motivated Registered Nurse / Midwives wanting to join our dynamic flight nurse teams at our regional bases within Western Australia. The role of a Flight Nurse is fun, rewarding and challenging while valuing team work
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Dietitians urge women to seek weight loss advice from APDs by Karen Keast
Young Australian women are continuing to turn to fad diets and commercial weight loss programs instead of seeking professional help from dietitians. Flight nurses positions Regional bases
SEE WA IN A DAY
And it’s a tactic that doesn’t appear to be working, with a Dietitians Association of Australia survey revealing almost two thirds of 18 to 24-year-olds have yet again resolved to eat healthier this year and almost half want to lose weight. With weight loss one of the most popular New Year’s resolutions, the DAA’s Young Women’s Nutrition Survey discovered similar results from its survey the previous year, confirming many young women are continuing to struggle with weight and nutrition. Accredited Practising Dietitian Melanie McGrice said dietitians assist with a range of food issues, covering food intolerances, diabetes and fertility, but weight loss tends to be just a small part of the job.
Ms McGrice recommended women wanting to lose weight seek tailored nutrition advice from an APD. “The biggest difference is when somebody comes to see a dietitian, the advice is tailored for the individual and not everybody has the same problem,â€? she said. “Weight loss isn’t always about being put on kilojoule restriction; people gain weight for a whole lot of different reasons. “Dietitians really analyse what the key issues are for the individual and then they deal with those key issues‌really solving the problem rather than providing a Band-Aid solution.â€? The survey results come as the DAA prepares to host Australia’s Healthy Weight Week campaign from January 20-27. This year’s campaign urges 18 to 25-year-
“From my experience and what I have heard from other dietitians is it’s only a small part of what dietitians do at the moment, which I think is quite a shame because as we know the survey shows up to 68 per cent of 18 to 24-year-olds are wanting to eat healthier in 2013 and that 42 per cent of those want to lose weight,� she said.
old women to adopt healthy eating habits to
“Instead of going to their health professional they are going to magazines and commercial weight loss programs.�
community presentations, healthy barbecues
The latest survey also revealed almost two in three young women tried to lose weight in the year prior to the survey, and just over a quarter reported that trying to lose weight was an ongoing issue. Page 10 | www.ncah.com.au
achieve and maintain a healthy weight, with rates of weight gain in this group higher than other Australians, affecting their fertility and long-term health. APDs are hosting more than 45 events across Australia, ranging from supermarket tours to and picnics. APDs can still register their event at www.healthyweightweek.com.au. Follow AHWW on Twitter @HealthyWtWk and #AHWW and take part in the AHWW live Twitter chat, using #AHWW, on January 21 from 8.309.30pm (AEST).
Nursing Careers Allied Health - Issue 1 | Page 11
Bupa becomes Australia’s largest private aged care provider by Karen Keast Bupa has become Australia’s largest private
care industry and Australian health care more
aged
broadly,” he said in a statement.
care
provider
after
it
purchased
10 residential aged care homes across Queensland, New South Wales and Victoria. The health insurer’s aged care arm, Bupa Care Services Australia, recently acquired
“The high quality of Innovative Care’s homes and their industry leading practices will strengthen Bupa’s aged care offering in Australia.
Innovative Care’s aged care operations, run by
“We will be working with Innovative Care
Victoria’s Croft family, which includes director
management to carefully transition operations
and operations manager Sandi Croft, who first
as smoothly as possible to ensure continuity of
began work in aged care as a registered nurse more than 20 years ago. The sale includes 10 homes with 1114 beds and features plans for acquiring further land and the addition of more beds. In a statement, Bupa announced it will make
care for all residents.” Bupa’s Australian and New Zealand businesses are part of the international Bupa Group, which cares for more than 30 million people in over 190 countries.
job offers to Innovative Care’s entire aged care home staff. The deal takes Bupa’s aged care portfolio to 60 homes, which offer respite, low, high and
HAVE YOU SAVED THE DATE? 18–23 MAY 2013
dementia care, comprising a total of 5616 beds, and comes after the insurer recently purchased Bupa South Hobart in Tasmania, Bupa Glenvale in Queensland and opened Bupa Bankstown in New South Wales. Its acquisition of Innovative Care remains subject to regulatory approvals, which are expected to be obtained in the next month. Bupa Care Services Australia general manager Paul Gregersen said the Innovative Care homes
18–23
Equity and Access to Health Care AUSTRALIAN COLLEGE OF NURSING RCNA & TCoN
Leading nursing expertise and care
through access, learning and advocacy
are a “great fit for Bupa”. “This is the most significant acquisition in the Australian aged care market for several years and underlines Bupa’s investment in the aged Page 12 | www.ncah.com.au
Australian College of Nursing Australian member of ICN
www.icn2013.ch
Respect – Professionalism – Caring – Committed – Collaboration
ASSOCIATE NUM MIDWIFERY UNIT (Minimum .8 FTE) REGISTERED NURSE/MIDWIFE (Full/Part-time) The Midwifery Unit has the above positions for suitably experienced Registered Nurses/ Midwives. The Midwifery Unit offers maternity care for low risk pregnancies and there are appox. 280 births per year. Low acuity general med/surg. patients are sometimes cared for in the Unit also. Enquiries can be directed to Ms. Thami Sikwebu, NUM on 0350339302 or email tsikwebu@ shdh.org.au Applications including the names of two (2) professional referees should be forwarded to: Human Resources Manager, Swan Hill District Health, PO Box 483, Swan Hill 3585, Victoria or email hrmanager@shdh.org.au by Monday 21 January 2013.
Nursing Careers Allied Health - Issue 1 | Page 13
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Pharmacists urged to ignite their leadership potential by Karen Keast A new leadership program is encouraging pharmacists to spark innovation and influence the future of the profession.
government, non-government or academic setting, the ignite program will give you the platform you need to succeed,â&#x20AC;? he said.
The Pharmaceutical Society of Australia has launched â&#x20AC;&#x2DC;igniteâ&#x20AC;&#x2122;; a program for outstanding early career pharmacists who want to develop their leadership skills and bolster their career opportunities.
The six-month program features interactive workshops, experiential learning, distance learning, inspirational speakers, personal mentoring, networking opportunities and a practical workplace project.
The new program hopes to create future leaders who will drive strategy, change and innovation in the profession.
The program offers a wide range of benefits designed to provide participants with a platform for career success, from professional networking opportunities to gaining CPD credits, developing leadership and management qualities and skills along with coaching skills. For more information or to apply visit www.psa. org.au/education.
PSA national president Grant Kardachi said the program offers a unique leadership development experience that will broaden pharmacistsâ&#x20AC;&#x2122; career horizons. â&#x20AC;&#x153;Whether you wish to advance your career within a hospital, community, industry, Page 14 | www.ncah.com.au
For the full article visit NCAH.com.au
Looking for a change? Why not consider an exciting new career with Mercy Health & Aged Care? Mercy Health & Aged Care Central Queensland Ltd has 5 Mater Hospitals which are located in Mackay, Yeppoon, Gladstone, Rockhampton & Bundaberg. We also have Aged Care facilities in Rockhampton. s We are one of Queenslandâ&#x20AC;&#x2122;s highest paying private health and aged care employers; s Offer diverse career opportunities for Nurses and Midwives, Carerâ&#x20AC;&#x2122;s, Allied Health Professionals and all support services; s Flexibility to suit your lifestyle and commitments; s Professional Development opportunities; s Friendly and supportive working environment. Find out more or search for vacancies at: www.mercycq.com or call our recruitment team on (07) 4931 7478 today!
Nursing Careers Allied Health - Issue 1 | Page 15
Page 16 | www.ncah.com.au
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LOOKING FOR SOMETHING NEW IN 2013? If you are looking to make a fresh start to your career in 2013 or would like to register your interest in future job opportunities go to www.ahnr.com.au Some of our current vacancies include:
Nurse Unit Manager (Acute) Portland, Victoria Applicants must hold current AHPRA registration with an eligible work permit for Australia
Nurse Unit Manager (Medical Unit) Hamilton, Victoria The Nurse Unit Manager provides leadership to our medical unit/ GEM rehab/ ICU and ED departments
Physiotherapist Warrnambool, Victoria This is an exciting opportunity for a physiotherapist to join a Community based dynamic multi-disciplinary team.
If you are looking to make a fresh start to your career or would like to register your interest in future job opportunities go to
www.ahnr.com.au
W: www.ahnr.com.au E: ahnr@ahnr.com.au T: 1300 981 509 Page 18 | www.ncah.com.au
Nursing Careers Allied Health - Issue 1 | Page 19
New Zealand pharmacists training to prescribe medicines by Karen Keast Fourteen New Zealand pharmacists will undertake training this year to become the first pharmacists in the country to prescribe medication. The group of clinical pharmacists will complete the new postgraduate certificate in pharmacist prescribing early this year, enabling them to prescribe medicines to patients in a collaborative healthcare environment. The development is the latest in the changing landscape of the country’s pharmacy profession, after pharmacists last year embraced the new Pharmacy Services Agreement, where pharmacists are paid to manage patients on chronic therapies but lose their dispensing fee, while pharmacists are also forging ahead in the provision of in-pharmacy immunisations. The New Zealand Government recently announced its plans to enable clinical pharmacists to undergo special training and competency assessments to register in the new advanced scope of practice, which was developed by the Pharmacy Council of New Zealand with the support of Health Workforce New Zealand.
Page 20 | www.ncah.com.au
The first group of pharmacists includes seven who are hospital-based, who will work with specialist medical teams, and seven primary care pharmacists, who will work with primary care teams. Following on from similar moves in Britain, the United States and Canada, the progression to pharmacist prescribers is the latest addition to the country’s growing list of non-medical prescribers, which includes nurse practitioners, midwives, diabetes nurse specialists, dentists and optometrists. “This is a natural extension of the experienced clinical pharmacist’s role, making the best use of their training and knowledge of medicines and how to manage them,” Associate Health Minister Peter Dunne said in a statement. “But this is also about ease of access to service for patients. The positioning of this role, as a key member of the health team, means patients get access to all the care they need, faster, and in one place.” The initiative comes after the Pharmacy Council developed the new scope of practice, with consultation showing widespread support.
REGISTERED NURSE LEVEL 4.3 ASSISTANT DIRECTOR OF NURSING AND MIDWIFERY Job No: 009UP www.jobs.act.gov.au Annual Salary $115,948 + An exciting opportunity exists for an Assistant Director of Nursing and Midwifery (ADON and M) to work with the Director of Nursing and Midwifery for the Division of Women Youth and Children. This role will provide leadership in the day-to-day operational management of the Women and Babies Department in the Centenary Hospital for Women and Children. For a full position description, please visit www.jobs.act.gov.au or contact Elizabeth Chatham on (02) 6174 5803, or by email elizabeth.chatham@act.gov.au for more information.
Nursing Careers Allied Health - Issue 1 | Page 21
Nurse aims to improve quality of life for palliative care patients by Karen Keast
A Sydney palliative care nurse hopes her research into delirium will improve nursing care for palliative care patients. Annmarie Hosie, a nurse at Calvary Health Care Sydney and PhD student at The University of Notre Dame Australia, is researching palliative care inpatients’ prevalence of delirium and how palliative care nurses can better recognise and respond to symptoms of delirium. Ms Hosie, a nurse for more than 20 years who has worked in palliative care and in aged care settings for the past 12 years, said research shows nurses often fail to recognise delirium but delirium can have a major impact on quality of life for patients and their families. “There are quite a number of studies, particularly around nursing recognition, that show that across the board, nurses don’t recognise delirium. It’s a real issue in nursing,” she said. “If you don’t recognise it, you don’t put in the following steps that are necessary but if you recognise it, you can then think more critically about what’s going on for the person.” Ms Hosie said hypoactive delirium, where patients are often withdrawn, quiet and vague, was the least recognised subtype. Delirium is an acute neuropsychiatric syndrome related to a physical cause, with fluctuating changes to levels of consciousness or alertness, cognition and often perception. Page 22 | www.ncah.com.au
Patients can experience a wide range of symptoms such as inattention, altered alertness, impaired memory, language, behaviour changes, hallucinations, illusions or delusions, mood changes and altered sleep cycles. Ms Hosie said patients who experience delirium report it as being frightening, humiliating and distressing. “Older, hospitalised patients who experience delirium are more likely to fall, stay in hospital longer and be discharged to a nursing home,” she said. “These patients also have increased mortality compared to those patients who did not experience delirium.” Ms Hosie said research indicates between a third and a half of palliative care patients’ delirium was reversible. And she said the introduction of a comprehensive screening process for delirium would improve its recognition. “In palliative care inpatient settings, patients are screened every day for their level of pain, nausea, appetite, their bowels, breathing and their levels of energy,” she said. “Part of the reason for screening is to be able to address what are the most significant
problems for the patient and show that you have made a difference.
specialist palliative care inpatient settings: a systematic review’, was conducted under the supervision of Notre Dame’s Professor of Palliative Nursing Jane Phillips and written in collaboration with her co-authors. It was recently published in Palliative Medicine.
“We don’t actually do that with delirium. I think there’s a number of reasons why we don’t. I think it’s a gap and I think we need to have a conversation around it. “If there’s an opportunity to reverse someone’s delirium we should be taking that opportunity.
Ms Hosie plans to develop and test a pilot intervention in 2014, aimed at improving nursing practice in delirium prevention, recognition and assessment.
“A day without delirium is a better day than a day with delirium. You can make a real difference there.”
As part of her work to develop the pilot, Ms Hosie is now recruiting about 30 palliative care nurses for a study on aspects of practice.
Ms Hosie said early recognition of a patient’s delirium would help clinicians treat the underlying physical cause and potentially reverse the delirium. “Even if the delirium cannot be reversed, patients and families will need information and support about what is happening, and there are interventions that may reduce the severity of the symptoms.”
To be eligible to participate in the study, participants must be registered nurses with at least 12 months clinical experience, employed for at least three months by a specialist palliative care inpatient service in Australia, and working in a role which includes clinical responsibilities.
Ms Hosie’s review, titled ‘Delirium prevalence, incidence, and implications for screening in
Anyone wanting to participate in the study can email annmarie.hosie1@my.nd.edu.au.
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Nursing Careers Allied Health - Issue 1 | Page 23
Report applauds mental health nurse incentive program by Karen Keast The Australian College of Mental Health Nurses has called for funding for the Mental Health Nurse Incentive Program (MHNIP) to be uncapped after the program received a glowing report card. ACMHN CEO Kim Ryan said the program needs to be uncapped to ensure mental health patients don’t miss out on vital services. “I think it’s good to have it uncapped financially,” she said. “We know how many people have severe and complex mental health conditions. “If we know those people who have got severe and complex mental health conditions are being kept out of hospital and getting improved quality of life, do we need to cap the program? “We are talking about a very small portion of the population actually getting the services they require. “There needs to be more money set aside to enable the program to grow and do what it needs to do.” The MHNIP received extra funding in last year’s Federal Budget but the ACMHN says the funds are not enough to meet demand and are effectively frozen at 2011-12 levels. The Department of Health and Ageing’s final evaluation of the program, which was publicly released on December 24, 2012, gave it top marks for its appropriateness, effectiveness and efficiency but also outlined measures for it to be further improved. The report found demand for the program exceeded available services while patients are receiving improved levels of care due to greater continuity of care. Page 24 | www.ncah.com.au
It also shows a reduction in mental health hospital admissions, widespread support for the model of care and positive flow on benefits to patients’ carers. The government has been waiting on the outcome of the report and will now consider the program’s long-term future with a meeting of key stakeholders expected to be held within the next month. Ms Ryan labelled the report “very positive”. “I think that it actually says that the MHNIP is doing effectively what it was set up to do, which is help people with severe and complex mental health conditions,” she said. “I don’t think there’s any question about the future of the program. I think it’s going to be about what the program looks like in the future. “I suppose the next step would be how we move forward in terms of maintaining the flexibility of the program. That people are seen when they need to be seen…and where they need to be seen.” Launched in 2007, the MHNIP funds community-based general practices, private psychiatric practices and other organisations to engage mental health nurses to assist in the provision of coordinated clinical care for people with severe mental health disorders. Under the program, mental health nurses work with psychiatrists and GPs to provide services such as monitoring a patient’s mental state, medication management and improving links to other health professionals and clinical service providers at little or no cost to the patient.
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Nursing Careers Allied Health - Issue 1 | Page 27
Queensland nursing project improves patient safety by Karen Keast A unique project is pioneering the way Queensland’s frontline nurses access and use data to improve patient safety.
Hospital, Longreach Hospital, Townsville Hospital, Prince Charles Hospital and Princess Alexandra Hospital.
The state-wide Nurse Sensitive Indicator (NSI) project, the first of its kind in Australia, was recently a finalist in the IPAA Queensland Public Sector Excellence Awards and has received national and international recognition.
After follow up improvements, QH nursing leaders – now for the first time- have the ability to compare and benchmark the nursing performance at 114 hospitals across the state.
Sandra Moss, Princess Alexandra Hospital nurse and NSI project manager, said the NSI reporting tool produces a range of organisational dashboards and reports, enabling each facility’s nursing leaders to monitor, trend, analyse and benchmark performance for numerous patient safety and nursing workforce indicators.
Nurses also have equal access to statewide patient safety data, helping nurses to drive quality and safety improvements for patients, while the reporting tool has also led to improved efficiency and savings estimated at up to $45,000 a month.
“In 2009, three discussion papers were tabled at the Director of Nursing and Midwifery Committee that identified the importance of capturing Nurse Sensitive Indicators for patient safety, quality, policy direction, cost efficiency, information equity and transparency,” she said. The Queensland Health project, commissioned by the Nursing and Midwifery Office Queensland in partnership with the hospital, first investigated existing NSI reporting practices throughout the state. Consultation and collaboration was then held with a range of groups, data source teams, universities and QH stakeholders to help develop a process and structure to create the tool. Ms Moss said two consultants came on board to build the NSI tool, which uses five QH systems linked into the one report, with key stakeholders providing data from their systems to populate the tool. The reporting tool was pilot trialled and evaluated at six QH facilities earlier this year, including Cairns Base Hospital, Gympie Page 28 | www.ncah.com.au
“The importance of developing a standardised NSI reporting process has wide implications on patient safety, quality, policy direction, cost efficiency, information equity, transparency, reporting governance and accountability whilst enabling nursing contributions to be measured, recognised and valued,” Ms Moss said. “The project has delivered standardised, automated, evidence-based, resource efficient management tools and processes with common corporate-based data sources, which strengthened the position of nursing in QH to inform strategic quality decisions.” Ms Moss said while the feedback has been overwhelmingly positive, there was more work to be done to improve the NSI reporting tool. “Numerous recommendations were obtained during the project and will inform the future direction of the state-wide NSI reports,” she said. “Currently planning is underway to enhance, progress and expand the NSI reports.”
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Find out more in our Postgraduate Course Handbook or visit www.nswiop.nsw.edu.au Nursing Careers Allied Health - Issue 1 | Page 29
Physiotherapy graduate embraces dream job by Karen Keast Charlotte Ganderton was just seven when she first dreamed of becoming a physiotherapist. A tennis injury prompted Charlotte to seek physiotherapy treatment and also helped spark her interest in pursuing a career in the physiotherapy profession. Next month, the 23-year-oldâ&#x20AC;&#x2122;s aspiration will become a reality, when Charlotte begins work at Melbourneâ&#x20AC;&#x2122;s Peninsula Health as a grade one rotating physiotherapist. â&#x20AC;&#x153;Iâ&#x20AC;&#x2122;m looking forward to being able to give back someoneâ&#x20AC;&#x2122;s functional ability and seeing a person return to daily activities that they were unable to do prior to them seeking physiotherapy; thatâ&#x20AC;&#x2122;s probably the most rewarding thing about the profession,â&#x20AC;? she said. â&#x20AC;&#x153;I have seen a lot of physiotherapists in my life with various sporting injuries but there was one particular physio who inspired me; Scott Wagstaff at Berwick Physiotherapy. â&#x20AC;&#x153;I guess he become almost part of my family. He was extremely caring and very professional. He always really cared about his patients.â&#x20AC;? Charlotte will complete her four-year Bachelor of Health Science/Master of Physiotherapy Practice (Honours) this month at La Trobe Universityâ&#x20AC;&#x2122;s Bundoora campus. Throughout her studies, Charlotte had six placements, each for five weeks in various health facilities, in which she was lucky enough to experience a range of physiotherapy areas such as continence and womenâ&#x20AC;&#x2122;s health, neurological, cardio-respiratory, musculoskeletal, burns and plastics, and paediatrics. Charlotte said while she enjoyed all aspects of physiotherapy throughout her course and was looking forward to experiencing a variety of areas in her first job, she was particularly interested in paediatrics and sports physiotherapy. Page 30 | www.ncah.com.au
Age
For the past few years, Charlotte has also been involved in the Australian Physiotherapy Association as a student member and has held voluntary positions, including taking on the roles as the National Student Network chair and also the Victorian Student Committee chair last year.
BE A
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Capping off a busy year, the high achiever was also recognised for her contribution to the professional body when she was awarded the APAâ&#x20AC;&#x2122;s Board of Directors Student Prize. â&#x20AC;&#x153;I have always been a big believer in getting involved as much as you can and taking every opportunity thatâ&#x20AC;&#x2122;s offered to you,â&#x20AC;? she said. Charlotte is not the first in her family to venture into the health sector. Her mum and two aunts are nurses, her grandfather was a doctor and her grandmother was a nurse while another aunt is a medical â&#x20AC;&#x153;I am one of the lucky few scientist.
who gets to wake up each day and go to a place I love to work with grea friendly staffâ&#x20AC;? - AIN
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