Ncah issue 02 2014

Nursing Careers Allied Health ncah.com.au

New Year New Career Breathing new life into Education Feature cardiorespiratory physiotherapy

Regional & Remote Special Feature

Guide shows Physios how to harness socialdevastated media Paramedics at helicopter rescue death Go remote to discover nursing, allied health jobs in 2014 ACT nurses reach pay deal Pharmaceutical researches Conference putsdevice forensic nursing under the microscope develop life-saving Australian physiotherapists want prescribing rights Mobile devices a risk in clinical practice Tasmanian graduate nursing positions disappointing: ANMF Calls to expand pharmacists’ roles in rural and remote areas

Issue Issue18 1 Issue 2 09/09/13 20/01/14 03/02/14 fortnightly fortnightly

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Prioritising Placements to Reach the Greatest Area of Need

A CHANGE is as good as A HOLIDAY

MIDWIFERY positions available throughout Australia

Above: Mark Leddy, Practice Manager for Camperdown Clinic in Victoria. Using the NAHRLS Locum Service for CPD leave ensures that staff members maintain their accreditation and Camperdown Clinic are adequately staffed during their absence.

• • • • •

In December 2013, NAHRLS requests for backfill to ensure that Earn extra $$$$ introduced the Prioritisation remaining placement numbers are Meet new people Checklist in response to the distributed effectively to reach the Visit new destinations overwhelming locum support greatest area of need.” requests received and the Be where you are needed fixed number of placements The prioritisation checklist incorporates Exciting locations throughout Australia remaining this financial year. the eligibility criteria available on the NAHRLS website.

CQ Nurse, Australia’s premier nursing CPD activities and CPD activities combined with other professional agency, has contracts available NOW. development take priority over annual

General Manager, Mark Ellis, said “The number of placements NAHRLS has been able to fill this financial year has been a great result for the programme and allows the continued provision of health care to Australian’s in rural and remote areas when health professionals need to leave their area of practice.

This increase in usage, however, requires us to prioritise all future

and other leave. Locum support is provided to cover periods of leave of up to 14 days and Locum support is not be provided for vacant positions under any circumstances.

Various positions available throughout regional, rural and remote Australia

www.cqnurse.com.au

Office location 239 Nebo Road, Mackay p 07 4998 5550 f 07 4998 5545 e nurses@cqnurse.com.au www.ncah.com.au www.ncah.com.au

Full article: www.nahrls.com.au

yours to

discover

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www.ncah.com.au www.ncah.com.au Issue 2 26January August 2014 2013 Issue ––3–20 February 117 2014 Issue 17 – 26 August 2013

We hope you enjoy perusing the range of opportunities We hope you enjoy perusing included in Issue 17, 2013. the range of opportunities 2, 2014.

1, included in Issue 17, 2013.

If you are interested in pursuing any of these opportunities, Ifplease you are interested in pursuing any ofvia these contact the advertiser directly the opportunities, contact details please contact the advertiser directly via the details provided.

If you have any queries about ourcontact publication or provided.

If you any queries about ourplease publication if you would likehave to receive our publication, emailor us ifatyou would like to receive our publication, please email us careers@ncah.com.au at careers@ncah.com.au

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The NCAH Magazine is the most widely distributed national The NCAH is the most widely distributed national nursing andMagazine allied health publication in Australia nursing and allied health publication in Australia For all advertising and production enquiries please contact For all advertising and8700, production us on +61 (0) 3 9271 email enquiries please contact us on +61 (0) 3 9271 8700, email careers@ncah.com.au or visit www.ncah.com.au careers@ncah.com.au or visit www.ncah.com.au If you would like to change your mailing address, Iforyou likeon toour change your mailing address, be would included distribution, please email or be included on our distribution, please email careers@ncah.com.au careers@ncah.com.au Published by Seabreeze Communications Pty Ltd Trading as NCAH. Published by 328 Seabreeze ABN 29 071 053. Communications Pty Ltd Trading as NCAH. ABN 29 071 328 053. © 2013 Seabreeze Communications Pty Ltd. 2014 Seabreeze Communications Pty Ltd. © 2013 All rights reserved. No part of this publication may be copied or All rights reserved. part of this publication may bepermission copied or of reproduced by anyNo means without the prior written reproduced byCompliance any means without prior written permission the publisher. with thethe Trade Practices Act 1974 ofof the publisher. Compliance thepublication Trade Practices Act 1974 of of advertisements containedwith in this is the responsibility advertisements contained in this publication is the responsibility of those who submit the advertisement for publication. those who submit the advertisement for publication.

Advertiser List AdvertiserList List Advertiser Advertiser List AHNFlight Recruitment Care Australian College of Nursing AHN Recruitment Ausmed CCM Recruitment International CCM Recruitment International Ausmed Austra Health CQ Nurse CRANAplus Austra Health AustralianCruises College of Nursing Education Education Australian Cruise CollegeatofSea Nursing Employment Office Australian Volunteers International Employment Office Australian Volunteers International Geneva Health CCM Recruitment International eNurse CCM Recruitment International Griffith University CQ Nurse Geneva Health CQ Nurse Health and Fitness Recruitment CRANAplus Katherine Regional Aboriginal Health CRANAplus Service Koala NursingOffi Agency Employment ce Employment Office Katherine Lifescreen eNurse West Health Board eNurse Koala Nursing Agency Medacs Australia Kate Cowhig International KateEngland Cowhig International New Medicare Local Medibank Health Medacs AustraliaSolutions Medacs Australia NSW Health - Northern SydneyDistrict Local Northern Sydney Local Health No Roads to Health Health District No Roads HealthHealth Rural Locum Nursing andtoAllied NSW Health - Illawarra Shoalhaven Nursing and Allied Health Rural Locum Scheme NSW Health - Illawarra Shoalhaven Oceania University of Medicine Scheme Oceania University of Medicine Oceania University of Medicine Oceania University Oxford Aunts Care of Medicine Oxford OxfordAunts Aunts Care Care Oxford Aunts Care Pulse Staffing Pulse PulseStaffing Staffing Quick and Easy Easy Finance Queensland Health Quick and Finance Queensland Health Royal Flying Doctor Service Quick and Easy Finance TR7 Health Quick and Easy Finance TR7 Health Royal Flying Doctor Service UK Pensions Royal FlyingTransfer Doctor Service UK Pension TR7 Health Unified Healthcare Group TR7 Health Unified Healthcare Group UK Wimmera Healthcare Group UKPensions Pension Transfers UK Pension Utopia HealthTransfers Service Unified Healthcare Group Unified Healthcare Group

Mental Health feature Next Publication: Regional & Remote feature Next Publication: Education feature Next Publication: feature 17thFebruary February2013 2014 Publication Date: MondayEducation 3rd Publication Date: Monday 9th September 2013 Monday 10th 2014 Colour Artwork Tuesday 28th February January Publication Date:Deadline: Monday 9th September 2013 2013 Colour Artwork Deadline: Monday 2nd September 2013 12th February2013 2014 Mono Artwork January 2013 Colour Artwork Deadline: Deadline: Wednesday Monday 2nd29th September Mono Artwork Deadline: Wednesday 4th September 2013 Mono Artwork Deadline: Wednesday 4th September 2013

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Royal North Shore Hospital REGISTERED NURSES REQUIRED FOR EMERGENCY DEPARTMENT Located on Sydney’s beautiful North Shore, Royal North Shore Hospital is currently recruiting experienced emergency department registered nurses. This is a great career opportunity.

Email your interest and CV to Bryan.McKee-Hata@health. nsw.gov.au

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OUM’s innovative teaching style is fantastic and exciting.

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Nursing Careers Allied Health - Issue 02 | Page 9

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CRANAplus invites you to submit Abstracts for oral and poster presentations at the 2014 Annual Conference: Creating and Sustaining Diversity within Communities.

Australia is a multicultural society and when exploring the breadth of the definition of culture, remote communities demonstrate great diversity, thus impacting on the provision of health services that meet the needs of communities and individuals

We encourage submissions from:

Abstracts will provide an opportunity for authors to communicate their recent experiences when dealing with the diversity and differences within communities, the successes and the challenges of providing accessible health services.

•

In creating and sustaining diversity within communities, the authors will need to show how the program/service impacted on the service provider(s), the services delivered, individuals, or community groups and the wins and the barriers to providing sustainable health outcomes.

Drawing on the conference title: Creating and Sustaining Diversity within Communities, abstracts are being sought that address this very broad perspective and provide opportunities for you to demonstrate the multi-factorial dimensions of remote health practice from the broad perspective of health and community.

•

• • •

Health and Community Services, Government and Non-Government communitycontrolled and Aboriginal medical services, mining health services, refugee and migrant health.

Nurses, doctors, midwives, allied health professionals, Aboriginal health workers, health promotion officers, maternal and child health workers, dental workers, aged care workers, mental health workers, community workers, bicultural and bilingual workers, interpreters, managers, multicultural services and consumers.

Undergraduate students.

Academics and education providers Researchers and post-graduate students.

An Encouragement Award will be offered to the best first-time presentation given during the Conference.

Presentations are 20 minutes with additional time for questions at the completion of each session.

Closing date for Abstracts: 31 May 2014 Full details are available on our website: www.crana.org.au Page 10 | www.ncah.com.au

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Live your passion.

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Flight Nurses Western Australia various locations(part time) %FSCZ Port Hedland Derby, Port Hedland and Jandakot The Royal Flying Doctor Service (RFDS) highly values the contribution and dedication of its people, who enjoy working together to provide high quality health care in a unique environment.

RFDS staff enjoy enriching work which broadens their horizons, builds professional experience and delivers the personal rewards of knowing they are making a difference to rural and remote Australia.

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>

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The successful candidate will receive a comprehensive two-week orientation, generous salary and salary packaging benefits, and assistance with relocation if necessary. in 2014 2013.

Applications close: ongoing 13th September

For futher information: Paul Ingram (08) 94176300 nursing@rfdswa.com.au flyingdoctor.org.au www.flyingdoctor.org.au Nursing Careers Allied Health - Issue 02 | Page 11

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What is forensic nursing?

Forensic nursing is an established and growing specialty area of nursing practice in Australia. But it’s not quite like how it’s portrayed in American television shows such as CSI and SVU, writes Karen Keast.

United States’ vice president Joseph Biden once wrote - ‘Forensic nurses play an integral role in bridging the gap between law and medicine. They should be in each and every emergency room.’

Forensic nursing has been established in the United States since the 1970s and achieved recognition as a specialty nursing area, through the American Nurses Association, in 1995.

In Australia, forensic nursing is a small but established specialty area of practice that is beginning to expand, thanks to the growing number of courses being developed in Australia and the recognition of the role nurses can play in helping victims of crime and assisting in the course of justice.

Australia’s pioneer in the field of forensics nursing, Flinders University School of Nursing and Midwifery, Associate Professor Linda Starr says when people first hear about forensic nursing they often believe “it’s about dead people”.

Assoc Professor Starr says while forensic practice was historically founded in determining the cause of death, there is now a recognised world of ‘living forensics’.

“It was Dr Harry McNamara in 1986…he saw living forensics as the application of forensic medicine to trauma cases where forensic intervention is required or needed to investigate injuries that are either caused accidentally or caused intentionally,” she says.

“He got a government grant to fund places for forensic nurses to join a living forensic team.

It was so successful that forensic nursing practice has just grown from that and the Page 12 | www.ncah.com.au

general area of forensic nursing practice….it’s just blossomed from there.”

Assoc Professor Starr says Virginia A. Lynch, the founder of forensic nursing practice in the United States, describes forensic nursing as ‘the application of clinical nursing practice to trauma survivors or to those whose death is pronounced in the clinical environs, involving the identification of unrecognised, unidentified injuries and the proper processing of forensic evidence’.

She says forensic nursing involves providing best clinical care, as well as medical and legal experience, through effectively identifying and preserving evidence that can be handed over to law enforcement, to be used in the investigation and prosecution of the case.

Forensic nurses work in a variety of roles, ranging from sexual assault (as Sexual Assault Nurse Examiners or SANEs) to domestic violence, child abuse and neglect, elder mistreatment, death investigation, corrections and in the aftermath of mass disasters.

According to the International Association of Forensic Nurses, most forensic nurses in the United States work in hospitals, community anti-violence programs, coroner’s and medical examiner’s offices, corrections institutions and in psychiatric hospitals.

In Australia, forensic nursing has predominantly existed in correctional nursing and forensic psychiatric nursing, where nursing staff provide for the health care needs of people held in custody.

Assoc Professor Starr, who is also the founding president of the Australian Forensic Nurses Association, says a number of forensic nurses in Australia are now working as SANEs. “That’s where nurses are involved in the total medico-legal examination and evidence collection of a victim of a sexual assault,” she says.

OLOUR CMYK PDF “We have them established in every state and territory except South Australia. South Australia is now looking at it.”

Assoc Professor Starr advises nurses wanting to move into the specialty of forensics nursing to investigate the growing number of university courses on offer in the field.

“It kind of gives you the impression that these cases, the forensic exam and everything is just done like that…and the police have got their evidence and off you go.

“Sometimes you are dealing with clients who don’t know whether they want to have a forensic exam or not and they are traumatised.

“You have to have that skill of empathy to be able to manage a traumatised person and then also to be objective because you can’t be in a position to coerce the individual into making a decision.

“Any of those that you could actually develop and get a good handle on would just give you the edge over someone who has not got any background or hasn’t put any effort into building their CV around a forensic health focus.

“You are there purely as the examiner who can give people the options and can give them advice about what is the benefit of those options and that’s really frustrating if people don’t want to take that up.”

“A proactive person could do all of that and then contact either the major police station in large rural or metropolitan areas as well as sexual assault services that are in every state and territory and say that they’ve got an interest in forensics, this is their background, this is their CV, this is the education that they’re doing for themselves to put them in a good position to move into that career.

Despite the challenges of forensics nursing, the rewards are immense.

“That would get them known in their local area and if there’s a position available or if there’s one coming up….at least they will have the edge.”

Assoc Professor Starr says, while not essential, it also helps to have experience in emergency nursing and in mental health.

She says forensic nurses require excellent communication skills, good clinical assessment skills and also patience.

Assoc Professor Star says the ultimate reward is knowing you have done the very best for your patient, not just clinically but also in regards to the outcome of their case.

“That’s something that only you can do…and if you don’t have those skills you can actually lose and destroy and contaminate evidence which can have a really, really negative impact on the outcome of that person’s case.

“It can be quite detrimental - it can actually mean that there is no case, depending on how badly that evidence is lost and destroyed and contaminated.”

What’s more, the work of forensic nurses also contributes to creating a safer community.

“This work is very demanding - it can be very emotionally draining and it can be quite tedious,” she says.

“Your role has actually helped the law enforcement people identify and prosecute someone who puts the public at risk,” Assoc Professor Star explains.

“It’s not like what you see on CSI or SVU, dealing with sexual assault victims where you have the whole crime that’s committed, investigated and prosecuted within an hour.

“Ultimately you are doing a great service to the community as well by being able to help people identify who these perpetrators of crime are and then deal with them effectively.”

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“I would suggest any courses that you can get yourself involved in - in regards to evidence collection, the legal side, understanding the law, issues around being a witness and giving evidence in court,” she says.

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Go remote to discover nursing, allied health jobs in 2014

by Karen Keast Registered nurses and midwives, cardiac sonographers, occupational therapists and physiotherapists looking for work will find jobs in remote areas of Australia in 2014, according to a new report.

Recruitment firm Hays has released its Quarterly Hotspots list of skills in demand in 2014’s job market, and it identifies work opportunities in remote areas, particularly in the Northern Territory, for experienced health professionals.

“Health care in the Northern Territory is definitely job rich and candidate poor - once an experienced candidate is found, they can be easily placed,” the report states.

Hays Healthcare regional director Alex Jones said the Northern Territory is always in need of health care professionals with experience.

“Our experience has shown that it is difficult for candidates to be considered for remote work without having the experience,” he said.

Mr Jones said candidates considering employment opportunities in remote locations need to be committed to the lifestyle.

“Salaries can be higher when working in rural or remote areas and there can also be other benefits, such as housing being included in the salary package.”

The Hays report reveals short-term contracts are available for experienced midwives to work in remote locations.

Other skills expected to be in demand this year include specialist nurses, registered nurses and enrolled nurses in aged care, and dialysis nurses.

In Victoria, there is a continued need for physiotherapists and occupational therapists in metropolitan private practices.

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For the full article visit NCAH.com.au

“Organisations that are looking for remote staff require candidates with previous work experience within a remote location or within Indigenous communities.”

Mr Jones said Darwin Private Hospital has “a high demand” for experienced RNs with medical/surgical experience while there are numerous positions for occupational therapists and physiotherapists in the Northern Territory.

Direct Entry Midwives / Dual Registered Midwives Immediate starts available!

“The NT attracts a lot of graduates who know there is a skill shortage but there are not many highly experienced candidates, predominantly due to the location.”

• Above award rates • Free accommodation • Free travel • Flexible choice of location Roles and Experience At Koala Nursing Agency we require you to have the following; • Current Australian Nursing Registration (APHRA).

• Current Australian National Criminal History Check.

• New Zealand Citizenship or Australian Citizenship/ Residency.

• Current working holiday visa (417) - (We are unable to provide 457 sponsorship).

• A minimum of two (2) years post grad recent birthing suite, ante natal and post natal care essential.

Cardiac sonographers rarely move between organisations and are “hard to come by, particularly in the Northern Territory”, the report states.

Koala also employs Registered Nurses with experience in the following disciplines: • Rural, ICU, ED/Acute and Mental Health.

To apply please visit our website at www.koalanurses.com.au or alternatively email us on nursing@koalanurses.com.au

“These skills are in short supply in the NT, especially for remote roles,” he said.

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Katherine West Health Board Aboriginal Corporation

KWHB provides an accredited clinical, preventative and emergency health service in our seven main health centres, servicing the 3500 community residents and visitors in the region west of Katherine in Australia’s stunning outback Northern Territory.

General Practitioners Full Time | Salary negotiable | Lajamanu, Kalkaringi and Timber Creek/Yarralin KWHB are advertising for suitably qualified and experienced General Practitioners to join the multi-disciplinary teams across our region.

Remote Area Nurses Full Time | Salary $88,477 to $95,055 KWHB are advertising for experienced and qualified Remote Area Nurses to become an important part of our remote Health Centre teams.

Lajamanu - Primary Health Care Services Coordinator Full Time | Salary $97,431 - $101,521 KWHB are advertising for a Primary Health Care Services Coordinator to join our Health Centre team, working out of the brand new Health Centre in Lajamanu.

*KWHB offers an attractive salary package, including six weeks annual leave, professional development support, leave loading and generous salary sacrifice provisions. Rent-free accommodation, laptop, mobile phone and automobile use may also be provided, dependent on role. All prospective staff undergo criminal history checks. Aboriginal and Torres Strait Islander people are encouraged to apply. More information and position descriptions can be found on our website (www.kwhb.com.au) or by contacting our Human Resources Manager Trudi Hartley on (08) 8963 6434.

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Geneva Healthcare

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Closure a blow to rural communities The National Rural Health Alliance has described the loss of the Rural Health Education Foundation as a blow for remote communities.

The Foundation is shutting down after 22 years of operations, due to a decline in governmentcontracted work.

A statement from the National Rural Health Alliance said the closure meant health practitioners and consumers in remote areas would no longer have a regular stream of up-to-date information available via the Rural Health TV Channel.

“Unless some other agency takes the Foundation’s place, Channel 600 on the freeto-view Viewer Access Satellite Television (VAST) network will no longer be dedicated to rural and remote health.”

“And there will be a huge gap in the production of valuable online and DVD resources to assist the continuing professional development of health workers and service managers in more remote areas.”

National Rural Health Alliance chairperson Tim Kelly described the move as a major setback for wellbeing in more remote areas.

“People in remote areas are well-known for their resilience and this is another poke in the eye they will have to get over. In the decisions it makes about tax and spending in the May Budget, it is to be hoped that the Abbott Government will allow for the special challenges of community life and businesses in remote areas.”

The Foundation has provided a service to isolated communities for nearly 20 years, based initially on fortnightly broadcasts to over 650 sites and more recently via the free-to-air Rural Health TV Channel, available to those with limited or no access to broadband. Its live interactive broadcasts dealt with topics like dementia, men’s health, cancer and autism Page 18 | www.ncah.com.au

and were also available on DVD and by free web streaming, making the information widely available on demand.

However, it is understood financial support for the programs from government and the private sector has been dwindling over the past 18 months.

“Despite the fiscal pressures we’re all aware of, Australia is still an affluent nation. We need to ask ourselves why it is that government and business cannot see their way to supporting effective measures for more remote areas to ensure they have fair access to information, including what’s needed for the support and development of professionals working in those areas,” Kelly said.

“The Alliance will re-commit itself to doing everything it can to help overcome what might be called ‘the information divide’,” he said.

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What is forensic nursing?

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Australia’s pioneer in the field of forensics enquiries@oxfordaunts.co.uk nursing, Flinders University School of Nursing and Midwifery, Associate Professor Linda Starr says when people first hear about forensic nursing they often believe “it’s about dead people”.

Assoc Professor Starr says while forensic practice was historically founded in determining the cause of death, there is now a recognised world of ‘living forensics’.

“It was Dr Harry McNamara in 1986…he saw living forensics as the application of forensic medicine to trauma cases where forensic intervention is required or needed to investigate Website: www.oxfordaunts.co.uk injuries that are either caused accidentally or Phone: +44she 1865 791017 caused intentionally,” says.

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“He got a government grant to fund places for forensic nurses to join a living forensic team.

It was so successful that forensic nursing practice has just grown from that and the

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Page 20 | www.ncah.com.au

New Zealand graduate nurses general area of forensic nursing practice….it’s missing out just blossomed from there.”

by Karen Keast Assoc Professor Starr says Virginia A. Lynch, the founder of forensic nursing practice in the An estimated 500 graduate nurses a year are United States, describes forensic nursing as unable to find Nursing Entry To Practice (NETP) ‘the application of clinical nursing practice to places in New Zealand, according to the trauma survivors or to those whose death is nurses’ union. pronounced in the clinical environs, involving Ministry of Health figures reveal unidentified 1328 new the identification of unrecognised, graduates applied for positions on injuries and recently the proper processing of forensic nursing entry programs with just 782 being evidence’. offered employment.

She says forensic nursing involves providing Graduate find and jobs legal are best clinicalnurses care, asunable well as to medical coping with significant university-related debt experience, through effectively identifying with preserving some graduates and evidence turning that can tobe stacking handed supermarket shelves at night bid toinmake over to law enforcement, to inbea used the ends meet. and prosecution of the case. investigation New Zealand Nurses Organisation associate Forensic nurses work in a variety of roles, professional services manager Hilary Grahamranging from sexual assault (as Sexual Assault Smith said it appears the lack of positions for Nurse Examiners or SANEs) to domestic graduate nurses is becoming cumulative year violence, child abuse and neglect, elder on year. mistreatment, death investigation, corrections “We indon’t have exact on that, as new and the aftermath of figures mass disasters. graduate nurses are only eligible to apply through According to the International Association of the ACE (Advanced Choice of Employment) Forensic Nurses, most forensic nurses in the program if they have become registered in the United States work in hospitals, community immediate 12 months prior to applying or newly anti-violence programs, coroner’s and medical registered and/or have not practiced as an RN examiner’s offices, corrections institutions and for more than six months,” she said. in psychiatric hospitals.

“The ACE system does not track what happens In forensic nursing toAustralia, the new grads who do nothas getpredominantly a NETP. existed in correctional nursing and forensic “What we do know is that those not psychiatric nursing, where nursing staffaccepted provide on the to ahealth NETPcare program well find work for needsmay of people held in somewhere in the sector but that will not come custody. with the mentorship/preceptorship all new Assoc Professor Starr, who start is also thecareers.” founding grads should have as they their president of the Australian Forensic Nurses Ms Graham-Smith said some graduate nurses Association, says a number of forensic nurses are instead taking on other jobs, such as in Australia are now working as SANEs. working in supermarkets.

“That’s where arestudent involved in the total “Yes they are - nurses they have loans to repay medico-legal examination and evidence and many have families to support,” she said. collection of a victim of a sexual assault,” she says. For the full article visit NCAH.com.au

402-030 1PG FULL COLOUR PDF copy) 1020-019 1PG FULL COLOUR CMYKCMYK (corrected “We have them established in every state and territory except South Australia. South Australia is now looking at it.”

“It kind of gives you the impression that these

cases, the forensic exam and everything is just Mental Health Clinicians Mental Health Clinician

done like that…and the police have got their

Social Workers, Occupational Therapists, Mental Health Nurses to move into the specialty of forensics nursing “Sometimes you are dealing with clients who and offGlen you go. Tenterfield & Guyra Location – Negotiableevidence between Inverell, Innes, Assoc Professor Starr advises nurses wanting Permanent part time position – 45 hours per fortnight

to investigate the growing number of university don’t know whether they want to have a New Medicare Local assists people around the New England North • England Great rural locations in Northern inland NSW courses on offer in the field. forensic exam orcare notservices and they traumatised.

West region of NSW to access the health theyare need at the right

• Job Flexibility – a range of work options

communities while working in a multidisciplinary, enthusiastic and supportive As a rural primary health care practice we offer a broad range of “Any of those that you could actually develop “You are there purely as the examiner who team. Our staff enjoy flexible working conditions which support a work-life and get a good handle on would justmental health and allied health interventions providing diversity and give you give people thehealth options and can give balance while being acan part of a leading primary care organisation stimulation in a clinical setting. Clinicians have the opportunity to the edge over someone who hasproviding not gothigh anyqualitythem advice about and responsive care. what is the benefit of those work in a supported environment providing services to smaller rural background or hasn’t put any effort into building options and that’s really frustrating if people The role and responsibilities communities within the local region. their CV around a forensic health focus. don’t want to take that up.” are two key components to this role. One is to provide generalist mental “A proactive person could do allThere ofOur team works with clients across age groups including the perinatal that and Despite the challenges of forensics nursing, the health services towns of Glen Innes and/or Inverell. The second function period providing focussed psychological interventions with the then contact either the major police stationto the rewards are immense. of this unique role is to improve identification and early intervention for children philosophy aimed towards building the client’s self determination and in large rural or metropolitan areas as well across the New England region who have, orStar are at risk of developing, mental, Assoc Professor says the ultimatea reward resilience. as sexual assault services that childhood are in every behavioral, or emotional disorder; and to facilitate referral pathways is knowing you have done the very best for your state and territory and say that they’ve got an to appropriate services for these children and their families.

Professional development is a strong feature within Life Solutions patient, not just clinically but also in regards to interest in forensics, this is their background, North West, offering opportunities for staff to enhance their clinical The Successful applicant the outcome of their case. this is their CV, this is the education that they’re

skills through ongoing education, research and supervision.

doing for themselves to put them in successful a good in this role it is essential you have a tertiary degree or To be “That’s something that only you can do…and Workforce flexibility is promoted within our organisation offering position to move into that career. equivalent in a mentalifhealth with current AHPRA, you discipline don’t have those registration skills youthrough can actually andat present part-time and fulltime positions to suit your lifestyle be a member of a relevant professional association for your discipline lose and destroy and contaminate evidence “That would get them known in their local areaPsychological e.g.requirements in the Tamworth District. For eligible applicants there Australian Society. You will have experience working as a which can have a really, really negative impact and if there’s a position availablemental oris also the opportunity to combine your own private practice with if health there’s clinician with adults, children and adolescents with mental health on the tooutcome of that person’s case. one coming up….at least they will haveand thea commitment disorders, ongoing professional development. support through contracted hours within Life Solutions North West. edge.”

“It can be quite detrimental - it can actually Other opportunities Applications are invited from Social Workers, Occupational Therapists mean that there is no case, depending on how Assoc Professor Starr says, while notand Mental Health Nurses wishing to improve their career in the essential, If this role is not for you but you a qualifiedisallied or badly thatareevidence losthealth and professional destroyed and it also helps to have experience in emergency mental health field. Previous experience in education and supervision registered nurse and you are interested in finding out more about NEML and contaminated.” nursing and in mental health. ourof multi disciplinary staff would be an advantage. Remuneration will opportunities please don’t hesitate to contact us so we can keep you in mind for any other current or future be in accordance with level of experience and qualifications.

What’s more,vacancies. the work of forensic nurses also She says forensic nurses require excellent contributes to creating a safer community. communication skills, good clinical assessment Criteria for Mental Health Clinician is available on application from APPLICATIONS CLOSE 9AM6766 2822, skills and also patience.

Anne Galloway,“Your Clinicalrole Teamhas Leader on (02) helped actually the law TH MONDAY 17 FEBRUARY 2014. enforcement people identify and prosecute “This work is very demanding - agalloway@nwsdgp.org.au it can be someone who puts the public at risk,” Assoc very emotionally draining and it can ForPO Box 1916 Tamworth NSW 2340 abe full quite position description and details Star explains. tedious,” she says. on Applications close: 30th October 2011. how to apply visitProfessor www.neml.org.au

or contact Brooke on (02) 6771 1146 “It’s not like what you see on CSI or SVU, “Ultimately you or are doing a great service to the brooke.kelehear@neml.org.au dealing with sexual assault victims where community as well by being able to help people you have the whole crime that’s committed, identify who these perpetrators of crime are investigated and prosecuted within an hour. and then deal with them effectively.”

Nursing Careers Allied Health - Issue 02 | Page 21

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the right location.

“I would suggest any courses thattime, youand caninget “You have to have that skill of empathy to be • Ongoing professional development and education opportunities yourself involved in - in regards Our to aim evidence is to create “Healthier people and communities” person by helpingand to then able to manage a traumatised Life Solutions North West would like to invite you to join our dedicated coordinate primary delivery, and tackling localyou health care be needs collection, the legal side, understanding the health also care to be objective because can’t in a andand service gaps to “Keep people and out hospital”. into making a team of health professionals committed to providing quality allied and law, issues around being a witness giving position to well coerce theofindividual evidence in court,” she says. decision.

Ourmental health services to GP referred patients.

Mental Health Clinicians are committed to improving health in our local

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Mobile devices a risk in clinical practice

by Karen Keast Smart phones, tablets and software apps raise privacy and security concerns and are also a distraction for nurses and allied health professionals, according to the results of a new study.

Monash University researchers Jennifer Lindley and Dr Juanita Fernando are calling for the introduction of guidelines governing the use of mobile digital technologies, known as mHealth, in clinical practice.

It comes after their research, published in the European Journal of ePractice, highlighted concerns around a lack of governance and guidelines relating to the use of mobile devices in clinical settings.

“While mobile devices provide many benefits to medical, nursing and allied health practitioners and their patients, mobile digital technologies in health care also has identifiable disadvantages and risks,” Ms Lindley, a senior lecturer, said.

The research found mobile devices provided nurses and allied health professionals with more convenient access to patient records, improved communication between health practitioners and also bolstered efficiency and decision-making.

It also highlighted potential risks, ranging from bandwidth availability to privacy and security concerns, including loss or theft of devices, voice and video call interception while social media conversations are permanently stored on devices.

Email alerts and advertising banners can also be distracting for health practitioners.

“On mobile devices, icon badges, notifications, pop up alerts and constant availability of emails and internet access lead to distraction,” Dr Fernando said.

Page 22 | www.ncah.com.au

“Privacy and security issues in health care contexts are of particular concern to all stakeholders because of the sensitive nature of the data stored on the many mobile devices.”

World Health Organisation figures reveal more than a third of nurses and doctors use medical apps on smart phones every day for work purposes, while a market study reported 97,000 mHealth apps are available in major app stores - with 15 per cent of those specifically designed for health care professionals.

The researchers want best practice use of mHealth to be incorporated into the education of nurses and allied health professionals.

“Curriculum content, together with teaching and learning approaches, need to be designed to engage students in the use of mobile devices in clinical settings and adequately equip them for their future professional practice,” the study states.

“In the case of an adverse event, who precisely is responsible - the app developer, the individual clinician user, the health care provider organisation or the government regulators?” Dr Fernando said.

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Remote Area Nurse-Midwife Location: Utopia, NT

• A highly attractive opportunity for a Registered Nurse-Midwife, with a desire to genuinely help ‘Close The Gap’ in Indigenous health!

• Join an organisation that offers professional development and opportunities for career progression!

• Attractive remuneration and salary sacrifice options, PLUS an array of further benefits including fully furnished accommodation, amenities, 6 weeks annual leave and remote leave per annum!

• Thrive in this varied role, where no 2 days are the same!

About the Organisation Urapuntja Health Service Aboriginal Corporation is an Aboriginal community controlled health organisation situated in the Alyawarr region of Central Australia. It provides clinical and after hours emergency services, primary health care, family support, chronic disease management, out-station/homeland visits and evacuations by RFDS. The health service team includes a permanent Doctor, four Clinical Practice Nurses who share the on-call, an Aboriginal Health Worker, many Community Health Workers, Drivers, a Cultural Admin Officer, Receptionist, IT Support and CEO, over seen by the Urapuntja Health Service Aboriginal Corporation Board.

About the Opportunity The Urapuntja Health Service Aboriginal Corporation has an exciting opportunity for a Remote Area Nurse-Midwife to join its dedicated team.

The primary purpose of this role will be to provide core primary health care to health service clients in the Utopia community.

Some of your more specific responsibilities will include (but will not be limited to): • Performing clinical duties in all areas of the health service within his/her own competency level and agreed protocols in order to meet expected health outcomes (this includes the general clinic, outstations as required, child health programs and particular community-based programs); • Promoting and supporting Aboriginal Health Workers (AHWs) as the primary health care givers in the community to facilitate the delivery of culturally appropriate health care; • Participating in the development, presentation and monitoring of health programs as appropriate; • Delivering health care to children, women or men, youth, aged, and people with disabilities, including ensuring prompt follow up and recall of patients in liaison with AHWs, doctor and other nurses; • Participating in dealing with issues affecting the social and emotional well-being of the community; treating acute illness; and

• Treating and monitoring chronic medical conditions; and carrying out antenatal and post natal care and immunisations.

To be considered for this role, you will be a Registered Nurse-Midwife with relevant qualifications and registration with APHRA, supported with a broad range of experience. This may include clinical acute medicine, A&E, paediatrics, mental health, community health and/ or Aboriginal health care. The Urapuntja Health Service is seeking an adaptable individual who can display the initiative, discretion and cultural sensitivity needed to support and drive the organisations’ objectives and values. You must be able to communicate and participate effectively within a cross-cultural, multi-disciplinary health service team.

You will have a demonstrated professional background and an ability to manage your tasks. A demonstrated understanding of issues affecting Aboriginal health, as well as the principles of Primary Health Care will be pivotal to your success in this position. Candidates who are open to change, accepting of Aboriginal people, comfortable living in a remote environment and who are willing to learn the ways of the people will be best suited to this position. The best part of this role is that no two days are the same and as a result, a highly resourceful candidate will thrive here.

The successful candidates must hold an Ochre Card and be willing to undergo a Police Check prior to commencing employment. A manual driver’s licence is required for this position and although not essential, it would be advantageous to have experience with 4WD vehicles.

About the Benefits Your dedication will be rewarded with an attractive remuneration and benefits include: • Generous salary sacrificing options; • 6 weeks annual leave + remote area leave per annum; • Leave loading; • Fully furnished housing; and • Internet, electricity and monthly telephone allowances.

Aboriginal and Torres Strait Islander people are encouraged to apply.

For further information regarding this role, please call 08 8956 9994 or email: ceo@urapuntjahealthservice.com

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Victorian hospital beds disappearing: ANMF

by Karen Keast Victoria is suffering from a shortfall of 2017 beds across its public hospitals, according to the Australian Nursing and Midwifery Federation’s Victorian branch.

Since the ANMF’s last audit in 2011, 101 beds have disappeared and 1116 are closed, with many unoccupied due to Health Department budgetary cuts.

The state government has also failed to deliver a promised 800 extra beds, which was pledged in the lead up to the state election, the union says.

Branch acting secretary Paul Gilbert said the lack of beds coupled with almost 10,000 additional patients added to the state’s elective surgery waiting lists since 2011, along with incidences of violence against health professionals, ambulance service and mental health woes and emergency department chaos, is placing the community’s health at risk.

“We can’t care for patients safely and provide for their needs if there are not enough beds available to accommodate them,” he said.

“The frustration and anger the community is feeling is understandable - sadly this frustration is directed towards the nurses, midwives and other health professionals.”

The government has rejected the figures and says bed numbers are growing.

Meanwhile, the government has launched a new strategy to grow and develop the state’s health workforce.

The People in Health initiative includes $238.3 million for the education and training of Victoria’s future nurses, doctors and health professionals.

Page 24 | www.ncah.com.au

The strategy outlines $193.8 million for undergraduate student clinical placements, $41.5 million for postgraduate medical and nurse training positions, including 600 nursing places and 120 medical radiation internships, and $3 million for an extra 24 rural generalist training positions.

Health Minister David Davis said the investment in additional student placements will enhance the careers of the next generation of health workers.

“This means more doctors, nurses and allied health professionals working in our hospitals and health services to meet the challenge of growing demand,” he said.

The government has also announced it will hold a People in Health Summit and Awards in May this year.

“It is an opportunity to recognise the achievements of the Victorian health workforce and showcase our system’s capacity for highquality clinical training through partnerships, best practice, innovation and planning,” he said.

“

The frustration and anger the community is feeling is understandable - sadly this frustration is directed towards the nurses, midwives and other health professionals – Paul Gilbert Branch acting secretary

”

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Pharmacists sought for mental health project

by Karen Keast Pharmacists and pharmacy assistants from 100 pharmacies across Queensland, Western Australia and New South Wales are wanted to participate in a pilot project designed to help mental health consumers.

Griffith University aims to involve about 1000 consumers and carers and 900 community pharmacy staff and GPs in its Mental Health and Community Pharmacy Project, an initiative of the Fifth Community Pharmacy Agreement Research and Development Program.

The project, which comes as the government focuses on mental health as a national health priority area, works to develop pharmacy staff’s skills in a bid to help mental health consumers get the best outcome from their medication.

As part of the pilot, a first round of online and face-to-face training workshops has already been held and now Griffith hopes to conclude its project with the training of a further 100 community pharmacy staff.

The project aims to assist pharmacists to develop a medication support plan to help mental health consumers with their medication management, and to also be able to evaluate the plan’s effectiveness.

Griffith Health Institute study leader Professor Amanda Wheeler said community pharmacy staff with an interest in working with consumers, carers, GPs and mental health professionals are wanted for the study.

“To date, the research team has spoken with over 250 consumers and carers about their needs and pharmacy experience,” she said.

“This research capitalises on current consumer opinion that describes community pharmacy as a more relaxed environment for consumers, one where information about Page 26 | www.ncah.com.au

treatment and other services can be freely discussed.”

With more than 5000 community pharmacy locations across Australia, Professor Wheeler said the project aims to train pharmacists so that they can support the role of GPs. “This is about pharmacists working collaboratively with GPs and other mental health professionals to ensure consumers get the best out of their medication,” she said.

Pharmacists and pharmacy assistants participating in the project will receive professional development points and financial compensation, with subsidised travel and accommodation for those living outside capital cities.

Workshops will be held in Brisbane on February 4 and February 19, in Perth on February 19, and in Sydney on February 22.

For more information and to register an interest in the project visit Griffith Institute’s Mental Health Project website at mentalhealthproject. com.au.

“

This research capitalises on current consumer opinion that describes community pharmacy as a more relaxed environment for consumers, one where information about treatment and other services can be freely discussed – Amanda Wheeler Griffith Health Institute study leader

”

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Nurses want answers on elective surgery proposal

by Karen Keast The Queensland Nurses’ Union has called for the State Government to release detail on its proposal to move public patients waiting for surgery to private hospitals in a bid to slash elective surgery waiting lists.

Health Minister Lawrence Springborg has revealed the government is investigating the proposal, based on a model used in Denmark, that enables patients who cannot be guaranteed surgery on-time at a public hospital to receive surgery at a private hospital, with the government covering the costs of surgery.

QNU secretary Beth Mohle questioned how the government would pay for public operations at private hospitals.

Ms Mohle said around 1100 full-time equivalent nursing and midwifery positions have been axed across Queensland Health since September 2012 and she feared more positions could be axed in a bid to fund the elective surgery initiative.

“We aren’t opposed to clearing waiting lists… but the bottom line is if something sounds too good to be true, it usually is,” she said.

“We cannot judge this idea on merit until we know who will pay. This is a very simple request for very basic information.

“Consultation on the idea should include the community, health unions and clinicians.”

The government’s proposal comes as it released figures showing the number of Queenslanders waiting too long for urgent or semi-urgent surgery at the state’s public hospitals has almost halved in less than two years.

“While the figures represented an extraordinary turn around in Queensland Health, they are still of little solace to those still not receiving surgery on time,” Mr Springborg said.

Page 28 | www.ncah.com.au

“That is why I will be looking at tried and tested policies, modelled on the world-renowned Scandinavian free health system in countries such as Denmark, that give patients a ‘surgery guarantee’ so we can build on the successes we are already seeing emerge in Queensland.”

Ms Mohle said the government often holds up Brisbane’s Mater Hospital, which is jointly funded through Queensland Health grants and revenue generated by Mater private hospitals, as a successful private-public arrangement.

She said nurses and midwives at the Mater are now six per cent behind their Queensland Health counterparts in pay while the hospital also wants to take away some longheld conditions.

“Unfortunately, the QNU has been in protracted negotiations with the Mater for 12 months regarding a pay deal for nurses and midwives currently providing public health services,” she said.

“The Mater, which has received the same funding for pay increases as every other public hospital, are claiming they cannot afford to pay the same wage increase nurses and midwives, who provide public health services, have received.

“Our members just want a fair go but at present they are subsidising the provision of public health services at the Mater Hospital through lower wages.”

“

We aren’t opposed to clearing waiting lists…but the bottom line is if something sounds too good to be true, it usually is, – Ms Mohle

”

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ncah.com.au

Nursing Careers Allied Health - Issue 02 | Page 29

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