Nursing Careers Allied Health ncah.com.au
New Year New Career Breathing new life into Education Feature cardiorespiratory physiotherapy
Theatre & Critical Care Feature
Guide shows Physios how to harness socialdevastated media Paramedics at helicopter rescue death Nursing in trauma and disasters ACT nurses reach pay deal Pharmaceutical researches New social media policy and guidelines unveiled develop life-saving device Australian physiotherapists want prescribing rights Sydney psychologist helps athletes prepare mentally at Sochi Tasmanian graduate nursing positions disappointing: ANMF Nurses and midwives rally to save Medicare
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www.ncah.com.au www.ncah.com.au Issue 4 26 August 2013 Issue March 2014 117– –3 20 January 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 4, 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 AHNFlight Recruitment Care Australian College AHN Recruitment of Nursing Ausmed CCM Recruitment International Australian Ausmed Federal Government Austra Health CQ Nurse CCM Recruitment International Austra Health AustralianGroup College of Nursing Chadwick Education Cruises Australian College of Nursing CQ Nurse Volunteers Employment Office International Australian Australian Volunteers International Critical Care Education Services Geneva Health CCM Recruitment International CCM Recruitment International Employment Office Griffith University CQ Nurse CQ Nurse eNurse Health and Fitness Recruitment CRANAplus CRANAplus Health Staff Recruitment Koala NursingOffi Agency Employment ce NSW Health -Offi Northern Sydney Local Employment ce Lifescreen eNurse Health District eNurse Australia Medacs Kate Cowhig International Oceania University of Medicine Kate Cowhig International Medibank Health Oxford Aunts CareSolutions Medacs Australia Medacs Australia Northern Sydney Local Health District Pulse Staffing No Roads to Health No Roads toHealth HealthHealth Rural Locum Nursing and Allied Queensland NSW Health - Illawarra Shoalhaven Scheme NSW Health Quick and EasyIllawarra FinanceShoalhaven OceaniaUniversity Universityof of Medicine Oceania OceaniaCairns University of Medicine Medicine Ramsay Private Hospital OxfordAunts AuntsCare Care Oxford Smart OxfordSalary Aunts Care PulseStaffing Staffing Pulse St JohnStaffi of God Pulse ng Hospital Bendigo Queensland Health Quick and Easy Finance TR7 Health Queensland Health Quick and Easy Finance TR7 Health UK Pension Transfer Quick and Easy Finance Royal Flying Doctor Service Unified Healthcare Group UK Pensions Royal Flying Doctor Service WA Health TR7 Health Unified Healthcare Group TR7 Health World Youth International UK Wimmera Healthcare Group UKPensions Pension Transfers UK Pension Transfers Your Nursing Agency Unified Healthcare Group Unified Healthcare Group
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Pharmacist-led care improves asthma in pregnancy by Karen Keast A multidisciplinary model of care could improve asthma outcomes during pregnancy and be easily implemented in maternal health settings, according to new research.
months resulted in a “statistically significant and clinically significant” improvement in asthma control compared to the control group of pregnant women not receiving the intervention.
Researchers from Monash University’s Centre for Medicine Use and Safety (CMUS) found the pharmacist-led model of care for asthma management, in collaboration with the patient’s GP, improved asthma control.
“No asthma-related oral corticosteroid use, hospital admissions, emergency visits or days off work were reported during the trial,” the research states.
The randomised controlled trial, conducted in the antenatal clinics of the Royal Women’s Hospital and Mercy Hospital for Women, involved 60 pregnant women of up to 20 weeks’ gestation who used asthma medication in the previous year. It found pharmacist-led monthly intervention surrounding the provision of asthma education, monitoring, feedback and follow-up care for six Page 6 | www.ncah.com.au
One in eight pregnant women suffer from asthma and researchers are concerned pregnant women are halting their medication, exposing themselves and their unborn babies to risk, without consulting their doctors. Research shows there is also a lack of knowledge among health care professionals in managing deteriorating asthma in pregnancy. For the full article visit NCAH.com.au
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Nursing in trauma and disasters New social media policy and guidelines unveiled by National Karen Keast The Critical Care and Trauma Response Centre is and at theallied forefront of Nurses, midwives health Australia’s disaster and trauma care. Karen professionals will be banned from discussing Keast a lookpictures at theoforganisation patientstakes or posting procedures, providing clinical and academic leadership case studies, patients or sensitive material in the specialised fields of trauma and which may lead to patients being identified disaster nursing. without consent, under the National Board’s much-anticipated newas social mediacare policy. Bronte Martin worked a critical nurse and specialised in emergency nursing, before The Nationalthe Boards havecoordinator released theatsocial becoming trauma the media policy National Criticalalongside Care and revised Trauma guidelines Response for advertising Centre (NCCTRC).regulated health services and updated guidelines for mandatory Originally from Broken Hill in country New South notifications. Wales, Ms Martin concedes her position at the centre is her guidelines “dream job”. The generic and social media policy span all 14 boards regulating registered health “Trauma and disaster are both areas that I’m practitioners in about,” Australia through very passionate she says. the National Registration and Accreditation Scheme, and “I’d like to see further growth and development come into effect on March 17. in this field, and have it (disaster response) recognised as a nursing specialty, a A revised code of conduct has and also see been move towards professionalisation, of what is released which applies to boards with a shared currently code ofa primarily conduct,volunteer-led including response. occupational therapy, osteopathy “I hope to physiotherapy, continue to provide education,and to podiatry, andresponse midwifery’s give nurseswhile a voicenursing in disaster and separate code alsowho being to advocate for is those arereviewed. most important, which are the patients.” The social media policy, which applies to all The Australian Government established the registered health practitioners in Australia and NCCTRC at the Royal Darwin Hospital (RDH) in students in Board-approved courses, covers 2005 in the wake of the Bali bombings. all online and mobile tools used to share The centreinformation, was designed to facilitateimages surge opinions, experiences, capacity, the appropriately trained and videowith or audio clips, websites, andhealth apps professionals, in the event of a mass casualty for social networking. incident in the Asia Pacific region. The policy applies across Facebook, LinkedIn, It provides trauma and disaster training to Twitter, True Local, YouTube and Instagram, enhance regional response and to research to name a few, regardless of privacy settings, operationally-relevant aspects of disaster through to discussion forums and message management and response, delivering 1300 boards and extends to personal, professional training places in a range of short courses or anonymous blogs. on trauma, remote area response and mass casualty management. The policy explains how the National Law, the individual code ofnational conduct and the The centreBoard’s also provides training for advertisingMedical guidelines relate to social(AusMAT) media. Australian Assistance Teams Page 8 | www.ncah.com.au
- the multidisciplinary health teams, comprising doctors, nurses, paramedics, firefighters It states registered health practitioners (logisticians) and allied health professionals. should only post information not in breach This training is designed create comply experienced, of the obligations and toshould with self-sufficient that can rapidly to professional, teams confidentiality andrespond privacy aobligations, disaster zone present and provide life-saving treatment information in an to casualties. unbiased, evidence-based context and not make unsubstantiated Ms Martin, who balancesclaims. her NCCTRC position with a role as a Squadron Leader for the Royal “Additional information may be available from Australian Airforce Specialist Reserve, was professional bodies and/or employers, which deployed as a Reservist to Afghanistan in 2010 aims to support health practitioners’ use of to support the Australian Defence Force and to social media,” the policy states. the Solomon Islands in a 2004 peacekeeping mission. “However, the legal, ethical and professional More recently, was involved through the obligations thatshe registered health practitioners NCCTRC in AusMAT’s disaster to must adhere to are set out indeployment the National the Philippines in the aftermath of lastand year’s Boards’ respective code of conduct the Typhoon Haiyan. advertising guidelines.” Ms Martin says the scale of the devastation was The National Boards have also banned almost indescribable. the use of testimonials when advertising a “A lot of people lost absolutely everything, regulated healthhad service. including family members, and had been waiting many days133 for medical aid the and help to arrive,” “Section (1)(c) of National Law she says. rules out the use of testimonials specifically when advertising regulateddevastation health service, “Given the actuala physical that or a business that provides a difficult regulated happened in the region, it was quite for health service,” a statement from the people to gain access to deliver the National support Boards explains. needed. “They each harrowing stories to tell “The use of equally reviewshad in advertising or regulated but were incredibly resilient people, extremely health services is acceptable only when they grateful andon thankful for any issues, assistance that we comment non-clinical regardless could provide forreview them. is positive, negative or of whether the neutral. “They didn’t have food or shelter or water and some of them had quite severe injuries.” “Reviews must not contain statements about Ms Martin says nursing in deployments requires the quality of clinical care received from the you to constantly adapt your practice to the regulated health practitioner, business and/or different demands of the unique environment. service.” “I like that it gives you the opportunity to focus in Thewhat’s policy,best guidelines and code firstthe of on for the patient and are alsothe doing a setyou of revised togot…and be released this best can withdocuments what you’ve I guess year,ability as part a scheduled three-year review the andofchallenge to use all of your skill into the Scheme. sets all atNational once,” she says.
404-015 1PG FULL COLOUR CMYK PDF Ms Martin says the centre has focused on professionalising disaster medical response through its civilian medical teams.
response, even if it’s not deployment, just at a local level within your own health facility. “We offer, and each state is offering now, endorsed AusMAT training, which is a standardised package to make sure that we give you all the knowledge and skills that we think you might need in a deployed environment.
“We offer a range of training packages and we are also working collaboratively with the other states towards identifying that minimum standard, in both your personal and professional preparedness.”
“Then there are obviously, dependant on which specialty you choose, further areas of study or short courses that you can pursue that would help you to be well prepared and ready to go.”
The centre also offers a range of training deployments, providing medical teams with experience in different events and environments, including the six-day Tour de Timor international mountain bike race and the V8 Supercars’ annual event at Hidden Valley Raceway to more public-health focused deployments at remote Indigenous communities.
Ms Martin says nurses interested in volunteering for disaster deployments should have more than one skill set to offer and a broad range of experiences in multiple types of environments.
The NCCTRC is also renowned for its Trauma Service, an extended-hour specialist nurse-led trauma service at RDH that case manages up to 700 patients a year.
“They need to be prepared to work for long hours with limited resources and really get back to the basics of what nursing care is, what’s appropriate for that particular environment and what’s of the best you can offer with what you have available when you’re delivering medical care in a crisis situation.
Ms Martin advises nurses wanting to specialise in trauma to gain post graduate skills in either emergency or critical care. “You need to be passionate about trauma care, willing to advocate for the patient and be a really good communicator, because you have to get all of the various medical specialties and allied health teams to agree on what’s the best plan of care for the patient.” When it comes to disaster response, Ms Martin says there are opportunities in the field hospital environment for operating theatre nurses, midwives, paediatric nurses, emergency nurses, intensive care and specialised ward staff.
“They need to be flexible and adaptable, willing to work in quite austere and at times extreme circumstances,” she says.
“I would also say pack your sense of humour for the deployment.” While disaster deployment, along with trauma care, can take an emotional toll, Ms Martin says it’s also extremely rewarding. “Whilst it’s challenging, it’s also very humbling and a privilege to be allowed to share that part of what is, often for most individuals, the most traumatic and devastating event of their lives,” she says.
“We offer a range of different training opportunities on our training calendar, which can be found on our website,” she says.
“It’s not easy, and it’s not meant to be easy, but it’s by far no means easy for those who are suffering or enduring whatever it is they are going through.
“The Major Incident Medical Management and Support (MIMMS) program is a good starting point for anyone who is interested in disaster
“The least we can do is offer them some care and comfort, and the best nursing and medical care we have to offer.” Nursing Careers Allied Health - Issue 04 | Page 9
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“We have been working very hard at the centre towards an agreed national standard for training and preparedness for any medical person who might respond in a disaster situation,” she says.
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Cardiac Catheter Laboratory
Nurse Unit Manager St John of God Bendigo Hospital, a division of St John of God Health Care is a leader in the provision of health within hospitals, pathology and community services throughout Australia and New Zealand. As a Catholic not-for-profit group, SJGHC returns profits to the communities we serve through our extensive Social Outreach and Advocacy programs. SJGBH is an acute surgical / medical, 122 bed Private Hospital situated in Bendigo serving the Central Victorian Region. We have a rare leadership opportunity for an experienced and professional Senior Registered Nurse to lead the Cardiac Catheter Laboratory. As the Nurse Unit Manager you will be required to manage and achieve best practice outcomes from both a customer and a business perspective, provide effective leadership to the unit, deliver high quality patient centered care, provide formation and development of caregivers and build effective relationships with key medical practitioners. Extensive Cardiac Catheter Laboratory and managerial experience is essential to be considered for this role. This position will be offered on a permanent full time basis, working 76 hours per fortnight (predominantly on a day shift roster, however occasional on call availability is required). St John of God Health Care offers its employees excellent working conditions, a family friendly workplace, competitive remuneration, salary packaging and opportunities to enhance your skills and qualifications.
For enquiries about this position, applicants should contact Mark Nally, Deputy Director of Nursing on (03) 5434 3422 or to view the Position Description and apply for the role please visit our website at www.sjog.org.au, click on ‘Healthy Careers’ and search reference number 10165.
Applications Close:
23 March 2014 Hospitality I Compassion I Respect I Justice I Excellence Nursing Careers Allied Health - Issue 04 | Page 11
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NURSING & MIDWIFERY SCHOLARSHIPS Open 3 March 2014 – Close 18 April 2014 Scholarships for all nurses & midwives are available for:
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An Australian Government initiative supporting nurses and midwives. Australian College of Nursing, Australia’s professional organisation for all nurses is proud to work with the Department of Health as the fund administrator of this program.
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Nurse stands up for ageing workforce Against the background of an ageing workforce, the NSW state health department is being called on to introduce measures that ensure the well-being of its older nurses and midwives. With retirement age set to increase to 67 in Australia, Karin Tilden, the Shellharbour (NSW) branch president of the NSW Nurses and Midwives Association has initiated a statewide campaign to protect ageing workers. And the Nurses NSW Committee of Delegates has passed the Shellharbour branch’s resolution that the association liaise with the Ministry of Health to establish an Ageing Nursing and Midwifery Workforce Review Group. The group’s objective would be to collect data on the ageing nursing population in NSW, before establishing guidelines on how to ensure the wellbeing of older nurses. Page 12 | www.ncah.com.au
Tilden, who works in Shellharbour Hospital’s emergency department, reportedly said that when she started nursing over four decades ago, the role involved significant amounts of manual handling and lifting. While lifting aids and equipment had since been introduced, years of physical work had taken its toll on many older nurses. For the full article visit NCAH.com.au
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Community Nursing Opportunities exist for Registered and Enrolled nurses with recent relevant nursing experience to work within the Northern Sydney Home Nursing Service (NSHNS) NSHNS is a part of the Northern Sydney Local Health District. The service provides quality and professional nursing care to patients in home and clinic environments, using an individualised, holistic and family centred approach. Nursing staff are supported by a number of Clinical Nurse Consultants specialising in Oncology/Palliative Care, Continence, Spinal Injuries, Wound Care, Chronic Disease/Respiratory Care and Aged Care and Dementia. Education support and development opportunities are available to assist with your ongoing professional development.
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Queensland nurses hit back over Nurse Power fund by Karen Keast The Queensland Nurses’ Union (QNU) has defended the establishment of its Nurse Power fund to support its campaigning, organising and community engagement activities. From July 1 this year, all QNU active members, regardless of employment status, will be required to contribute up to $1 a week on top of their regular union fees to the new fund. Delegates at the QNU annual conference, held in August, voted to begin the fund to raise awareness of the nursing and midwifery professions, advance nurses’ and midwives’ pay and conditions, and to advocate for adequate health system funding. The conference resolution states the Nurse Power fund is also designed to build union strength across all health and aged care sectors and to support the union’s community engagement and community-based campaigning activities. Queensland Health Minister Lawrence Springborg has attacked the fund which he claims will raise $1.2 million each year from public sector nurses and midwives to support politically-motivated rallies. In a statement, Mr Springborg said the Newman Government’s decision to award significant pay increases to nurses and midwives was designed to put more money into the pay packets of nurses, not into union slush funds. “The LNP is all about putting money into the pockets of our valued nurses while the union bosses and Labor are about taking money out of their pockets,” he said. “In two months’ time, nurses and midwives will receive their third 3.16 per cent annual pay increase since the LNP was elected to office. “We now have union bosses coming along and swiping another $52 per annum out of nurses’ pay packets without any consultation or approval from the nurses and midwives themselves.” Page 18 | www.ncah.com.au
The QNU released a media announcing the fund on August 8.
statement
QNU secretary Beth Mohle said nurses and midwives are working to highlight the state’s need for quality health and aged care services. “We devote our lives to helping others,” she said. “This provision of care gives us an insight into what goes on behind closed hospital and aged care facility doors and in the community generally. “We will never stop campaigning to protect our patients and members.” Ms Mohle said Queensland has recently lost more than 1100 full-time equivalent nursing positions while health services have been cut and more than 1000 state-run aged care beds have been closed.
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Government of Western Australia
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Regional Director of Nursing & Midwifery Web Search No: 613225 Level/Salary: ANF SRN Level 10 $145,084 p.a. Permanent Full Time Position Profile: We are currently seeking to appoint a Regional Director of Nursing and Midwifery. To Access Detailed Information: jobs.wa.gov.au and key in the Web Search No. to access detailed information or Ph: 08 6444 8544 to be mailed an information pack. For Specific Inquiries: Please contact Marie Baxter on 08 9223 8544. Location: Pilbara region Closing Date: Monday, 17 March 2014 at 4.00pm.
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Nurses and midwives rally to save Medicare by Karen Keast Nurses and midwives have joined hundreds of people rallying against moves to change Medicare and introduce patient payments to visit bulk-billing GPs. Australian Nursing and Midwifery Federation (ANMF) members joined a mass rally on February 15, outside the Sydney Town Hall, which called on the government to rule out any changes to Medicare. The rally comes as the Federal Government considers a move to introduce a GP copayment, which could cost patients $6 for every consultation. New South Wales Nurses and Midwives’ Association secretary Brett Holmes spoke at the rally to defend Australia’s Medicare system, which is this month celebrating its 30th anniversary. “If that forces too many people into the hospitals, we will put a co-payment on emergency department services as well,” Mr Holmes said. “This is an idea that will be expanded and expanded if it happens.” The protest coincides with the release of an ANMF survey showing an overwhelming majority of nurses, midwives, assistantsin-nursing (AINs) and community members oppose the co-payment.
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In the week-long, online survey, 79 per cent of the 1900 respondents revealed they did not support the introduction of a $6 co-payment to visit GPs, even if they already bulk bill. A further 10 per cent of respondents voted in favour of the co-payment while nine per cent were unsure. For the full article visit NCAH.com.au
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Nursing Careers Allied Health - Issue 04 | Page 21
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US study reveals potential role for acupuncture in critical care Traditionally seen as an alternative treatment, the ancient Chinese therapy of acupuncture could play a future role in helping prevent fatal inflammatory disease, with potential benefits in theatre and critical care settings, according to a new US study. As reported in online journal counselheal. com, scientists have discovered a direct link between acupuncture and physical processes that could treat sepsis, a deadly whole-body inflammation caused by severe infection. The findings are significant because sepsis is common in patients at hospital intensive care units, and is a leading cause of death in those settings. “Sepsis is the major cause of death in the hospital,” lead researcher Luis Ulloa, an immunologist at Rutgers New Jersey Medical School, reportedly said in a news release. “But in many cases patients don’t die because of the infection. They die because of the inflammatory disorder they develop after the infection. So we hoped to study how to control the inflammatory disorder.”
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But in many cases patients don’t die because of the infection. They die because of the inflammatory disorder they develop after the infection. So we hoped to study how to control the inflammatory disorder – Luis Ulloa An Immunologist at Rutgers New Jersey Medical School
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Previous studies had shown that stimulation of the vagus nerve - one of 12 cranial nerves that extend from the brain stem to the abdomen, via various organs including the heart, oesophagus and lungs - triggers bodily processes that reduce inflammation. Ulloa and his team looked at how electroacupuncture, a modern form of acupuncture, which sends small electric currents to magnify the effect of needle placements, might help reduce inflammation and organ injury. They found that electroacupuncture helped limit inflammation in mice with sepsis by stimulating molecules called cytokines that help appease inflammation. Researchers noted that half of mice treated with electroacupuncture survived for at least a week. However, there was zero survival among mice that did not get the treatment. It was also found that electroacupuncture produced anatomical changes that increased levels of dopamine, which has important functions within the immune system. In Australian settings, acupuncture is well known as a central tenet of Chinese medicine. Chinese medicine practitioners are now listed with the Australian Health Practitioner Regulation Agency (AHPRA) as registered health practitioners, with specialists in the area working widely within allied health settings.
Nursing in trauma and disasters The National Critical Care and Trauma Response Centre is at the forefront of Australia’s disaster and trauma care. Karen Keast takes a look at the organisation providing clinical and academic leadership in the specialised fields of trauma and disaster nursing.
- the multidisciplinary health teams, comprising doctors, nurses, paramedics, firefighters (logisticians) and allied health professionals.
Bronte Martin worked as a critical care nurse and specialised in emergency nursing, before becoming the trauma coordinator at the National Critical Care and Trauma Response Centre (NCCTRC).
Ms Martin, who balances her NCCTRC position with a role as a Squadron Leader for the Royal Australian Airforce Specialist Reserve, was deployed as a Reservist to Afghanistan in 2010 to support the Australian Defence Force and to the Solomon Islands in a 2004 peacekeeping mission.
Originally from Broken Hill in country New South Wales, Ms Martin concedes her position at the centre is her “dream job”. “Trauma and disaster are both areas that I’m very passionate about,” she says. “I’d like to see further growth and development in this field, and have it (disaster response) recognised as a nursing specialty, and see a move towards professionalisation, of what is currently a primarily volunteer-led response. “I hope to continue to provide education, to give nurses a voice in disaster response and to advocate for those who are most important, which are the patients.” The Australian Government established the NCCTRC at the Royal Darwin Hospital (RDH) in 2005 in the wake of the Bali bombings. The centre was designed to facilitate surge capacity, with the appropriately trained health professionals, in the event of a mass casualty incident in the Asia Pacific region. It provides trauma and disaster training to enhance regional response and to research operationally-relevant aspects of disaster management and response, delivering 1300 training places in a range of short courses on trauma, remote area response and mass casualty management. The centre also provides national training for Australian Medical Assistance Teams (AusMAT) Page 24 | www.ncah.com.au
This training is designed to create experienced, self-sufficient teams that can rapidly respond to a disaster zone and provide life-saving treatment to casualties.
More recently, she was involved through the NCCTRC in AusMAT’s disaster deployment to the Philippines in the aftermath of last year’s Typhoon Haiyan. Ms Martin says the scale of the devastation was almost indescribable. “A lot of people had lost absolutely everything, including family members, and had been waiting many days for medical aid and help to arrive,” she says. “Given the actual physical devastation that happened in the region, it was quite difficult for people to gain access to deliver the support needed. “They each equally had harrowing stories to tell but were incredibly resilient people, extremely grateful and thankful for any assistance that we could provide for them. “They didn’t have food or shelter or water and some of them had quite severe injuries.” Ms Martin says nursing in deployments requires you to constantly adapt your practice to the different demands of the unique environment. “I like that it gives you the opportunity to focus in on what’s best for the patient and also doing the best you can with what you’ve got…and I guess the ability and challenge to use all of your skill sets all at once,” she says.
Ms Martin says the centre has focused on professionalising disaster medical response through its civilian medical teams.
response, even if it’s not deployment, just at a local level within your own health facility. “We offer, and each state is offering now, endorsed AusMAT training, which is a standardised package to make sure that we give you all the knowledge and skills that we think you might need in a deployed environment.
“We offer a range of training packages and we are also working collaboratively with the other states towards identifying that minimum standard, in both your personal and professional preparedness.”
“Then there are obviously, dependant on which specialty you choose, further areas of study or short courses that you can pursue that would help you to be well prepared and ready to go.”
The centre also offers a range of training deployments, providing medical teams with experience in different events and environments, including the six-day Tour de Timor international mountain bike race and the V8 Supercars’ annual event at Hidden Valley Raceway to more public-health focused deployments at remote Indigenous communities.
Ms Martin says nurses interested in volunteering for disaster deployments should have more than one skill set to offer and a broad range of experiences in multiple types of environments.
The NCCTRC is also renowned for its Trauma Service, an extended-hour specialist nurse-led trauma service at RDH that case manages up to 700 patients a year.
“They need to be prepared to work for long hours with limited resources and really get back to the basics of what nursing care is, what’s appropriate for that particular environment and what’s of the best you can offer with what you have available when you’re delivering medical care in a crisis situation.
Ms Martin advises nurses wanting to specialise in trauma to gain post graduate skills in either emergency or critical care. “You need to be passionate about trauma care, willing to advocate for the patient and be a really good communicator, because you have to get all of the various medical specialties and allied health teams to agree on what’s the best plan of care for the patient.” When it comes to disaster response, Ms Martin says there are opportunities in the field hospital environment for operating theatre nurses, midwives, paediatric nurses, emergency nurses, intensive care and specialised ward staff.
“They need to be flexible and adaptable, willing to work in quite austere and at times extreme circumstances,” she says.
“I would also say pack your sense of humour for the deployment.” While disaster deployment, along with trauma care, can take an emotional toll, Ms Martin says it’s also extremely rewarding. “Whilst it’s challenging, it’s also very humbling and a privilege to be allowed to share that part of what is, often for most individuals, the most traumatic and devastating event of their lives,” she says.
“We offer a range of different training opportunities on our training calendar, which can be found on our website,” she says.
“It’s not easy, and it’s not meant to be easy, but it’s by far no means easy for those who are suffering or enduring whatever it is they are going through.
“The Major Incident Medical Management and Support (MIMMS) program is a good starting point for anyone who is interested in disaster
“The least we can do is offer them some care and comfort, and the best nursing and medical care we have to offer.” Nursing Careers Allied Health - Issue 04 | Page 25
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“We have been working very hard at the centre towards an agreed national standard for training and preparedness for any medical person who might respond in a disaster situation,” she says.
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Nurse-led dementia trial bridges diversity by Karen Keast A Melbourne nurse-led dementia trial is working to prevent people from culturally and linguistically diverse (CALD) backgrounds slip through the cracks of the health system. The Royal District Nursing Service’s (RDNS) two-year Dementia Care in the Community - Access for CALD Communities Project is working to help people with cognitive impairments, their families and carers to connect with health services. RDNS specialist dementia nurse Jordan King said people from culturally or linguistically diverse backgrounds often fail to access services until they reach a crisis point. “They don’t know how to access services or don’t due to cultural beliefs,” he said. “A lot of people believe dementia doesn’t exist - mum or dad is just getting old. “We are trying to break down all of these stigmas and beliefs and get them into the system to gain some help before a crisis develops.” As part of his role in the trial, Mr King is working with GPs to establish a primary diagnosis, providing emotional support to clients and families, providing referrals to Alzheimer’s Australia and assisting clients with tailored prompt cards for daily activities. Mr King said a current client was recently diagnosed with vascular dementia. He said the man and his wife, an older Italian couple, were constantly arguing about whether the husband had brushed his teeth, showered and shaved. “This couple didn’t know how to access the services available to them and didn’t know that services were available to them,” he said. “I put in simple prompt cards for him about brushing his teeth, having a shower and having a shave - just simple things that can help. Page 28 | www.ncah.com.au
“They could have ended up in a major crisis point.” Trial lead investigator Dr Di Goeman, a senior researcher at the RDNS Institute, said it’s often taken for granted that people with dementia will be diagnosed and receive some form of treatment and care. “In reality, it is not that simple, especially with people from CALD backgrounds,” she said. “Diagnosis is not always timely - dementia is often incremental, sneaking up over a long period of time so that all of a sudden a crisis point is reached. “The specialist dementia nurse, with unique skills in in-home screening, advocacy and support, is able to intervene, work with families, offer advice and put into place a raft of assistance that they may not have known was available.” Mr King said the trial was exciting and innovative. “It’s a widespread problem right throughout all of the CALD communities,” he said. “I can see a need. My job as a nurse is to help people and to actually focus on dementia and assist these people.” The Lord Mayor’s Charitable Foundation is funding the pilot program.
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We are trying to break down all of these stigmas and beliefs and get them into the system to gain some help before a crisis develops.
– Jordan King RDNS specialist dementia nurse
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Nurse Practitioner or Clinical Nurse Consultant
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Morven Health Service, South West Hospital and Health Service Remuneration value up to $127 405 p.a., comprising salary between $108 944 - $111 665 p.a.(F/T) or salary rates $54.90 – $56.31 p.h. (P/T), employer contribution to superannuation (up to 12.75%) and annual leave loading (17.5%) (NG8) (Full Time or Part Time hours negotiable) (Applications will remain current for 12 months) Duties/Abilities: Nurse Practitioner: This position is to provide clinical expertise and leadership in health service delivery that assists in the prevention, early detection and management of health issues across the lifespan. The position also addresses health issues in partnership with community, government and nongovernment organisations as part of a multidisciplinary team in a rural and remote setting. The position is responsible for the clinical resource management, education and research accountabilities for nursing within the facility, and ensuring the provision of best practice and quality client care. Remuneration value up to $118 231 p.a., comprising salary between $96 705 - $103 624 p.a.(F/T) or $48.77 - $52.26 p.h. (P/T), employer contribution to superannuation (up to 12.75%) and annual leave loading (17.5%) (NG7) (Full Time or Part Time hours negotiable) (Applications will remain current for 12 months). Duties/Abilities: Clinical Nurse Consultant: This position is to provide clinical expertise and leadership in collaboration with the Clinical Nurse, in health service delivery that assists in the prevention, early detection and management of health issues across the lifespan. The position also addresses health issues in partnership with community, government and nongovernment organisations as part of a multidisciplinary team in a rural and remote setting. Nurse Practitioner or Clinical Nurse Consultant, One Permanent Full Time Position or Permanent Part Time Hours Negotiable Enquiries: Robyn Brumpton (07) 4505 1536 or 0429 486 591 Job Ad Reference: H14SW02460 Application Kit: (07) 4505 1521 or www.health.qld.gov.au/workforus Closing Date: Thursday, 13 March 2014. You can apply online at www.health.qld.gov.au/workforus A criminal history check may be conducted on the recommended person for the job. A non-smoking policy applies to Queensland Government buildings, offices and motor vehicles.
Great state. Great opportunity.
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