Ncah issue 13 2014

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Issue 13 07/07/14 fortnightly

Midwifery & Maternal Feature Midwives catching more babies Nurses applaud investigation into health cuts Nurse endoscopists for Queensland Physiotherapists tackle incontinence


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www.ncah.com.au www.ncah.com.au Issue 13– August Issue 726 July 20142013 117– –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 13,2014. 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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DISTRIBUTION DISTRIBUTION 34,488 34,488

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 of Nursing AHN Recruitment Ausmed CCM Recruitment International Bega Garnbirringu Ausmed Austra Health CQ Nurse Care Flight Austra Health Australian College of Nursing Education Cruises Careers Australia Australian College of Nursing Employment OfficeInternational Australian Volunteers International CCM Recruitment Australian Volunteers International Chadwick Group International Geneva Health CCM Recruitment CCM Recruitment International CQ Griffith University CQNurse Nurse CQ Nurse Office Employment Health and Fitness Recruitment CRANAplus CRANAplus Lifescreen Koala NursingOffi Agency Employment ce Employment Offi ce Service Mawarnkarra Health Lifescreen eNurse Medacs Australia eNurse Australia Medacs Kate Cowhig International NSW New England Local Health Kate Hunter Cowhig International Medibank Health Solutions Medacs Australia District Medacs Australia Northern Sydney Local Health District Oceania University No Roads to Healthof Medicine No Roads toAllied HealthHealth Rural Locum Nursing and Oxford Aunts -Care NSW Health Illawarra Shoalhaven Scheme NSW Staffing Health - Illawarra Shoalhaven Pulse Oceania University of Medicine Oceania University of Oceania of Medicine Medicine Quick andUniversity Easy Finance OxfordAunts AuntsCare Care Oxford OxfordSalary Aunts Care Smart PulseStaffing Staffing Pulse The Australian Pulse Staffing College of Midwives 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 UK Pensions Unified Healthcare Group Royal Flying Doctor Service University of Southern QLD TR7 Health Unified Healthcare Group TR7 Health University of Tasmania UK Wimmera Healthcare Group UKPensions Pension Transfers UK Pension Transfers Unified Healthcare Group Unified Healthcare Group

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MOBILE CLINIC OPPORTUNITIES Have you ever wanted the opportunity to make a real difference in People’s lives? Bega Garnbirringu Health Services (Bega) is an Aboriginal Community Controlled Health Organisation based in Kalgoorlie, Western Australia. Bega has a strong commitment to providing culturally appropriate and sustainable service delivery. In keeping with our vision and commitment to closing the gap in life expectancy between Aboriginal and non-Aboriginal people, Bega is leading the way in remote healthcare delivery through our innovative Mobile Clinic program. Comprising of 2 fully functional mobile clinics, services are delivered to rural and remote Aboriginal communities stretching from Esperance in the South to Laverton in the north. We are currently seeking:

Registered Nurse

The Registered Nurse will be responsible for one of our two mobile clinics, under the direction of the Mobile Clinic Coordinator. The requirements for this role include a Registered Nurse qualification, current Police Certificate, and your “C” class driver’s licence as well as a medium rigid licence (or willingness to work towards one). You will also be required to obtain a Working with Children’s Check. You will also have experience in communicating and working constructively with ATSI communities as well as a sound understanding of the health, social and emotional wellbeing needs of ATSI people.

Health Worker (x4)

The Health Workers for the mobile clinic will be an integral part of the program. You will be required to conduct health checks as well as assist the Registered Nurses in delivering holistic health care to outlying Aboriginal communities. Health Workers may include an Enrolled Nurse, or an Aboriginal Health Worker (Cert III, IV or Diploma in Practice Stream). To be successful in this role, you will have the up to date required qualifications of your profession as well as a current “C” class driver’s licence, a medium rigid licence (or willingness to work towards one), a current police certificate and a Working with Children’s Check. So if you feel you’re up for the challenge and want to join the dynamic team at Bega, please send a cover letter along with a copy of your resume to Bega Garnbirringu Health Services, PO Box 1655, Kalgoorlie 6430 or email to recruitment@bega.org.au

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Nurse endoscopists for Queensland By Karen Keast A number of Queensland hospitals will soon be home to nurse endoscopists as part of a longterm plan to reduce public waiting lists for endoscopy services. Queensland Health will introduce trained nurse endoscopists to perform procedures such as flexible sigmoidoscopies, colonoscopies and upper gastrointestinal endoscopies as part of multidisciplinary teams at health services. The move comes as figures show there are an estimated 1646 deaths in Queensland each year from upper gastrointestinal and colorectal cancers, while nurses perform endoscopy procedures in New Zealand, Canada, the US, UK, Ireland and The Netherlands. The project will support the introduction and training of experienced nurses at a Master level to support existing medical services in an aim to achieve better patient outcomes and experiences. The plan to introduce nurse endoscopists follows a Health Workforce Australia pilot program in Queensland at Logan Hospital and in Victoria at Melbourne’s Austin Hospital. Chief Nursing and Midwifery Officer Dr Frances Hughes said there are now two nurse endoscopists working in Queensland. “Following the pilot, Queensland Health is moving to a more sustainable and Australian accredited program,” she said. “As such, the Masters in Specialist Nursing Practice program, including the Graduate Certificate in Nursing (Gastroenterology) will commence in second semester 2014.”

For the full article visit NCAH.com.au Page 10 | www.ncah.com.au

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Midwives pursuing career goals More midwives are treading their own path inUSQ’s Australia’s changing midwifery new Graduate landscape. A unique Australian College of Midwives’ program is helping Certificate of Health them shape their careers, writes By Karen Keast

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The perfect just-in-time solution

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years who previously worked at Adelaide’s Womt’s like a career coach for midwives. for health professionals that can en’s and Children’s Hospital, hopes more health Since its inception six years ago, 600 midbe tailored to suit your needs. departments will follow suit. wives have opted to complete the Australian Three specialisations open for “We think that MPR is something that is benCollege of Midwives’ Midwifery Practice Review admission now. eficial for all midwives and would recommend (MPR). that it be supported by all health departments as ACM education officer Ruth King says the Your future, your way. a key cornerstone of the midwifery practice,” she MPR program is a unique initiative enabling midsays. wives to take stock of their careers. Apply MPR is justnow one of the college’s suite of con“There’s lots of peer review programs around tinuing professional (CPD) pathfor study indevelopment July Australia and internationally but there aren’t any ways for midwives, built on best practice and midwifery specific peer review programs in Ausevidence-based. tralia - this is the only one,” she says. usq.edu.au/gradcerthealth The college also holds regular webinars on a “The MPR has been designed for all midrange of topics and269 has an e-learning site, Midwives so it’s a way for midwives practicing in any 1800 500 wives Learn, which offers courses on topics such area of midwifery to reflect on their practice.” as neonatal resuscitation, epidural and spinal The three-step MPR program covers a selfanalgesia, continence promotion, telehealth, and assessment, self-reflection synopsis, a face-toalcohol and pregnancy. face review discussion with a midwife and conThe college’s MidPLUS program, which was sumer reviewer, and guidance and support to first introduced about eight years ago, is about develop a professional development plan. to get a new lease on life in line with a revamped “It’s a way of a midwife reflecting ‘this is Mawarnkarra Service is a community website. controlled Aboriginal health service where I am in life, this is what I’ve Health undertaken and providing holistic health care to the Aboriginal communities of West Pilbara region. MidPLUS supports midwives to plan, comI’m really proud of what I’ve achieved and now plete and record their CPD activities. this is the direction I want to take’,” she says. Midwives are required to complete a mini“The review is undertaken by a midwife and a Housing assistance pool car mum of 20 hours Includes of CPD aeach year to maintain consumer reviewer and they have been trained to Mawarnkarra Service provides to theregistration. Aboriginal people of the West Pilbara Region. We are seektheir ask specificHealth questions to justholistic drill primary downhealth into care theservices ing a Child and Maternal Program Coordinator to plan and implement our child and maternal health program. The midwives successful applicant However, MidPLUS requires to go achievements of theHealth midwife. will be a registered nurse with post graduate qualifications in child health nurse and/or midwifery. Our chosen candidate will have program over and above this level to achieve a minimum “It helps the midwife to reflect and see management skills and experience and will have the ability to communicate and liaise with a broad range of people including expectant of 30 hours of CPD, while eligible midwives must how wellchildren they’ve done, areas where perhaps mothers, and clinicians. complete 40 and hours of CPD.family support workers. This is they could andhealth do program some has more professional The child and go maternal a dynamic and experienced team of a midwife two Aboriginal an exciting opportunity for someone seeking make aare positive difference to the health outcomes children. Ms King saysof Aboriginal about mothers, half ofbabies theand college’s development, highlighting areas tothat their If you are aand nurseareas practitioner you are encouraged apply. 5000-strong membership taps into the benefits strengths where it would betoamazing if of MidPLUS - which provides a valuable record they could go and develop further.” Applicants must obtain a copy of the selection criteria and address all criteria. of CPD achievements. A copy ofofthe position description and criteria may be obtained by calling The Department Health in Queensland hasselection Shay Wilson on (08) 9182 “The0800 program allows midwives to enter their supported the majority of its midwifery workforce CPD details Resources, to track the activities that they’ve to complete the program. All applications should be addressed and emailed to c/- Human s.wilson@mhs.org.au. done throughout the year,” she says. Ms King, a continuity of care midwife of six

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Child and Maternal Health Program Coordinator

Applications close Wednesday 16th July 2014.

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413-030 412-019 1PG FULL COLOUR CMYK PDF and Midwifery Board of Australia accreditation, is “It’s stored online for them so they can go a pathway for midwives pursuing eligibility but it’s away and at the end of the year they can print designed to benefit any midwife. out a summary if they want to, so it’s like a syn“The thing is that eligibility isn’t for all midopsis of all of the things they have done, or they wives,” Ms King says. can just get their certificate that says they’ve “At the moment, eligibility is linked for midachieved 30 hours of CPD.” Centre forsays RuralitHealth wives working across the full continuum of Ms King also enables midwives to go midwifery so that means demonstrating current further than simplycourses recording the details for of both their health These e-health are appropriate professionals involved in adopting competence in antenatal, CPD. information management tools into their daily work flow and for those interested inlabour movingand birth, and into thealso emerging fieldopportunity of health informatics. postnatal care. They have the to reflect on “So midwives specifically working in only one howH4E the Bachelor CPD will improve their (Health practice.Informatics) (Professional of E-Health Honours) area will find it difficult because the eligibility cri“Reflective practice is something that’s really This part-time course comprises eight units. It builds on to any three-year degree with teria requires them to work across the continuum important midwives,” she says. a majorfor in aallhealth-related or information management area. and show competency across the continuum. “The regulatory bodies want midwives to do Fees: Commonwealth Supported “We are seeing a larger number of midwives more than just attend a CPD event, they actually H5E Graduate Certificate E-Health (Health Informatics) now who are doing MPR purely for their own prowant them to reflect on it andinsay - ‘I attended part-time compulsory units. fessional development and reflection,” Ms King thisThis event, this is course what I comprises learnt fromfour it and this is one-semester adds. howH6E it’s going to influence my practice’.” Graduate Diploma of E-Health (Health Informatics) “They’ve suchcompulsory positive results from their But part-time it’s thecourse college’s which was This buildsMPR, on the certificate, and consists of one seen additional colleagues, who have been so optimistic about launched about six years ago, that has become unit and three extra electives. All units are one semester in length. the outcomes that they’ve achieved and what increasingly popular in recent years. H7E Master of E-Health (Health Informatics) they’ve gained from it.” The program, which has received Nursing The masters by coursework program can be completed part-time over three years. It comprises 10 units and a small research project.

E-Health (Health Informatics) Courses

Courses are external, self-paced learning packages using electronic and/or print-based materials. They can be completed with a minimum of disruption to home and work life as there is no compulsory residential component. Fees: Full fee paying programs DETAILS

Applications: Semester 2, 2014 are open Contact: University of Tasmania Centre for Rural Health Email: Sue.Whetton@utas.edu.au 7826 CRICOS Provider Code: 00586B

Further reference: www.utas.edu.au/rural-health/health-informatics

utas.edu.au Nursing Careers Allied Health - Issue 13 | Page 13


Student midwives provide care at hospital clinic By Karen Keast Student midwives are following women throughout their pregnancy, labour, birth and early parenting journeys as part of an innovative university-led clinic on Queensland’s Gold Coast. Griffith University Bachelor of Midwifery students are supporting pregnant women through a weekly antenatal service at the Gold Coast University Hospital. School of Nursing and Midwifery lecturer Janice Bass said about 15 students are now following 20 women through the clinic, alongside midwifery lecturers and hospital midwives, in what is a first for the university. “Students state that they enjoy being able to refer the woman to the clinic and participate in midwifery models of care,” she said. “They are actively participating and learning from experience whilst being supervised by experienced midwives.” Under the initiative, students spanning the three years of the degree are able to participate in antenatal assessments of women from 14 to 42 weeks of their pregnancy, review antenatal histories and build relationships with women. Ms Bass said students learn about interprofessional collaboration and referrals to other

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health professionals, gain experience in the organisation and management of antenatal clinics, and are able to manage their own case load of women in the third year of the program. The clinic also enables them to gain a deeper understanding of continuity of midwifery care. “It is located within the continuity of care model that provides the woman with a known student midwife providing continuity of care across the childbirth continuum,” Ms Bass said. “Students are introduced to continuity of care as a model of woman-centred care in the first year of their program and across their midwifery program. “This ensures that upon registration as midwives they are able to provide this model of care to women within the primary health care or secondary tertiary hospital care setting.” Ms Bass said women are also enjoying the benefits of attending a hospital with state-of-theart facilities combined with personalised continuity of care from known student midwives, who are supported by midwives. “The women are the highlights - they repeatedly refer to the value of having their own student midwife follow them through their pregnancy and also attend midwifery-led models of continuity care,” she said. GCUH antenatal clinic midwifery manager Lynne O’Brien welcomed the collaboration. “We are now seeing a sustained increase in our activity so it is fantastic that through our partnership with Griffith we are able to provide such a high quality experience for both the women and student midwives.” The service, which opened in May, is expected to be expanded.


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ACM webinars are a great way to access up-to-date, evidence-based information in a format that is easily accessible no matter where and how you practice. ACM offers webinars on a variety of topics, for example: Hypertension in Pregnancy Safe Infant Sleeping Diabetes in Pregnancy Obesity in Pregnancy Preterm Labour and Birth Water, Labour and Birth Perineal Care Pelvic Floor Care and Recovery How Diet Affects Fertility Vaccinations for Midwives

ACM offers CPD events, seminars, workshops, state and national conferences and MidPLUS endorsed events.

MidPLUS is a continuing professional development (CPD) tool developed by the ACM. MidPLUS supports and assists you to plan, participate in, and record your CPD activities. It has been designed for use by midwives working across all aspects of midwifery, including clinical areas, models of care, research, education, management and government.

A simple and efficient way of undertaking your CPD. Being online it is flexible, accessible 24/7, cost-effective and you do it at a time and place that suits you! Midwives Learn is the ACM e-learning website that offers a number of online CPD courses for midwives. ACM has the following e-learning courses available: Neonatal Resuscitation Epidural and Spinal Analgesia Continence Promotion: The Importance of the Midwife Telehealth for Midwives Alcohol and Pregnancy (coming soon) Receive 10% off a webinar or e-learning course when you mention the promo code ACMNCAH0714 by emailing education@midwives.org.au

Australian College of Midwives P: 02 6230 7333 | 1300 360 480 www.midwives.org.au

Nursing Careers Allied Health - Issue 13 | Page 15


Midwives catching more babies By Karen Keast

A

ustralia’s midwives may have their hands full. New figures show the nation’s birth rate continues to rise with 301,810 babies born to 297,126 mothers in 2011. The latest report card on the nation’s health, from the Australian Institute of Health and Welfare (AIHW), shows the rate of caesarean sections rose from 18 per cent in 1991 to 32 per cent in 2011. The maternal death rate has dropped from 11.1 deaths per 100,000 women who gave birth between 2000-2002 to 6.8 deaths per 100,000 women between 2006 and 2010. Ninety-one per cent of babies were born between 37 and 41 weeks in 2011, while about six per cent of all babies born were of low birthrate - remaining stable at that rate since 2006. The Australia’s Health 2014 report found the average age of mothers who gave birth in 2011 was 30, four per cent were teenagers and four per cent were women aged 40 and over. One in five women who gave birth were obese, about 13 per cent of women smoked during their pregnancy, down on 17 per cent in 2004, and about half consumed some alcohol during their pregnancy. The report reveals a significant increase in vaccination coverage for children aged five, from 79 per cent in March 2008 to about 92 per cent in 2012. It also shows the most common long-term

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conditions affecting children’s health were allergic rhinitis or hay fever, asthma, and long and short-sightedness in 2011-12. While childhood cancer is rare, it was also found to be the leading cause of death, accounting for about 19 per cent of deaths for children aged from one to 14 in 2009-11. In good news, the report shows the proportion of 0-14-year-olds surviving cancer five years after their diagnosis improved from 68 per cent in 1983-1989 to 81 per cent in 2004-2010. On the flip-side, 26 per cent of children aged 5-14 were found to be overweight or obese. The report found chronic diseases, often labelled the nation’s “greatest health challenge”, are the leading cause of illness, disability and death in Australia, accounting for 90 per cent of all deaths in 2011. The report states an estimated 20 per cent of adults, or 3.2 million people, experienced a mental disorder in the previous 12 months while around 45 per cent, or 7.3 million people, will experience a mental disorder at some stage in their life. More than $7.2 billion, or $322 per person, was spent on mental health-related services in 2011-12. The report estimates there are 332,000 people with dementia in Australia in 2014. Almost one in 10 Australians aged 65 and over have dementia and three in 10 aged 85 and over, while three in five people with dementia are women.


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Midwives, Midwives, Midwives Permanent Fulltime/Part Time and Temporary Contracts available: Tamworth Maternity Service is located at Tamworth Hospital and services the New England North West region of NSW as a rural referral service. Delivering over 900 births per year, the service provides a range of services including full antenatal services, delivery, special care nursery and post natal service. The service includes a Community Midwifery Program servicing the Tamworth area and is supported by a Clinical Midwifery Consultant and Clinical Midwifery Educators. Successful applicants will be provided with an orientation program supported by the Midwifery Educators and ongoing professional development. The positions would suit registered midwives who wish to develop their professional scope of practice in a supported environment. For more information contact: Maureen Dawson - Nurse Manager, Tamworth Maternity Services Phone 02 6767 7316 Forward CVs and expressions of interest to: Maureen.Dawson@hnehealth.nsw.gov.au

Nursing Careers Allied Health - Issue 13 | Page 17


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QLD midwives and nurses uncertain over future pay Queensland nurses and midwives are uncertain over their future following indications by the State Government that a pay overhaul is imminent. As reported by abc.net.au, members of the Queensland Nurses Union (QNU) have received letters from Queensland Health advising it was looking to simplify a “complex web” of structures pertaining to the awards system. The Government has also rolled out an advertising campaign promoting changes to pay rates and allowances. QNU secretary Beth Mohle reportedly said unrest had been caused amid its members, by a lack of clarity in the Government’s messaging. “We’ve just got through the doctors dispute and they’ve seen how damaging that was for re-

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lationships and trust within Queensland Health and now there’s a fear that they’re next cab off the rank,” she said. She indicated there was particular concern about how the pay restructure would impact roles in rural and remote settings, where nurses and midwives were the key service providers. Health Minister Lawrence Springborg reportedly said award changes were designed to reduce bureaucracy and paperwork. “We have about 4,500 award variations, 24,000 pay combinations and of course all of that paper work, all of that bureaucracy, all of that red tape, is just making their lives so much more complex.”

For the full article visit NCAH.com.au


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Aeromedical Flight Nurses Flight Nurse - Darwin • Current driver’s license, passport and Working CareFlight CareFlightisis isanan anAustralian Australiannot-for-profit not-for-profit CareFlight Australian not-for-profit With Children clearance or ability to acquire organisation organisationdedicated dedicatedtoto toproviding providingthe the organisation dedicated providing the community with rapid response criticommunity with rapid response critical community with rapid response cal care.Over Following significant recent care. theOver pastthe 25 past years25we have critical care. expansion of our operations, our doccared for and transported over 20,000 years we have cared for and tors and nurses care for over patients. transported overcurrently 20,000 patients. 5,000 patients per annum. CareFlight CareFlight CareFlightisisgovernment governmentcontracted contracted and • minimum 5 years experience as a nurse currently provides the Top End of the and provides the End Top ofEnd the provides the Top the ofNorthern with minimum years in as emergency/ • minimum 5 years2experience a nurse Northern Territory with a local fixed wing Northern local fixed Territory Territory with a with locala fixed wing wing and critical care and4 post certification with minimum yearsgraduate in emergency/ and helicopter aeromedical service. and helicopter aeromedical service. helicopter aeromedical service. in a critical specialty critical care care and post graduate certification in a critical specialty We are seeking applications from nurses • current certification in care ALS/ACLS and/or interested in working as aeromedical • current certification in ALS/ACLS and/or TNP/TNCC crew members (nursing). This is a fanDesirable: TNP/TNCC • physical capability to meet the challenges tastic opportunity for registered nurses •• physical care qualifications capability to meet the challenges ofCritical aeromedical practice to work as part of an integrated crew • ofDemonstrated to function effectively as aeromedicalability practice, including model in local fixed wing and helicopter a team to member in a in critical environment • helicopter ability operate an ‘out of hospital’ retrieval work retrieval. The role will involve a variety of • environment Paediatric experience to experience operate in working an ‘out of hospital’ •• ability Previous in the area of tasks across operational bases located at For more information visit www.careflight. environment indigenous health Darwin, Katherine and Nhulunbuy/Gove. orgQualifications, •For training visit or experience in more information www.careflight. retrieval org Forward your EOI addressing all criteria, Candidates must be able to demonstrate: HUET Applications are are sought sought from nurses •plus Applications CV and to recruitment@ Forward yourtwo EOIreferees addressing all criteria, • interested Registeredinnurse and as registered interested in working as midwife aeromedical working aeromedical nursing careflight.org Applicants should also indicate plus CV and two referees to recruitment@ • crew Minimum 5 years nursing experience with nursing crew members. If this sounds like something you27 would be members. th availability to start. Closing date careflight.org Applicants should also January indicate evidence of 4 years emergency/critical care interested in please send your CV along with This isis aa fantastic 2014. Contact Darren Clinical This fantastic opportunity for registered availability to start. ClosingChilton date 15th– February experience qualifications to recruitment@careflight.org by to work of an integrated Manager NT Operations on 0488131431 for • nurses Current in ALS/ACLS or TNP/ crew 2013. nurses tocertification work as as part part Contact Darren Friday 25 JulyChilton 2014. – Clinical model helicopter TNCC in further information. model in local local fixed fixed wing wing and retrievals. The Manager NT Operations on 0488131431 for • retrievals. Physically capable meeting the challenges Contact Amanda Quinn - 0418648736 roleofat will involve aand variety of further role will beThe based Katherine involve information. All employees must comply with CareFlight’s aeromedical practice, including for further information tasks across operational bases helicopter located at All employees a ofvariety of tasks across operational bases must comply withPlan CareFlight’s Drug and Alcohol Management (DAMP) retrieval work Darwin, Nhulunbuy/Gove. located Katherine at Darwin,and Katherine and Nhulunbuy/ Drug and Alcohol Management Plan (DAMP) as required by CASA and may be subject to • Highly developed interpersonal, written, and All employees must comply with CareFlight’s Gove. as required by CASA and may be subject Candidates should have a level of fitness random workplace testing. verbal communication skills Drug and Alcohol Management Plan (DAMP) to random workplace testing. will beconsultation, required tonegotiation undertakeand a physical • and Effective con as required by CASA and may be subject to Candidates should have a level of fitness Criminal Record and Working with with Children fitness assessment. Candidates must be able Criminal Record and Working flict resolution skills random workplace testing. Children and will be required to undertake a physical Checks apply. Checks apply. • to Effective time management, problem solving demonstrate: fitness assessment. Candidates must be and decision skills Nurse and •able eligibility formaking Registered to demonstrate: • Ability to operate in ‘out of hospital’ environ Midwife registration with APHRA. • wments eligibility for Registered Nurse with APHRA.

Aeromedical Flight Nurses CareFlight is an Australian not-for-profit organisation dedicated to providing the community with rapid response critical care. Over the past 25 years we have cared for and transported over 20,000 patients.

Nursing Careers Allied Health - Issue 13 | Page 19

CareFlight is government contracted and provides the Top End of the Northern Territory with a local fixed wing and helicopter aeromedical service. Applications are sought from nurses interested in working as aeromedical nursing crew members This is a fantastic opportunity for registered nurses to work as part of an integrated crew model in local fixed wing and helicopter retrievals. The role will involve a variety of tasks across operational bases located at Darwin, Katherine and Nhulunbuy/Gove.


Midwives pursuing career goals More midwives are treading their own path in Australia’s changing midwifery landscape. A unique Australian College of Midwives’ program is helping them shape their careers, writes By Karen Keast

I

t’s like a career coach for midwives. Since its inception six years ago, 600 midwives have opted to complete the Australian College of Midwives’ Midwifery Practice Review (MPR). ACM education officer Ruth King says the MPR program is a unique initiative enabling midwives to take stock of their careers. “There’s lots of peer review programs around Australia and internationally but there aren’t any midwifery specific peer review programs in Australia - this is the only one,” she says. “The MPR has been designed for all midwives so it’s a way for midwives practicing in any area of midwifery to reflect on their practice.” The three-step MPR program covers a selfassessment, self-reflection synopsis, a face-toface review discussion with a midwife and consumer reviewer, and guidance and support to develop a professional development plan. “It’s a way of a midwife reflecting ‘this is where I am in life, this is what I’ve undertaken and I’m really proud of what I’ve achieved and now this is the direction I want to take’,” she says. “The review is undertaken by a midwife and a consumer reviewer and they have been trained to ask specific questions to just drill down into the achievements of the midwife. “It helps the midwife to reflect and see how well they’ve done, areas where perhaps they could go and do some more professional development, highlighting areas that are their strengths and areas where it would be amazing if they could go and develop further.” The Department of Health in Queensland has supported the majority of its midwifery workforce to complete the program. Ms King, a continuity of care midwife of six

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years who previously worked at Adelaide’s Women’s and Children’s Hospital, hopes more health departments will follow suit. “We think that MPR is something that is beneficial for all midwives and would recommend that it be supported by all health departments as a key cornerstone of the midwifery practice,” she says. MPR is just one of the college’s suite of continuing professional development (CPD) pathways for midwives, built on best practice and evidence-based. The college also holds regular webinars on a range of topics and has an e-learning site, Midwives Learn, which offers courses on topics such as neonatal resuscitation, epidural and spinal analgesia, continence promotion, telehealth, and alcohol and pregnancy. The college’s MidPLUS program, which was first introduced about eight years ago, is about to get a new lease on life in line with a revamped website. MidPLUS supports midwives to plan, complete and record their CPD activities. Midwives are required to complete a minimum of 20 hours of CPD each year to maintain their registration. However, MidPLUS requires midwives to go over and above this level to achieve a minimum of 30 hours of CPD, while eligible midwives must complete 40 hours of CPD. Ms King says about half of the college’s 5000-strong membership taps into the benefits of MidPLUS - which provides a valuable record of CPD achievements. “The program allows midwives to enter their CPD details to track the activities that they’ve done throughout the year,” she says.


“It’s stored online for them so they can go away and at the end of the year they can print out a summary if they want to, so it’s like a synopsis of all of the things they have done, or they can just get their certificate that says they’ve achieved 30 hours of CPD.” Ms King says it also enables midwives to go further than simply recording the details of their CPD. They also have the opportunity to reflect on how the CPD will improve their practice. “Reflective practice is something that’s really important for all midwives,” she says. “The regulatory bodies want midwives to do more than just attend a CPD event, they actually want them to reflect on it and say - ‘I attended this event, this is what I learnt from it and this is how it’s going to influence my practice’.” But it’s the college’s MPR, which was launched about six years ago, that has become increasingly popular in recent years. The program, which has received Nursing

and Midwifery Board of Australia accreditation, is a pathway for midwives pursuing eligibility but it’s designed to benefit any midwife. “The thing is that eligibility isn’t for all midwives,” Ms King says. “At the moment, eligibility is linked for midwives working across the full continuum of midwifery so that means demonstrating current competence in antenatal, labour and birth, and postnatal care. “So midwives specifically working in only one area will find it difficult because the eligibility criteria requires them to work across the continuum and show competency across the continuum. “We are seeing a larger number of midwives now who are doing MPR purely for their own professional development and reflection,” Ms King adds. “They’ve seen such positive results from their colleagues, who have been so optimistic about the outcomes that they’ve achieved and what they’ve gained from it.”

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Nursing Careers Allied Health - Issue 13 | Page 21


Nurses applaud investigation into health cuts By Karen Keast Nurses have welcomed a move to put the Federal Government’s health budget cuts under the microscope. The Senate this week agreed to Labor’s motion to establish a Select Committee on Health to investigate the impact of additional costs on access to affordable health care and the sustainability of Medicare, along with reduced Commonwealth funding for hospitals and health services. It also plans to review health workforce planning and the interaction between elements of the health system, such as aged care and health care. The government’s 2014-15 budget outlined the much-maligned $7 Medicare co-payment for GP visits, out-of-hospital pathology and diagnostic imaging services and a rise in the price of prescriptions. It also revealed plans to dismantle Health Workforce Australia, the Australian National Preventive Health Agency and the Australian Institute of Health and Welfare (AIHW). Australian Nursing and Midwifery Federation (ANMF) federal secretary Lee Thomas said the committee will provide Senators with the evidence they need to reject the budget. “The ANMF will continue to defend Medicare and the health of our nation and we urge the Senators to do the same for the health care of all Australians,” she said. Ms Thomas said the government did not have a mandate for the budget’s dramatic changes to the nation’s health care system. “Australians did not vote for the end of Medicare or for billions of dollars to be stripped away from health funding across the country,” she said. “Australians were not told of these plans or asked their opinion, health professionals weren’t

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asked about the merit of these changes and the impact on the community’s health, not even the government’s own Department of Health was consulted. “The Health Minister Peter Dutton has not been able to produce any valid research demonstrating the need for these changes…the government has failed to explain why these changes are necessary.” Opposition health spokeswoman Catherine King said the establishment of the committee comes at a time when Australia’s universal health care system is experiencing “its greatest attack in more than 30 years”.

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Physiotherapists tackle incontinence

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t’s not the most popular area of practice but pelvic floor physiotherapist Melissa Davidson is passionate about her work - and the difference she can make to people’s lives. The principle physiotherapist and owner of Remarkable Physios in Queenstown, New Zealand, said there’s ample research to show just how effective and simple physiotherapy can be when it comes to treating incontinence. Yet, she said, there’s a lack of awareness among other health professionals and also the general public - with many people believing incontinence is simply a part of getting older. She said some clients put up with incontinence for decades when an earlier referral or decision to seek help could change people’s lives for the better. “Often it is life changing for the patient involved and it is incredibly rewarding treating them,” she said. “Often we are the first people who really listen to them, accept them as they are, and offer effective solutions and support for them. “It requires a particular type of physio - willing to ask personal questions, able to empathise, willing to do postgraduate training...it is a specialised field, but it’s extremely rewarding.” With the New Zealand Continence Association estimating more than one million New Zealanders experience incontinence, Ms Davidson has joined forces with Physiotherapy New Zealand to raise awareness of the issue recently as

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part of World Continence Awareness Week. Ms Davidson said physiotherapy is a costeffective, low-risk solution - teaching people how to manage, treat and often completely resolve continence problems. “Over 80 per cent improve or can be cured by pelvic floor physiotherapy alone - no surgery, just education and exercises,” she said. “Physiotherapy treatment is now level one, grade A evidence - patients should have pelvic floor physiotherapy for six or 12 months prior to considering other nonconservative treatments.” Ms Davidson said about one in three women experience incontinence after childbirth and while the risk of incontinence increases with age, it also affects younger people. “(It) can be due to different reasons - weak pelvic floor muscles, prolapsing pelvic organs (bladder, bowel or uterus), constipation, pelvic pain,” she said. “Physios work to increase pelvic floor muscle strength, make life style changes and do a huge amount of education.” Throughout her 23 years in the field, Ms Davidson has helped women who were previously unable to attend gym classes, go walking or lift a washing basket due to leakage, while an older client avoided admission into an aged care facility after she improved her continence.


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utas.edu.au Nursing Careers Allied Health - Issue 13 | Page 25


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Insurers to tender for PHNs Private health insurers Medibank Private and Bupa, which collectively control about 60 per cent of the health insurance market, have indicated they will consider tendering for a contract to co-ordinate medical care under the Coalition’s new Primary Health Networks (PHNs), which will replace Labor’s Medicare Locals. As reported by the Australian Financial Review, a spokesman for Health Minister Peter Dutton confirmed the running of PHNs could be outsourced to the ¬private sector “subject to an open ¬tender process to identify the most suitable entities”. Labor’s Medicare Locals – government funded non-profit organisations – were set up to plan and co-ordinate services between general practitioners, allied health and hospitals around the country. The initiative, which employs 3000 people, was set to cost $1.8 billion over five years.

Page 26 | www.ncah.com.au

The Coalition proposed a smaller number of PHNs aligned with state-run local hospital networks, which will perform a similar function. The cost of the initiative will be met from existing resources, the government said in the May budget, as part of a tough health budget that strips billions of dollars in hospital funding and puts an end to bulk-billing. A spokeswoman for Medibank, which is slated for a $4 billion-plus float before the end of the 2015 financial year, said the company was interested in the contract. In a recent Senate estimates hearing Greens senator Richard Di Natale grilled a Department of Health representative about a potential conflict of interest for the government.

For the full article visit NCAH.com.au


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Danielle Le Fevre Nursing Careers Allied Health - Issue 13 | Page 27


Advanced nutrition leaders recognised Dr Karen Walton is one of eight nutrition leaders to join the ranks of Australia’s Advanced Accredited Practising (AdvAPD) dietitians. The University of Wollongong senior lecturer in Nutrition and Dietetics joins more than 90 other dietitians to be awarded the Dietitians Association of Australia’s (DAA) AdvAPD credential, which recognises APDs who are professional leaders in their field of nutrition and dietetics. Dr Walton, who has worked in dietetics and nutrition for about 20 years, said it was a great honour to receive the credential. “It’s recognition of the work I’ve been doing and certainly I think the work within the domain of food service dietetics,” she said. “I think it shows the type of work you can do in that area - linking in the food service system, the food service dietetics with other domains of practice to show how far we can take it and how it’s integral to every domain of practice really.” Dr Walton’s research work has focused on nutritional support for older adults, particularly in food service environments. “My PhD was very much looking at hospitalised patients, particularly long-stay elderly patients - what they are eating, what we are providing, how we can best support them,” she said. “My research has involved what older adults are having in terms of food and nutrition and how we can maximise that to assist functionality and independence, and essentially assist people to remain in their own homes.” With the nation’s rapidly ageing population, Dr Walton is working on a range of projects designed to improve nutrition for older people, from working with Meals on Wheels through to GPs and practice nurses. “I think nutrition screening in the community is a really important area - trying to flag older adults that might be at risk of malnutrition before

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they perhaps unfortunately have a fall or some other event that may lead them to hospital,” she said. Dr Walton said Australia has a “big issue” of malnutrition among older adults. “If you look at our hospital population when people come into hospital - a number of them will be malnourished already or at risk, and the longer they tend to stay the more we know they have a number of other impacts on their intake and their nutritional status can actually get worse. “We know up to 50 per cent of people in aged care can be malnourished, and in the community significant numbers of people can be malnourished as well. “We need to really look at how we best screen and assess and flag those people who are at risk or malnourished already,” she said. “Then we can look at appropriate strategies to best support them to make sure they are getting enough energy, enough protein and the proper nutrients but things that they will enjoy as well and things that they will eat are also really important - so real food and making every mouthful count.” The newly appointed AdvAPDs include Curtin University senior lecturer Dr Andrea Begley, Deakin University Associate Professor Dr Tim Crowe, Flinders University lecturer Louise Matwiejczyk and Deakin University Associate Professor Dr Sarah McNaughton. Baker IDI Heart and Diabetes Institute diabetes dietitian Sonia Middleton, Flinders University Associate Professor Dr Michelle Miller and Tasmanian Cystic Fibrosis Service paediatric Cystic Fibrosis coordinator Nicole Saxby also achieved the credential.

For the full article visit NCAH.com.au


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Expanded scope for advanced care paramedics Selected Advanced Care Paramedics (ACPs) will provide early fibrinolysis to heart attack patients, as part of an extended trial. Queensland Ambulance Service (QAS) ACPs are being trained to administer additional cardiac medications, including enoxaparin, tenecteplase and clopidogrel, as part of an initiative that aims to give heart attack patients a better chance of survival and a faster recovery. Senior clinical educator Brett Rogers said the QAS attends more than 8000 acute coronary syndrome patients every year. “Paramedics have described this as one of the most rewarding clinical advancements they have undertaken, providing timely treatment to the many heart attack victims they attend each year,” he said. S e v e n ACPs on the Sunshine Coast and four ACPs from the Wide Bay area have completed their training and assessments as part of the extended Cardiac Reperfusion Strategy, and will soon be authorised to carry and administer clot busting medications. Another five ACPs from Mount Isa will soon begin their training. Under the initiative, nominated ACPs will undergo comprehensive training, including cardiac physiology and pharmacology, advanced 12Lead ECG interpretation, scenario training, and

Page 30 | www.ncah.com.au

administration of clinical checklists, to determine patient suitability for additional treatment options. ACPs will also have access to support through the QAS 24/7 on-call medical consultation line, with the patient’s ECG being transmitted for confirmation where necessary. State Health Minister Lawrence Springborg said Queensland’s Intensive Care Paramedics have been able to provide rapid access to lifesaving treatments for heart attack patients since 2008. “By extending the scope of practice for other paramedics who work throughout all other Queensland regions, we are ensuring that they are receiving professional development and the best training while being armed with the best equipment and latest life-saving drugs,” he said in a statement. “We have seen great success in using this drug as part of the Coronary Reperfusion Strategy which has seen 2983 patients treated in six years. “More than 1100 of those patients have been fast-tracked to a catheter lab upon arrival at hospital which has improved patient recovery while taking pressure off our emergency departments.” In a statement, QAS said medical and nursing staff in the cardiac catheterisation laboratories have welcomed QAS Critical Care Paramedics for clinical placements to further consolidate their education in cardiac anatomy, physiology, pathophysiology and definitive care for many years. “This has been a vitally important component of the professional development of QAS paramedics, and the cardiac nurses and interventional cardiologists will continue to provide important feedback and ongoing professional development opportunities.”


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