NCAH Issue 21 2012

Page 1

Issue 21 22/10/12 fortnightly

Midwifery & Maternal Feature New nursing and midwifery research network launched Paramedics raise alarm over alleged drug theft Union calls for nurse practitioners over physician assistants More breast care nurses as diagnosis numbers continue to rise

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Nursing Careers Allied Health - Issue 21 | Page 3


www.ncah.com.au )SSUE p /CTOBER We hope you enjoy perusing the range of opportunities included in Issue 21, 2012. If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at careers@ncah.com.au m&!#4 ./4 &)#4)/.n The NCAH Magazine distribution is independently audited by the Circulations Audit Board. Total Audited Print and Digital Distribution: 28,090 The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email careers@ncah.com.au or visit www.ncah.com.au If you would like to change your mailing address, or be included on our distribution, please email careers@ncah.com.au

Published by Seabreeze Communications Pty Ltd Trading as NCAH. ABN 29 071 328 053. Š 2012 Seabreeze Communications Pty Ltd. All rights reserved. No part of this publication may be copied or reproduced by any means without the prior written permission of the publisher. Compliance with the Trade Practices Act 1974 of advertisements contained in this publication is the responsibility of those who submit the advertisement for publication.

Next Publication: Aged Care Feature Publication Date: Monday 5th November 2012 Colour Artwork Deadline: Monday 29th October 2012 Mono Artwork Deadline: Wednesday 31st October 2012

Page 4 | www.ncah.com.au

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Nursing Careers Allied Health - Issue 21 | Page 7


DIRECTOR OF NURSING • Key clinical role • Attractive package • Lismore, NSW Our client, St Vincents Private Hospital, Lismore, is seeking an experienced senior nursing professional who is capable of leading and managing the nursing workforce as well as being an effective member of the Executive management team. Reporting to the Chief Executive Officer, the Director of Nursing assumes full responsibility and is accountable for the effective leadership and management of the clinical group and operational activities on a day to day basis. Patient care is expected to be of high standard and this is reflected by positive patient outcomes. Operationally the Director will ensure every activity is undertaken to accomplish the strategic plan. The role of the Director of Nursing encompasses the supervision of clinical services with the support of the Nurse Management Team.The Director of Nursing is responsible for meeting clinical budgetary and KPI targets. Candidates should hold post-graduate qualifications in Nursing and/or Nursing Management and have significant leadership, clinical and management experience. Excellent interpersonal skills, a demonstrable ability to formulate and implement clinical and business strategy and a commitment to the organisations values will also be needed. An attractive remuneration package is being offered to secure the right candidate seeking to further develop their managerial experience at a senior level. If you have the background and skills for this challenging role then we would like to hear from you.

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www.hrsa.com.au or contact Mr Peter McGregor on: 0407 139 257 Applications close Monday 19 November 2012 PO Box 83 Ocean Grove 3226 hrsa@hrsa.com.au www.hrsa.com.au Page 8 | www.ncah.com.au


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Nursing Careers Allied Health - Issue 21 | Page 11


Paramedics raise alarm over alleged drug theft by Karen Keast Ambulance Victoria paramedics have been credited for raising the alarm after one of their colleagues allegedly stole a large quantity of the pain killer drug Fentanyl. Ambulance Victoria chief executive officer Greg Sassella said “many hundreds” of patients were affected when the highly addictive drug was replaced with tap water. Mr Sassella also revealed Victoria is the first state in Australia to now use Fentanyl vials with a more tamper-proof steel cap, replacing the former rubber cap which could be penetrated with a needle. “We have been talking to them (the drug manufacturer) from before this incident to see if there can’t be improvements made,” he told a media conference. “We asked them to expedite the changes and to their credit they have.” Mr Sassella said the ambulance employee has been stood down on full pay while Victoria Police investigate the incident but he declined to comment on how long the alleged theft had been taking place. “Once we were able to confirm that indeed there was an issue it was reported immediately to Victoria Police and their investigation is still underway as we speak today so I am limited in what I can say about the actual investigation.”

tap water and the tap water was then given to the patient via the nose. “Patients who have received this drug and it hasn’t worked they still have available to them morphine or another drug called methoxyflurane. “We apologise for any sub-optimal pain relief they may have had; remember they may also have been given morphine due to the noneffect of the water.” Mr Sassella said Ambulance Victoria’s security measures were “pretty tight”, and include drug safes with electronic access cards and codes along with CCTV but he said it was paramedics that alerted management to the alleged theft. “We had advised our workforce to be vigilant and if they saw an anomaly to report them and in fact this particular incident was reported by the paramedics themselves so that’s to their great credit,” he said. “We were then able to use our systems to clarify there was an issue and we reported it to the Victoria Police. “It’s a very unfortunate reality but any health service, hospitals, ourselves and we know other national ambulance services have had a similar issue - extremely rare but some people are unable to overcome their desire to misappropriate drugs occasionally.”

He said the ambulance service had contacted all patients who may have been affected and advised them the use of water, instead of Fentanyl, was “safe”.

Mr Sassella said while drug theft was “very rare” the ambulance service had been able to identify 100 per cent of cases.

“We know that the misappropriation of this drug in some instances it was replaced with

“We are very confident in our systems and I think this is evidence of it,” he said.

Page 12 | www.ncah.com.au


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PO Box 83 Ocean Grove 3226 hrsa@hrsa.com.au www.hrsa.com.au Nursing Careers Allied Health - Issue 21 | Page 13


More breast care nurses as diagnosis numbers continue to rise by Karen Keast New statistics forecast an extra 10 women will be diagnosed with breast cancer every day in Australia in 2020.

Ms Bevan said, like all nurses, it takes a special kind of person to become a breast care nurse.

The Australian Institute of Health and Welfare and Cancer Australia report, Breast cancer in Australia: an overview, has revealed 37 Australian women are now diagnosed with the disease every day but that figure is expected to jump to 47 women diagnosed daily in eight years’ time.

She said Jane went through her first treatment in 1997 without a breast care nurse and experienced the difference of having a breast care nurse at her side following her rediagnosis in 2003.

The report predicts the number of women diagnosed with the disease will rise due to the ageing population with about 17,200 new breast cancers expected to be diagnosed in 2020. The statistics come as the McGrath Foundation continues to work towards its target of introducing 150 breast care nurses to support families experiencing breast cancer across Australia. McGrath Foundation ambassador and director Tracy Bevan said there are now 77 McGrath breast care nurses across Australia, and based on current breast cancer statistics, the foundation aims to reach its target of 150 to ensure every family going through breast cancer has access to a breast care nurse. “Jane (McGrath, the foundation founder) passed away in 2008 and before she passed we had four. In that short time we have gone to 77,” Ms Bevan said. “We have had an amazing amount of support but we realise we are not going to get to 150 in the same amount of time. “We have still got to continue the funding for the 77 nurses, so we know we have got a big job.” Page 14 | www.ncah.com.au

“I know all breast care nurses are special people. I know it’s true because of what Jane told me,” she said. “Jane said ‘she’s you going through the breast cancer - she’s the friend holding my hand’. “Jane said ‘I didn’t invite breast cancer into my life and I don’t want it to be part of my friendship’. “She said ‘she answers all of the questions that you can’t and I can speak with her and tell her how I am truly feeling’. “They just bring so much support to the person going through breast cancer.”


Nursing Careers Allied Health - Issue 21 | Page 15


Midwife Hours - Negotiable An opportunity exists within the Midwifery Department for a Registered Midwife to join our dynamic Sea-side Organisation. The role of the Modified Group Practice Midwife is to plan and implement a team approach to women centered care providing antenatal, intrapartum and postnatal care to specified individual women and their families. The midwife will form an integral part of a multi-disciplinary team and will be required to provide highly responsive and flexible service to women and their families both within the hospital and the community. This position is for 40 hours per fortnight, and is available immediately. Key Selection Criteria: s 2EGISTERED -IDWIFE s "ACHELOR OF .URSING AND OR -IDWIFERY EQUIVALENT s 0OST 'RADUATE EXPERIENCE s $RIVERS LICENSE The Ideal candidate will have the ability to work safely as part of a team environment and have a strong focus on providing quality services. You will need to maintain privacy and confidentiality and uphold professional presentation standards at all times. Employment is subject to a satisfactory police check. Applications close: 5pm Friday 2 November 2012

For further information regarding this position please visit our website at: www.pdh.net.au Applications are to be directed to: Human Resources Portland District Health, Bentinck Street, PORTLAND VIC 3305 Ph: 03 5521 0312, email: rskaer.pdh@swarh.vic.gov.au

New nursing and midwifery research network launched by Karen Keast New South Wales is now home to a new nursing and midwifery research initiative. The recently launched BRICs (Building Research and Interdisciplinary Collaborations) Nursing and Midwifery Network has forged a group of researchers focused on encouraging the growth of world class interdisciplinary research, involving nurses and midwives, nationally and internationally. The group is the work of the Hunter Medical Research Institute, Hunter New England Health and The University of Newcastle. BRICs Network co-chair Professor Isabel Higgins said the network will provide an essential support base for nursing and midwifery research throughout the state. Page 16 | www.ncah.com.au

“The network is important because it has the ability to build capacity for research and clinical innovation within an interdisciplinary framework that is strategically aligned, and which will provide direction to healthcare policy and practice both nationally and globally,� she said in a statement. Through the University of Newcastle’s School of Nursing and Midwifery Collaborating Center for Older Person Care, Professor Higgins’ research focuses on pain and symptom management, end of life care, family members and needs of carers, practice issues and practice redesign. For the full article visit NCAH.com.au


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Nursing Careers Allied Health - Issue 21 | Page 17


Breast care nurse a Gympie godsend by Karen Keast “I am in the privileged position of being able to step into people’s lives and help by providing information and support at all stages of the breast cancer experience,” Sharon reportedly told the Gympie Times. “Feedback from families is one of relief that their loved one has the support of a McGrath Breast Care Nurse and their appreciation makes the work worthwhile.” Sharon’s position was established by the McGrath Foundation in May 2009 and made possible thanks to the Federal Government’s grant of $12 million over four years to the McGrath Foundation to recruit, train and The McGrath Breast Care Nurse program

place McGrath Breast Care Nurses in 44

continues to promote its success stories in

locations across Australia.

supporting women with breast cancer and their families, this time marking the three

Co-founded by Jane and Glenn McGrath after

year anniversary of the McGrath Breast Care

Jane’s initial recovery from breast cancer, the

Nurse role at Gympie in Queensland.

McGrath Foundation aims to funds to place

The McGrath Foundation has confirmed that

McGrath Breast Care Nurses in communities

McGrath Breast Care Nurse Sharon Shelford

though out Australia and increase breast

has supported more than 275 Gympie women

awareness in younger women.

experiencing breast cancer since she took up her role at the Sunshine Coast Hospital and

To date the McGrath Foundation has helped

Health Service Gympie Hospital.

support more than16,000 Australian families

Providing

physical,

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emotional support to local breast cancer sufferers as well as their families and

experiencing breast cancer, with 77 McGrath Breast Care Nurses working in communities right across Australia. There are McGrath

carers, Sharon’s care begins from the time

Breast Care Nurses located in areas as far

of diagnosis and continues throughout

reaching as Hervey Bay to Geraldton (WA),

treatment.

Armidale (NSW) and Warrnambool (Vic).

Page 18 | www.ncah.com.au


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Experienced Registered Midwives Casual & Permanent Part-Time Positions Available Now Are you looking for a change of scenery, friendly people, dynamic schools, outstanding views with amazing water sports and only a short trip to the snowfields or wineries? Well, if this is you, we currently have vacancies for experienced registered midwives. It is a requirement that applicants for the above positions have current nursing registration. A Position Description and Information Package is available on request from : Mrs Jen Sonneman, Executive Assistant on (03) 5743 8130 or email jennifer.sonneman@yh.org.au All enquiries and applications including a CV and two current professional referees should be addressed to: Elaine Mallows Director of Clinical Services Yarrawonga Health 33 Piper Street, Yarrawonga VIC 3730 Telephone: 03 5743 8131 Email: elaine.mallows@yh.org.au

Nursing Careers Allied Health - Issue 21 | Page 19 corrected copy


Hannah Dahlen – one midwife’s journey to advocate for change by Karen Keast Hannah Dahlen’s earliest memories are of watching her mother, a midwife, tend to the care of pregnant women visiting a missionary clinic in Yemen, in the Middle East. “My early memories are of sitting in the clinic with kidney dishes and spatulas while she did all of the antenatal checks and looked after women,” she recalled. “When I was 10 I saw my first birth and when I was 12 my next door neighbour gave birth and I helped the midwife catch her. They named the baby after me.

Her mother’s decision to move to Yemen led to her mother meeting Hannah’s father, and resulted in Hannah being born and bred in one of the poorest countries in the Arab world. Hannah moved to Australia at the age of 15 and later took up her nursing studies, before venturing to England to follow in her mother’s training footsteps, where she experienced home birthing.

“I held this baby as the dawn was breaking over the Middle East and I thought - there can be no other job on this earth, as being at the beginning of a new life.”

Then she returned to Australia and worked as a midwife at several hospitals while adding to her studies, achieving Honours, her Masters and PhD, joining both UWS and the College, where she has also been president and vice president.

That early realisation has led to a career where Hannah has followed her passion for midwifery through clinical practice, into academia and also into the domain of politics.

As a privately practising midwife, Hannah is also an eligible midwife with a Medicare provider number and she hopes to be one of the first midwives in the nation to have prescribing rights.

Now a renowned advocate for midwives, Hannah is the Australian College of Midwives’ spokesperson, an Associate Professor of Midwifery at the University of Western Sydney, where she is one of Australia’s leading midwifery researchers, and a privately practising midwife with a small Sydney midwife group practice, where she has been pivotal to the delivery of 20 home birthed babies in the past two years.

Outside of work, Hannah’s husband also works in the health sector, as the nurse manager of an intensive care unit.

Those roles form Hannah’s public persona but now Hannah has provided an insight into her private life, revealing her mother, who trained in England, and who “caught babies in people’s houses” was the inspiration behind her career. Page 20 | www.ncah.com.au

“He’s often at the end and I am at the beginning. There’s a lot of similarities. I call them the book ends of life; everything in between is our lives,” she said. “It matters intensely how these two incredible events occur - that we are born with dignity, love, pride and power and that we die with dignity, love, pride and power.” Together, the couple have two girls, aged 14 and 7, and they have also lost two little boys who died of a rare genetic condition.


It was that experience that prompted Hannah to spend three years running workshops for midwives on grief and loss, and she now finds grieving parents contact her from across the country. While Australia has taken major leaps in the field of midwifery care in the past few years, especially in the area of Medicare funding and a move towards prescribing rights, Hannah says midwives have also lost ground; losing visiting rights and insurance for home births, with the extension of the professional indemnity insurance exemption just a temporary solution. Above all, Hannah wants Australia to embrace the benefits of home birthing, as part of her campaign for women to have greater choice when it comes to how they give birth.

Hannah believes home births are safe for low risk women with a competent registered midwife, well networked into a responsive health service. “When you have all of that in place home birth is not only safe but truly satisfying,” she said. “I want home births to become a valid option in the interest of equity and choice.” With so many recent changes, and more on the horizon, Hannah said it’s an exciting time to be a midwife in Australia. “I honestly think there’s no better career on earth,” she said. “Many people think about changing their career or doing something else, I have never had a second thought about what I do.” Nursing Careers Allied Health - Issue 21 | Page 21


NSWNMA unites against O’Farrell by Karen Keast Members of the New South Wales Nurses and Midwives Association (NSWNMA) have united to oppose the O’Farrell Government’s move to reduce public service employees’ incomes and benefits.

Other

NSWNMA members came together on Monday 8 October to challenge the Liberal and National Coalition’s application to vary the Crown Employees Award. The two nursing awards likely to be affected by the move are: The Nurses’ (Department of Family and Community Services – Ageing, Disability and Home Care) (State) Award 2011 and The Crown Employees Nurses’ (State) Award 2011.

Holmes indicated the latest developments,

It is understood nurses and midwives and their support staff, along with disability nurses are likely to be affected by the move.

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emerging as part of the State Government’s restructuring of New South Wale’s public services, had dealt a further blow to a workforce that was already overstretched. “The NSWNMA is fully across what the State Government is trying to do with this application against public servants and it will vigorously oppose this unjustified attack salary earners, including nurses and midwives in disability services.”

Brett Holmes, general secretary of NSWNMA reportedly commented that the “full extent of what Mr O’Farrell is trying to do has become much clearer in recent days.” “The Government has indicated that it will be making cases in the NSW Industrial Relations Commission to remove from the Crown Award some important conditions,” he told NCAH. “Broadly speaking, key allowances and entitlements are under threat from the changes, with examples including the removal of 17.5 per cent annual leave loading.” “They’re also planning to remove remote allowances as well as family and community service leave.” Page 22 | www.ncah.com.au

Brett Holmes from the NSW nurses assoc.


Nursing Careers Allied Health - Issue 21 | Page 23 120926 Flight Nurse ad 180H X 125W converted to outlines.indd 1

28/09/2012 2:42:58 PM


Physiotherapists lack confidence in rheumatoid arthritis by Karen Keast Almost 80 per cent of physiotherapists lack the confidence to manage rheumatoid arthritis (RA) and require professional development in the area, according to the results of a new Australian study. The study, published in Arthritis Care and Research, found 77.5 per cent of physiotherapists reported a lack of confidence in managing RA, with most indicating they would benefit or definitely need professional development in RA-specific disease knowledge and clinical skills. “The survey data suggest that clinicians in primary care currently lack the confidence to initiate safe and effective management for patients with RA, highlighting the need for PD to ensure that workforce capacity can meet the needs of consumers and health policy directives,” the report states. Australian National Health Survey, 2007-2008, figures reveal 2.1 per cent of Australians selfreported a diagnosis of the chronic systemic inflammatory disease, that targets flexible joints and also affects tissues and organs. The disease affects up to 1.1 per cent of the adult population worldwide and its prevalence in Australia is forecast to double by 2050. Curtin University of Technology School of Physiotherapy’s Dr Andrew Briggs was lead author of the study, which included an international Delphi panel of rheumatologists, physiotherapists and patients. The study aimed to identify the essential disease-specific knowledge and skills community-based physiotherapists need to effectively and safely deliver recommended care for RA. Page 24 | www.ncah.com.au

“To effectively manage RA, communitybased physiotherapists require excellent communication skills and disease-specific knowledge, including understanding the role of the multidisciplinary team and the principles of early referral, chronic disease management, and monitoring,” the report states. “Physiotherapists identified a need for PD to develop these skills.” The report recommends combining the use of clinical and research leaders in the field with a review of clinical practice guidelines to develop professional development targeted to the current and future workforce.


Are you ready for a Southern exposure? Southern NSW Local Health District Mental Health, Nursing and Midwifery Positions Available Varying positions available at Goulburn, Queanbeyan and Bega For these and other vacancies in our region visit us at gsahs.nsw.gov.au and follow the link to Southern NSW Local Health District Positions For further information, contact Melissa Knight on (02) 4824 1856 Or email SNSWLHD.Careers@gsahs.health.nsw.gov.au and quote reference NCAH-Oct12 http:/www.health.nsw.gov.au/snswlhn/

Southern exposure‌ get up and go! Nursing Careers Allied Health - Issue 21 | Page 25


Nurses take action over inadequate breaks by Karen Keast Nurses are taking Queensland Health to court amid claims they were not compensated for inadequate breaks between shifts. The Queensland Nurses’ Union has filed a case in the Industrial Magistrates Court on behalf of four nurses and it’s revealed it is also considering another 92 applications, including 89 from Gold Coast nurses and midwives. The union states the Queensland Health nurses and midwives failed to receive the full 10-hour break between shifts for up to six years, in breach of the state award. QNU secretary Beth Mohle said the compensation owed to one nurse could be as high as $40,000 but most would be “much, much less than that”. In one case, the union believes there were 80 alleged award breaches against one employee over five years and it has estimated compensation to be in the order of $17,000. In another case, the union estimates the award was breached 30 times in the past three years which could result in that employee’s compensation reaching about $7500. Ms Mohle said members first alerted the union around July or August last year and attempts to resolve the issue with Queensland Health had failed. She said the nurses had not formally agreed to an eight hour break in a written agreement between them and their employer. Ms Mohle said the award was there for the benefit of nurses and was also there to protect Page 26 | www.ncah.com.au

safe patient care.“This is to make sure that our members aren’t fatigued between late and early shifts,” she said. “These entitlements were never handed to anybody on a plate. What entitlements we have ever had has been fought for. “It’s really important that nurses and midwives are aware of their rights and it is important that they claim them.” Ms Mohle said it was a standard case being brought for breach of the award but she said most of the union’s disputes were resolved out of court.

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W: www.ahnr.com.au E: ahnr@ahnr.com.au T: 1300 981 509 Nursing Careers Allied Health - Issue 21 | Page 27


Unique program caring for nurses at risk by Karen Keast The future of Victoria’s unique Nursing and Midwifery Health Program is under threat. The Australian Nursing Federation’s Victorian branch fears the confidential program, which helps nurses and midwives battling addiction or mental health issues, could fold with the Nursing and Midwifery Board of Australia announcing it will not fund the program from 2014. ANF Vic branch acting secretary Paul Gilbert said the announcement is “disappointing”. “We will continue to be advocating and lobbying for the Victorian program,” he said. “We don’t believe there’s any alternative program available and that’s why it’s been created.” Mr Gilbert said the program, launched in 2006, is assisting 700 nurses and midwives, with about 30 per cent of those requiring ongoing care. He said about 70 per cent of presentations to the program are for mental health issues while about 30 per cent are for addiction, mainly to prescribed medication. “It’s about looking after nurses and midwives who have mental health or addiction problems that affect their practice,” he said. “They (addiction problems) often arise because they have been prescribed for nurses with back injuries in particular and become addicted to them and they have access to them at work. Page 28 | www.ncah.com.au

“The program is used quite a bit by the Nursing and Midwifery Board as a very affective program for referring people who come to the attention of the board. “The majority of people come by way of self-referral. We had the experience of nurses who had particularly a drug addiction problem and were unable or unwilling to seek treatment because the only treatment provided was their own employer, particularly outside of Melbourne and occasionally within Melbourne. “Your capacity to have any confidential support or treatment was compounded…. and people weren’t seeking treatment.” The Nurses Board of Victoria previously funded the program until the move to national registration, when the funding was guaranteed to continue until June 2013. The Nursing and Midwifery Board has now revealed it has decided against providing ongoing funding for the program or supporting the proposed national expansion of the program. The board stated it will provide a year’s additional funding to June 2014 to enable the program to explore alternative funding sources and establish transitional arrangements. “The national board’s role and functions are defined under the National Law,” the board said in a statement. “In this context, having reviewed both the current NMHPV and other jurisdictional services available for the management


of nurses and midwives with a health impairment, the national board has decided not to fund a health program nationally or to support the ongoing funding of the NMHPV. “An independent report guided the national board’s decision. “In summary, the report identified that a range of services providing support to nurses and midwives with health impairment are already accessible nationally, in both public and private health sectors. “The national board is also aware of stakeholder concerns that a national rollout of a health program for nurses and midwives may have implications for increases in registration fees that nurses and midwives pay annually.” The board also ruled out increasing fees to support the program’s funding to 2014. More than 5200 people have signed the union’s online petition calling for the board to save the program, at a time when nursing and midwifery registration fees have increased $113 or 340 per cent in less than nine years. Mr Gilbert said the union will explore other funding avenues, including new partners, for the program and will lobby Victorian Health Minister David Davis to take the issue to a national meeting of health ministers this month. He also called on the board to release the independent report into the program, which is based at Melbourne’s St Vincent Hospital and also operates out of Ballarat, Shepparton, Traralgon and Bendigo. Nursing Careers Allied Health - Issue 21 | Page 29


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Wound care nursing project wins national award by Karen Keast An initiative to create Victoria’s first state-wide approach to wound management has received national acclaim. The Connected Wound Care Project, a partnership between the Royal District Nursing Service, the Victorian Department of Health and Regional Wounds Victoria, has been recognised with an Australian Institute of Project Management award for its outstanding achievements. The project, which began in July 2010, developed nine wound health care guides and a diabetes foot kit in a bid to improve the management and prevention of chronic wounds, including leg and foot ulcers, pressure injuries and burns, across Victoria.

The guides were developed for both nurses and patients, covering topics such as healthy eating for healing, skin care, activity and healing, and the use of footwear for patients with wounds or at risk of developing wounds. The resources have now been distributed to 275 public healthcare providers, while the project has received requests from GPs and there has also been interstate interest in the project. The project was designed to create a consistent, best-practice approach to manage and treat chronic wounds, connecting wound management clinical nurse consultants with the department, community care healthcare providers and the RDNS. For the full article visit NCAH.com.au

Rural pharmacies struggle to recruit pharmacists by Karen Keast Community pharmacies in rural New Zealand are struggling to recruit and retain pharmacists. A Pharmacy Guild of New Zealand survey has found 24 per cent of pharmacies are finding it difficult to recruit professional pharmacy staff, up from 15 per cent last year, because they are located in rural areas. The survey results prompted the Guild’s executive chair Karen Crisp to repeat calls for the government to include pharmacists and pre-registration pharmacists in its voluntary bonding scheme. “The Guild believes including pharmacists and pre-registration pharmacists in the voluntary bonding scheme would help alleviate staff shortages in rural pharmacy and improve Page 32 | www.ncah.com.au

access to health care for rural populations,” Mrs Crisp said in a statement. “The primary reason given by respondents for the difficulty recruiting pharmacists and technicians was because the pharmacy was located in a rural area.” The Guild supported the Pharmacy Council’s calls in 2009 for the government to widen the voluntary bonding scheme, which encourages newly-qualified doctors, nurses, midwives, medical physicists and radiation therapists to launch their careers in communities and specialities that struggle to recruit and retain staff. The scheme provides payments to student loans after a three to five year bonded period. For the full article visit NCAH.com.au


Rewarding Career Opportunities, Orange “Providing holistic, multidisciplinary acute mental health care to young people up to 18 years of age, we believe in creating a caring and nurturing environment and fostering positive relationships that support young people to reach their full potential of mental wellbeing.” Nurse Unit Manager, Ben Headlam said The Wollemi-Kids Mental Health and Wellbeing program is one of many new services offered at the state-of-the-art Orange Health Service.

We are excited to extend a variety of career opportunities for nursing, medical and allied health staff to join our vibrant team and be a part of the ongoing development of this exciting service. Wollemi – Rewarding Kids embraces Career a dynamicOpportunities, and person centred approach to the Orange mental health and wellbeing of young people with access to a full range of “Providing holistic, multidisciplinary healthhealth care to young people up to 18 years of age, we general, drug and alcoholacute andmental mental services. believe in creating a caring and nurturing environment and fostering positive relationships that support

.” Nurse Manager, Ben Headlam saidto the unit are young people to reach their of mental The young person isfull atpotential the centre ofwellbeing all that we Unit do. Admissions The Wollemi-Kids Mental Health andAcross Wellbeing all program is one of manyof newthe services offered atyoung the state-ofshort term and intensive. components program people the-art Orange Health Service. We are excited to extend a variety of career opportunities participate in their own care as a valued member of their own treatment team.

for nursing, medical and allied health staff to join our vibrant team and be a part

The innovative inpatient program includes a range of therapeutic activities and of the ongoing development of this exciting service. groups, individual and family interventions, access to a school program and Wollemi – Kids embraces a dynamic and person centred approach to the mental health and wellbeing of young importantly, people with accessFUN! to a full range of general, drug and alcohol and mental health services. most The young person is at the centre of all that we do. Admissions to the unit are short term and intensive. Cara, a Registered Nurse recently made the move to Orange and hasn’t looked Across all components of the program young people participate in their own care as a valued member of their own treatment team. back. The innovative inpatient program includes a range of therapeutic activities and groups, individual and family “Orange is a togreat tomost live! Relocating here was easy; interventions, access a school place program and importantly, FUN! everybody made feel at home and Cara, a Registeredreally Nurse recently mademe the move to Orange and hasn't lookedwere back. extremely helpful. Wollemi-Kids is a great place to work, it’s varied, fun and "Orange is a great place to live! Relocating here was easy; everybody really made me feel atIt’s home and were extremely helpful. Wollemi-Kids a great place challenging! extremely rewarding knowing youisare helping to work, it's varied, fun and challenging! It's extremely rewarding knowing you make a positive difference to young people’s lives.” Cara said.

are helping make a positive difference to young people's lives." Cara said.

For further information Mental Health and Drug &within Alcohol For further information on these on and these all Mentaland Healthall and Drug & Alcohol career opportunities Western NSW Local Health District, please visit www.ynotmakeityou.com.au career opportunities within Western NSW Local Health District, please visit www.ynotmakeityou.com.au

Nursing Careers Allied Health - Issue 21 | Page 33


Union calls for nurse practitioners over physician assistants by Karen Keast The New Zealand Nurses Organisation has questioned why United States’ physician assistants are being funded and recruited to work in rural parts of the country. The nurses’ union has spoken out in opposition to the plans and called for nurse practitioners to instead be considered for the positions. In a statement, the union said it is “disappointed” five New Zealand practices will host the recruited health workers instead of employing nurse practitioners, who come equipped with a minimum of eight years’ experience and post graduate education. “We are disappointed that following a flawed and poorly evaluated demonstration at just one District Health Board more U.S. health workers are being funded and recruited to work in rural New Zealand,” NZNO professional services manager Susanne Trim said. “There are New Zealand trained specialty registered nurses and nurse practitioners who do similar work but who have not been considered for these funded positions.” Ms Trim said there is no evidence to prove physician assistants are necessary in New Zealand. The comments come amid reports four Waikato practices and one Southland practice will host the physician assistants as part of the second phase of the Health Workforce New Zealand demonstration. In the first demonstration, two U.S.-trained physician assistants were employed for one year to work at an acute surgical unit at Middlemore Hospital in Counties Manukau District Health Board. Page 34 | www.ncah.com.au

On its website, Health Workforce NZ states the move to test the physician assistants’ concept in a variety of New Zealand settings with a more thorough evaluation is part of a plan to address the nation’s “significant workforce challenges in rural and semi-rural areas”. “It was acknowledged that the first demonstration had limitations in that it was the first experience of the role in New Zealand,” the website states. “Being an unregulated profession the PAs could not operate to their full scope as they do in US. “The two supernumerary PAs were only hospital – acute surgical team – based and the scope of the role was not initially clearly defined. “However, the demonstration did reveal that PAs are perceived as useful members of the team, can fill gaps in service delivery and can contribute to improving patient safety.”


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