Ncah issue 23 2013 by Seabreeze Communications

Issue 23 18 Issue 09/09/13 18/11/13 fortnightly fortnightly

Education Feature Feature Education Paramedics devastated at helicopter New clinical training centre opens rescue death ACT nurses reach payapplaud deal move to â&#x20AC;&#x2DC;scrap the capâ&#x20AC;&#x2122; Health professionals Australian physiotherapists want prescribing Nurses receive support for power to prescriberights Tasmanian health graduate nursing positions disappointing: ANMF Registered practitioners on the rise

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www.ncah.com.au www.ncah.com.au Issue 23 17 – 18 26 August 20132013 Issue November 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 23, 2013. included in Issue 17, If you are interested in pursuing any of these opportunities, Ifplease you are interested in pursuing any ofvia these contact the advertiser directly the opportunities, contact details please contact the advertiser directly via the details provided. If you have any queries about ourcontact publication or provided. If you any queries about ourplease publication if you would likehave to receive our publication, emailor us ifatyou would like to receive our publication, please email us careers@ncah.com.au at careers@ncah.com.au

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The NCAH Magazine is the most widely distributed national The NCAH is the most widely distributed national nursing andMagazine allied health publication in Australia nursing and allied health publication in Australia For all advertising and production enquiries please contact For all advertising and8700, production us on +61 (0) 3 9271 email enquiries please contact us on +61 (0) 3 9271 8700, email careers@ncah.com.au or visit www.ncah.com.au careers@ncah.com.au or visit www.ncah.com.au If you would like to change your mailing address, Iforyou likeon toour change your mailing address, be would included distribution, please email or be included on our distribution, please email careers@ncah.com.au careers@ncah.com.au Published by Seabreeze Communications Pty Ltd Trading as NCAH. Published by 328 Seabreeze ABN 29 071 053. Communications Pty Ltd Trading as NCAH. ABN 29 071 328 053. © 2013 Seabreeze Communications Pty Ltd. © 2013 Seabreeze Communications Pty Ltd. 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 AHN Recruitment Australasian Academy of Cosmetic AHN Recruitment Dermal Science Ausmed Ausmed CCM Recruitment International Austra Health Austra Queensland Health Central Australian College ofUniversity Nursing Australian CQ Nurse College of Nursing Australian Volunteers International Australian Volunteers International Criterion Conferences CCM Recruitment International CCM Recruitment DHHS Tasmania International CQ Nurse eNurse CQ Nurse CRANAplus Katherine West Health Board CRANAplus Employment Office Koala NursingOffi Agency Employment ce eNurse Australia Medacs eNurse KateHealth Cowhig- Northern International NSW Sydney Kate Cowhig International Medacs Australia Oceania University of Medicine Medacs Australia No Roads to Care Health Oxford Aunts No Roads to Health Pension Transfers DirectShoalhaven NSW Health - Illawarra NSW Health - Illawarra Shoalhaven Pulse Staffing Oceania University of Medicine Oceania University of Medicine Queensland Health Oxford Aunts Care Oxford Aunts Care Quick and Easy Pulse Staffing Finance Pulse Staffi ng University Southern Cross Queensland Health Queensland TR7 Health Health Quick and Easy Finance Quick and Easy Finance UK Pension Transfer Royal Flying Doctor Service Unified Healthcare Royal Flying DoctorGroup Service TR7 Health University of New England TR7 Health UK Pension Transfers Sydney University of Transfers Technology UK Pension Unified Healthcare Group Unified Healthcare Group

Next Publication: Nurse Leaders feature Next Publication: Education feature Next Publication: Publication Date: MondayEducation 2nd Decemberfeature 2013 Publication Date: Monday 9th September 2013 Colour Artwork Monday 25th November 2013 Publication Date:Deadline: Monday 9th September 2013 Colour Artwork Deadline: Monday 2nd September 2013 Mono Artwork November 2013 Colour Artwork Deadline: Deadline: Wednesday Monday 2nd27th September 2013 Mono Artwork Deadline: Wednesday 4th September 2013 Mono Artwork Deadline: Wednesday 4th September 2013

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Discipline Lead Physiotherapy Services Tasmanian Health Organisation South Vacancy No: 508278 Salary: A remuneration package of $118,526 AUD plus superannuation is on offer with additional benefits including salary packaging. The role: Permanent Discipline Lead Physiotherapy Services (AHP Manager Level 5 Grade 4) full-time day work, working 76 hours per fortnight. This is your opportunity to lead Physiotherapy Services across the Tasmanian Health Organisation â&#x20AC;&#x201C; South (THO â&#x20AC;&#x201C; South). Are you passionate about physiotherapy? Do you have the skills, experience and potential to lead Physiotherapy Services at the largest public teaching hospital in Tasmania, the Royal Hobart Hospital? If so, this is the opportunity for you.

You will be an integral part of the Allied Health team and possess high-level leadership skills with the ability to ensure resources are well utilised and high standards of service delivery are achieved. In the role of Discipline Lead Physiotherapy you will undertake a senior role providing leadership and direction in the strategic development and management of Physiotherapy Services at the Royal Hobart Hospital (RHH) and RHH off-site facilities. The successful applicant will meet all of the selection criteria for this position (as outlined in the attached Statement of Duties). To find out more contact Wendy Rowell on (03) 6222 8261 or email wendy.rowell@dhhs.tas.gov.au Apply online at www.jobs.tas.gov.au Closing date 29 November 2013.

Page 6 | www.ncah.com.au

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Allied health comparison site goes ahead A CHANGE IS AS GOOD AS A REST

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The launch of a controversial website that rates and compares allied health professionals such as dentists, optometrists and chiropractors, has been resurrected. Created by Health insurer NIB, the site, known as Whitecoat and located at whitecoat.com. au, was launched last week and covers 19 health professions. Despite previous plans for comparison sites having been criticised by industry bodies, NIB is understood to be confident its site will prove popular among its 900,000 policyholders and the public. As previously reported by NCAH, NIB planned to launch Whitecoat in late June but shelved the plans until industry concerns were dispelled. The delay followed the Australian Health Practitioner Regulation Agency’s confirmation that it would monitor the site amid questions over whether it could breach the Health Practitioner Regulation National Law Act, which prohibits the use of testimonial advertising, with breaches carrying a maximum penalty of $10,000. NIB has continued to defend the site, the first of its kind in Australia, maintaining that it has received legal advice confirming Whitecoat’s activities would not be in breach of the Act. Whitecoat provides information on 30,000 providers in Australia to which it has provided rebates through its “extras” policies. It provides member feedback on whether they would recommend a provider, their costs, and practitioner contact details and maps. Providers will be able to opt out of a comparative cost score, recommend scores and reviews published on the site, and be able to preview customer comments and respond.

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The Australian Medical Association has been a vocal critic of such sites, claiming rare negative experiences are more likely to be aired than the “norm” of good experiences. The Australian Dental Association also raised concerns about customers’ ability to appreciate “reasonable reasons for differences in costs”. For the full article visit NCAH.com.au

Page 10 | www.ncah.com.au

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Study focuses on nurse training for skin conditions in children by Belinda Smart A pilot study conducted by New Zealand’s Massey University School of Nursing staff and regional public health specialists looks set to enhance nurses’ understanding of dealing with skin infection in children. The study was designed to research how to reduce the high rates of skin infection in children, and to address efforts to reduce the high incidence of such infections, which are particularly high within the Maori ˉ and Pasifika populations. The study was developed collaboratively between Massey’s School of Nursing and Keeping Well Regional Public Health, with a view to rolling out a regionally developed protocol for the management of skin infections and infestations in children in the Wellington, Hutt and Wairarapa regions. Page 14 | www.ncah.com.au

“Such infections are particularly noticeable in at need populations where there are substandard living conditions and overcrowding,” professional clinician Thomas Gorte from the School of Nursing reportedly said. The main objectives of the program were to develop a training package to facilitate nurses’ ability to accurately assess children and to intervene early to administer therapy such as antibiotics under a standing order or authority from a doctor. At the time of writing, more than 130 registered nurses had completed the pilot programme. An evaluation survey of the registered nurses who attended the course showed that 96 per cent were pleased with the face-to-face component of the course and more than 80 per cent who had engaged with the online component had completed it successfully. For the full article visit NCAH.com.au

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Nursing Careers Allied Health - Issue 23 | Page 15

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Student nurses trial smart phone app by Karen Keast Making a clinical decision? There may just be an app for that. Nursing students at a Canadian teaching hospital are trialing the use of a smart phone application at the patient’s bedside. A research project at the Chinook Regional Hospital, which trains more than 600 nurses each year, is investigating whether accessing medical information in an app will help improve students’ bedside clinical decision-making. As part of the 15-month study, about 30 fourthyear University of Lethbridge nursing students will use the medical nursing app, designed by US medical software firm Pepid. The study will compare the clinical decisionmaking of students armed with the app to those students without the app, who would usually source information away from the bedside, such as from a medical textbook or the hospital pharmacist. “The ability to make sound clinical decisions is vital to ensure patients receive safe, highquality health care,” University of Lethbridge study lead Assistant Professor Monique Sedgwick said in a statement. “Health care is an information intensive environment. With this study, we’re trying to determine if clinical decision-making improves with immediate access to current, evidencebased information about patient diagnosis, treatment and nursing care.” Dr Sedgwick said nurses make clinical decisions on a daily basis, from whether to change a patient’s position, medication or alert doctors, and to determine what supports patients require after leaving hospital. When a patient complains about pain postsurgery, a nurse must make several clinical decisions at the bedside, she said. “Nurses must assess the kind of pain the patient is experiencing. Page 16 | www.ncah.com.au

“The nurse must take into consideration when the patient last had medications for the pain, whether the medication worked, whether there were side effects and whether the type of pain is typical following that particular type of surgery,” she said. “Using information gathered from textbooks or the mobile app, nurses decide if the medication will be given, if another type of medication is more appropriate, how the medication will be given, how much medication will be given, or if medication is the most effective way to relieve the pain.” The study will be completed in July next year but Dr Sedgwick said early findings show the app is helping students with their reasoning and clinical decision-making. With hospital policy, dating back to 2005, prohibiting staff from using mobile phones while working due to patient privacy concerns as well as potential signal interference with medical equipment, students participating in the study have been granted special permission to use their smart phones. The hospital will also monitor any impact of the use of mobiles on patients and equipment.

“

Health care is an information intensive environment. With this study, we’re trying to determine if clinical decisionmaking improves with immediate access to current, evidence-based information about patient diagnosis, treatment and nursing care.

— Monique Sedgwick University of Lethbridge study lead Assistant Professor

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Health professionals applaud move to ‘scrap the cap’ by Karen Keast Nurses, midwives and physiotherapists have applauded the Coalition Federal Government’s decision to axe the $2,000 a year cap on tax deductibility for work-related self-education expenses. Australian Physiotherapy Association CEO Cris Massis welcomed the move as he said physiotherapists could spend between $1,000 and $10,000 on self-education annually.

Mr Massis said access to quality postgraduation education, university courses and conferences ensures Australia has high performing health practitioners providing best practice care, resulting in cost efficient care and best outcomes for patients. “The APA believes that highly skilled and trained clinicians have a positive impact on patient access and flow,” he added.

“Physiotherapists are required to complete 20 CPD hours each year, though we acknowledge that some portion of this CPD education may be self-directed and so not incur any cost,” he said.

“In the public system, senior staff with post graduate qualifications play an important role in training other staff. This is a significant secondary effect of providing up skilling of staff.”

“A single course of study can cost up to $2,500 in one transaction, with members reporting expenses of up to $5,000 in a single year.

Australian Nursing and Midwifery Federation federal secretary Lee Thomas said the cap would have affected the self-education, CPD and post graduate studies of nurses and midwives.

“Costs for highly trained professionals have been quoted in excess of $10,000 per year, to attend two seminars in one year.” Page 18 | www.ncah.com.au

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School nurses phased out by Karen Keast School nurses are being phased out in Tasmania. The State Government is replacing its school nurse program, which provides health checks to prep children, with a new model offering checks for three to five-year-olds through the Child Health and Parenting Service or the family GP. The Australian Nursing and Midwifery Federation’s Tasmanian Branch is lobbying for government funding to reinstate the program amid concerns at least 10 per cent of families may not engage with the new model. ANMF state secretary Neroli Ellis said Tasmania will soon become the only Australian state without nurses providing vital school health checks. “Through budget cuts, all school nurses are being removed from Tasmania. We won’t have any school nurses, unlike other states,” she said. Ms Ellis said around 2,700 prep children have missed out on the checks as the government moves towards its replacement Healthy Kids Check model. She said school nurse checks provide a comprehensive early intervention health assessment, including hearing and vision checks, and provide an opportunity to pick up behavioural issues, early stage obesity, head lice and learning difficulties. “We believe the prep checks were working very well,” she said. “It was a very controlled check that every child had in Tasmania that nipped issues in the bud. “Children’s health is vital. In Tasmania, we have some of the worst social determinants in health and some of the worst health outcomes in the country. “We are concerned there will be many children who will slip through the gap.” The government launched its new Child Health and Parenting Service model earlier this year. Page 20 | www.ncah.com.au

“This is best practice and ensures any health issues are picked up and acted on before the child starts school so they can get the most out of their education,” Health Minister Michelle O’Byrne said in a statement at the time. “The prep screening test will continue to be offered this year as a transitional measure to ensure all children who haven’t received the Healthy Kids Check still get assessed. No child should miss out.” In other developments, the Tasmanian Government has offered 111 jobs to graduate nurses for positions beginning in early 2014. “Traditionally new graduates have been recruited to start early in the year, followed by a second campaign to appoint more graduates mid-year,” Ms O’Byrne said. “We are well on track to meeting the target of 115 graduate nurses for 2014.” The positions include a mix of full-time and parttime with 50 positions in the south, 38 in the north and 23 in the north-west. Ms Ellis said about 300 nurses graduate in Tasmania each year and while some nurses will pick up jobs in the private sector, others will be forced to move interstate for work. “We used to have 160 to 170 full-time equivalent jobs available,” she said. “We are disappointed with the lack of workforce planning. This will have implications in the future.”

“

Through budget cuts, all school nurses are being removed from Tasmania. We won’t have any school nurses, unlike other states — Neroli Ellis ANMF state secretary

”

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Nurses receive support for power to prescribe by Karen Keast The Nursing Council of New Zealand will forge ahead with its specialist nurse prescribing proposal after an overwhelming number of submissions supported the move. The council received 197 submissions in response to its consultation document outlining a framework for nurses prescribing medication. More than 90 per cent approved of the proposal for specialist nurse prescribing, which would empower nurses with a post-graduate diploma, working as part of a collaborative multi-disciplinary team, to prescribe for common conditions such as diabetes, asthma and hypertension. “The majority of submitters agreed that specialist nurse prescribing will enable patients to receive more accessible, timely and convenient care,” the council’s report on the submissions stated. “Some medical and pharmacy groups would prefer to see a model of delegated prescribing. Some medical groups gave support to specialist nurse prescribing under designated prescriber.”

“Some submitters, including most medical groups, supported nurse prescribing under a delegated model not as designated prescribers. “Some submitters raised concerns about the lack of clinical governance mechanisms to support nurse prescribing in primary health.” More than 70 per cent of submitters opposed the title of community nurse prescribing, labelling it confusing and limiting. “Alternative suggestions included using ‘primary health’ in the title or registered nurse prescriber - level one,” the council stated. “Opinion was more equally divided on the title ‘specialist nurse prescribing’ with many of those opposed concerned that it implied the nurse would be working in a specialist area, which may or may not be the case.” The council will now work to finalise both proposals and will progress with the specialist nurse prescribing proposal ahead of the community nurse prescribing proposal. The proposals come after the success of the 2011 diabetes nurse prescribing project, which enabled nurses to oversee routine prescription needs and patient management.

The council also sought feedback on its plan to introduce a second level of nurse prescribing community nurse prescribing.

New Zealand has 96 nurse practitioners and 26 registered nurses working in diabetes health with prescribing rights.

Under the proposal, community nurse prescribing will enable nurses in community and outpatient settings, who have completed a course in the field, to prescribe for minor ailments and injuries.

The proposals are expected to increase the proportion of New Zealand nurses with prescribing rights from 0.25 per cent to between 3-5 per cent in the next 10 years.

More than 90 per cent of submitters supported the proposal, outlining benefits to patients in community settings – particularly for patients who access nursing services such as home care, district nursing and school nurses. “A small number of submitters did not support the proposal,” the report states. Page 22 | www.ncah.com.au

“

The majority of submitters agreed that specialist nurse prescribing will enable patients to receive more accessible, timely and convenient care The Nursing Council of New Zealand

”

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NURSE UNIT MANAGER (Medical Unit) Hamilton, Victoria The Medical Unit offers a diverse range of services including Medical, Subacute Rehab, Day Oncology and Critical Care & Emergency Services. The Nurse Unit Manager position is well supported by a number of specialist nurses who assist in the coordination of clinical practice in the specialty areas. • 5 ED Cubicles • 4 ICU beds • 23 Acute Beds (Includes 8 Funded sub-acute rehab/GEM beds • 3 Chemotherapy Cubicles This role offers the successful applicant the opportunity to work in a progressive and stimulating environment at Western District Health Service. This position requires strong leadership skills and a focus on clinical outcomes. The successful candidate for this role will need to have advanced clinical skills, demonstrate effective and professional nursing practices in planning, implementing and monitoring effective nursing practice. To be successful in this role, you will need to demonstrate and possess: 1. Current registration with the Nursing Board of Australia. 2. Previous management experience in a similar environment. 3. The ability to co-ordinate and promote the organisations quality improvement program.

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Australian Nursing and Midwifery Federation’s Tasmanian Branch secretary Neroli Ellis said more grade four nurses will bolster dwindling numbers of experienced nurses and help to deliver safe patient care.

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Scissors &inForceps Nursing Scrubs Nursing “WeScrubs are going to see an increase grade

fours,” she said. “There’s potentially 1,000 nurses who are eligible to go through to grade four. “At the moment the number of grade fours has fallen down at the Royal (Hobart Hospital) - one of the wards is down to only five per cent. “As a rule of thumb we have traditionally had 25 per cent grade four per ward.” The agreement maintains all conditions and also

Calculatordoubling Keyrings Silicone FOBs Silicone FOBs delivers extra conditions, including

the professional development allowance for nurses and midwives to $300 a year, increasing casual loading to 23 per cent from next July, and adding a post graduate allowance of four per cent for Clinical Honours. The state’s 4000 public sector nurses suspended industrial action after accepting the government’s revised offer which is set to go to a full ballot of public sector members on November 24. Ms Ellis said the agreement will serve as an interim agreement from December 1, 2013, to November 30, 2014 while work is carried out to review the career structure of clinical nurses for the next EBA agreement.

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KWHB are advertising for a Mental Health Nurse Practitioner to provide expert support to clients requiring mental health care, their families and our remote based staff providing care. This position promotes excellence in clinical standards and quality of care, and works closely with the broader PHC team to integrate and coordinate care for best outcomes for Coloured Metal FOBs the client. Our Mental Health Nurse Practitioner will be a registered nurse, educated and authorised to function autonomously and collaboratively in an advanced and extended clinical role in the domain of mental health. All applications should address the selection criteria, which can be found in the position description on our website at www.kwhb.com.au. For more information, you can contact our HR Manager Trudi Hartley on (08) 8963 6434. Aboriginal people are encouraged to apply. All prospective staff need to satisfy a criminal history check and obtain an OCHRE (working with children) card. Applications close Monday 9 December 2013.

enurse.com.au

For the full article visit NCAH.com.au Nursing Careers Allied Health - Issue 23 | Page 25

323-014 2PG FULL COLOUR CMYK

satisfaction processing flat rate Tasmanian nurses have approved an interim onepolicy* time* postage year agreement with the State Government after securing additional conditions and a measure to KATHERINE increase the number of350 grade nurses. eNurse eNurse PtyPty Ltd: Ltd: ABN ABN 2121 146 146 350 665 665* four Prices * Prices include include GST GST * While * While stocks stocks lastlast WEST HEALTH BOARD Under the in-principle agreement, grade three Katherine West Health Board (KWHB) is a nurses, in years six, seven andStudy eight, will be Shoes Guides Pouches Pouches && Bags Bags strong, fully accredited Aboriginal able to apply for advancement through the community controlled health organisation formal competency assessment to grade four providing a clinical, preventative & public from January 2 to March 31, while grade four health service to clients in the large outback positions will be created and advertised with region west of Katherine in the Northern nurses recruited based on merit. Territory.

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Strengthening

Medication Safety Shaping medication systems & meeting the National Standards

12th & 13th february 2014, mercure, sydney

Key speakers

Learn how to Achieve effective resource management to drive successful accreditation

A/Professor Charles Mitchell

Helen Lowy

University of QUeensland & princess alexandra hospital

department of health, vic & aUstralian commission on safety and QUality in healthcare (acsQhc)

Establish a governance system that promotes continual improvement Drive multi-disciplinary collaboration to strengthen engagement Conduct reliable and consistent audits

Toni Howell

Tony Hall

st vincent’s hospital melboUrne & aUstralian coUncil on healthcare standards (achs)

Griffith University & society of hospital pharmacists aUstralia (shpa)

Pre & Mid Conference Workshops Workshop A

Workshop B

How to develop sustainable audits

Strengthening governance for medication safety