The Nursing Post - Issue 20: Paediatrics and Child Health

theNursingPost www.nursingpost.com.au

The Career and Education Magazine for Nurses and Health Professionals

15 October 2012

- ISSUE 20

Paediatrics/Child Health

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Editor’s note...

Hi Readers, Welcome to Issue 20 of The Nursing Post magazine.

What a great issue we have for you this fortnight! On Saturday 22 September, the winners of the 2012 WA Nursing and Midwifery Excellence Awards celebrated their success at Crown Perth. We congratulate Kristy Cooper from Coral Bay Nursing Post, awarded 2012 Nurse/Midwife of the Year. See photos from the night on pg.8.

This issue, we take a close look at Paediatrics and Child Health. Sydney Children’s Hospital is one of the State’s leading centres for paediatrics and child health and development of it’s new five storey Wing is well on its way to completion, due to open early 2013.

We hear from Occupational Therapist, Rita Harrison as she shares with us her inspirational experience working with abandoned, disabled children in Cambodia as part of Projects Abroad. An experience she says has given her a new perspective and appreciation.

On 22 October, support the Cancer Council’s Pink Ribbon Day. Keep an eye out for merchandise or visit www.pinkribbonday.com.au to donate to this great cause and help beat breast cancer!

For the latest health news, courses, conferences and events, please visit our website and follow us on Facebook. If you haven’t subscribed to our fortnightly newsletter, visit our website and sign up today!

Next Issue: Rural/Remote Health ABN: 28 105 044 282 PO BOX 6213, East Perth, WA, 6892 Ph: +(618) 9325 3917 | Fax: +(618) 9325 4037 E: artwork@nursingpost.com.au W: www.nursingpost.com.au Next Publication Details: Issue 21: 29 October 2012 Material Deadline: 22 October 2012 Printed by Daniels Printing Craftsmen Editor and Graphic Designer Naomi Byrne

Our next issue is out on Monday 29 October featuring Rural/Remote Health. Until then, take care.

Sales and Marketing Manager Michael Kuhnert

Naomi Byrne Editor

Send in your photos and stories to... artwork@nursingpost.com.au

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Contents...

Features

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Pink Ribbon Day

8

WA Nursing and Midwifery Excellence Awards Celebrating Success

Show your support during the month of October!

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Australian College of Nursing

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Healthy Recipes

Lifetime protection cuts deep: The US position on male circumcision Emily Tan of Fuss Free Cooking shares her delicious healthy recipes

Paediatrics/Child Health

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Telethon Institute for Child Health Research

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Projects Abroad

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Ethan’s brain cancer battle inspires research

Our Advertisers Inside Cover

Occupational Therapist, Rita Harrison experiences Cambodia

Sydney Children’s Hospital Building a bright future

Indigenous Health

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Support Pink Ribbon Day this October and help beat breast cancer

Menzies School of Health Research

Gabrielle McCallum, from Nurse to Researcher

Courses, Conferences and Events

Remote Area Health Corps (RAHC)

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Quick and Easy Finance

3

UK Pension Transfers

4

Paradigm

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PULSE Nursing and Care

21

TR7 Health

22

CQ Nurse

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Critical Second Nurse App

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Medacs Healthcare

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WA Country Health Service

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Mediserve Nursing Agency

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List of up- coming courses and conferences

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Smart Salary

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Nurse CPD Online

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Kimberley Aboriginal Medical Services Council (KAMSC)

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Centre for Remote Health

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Mediserve Nursing Agency

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Oceania University of Medicine

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Australian College of Nursing

Inside Back

CCM Recruitment

Back Cover

Remote Area Health Corps (RAHC) 5

Cancer Council

Support Pink Ribbon Day this October and help beat breast cancer Each year over 13,500 Australian women are diagnosed with breast cancer. It’s one of the most common cancers.

Survival rates are growing due to earlier detection and better treatment but we still have a long way to go...

This is why Australians come together on Cancer Council’s Pink Ribbon Day, Monday 22 October, to show their support for the one in eight women who will be diagnosed with breast cancer by the age of 85.

“A diagnosis of breast cancer can be a traumatic experience that can severely disrupt a woman’s family and working life, however outcomes are improving,” said Cancer Council Australia’s CEO Professor Ian Olver.

“By participating in Cancer Council’s Pink Ribbon Day, the public can help us provide support services to improve the quality of life for those affected by breast cancer, along with research into potential new treatments and prevention measures.”

In 2012, Cancer Council’s Pink Ribbon Day aims to raise over $5million. Funds raised go to vital breast cancer research, prevention programs and support services such as Cancer Council Helpline, 13 11 20.

How to get involved:

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•

ORDER Pink Ribbon Day merchandise to sell to friends, family or colleagues

•

BUY Pink Ribbon Day merchandise from any of our national supporting outlets or on the day itself

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REGISTER to volunteer on Pink Ribbon Day by selling merchandise or assist with event administration

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DONATE by visiting www.pinkribbonday.com.au, phone 1300 65 65 85 or find us on Facebook www. facebook.com/pinkribbonday

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HOLD a Pink Ribbon Fundraiser at work or school. It can be as simple or creative as you like!

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2012 WA Nursing & Midwifery Excellence Awards

Celebrating Success On Saturday 22 September, the shining stars of Western Australia’s health system were honoured at the 2012 WA Nursing and Midwifery Excellence Awards.

Over 800 guests, including Minister for Health Dr Kim Hames, came to Crown Perth to celebrate the best nurses and midwives from public, private and federally-funded services from across the state.

We are pleased to announce that the 2012 Nurse / Midwife of the Year is Kristy Cooper from Coral Bay Nursing Post.

Congratulations to Kristy, and all of our other category winners, finalists and nominees on being recognised by their colleagues and patients for these prestigious awards.

Award winners can be viewed at: http://www.mediastatements.wa.gov.au/Pages/Results. aspx?ItemID=151035

Right: Janice Butt receiving her Lifetime Achievement Award. Pictured with Professor Kerry Cox (left), and Professor Robin Watts (right)

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Kristy Cooper, 2012 Nurse/Midwife of the Year

Kristy Cooper pictured with Minister for Health, Dr Kim Hames (left), and Chair of the Western Australian Nurses Memorial Charitable Trust, Gail Milner (right)

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Australian College of Nursing

Lifetime protection cuts deep: The US position on male circumcision Infant male circumcision is a procedure that has polarized Western medical and nursing opinion for many years. A recent revision of the policy statement on circumcision from the American Academy of Pediatrics [AAP] is set to renew the debate (AAP, 2012).

Male circumcision involves the surgical removal of the foreskin from the penis, exposing the glans. It is estimated that 1 in 3 men worldwide are circumcised. The origins of circumcision are not known but the oldest documented evidence for it comes from ancient Egypt. There are many theories around about how it began, including religious sacrificial reasons, and as a rite of passage. A ritual variant of circumcision, involving sub-incision of the ventral part of the prepuce and urethra was widely practiced by 10

Australian Aborigines as a mark of transition to adulthood (Royal Australasian College of Physicians (RACP), 2010).

Circumcision is recommended for certain medical conditions including phimosis, inflammatory dermatoses, and recurrent urinary tract infections (RACP, 2010). It is also performed electively for religious and cultural reasons, although elective circumcisions are not performed in public hospitals in NSW (NSW Health, 2012) Circumcision is generally a safe procedure but there are risks of minor complications, and also some rare but serious complications (RACP, 2010).

Rates of elective circumcision in Australia have significantly declined from a peak incidence in the 1950s of 85% to the current incidence of 10-20%, largely because of the

community’s, changing ideas about male genital hygiene.

However, concerns about ethical and human rights have also influenced the community’s position on elective male circumcision because it is recognized that the foreskin has a functional role, the operation is non-therapeutic and the infant is unable to consent (RACP, 2010).

The policy statement on male circumcision developed by the Royal Australasian College of Physicians in 2010 considered ”currently available evidence, the frequency of diseases modifiable by circumcision, the level of protection offered by circumcision, and the complication rates of circumcision”, and concluded that routine infant circumcision is not warranted. This position is shared by the United Kingdom, the majority of European countries and Canada (RACP 2010:5).

The American Academy of Pediatrics (AAP) held a similar neutral position until recently, when they published their latest policy statement on circumcision. They now report, on the basis of a recent review of international literature, that “the benefits of newborn male circumcision outweigh the risks of the surgery” and “justifies access to the procedure for those families who choose it” (American Academy of Pediatrics (AAP, 2012:e756).

According to AAP, the important conditions where benefits are seen to result from circumcision include; urinary tract infections, transmission of some sexually transmitted infections (STIs), acquisition of the human immunodeficiency virus (HIV), and cancer of the penis (AAP, 2012).

There are arguments against the reported health benefits of circumcision; these and other issues were debated by medical experts, community and religious representatives, parents, and young male adults on a recent episode of ‘Insight’ on the SBS network (SBS transcript, 2012).

Some of the debate against the proposed health benefits of circumcision included that; • urinary tract infections in infants are rare and

can be treated with antibiotics • the evidence regarding the protective effect

of circumcision and transmission of STIs is

conflicting, and many argue that condom use

is more appropriate • the evidence on the protective effect of

circumcision against HIV is also conflicting,

•

and some argue that circumcision diverts resources from known preventative measures and increases risk-taking behaviours cancer of the penis is also extremely rare and there is not sufficient strong evidence to justify circumcision for the sole purpose of protecting against this condition

This move to recommending male circumcision for the protective health benefits of the procedure has been likened to vaccination by pro circumcision groups, while opponents of circumcision claim that the research that informs this position is flawed (ABC Science, 2012).

Comparing circumcision to vaccination in relation to STIs and HIV provides the community with a false sense of safety, and does not address the STIs that are not affected by circumcision.

As paediatric and child and family health nurses we are charged with the responsibility of providing non-biased information to families to assist them in making an informed decision about circumcision, while also considering the ethical and human rights issues, and remaining true to our role as patient advocate. It is both difficult and time consuming to critique the current research evidence, particularly when the outcomes are conflicting. We rely on the resources of professional bodies to help provide us with an evidence-based position, at least as a starting point. It would seem appropriate that paediatric and child and family health nurses have a voice in the discussion, or move to develop a statement on circumcision that reflects the unique position of the nursing profession.

It will be interesting to see whether the USA’s change in policy statement on male circumcision is sufficiently persuasive to influence the position of other developed countries, and how this will impact on the incidence, surgical waiting lists, and associated healthcare costs. It may be prudent for the Australian health care professions to debate male circumcision with the community in order that an inclusive and uniquely Australia position is developed rather than a response to the hype.

Written by Fran Stoddart, Nurse Educator, Paediatric Nursing Studies

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Paediatrics/Child Health

Ethan’s brain cancer battle inspires research A new research scholarship to combat childhood brain tumours was launched 14 September in honour of two year old Perth toddler Ethan Davies.

Ethan was diagnosed in January 2012 with ependymoma, a rare form of brain tumour, and has undergone complex surgery, chemotherapy and specialised radiation.

The annual scholarship fund aims to raise an initial amount of $150,000 to support a neurosurgeon to undertake innovative research in the Brain Tumour Laboratory at Perth’s Telethon Institute for Child Health Research.

Telethon Institute Director Professor Jonathan Carapetis said the scholarship stemmed from an extraordinary commitment from Ethan’s parents, Shannon and ChristieLee, at a time of great challenge for the family.

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“In the midst of what would be a devastating diagnosis for most families, Ethan’s parents have been selfless in thinking about what they can do to stop this terrible disease from striking other children and provide more effective, less debilitating treatments,” Professor Carapetis said.

“The addition of a neurosurgeon to our brain cancer research team will provide a new perspective and build on the already impressive range of expertise within this research group.”

Ethan’s dad Shannon said that hope had become an important part of life for him and Ethan’s mum ChristieLee. “We hope first and foremost that Ethan does not suffer a recurrence of his cancer. Beyond that, we hope that he

continues to recover so that one day he can eat and drink with us at the dinner table, can learn the words to say that he loves us, and can play sport with his dad,” Shannon said.

These models will then be used to test the effectiveness of new drugs and treatment strategies, so that the most promising therapies can be used immediately to treat this devastating cause of illness in children.

“And we hope that the Scholarship named for Ethan will help fund the research necessary to improve the diagnosis, treatment and prevention of brain cancer for children just like him – so that something positive can come from Ethan’s misfortune.”

Donations to the Ethan Davies Scholarship for Brain Cancer Research can be made at childhealthresearch.org.au.

About the Ethan Davies Scholarship for Brain Cancer Research

By Dr Nick Gottardo, Co-Leader of the Institute’s brain tumour research program Childhood cancer is the second most common cause of death in children and brain tumours are the major cause of childhood cancer-related mortality.

Although survival for children with brain tumours has improved over the last 30 years, survival rates for the past decade have reached a plateau well below that of other childhood cancers, such as leukaemia. Moreover, longterm treatment-related health problems continue to be a major issue for survivors, significantly impacting upon their quality of life.

In Western Australia alone, approximately 20 children are diagnosed with a brain tumour every year. Therefore, there is a pressing need to develop new and more effective drugs and treatment strategies to improve the outcome for children with brain tumours.

To address this need, the Ethan Davies Scholarship for Brain Cancer Research will provide funding to support a bright, young trainee brain surgeon to undertake research in childhood brain tumours within the Brain Tumour Laboratory at the Telethon Institute for Child Health Research.

The scholarship will harness the skills of a brain surgeon in order to develop innovative model systems of childhood brain tumours that simulate the disease in children.

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Paediatrics/Child Health

Projects Abroad Occupational Therapist, Rita Harrison experiences Cambodia Part of the reason why I decided to study Occupational Therapy (OT) was that I knew it was a profession I could take anywhere in the world. Since graduating, I have been fortunate to work in an area that I am passionate about working with children with disabilities - but still I always thought about what drove me to study the profession in the first place and so I decided to take the challenge; to take my skills somewhere else in the world.

After some research, I found out about Projects Abroad and discovered the need for OT in Cambodia. Next thing I knew, my physiotherapist friend, Jessica Bentley, and her school teacher friend, Shannon Braithwaite, also wanted to join me on the adventure. We sent in our applications and a couple of months later landed in Phnom Penh.

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arriving in the country; we were confused, exhausted, overwhelmed, but at the same time, excited. It was hard not to get caught up in the electricity of Phnom Penh and be excited about what the city would bring.

As soon as our feet hit the hot pavement outside the airport, our senses were ignited as the city took its hold and dragged us in. Chammy stood waiting for us outside the airport, holding his Projects Abroad sign in his hands and his welcome across his face. It was such a relief to have him there. Everyone is welcoming in Cambodia in a really genuine and infectious way. It is hard to not fall in love with the people and their beautiful country.

We spent one month in Phnom Penh working at the

National Borei for Infants and Children (NBIC). The NBIC is a centre for abandoned disabled children; some of the children arrive there straight from the hospital after they are born, whilst others come later as their needs take toil on their families and they unfortunately have to find an alternative way for their child to be cared for. The centre has over 100 children, all with varying disabilities and levels of abilities. Children are cared for all day and night by dedicated workers. There is also a school attached to NBIC where children from the centre - as well as disabled children from the community - can learn skills for independent living.

Although Jessica, Shannon and I had experience working with children with disabilities back home in Australia, we still sometimes felt completely lost at NBIC. We were sometimes unsure where to start or what to do next. There was so much we wanted to do, but we knew we could not do everything. The living conditions at the centre and limited resources available were something we had to adjust to quickly. The children’s disabilities were severe – many were malnourished and very unwell.

Often we would leave the centre at the end of the day feeling deflated and exhausted. However, each morning we would wake up thinking of the children and would want to go back to be with them again. We spent our days at NBIC trying to do as much as we could in the time we had. We fixed wheelchairs, taught children to walk, went to orthotic appointments, worked on building their selffeeding skills, and played with them. Most of all, we tried to advocate for the children. We tried to give the children a voice when they could not speak and we tried to listen when no one could hear them. We worked alongside carers, modelling ways to better position the children or teaching them about ways to engage the children. It was amazing to watch our relationships grow with the children and the staff. We became part of the routine and we saw some amazing progress in such a short amount of time.

Children who when we arrived could not sit still or play with toys, by the end of the month were making friends with the other children and playing games together.

wanted or needed to do. For some, it meant building their social and communication skills so that they could play and engage with those around them. For others, I worked on developing their fine motor skills through play so that would be able to attend school and learn a trade.

For almost all of the children, I became their friend; held their hand when they needed to go for a walk, gave them a hug when they needed to cry, and provided them with encouragement and praise in everything they tried.

My Projects Abroad experience in Cambodia was not all about work at NBIC. During weekends I escaped the city, jumped on a bus and took long bumpy journeys out into the provinces. Since I only had a month in the country, I tried to make the most of weekends to meet locals, see the sights, and soak up as much of the country as I could.

I was fortunate enough to see Angkor Wat at sunrise, ride along the bamboo train in Battambang and relax on a deserted beach at Rabbit Island. Oh and of course, ate as much Fish Amok as I could.

At home in Australia, I’m back at work with a whole new perspective on what I do and a new appreciation for what we have, but not a day has passed where I don’t stop and think about Cambodia – the people I met, the places I visited, and the amazing experiences I had. I cannot wait to go back.

For more information about Projects Abroad, please visit www.projects-abroad.org

As an Occupational Therapist in a completely foreign environment, I would find myself thinking about what the word ‘occupation’ meant for the children at the centre. I questioned what my role meant in such an environment and quite often would come to the same conclusion - to advocate and support the children in doing whatever they 15

Paediatrics/Child Health New wing of the Sydney Children’s Hospital set to open in 2013

Sydney Children’s Hospital Building a bright future In late 2011, ground was broken on a new five storey Wing to the Sydney Children’s Hospital. The development will add valuable resources to the services already available, as well as creating brand new amenities for patients and their families. The new wing will provide staff with the space needed to care for current and future generations of children.

Sydney Children’s Hospital is one of the State’s leading centres for paediatrics and child health. The hospital cares for close to 40, 000 children every year with more than 36,000 presentations to the Emergency Department, more than 18,000 children admitted, and delivering more than 325,000 occasions of service via its outpatients and community health programs.

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The NSW Government has committed $12.72 million towards the new building and has entered into a partnership with the Hospital’s foundation who will work with the community to raise funds for the remaining $15 million of the project.

When complete, the new five storey building will house: • An eight bed Child and Adolescent Mental Health Unit • A comprehensive Rehabilitation Centre (partly funded by the Motor Accidents Authority of NSW) • A surgical 23 hour inpatient ward • A new Family Centre for parents and carers, sponsored by Ronald McDonald House Charities • The Child Protection Unit, and • New clinical office space for health care

centres for paediatrics and child health and the services it offers will be substantially boosted by the new building.”

professionals from a range of disciplines.

In June this year, Minister for Health, Jillian Skinner joined patients, staff and supporters in attending the ‘topping out’ ceremony at the hospital.

Minister Skinner said the new five-storey wing will provide staff with the space and resources needed to continue delivering world class health care to the thousands of children who attend the hospital every year.

Topping out ceremonies are common in construction and celebrate the last beam being placed on the top floor of a new building.

“It’s wonderful to see this impressive building get to the topping out stage,” Mrs Skinner said.

“This means the building is well on its way to completion, and some of the State’s youngest patients will soon have access to a bigger and better paediatric hospital.”

Local MP, Bruce Notley-Smith, said that while there is still work to be done, the building structure is now complete and the community will see the $27.7 million wing fitted out and open to patients in 2013.

“Sydney Children’s Hospital is one of the state’s leading

The Member for Vaucluse, Gabrielle Upton, said that the new wing would not be possible without the support of the community it serves.

“We are pleased to be working in partnership with the Sydney Children’s Hospital Foundation on what promises to be a wonderful facility for the children of NSW,” Ms Upton said.

During the topping out ceremony, patients, families and guests had an opportunity to sign and hand paint one of the final pieces of structural steel, before it was craned onto the new wing.

The Wing is due to open in early 2013, and is an exciting step forward in building a bright future for the Sydney Children’s Hospital.

Should you be interested in supporting the building of this new wing, please contact the Sydney Children’s Hospital Foundation: Phone: (02) 9382 1188 Email: info@schf.org.au Web: www.buildforkids.org.au

Topping Out Ceremony Signing the last structural beam

Topping Out Ceremony Signed beam lifted on to the new wing 17

Indigenous Health

Gabrielle McCallum, winner of the 2012 NT Nursing and Midwifery Excellence Award for Education, Research and Innovation

Menzies School of Health Research Gabrielle McCallum, from Nurse to Researcher A young nurse wandered into the Royal Darwin Hospital tearoom and looked quizzically at a job advertisement pinned to the notice board.

The ad, posted by ear health expert Dr Peter Morris, asked for a researcher. “I’m not qualified,” Gabrielle McCallum said to herself. But the idea had looped its way into her thoughts.

“I knew deep down that I wouldn’t remain a hospital nurse. I wanted to make a difference to families in a less traditional way,” she says of the move that saw her zigzag from the hospital to Menzies and chart a second chapter of her working life.

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Gabrielle McCallum first came to the Northern Territory as a nursing student in her final year of study. Seconded to Katherine in the region’s north, she was instantly taken with the children she encountered.

“I fell in love with the Aboriginal kids. There was something really special about them. So when I graduated, I took the opportunity to leave Adelaide and come back to the Territory – but this time to Alice Springs.”

Though she started in the bustling, chaotic emergency room of the Alice Springs hospital, McCallum soon moved to the paediatric ward. A year later, she headed north to gain further paediatric experience in Darwin.

Once enticed to explore work beyond the ward, she’d spend the next 11 years dividing her time between Menzies and short stints at the hospital.

What drives her is a desire to see change in the way we manage young children with respiratory disease. So much so that she’s turning the topic into a PhD thesis – one she plans on finishing two years from now.

Her first research role saw her involved with a 2001 cross-sectional study examining the impact of the newlyintroduced Prevenar pneumococcal vaccine on ear disease.

Her study will examine the management of Indigenous children with acute bronchiolitis.

“There wasn’t a huge amount of research taking place in the Territory then, so we were paving the way for remote work,” she says.

“When these children go from the community to the hospital and back to the community, they often get lost.

We need a system that supports a more comprehensive follow-up. This will reduce the impact of ongoing respiratory symptoms and further disease.”

“Our project went to 29 remote Indigenous communities, many of which hadn’t had researchers visit before. We made some mistakes – but we also made inroads.”

Fast forward to 2012, and McCallum’s role now includes far more of the educational work that she cherishes.

“The research component is integral to my job; however supporting families and health staff through education is of equal importance.”

McCallum remains pleased at her tearoom epiphany, now more than a decade behind her. “Making the transition from nurse to researcher is one of my proudest achievements. I love what I do.”

Gabrielle McCallum is winner of the 2012 NT Nursing and Midwifery Excellence Award for Education, Research and Innovation.

Live the tropical life: Post-graduate study in Darwin

McCallum coordinates a range of respiratory projects within the Child Health division. Her team conducts clinical work, and creates culturally-appropriate resources to teach health clinic staff, nurses and families about common lung diseases, such as bronchiolitis, pneumonia and bronchiectasis.

After receiving a recent grant from the Australian Respiratory Council, McCallum and staff developed a range of talking posters and flipcharts which were produced in English and 11 local languages.

These resources teach good hygiene, warn of the dangers of smoking, and provide advice about the treatment and prevention of cough.

“Coughing is a big issue in the bush because it has become ‘normalised’,” says McCallum. “When the vast majority of people in a community are coughing, people don’t see it as a problem. Addressing that misconception is a big focus.”

McCallum adds that raising awareness about ear and lung health among families and communities has brought happiness to her working life.

Set in the beautiful Northern Territory, the Menzies School of Health Research offers opportunities to study in a PhD, Masters by Research or Honours program.

Our research areas include child health, preventable chronic diseases, healing and resilience, service systems and society, international health and tropical and emerging infectious diseases.

We also teach public health at post-graduate level with speciality streams in Indigenous Health, Global Health and Public Health Practice. It is possible to study by distance online.

Many of our research and teaching staff are nurses.

Nurses have valuable skills that are needed in research and bring diversity into studying health and well-being.

Menzies offers scholarships that can support you while you complete your research degree.

To find out more, please visit our website http://menzies. edu.au/education-and-training or contact Caroline Walsh, Scholarships Officer at caroline.walsh@menzies.edu.au

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Take your career to beautiful Western Australia...

Have the sun and sea right on your doorstep... Western Australia is home to plenty of extraordinary experiences from visits to the award winning wineries in the south to the breathtaking snorkelling of Exmouth in the north.

Western Australia boasts some of the whitest beaches in the country, the most amazing ocean sunsets and an outdoor lifestyle like no other.

We have current needs for: • • • • • • •

Midwives Theatre & Recovery Nurses Aged Care Nurses and Managers Mental Health Nurses Specialist Nurses Medical and Surgical Nurses ED Nurses Send us your resume today!

TR7 Health is leading the way in Health recruitment with quality, excellence and professionalism.

For career and market advice or for information on living and working in Western Australia contact our specialist consultants today!

We have developed strong and positive relationships within industry and actively work to place hundreds of qualified nurses and healthcare professionals into hospitals and aged care facilities throughout Western Australia.

Ph: (08) 9218 1431 Email: pallan@tr7.com.au Or visit us online at www.tr7.com.au

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A CHANGE is as good as A HOLIDAY

MIDWIFERY positions available throughout Australia • • • • •

Earn extra $$$$ Meet new people Visit new destinations Be where you are needed Exciting locations throughout Australia

CQ Nurse, Australia’s premier nursing agency, has contracts available NOW. Various positions available throughout regional, rural and remote Australia

www.cqnurse.com.au Office location 239 Nebo Road, Mackay p 07 4998 5550 f 07 4998 5545 e nurses@cqnurse.com.au 22

yours to

discover

Due to increase in demand we are currently seeking...

Registered Nurses Positions available across Adelaide Must have AHPRA Registration and minimum 1 year nursing experience

Join the preferred supplier of Nurses today!

Phone: (08) 8212 2595 Email: adelaide@mediserve.com.au Visit online: www.mediserve.com.au 23

Agency Contracts - Rural QLD and NSW • • • •

Is your current agency not meeting your needs?

Want to deal with friendly consultants who value the work you do on each and every contract?

Looking to join an agency that is known for its service excellence in the industry?

Not receiving the salary and benefits you deserve?

RNs, EN,s AINs Leading Hourly Rates Travel & Accomm Benefits Sign On Bonuses* Referral Fees* 24/7 Service CPD Training Weekly Payroll Full Insurance Cover Designated Consultants

ED RN - 3 Month Role Central NSW - Start ASAP Weekly Cash Top Up Midwives - All States Range of short and long term contracts all areas RN- Emergency 12 Week Contracts NSW & NT - ASAP

For more information, talk to Jen Gavenlock or Donna Gould in the Medacs Healthcare Nursing team.

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Midwives Permanent Roles Brisbane Rural / Remote Area RNs Range Of Contracts Immediate Start RN - Multipurpose Role Aged Care, ED, Med/Surg Immediate Start Contact Us Email: nurses@medacs.com.au Telephone: 1800 059 790 For a full list of our opportunities around the world go to: www.medacs.com.au

Government of Western Australia

WA Country Health Service

Clinical Nurse Manager Web Search No: 300109

The Career and Education Magazine for Nurses and Health Professionals

Advertise with us!

Level/Salary: ANF SRN Level 2 $93,563 p.a.

Permanent Full Time Position Profile: We are currently seeking to appoint a Clinical Nurse Manager for the Nursing department based at Newman Hospital.

In this role you will provide nursing clinical and leadership, management and governance to ensure effective and efficient service provision.

This position also provides support to the DON/HSM and district management team in developing and implementing initiatives for including progression of the health reform strategy, continuous quality improvement and improving patient safety.

Over 60 000 readers 8 500 subscribers per month...

Employee Benefits: In addition to the great salary our employees enjoy an amazing range of benefits which may include (in line with operational requirements):

For media kit, contact Michael Kuhnert marketing@nursingpost.com.au

• Access to generous salary packaging arrangements.

• 9% employer contributed superannuation into a fund of your choice. For further information go to www.superchoice.wa.gov.au

• Professional Development Opportunities and Study leave/assistance.

• Flexible working arrangements.

• Flexible leave arrangements.

• Other professional and location based allowances including substantial district allowance, subsidised housing and airconditioning subsidy.

To Access Detailed Information: jobs.wa.gov.au and key in the Web Search No. to access detailed information or Ph: 08 6444 5815 to be mailed an information pack.

For Specific Inquiries: Please contact Carla Thompson on 08 9175 8333.

Location: Newman Closing Date: Monday, 22 October 2012 at 4.00pm.

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Calling all...

Nurses and Midwives

Mediserve Nursing Agency welcomes Nurses from Australia and New Zealand...

Join the preferred supplier of Nurses today!

Positions available throughout regional, rural and all capital cities Phone: 1300 305 594 Visit us at www.mediserve.com.au 9 Email: nurses@mediserve.com.au 12

18, 19 22- 24

30 26

Buy more groceries, and pay less tax.

It’s that easy.

No more paper cla ims!

Our livin

Buy your groceries with the Smartsalary Living Expenses Card and save 30%* on your bill!

g ex is the mo penses card st way to sa convenient la your ever ry package yday expense living s.

On average, our customers save $3,000* a year just by salary packaging everyday living expenses such as bills, clothes and groceries. The savings don’t stop there – laptops, novated car leases and superannuation are just some of our most popular items that you can salary package. Check out the full list of approved items online.

Call us on 1300 219 835 Scan this QR code with your smartphone to begin salary packaging.

www.nursingsavings.com.au *Salary packaging of living expenses with Smartsalary is only available to employees of the Department of Health in WA and VIC. On average our customers save approximately $3,000 per year, based on an income between $37,001 - $80,000, paying 32.5% income tax and salary packaging the full $9,095 tax-free cap. Actual savings will vary depending on your income tax bracket and your personal circumstances. An administration fee is paid tax-free from your salary.

Nursing Post_148x210.indd 1

10/09/2012 10:24:44 AM 27

Kimberley Aboriginal Medical Services Council (KAMSC)

An organisation of Aboriginal people, controlled by Aboriginal people, for Aboriginal people

Kimberley Aboriginal Medical Services Council (KAMSC) is a well-established regional Aboriginal community controlled health service, founded in 1986, which provides centralised advocacy and resource support for 6 independent member services, as well as providing direct clinical services in a further 6 remote Aboriginal communities across the region.

KAMSC has successfully delivered high-quality, accessible comprehensive primary health care services over its 22 years of operation and has provided innovation and national leadership in areas such as health information management and evidence based best practice in primary health care.

Registered Nurses (Remote Area) | Job No: 38813 | Location: Kimberley Region, WA • Do you want to really make a difference in your career? This is a unique opportunity to work with Indigenous communities in the spectacular Kimberley region!

• Excellent remuneration package circa $83, 400 - $93, 300 plus a range of benefits including fully furnished housing, district allowances and airfares.

• Enjoy an incredible 16 weeks leave per year, giving you time to explore the magnificent sights of the Kimberley region; stunning gorges, the Ord River and Dam, the Bungle Bungles, Gibb River Road, camping, fishing and four-wheel driving!

Clinical Nurse Manager (Remote Area) | Job No: 39214 | Location: Broome, WA • Do you want to really make a difference in your career? This is a unique opportunity to work with Indigenous communities in the spectacular Kimberley region!

• Excellent remuneration package circa $85, 642 - $96, 566 PLUS an outstanding range of benefits including salary sacrifice, airfare, subsidised accommodation, district allowances, and electricity & telephone allowances.

Dialysis Nurse (Aboriginal Health) | Job No: 39211 | Location: Broome, WA • Unique opportunity to really make a difference as you work with Indigenous communities in the spectacular Kimberley region!

• Excellent remuneration package circa $70, 036 - $73, 187 plus salary sacrifice.

• Outstanding range of benefits including salary sacrifice, airfare, subsidised accommodation and allowances.

• Enjoy an incredible 5 weeks leave per year, giving you time to explore the magnificent sights of the Kimberley region.

For further information and to apply for these opportunities, please visit www.kamsc.org.au

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Courses, Conferences and Events 7th World Conference on the Promotion of Mental Health and the Prevention of Mental and Behavioural Disorders Perth Convention and Exhibition Centre 17 - 19 October 2012 www.perth2012.org/index.html

RCNA Community and Primary Health Care Nursing Conference 2012 The Vines Resort, Swan Valley, Perth 17 - 19 October 2012 www.rcna.org.au

2012 HITWA Thinking Outside the Box: Innovations in E-Health Duxton Hotel, Perth 19 October 2012 www.hisa.org.au

The Journey Towards Excellence in Children’s Healthcare Conference Doltone House, Jones Bay Wharf, Sydney 22 - 24 October 2012 www.thejourneyconference.com.au

South Pacific Nurses Forum Leonda by the Yarra, Melbourne 19 - 22 November 2012 http://www.spnf.org.au/

Aged Care Nurse Managers Conference Caulfield Racecourse, Station street, Melbourne 21 - 22 November 2012 www.totalagedservices.com.au

Indigenous Allied Health Australia National Conference Brisbane Convention and Exhibition Centre 22 - 24 November 2012 www.indigenousalliedhealth.com.au

2012 National Indigenous Health Conference: Many Pathways, One Outcome Watermark Hotel, Gold Coast 5 - 7 December 2012 www.indigenoushealth.net

Palliative Care Nurses Australia 2012 Conference The Sebel Albert Park, Melbourne 10 - 11 December 2012 pcna.org.au

Aged Care: Reform or Revolution Tri-State Conference & Exhibition Albury Entertainment Centre, Albury, NSW 24 - 26 Febrauary 2013 www.vic.lasa.asn.au/event/tristate2013

7th Australian Women’s Health Conference Sofitel Sydney Wentworth, Sydney 7 - 10 May 2013 www.womenshealth2013.org.au

ICN 25th Quadrennial Congress Equity and Access to Health Care Convention and Exhibition Centre, Melbourne 18 - 23 May 2013 www.icn2013.ch 29

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Making the Move from RN to RAN Transition to Remote Area Nursing A three week face-to-face program that prepares Registered Nurses to work as Remote Area Nurses and articulates with Flinders University Award courses.

A a e

Content includes Framing Indigenous Health, Primary Health Care, Self Care, Remote Advanced Nursing Practice and Pharmacotherapeutics.

Dates for 2013 March 8th—28th Alice Springs Darwin June 13th—July 5th Alice Springs August 5th—26h Participants will need to book Remote Emergency Care (REC) course separately through CRANAplus COURSE FEE: $2,800 plus cost of the REC course

C R D M J A

For Further Information contact short course administrator Ph: (08) 89514700 or Email: crh.shortcourse@flinders.edu.au

31

C

What I like about OUM is that I can continue to work part time and continue my studies in medicine.

Vivian Ndukwe, RN from Melbourne, OUM Class of 2012

RN to MBBS

Your next logical step‌ become a physician.

Earn your MBBS at Oceania University of Medicine OUM is proud to announce an even more attractive fee structure from 2013.

Applications are now open for courses beginning in February and August.

New facilities, greater capacity and over 150 students currently enrolled.

Study from a Home Base under faculty from top international medical schools.

Receive personalised attention from your own Academic Advisor.

OUM Graduates are eligible to sit for the AMC exam or NZREX. OUM Graduates are employed in Australia, New Zealand, Samoa and USA

OCEANIA UNIVERSITY OF MEDICINE INTERNATIONALLY ACCREDITED

For more information visit www.RNtoMBBS.org or call 1300 665 343

32

With the course structure and support network of OUM, I am going to make my goal of becoming a physician.

A good physician.

Paris Pearce, Paramedic from Mackay, OUM Class of 2016

Undertake a Graduate Certificate in your specialty area Our Graduate Certificate qualifications articulate into university courses, enabling advanced standing towards higher degrees.

Graduate Certificates for February 2013 include: • Acute Care Nursing • Aged Care Nursing • Cancer Nursing • Child and Family Health Nursing • Critical Care Nursing • Neonatal Nursing • Paediatric Nursing Studies • Perioperative Nursing

Enrol now for February 2013 These courses are currently accredited by TEQSA and are currently undergoing Renewal of Accreditation by the TEQSA and may be subject to change with short notice.

Call 1800 COLLEGE (26 55 343) or www.acn.edu.au

Australian College of Nursing

ACN NP Iss 19 Oct 2012 PG Education 210x148.indd 1

24/09/2012 3:13:03 PM

33

Healthy recipes...

Raspberry Muffin Loaf with Coconut Pistachio Crunch

What you will need: • • • • • • • • •

2.5 cups all-purpose flour 3.5 tsps baking powder 1 cup brown sugar 2 eggs 100g butter, melted 1 cup yoghurt 2 -3 tbsps milk (moist enough to stir in the raspberries) 2 tsp vanilla extract 200g fresh raspberries

Coconut Pistachio Crunch Topping: • • • • •

25g / 0.88 ounces cold butter 1/8 cup (half of a quarter) all-purpose flour 1/8 cup unsweetened dessicated coconut 2 tbsps demerera sugar (coarse sugar) 40g / 1.4 ounces pistachios, de-shelled

Method: (1) Preheat oven to 180 degrees Celsius (374 degrees F).

(2) Line the loaf pan (15cm x 9cm) with baking paper. Grease the surface which is not covered by the baking paper with some of the melted butter.

(3) In a medium sized bowl, place eggs, butter, yoghurt and vanilla extract. Whisk to combine.

(4) Sift in flour and brown sugar into the batter and stir until just combined. Then gently stir in raspberries.

(5) Add mixture into the prepared loaf pan and sprinkle topping (method below) over the mixture before baking.

(6) Bake muffin loaf for about 1 hour and 20 minutes. Let the muffin loaf stand in pan for 10 minutes before turning onto a wire rack.

To make the topping: Use a small processor, process all the ingredients until resembles rubbles.

34

Pumpkin, Lentils and Quinoa Salad What you will need: • 1/2 butternut pumpkin, peeled & deseeded • 3 -4 garlic cloves, skin on • 1/2 fresh chilli, sliced • 1/2 cup quinoa • 1 cup boiling water • 400g / 14 oz canned lentils • 1 tsp cumin powder • olive oil • juice from 1/2 lemon • salt to taste • fresh coriander/cilantro leaves for garnish

Method: (1) Preheat oven to 180 degrees C / 356 degrees F. (2) Peel and deseed 1/2 a pumpkin. Dice into 2.5cm (1 inch) cubes and place them on parchment paper * 3 servings as main lined baking tray as well as garlic cloves and chilli.

Drizzle over some olive oil, cumin powder and salt and toss all the ingredients until well combined. Then bake them in the preheated oven for 40 minutes or until the pumpkin feels tender and fluffy when pricked with a fork.

(3) While the pumpkin is roasting in the oven, pour 1/2 cup of quinoa and 1 cup of hot boiling water in a medium sized pot.

Start cooking over medium high flame until it starts to boil. Then let it simmer by reducing to low-medium flame and cover with a lid. In the meantime, rinse and drain the lentils. Set aside.

(4) For the quinoa, cook until the water is ALMOST absorbed. When there’s just a little water left at the bottom of the pot (about 2 tbsps worth of water left), turn off the flame and leave the lid on. This will allow the quinoa to completely absorb the water without sticking to the pot. Fork through the quinoa so that it’s light and fluffy. Set aside.

(5) Add lentils to the quinoa and toss gently until well combined. Season lightly with salt.

(6) Add roasted pumpkin, garlic (skin-off and thinly chopped) and chilli to the lentil-quinoa mixture. Drizzle some olive oil and lemon juice over the salad and toss to mix.

(7) Just before serving, garnish with some coriander/cilantro leaves. You can serve this salad warm or cold.

Emily Tan of Fuss Free Cooking joins us fortnightly to share her delicious healthy recipes... www.fussfreecooking.com 35

New Zealand Nurses Wanted Call us today!

We provide: • Free flights to Australia and

back to New Zealand

• Best rates with wages paid weekly • Superannuation 9% of wages • Full insurance for Nurses and Midwives • City/Rural contracts long and short term • Arranged accommodation

Mediserve is seeking Registered Nurses, Midwives and Specialty Nurses from New Zealand to work across Australia We have positions available throughout regional, rural and all capital cities Freecall from NZ: 0800 9325 1332

(Please ring between 3-10pm NZ local time) Email: nurses@mediserve.com.au

36

Dreaming of a new career adventure?

Join Expat Nurses around the globe with CCM Recruitment...

What’s new?

Brand new facilities in the U.A.E & Qatar.

Taking applications now!

CCM will make it easy for you...with over 25 years experience we’ve done our homework. We advise which hospitals offer the best benefits, salaries and Expat lifestyle to suit. Consultants have previously worked in these locations and offer a wealth of information based on first hand experiences.

Saudi Arabia

Our most popular location; ancient rolling sand dunes to the skyline of modern high rises. Saudi Arabia engages all your senses. Salary paid tax free, flights paid at beginning & end of contract, free accommodation, generous A/L, free utility bills, vibrant expat social life.

Australia

United Arab Emirates

Dubai & Abu Dhabi; culturally rich with familiar comforts of home. Salary paid tax free, flights paid at beginning & end of contract, accommodation provided or allowance paid.

Guernsey (Channel Islands)

Rural/Remote and city or town locations available especially for Midwives, Theatre, ICU and Cardiac Nurses.

Located between the UK & France. Enjoy the laid back island lifestyle, surrounded by picturesque beaches. Low tax, assistance with flight over & subsidised accommodation.

Contact Dawn or Raquel...

Aus Free Phone: 1800 818 844, NZ Free Phone: 0800 700 839 Email: dawn@ccmrecruitment.com.au raquel@ccmrecruitment.com.au

Find us on Facebook - CcmAustralasia

www.ccmrecruitment.com

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Introduction to Remote Health Practice Program Are you interested in remote or Indigenous health? Would you like to expand your skill-set and earn CPD points? The Remote Area Health Corps has developed a suite of free e-learning modules accredited with the Australian College of Nursing (formerly RCNA): 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

Introduction to Indigenous Health Communication and Education Chronic Conditions Management Mental Health Paediatrics Maternity Major Incident Management Managing Medical Emergencies Trachoma Ear Health Oral Health

To find out more or take part in the Introduction to Remote Health Practice Program, visit our website today.

Get involved.

rahc.com.au