theNursingPost www.nursingpost.com.au
The Career and Education Magazine for Nurses and Health Professionals
Pink Ribbon Day was celebrated 22 October
Thank you to St John of God Murdoch Operating Theatre for sharing your photo with us!
12 November 2012
- ISSUE 22
Mental Health
Visit us online for the latest in health news, education and career opportunities
Like us on Facebook
Your UK Pension in your bank account now! UK Pension Transfers Australia has:
YOU DON’T HAVE TO BE 65 OR RETIRED!
• • • • • •
If you have lived or worked in the UK, chances are you would be entitled to a transferable lump sum. You will have hands on access to funds for your own investment ideas.
• • •
Fixed tax deductable fees No up-front fees or deposits Free consultation and report No transfer, no fees, satisfaction guaranteed! Company/Private pensions (NHS Police and Military) Sterling exchange rate options with LIVE ONLINE TRANSFER CALCULATOR Total postal service available (if you can’t get to one of our offices) Established 2003 with 100% success rate You may qualify to access 89% (tax free) of your pension with no restrictions
Don’t lose a non-tax deductable percentage of your pension to the
superannuationrecall.com.au
Call us today!
Ph: (08) 9309 4001
Visit our website
www.qef.com.au
Need money QUICKLY? Funds on demand, the ‘Quick & Easy’ way™
Quick and Easy Finance specialises in nonconforming, short term personal loans for repayment over 3-24 months*. A short-term loan means your debt is paid off sooner, and with loans that range from $500-$10,000*, you can afford to pay for the things you’ve always wanted. PLUS, by repaying your loan with Payroll Deduction and by using your unencumbered1 vehicle as security, you can enjoy a discounted interest rate on your loan.
wrightcreative.com.au 2612NP
HOW SOON CAN I RECEIVE THE FUNDS?
Within 48-72 hours from the moment we receive your completed application form and supporting documents*. How’s that for service! Our turnaround time is second to none and we pride ourselves on our quick and easy approval process, with funds deposited directly into your bank account.
WHAT CAN I USE THE LOAN FOR?
Anything you want! Guilt-free shopping; gift purchases; a holiday of a lifetime; home renovations; car repairs or new tyres; new furniture; upgrade to a new plasma TV or home cinema… in fact, it’s your loan – so use the funds however you choose! FEES & EARLY SETTLEMENT?
Unlike other companies, Quick and Easy Finance DOES NOT CHARGE ANY FEES OR PENALTIES if you choose to settle your loan early. So you are free to pay out your loan whenever you want. There is simply no better way to solve all your cash flow needs than a short-term personal loan from Quick and Easy Finance – it’s your cash on demand, the Quick & Easy way.™
Call now and be pre-approved in minutes 1300 654 230 *Terms and Conditions Apply. ABN 76 104 030 793. A National Credit Act compliant company. A member of the National Financial Services Federation Inc. A member of Credit Ombudsman Service Limited (www.cosl.com.au). 1: A motor vehicle which is paid off, registered in your name and not encumbered (i.e. not currently used as security on any loan with another financial institution). Australian Credit Licence 388145
1
Editor’s note... Hi Readers, Welcome to Issue 22 of The Nursing Post magazine. This month, we are celebrating Movember! During November each year, Movember is responsible for the sprouting of moustaches on thousands of men’s faces in Australia and around the world. The aim of which is to raise vital funds and awareness for men’s health, specifically prostate cancer and male mental health. If your workplace or team is getting involved, we would love you to send in a photo to artwork@nursingpost. com.au. This issue, we take a close look at Mental Health. We find out about The Mental Health First Aid course offered at The University of Queensland suitable for all qualified health professionals and students from any health discipline. The course is designed to provide participants with the specialised knowledge and skills to confidently help someone developing a mental heatlh problem or in a mental health crisis. We also hear about a new suicide postvention support service that has been launched by headspace and the Commonwealth Government to help secondary schools affected by suicide. The service will, in the short and longer term, provide guidance and coordination for staff, students, families and the broader community. We hope you all enjoy our recent issue. To keep up to date with the latest news, education, career opportunities and health events, join our Facebook page. Our next issue is out on Monday 26 November featuring Nursing in VIC. Until then, take care.
Naomi Byrne Editor
2
On the Cover: Pink Ribbon Day was celebrated on 22 October Thank you to St John of God Murdoch Operating Theatre for sharing your photo with us!
Next Issue: Nursing in VIC 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 23: 26 November 2012 Material Deadline: 19 November 2012 Printed by Daniels Printing Craftsmen Editor and Graphic Designer Naomi Byrne Sales and Marketing Manager Michael Kuhnert
Send in your photos and stories to... artwork@nursingpost.com.au
Indigenous mental health e-learning opportunity If you are an RN who is interested in expanding your knowledge and understanding of Indigenous mental health, visit the RAHC website and complete the free ‘Mental Health’ e-learning module. The module takes between 30 minutes and an hour to complete and is certified by the RCNA/ACN for CPD.
RAHC offers a range of other free e-learning modules as part of the RAHC Introduction to Remote Indigenous Health e-learning program. To see the full suite of modules available visit the website today. Funded by the Australian Government
Get involved.
free call 1300 697 242 or visit
rahc.com.au 3
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 urgent 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
4
21
Contents... Features
6
New Australian Publication
8
Murdoch Children’s Research Institute
Advancing treatment for head and neck injury Calls for Fragile X to be included in newborn screening
10
Australian College of Nursing
34
Healthy Recipes
The International Council of Nurses comes to Melbourne in 2013 Emily Tan of Fuss Free Cooking shares her delicious healthy recipes
It’s that time of the year again! Support Movember this month to raise funds and awareness for men’s health.
Mental Health
12 14 16
The University of Queensland
Mental Health First Aid is only for mental health practitioners...or is it?
Inside Cover
headspace
Suicide postvention service launched to support schools
Black Dog Institute
Too wired to sleep? Don’t switch off, switch on
Indigenous Health
18
Our Advertisers
Remote Area Health Corps (RAHC)
Working remote: “So rewarding and stimulating”
Courses, Conferences and Events
UK Pension Transfers
1
Quick and Easy Finance
3
Remote Area Health Corps (RAHC)
4
TR7 Health
20
Smart Salary
21
Miwatj Health
22
Medacs Healthcare
23
Kimberley Aboriginal Medical Services Council (KAMSC)
24
Remote Area Health Corps (RAHC)
28
Movember - It’s that time of the year!
25
CQ Nurse
29
List of up-coming courses and conferences
26
Mediserve Nursing Agency
30
Oceania University of Medicine
27
PULSE International
31
Centre for Remote Health
36
Mediserve Nursing Agency
32
ICN 25th Quadrennial Congress
Inside Back
33
Discharge Planning & Service Integration Conference
The Australian College of Mental Health Nurses (ACMHM)
Back Cover
The Health Scoop arrives in 2013! 5
Monash University
Professor Ed Byrne (pictured left) and Professor Jeffrey Rosenfeld (right)
New Australian Publication Advancing treatment for head and neck injury Improving treatment and outcomes for people with life-threatening head and neck injuries is the aim of a comprehensive new book by one of Australia’s eminent neurosurgeons.
Head of Monash University’s Department of Surgery and Director of the Department of Neurosurgery at The Alfred hospital, Professor Rosenfeld said he hoped for improvements in care of traumatic brain injuries, which affect more than 10 million people a year.
Professor Jeffrey Rosenfeld AM has drawn on forty years of experience, his own research and the latest evidence based treatment from recognised worlds experts, in his new book Practical Management of Head and Neck Injury.
“Traumatic brain injury is a major global health problem, and sadly more than half of all severe TBI cases either die or suffer lifelong disability,” Professor Rosenfeld said.
In his text, Professor Rosenfeld provides a comprehensive account of the diagnosis and management of head and neck injury. Unique to any other text available, it details the entire patient journey from immediate emergency care and specialist treatment through to rehabilitation, in an accessible and engaging format.
“A patient doesn’t usually come into hospital with a brain injury alone, but are often affected by related and often life-threatening injuries. This text integrates all aspects of care associated with head and neck injury incorporating the latest evidence based treatment contributed by Australian and international experts in their field.
6
“It is my fervent hope this book improves the management of head and neck injury at all types of healthcare facilities, including low-income countries where services are sparse and generalists do their best with limited resources.” Monash Vice-Chancellor and President Professor Ed Byrne, a pioneering neuroscientist who has combined an active clinical career with an outstanding contribution to research and teaching, officially launched Practical Management in Melbourne on 16 October.
The Career and Education Magazine for Nurses and Health Professionals
“Professor Rosenfeld provides readers with a comprehensive account of the problems encountered in clinical practice, introducing important new developments and specialist treatment,” Professor Byrne said. “I’m sure this contemporary text, authored by a world leader in his field, will become a seminal reference for emerging medical, nursing and health professionals worldwide.” Practical Management of Head and Neck Injury includes additional chapters on prognosis and special conditions including head injury in sport, the elderly, children, pregnant women, spinal injury and brain death. The practical text has broad appeal across medical, nursing and health professions including paramedics, medical students, junior doctors, nurses, registrars in training, remote and rural practitioners and all specialists and beyond.
Advertise with us! Over 60 000 readers 8 500 subscribers per month... For media kit, contact Michael Kuhnert marketing@nursingpost.com.au
7
Murdoch Children’s Research Institute
Calls for Fragile X to be included in newborn screening Researchers from Murdoch Childrens Research Institute say Fragile X syndrome could be the first genetic disorder to be added to newborn screening in a decade. This is thanks to an early detection test which the researchers have shown works on blood spots collected from newborns that later developed Fragile X.
with a range of developmental, physical and behavioural problems and is the most common known cause of inherited developmental disability worldwide. It is estimated that 1 in 130 females and 1 in 180 males carry the FXS gene and that 12 FXS carriers and one fully affected FXS child is born in Australia each week.
Newborn screening involves taking a blood sample from the baby two to three days after birth and testing for a range of conditions that will benefit from early diagnosis. The last time a new test was added to newborn screening, was in 2002. Newborn screening currently tests for 25 conditions.
The world-first Fragile X test for newborns, which analyses a DNA region that was previously thought to have no function, can both diagnose Fragile X syndrome and predict the severity of symptoms. Prior to this test, it has been difficult for doctors to diagnose Fragile X until the age of three years or older, particularly in girls.
Fragile X syndrome is a genetic disorder caused by a faulty switch of an important gene called FMR1 which is located on the X chromosome. Fragile X syndrome is associated
Importantly, early identification and intervention should increase the potential of children with Fragile X syndrome, and save parents the anguish of spending years searching
8
Fragile X Syndrome is the most common cause of inherited intellectual disability and the most common known genetic cause of autism. Every week in Australia one affected child is born with Fragile X full mutation and twelve children are born who are carriers of the faulty gene. In the study, which was published in Genetics in Medicine, researchers used the early detection test on fresh blood and archival blood spots from 588 adults, children and newborns, including 242 with the Fragile X full mutation, and found the test was approaching 100% accuracy in both males and females. Lead researcher, Dr David Godler said the test was highly advantageous for newborn, infant or early childhood population screening because the test detects those who would directly benefit from early diagnosis. “The case for Fragile X to be included in newborn screening has been strengthened by evidence that early intervention with psychological and education therapies, and treatment with drugs can improve symptoms in affected children,” David said. “The other important advance has been the development of a suitable test. Full consideration of a Fragile X heel prick test in newborns is now unconstrained by the lack of a suitable screening tool for this purpose. The comprehensive cost–benefit analysis of Fragile X testing within newborn screening programs can now be fully addressed.” Researchers estimate the cost for inclusion of Fragile X syndrome would be between $700,000 to $1.5 million for every 100,000 babies tested. Based on the frequency of the condition, between 21 and 38 affected individuals would be identified in this population.
“
Fragile X Syndrome is the most common cause of inherited intellectual disability and the most common known genetic cause of autism. Every week in Australia one affected child is born with Fragile X full mutation and twelve children are born who are carriers of the faulty gene.
“
for a diagnosis.
the condition. Fragile X can be compared with Cystic Fibrosis, another genetic condition which is currently tested in newborn screening and identifies 25 affected individuals per 100,000 babies. Screening for CF aims to achieve an early diagnosis and earlier treatment of symptoms. It also benefits these children’s parents through being informed of reproductive options. The estimated cost per individual over their lifetime is $350,000. Current testing for cystic fibrosis costs about $700,000 for every 100,000 babies screened. “Given these similarities, the same arguments can be put forward to support newborn screening for Fragile X,” David said. The test was initially developed in February and is currently available via the Victorian Clinical Genetics Services which is based at Murdoch Childrens, to complement the existing Fragile X test. The test is especially advantageous for diagnosis and screening in females, because it can specifically and accurately identify those individuals who are expected to develop cognitive impairment. Large scale multi-site based studies are being planned which will be underway in 2013, which will involve centres in Melbourne, Sydney, US and Chile.
The societal cost of providing healthcare services over the lifetime of one individual with Fragile X syndrome is estimated to be between $350,000 and $2.5 million. Its inclusion into the newborn screening program has the potential to reduce the incidence of Fragile X in the population through identification of at-risk families who would be provided with reproductive options, and could see a very significant reduction in healthcare costs for 9
Australian College of Nursing The International Council of Nurses comes to Melbourne in 2013 The Congress is a part of ICN’s role to advance the profession of nursing and health through the development of policies, partnerships, advocacy, leadership, networks and special projects. As many as 75 countries have contributed to the program and 35 countries will be represented at next year’s conference through 59 speakers. ICN is the largest international organisation for health care professionals. More than 130 national nurses associations (NNAs) are members of ICN representing over 13 million nurses worldwide. The Australian College of Nursing (established through the unification of the Royal College of Nursing, Australia and The College of Nursing) is the Australian NNA representative of ICN and is honoured to be co-hosting the Congress in Melbourne.
HRH Princess Muna Al Hussein of Jordan, who will present on the title theme of the conference, ‘Equity and Access to Health Care’.
The International Council of Nurses (ICN) will hold their 25th Quadrennial Congress at the Melbourne Convention and Exhibition Centre in May 2013. It has been over 50 years since Australia last hosted the Congress, so next year’s event presents the Australian nursing community with a wonderful and rare opportunity; the chance to network, learn, debate, inspire, and be inspired by nurses from around the globe. 10
ICN seeks to bring together nurses internationally to contribute to national health policies in its member nations. The Congress was first held in 1901 in Buffalo, USA, where the Council’s five key values were agreed: visionary leadership; inclusiveness; flexibility; partnership; and achievement. ICN’s standards, policies and guidelines, and the interaction between the Council and their members contribute to nursing practice, education, management, research and socio-economic welfare globally. Australian nurses have played significant roles within ICN since its inception in 1899. An Australian nurse, Miss Susan McGahey, once the Matron of the Royal Prince Alfred Hospital, became the president of ICN in 1904 after she worked to co-found the Australasian Trained Nurses Association; now the Australian Nursing Federation. We are also honoured to have Ms Rosemary Bryant FACN, Australian Chief Nursing and Midwifery Officer, and the current ICN President, preside over next year’s Congress. The Congress will run over five days and a myriad of events will be presented throughout this period: entertaining opening and closing ceremonies, where attending countries will parade in traditional dress; professional site
The Congress draws speakers and delegates from all nursing backgrounds, including HRH Princess Muna Al Hussein of Jordan, who will present on the title theme of the conference, Equity and Access to Health Care. HRH’s contribution in the development of nurses within Jordan and worldwide is to be acknowledged and commended. Founding the Princess Muna College for Nursing (now the School of Nursing of Mu’tah University) in 1962, she has enabled the graduation of hundreds of nurses and developed education in Jordan significantly. HRH has also consistently worked on programs addressing issues of poverty, promoting the health of mothers and children, and creating an established and effective nursing workforce. The World Health Organization’s Amman office, under HRH’s direction has supported projects promoting the quality and productivity of nursing care, disaster preparedness and the ICN’s Leadership for Change program. HRH’s extensive experience and vibrant passion brings a wealth of knowledge to ICN’s Congress. HRH’s presentation will sit alongside a range of international speakers tackling issues of ethics, education, ageing populations, disasters, mental health, HIV/AIDS, migration and quality health care, amongst others.
“
Delegates of the 2013 ICN Congress in Melbourne will join ICN as they work to ensure quality nursing care for all, promote sound health policies, advance nursing knowledge and contribute to the growth of a globally respected nursing profession.
“
visits for international delegates offering the opportunity to learn about Australian nursing practice and health care systems; the announcement of the prestigious Florence Nightingale International Foundation Achievement Award and Christiane Reimann Prize recipients; a Student Assembly Forum; and presentations and workshops from a range of international perspectives.
John Ruskin (critic and philanthropist, 1819-1900) was quoted at the first ICN Congress in 1901, “It is useless to put your heads together if you can’t put your hearts together. Shoulder to shoulder, right hand to right hand, among yourselves with no wrong hand to anybody else, and you’ll win the world yet.” His words remain true to this day. ICN’s vision for nursing globally is a legitimate vision to be realised at next year’s Congress. Operated and lead by nurses, ICN’s Congress brings together nurses to work towards and realise a shared vision.
For further information about the ICN 25th Quadrennial Congress in Melbourne next year, please turn to pg.32 or visit www.icn2013.ch
Whilst the Congress program provides a great enticement for both Australian and international nurses to seriously consider their attendance, the Congress location of Melbourne is a further enticing inducement. Melbourne is a culturally rich and dynamic city offering visitors a range of social activities and is the ideal backdrop for ICN’s Congress. Delegates of the 2013 ICN Congress in Melbourne will join ICN as they work to ensure quality nursing care for all, promote sound health policies, advance nursing knowledge and contribute to the growth of a globally respected nursing profession. ICN’s aspirations are achievable with the continued participation of NNAs and contribution of dedicated individual nurses.
11
Mental Health
The University of Queensland Mental Health First Aid is only for mental health practitioners...or is it? Did you know that 1 in 5 adults and 1 in 4 adolescents living in Australia today are likely to experience a mental health illness? Whether you are a nurse, midwife, paramedic or any other health professional, it is likely you will encounter people with a mental health problem in your sphere of practice. How you handle the situation when a person suffering with a mental illness is distressed can make all the difference in the world, to them, their families and to you. The Mental Health First Aid course offered at The University of Queensland is suitable for all qualified health professionals and students from any health discipline. The course is designed to provide participants with the specialised knowledge and skills to confidently help 12
someone developing a mental heatlh problem or in a mental health crisis. Delivered by registered practising clinicians through the University of Queensland School of Nursing and Midwifery, the Mental Health First Aid course provides 12 hours of CPD. The course is presented by mental health nurse and nurse educator, Ms Nicci Goulter. Nicci is a credentialed mental health nurse with 15 years clinical practice experience. During her years of practice Nicci specialised in Acute Adolescent Mental Health. Nicci is passionate about improving the status quo of people with a mental illness and has undertaken various collaborative projects to help raise awareness of the prominence of mental health issues in the community.
We asked Nicci some key questions about mental health and the Mental Health First Aid course offered... What are some of the commonly held myths about mental health? •
•
•
•
Those in a psychotic state are always violent - this simply is not true but is an image that has been fed to the general public via popular media. In fact, those in a psychotic state are more likely to be the victim of violence than to perpetrate violence. People suffering with a mental illness should “pull themselves together and get off their drugs” - this is an interesting one! I have yet to hear someone advise a diabetic to think themselves out of it and go off their Insulin. Mental illness is an illness, it’s not something individuals wish upon themselves and it is treatable. People who hear voices are just “imagining” it - in actual fact PET scans show the same electrical activity occurring in the brain of someone who hear voices as to what occurs in everyone’s brain when they listen to the TV or radio or have a conversation with a friend. People who self harm are just looking for attention - people who self harm are looking for a way to end their emotional pain. Harming oneself is a very effective way of shifting the focus from the emotional to the physical.
Why is it so important for non-mental health professionals to have some understanding of mental health issues? Fear and lack of confidence are common reasons why people avoid the topic of mental health. Mental Health First Aid (MHFA) provides course participants with the facts and strategies to address these concerns and to act in situations involving people with mental health problems. Why do a MHFA course? We don’t think twice about a school teacher, a mental health nurse or others doing a general first aid certificate. Why should this be any different? As a mental health nurse I rarely use first aid in my primary clinical role, however, I keep my first aid skills and knowledge current just in case I need them. I would hate to think I couldn’t assist someone who suffered a heart attack right in front of me.
The same applies to MHFA. I firmly believe that the more people that have some understanding in this area, the more people will benefit. It might mean the difference between early intervention and ongoing suffering which can have an enormous impact upon long term outcomes. Can you specify some of the strategies that health professionals and non - health professionals stand to gain from the MHFA course? One of the most important strategies is assessment. That is, recognising the person is suffering from a mental health problem and needs to get help, and how to followup and get them that help. While the course does not provide comprehensive mental health assessment skills, it teaches participants to recognise the usual manifestations of common mental problems and then some simple strategies to engage with the person to assist them to get help. MHFA doesn’t train you to become a mental health expert but a qualified assistant to someone in distress. A participant of the course shares their experience... “In my job I work with students and researchers every day. We are often in very close living situations and in remote locations where we are potentially hours away from assistance. As the person responsible for the health and well-being of up to 50 individuals (staff and students), I wanted to be prepared for anything which may arise. I have taken years and years of first aid training as required by the university OH&S, but there has never been any serious training in how to address mental health situations which can arise on these courses. Taking this course gave me the confidence to manage situations which may occur, recognise when additional help is necessary, and the appropriate contacts to provide for further professional assistance should someone require it. I would highly recommend this course to anyone who is responsible for the care of other people as part of their job.”
13
Mental Health
The Hon Mark Butler MP pictured with Amy and Hannah from the band, Stonefield. Stonefield performed at the launch at Fitzroy High School in Melbourne.
headspace
Suicide postvention service launched to support schools A new program has been launched by headspace and the Commonwealth Government to help secondary schools affected by suicide. headspace School Support will assist secondary government, private and independent schools to respond to and manage suicide related crisis’, mitigating distress to staff and students and minimising the risk of further tragedies.
the devastating impact on immediate and extended family and friends, but there are also ramifications for the wider community that need to be assessed and managed,” said Mr Tanti. Minister for Mental Health Mark Butler said headspace School Support staff are now in the seven states and territories to provide direct support to secondary schools and surrounding communities affected by suicide or concerned about students at risk.
According to the Australian Bureau of Statistics, 113 young people aged 15 to 19 died by suicide in 2010. headspace CEO Chris Tanti said that for every young person who dies by suicide, significantly more are negatively affected.
“We know that 1 in 4 young people will experience a mental health issue this year but three-quarters of these aren’t receiving the professional help they need.”
“The trauma and impact of a suicide is enormous. There’s
“Suicide is the single largest cause of death among young
14
Australians so we’ve got to make sure young people at risk are connected with the right services,” said Minister Butler.
•
The service will provide assistance and coordination for staff, students, families and the broader community in the short and longer term.
•
It will also help prepare schools in the event they need to respond to a suicide-related crisis, delivering ongoing resources and facilitate training for school staff to identify students at risk. Mr Tanti said headspace School Support will complement existing programs and build on current capacity and skills of school staff. “We know that every school community will be different, with unique circumstances and needs. We also know that every teacher is aware of the mental health needs of their students. So we’ve made sure the program is flexible and able to deliver the support needed in whatever configuration is appropriate.” “An important role of our teams will be to help strengthen the relationships between schools and their local networks so they can work together, easily facilitating referrals and drawing on support when needed.” “They’ll also work closely with our headspace centres across the country and our online and telephone service, eheadspace. Ultimately we’re aiming to bridge the gap between these service offerings, with the goal that all young people in need are supported,” said Mr Tanti. Since commencing service delivery earlier this year, headspace School Support has provided information, guidance and direct support to an increasing number of secondary schools (70 to date) and organisations concerned about the effect of suicide on school communities. The most common reason for contacting headspace School Support has been the completed suicide of a secondary school student.
•
•
Assessment of needs to determine exactly what support the schools require. Education, training and information sessions for students, school staff and parents. Consultation regarding students that may be at risk of suicidal behaviour. Involvement in meetings with schools, other organisations and local community networks to provide guidance and advice.
An induction week for the headspace School Support teams was held in the second week of October and service delivery is expected to increase rapidly as the workers promote the service in their respective states and territories. The headspace School Support teams are located at existing headspace centres: • • • • • • •
New South Wales - headspace Central Coast (Gosford) Victoria - headspace Southern Melbourne (Elsternwick) Queensland - headspace Townsville Western Australia - headspace Perth (North Perth) Northern Territory - headspace Darwin (Palmerston) Tasmania - headspace Hobart South Australia - headspace Adelaide Northern (Elizabeth)
headspace is the National Youth Mental Health Foundation, helping 12 – 25 year olds going through a tough time. headspace offers services to young people at headspace centres around the country and via eheadspace, online and telephone support. For more information on headspace School Support visit www.headspace.org.au/schoolsupport For more information about headspace or to access help visit headspace.org.au
headspace School Support has been providing the following to schools affected by suicide or concerned about student suicide risk: • General assessment, assistance and advice regarding suicide and suicide risk. 15
for
Insomnia
Mental Health
Black Dog Institute
Associate Professor Lee M. Ritterband Too wired to sleep? Don’t off, switch on Director, Behavioural Health and switch Technology Department of Psychiatry and Neurobehavioral Sciences Treatment for poor sleep is often based around medication, Sleep is something we all take for granted. Even one bad University of Virginia a solution that may be effective in the short-term but night sleep can affect daytime function, making you feel tired, irritable and unproductive.
5.30pm It’s normal to have poor sleep every once in a while. When Wednesday November sleep problems start7th occurring regularly (at least 3 times per weekDog for a month or more) then a formal diagnosis Black Institute of insomnia should be investigated. Insomnia can include Hospital Rd Randwick problems falling asleep, staying asleep or waking too
comes with potential side-effects. Recent research has proven that cognitive behavioural therapy (CBT) is a highly effective alternative. CBT techniques focus on identifying and changing the behaviours and patterns of thinking that interfere with good sleep.
Traditionally, these techniques have only been available via face-to-face clinical sessions, but the “Good Night Refreshments will be provided following the Study” led presentation. by Professor Helen Christensen at the Black Dog Institute, is making it accessible to all by taking them Insomnia is a common condition. 1 in 10 Australians report ongoing withso sleep, and this Places areproblems limited RSVP isproportion essential.online. rises significantly for people with mental conditions such Prof by Christensen ‘Good Night Study’ is one as depression and anxiety. RSVP to blackdog@blackdog.org.au Monsays 5ththeNovember. early.
16
of the first in the world to investigate use of an online psychological intervention for insomnia and depression. “We know that insomnia and depression are intrinsically linked. Sleep disturbances are common in people experiencing depression, but a lack of quality sleep can also trigger a depressive episode.” “Psychological internet inventions are extremely useful for people who don’t have the time or money to access face to face treatment. It’s also beneficial for those who aren’t able to attend clinics due to geographical isolation or illness.” “We have consistently shown online interventions to be as effective as face to face consultations for mild to moderate depression and anxiety. We are hoping this study will show that teaching people how to sleep better will result in a reduction in depression symptoms, and ultimately a reduction in depression onset.” The study uses a specialised web-based program developed by researchers at the University of Virginia, USA. Called SHUTi (Sleep Healthy Using The Internet), this program enables users to identify and monitor their sleep patterns and provides specific feedback to the user tailored to their input. It also gently leads the user through a series of learning modules addressing the specific needs of the user. SHUTi consists of six core treatment modules that incorporate behavioural, educational and cognitive techniques. The program begins with an overview, which reviews educational information on sleep problems and helps users evaluate their own problem and treatment goals. This is followed by five learning modules addressing the following...
5. Relapse prevention – Integration of the above modules to encourage the user to identify risk situations and personalise strategies. Each of these Cores takes about 45 – 60 minutes to complete. After completing a Core, users spend a week practicing what they have learned in their daily routines. The next week, a new Core is reviewed. During the program, SHUTi users complete exercises designed to help develop new sleep habits and skills. SHUTi users also complete online daily ‘Sleep Diaries’ to enable SHUTi to make personalised recommendations. According to A/Prof Lee Ritterband, Director of the Behavioural Health and Technology Laboratory at the University of Virginia, preliminary results have already shown SHUTi to be effective. “Our preliminary trials, supported by the National Institutes of Health, have shown that SHUTi can significantly improve sleep quality in the general population.” “With further testing, we believe that SHUTi will serve as a front line weapon in the battle against insomnia.” SHUTi is not a quick fix. It is designed for people who are motivated and ready to do the necessary work to improve their sleep. Sleep problems do not develop overnight, and it takes time to overcome them. But, with the help of SHUTi, it is possible to get sleep back on track. For further information, please visit www.blackdoginstitute.com.au
1. Sleep restriction – Limiting the time spent in bed to actual sleep 2. Sleep stimulus – Reducing activities that may restrict sleep (reading, tv etc) 3. Sleep hygiene – Learning tips to increase the chances of sleep eg increasing exercise and avoiding caffeine, alcohol before bed. 4. Cognitive restructuring – Addressing unhelpful beliefs such as worrying about the potential impact of lack 17
Indigenous Health
Remote Area Health Corps (RAHC)
Working remote: “So rewarding and stimulating” Lynn Bradley has worked as a nurse for over 30 years. She spent most of that time working in the public health system in hospitals, in both Sydney and rural NSW and has also worked in community facilities and the private system. Despite Lynn’s extensive city and rural nursing experience, she says the remote nursing work is what she’s enjoyed the most. Lynn first became interested in remote Indigenous health after watching an ABC TV program on Indigenous health in the Northern Territory which motivated her to join the RAHC program. “I wanted to experience a different type of nursing in 18
different areas,” Lynn said. “Rather than the hospitals where I was currently working and had spent a lot of time, I was excited about the challenge of working remotely. I wanted to experience the culture of the Aboriginal people as well.” Because Lynn already had a long and successful nursing career when she applied for her first RAHC placement in 2009, she was confident she would have the skills required of a remote community nurse. However she was surprised by the level of independence her role provided. “I was confident with my skills as a nurse but in saying that you never know what you’re going to come across in remote areas as opposed to a hospital where you’ve got
Lynn has now undertaken six RAHC placements in the past three years, the most recent in Mount Liebig in the southwest of the Northern Territory. “A typical day at that clinic would involve walk-ins, which is when people come in to the community clinic with whatever ailment they have at the time. This can range from a rash, a bite, a cough or a wound - it can really be anything.” According to Lynn, one of the most rewarding parts of her placements so far is knowing the work she’s doing is benefitting the community.
“
The best part of my placements has been experiencing the culture and meeting the people. But another highlight is relying on my own skills as a nurse to sort out whatever happens. A remote placement is a great way for other health professionals to challenge themselves but it’s also so rewarding and stimulating.
“
back up and facilities on call. The difference working in a remote setting is you’ve got very little aside from yourself and your own resources,” Lynn said. “However, there was still great support.”
“I will absolutely be undertaking more RAHC placements. It’s definitely a big part of my future.” For more information about placements with RAHC, please visit www.rahc.com.au
“As a nurse, you really are helping the community. The fact they’re coming to you means they’re accepting you as being part of their community and they want your help.” As for other health professionals deciding whether or not a RAHC placement is for them, Lynn believes a remote placement is something all nurses and GPs should experience. “I’d be encouraging them all the way, absolutely.” “The best part of my placements has been experiencing the culture and meeting the people. But another highlight is relying on my own skills as a nurse to sort out whatever happens. A remote placement is a great way for other health professionals to challenge themselves but it’s also so rewarding and stimulating.” Lynn acknowledged the important role RAHC staff and other health professionals at the clinic play in a successful placement, and how much they contributed to her own time in the Northern Territory. “The people are amazing. The RAHC staff, people within the community and everyone you meet along the way leave lasting memories. “The RAHC e-learning modules are also very, very good. They’re aimed at exactly what you need to know and they’re very helpful.” 19
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 20
1
10/09/2012 10:24:44 AM
POSITIONS VACANT CLINIC MANAGER – YIRRKALA HEALTH CENTRE Miwatj Health is an Aboriginal community controlled primary health care service based in Nhulunbuy, Northern Territory. Due to expansion, we are currently looking at filling several current/ newly created positions to complement much need services aimed at improving the health of local people in Aboriginal communities within the Eastern Arnhem Region. Primary Objective: Manage staff, financial and material resources within a remote health setting and provide expert clinical leadership and support to a multidisciplinary team in line with strategic operational business plans to achieve optimal health outcomes for individuals and community. To be considered for the role the candidate must: • Be eligible for registration in the NT as a Registered Nurse or Aboriginal Health Worker Grade 4. • Demonstrated successful experience in the provision and/or management of clinical services to Aboriginal people in remote areas. • Demonstrated ability to co-ordinate a multicultural workplace so as to provide a high and efficient standard of patient care. • Excellent communication skills and the ability to manage people so as to achieve a friendly and co-operative work atmosphere. • Experience in the use of computerised Clinical Information Systems and a willingness to impart those skills to others. • An understanding of the health issues impacting on Aboriginal people in northern Australia, and of strategies to tackle those issues. • Ability and willingness to participate in the development of community-based primary health care programs. • Current Australian drivers licence and Ochre Card (Working with Children). • CPR competency Desirable: Advanced life support certificate. Ability to speak an Aboriginal language from the Miwatj Region (East Arnhem Land) and/or knowledge of kinship systems applying in the region. A Full Job Description and Selection Criteria can be obtained by contacting Human Resource on 08 8939 1901 or email: hr@miwatj.com.au
APPLICATIONS MUST ADDRESS THE SELECTION CRITERIA TO BE CONSIDERED FOR THE ROLE Written applications to: In confidence HR Manager, Miwatj Health Aboriginal Corporation,PO Box 519, Nhulunbuy NT 0881 or by email to hr@miwatj.com.au Submit applications by no later than COB Friday 30 November, 2012. Aboriginal and Torres Strait Islanders are encouraged to apply. 21
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.
22
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
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
23
Have you thought about working remote? With a range of short-term paid placements available for Registered Nurses in remote Indigenous communities all over the Northern Territory, joining RAHC allows you the opportunity to make a real difference to Indigenous health in Australia, while still keeping your regular job back home. Visit our new website today to find out more. Funded by the Australian Government
Get involved.
free call 1300 697 242 or visit
rahc.com.au
Due to increase in demand we are currently seeking...
Registered Nurses Positions available across Melbourne Must have AHPRA Registration and minimum 1 year nursing experience
Join the preferred supplier of Nurses today!
Phone: (03) 9629 3780 Email: melbourne@mediserve.com.au Visit online: www.mediserve.com.au 24
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
yours to
discover 25
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
P1789 Nursing Post ad_P423 A4 nurse flyer 19-Sep-12 10:49 AM Page 1
Take the first step into a new challenge with PULSE
mripb pí~ÑÑáåÖ=fåíÉêå~íáçå~ä=Ü~ë=ÄÉÉå=êÉÅêìáíáåÖ=ÜÉ~äíÜÅ~êÉ=éêçÑÉëëáçå~äë=áå ^ìëíê~äá~=Ñçê=çîÉê=NR=óÉ~êëK=tÜÉíÜÉê=óçìÛêÉ=äççâáåÖ=Ñçê=íÜÉ=åÉñí=ëíÉé=áå óçìê=Å~êÉÉêI=çê=íÜÉ=ÉñéÉêáÉåÅÉ=óçì=~äï~óë=ÇêÉ~ãÉÇ=~ÄçìíI=çìê=ëéÉÅá~äáëí kìêëÉ=äÉÇ=êÉÅêìáíÉêë=Å~å=ÜÉäéK
mripb=mÉêãë are currently seeking Midwives, Theatres Nurses, Specialist General Nurses, Mental Health Nurses and Intensive Care Nurses for full time & permanent part time positions across the country. If needed, we can facilitate employer-sponsored visas.
mripb=qÉãéë are looking for ICU, General Medical & Surgical Nurses, Paediatric and Theatre Nurses as well as Midwives to fill shifts through our Sydney office
mripb=`çåíê~Åíë are currently seeking Indigenous Community Nurses, Mental Health Nurses, Nurses with A&E experience and Midwives for 12 week contracts in remote and rural hospitals and clinics throughout NSW, SA, NT, TAS and VIC with free accommodation*, free flights*, sign on bonus* and excellent rates of pay.
`çåí~Åí=ìë=~ë~é=íç=ÑáåÇ=çìí=ãçêÉ ~Äçìí=çìê=ÑêÉÉ=ëéÉÅá~äáëí=ëÉêîáÅÉX=
cçê=íÉãéçê~êóI=Åçåíê~Åí=çê éÉêã~åÉåí=éçëáíáçåë=éäÉ~ëÉ Åçåí~ÅíW ~ååÉ]éìäëÉëí~ÑÑáåÖKÅçãK~ì=
HSNEMFO=VVSR=VQRR açåÛí=ÑçêÖÉí=íç=ÅÜÉÅâ=çìí=çìê=Üçí=àçÄë=~í=
ïïïKéìäëÉàçÄëKÅçã *Terms & conditions apply
qeb=_bpq=mblmib=fk eb^iqe=^ka=pl`f^i=`^ob
27
28
Courses, Conferences and Events South Pacific Nurses Forum Leonda by the Yarra, Melbourne 19 - 22 November 2012 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 www.pcna.org.au
Facilitating Learning & Change Management in Palliative Care Settings Workshop The Sebel Albert Park, Melbourne 12 December 2012 facilitatinglearningandchange.eventbrite.com.au
Discharge Planning & Service Integration L’Aqua, Cockle Bay Wharf, Sydney 12 - 13 February 2013 www.reducingreadmission.com
Aged Care: Reform or Revolution Tri-State Conference & Exhibition Albury Entertainment Centre, Albury, NSW 24 - 26 February 2013 www.vic.lasa.asn.au/event/tristate2013
14th National Breast Care Nurse Conference Melbourne Convention and Exhibition Centre 28 February - 1 March 2013 www.bcnconference.net.au
12th National Rural Health Conference Adelaide Convention Centre, SA 7 - 10 April 2013 www.nrha.org.au/12nrhc
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
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
30
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
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. 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
For Further Information contact short course administrator Ph: (08) 89514700 or Email: crh.shortcourse@flinders.edu.au
31
REGISTRATIONS NOW OPEN EARLY BIRD REGISTRATION CLOSES 14 FEBRUARY 2013
18–23
Equity and Access to Health Care 18–23
The International Council of Nurses 25th Quadrennial Congress – the largest international nursing event is coming to Australia in May 2013 The ICN Congress will feature many dynamic speakers including Her Royal Highness Princess Muna Al-Hussein, who will deliver the keynote address, and Anne Marie Rafferty, who will present the Virginia Henderson lecture. It will also feature a Student Nurses Assembly and the Florence Nightingale International Foundation Luncheon in support of the Girl Child Education Fund.E NOW!
For further information about the Congress or to register please visit www.icn2013.ch
AUSTRALIAN COLLEGE OF NURSING RCNA & TCoN
32
Leading nursing expertise and care
through access, learning and advocacy
Australian College of Nursing Australian member of ICN
Nursing Post subscribers quote CC*NP when registering to SAVE $250!
Discharge Planning & Service Integration Reducing readmissions & length of stay
12th & 13th february 2013, l’aqua, cockle Bay Wharf, Sydney
Key speakers
Learn how to Adopt a patient centred model to reduce acute length of stay
Professor Clifford Hughes AO Chief Executive Officer tHe clinical excellence coMMiSSion, nSW
Rachael Henson Program Manager Performance & Innovation act HealtH
Andrew Stripp Deputy Chief Executive & Chief Operating Officer alfred HealtH, Vic
David Roffe Chief Information Officer St VincentS & Mater HealtH, nSW
See inside for more speakers
Improve efficiency of clinical handovers to reduce delays Build better integration between hospital specialty services & primary care Develop effective care coordination & pathways to reduce readmissions Featuring evidence based case studies by leading health care providers!
Pre & Mid Conference Workshops Workshop A
Workshop B
How to reduce avoidable admissions
How to reduce length of stay & provide patient centred care
Researched by
Official Sponsor
Proudly Endorsed by
Register 3 delegates and the 4th comes
FREE!
To register phone +61 2 9239 5700 fax +61 2 9241 3345 registration@criterionconferences.com
www.reducingreadmission.com 33
Healthy recipes...
Oven-baked Chicken & Vegetable Nuggets
What you will need: • • • • • • • • •
1 zucchini, finely grated 500g (about 17.6 oz) chicken breast mince 1 carrot, peeled, finely grated 270g (about 9.5 oz) can corn kernels, drained, rinsed 1 egg, lightly beaten 1 cup dried breadcrumbs Olive oil cooking spray (if not, drizzle some vegetable oil using a teaspoon) 1 tbsp semolina (or breadcrumbs) for the chicken mixture Salt to taste and pepper
Method: (1) Preheat oven to 200 degrees Celsius. Line a large baking tray with baking paper and spray or drizzle some oil over it. (2) Using your hands, squeeze grated zucchini to remove excess liquid. Places zucchini in a large bowl. Add mince, carrot, corn, semolina and egg. Season with salt and pepper. Using your hands, mix until well combined. Wash your hands after this. Depending how much you’ve managed to squeeze the liquid out from the zucchini, the texture of the chicken mixture may vary. I’ve ended up with a stickier mixture and therefore added a tablespoon of semolina – or breadcrumbs. Add more if you feel the mixture is on the “sticky side” or until it is shapeable. (3) Place breadcrumbs on a large plate. Use one hand to shape about a tablespoon of mixture into nuggets. (4) With another clean hand, sprinkle the breadcrumbs over the nuggets. (This is to prevent the mixture from sticking to your hand in the next step.) (5) Flatten the chicken mixture in the breadcrumbs (like the photo above). Make sure all the sides are covered in breadcrumbs. (6) Lift the breaded chicken mixture and try to “smooth out” the edges. 7. Continue step 3 to 6 with the remaining mixture. Spray or drizzle nuggets with oil. Cook for 15 to 20 minutes, turning the nuggets halfway during cooking or until golden and cooked through. 34
Kale, Quinoa, Avocado & Roast Chicken Salad What you will need: • • • •
• • • • • •
1/2 cup uncooked quinoa 1 cup hot water (to cook the quinoa) 2 cloves of garlic, finely chopped 1 small handful of flat leaf parsley, finely chopped (yielding about 1 tbsp of chopped parsley) A bunch of kale, washed and finely sliced Olive oil (to saute the kale and to make the dressing) 1/2 roast chicken, shredded 1 avocado, halved, pitted & peeled Salt to taste Freshly grind black pepper
Method: (1) Cook quinoa according to the packet instructions. Generally, cook the the quinoa until the water is fully absorped over low-medium flame. (2) To make the dressing: add 1 clove of finely chopped garlic with a pinch of salt while chopping the parsley. Then add the chopped parsley to the garlic and salt and top it up with 3-4 tbsps of olive oil. Stir to combine and set aside. (3) In a large pan, add the remaining chopped garlic and olive oil. When the garlic starts to sizzle, add kale and a pinch of salt and saute until slightly wilted. (4) While waiting for the kale to soften, shred the roast chicken. (5) Just before serving, halve, remove the pit and peel the avocado with a spoon. (6) To serve: place the kale, quinoa, avocado and shredded chicken on a plate and drizzle with the parsley-garlic dressing. Finish off with black pepper. Enjoy!
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
the
Australian College Health Nurses Inc.
of Mental
THE AUSTRALIAN COLLEGE OF MENTAL HEALTH NURSES (ACMHN) aims to enhance the mental health of the community through the pursuit of the efforts of the mental health nursing profession. It provides professional leadership and authority as the peak body for mental health nurses in Australia, while providing continuing professional education and practice development in mental health nursing and ensuring mental health nursing issues and matters remain a focal point on all agendas in mental health discussions at all levels of government.
Join us at the College CONTACT US NOW!
1300 667 079
www.acmhn.org
> MEMBER BENEFITS A subscription to the International Journal of Mental Health Nursing A quarterly mental health nursing ‘news’ magazine
The College encourages professional accountability, autonomy and partnership of mental health nurses and provides a forum for collegial support, networking and collaboration amongst mental health nurses.
Access to members only pages of the website Reduced cost for conferences, educational programs and other College events Collegial support and networking, and contribution to your profession
ENJOY THE BENEFITS OF MEMEBRSHIP >
direction education collegiality confidence collaboration professionalism support networking recognition improvement
37
In 2013...
will have a change of name...
Bigger and better things are ahead in 2013! You may have noticed a few changes to our magazine over the past months... To coincide with a broader emphasis on Allied Health, we will have a fresh new name in the new year!