Nursing Post - Issue10: Midwifery/Neonatal

theNursingPost www.nursingpost.com.au

The Career and Education magazine for Nurses and Health Professionals

This Issue Feature

Midwifery/Neonatal

30 May 2011 - Issue 10

Visit us online for the latest jobs and articles

Can’t get away to do your Continuing Professional Development training?

Apply to the Nursing & Allied Health Rural Locum Scheme for someone to fill in for you while you are away...

The Australian Government has established the Nursing & Allied Health Rural Locum Scheme (NAHRLS) to support nurses, midwives and allied health professionals in rural and regional Australia to get away to do the professional development training they need to continue their vital work.

NAHRLS will find you and your workplace a suitable locum for the period you are away. The scheme supports all locum recruitment, travel and accommodation costs. Applications for this scheme will be accepted four times a year.

First round applications are now open and you can apply online.

For more information and to apply online visit:

www.nahrls.com.au

m? u c Lo d*

e a s offer b e to

e

Funded by the Australian Government

ntiv nt Wa eat ince Gr

*see website.

Not Ready For Winter Yet? Head to The Middle East for all year round sunshine or the UK & indulge in a European summer!

Saudi Arabia: Our most popular location!

Work in a state-of-the-art hospital while enjoying a salary paid tax free & all year round sunshine. Vacancies exist for Staff & Charge Nurses, Managers & Directors.

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Channel Islands, UK

United Arab Emirates (UAE): Looking to enjoy the unique Middle East lifestyle without too many restrictions? Dubai or Abu Dhabi could be the spot. Vacancies exist for Staff & Charge Nurses, Managers & Directors.

Guernsey, Channel Islands/UK: Prefer a more laid back lifestyle? How about Guernsey? Ideally located between the UK & France. Lined with quaint cobblestone streets, restaurants & cafes. You’ll pay a lower tax than the main land & be provided with subsidized accommodation!

Vacancies also exist in the UK – Enquire now for more info...

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CCM arrange the date so all you have to do is receive the call from the comfort of your own home! But there’s more! Informal chats have the potential to lead onto a formal interview.

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From the Editor...

Welcome to Issue 10 This issue we look at Midwifery and Neonatal Nursing. See what changes are going on in the field of midwifery, the introduction of new system for midwives in NSW and read our article “Pathways to Neonatal Nursing” to get a better idea of the field and how to become a Neonatal nurse practitioner.

Congratulations goes to the motivating Julia Zehnder (pictured centre) for winning this issue’s front cover competition. Julia was awarded Murdoch’s Caregiver of the Year for 2010. After 16 years working as a clinical Midwife at Murdoch, Julie was recognized for the extensive contribution she has made to her work and profession. From her colleagues to her patients, everyone believes that Julie is a true inspiration to them all, with her enthusiasm for education, and unbiased care for all her patients that she has come across over the years. What an achievement Julie, congratulations!

And finally, mark your calendars for June13 (Issue 11), when our next issue will hit the stands. We take a look at our home turf in Western Australia to learn more about working and studying in this wonderful state.

Advertisers Index

NAHRLS.............................................................

CCM Recruitment International .........................

Promesse..........................................................

WA Country Health Service (WACHS)..................

4th Passionate about Practice Conference ........

Smart Salary ....................................................

Mediserve Nursing Agency.................................

Nursecare Personnel . .......................................

GRAMs..............................................................

Queensland Health ...........................................

Medacs.............................................................

Hays Healthcare.................................................

Healthcare Australia . ........................................

CQ Nurse...........................................................

Cairns Nursing Agency.......................................

Australian Recruiting Group...............................

Continental Travel Nurse....................................

Scarletblack Associates.....................................

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Inside Cover 1 3, 40+41 4+5, 10 6 6 7 8 9 11, 21 12 13 14 15 16 17 19 24

This Issue

Turn to page 20 to read our Midwifery & Neonatal Nursing feature

Next Issue

We travel through Western Australia to see the places of employment and study for healthcare professionals

Medecins Sans Frontieres Australia.................... 25 Mercy Health & Aged Care - Central QLD........... 26 ABN: 28 105 044 282 | PO BOX 6213, East Perth, WA, 6892 Ph: +(618) 9325 3917 | Fax: +(618) 9325 4037 E: admin@nursingpost.com.au | W: www.nursingpost.com.au Next Publication Details: Issue 11: 13 June 2011 Material Deadline: 6 June 2011 Editor: Kelvin Chong | For media-kits, deadlines or advertising queries, please contact Manish Shah | Printed by Westcare Pty Ltd

When you work in the Gulf states, you really can cover your everyday expenses on 15% of your tax-free salary. In fact many nurses live on their overtime and keep all their salary for travel or other purposes. Their main everyday expenses are food and telecommunications - the hospitals we deal with provide just about everything else free of charge. Meals in hospital canteens and restaurants are very inexpensive (about $2.00 for a large meal), with a good selection including healthy alternatives. Supermarkets and street markets are very reasonable, especially for good quality local produce. This is not so surprising, since most of the population of the Gulf States earns much less than you and still lives well.

Mobile phone and internet services are inexpensive and in Saudi, your fixed line local calls are free. Our nurses generally use the free Skype internet service to talk with home.

So what are our nurses doing with the 85% of salary that they retain? Many travel a lot because it’s inexpensive and easily

accessible. Free air tickets, long leave, great destinations close by and a competitive travel market make travel affordable and feasible and you can still keep money in the bank.

Real bargains are also to be had in the Gulf with clothing, shoes, accessories, makeup, perfume and bed linen. The high end shopping complexes sell every designer label under the sun at real bargain prices, especially during the Ramadan sales and in January. The Dubai Shopping Festival at that time is amazing - people fly in specially for the bargains.

However, you do need expert advice to make the most of the many superb opportunities on offer. Promesse specialises exclusively in placements to the Arabian Gulf, so we really do know what we’re talking about - and we’re free and friendly too. So for the experience of a lifetime, call Christine Kohleis RN for an informative chat.

When food is all you pay for, you can really spice up your life!

experts on the gulf

FREECALL 1800 002 388 AUS 0800 542 100 NZ

www.promesse.com.au Email: info@promesse.com.au 3

Looking for a midwifery job in regional Western Australia?

The largest country health system in Australia and one of the largest in the world, the WA Country Health Service employs more than 8,000 staff.

We have many positions available for midwives, who are also registered nurses, to work in all our regions: Kimberley, Pilbara, Midwest, Goldfields, Wheatbelt, Great Southern and South West.

We offer salary packaging, superannuation, assistance with travel and relocation, subsidised housing and professional development opportunities.

Call WACHS today on 08 9222 6497, 0429 419 360 or email an expression of interest to WACHSnurses@health.wa.gov.au

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Meet a midwife living her dream.

Liz has worked for six years in Halls Creek, in the Kimberley in Western Australia, as a midwife and community nurse manager.

Over the years Liz has seen primary health services increase in the region.

Liz- Midwife and nager Community Nurse Ma

“It is a challenge working in a remote community where you have to be more self reliant, but this does mean more autonomy, the chance to use problem solving skills, and to manage your own case load,” she said.

Liz’s client base tends to be younger than found in metro areas, and is mostly Indigenous. Liz enjoys working in a smaller town as there is a sense of belonging to the community, and she is able to get to know her clients well.

Halls Creek is 362km south of Kununurra and offers many scenic places to visit as well as a good social scene. It has a population of 1,200 with about 3,000 people living in the surrounding area. Halls Creek is well known for its arts centre and is located near to the stunning Bungle Bungles.

“Working for the WA Country Health Service gives me the benefit of flexible working conditions in a beautiful environment.”

Liz, Midwife and Community Nurse Manager.

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Upcoming Features DATE

SPECIAL FEATURES

27th June 11th July 25th July

CPD Quiz + Allied Health Aged Care Community Health

If you are interested in participating in any of the above publications either by advertising or editorial contributions, don’t hesitate to contact us on (08) 9325 3917 or write to admin@nursingpost.com.au.

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* The Smartsalary Living Expenses Card is only available to employees from the Department of Health in WA, SA, and VIC who salary package with Smartsalary. Annual saving of $2,700 is based on an income of $37,001-$80,000, paying 30% income tax and salary packaging the full $9,095 tax-free cap.

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Calling All Nurses & Midwives

Join the Preferred Supplier of Nurses today!

Mediserve has been selected onto the panel of preferred agencies to supply nurses to the Health Departments of South Australia, Western Australia, Queensland, the Northern Territory, the Australian Capital Territory and metropolitan Melbourne.

Mediserve is now open in Canberra!!

To register with Mediserve please call or visit our new office located at: Unit 2, 7 Geils Court, Deakin.

For further enquiries please call (02) 6232 4080 or send us an email to: canberra@mediserve.com.au

So why worry about your next shift? Relax when you join Mediserve Nursing Agency today!

For Australia Wide positions call 1300 305 594 or call one of our offices throughout Australia ADELAIDE: (08) 8212 2595 - adelaide@mediserve.com.au BRISBANE: (07) 3229 2528 - brisbane@mediserve.com.au DARWIN: (08) 8981 2446 - darwin@mediserve.com.au

PERTH: (08) 9325 1332 - perth@mediserve.com.au MELBOURNE: (03) 9629 3780 - melbourne@mediserve.com.au SYDNEY: (02) 9290 2700 - sydney@mediserve.com.au

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Attention Nurses Have you considered working for a nursing agency?

Nursecare Personnel is Tasmania’s own nursing agency, owned and managed by Tasmanian nurses.

So if you’re thinking of branching out, call Libby and her team today on 1800 240 988 to explore the possibilities. www.nursecaretas.com.au

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at+m42654

Nursecare Personnel offers RNs, ENs (M.E.) & Carers (Cert. 3 or 4): • All shifts, statewide • Above award (casual) rates and bonuses • CPD opportunities • Respect and appreciation Lots of it!!

Looking for a Nurse Practitioner ($102,000 per annum) or a qualified Remote Area Nurse ($80,400 per annum) • Help 'Close the Gap' in Indigenous health • Established Aboriginal community controlled health service • Mount Magnet/Geraldton location Geraldton Regional Aboriginal Medical Services is seeking an experienced Nurse Practitioner to join its friendly and dedicated team in Mt Magnet. The primary aim of this role is to assess and manage clients and may include the direct referral of clients to other health care professionals, prescribing medications and ordering medications.

More specifically, some of your daily contributions will include: • Delivering holistic client care, clinical assessment and nursing care; • Formulating and maintaining care plans; • Assessing and meeting the needs of clients and their families; • Facilitating conflict resolution; • Attending training and education and • Ensuring confidentiality of information shared Be involved from the beginning in this recently created role and really make this position your own!

You'll also enjoy working from the new, purpose-built Outreach Centre in Mt Magnet where you will have the fantastic opportunity to utilise your skills and leave your mark in the local community.

In return for your dedication, the Nurse Practitioner will be rewarded with attractive remuneration circa $102,000 + super. There is further opportunity to increase your income by making yourself available for after hours calls. You will benefit from salary sacrificing opportunities to increase the value of your take home pay and use of a company car including private use! Further benefits include generous relocation assistance plus supplied accommodation at Mt Magnet. Assistance is available for Professional Development Training. While you will be based in Mt Magnet during the week, the option to travel/reside in Geraldton on weekends is also available.

Don't miss this great opportunity to make this unique position your own.

Please contact Rae Peel (08) 9963 4016 Or email rae.peel@grams.asn.au for any enquiries. APPLY NOW! About the Organisation Geraldton Regional Aboriginal Medical Services (GRAMS) is an established Aboriginal community controlled health service serving the people living in and around Geraldton and the Murchison. It provides a supportive employment environment that values and encourages initiative and an outcome based focus on improving Aboriginal health.

About Life in Geraldton & Mount Magnet Located just 300 kms from Geraldton, Mount Magnet is one of the Murchison region's original gold mining towns. Geraldton is located approximately 400kms north of Perth it is a regional town with city status. Geraldton has beautiful clear blue water of the Indian Ocean and white sandy beaches. There are a wide range of schools, variety of social activities, many sporting clubs and walking trails including along the scenic Greenough River located 10kms south of Geraldton.

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WA Country Health Service Nursing Opportunities of a Lifetime Are you looking for a chance to travel, experience adventure and work in rural and remote Western Australia?

A WA Country Health Service rotational nursing/midwifery program could be for you.

There are three programs catering for varying levels of nursing and midwifery, ranging from Registered Nurse 1.2 and Registered Nurse or Midwife 1.3–1.9.

Our rotational programs offer the opportunity to travel, experience rural and remote Western Australia and broaden your professional skills in: aged care emergency high dependency medical mental health

operating theatre paediatrics palliative care remote health surgical.

Travel, costs and accommodation are arranged for all rotational programs.

WA Country Health Service provides: an attractive salary package with superannuation, subsidised accommodation and excellent professional and leave entitlements.

To find out more about the opportunities available call 08 9222 6497 or 0429 419 360, or visit www.wacountry.health.wa.gov.au

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Careers with Queensland Health

Registered Nurses (Midwives) Coast to Country – Rural Generalist Nursing Transition Program, location negotiable within the Central Queensland Health Service District. Salary between $56 729 - $72 896 p.a. (Nurse Grade 5) (Several permanent positions, rotational for 18 months. Applications will remain current for 12 months.) JAR: H11RK05313.

Duties/Abilities: Assessment, planning, implementation and evaluation of client care working within the rural and remote birthing facilities in Central Queensland Health Service District. The program is conducted over 18 months, rotating through the five birthing facilities within the District (Central Highlands, Woorabinda, Banana, Gladstone and Rockhampton).

On successful completion of the program, a permanent midwifery position will be negotiated in one of the birthing facilities within the District.

Enquiries: Sandy Munro or Shelley Nowlan (07) 4976 3290 or (07) 4920 6352.

Application Kit: (07) 4920 7000 or www.health.qld.gov.au/workforus Closing Date: Tuesday, 14 June 2011.

You can apply online at www.health.qld.gov.au/workforus A criminal history check may be conducted on the recommended person for the job. A non-smoking policy applies to Queensland Government buildings, offices and motor vehicles.

BlazeQ010236

Feature Next Issue

WORKING & STUDYING IN WESTERN AUSTRALIA ISSUE 11

13TH JUNE 2011

We travel through Western Australia to showcase the leading Employers and Educators of health care professionals

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The employment experts for Nurses around Australia Specialising in a range of permanent and temporary roles for Registered Nurses in Australia and across the world

Hot Jobs Melbourne - ICU and Theatre Nurses - 457 visas available Inpatient Mental Health RN - Country WA ICU Nurses - Country WA Contract Nurses needed for regional NSW Theatre Nurses - Sydney - 457 visa available Mental Health RN’s - Sydney - 457 visa’s provided General Surgical RN - Regional WA Senior RN’s and Unit Managers for Singapore Hospitals Scrub Scout and Orth Scrub Scout RN’s for Coastal QLD Remote Hospital Contracts for RN’s - QLD Roles Across the UK for RN’sN’s For more information, talk to Donna Gould or David Hunter in the Medacs Healthcare Nursing team.

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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

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With so many agencies to choose from, it is hard to know which will best meet your needs.

To ensure you get shifts where and when you want, there are a few crucial questions you should ask when selecting an agency......

Da re t o co m pa

re N ot e s

A re y o u o n t h e Pu b li c H ea lt h Te n d e r A g re e m e nt ?

HCA

O th e r

D o y o u h a ve E x cl u s iv e P ro v i d e r A g re e m e nt s?

D o y o u h a ve Q u ic k pa y o p t io I ca n g et pa i d i n 2 4 h rs? n s w hi ch m ea n s D o y o u pa y L o n g S e rv ic e L ea ve?

D o y o u h a ve a Vo l u nt a ry I n co m e D i st S ch e m e? ri b ut io n D o y o u h a ve O n li n e E d u ca t io n a l R e s o u w hi ch e qu a l rc e s C P D po i nt s?

D o y o u h a ve an a ll o w s y o u t o O n li n e B oo ki n g s S y st e m ma n a ge you w hi ch r o w n b oo ki n g s?

D o y o u p ro v i d e Fre e U n if o rm s?

D o y o u p ro v i d e Fre e C ri m i n a l H i st o ry C h e ck s?

A re y o u a pa rt o f A u st ra li a ’ s L a rg e st N A g e n cy g ro u u rs i n g p?

At Healthcare Australia we can confidently answer “YES” to all the above questions. As Australia’s Largest Nursing Agency Group, we can assure YOU we have MORE Choice, MORE Shifts & MORE Opportunities for you throughout Queensland and New South Wales.

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Work getting you down?

Looking for a change?

Cairns Nursing Agency has positions available Australia wide for Registered Nurses. From the outback to lush tropical island locations....we have Australia covered.

Travel assistance, top rates of pay and free accommodation at most facilities.

If you would like to know more, please contact Cairns Nursing Agency on (07) 4031 0377 or send an email to: nick@cairnsnursingagency.com.au 16

We have placements available in Australia and overseas including the Middle East, UK and the USA If you can see yourself working in London, Dubai or Florida then give us a call today!

We offer Casual, Permanent, Aged Care, ICU, Theatre, Rural and Remote Contracts

Call Fay Samios:

1300 123 450

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What’s your Story?

Maturity & Growth in a Cardiothoracic ICU M

by Lyn Fryer

rs X, a 73 year old Chronic Obstructive Pulmonary Disease patient was admitted in 2002 to a Cardiothoracic ICU in acute respiratory failure. Her prognosis was poor. No-one expected her to live long.

She was thin, frail with tissue thin skin, bruised from years on steroids. No friends or family came to see her during her stay. She was ventilated with difficulty and initially chemically sedated. The ventilator alarms went off constantly as intrathoracic pressures fluctuated and difficult breathing patterns competed.

After 24 hours, she was then given a tracheotomy and her sedation was allowed to wear off. She was given boluses of midazolam and fentanyl, to take the edge off her sense of impending doom and to assist with the mechanical ventilation. A tug-of-war ensued between staff and staff and patient and doctor as she wanted to have the ventilation ceased and to be allowed to die.

Over and over she asked to die. For three weeks this continued with little sleep for anyone, and misery looking back from her small grey eyes. No family arrived, no friends. Some staff gave boluses of midazolam and fentanyl to take the edge of the suffering for her, while others refused. Staff were distressed, the patient was distressed and no answers were obvious. As the crescendo of angst increased throughout the unit the consultant, a young man not long finished his training, walked into her bay and announced he was going to extubate her today.

No-one knew what to expect. Within an hour the tracheotomy tube was out and Mrs X was breathing on her own. She never looked back. After another three days she was transferred to a respiratory ward, and then home.

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She returned some weeks later to say thanks and to let people know she was glad to be alive, that she was glad we didn’t just let her die when she begged us to.

I was one of those people who wanted to facilitate her comfortable end-of-life. I have seen so many attempts to hold-out on a person until they expire; watching as they kick and thrash, or groan hour upon hour or lie rolling,… It’s hard to know what to say or do sometimes.

It’s hard to know if the treatment we provide is more distressing or even causing harm. An ICU nurse once told me the best thing I could ever learn as a nurse is to know when to act and to know when not to. That’s been a life-long lesson, and I don’t think there is ever an end-point. In this example, the time to act was on arrival and was necessary, and then the time to step back and do nothing, was taken as a challenge, and proved right.

On meeting this lady again I saw a return of her spirit and of her soul and it helped me to see the uncertainty in the choices we make as less cruel, but rather necessary. In Health we have to make a lot of decisions that aren’t always easy to agree upon. Life is cruel but the decisions we make do not have to be.

We need to remember that no-one of us is an island, we work as a team, and in the team we must trust.

Many of our decisions are however enveloped in uncertainty and so it is a value judgement we make: an ethical decision supported by the best available evidence. We must always be diligent and contribute as part of a team, striving always for best outcomes. When we judge our colleagues for their decisions we must keep this in mind. This is how we are best leaders – each and everyone of us.

I learned a valuable lesson with this lady. I learned a lot working in the Cardio Thoracic ICU.

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Feature - Midwifery/Neonatal

Midwifery

and Neonatal

Nursing In this issue’s feature we take a look at Midwifery/Neonatal Nursing. Read what’s making news in the field of Midwifery and learn more about the new Birthrate Plus project. Also, we’ve compiled a feature on the field of Neonatal Nursing to bring you all the information you need about this nursing specialization and how you can become a Neonatal nurse.

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Have it all.

Coast to country - achieve work life balance, Recruitin leading remuneration and unsurpassed Mackay, g now: T professional rewards for midwives in Central Q ownsville, ueen regional and rural Queensland.

Dalby, Ca sland, irns

Queensland Health’s midwifery reform and investment has led to unprecedented career opportunities for skilled and qualified midwives.

The agenda for reform supports midwives to work in service models of care that provide continuity of care, and models which are midwifery managed.

Queensland Health Search for jobs or submit an Expression of Interest today. www.health.qld.gov.au/nursing

NM180511

“Being a midwife in a rural environment een ent nt is is of tthe he he more than just a job; you become partt of community and you can even see children drreeen n that you have birthed grow up. Queensland sslla an nd Health provides many opportunities and nd nd resources and I enjoy being part of thee community lifestyle here - it’s a great area to bring up my three active boys.””

Debbie McConnel, Midwife and Clinical al Nurse Educator, Proserpine and Bowen, Whitsunday Health Service.

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PATHWAYS TO NEONATAL

NURSING

WHAT IS NEONATAL NURSING? NEONATOLOGY is a specialization of healthcare that provides care for sick and/ or premature infants. Infants, or neonates, are classified as being less than one month old. They can be born as early as 24 weeks gestation, and may need to spend several months in the NICU, which is a technologically advanced unit within the hospital that provides medical and nursing care, as well as technological support to sick and/or high risk premature infants.

Premature infants are the largest group of infants that require this technologically advanced environment to survive. Infants must be able to breathe and grow before they can be sent home. Other infants who may require specialized medical / nursing care are born sick or may have a type of disease or a congenital defect or syndrome. These infants

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require specialized care until they can be easily cared for by their families at home. This type of medical care may be supportive, palliative or surgical in nature and is determined by the individualized needs for the child.

WHAT DOES A NEONATAL NURSE DO? Neonatal nurses are required to work in a neonatal intensive care nursery known as a NICU. Their job involves providing medical care to premature babies who need urgent assistance with breathing, and normally spend four to five months in hospital until they are physically developed enough to survive independently.

There are three levels that neonatal nurses perform care at; Level 1, 2 and 3. Firstly, Level 1 requires a nurse to provide care to healthy infants. Level 2 is providing care to premature and / or sick infants, and Level 3 is providing specialized care to severely premature or ill

Feature - Midwifery/Neonatal

infants that they are likely to not survive without the intervention of technical procedures and advanced care.

Neonatal nurses are required to perform tests, interpret results, examine medical histories, provide a variety of care procedures to their patients and administer appropriate medications.

Neonatal nurses may also provide education to the parents, guardian or caregiver of the baby on how to correctly care for infants. Many neonatal nurses also conduct research to gain a better and more advanced understanding of caring for very young patients, as well as to also develop better treatment methods.

2. Get an undergraduate degree in nursing – this takes up to four years studying a Bachelor of Science in Nursing. Take a proper registered nursing program in order to better your chances of getting the nursing job that you want. Another way, also, is to obtain a two year associate’s degree in nursing at community colleges (See if this applies to Australia). See if your educational institute offers neonatal nursing as an elective to allow you to achieve early training within this specialization and help you gain employment within this field once your degree is complete.

Infants, or neonates, are classified as being less than one month old. They can be born as early as 24 weeks gestation, and may need to spend several months in the NICU

HOW DO I BECOME A NEONATAL NURSE? Once you have completed your degree at university as a registered nurse, you can work in a NICU to gain work experience within the field of neonatal nursing. It is also highly desirable if you were to complete another year of study in midwifery to better understand the problems that newborn babies may experience. Here are some simple steps to becoming a neonatal nurse: 1. Know what Neonatal Nursing as a job is all about – a neonatal nurse is required to care for infants 28 days old and younger. You are required to complete a variety of cases within infants from healthy newborns (Level 1), special care for premature babies and critical care for infants (at levels 2 and 3). You are also trained to work with specialized equipment related to administering care to infants.

3. Work at a hospital – once you are a qualified registered nurse, you may like to apply for work at hospitals as they usually have an intensive or critical care unit that looks after newborns and infants. You will also get to see first-hand how hospitals operate and what it’s really like working within this environment and the fast pace. After a couple of years’ experience in general nursing, you may be eligible to apply to work in the hospital’s neonatal intensive care unit or special care nursery.

4. Learn more – to improve your credentials, you may also like to get a specialization in neonatal nursing, such as neonatal intensive care. This will allow you obtain a job a lot faster and within your desired field of interest.

WHAT CAREER OPPORTUNITIES ARE AVAILABLE TO ME? You can further your career in neonatal nursing by completing a certificate in neonatal intensive care, which is a twelve month hospital-based

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Feature - Midwifery/Neonatal

course. Nurses who have this qualification can travel with helicopter, fixed wing aircrafts (RFDS) or road ambulances to retrieve sick or premature infants so that these infants can then be transferred from a regional hospital to a major tertiary one, to receive the urgent care and treatment required for their survival.

Neonatal nurses are also required to offer care and support to the infant’s families and loved ones, especially in times of separation when the child is receiving surgery or treatment.

Assistance may be required from a social worker or physiotherapist.

Also, neonatal nursing employment rates are expected to increase dramatically, with an overall increase for the nursing profession to expand by 12% by the year 2016. With the added population

and advancements in medical technologies taking off in Australia, jobs for neonatal nursing are soon to be in intense demand. Neonatal nurses may earn up to $60,000 yearly as well, which is more than what the average income is of a general nurse.

FOR MORE INFORMATION: - Australian College of Neonatal Nurses http://www.acnn.org.au/ - Neonatal, Paediatric & Child Health Nursing http://www.npchn.com/ - Australian College of Children & Young People’s Nurses http://www.accypn.org.au/

Attention Midwives!

Vacancies in Australia and NZ The time for talking is over!

scarletBLACK is an international specialised recruitment agency that does things a little differently. Our clients are in the business of providing expert health services and want you to be part of the effort to improve the shortage of Midwives in New Zealand & Australia.

We are currently recruiting for that special Midwife - the one who wants to make a difference by providing support to Mum and baby during pregnancy and after birth.

• Full time and short contracts available • Various locations available New Zealand & Australia • We ensure that you are matched to the level of your experience.

If you are looking for an experience of a life time contact me at hkukutai@scarletblack.co.nz or call +(64 09) 913 4635 for a confidential chat on how we can support you.

www.scarletblack.co.nz 24

put yourself in the picture © Pim Ras

MSFA4845NP BBK5/11

We need your help. We need your expertise.

MIDWIVES play a crucial role in helping us tackle maternal and neonatal mortality around the world.

Visit us at www.msf.org.au/join-our-team MSFA 4845 Midwife Ad NP 136x96.indd 1

12/05/11 11:27 AM

Midwives do save babies LIVES According to World Vision, home births are one of the most common methods of birth in developing countries, with only 13% of women receiving postnatal care within the first 24 hours of giving birth.

It is already known that the first month after birth is life-threatening for both mother and child if no skilled care is provided or made available to both parties, and yet this seems to be the case in countries where preventable diseases are most common.

It is absolutely crucial to provide skilled health workers to look after pregnant women and infants in their first weeks of life. For example, Papua New Guinea, Australia’s nearest neighbour, has one of the highest maternal mortality rates in

the world with only 35% of births being attended by a midwife, which, in comparison to Australia’s 99%.

The International Confederation of Midwives is stating that more than 350,000 midwives need to be trained to help support expectant mothers from all walks of life across the world. Those countries that do share a successful commonality of having both low maternal and child mortality rates is due to the presence of midwives and skills health workers during births.

A new campaign titled ‘Child Health Now’

by World Vision is encouraging governments worldwide to acknowledge and prioritise the importance and training of health workers, in particular, midwives. This way, the Millennium Development Goals 4 and 5 will have a higher possibility of actually being achieved.

Visit http://www.worldvision.com.au/ Issues/MaternalChildHealth.aspx and sign the Child Health Now petition that calls for an end to the health crisis that is killing millions of babies each year.

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Calling all Midwives!

Mercy Health and Aged Care Central Queensland Limited are seeking Registered Midwives at the Mater Hospital—Gladstone to provide family-centred nursing care in collaboration with other health professionals and significant other to ensure safe, efficient and effective management of the patient.

A requirement is to be registered, or have ability to register, as a Midwife with the Australian Nursing and Midwifery Council.

Full-time, part-time or casual positions attracting a base hourly rate range of $27.51 to $35.35 dependant on comparable prior service (casual rates at $33.84 to $43.48) + superannuation and penalties.

Apply and/or gain more information about these positions at www.mercycq.com/jobs where the position is listed under Mater Gladstone vacancies.

Enquiries to Pam Zions, Manager, on (07) 4971 3755 during business hours or email pzions@mercycq.com

The Mater Misericordiae Hospital - Gladstone is “operated by Mercy Health and Aged Care Central Queensland Limited (MH&ACCQL). Located on the beautiful coast of Queensland, Gladstone is the perfect place to work and play.

Deb Wright, who originates from New Zealand, was only going to work at the Mater Gladstone for 3 months, but 4 years later she is still happily working as a Midwife and managing the maternity services of the Hospital. Deb describes what working at Mater Gladstone is like: “Being a Midwife is a great experience, it is wonderful to be apart of the whole life event that comes with the opportunity of working with birthing women and their families. The service offers two private Obstetricians and one GP Obstetrician working collaboratively with midwives and other members of the multi-disciplinary

26

team to provide individualised care” The Mater welcomes and supports diversity and strives for a positive professional culture that is based on Best Evidence Practice. The mission statement of the Mater is ‘caring for you for Life” and this applies not only to those who access our services but also to our staff. The Mater Gladstone provides a supportive, family-flexible working environment.

Living in Gladstone on the Central Queensland Coast ensures access to a great variety of activities.

Midwives and nurses on their days off spend them at the Islands fishing or snorkelling or they can go into the bush. There is a variety of choice in Gladstone”.

“Its hard to put into worlds... You need to come and experience it”

“We are an equal opportunity employer”

Feature - Midwifery/Neonatal

BirthratePLUS A New Support System for Midwives Birthrate plus is a new system that will be implemented for midwives into hospital maternity wards across New South Wales.

This new tool will finally allow midwives to be given a reasonable workload. This is an award that has been given to the NSW government that has been implemented into public hospitals progressively since June last year.

So what exaclty is Birthrate Plus?

Birthrate Plus is a planning tool for midwives that allows them to undergo comprehensive assessments of their staffing, which is needed to provide the care required by a woman in maternity services.

This is due to the fact that all aspects of a midwife’s role is carefully considered from the following; outpatient clinics and ante-natal services, ante-natal services, birthing units and post-natal services.

Julie Mate, who is the Midwifery manager of the Birthrate Plus project from the Nursing and midwifery office of NSW, stated that this project will help make staffing requirements for a service a lot clearer and efficient. It will help to show all statistics in relevance to all the events and factors that arise in the labour and birth process. This is achieved by introducing a score system based on clinical pointers of the needs of the women and their babies.

“Birthrate Plus will give managers of maternity services a concrete tool to help them maintain their staff units fittingly. The tool will also identify problems

“

“

We’ve not only achieved ratios for Public Health System nurses but we’ve also won a major breakthrough for midwives so they can also control their workloads in service planning and the deployment of midwives.

There may be cases where Birthrate Plus shows there is correct staffing in a maternity service but midwives are still under pressure.”

One of the problems that are currently occurring is the distribution of midwives. Hence why better planning and organization of the service may be needed in some cases. The NSW Health Department is encouraging managers in hospitals to review this and employ appropriate planning strategies for their services.

Birthrate Plus is currently and successfully running in the UK’s health system, and has been doing so for the past 25 years. There, it has provided excellent data that has allowed for effective planning of services.

A study was conducted in 20 hospitals within the state by the NSWNA and NSW Health to test the relevance and efficiency of the Birthrate plus tool within the NSW health system to see how effective it really was in terms of what the benefits will be for the Australian health system 27

Feature - Midwifery/Neonatal

from this program. Results showed that there are serious staffing issues within some of NSW’s maternity settings.

Phase 1: Birthrate Plus will be implemented by June this year into hospitals that participated in the trial that had no significant changes to their models of care since the data collection began for the trial.

“It’s taken some years to get there. However, we’re finally here,” said Judith Kiejda. “I know a lot of midwives are frustrated by the delay but finetuning was needed after the pilot in 2008.”

Phase 2: Birthrate Plus will be implemented into hospitals that participated in the trial and received significant changes to their models of care since the data collection trial began. These hospitals will have the program implemented into their system by December this year.

Birthrate plus determined that there should be a standard ratio of 1:1. This means there should be one midwife to one mother in every maternity ward. Julie explained that this needs to be implemented into the system because when this ratio increases, so do the risks.

Phase 3: For the hospitals that did NOT participate in the Birthrate Plus trial, and yet still fit the criteria, will have the program implemented by June 2012.

Birthrate Plus will also be able to identify staff shortages for which management will need to fill and/ or replace immediately. This will encourage better service planning by employing more midwives and will increase improvement in the skills mix. Also, if any vacancies are to arise due to midwives calling in sick or taking annual leave, they must be replaced by midwives of the same classification.

However, if management does not respond to the necessary staffing issues within the hospital, then other staff members are required to report this to the Reasonable Workloads Committee within their faculty.

The Responsible Workloads committee is currently running under a new award that will create a better system to solve staffing shortage issues within the maternity wards.

What are the features?

Birthrate Plus is a model of healthcare currently running in the UK that has been adapted to the health system of the NSW Maternity services by the NSWNA and the NSW Health Department.

The system is based on standard one-to-one care and on what the needs of the women are, rather than midwifery activities. This time, the increase for midwives is there to reflect additional needs of the women within the ‘higher risk’ category.

There will be three phases in which Birthrate Plus will be implemented:

28

“

How will Birthrate Plus work?

“

“We have identified five categories of case mix from low risk to high risk. A woman’s case mix category carries right through from labour and birth to post-natal care. Staffing in these areas is based upon this case mix.”

Birthrate Plus provides a clearcut mechanism that ensures a reasonable workload for midwives.

Birthrate Plus is going to be implemented into the first 20 hospitals that conducted the trial in NSW, from which most hospitals will adopt the program into their systems, between now and July 2012.

There is also going to be a Birthrate Plus manager employed within every maternity service, and the Birthrate Plus manager from NSW Health will meet with the project manager at each service to provide information and plan the employment of the program into their wards.

Here, they will decide what will be the starting date for the collection of data. This data is collected by midwives every four to six months. The time frame from which the data will be collected within will be negotiated with the NSW Health Department. This data will be collected by the Birthrate Plus project manager, which will then be reported back to and analysed by NSW Health.

These results will show what the FTE numbers are and what the number of midwives are required.

Birthrate Plus was trialled by RPA Hospital when Jacquie Myers worked there as a childbirth educator.

Jacquie stated that the trial showed Birthrate Plus is a very useful and relevant tool to use as it allows all the specific areas of a woman’s care within the maternity service to be covered efficiently.

“Up until now we’ve had no effective mechanism to measure workloads and address staffing issues. Midwives are totally fed up. At RPA we’re very eager to see this in place. Birthrate Plus has been a long time coming. The data collected for the trial shows RPA definitely needs more midwives on some shifts – especially after hours”

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To enter simply sign up online via www.nursingpost.com.au before Friday, 15th July 2011 for your chance to win. The competition will be drawn on the 19th July 2011 and the winner announced on the 25th July 2011 (Issue 14).

Subscribe at www.nursingpost.com.au to be in the draw Please note: Competition runs till the 15 July 2011. Winners will be contacted via email. Prepaid Mastercard will not be redeemable for cash. Competition open to Australian and New Zealand residents only.

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Educational Courses, Conferences & Events

Educational Courses, Conferences & Events Ausmed Publications..................................................................................................31 Article: Mentorship: How to Support Breastfeeding Mothers........................................32-33 Ausmed Online...........................................................................................................33 CSANZ Indigenous Cardiovascular Health Conference.................................................34 RSA 2011 - Exploring New Territory............................................................................35 14th NSW Rural Mental Health Conference.................................................................36 ANZAHPE 2011...........................................................................................................36 30

Ausmed Education 2011 - 12

Educational Courses, Conferences & Events

This registration year Ausmed brings great nursing education to even more capital and regional cities throughout Australia.

Find Out More by Visiting:

www.ausmed.com.au Ausmed Conferences Pty Ltd Ph: 03 9375 7311 Fx: 03 9375 7299 ausmed@ausmed.com.au

277 Mt Alexander Road Ascot Vale VIC 3032 31

Educational Courses, Conferences & Events

HOW TO SUPPORT Breastfeeding Mothers

It is concerning that, in developed countries, breast-feeding still makes a lot of people uncomfortable, including some mothers. This is largely due to the fact that in contemporary western culture, breasts are more sexualised, than seen as an important source of infant nutrition.

Although breastfeeding is encouraged by many health care professionals and the health benefits are well-known, society continues to make mothers who choose to breastfeed in public places feel uncomfortable. While in many countries it is considered natural, normal behavior to breast feed where necessary others lag behind in breastfeeding awareness.

Other factors may also impact on a mother’s decision to begin or continue breast-feeding.

These may include, work commitments or health professionals knowledge and attitudes.

How do we, as nurses, encourage women who may have reservations about breastfeeding to engage in this practice, which has so many health benefits for both mother and child?

32

Education continues to be our best strategy and the benefits of breast-feeding are well documented.

For mothers, breastfeeding offers:

• The release of hormones such as prolactin and oxytocin, which reduce bleeding after childbirth by making the uterus contract down to its normal size sooner than in mothers who do not breastfeed • Quicker return to pre-pregnancy weight • Delayed return of fertility by suppressing ovulation (although this cannot be depended on as a form of birth control) • Possible cardiovascular benefits • Decreased risk of ovarian and breast cancer There are even more health benefits for infants who are breastfed: • Passive immunity- antibodies are passed to the infant from the mother, providing a natural boost to the baby’s immune system.

• Fewer infections- this is due to the passive immunity mentioned above • Decreased risk of SIDS (sudden infant death syndrome)

them to do so for as long as they are comfortable. We also need to speak up when we hear unfortunate stories about women who are discouraged from feeding in public places. When society changes its attitudes towards breastfeeding, more women will choose to breastfeed and will continue to breastfeed for longer periods of time.

Continued Professional Development provided by

Comment on this clinical article at: www.ausmedonline.com/nursing-blog.html Source: Breastfeeding and Maternal and Infant Health Outcomes in Developed Countries. Evidence Reports/Technology Assessments, No. 153. Agency for Healthcare Research and Quality (2007). http://www.ahrq.gov/clinic/tp/brfouttp.htm (Investigators: Stanley Ip, MD, Project Leader, Mei Chung, MPH, Gowri Raman, MD, Priscilla Chew, MPH, Nombulelo Magula, MD, Deirdre DeVine, MLitt, Project Manager, Thomas Trikalinos, MD, PhD, and Joseph Lau, MD, Principal Investigator)

33

Educational Courses, Conferences & Events

• Decreased risk of developing diabetes later in life • Less risk of infants becoming obese- this benefit increases the longer a baby is breast-fed • Decreased incidence of asthma and eczema • Less ear infections, respiratory illnesses and gastrointestinal infections Educating parents prior to childbirth may be the best way to encourage breast-feeding.

All mothers want their babies to be healthy, and breast-feeding is one way in which to optimise the baby’s health. However, many women start out with the desire to breast-feed, and then give up the practice shortly after birth due to breastfeeding problems or a perceived lack of support.

Educating the public regarding the positive benefits of breast-feeding is an effective tool in encouraging breast-feeding awareness.

Supporting women to breast-feed, including in the workplace, may encourage more women to plan to breast-feed, or even do so for longer than they normally would.

As health care professionals, we need to support breast-feeding mothers and encourage

CSANZ

Educational Courses, Conferences & Events

Indigenous Cardiovascular Health Conference 17–18 June 2011 Alice Springs Convention Centre Northern Territory

We are delighted to invite you to Earn CPD minutes the CSANZ Indigenous Cardiovascular towards your mandatory quota by Health Conference (ICHC)

CPD QUIZ ICMS Pty Ltd Issue 12 (27th June 2011) 84 Queensbridge Street

Southbank VIC 3006 Proudly presented

by Ausmed Online and The Nursing Post T: +61 3 9682 0244 F: +61 3 9682 0288 Email: ichc2011@icms.com.au

www.ichc2011.org

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reading an article and completing the quiz that follows.

This quiz is freely available to anyone who wishes to participate so get your colleagues involved too!

Educational Courses, Conferences & Events

39th Annual Renal Society of Australasia Conference 8 – 11 June, Adelaide Convention Centre

www.rsa2011.org 35

Educational Courses, Conferences & Events

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36 th 14 NSW Rural Mental Health Conference | 22nd – 24th June 2011 | Opal Cove Resort, Coffs Harbour

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Just send Send us photos of: us some happy •individual or group shots snaps of you and •your colleagues or yourself working your colleagues •special or social events •someone you think deserves to from your ward!

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Submit your stories to: EMAIL: editor@nursingpost.com.au POST: The Nursing Post, PO BOX 6213, East Perth, WA, 6892 FAX: (08) 9325 4037 39

ADVANCES IN GULF HEALTHCARE CAN BE JUST

experts on the gulf

Eleven of the twelve pillars of the Temple of Artemis at Jerash in modernday Jordan still stand after almost 2000 years. Dubai’s modern high-rises will not last so long, but are a great deal more useful!

The Arabian Peninsula has provided a great deal of work for builders over the last few thousand years!

Western nurses are a fairly new job category but even they have been coming in their thousands to this fascinating corner of the world for well over 50 years.

Because so many expatriates are employed in the ongoing building of a great modern healthcare system, contracts expire almost daily and there is a constant need to fill the resulting vacancies.

So with professional application and excellent educational opportunities, you can achieve your full potential. At the right hospitals there are great 40

opportunities for career development and continuing your education.

But we can’t overstate the fact that you really do need the right advice to make the most of the opportunities on offer (see the examples across the page).

Promesse specialises exclusively in placements to the Arabian Gulf, and having lived and worked there ourselves we really do know what we’re talking about.

We’re free and friendly too, so if you want the experience of a lifetime, call Christine Kohleis RN for an enlightening chat.

CURRENT VACANCIES ➤ UNITED ARAB EMIRATES DONs: Surgical & OR services, Crit Care, ER

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AUS 1800 002 388 NZ 0800 542 100 Email: info@promesse.com.au www.promesse.com.au experts on the gulf

Nursing in Australia its never been easier

Mediserve has numerous vacancies for nurses at City hospitals in Adelaide, Brisbane, Darwin, Melbourne, Perth, Sydney and in Rural hospitals Australia wide!

Mediserve is also seeking Registered Nurses, Midwives and Specialty Nurses from New Zealand for work in Australia.

We provide:

Mediserve has been selected to the panel of agencies supplying nurses for the state Governments of South Australia, Western Australia, Queensland and the Northern Territory. This means nurses working with Mediserve have first preference for job vacancies in these states.

• Best Rates of pay (Wages paid weekly) • Superannuation payments of 9% on wages • Full insurance cover for Nurses & Midwives • Over 10 years of experience in placing local and NZ nurses • City shifts and Country/Rural contracts • Long or Short term contracts • Arranged Accommodation • Jobs for all specialities and skills

NZ NURSES! FREE FLIGHTS TO AND FROM AUSTRALIA *INC TAXES

RURAL CONTRACTS

Free flights after 10 week contract in Rural locations throughout Australia

CITY SHIFTS

Free flights after 12 weeks working for any major metropolitan hospitals in Australia Australian Nurses: 1300 305 594 NZ Nurses Freecall: 0800 9325 1332 (Please ring between 3pm-10pm NZ local time) email: nurses@mediserve.com.au