theNursingPost www.nursingpost.com.au
The Career and Education magazine for Nurses and Health Professionals
Featured this issue
MENTAL
HEALTH
22 August 2011 - Issue 16
Visit us online for the latest jobs and articles
ES
NO
FE Y C N
Need to get away for CPD?
AGE
We can help.
Freecall 1300 NAHRLS
Providing assistance with Locum back-fill for Nurses, Midwives and Allied Health Professionals in rural and remote Australia Apply online at:
www.nahrls.com.au
Funded by the Australian Government
AFFORD TO TRAVEL
EVERY 3 MONTHS! EUROPEAN
NURSING AGENCY: Live - in Care – England
• NO bills or fees • 3 month contracts • Take time off to travel • Return to work when you’re ready • Help to set up a UK bank account & NI# • NO nurses registration required • Weekly wage + holiday pay • Many positions available • Free accom & meals • Flexible start dates
PH: 07 5563 0002 www.workuk.com.au
From the Editor... Welcome to Issue 16
Inside this issue
Hi readers and welcome to another great issue as we take a look at Mental Health and the social stigmas attached to the very term; ‘mental illness’. A big congratulations goes to Imelda Tolentino from Ward 8A North of the Royal Brisbane Women’s Hospital for winning the Front Cover Competition. Imelda says that “ward 8AN is a 30 bed capacity surgical unit comprising of eye, ENT, maxillo-facial & plastic reconstructive and sometimes working on a Sunday can be quite a challenge but these nurses are cheerful, fun and made the day worthwhile with good teamwork, delivering the best nursing care to clients”. Top effort to the whole team for such a wonderful photo!
Mental Health Next issue
Stay tuned for our next issue as we showcase educational providers from each state and learn about the best career opportunities out there when we take a look at Education for healthcare professionals. And finally, we would like to wish Manish Shah our Marketing manager a warm farewell as he moves on to new ventures away from The Nursing Post. Best of luck for the future!
Advertisers Index
NAHRLS . .......................................................... ENA Work UK..................................................... Mediserve Nursing Agency . .............................. Medacs............................................................. Smart Salary...................................................... VNS Nursing Agency.......................................... Quick and Easy Finance..................................... Nursecare Personnel.......................................... Hays Healthcare................................................. Australian Recruiting Group............................... Queensland Health............................................. Swingshift Nurses.............................................. Latrobe Regional Hospital.................................. Australian College of Mental Health Nurses........ MHS Nurses Agency........................................... Delmont Private Hospital.................................... WA Country Health Service (WACHS)..................
2
Inside Cover 1 3, 25 4 5 5 6 7 8 9 11 13 14 17 18 21 22
Educational
Feature
Kimberley Aboriginal Medical Services Council.. CQ Nurse........................................................... Remote Area Health Corps (RACHS) .................. Pulse International............................................. Promesse.......................................................... Healthcare Australia...........................................
23 24 26 27 36+37 Back Cover
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 17: 5 September 2011 Material Deadline: 29 August 2011 Editor: Kelvin Chong | Co-Editor/Artwork: Amrit Bhabra For media-kits, deadlines or advertising queries, please contact Tishen Gounden | Printed by Westcare Pty Ltd
NORTHERN TERRITORY
CALLING OUT FOR NEW ZEALAND
NURSES! Mediserve Nursing Agency needs you for work in the Great Australian Outback. We have exciting work available in the beautiful Northern Territory. With the warm weather, scenic views and stunning beaches, what more could you want?
FREE Flights to and from Australia *Covered by Mediserve, 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
WE PROVIDE: - Over 10 years of experience in placing - Best Rates of pay (Wages paid weekly) local and NZ nurses - Superannuation payments of 9% on wages - City shifts and Country/Rural contracts - Full insurance cover for Nurses & Midwives - Long or Short term contracts - Arranged Accommodation - Jobs for all specialities and skills
Australian Nurses: 1300 305 594 Email: nurses@mediserve.com.au NZ Nurses Freecall: 0800 9325 1332 (Please ring between 3pm-10pm NZ local3time)
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 Emergency Nurses - 457 visas available Acute Surgical RN’s - Regional NSW ICU Nurses - Country WA Contract Nurses needed for regional NSW Theatre Nurses - Sydney - 457 visa available Nurse Manager - Angio Suite - Newcastle Emergency and ICU RN’s - Remote WA Remote Area Nurses Needed - NT & WA Theatre Nurses - New Suites - Newcastle Remote Hospital Contracts for RN’s - QLD Roles Across the UK for RN’s For more information, talk to Donna Gould or David Hunter in the Medacs Healthcare Nursing team. 4
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
Bills look smaller tax free.
Pay your bills tax-free Get a living expenses card and shop tax-free Save on everyday expenses like shopping, groceries and bills
On average our customers save $3,000* each year
Call us on 1300 219 835 or visit our website.
www.TaxFreeBills.com.au *Salary packaging of living expenses is only available to employees of the Department of Health in WA, SA, and VIC. On average our customers save approximately $3,000 per year, based on an income between $37,001 - $80,000, paying 30% income tax and salary packaging the full $9,095 tax-free cap. Actual savings will vary depending on your income tax bracket. Administration fee is paid tax-free from your salary.
NEW_Living_nursepost- June2011.indd 1
12/08/2011 11:12:06 AM
5
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.
wrightgraphics.com.au 0111NP
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, 6 registered in your name and not encumbered (i.e. not currently used as security on any loan with another financial institution).
NURSES IN
DEMAND Have you considered working for a nursing agency? We are Tasmania’s own nursing agency, owned and managed by Tasmanian nurses. We offer offer RNs, ENs (M.E.): • All shifts, statewide • Above award (casual) rates and bonuses • CPD opportunities • Respect & appreciation - Lots of it!!
Call us today...
1800 240 988 to explore the possibilities. W: www.nursecaretas.com.au
7
THEATRE & INTENSIVE CARE NURSES START YOUR WORKING HOLIDAY IN LONDON
As the UK’s recruiting experts, we have been awarded a Tier 1 supply agreement with Imperial College Healthcare NHS Trust. Imperial College Healthcare is the UK’s largest NHS Trust and manages five London hospitals. These include Charing Cross Hospital, Hammersmith Hospital, Queen Charlottes and Chelsea Hospital, St Mary’s hospital and Western Eye Hospital. They are a major centre of medical research and are associated with many breakthroughs, including penicillin. All five hospitals are in North West London and are prime locations to take advantage of local London attractions including nature reserves, theatre and live entertainment venues, as well as outstanding dining and shopping precincts. In 2010 Imperial College Healthcare employed approximately 10,460 staff and treated over a million patients. They are seeking skilled ICU, PICU, NICU, CICU and Theatre Nurses to support the hospitals’ ongoing demands. These long term locum roles are fantastic opportunities to work in leading hospitals that will use and expand your expertise. Live the London lifestyle, earn top rates and gain enviable experience to further your career. To find out more about these positions and nursing in the UK, contact us for a free information pack. UK information sessions are coming soon to the following locations: Brisbane - Thursday 25th August Sydney - Thursday 8th September Melbourne - Thursday 29th September Enquire now to book your place. VIC/SA/TAS/NZ Kerrie Smith T: 03 8562 4288 or 0800 001 718 (Free Call NZ) E: kerrie.smith@hays.com.au QLD/NT/NSW/WA Rose Holden T: 07 3243 3023 E: rose.holden@hays.com.au
hays.com.au 8
If you can see yourself working across
AUSTRALIA, or across the world then give us a call today!
We have placements available in Australia and overseas including the Middle East, UK and the USA. We offer Casual, Permanent, Aged Care, ICU, Theatre, Rural and Remote Contracts.
Call Fay Samios: 1300 123 450 health@australianrecruiting.com www.australianrecruiting.com
9
Feature - Mental Health
MENTAL HEALTH
We separate the facts from the myths in our article “All this Stigma around mental illness”. We also take a look at what’s happening to mental health nurses in Tasmania and we present a story submitted by one of our readers entitled “Notes from a psychiatric ward...somewhere near you”.
10
Choose your own adventure with Queensland Health The opportunities are endless for skilled mental health professionals in Queensland’s idyllic rural and regional communities.
Queensland Health Submit your CV and Expression of Interest online today at www.health.qld.gov.au/mh
MH090811
“With so many opportunities available in rural Queensland, I decided to take advantage of the incentives on offer in remote Longreach. I now consider myself a local and enjoy exploring Queensland’s outstanding Central West region providing CYMHS outreach mental health services along the way.” Jonni Schoone, Clinical Mental Health Nurse, Longreach
11
Feature - Mental Health
All this stigma around mental illness
T
here is no escape from the stigma attached to mental illnesses and the people affected by one. Those diagnosed with a mental illness often get discriminated against due to misconceptions about the illness. As a result, those who can benefit from contacting mental health services often do not seek the help or treatments required to actually get better, and thus the vicious cycle continues. Approximately 400 million people worldwide are affected by a type of mental illness, with only about 20% of those seek help or treatment for their illnesses. The World Psychiatry Association has now begun a new campaign to change society’s perceptions of mental illness, and put a stop to the discrimination and stigma 12
attached to mental illness and those who suffer from it. Now, with research developments proving that mental illness is in fact a medical disorder, social stigmas are still on the rise, instead of declining. The US Attorney General David Satcher stated that, “Stigma was expected to abate with increased knowledge of mental illness, but just the opposite occurred: stigma in some ways intensified over the past 40 years even though understanding improved. Knowledge of mental illness appears by itself insufficient to dispel stigma.” If you’re planning to start or further your career in the field of mental health, then there are some common misconceptions you will need to be aware of. Turn to page 15 to read more.
Mental Health issues are on the rise
We train, support and supply the nurses needed to care. We are the largest supplier of the best mental health nurses in Australia. To find out more visit www.swingshift.com.au or call us on 03 9481 7222 DBC1822SSNP
13
MENTAL HEALTH SERVICE
The Latrobe Regional Hospital Mental Health Service is the regional provider of mental health services in Gippsland. LRHMHS operates an integrated mental health program across ten sites and provides inpatient and community mental heath care for child and youth, adult and aged care service streams. LRHMHS also operates a Community Residential Care Unit and a Prevention and Recovery Care Unit. The Latrobe Regional Hospital Mental Health Service is located in Gippsland – home to sandy beaches, snowfields, mountains and national parks. Gippsland provides a fantastic rural lifestyle with easy access to Melbourne. Under the new 10 year “Because Mental Health Matters” Strategy, Mental Health services are moving into an exciting period of reform. This reform will focus on early intervention, prevention, social inclusion and recovery. LRHMHS offers a supportive environment with clinical educators, preceptors, clinical supervision, a nurse practitioner candidate program and professional development opportunities. WE HAVE EXCITING POSITIONS FOR DYNAMIC CLINICIANS IN THE FOLLOWING AREAS: COMMUNITY CLINICIANS – Adult, Aged and Child and Youth Services DEMENTIA BEHAVIOUR Management Advisory Service (DBMAS) Clinician DISCHARGE NURSE COORDINATOR- Enrolled Nurse Acute Adult Inpatient Unit ASSOCIATE UNIT MANAGERS – Inpatient Units REGISTERED AND ENROLLED NURSES - Acute Aged and Adult Inpatient Units OCCUPATIONAL THERAPIST - Inpatient Services GRADUATE NURSE PROGRAM 2012
FULL TIME, PART TIME, CASUAL, TEMPORARY AND PERMANENT POSITIONS ARE AVAILABLE. PLEASE VISIT www.lrh.com.au AND GO TO OUR EMPLOYMENT SECTION. FOR ENQUIRIES PLEASE CONTACT CAYTE HOPPNER, DIRECTOR OF MENTAL HEALTH ON 03 51738549 OR choppner@lrh.com.au 14
Feature - Mental Health MENTAL ILLNESSES DON’T AFFECT NORMAL PEOPLE AND ARE QUITE UNCOMMON FALSE: Mental illnesses are already quite common, with numbers steadily rising. It can affect anyone regardless of gender, race, age, wealth or religion. According to the American Psychiatric Association, one in five Americans suffers from a mental disorder. One in five Australian adolescents currently suffers from depression.
THOSE SUFFERING FROM A MENTAL ILLNESS ALWAYS RECEIVE TREATMENT FALSE: No, only one in five people who are diagnosed with a mental illness are seeking treatment. This is potentially because those suffering from a mental illness at present are not willing to seek help based on all the previous stigmas attached to mental illnesses. MENTAL ILLNESS IS REALLY A WEAKNESS, NOT AN ILLNESS
THOSE AFFECTED BY A MENTAL ILLNESS ARE CONSIDERED HIGHLY DANGEROUS TO SOCIETY FALSE: This is possibly one of the biggest misconceptions in society today, which is largely due to media influences. In reality, most people diagnosed with a mental illness are not dangerous at all. They are more likely to be the victims of crimes or violence instead of committing criminal behaviour. IF YOU HAVE A MENTAL ILLNESS AND SEEK HELP, THEN YOU HAVE FAILED OR ARE CONSIDERED WEAK IN CHARACTER. IT IS POSSIBLE TO MENTALLY WILL THE ILLNESS AWAY FALSE: A serious mental illness is caused by chemical imbalances in the brain, and cannot be mentally willed away by the diagnosed individual and nor does ignoring the problem. Professional help is required to fight the illness. ADOLESCENTS AND CHILDREN DON’T GET AFFECTED BY MENTAL ILLNESSES SUCH AS DEPRESSION OR ANXIETY; IT’S JUST A PART OF GROWING UP FALSE: Children and adolescents can absolutely develop mental illnesses of all sorts, mainly depression and anxiety. Approximately one in ten children is suffering from a mental illness that is severe enough to cause sufficient damage.
FALSE : Being diagnosed with a mental illness is as real as being diagnosed with another disease such as diabetes or cancer. There are even some similar characteristics between mental illnesses and physical illnesses; both can be inherited genetically and are caused by chemical and cellular mutations within the body. Being diagnosed with a mental illness is not a character flaw or a sign of weakness. MENTAL ILLNESS SUFFERERS WILL NEVER BE NORMAL AGAIN FALSE : Science has made positive and crucial developments in treatment methods of mental illness in the past recent decades. If people are suffering from mental illnesses, then they will need to seek treatment to recover and continue with their normal, productive lives as the same before their diagnosis.
What you can do to stop the stigma 1. Take the time to learn about mental illness and what it involves. If you know what the facts are, then you can help those affected by a mental illness better accept their condition and influence them to seek treatment. 2. Challenge media stereotypes associated with mental illnesses. The media clearly has a strong pull on society’s perceptions of people with mental illnesses. 3. Share your personal experiences if you’ve suffered from an illness; this may help people going through the same thing. 15
Feature - Mental Health
Notes from a Psychiatric Ward....somewhere near you by Virginia Stalenberg
Sometimes during my long career of Psychiatric Nursing someone touches me with their story. I identify with their situation having been through something similiar in my own life, they make me feel sad or from their story I believe that they shouldn’t be in a psychiatric hospital at all. If only their personal circumstances could be improved somehow, if they had more money, or if they had a friend or relative for support and guidance they would not be a “psychiatric patient” with a permanent label, but a productive member of our diverse society. Luke was one of the people who so concerned me. The first time I met Luke was at the beginning of his 4th admission to a psychiatric unit. He was just 21 years old and homeless again. Like most boys his age he was very thin, wore blue jeans, a black tee-shirt and an expensive brand of impressive white sneakers. He danced about, with his blonde curly hair bouncing into his clear blue eyes. With a bright smile he started talking to me, rarely pausing for breath. And he had really bad breath. His teeth were clean and white, so I presumed that his diet was to blame. He was interested only in explaining his present predicament - being in a psychiatric ward against his will. In five minutes flat I knew his history. He was brought to the hospital by the police after a local church minister became
16
ACMHN's 37th International Mental Health Nursing Conference “Swimming between the Flags?� Marriott Resort & Spa, Gold Coast - 4th - 7th of October 2011 The theme of this conference promises participants an exciting opportunity to contemplate and discover how mental health nurses from around the world are interpreting and responding to changing conditions in education, practice, research and management. The program is excellent - we have fantastic keynote speakers, workshops and a Research Symposium. Join us for an affordable conference at an amazing 5 star venue - don't miss out!
Conference Secretariat
Samantha Robson AST Management PO Box 29, Nerang, Gold Coast Qld 4211 Australia | Ph: 07 5502 2068 Fax: 07 5527 3298 Email: samantha.robson@astmanagement.com.au
Keynote Speakers: Dr Rufus May Clinical Psychologist, Bradford District Care Trust's assertive outreach team and Honorary Research Fellow with the centre for community citizenship and mental health at University of Bradford Sandy Jeffs Has lived with schizophrenia and all its moods for over thirty years. She is a community educator who speaks to schools, universities and community groups and received an Australian Human Rights Commission commendation for her book Flying with Paper Wings
Debra Nizette Mental Health Nursing Advisor, Office of the Chief Nursing Officer Prof Dianne Wynaden Mental Health Professor at the School of Nursing and Midwifery, Curtin University of Technology Ass/Prof Jane Burns Director, Co-operative Research Centre for Young People, Technology and Wellbeing - Orygen Youth Health Research Centre Nick Bowles - Associate Lecturer in Mental Health Nursing at Institute of Technology, Tralee, Registered Mental Health Nurse, Academic, Clinician, Manager, Trainer and Researcher
www.astmanagement.com.au/acmhn2011
17
MHS NEEDS
M RE MENTAL HEALTH NURSES
Mental Health Staffing Specialists, MHS Nurses Agency is the only stand alone Mental Health specific Nursing Agency We have a growing list of clients looking for quality staff, so why not give us a call and let us know what you want to do. If we don’t already have what you want we will try and get it for you.
WS NELASH F
All of our nurses and clients receive the following benefits ! Flexipay : Work today get paid tomorrow, no fees, no restrictions ! All office staff are Mental Health trained ! Parking Allowances ! Above award pay rates to all nurses ! Free mandatory education modules ! Free mental health specific education ! Casual, contract and permanent work ! Local, regional and interstate ! Great customer service ! Very attractive charge rates to all clients What we need ! Enthusiastic, excited nurses who want to do a great job ! Great clients that appreciate our service and our nurses
So if you’re a Mental Health Nurse looking for an extra shift, a short term contract, or even a change of scenery, why not work with the agency that knows Mental Health.
Call MHS now on 1300 527 034! enquiries@mhsnurses.com.au - www.mhsnurses.com.au Mental Health Staffing Specialists...All we do is Mental Health! 18
Owned and operated by Mental Health Nurses.
Notes from a Psychiatric Ward...Somewhere near you aware that he was using the church toilets as a home base, washing and sleeping there most nights. He had been living in the hills for a few years. According to Luke, people like him there. He is a gentle boy who doesn’t break the law. He doesn’t drink alcohol or take drugs. He attends church on Sunday and spends his time helping out at the pub. He enjoys dancing all night when there is local entertainment and he works casually at the pizza shop. He gets free food from a local service station where the manager befriends him, but he has nowhere to live. When he has enough money, Luke prefers to stay at the pub for $80 a night or at a local B & B for $120 per night. He has lived in private accommodation in the past, but it hasn’t worked out. He has no explanation for that failure, but denies any wrong doing. He has limited funds most of the time. He is not in touch with his parents who are no longer together and knows only that his mother has a lot of other children to look after in difficult circumstances. He has a foster mother who lives in the country. She has no personal contact with Luke but has been authorised to manage his money. She is very careful with it, giving him $200 a week - only part of his disability pension. While recognising that it is unfair, he accepts the situation with good grace and manages the best way he can. Lately that has meant living in the church toilets. The Psychiatrists are unsure what to do with Luke. They try heavy medication to stop his incessant talking and ‘to settle him down’, but that action only succeeds in making him a drooling zombie who stands at the Nurse’s Station window with a perplexed look on his gentle face. That is obviously not a viable long term strategy. After trialling many medications the Psychiatrists abandon them all. Nothing seems to be ‘working’. Perhaps some Psychology input is required. Luke responds well to discussion, but he won’t actually listen to anyone preferring instead to do all the talking.
Feature - Mental Health The Psychologists roll their eyes and refer him back to the Psychiatrists. Meanwhile, the Welfare and Social Workers have been enlisted to help find Luke some permanent, affordable accommodation. They have found accommodation for him in the past. A difficult task made even more difficult by Lukes’ preferences and his restricted finances. He wants to continue to live in the Hills where he has some work and a connection to the community. But that area is expensive and there is nothing on offer in his price range. After a few difficult weeks of hospital admission a compromise is made. An area in the foothills is chosen which is within his price range. From there he can catch a train to town to attend TAFE classes and occasionally go to the Hills by bus from the city. The arrangement sounds ok to Luke who is ecstatic about his impending discharge. After all, he believes he does not belong in a Psychiatric Hospital and he has certainly not been fully diagnosed. He doesn’t really fit the criteria for any known psychiatric illness. A couple of days later Luke returned to hospital quietly resigned to his fate, this time as a voluntary patient. He didn’t like the boarding house in the foothills. There were no other young people there; there were no tea or coffee making facilities, no activities for the occupants and there were strict curfews at night. All his money went towards his accommodation. It was expensive and time consuming for him to travel to the Hills for work and entertainment. Consequently, when he made the trip there, he stayed. As he did not return to the boarding house at night he was evicted, starting the whole cycle over again. Back in the Psychiatric Ward at least Luke would be warm, safe and well-fed while the authorities worked out what to do with him. 19
Feature - Mental Health
NEW BUDGET CUTS AFFECTING MENTAL HEALTH NURSES Mental health nurses in Tasmania were reportedly forced to go on strike after budget cuts were made to mental health services. The nurses refused to complete their administrative duties in protest against the cuts that they believe will cause already vulnerable clients to end up in waiting rooms of emergency departments. A meeting was held by the Australian Nursing Federation to discuss the claims that the cuts would create on community mental health jobs in the state. The Statewide and Mental Health Services chief executive John Crawshaw stated that discussions had begun in relation to “realigning� some of the work of the Southern Mental Health Emergency Crisis Assessment Team as part of Adult Community Mental Health Services. Dr Crawshaw stated that the positions for a psychiatric emergency nurse and emergency department clinical co-ordinator will need to continue to provide thorough assessment and referral services from the emergency department. 20
The claims that the crisis assessment team made may be separated has caused unnecessary concern as well as reduced inefficiency, all to deliver better value for money. The Union has stated that the department has put a stop to replacing anymore nurses who call in sick. Ms Ellis released a statement claiming that; This reduction in community services will result in more mental health clients waiting inappropriately in emergency departments, with little hope of being admitted to the already over-capacity acute beds. Members of the Union have claimed that they will conclude non-nursing obligations to support patients instead.
If it means taking a stand and letting the bureaucrats answer phones and do more paperwork, then there is no choice for nurses.
WOULD YOU LIKE YOUR WEEKENDS AND EVENINGS BACK? HOW ABOUT 5 WEEKS ANNUAL LEAVE? NURSE UNIT MANAGER - AGED PSYCHIATRY Do you have the ability to manage, lead, problem solve and provide advanced clinical patient care? Do you have expertise in general adult psychiatry? If you are a highly skilled and motivated Registered Nurse Division 1 with high levels of energy and excellent leadership qualities, then this job is for you! Delmont Private Hospital is an accredited 60 bed private psychiatric hospital with an extensive Inpatient, Day Program, Outreach and Consulting Suite. We have a full time (Monday – Friday) Nurse Unit Manager position available to join our managerial and clinical teams, leading and managing one of our acute psychiatric units, specializing in Aged Psychiatry. RELEVANT EXPERIENCE ESSENTIAL. As the Nurse Unit Manager you will be required to develop, maintain and enhance relationships with our patients and stakeholders. These roles provide leadership, direction and management to the Unit as well as a direct clinical care component.
A vision for excellence and providing quality care and service to people with complex mental health issues, together with superior communication and organisation skills and the ability to prioritise work in a dynamic environment will see you succeed in this role. In return you will be offered attractive remuneration, professional working conditions, and supported by a dedicated multidisciplinary team within a leading provider of mental health services. Award as per ANF. Salary will be commensurate with experience and skill. Applications Close: Friday September 2 2011 Telephone queries and written applications to: Peter Randell, Director of Nursing 9805 7333 / prandell@delmonthospital.com.au PO Box 193, Glen Iris, Vic, 3146 To obtain a Position Description: rbaird@delmonthospital.com.au 21
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
22
Visit us Online! om.au for Go to nursingpost.c the latest healthcare jobs, feature articles and stories!
post.com.au
www.nursing
Next Issue Feature
Education 5th September Issue 17 Upcoming Features 19th Sept CPD Quiz and Working Abroad 3rd Oct Paediatrics / Child Health 17th Oct Remote / Indigenous Nursing 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 email: admin@nursingpost.com.au. 23
24
CALLING
ALL NURSES & MIDWIVES Join the Preferred Supplier of Nurses today!
Come and Work for us! Mediserve has been selected onto the panel of preferred agencies to supply nurses to the Health Departments of Western Australia, Queensland, the Northern Territory, the Australian Capital Territory and metropolitan Melbourne.
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
www.mediserve.com.au
25
Calling on RNs and Midwives Be part of the effort to improve Indigenous health We need Registered Nurses and Midwives to fill short-term paid placements in the NT for as little as three weeks.
Get involved. Call 1300 MYRAHC or apply online at rahc.com.au
Imagine a great Australia... for everyone Funded by the Australian Government 26
Take the first step into a new challenge with PULSE
PULSE Staffing International has been recruiting healthcare professionals in Australia for over 15 years. Whether you’re looking for the next step in your career, or the experience you always dreamed about, our specialist Nurse led recruiters can help.
PULSE Perms 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.
PULSE Temps are looking for ICU, general medical & surgical Nurses, paediatric and theatre Nurses as well as Midwives to fill shifts through our Sydney office
PULSE Contracts 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. Contact us asap to find out more about our free specialist service;
Contracts/Temps – Zoe Gibbs zoe@pulsestaffing.com.au
+61(0)2 9965 9455 PULSE Perms – Andy Rennie andy@pulsestaffing.com.au
+61(0)2 9965 9457 Don’t forget to check out our hot jobs at
www.pulsejobs.com *Terms & conditions apply
THE BEST PEOPLE IN HEALTH AND SOCIAL CARE 27
Educational Courses, Conferences & Events
Educational Courses, Conferences & Events Article: Medication Miscalculation: A Frequent Mishap?.......................30-31 Ausmed Publications................................................................................31 CPD Nurse Online.....................................................................................32 Oceania University of Medicine.................................................................33 ANCP 6th Conference on Nurse Practitioners: Coming of Age....................33
September 11th Palliative Care Conference
International Symposium
Together in discovery and care Palliative Care Queensland 30 August - 2 September 2011 Cairns Convention Centre, Qld www.palliativecareqld.org.au/events/
“Advanced Tracheostomy Care and Prolonged Mechanical Ventilation” (Various groups from) Austin Health 1-2 September 2011 Hilton on the Park, Melbourne, www.tracheostomyteam.org
ADS-ADEA Annual Conference 2011 Australian Diabetes Society and Australian Diabetes Educators Association 31 August-2 September 2011 Perth Convention Centre, WA www.ads-adea.org.au
28
21st Annual TheMHS Conference ”Resilience in Change” The Mental Health Service (TheMHS) 6-9 September 2011 Adelaide Convention Centre, SA www.themhs.org/2011-conference
2011 Australasian Sexual Health Conference
“Out of the shadows, into the spotlight chronic diseases, mental health” Chronic Diseases Network 8-9 September 2011 Darwin Convention Centre, NT www.cdnconference.com.au/
“Sex in the Capital City” The RACP 28-30 September 2011 National Convention Centre, Canberra, www.sexualhealthconference.com.au/
CATSIN Annual Conference
9th International Conference for Emergency Nurses
“Are we there yet?” Congress of Aboriginal and Torres Strait Islander Nurses 21-23 September 2011 Mecure Hotel, Brisbane Qld www.indiginet.com.au/catsin/
Aged Care Nurse Managers Conference “Clinician, Colleague, Carer & In Charge” Total Aged Services 21-22 September 2011 Caulfield Racecourse, Melbourne www.totalagedservices.com.au
Educational Courses, Conferences & Events
15th Annual NT Chronic Diseases Network Conference
Showcasing, exploring and celebrating the diversity of Emergency Nursing practice College of Emergency Nurses Australia 28 September - 1 October 2011 Adelaide Convention Centre, SA www.cdesign.com.au/cena2011
(PNAQ) Annual Conference 2011 “Standing on the Shoulder of Giants” Perioperative Nurses Association of Queensland Inc 29 September - 1 October 2011 Royal Pines Resort, Gold Coast www.pnaqconference.net.au
OCTOBEr ACMHN’s 37th International Mental Health Nursing Conference
6th ACNP National Conference 2011
“Swimmimg Between the Flags” Australian College of Mental Health Nurses 4-7 of October 2011 Marriott Resort & Spa, Gold Coast www.astmanagement.com.au/acmhn2011
Nurse Practitioners: Coming of Age Australian College of Nurse Practitioners 6-8 October 2011 Hilton Hotel, Adelaide www.dcconferences.com.au/acnp2011/
29
Educational Courses, Conferences & Events
Medication Miscalculation: A Frequent Mishap?
Australia and the majority of Western countries promote a culture of health and safety within the hospital setting. Despite the best of intentions, adverse events frequently occur, with medication errors providing a common type of these incidents. Medication errors are defined as “any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of health professional, patient or consumer”. As medication errors are deemed to be the most preventable type of adverse event we assess how common they really are and what can be done to help prevent them. International literature suggests that medication error is not just an Australia-wide issue. It is estimated that within Australia, approximately 27% of adverse event deaths are caused by medication error. Similar rates have been reported in both the United Kingdom and the United States. The causes of medication errors are commonly grouped into system, environmental and human factors, with dosage error being a largely nursemediated adverse event. The United States reports that of the 7,000 deaths attributed annually to medication error, 17% of these are due to dosage miscalculation. Why are dose miscalculation events so common? Literature suggests that both undergraduate and postgraduate nurses face common challenges including: 30
• Mathematical anxiety • Negative attitudes • Poor numeracy skills – especially in relation to using fractions, percentages, decimals and ratios • Lack of sufficient skills for calculating appropriate doses From experience, making calculations under time constraints, especially with a patient standing by creates sufficient pressure to make miscalculation more frequent than it should be. Interestingly studies show that years of experience does not necessarily equate to greater proficiency at accurately calculating medical dosages. Studies in the United States report that only 35% of nurses achieved a 90% proficiency in medical calculations during orientation. How can these challenges be overcome? Medical miscalculation is an issue for both new and experienced nurses. Literature suggests that a two-fold approach is important for reducing the rates of nurse-induced medication error: focus on undergraduate maths skills as well as testing graduates for on-going competence. Suggestions for undergraduates include practical sessions and assessments in safe environments that can aid the hands-on learner, as well as assisting them to gain confidence as practitioners. Remedial help should be available for those who require it. Because nurses are expected to calculate medication doses precisely it has been suggested
that regular testing be used as a means of maintaining competence. Several studies have noted links between nurses who made medication errors and their ability to pass a medication calculation exam. Nurses perceive these tests as “highly stressful and exceptionally challenging”, however it is suggested that medication calculation skills should also be included in continuing nurse education programs.
• Check medication doses with another nurse • Avoid distractions • Not rush Using calculators and conversion charts may be helpful but should never be used as a substitute for taking into consideration the logical or expected answer. Unfortunately today’s busy environment means that all too often health
It is important to nurture an environment in which nurses (especially those with maths anxiety) feel supported in making medical calculations, even if they occasionally make errors. Discussing the error in a supportive manner will go a long way in encouraging struggling nurses to persevere and achieve better calculation results in the long term. If you would like to further review professional boundaries, the Nursing and Midwifery Board of Australia have all of the relevant codes and guidelines online: www.nursingmidwiferyboard. gov.au/Codes-and-Guidelines. aspx#professionalboundaries Continued Professional Development provided by
Comment on this clinical article at: www.ausmedonline.com/nursing-blog.html Source: Sherriff, K., Wallis, M. & Burston, S. (2011). Medication calculation competencies for registered nurses: a literature review. Australian Journal of Advanced Nursing, 28 (4).
Clinical Nursing
Assessment Skills 2011 Dates Adelaide: Brisbane: Melbourne: Sydney: Perth:
26 - 27 September 12 - 13 September 13 - 14 October 21 - 22 November 7 - 8 December
Learn more at:
www.ausmed.com.au 31
Educational Courses, Conferences & Events
Awareness Raising Raising awareness of medical miscalculation errors within the nursing population can be achieved through regular monitoring and reporting of these errors. Nurses can be involved in assessing the cause of the problem and can make suggestions on how to avoid future errors. When calculating doses, nurses should be encouraged to:
practitioners are rushing as they try to complete tasks efficiently.
Developed by LearnPRN Pty Ltd ABN 16 104 943 437
Ph: 03 5443 3390
Educational Courses, Conferences & Events
www.nursecpdonline.com.au
APEC Provider No: 04083032
www.facebook.com/nursecpdonline
Professional ONLINE Education for Registered & Enrolled Nurses Australia Wide
Earn CPD points
Imagine if you could get CPD points and all you needed was access to an internet connected computer. With nurseCPD online, you can! Access high quality, interactive and informative programs 24/7 from the comfort of your home or work and earn CPD points.
Sample Online Programs: -
Advanced Life Support Basic Life Support Emergency Procedures Infection Control Manual Handling Medication Administration Respiratory Assessment Intravenous Cannulation Workplace Aggression & Violence
Testimonials “ I learnt things I didn’t know and it clarified some things for me. Makes me feel more confident in what I’m doing” “Excellent on line learning for all nurses. All relevant for my ongoing education, looking forward to doing more. Thank you”
Look on our website for upcoming workshops 32
Your next logical step Become a physician
Earn your MBBS at Oceania University of Medicine ~ Samoa
OUM-NP RNtoMBBS01/11col
–
Many of your duties are the same as a doctor, so why not gain the rewards Gain more knowledge, more autonomy and more recognition No need to uproot family and move from friends and support systems Continue working during first two years New classes begin every March, May and August.
OCEANIA UNIVERSITY OF MEDICINE N O W I N T E R N AT I O N A L LY A C C R E D I T E D For information visit www.RNtoMBBS.org or call 1300 665 343
The 6th Conference of The Australian College of Nurse Practitioners
Nurse Practitioners: Coming of Age 6 – 8 October 2011 The Hilton Hotel
Adelaide
33
Educational Courses, Conferences & Events
RN to MBBS
your photo could be on our
n ext Cov e r ! theNursingPost
Post theNursing
www.nursingpost.com.au
ati
d Educ reer an
The Ca
zine on maga
for
Look ins
LO O K
this
rsingpo
r and Ed
and He Nurses
ide for look ins ture Take a fea issue’s
www.nu
The Caree
als
ssion alth Profe
onalsfor caPrti ofession EHedaltuhcare
theNursing Po
The Career and Education magazine for Nurses and Health Professionals
m.au
ngpost.co
www.nursi
ide for this
for your chan
ce to win
sue 7 2011 - Is 18 April
magazin
SUB
Working & Studying in
V ICTORIA
Take a look at our feature to see what this great state has to offer
ur ch
LO
ance
00!!
to win
for eOK INSID ntry detail E s
au
rses and
Health Pro
fessiona
issue’
S
TODCAR I B E Y $3 for yo
st
st.com.
e for Nu
feature “ Work san d St udy in W
IN SI DE
$300!!
ucation
Visit us
A”
Subscri be to win today for yo a Prep aid Ma ur chance sterca rd
13 June
online fo
r the lat
2011 - Is sue 11
est jobs
and artic les
2 May 2011 - Issue 8
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! HERE is your chance to show off your photography skills (or modelling skills) by entering the Nursing Post photo competition. If selected you will be notified by email in which issue your photo will appear in. We would love a variety of work settings and ultimately there is no limitation on what your photo can be. You can submit as many times as you like!
Submit your photos to:
be credited
Please note : •When taking photos, the higher the quality (mega pixels, image size) the better. •Please ensure that you have consent for photos in which you have photographed people where consent is required •By submitting photos to the competition you agree to allow the Nursing Post to use them in future publications
EMAIL: artwork@nursingpost.com.au POST: The Nursing Post, PO BOX 6213, East Perth, WA, 6892 34
ls
WHAT’S
YO U R
STORY?
d a F U N N Y an Do you have ry st g G nursin o IN T E R E S T IN share? If e to you would lik (or ething to say you have som great on’t miss this write), then d get your story opportunity to and share your P U B L IS H E D ith others. experience w
WHAT WE WANT TO READ! Tell us a TOUCHING, INSPIRING or any LIFE-CHANGING experiences in your nursing career. Share your travel experiences from nursing in exciting locations in Australia and overseas. Send in funny tales from the ward that happened to you, a nurse colleague or a patient you looked after. PUBLISHEDl
stories wil
win aE
PRIZ wor th
$100
P L E A S E N OT E -All submissions selected for publication will be subject to editing. -Include any images or photo’s that may be relevant to your story -Story Length: 500 - 1500 words -Include your name, address, phone number, and email address. -Submit stories via email or Microsoft Word -Check online at : www.nursingpost.com.au for complete submission conditions
Submit your stories to: EMAIL: editor@nursingpost.com.au POST: The Nursing Post, PO BOX 6213, East Perth, WA, 6892 FAX: (08) 9325 4037 35
experts on the gulf
The Arabian Gulf brings fresh winds
Nurses who spend some career time in the
than normal, offering some of the best career
progressive nations of the Arabian Gulf often
opportunities in recent years. Don’t let the present
return home much changed by their experiences.
exchange rate put you off - the Aussie dollar is
They are more worldly, having travelled far and
strong right now but it won’t always be so. When
wide, more accustomed to taking responsibility
you work in the Gulf, most of your living expenses
and more knowledgeable about clinical conditions
are covered free of charge and with no tax or
not often seen at home. With so much economic
transportation costs either, you can save up to
turmoil throughout Europe and the USA, the
85% of your salary locally, to exchange when the
pool of vacancies in the Gulf is currently larger
rate is more favourable.
36
JUST A FEW OF OUR CURRENT OPPORTUNITIES ➤ UNITED ARAB EMIRATES DONs: ER Services Nurse Unit Manager - ER Nurse Coordinators/Team Leaders: ER, Medical & OR ➤ SAUDI ARABIA SNR NURSE MANAGERS/ADONS: Cardiac Services & ER & Nursing Standards of Care NURSING SUPERVISOR: Surgical Services NURSE EDUCATORS: CCU, ICU-Cardiac, ICU-Neonates, ICU-Trauma, Medical, Surgical, Midwifery, OR-Trauma, NICU/PCIU, Paeds, Postnatal NUMs: Cardiac Cath Lab, Cardiac Clinic, Cardiac-OR, CCU, ER, ICU-Cardiac, ICU-
Neonates, ICU-General, ICU- Paeds, Medical, Oncology, Post-natal, Surgical, Trauma Ward ASS’T NUMs: Cardiac Cath Lab, Cardiac-HDU, Cardiac, ER, Labour & Delivery, OR, Paeds Cardiac ICU, ICU, OR, Oncology, Renal-CAPD MIDWIVES NURSE COORDINATORS / TEAM LEADERS: Cardiac wards, Cardiac-HDU, Day Care Unit, ER, HDU, ICU-Cardiac, ICU-Paeds, ICU-Trauma, ICU-General, Labour & Delivery, Liver unit, OR, Med & Surgical, PACU, Paeds, Oncology etc. RNs: All areas – Cardiac wards, CCU, ER, ICUBurns, ICU-General, ICU-Cardiac, HDU, Med, NICU, OR, PACU, Paeds, PICU, Trauma Surgical, Oncology, etc
of change to nursing careers
The traditional wooden fishing dhow has gained a new lease on life in the Gulf as a fast racing yacht. That enormous lateen sail needs skilled handling!
Expert advice is essential to help you find the best of the opportunities on offer - see the examples above. Because Promesse specialises exclusively in placements to the Arabian Gulf, we know what we’re talking about and we have
FREECALL AUS 1800 002 388 NZ 0800 542 100 Email: info@promesse.com.au www.promesse.com.au
the experience and the contacts to ensure a successful experience for you. We’re free and friendly too, so for the experience of a lifetime call Christine Kohleis RN.
experts on the gulf
experts on the gulf
A SS L C S S BUSINE L ASS C S S E N I BUS
S
ING PAS
BOARD
BOARDING
PASS