Nursing Post - Issue 21: Community Nursing

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theNursingPost www.nursingpost.com.au

The Career and Education magazine for Nurses and Health Professionals

Inside this issue

Community Nursing

31 October 2011 - Issue 21

Visit us online for the latest jobs and articles


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 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 today!

web: www.mediserve.com.au email: nurses@mediserve.com.au

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


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 are seeking a full time (Monday - Friday) Unit Manager 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. Closing Date: Friday November 18, 2011 Telephone queries and written applications to: Peter Randell, Director of Nursing 9805 7333 / prandell@delmonthospital.com.au PO Box 193, Burwood, VIC, 3125 To obtain a Position Description: rbaird@delmonthospital.com.au


Welcome to Issue 21 From the Editor... Readers! Welcome to our next issue of The Nursing Post. This issue, we took a look at Community Health, and found that this is not only a challenging field of healthcare, but it is also so incredibly rewarding one too. Turn to page 22 now to check out this issue special feature. Furthermore, a big congratulations goes to Renee Virtue from the Royal Brisbane & Womens’ Hospital, “this is our family photo of Ward 8as located at RBWH, our specialty is Neurosurgery. We are a dedicated and fun team to work with in an acute and tertiary based setting, every day brings forward new challenges which is why we love our work!” What a fantastic shot Renee, great job to you all the whole team! You can view this cover’s

Inside this Issue Community Health Nursing

photo, as well as all our past front cover winners on our facebook page at www.facebook.com/ TheNursingPost - don’t forget to like us as well! We’ll see you all again next issue folks, as we bring you the latest news and jobs on Emergency Nursing. Have you worked in an ED? Would you like to share your story with us? We’d love to hear from you, so turn to page 30 now for full details. Happy reading! 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 22: 14 November 2011 Material Deadline: 7 November 2011 Editor: Kelvin Chong | Co-Editor/Artwork: Amrit Bhabra For media-kits, deadlines or advertising queries, please contact Amrit Bhabra | Printed by Westcare Pty Ltd

Next Issue ED Nursing

CONTENTS Delmont Private Hospital . .......................................01 Mediserve Nursing Agency . ....................................03 CQ Nurse ................................................................04 Queensland Health .................................................05 Nursecare Personnel . .............................................06 SwingShift Nurses ..................................................07 UHG ........................................................................08 Quick N Easy Finance..............................................09 Hays Healthcare.......................................................10 Pulse International...................................................11 Article: Hospital in the Home the future of health provision..................................................................12 Article: HITH Program...A good idea?.......................14 UTOPIA....................................................................15

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Article: Adelaide to become leader in medical research with new health facility...........................................................16 International SOS.....................................................17 Remote Area Health Corps.......................................18 Book Review............................................................19 WA Country Health Service......................................20 Medacs Healthcare..................................................21 Educational Courses, Conferences & Events.............22 Article: Shift Work and Nursing ...............................24-25 Oceania University of Medecine ..............................37 Australian College og Midwives Conference ............37 Continental Travel Nurse .........................................38 Australian Recruiting Group ....................................01 ENA Work UK (Back cover) ......................................42


New Zealand Nurses Wanted Mediserve is seeking Registered Nurses, Midwives and Specialty Nurses from New Zealand 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?

We provide:

•Best rates (wages paid weekly) •Superanuation (9% of wages) •FULL insurance (Nurses/Midwives) •City/Rural contracts (Long/Short term) •Arranged accommodation •Jobs for all specialities and skills •8 years experience placing NZ nurses

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to AUSTR back to NZ (inc taxes)

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Professional Friendly Nursing

email: nurses@mediserve.com.au3


grow your knowledge

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Colin Bowen, Clinical Nurse Gladstone Hospital

We’re growing. Join us.

Queensland Health Search for vacancies or send an online Expression of Interest today at www.health.qld.gov.au/nursing

NM111011

Our services are expanding throughout the state and we’re looking for experienced nurses like you to join our growing teams.

LIKE OUR PAGE www.facebook.com/TheNursingPost 5


Worried about your options? Job insecurity? Nursecare Personnel is Tasmania’s own nursing agency, owned and managed by Tasmanian nurses. A shout out to nurses!

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We offer RNs, ENs (M.E.): • All shifts, statewide • Above award (casual) rates and bonuses • Fully supported professional development • CPD opportunities • Respect and appreciation - Lots of it!

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240 988 to explore the possibilities. W: www.nursecaretas.com.au


We treat everyone as an individual.

We supply general nurses and are the largest supplier of mental health nurses in Australia. To find out more visit www.swingshift.com.au or call us on 03 9481 7222.

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Independent Contract Nurses Required!

creating freedom and choice ...the innovative way

UHG is a leading provider of customised healthcare solutions for insurers, employers and individuals across Australia. We are offering unique opportunities for Registered and Enrolled Nurses to undertake sub-contract work with our innovative mobile health service division. • • • •

National Opportunities Different work locations & environments Discover new challenges Take control of your work-life balance!

The following are minimum requirements for these roles: • Competent phlebotomy skills - Min 2yrs experience • Current CPR Certification • Own Vehicle and Drivers License • PC & Printer, Internet Access, Email, Fax/Scanner • Australian Police Check • Public Liability & Professional Indemnity Insurance • ABN Experience in small business, insurance assessments, pre-employment medicals and vaccination programs would be well regarded, but not essential.

To find out more about these exciting opportunities or apply online visit

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For general enquiries, please phone Jessica on (03) 9692 7049 A division of UHG : www.uhg.com.au 8


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OncOlOgy nurse PrOvide excePtiOnal Patient care in the uK This south west London Hospital are looking for highly motivated Oncology Nurses to work within their expanding and well established team. The hospital is based in an idyllic setting close to parks, pubs, cinemas and great shopping. The unit provides a comprehensive cancer service for a range of illnesses including leukaemias, lymphomas and solid organ tumours. Experience within multi tumour sites would be helpful, and in particular experience within haematological malignancies. Experience in venupuncture, cannulation and administration of cytotoxics is desirable. Post holders will have the opportunity to work across both the inpatient ward and the chemotherapy day unit. You will have loads of learning opportunities as this unit is always at the forefront of innovation and offers continued training and development opportunities including the possibility of managing a junior nurse in the future. This position is currently vacant and as such will suit someone who is quick to travel, has a UK/EU passport or is eligible for a suitable working visa and holds NMC registration. Not travelling until 2012 or 2013? We offer comprehensive advice on all aspects of relocating and can source a role to suit your career objectives and travel plans. For further information about this vacancy or working abroad, contact your local consultant: Qld/nt/nsW/Wa Rose Holden T: 07 3243 3023 E: rose.holden@hays.com.au vic/sa/tas/nZ Kerrie Smith T: 03 8562 4288 or 0800 001 718 (Free Call NZ) E: kerrie.smith@hays.com.au

hays.com.au 10


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;

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THE BEST PEOPLE IN HEALTH AND SOCIAL CARE 11


Feature - Community Nursing

Hospital in the Home:

the future of health provision According to Hospital in the Home (HITH) Society president Associate Professor Gideon Caplan, “changes to the Medicare Benefits Schedule to allow more hospital treatments at home would deliver better outcomes for patients, free up acute care beds and cut health costs by hundreds of millions of dollars” The HITH Society differentiates between “home nursing” and hospital in the home which provides “acute, sub-acute and post-acute care for stable patients with an uncomplicated diagnosis but in need of short-term intensive treatment”. The service is often provided by a multidisciplinary team of clinicians from a number of specialities

Caplan believes a slight tweaking of the current Medicare Benefits Schedule would allow the services to reach a wider audience

“Hospital-standard care delivered in the home often delivers better clinical results and is safer for patients” said Caplan.

HITH Society released a report (compiled by Deloitte Access Economics) looking at the effectiveness of home treatment for six conditions ranging from cellulitis to knee replacement and found home care as the best way to deal with the rising burden of chronic illness.

Although many people do receive hospitalstandard treatment in their own residences, Mr

“There’s a very impressive saving from having hospital in the home treatment compared to

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in-hospital treatment,” Professor Caplan said. “When you look at the data, which shows it’s just as safe and patients are as just happy with the treatment, it’s got to be a winner.” “When well integrated with emergency departments, hospital in the home helps shorten waiting lists, reduce unnecessary admissions, frees up beds and allows the limited resources of hospitals to be directed towards patients who need them the most,” he said. Professor Caplan indicated that home treatment has saved many senior citizens from trips to the ED and from hospital stays that could last for a number of months.

4TH ANNUAL HITH SOCIETY AUSTRALASIA SCIENTIFIC CONFERENCE

“And certainly, it’s something that’s very suitable for older people because we know older people do less well in hospital than other people, because of hospital-related adverse events like infections, falls and acute confusion. They suffer less of those problems in their own homes”. “Hospitals tend to concentrate all the worst infections in the community, whereas at home there’s just all the bugs you already know – you’re already immune to them.” While the program has been a success in Victoria, hospitals in other states have been slow to realise the savings available. Caplan believes the funding mechanism set in place discourages health practitioners from participating as rebates for doctors who visit patients at home can sometimes be lower than when they see them in hospital. The society is requesting Health Minister Nicola Roxon to contemplate “tweaking” the Medicare benefit schedule to increase payments for home-visits.

17th & 18th November 2011 Dockside, Darling Harbour

“We calculate that governments will save 32 per cent of the cost of treatment if they use Hospital in the Home so it is financially in their interest” Professor Caplan said. 13


Feature - Community Nursing

HITH Program...A good idea? Victoria’s state Health Minister, David Davis has revealed that hundreds of the hospital beds that were promised for Victoria’s health system could now end up in people’s homes. This rather controversial step, condemned by some doctors and nurses in particular, has been backed by Mr Davis, who stated that some of the 800 new beds pledged for hospitals over the next four years could be found in patients’ homes as part of the “hospital in the home program”. The Coalition had made a promise before the election that 100 beds would be added to the system this year, followed by 200 in 2012, 200 in 2013 and 300 in 2014. Mr Davis has stated previously that he will not reveal exactly where these beds were going to go, until now. Mr Davis said that hospitals would be allowed to decide whether they wanted to use funding for inpatient beds, or “hospitals in the home” services. ‘’There will be additional beds in our hospitals but there will also be beds, in effect, in homes,’’ he said. It was revealed a while back that this process may already be underway, with Box Hill Hospital apparently considering the closure of a 32-bed ward as part of a “redesign” to give more home-based and community care. The move is believed to have been forced by a lack of funding from the state government and comes as the hospital battles long waiting lists for surgery and increasing demand for care. This move comes as the aftermath from the lack of funding by the state government, as hospitals continue to battle with long waiting lists for surgeries against the constant rise in demand for care. Mr Davis did not state, however, how many of the 800 beds could potentially end up in people’s homes but said some acute hospital beds had been added to the Royal Melbourne Hospital this year. No other hospitals were revealed by Mr Davis in relation to whether or not they’d received beds. Lisa Fitzpatrick, the secretary of the Victorian branch of the Australian Nursing Federation, stated that any possible suggestion that Victorians’ bedrooms could be substituted for hospital wards is an absurd exaggeration. She stated that the system was in-fact, already in place as it is an effective solution for low-care patients, but that seeing as it’s already in use wherever possible, it would not help the system the way extra beds could. 14

‘’I think the Government is treating Victorians like fools … If they want to expand the hospital in the home program, they should do that and put more staff on, but it’s got nothing to do with their promise to add new beds,’’ she said. Dr Harry Hemley, president of the Victorian branch of the Australian Medical Association, stated that he expected the promised beds to be inpatient beds unless there was solid evidence that the new program would help to create more space for hospitals to treat patients faster. ‘’Are we going to have increased capacity or decreased capacity? … I’m sure it’s a cost-saving measure. Putting patients in hospital in the home is much less expensive than keeping them in a ward.’’ Dr Hemley had written to Mr Davis requesting a full audit of beds and details of where the new beds would go amid growing fears hospitals were closing beds under budget pressure only for the government to later “reopen” them as if they were new. On top of that, he requested that there be a strict oversight of the hospital in the home program, as it was only last year when a senior doctor revealed it was being conned by hospitals. The ‘hospital in the home program’, which runs in most hospitals, required stable patients who do not require intense monitoring to be sent home to receive treatment as if they were still in the hospital. This requires sometimes for nurses and, if necessary, doctors to visit them daily. The hospital costs do cover this facility too. Gavin Jennings, the Opposition health spokesman accused Mr Davis of trying to get out of delivering new beds to hospitals, which were operating under enormous pressure. ‘’Doctors, nurses and now paramedics are all saying the same thing - Victoria’s hospital system has never been as bad as this,’’ he said.


UTOPIA Urapuntja Health Service Aboriginal Corporation

Exciting new opportunities for true believers in Primary Health Care. Currently recruiting:

• Health Promotion Officer • Clinical Nurse Manager • Experienced Nurse Midwife; full time ready now! Urapuntja Health Service needs Experienced Nurse Midwives with current clinical experience. Acute care medicine and primary health care experience preferred, with proven communication and computing skills, you will support a team with full commitment to primary health care. You will be working together in a multi-disciplinary team in a cross-cultural setting. We encourage Indigenous nurses to apply for these positions. We are also looking for a Public Health Promotion Officer; for a position with a focus on a choice of programs ‘hygiene and nutrition’, mothers and babies program, or a focus on ‘youth and healthy lifestyles’ This is not necessarily an RN position; health promotion experience or similar must be proven. As our team is now growing strong, we would like to add a Clinical Manager ; are you looking for a challenge, have good ideas on public health and ready to lead a team into the future?

Don’t hold back - if you think you fit the bill give me a call! For application and information please call Sarah Doherty (08) 89569875 or send an email to : ceo@urapuntjahealth.org Urapuntja Health Service is an Aboriginal community controlled health organization situated in the Alyawarr region of Central Australia, 280km NE of Alice Springs. We have a population of 1200 people living across 16 small communities. Attractive wages, salary packaging arrangements, and subsidized accommodation in a beautiful setting, is on offer to reliable resilient individuals who have some time to devote to us.

DO YOU REALLY WANT TO MAKE A DIFFERENCE IN REMOTE ABORIGINAL HEALTH? This is your chance to take a crucial role in an organization whose mission is to maximize indigenous health and has remarkable statistics to prove it. Opportunities to put your ideals into practice exist in this exciting time in health evolution. 15


Feature - Community Nursing

ADELAIDE TO BECOME LEADER IN MEDICAL RESEARCH WITH NEW HEALTH FACILITY Adelaide may well become the new leaders in gold standard medical research in Australia, with the new institute for health delivery, titled the South Australian Health and Medical Research Institute for health delivery to be built. The executive director for SAHMRI saw the potential for a leader in medical research, whilst the rest of South Australia had their sights on building mining and defence sectors. Mr Steve Wesselingh stated that he is anticipating Adelaide will get its share of the national research funding, as SAHMRI will be working on boosting niche manufacturing in medical devices, as well as other similar fields. Mr Wesselingh stated that the institute would further lift the state’s economic credentials when the facility becomes operational in 2013. He hoped that it would be supported by the SA business community, “financially and otherwise”. “This is going to be a flagship medical research institute, to compete with the best in Australia and the world, and that is going to say something important about Adelaide and South Australia and its willingness to do things really well and...we will be an important part of demonstrating that Adelaide is a good place to do business, continuing to grow and thrive.”

research hub,” he said, pointing to Baltimore, home of the renowned Johns Hopkins Research University and medical school. “You do need to invest in it.” Currently, the State Government will provide $15 million over the next four years for the base funds, whilst the rest of the revenue will come from research grants, donations and licensing intellectual property. This year alone, South Australia managed to receive 7.8 per cent of the national medical research funds, which is about $57.5 million from the $756 million in NHMRC grants. Victoria, however, managed to successfully receive nearly 41 per cent of the share, and New South Wales got 27 per cent, whilst Queensland received 15.4 per cent. Mr Wesselingh stated that he would like to see SA’s slice of the fund pie grow bigger over the next several years. “If we can improve by 10 per cent a year for five years, I think that’s pretty reasonable,” he said. To do this would require recruiting more “top-flight” researchers, who would apply for more grants.” SAHMRI is not expected to open its doors to the $200 million facility until 2013, but already recruitment has begun with the first of its 675 researchers being lured to SA shores from interstate and overseas.

SAHMRI will be an independent and collaborative facility, which will aim to seek expertise from SA’s three public universities, as well as work with the state’s hospitals and health department, as a means of efficiently translating research to appropriate and practical policy and treatment.

“They see Adelaide as changing. They left a sort of sleepy town and there’s evidence ... that Adelaide is doing something really exciting,” he said. “The precinct (also to include the new Royal Adelaide Hospital) will be the best health delivery and medical research precinct in the country.”

Mr Wesselingh is anticipating that SA may even attract more activity from the clinical trial industry, as well as spinoff benefits for medical device manufacturers. He stated that South Australia was the “right size” to bring researchers across the state together, without competitive “silos” getting in the way.

“People will be given the opportunity to run with things but they have to deliver as well,” he said.

“If Adelaide competes with itself, it’s not going to compete with Melbourne or Sydney; it’s just not going to happen. Adelaide is a good size for a research culture but only if everybody works together. I don’t think you need a really big town to be a medical 16

“There are two things I’m confident we can deliver. One is that we will recruit really good people to South Australia, and secondly, those people and the medical research that gets done will improve health in South Australia, and we should measure that. We should have metrics that demonstrate that we do that, and that South Australia gets a bigger percentage of the national grant income and a bigger percentage of the publications”


All Health Professionals THE COMPANY International Health & Medical Services (IHMS) is a subsidiary of International SOS, the world’s leading international healthcare, medical assistance, and security services company. IHMS is contracted to provide healthcare to people in detention throughout Australia. We deliver these important and challenging services in a professional manner that is: medically appropriate; without any form of discrimination; with appropriate dignity, humanity, cultural and gender sensitivity; and with respect for privacy and confidentiality.

THE ROLE We are seeking experienced and motivated health professionals to join our teams at our primary health facilities in some of the most distinctive parts of Australia. We are currently undertaking a recruitment drive for our new clinic opening in Wickham, Northern Territory as well as our other facilities based across Australia. We have positions available for the following: General Registered Nurses – ED/Primary Health/Remote experience Mental Health Registered Nurses General Practitioners Psychologists Counsellors Psychiatrists Radiologists Dentists Dental Assistants Nursing Unit Managers/Director of Nursing Immunisation Nurse – relevant accreditation required

THE PERSON Previous remote area experience and/or detention health would be advantageous however the positions would also suit candidates with enthusiasm towards public health and experience in primary and/or community health. OUR INVESTMENT IN YOU In return we will offer a comprehensive remuneration package, potential for ongoing work and the endless opportunities for career development within our international organisation. *All applicants will be subject to a mandatory criminal history check as part of the recruitment and selection process. Offers of employment will only be made upon a satisfactory and successful criminal history check. To apply for these positions, please send through a copy of your CV to recruitment@ihms.com.au quoting reference: WICKHAM.

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The time for talking is over Be part of the effort to improve Indigenous health We need Registered Nurses 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 Funded by the Australian Government 18


BOOK REVIEW:

Feature - Community Nursing

Public Health and Community Nursing, 3rd Edition / Frameworks for Practice. AUTHOR Dianne Watkins PURCHASE at www.elsevier.com Some rather thorough research has been conducted to bring you a new and revised third edition of this resourceful publication on global community health and nursing. Ms Dianne Watkins examines a selection of major changes that have occurred in community nursing, making it an invaluable and up-to-date reference for all community nursing courses. The publication also looks at the current public health sector, frameworks for practice with sections on family, epidemiology and the multiple community public health nurse specialists. Some other points of discussion in the text include: - ‘Real life’ case studies link theory and practice, and promote further enquiry - Discussion points encourage student reflection on methods of enhancing their professional and practice development - A framework approach to promote the development of practice - Key issues (beginning to summary), sectioned in chapters : this is great if you’re studying - References and recommended reading promote depth and breadth of study - Thorough revision to reflect changes in community nursing - More emphasis on public health reflects current government emphasis - New chapter editions: Chronic disease management / educational frameworks collaborative working occupational health nurses / advanced nurse practitioners / nurse prescribing 19


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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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.

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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Educational Courses, Conferences & Events

Educational Courses, Conferences & Events November 3rd Victorian Indigenous Economic Development Conference

MS Nurses Australia Inc.

Yulkuum Jerrang 2-4 November 2011, Melbourne www.yulkuumjerrang.com.au

MSNA Inc 4-5 November 2011, Gold Coast. www.msnainc.com.au

Aged Care Association Australia 30th Annual Congress

National Australian Conference

Magical Mystery Tour - the long and winding road Aged Care Association Australia 6-8 November 2011, QLD www.acaacongress2011.com.au

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Annual Conference 2011

Evidence-based Clinical Leadership Mission: Impossible? Joanna Briggs Institute International 7 November 2011, Adelaide, SA www.joannabriggs.edu.au/ events/2011Convention/index.html


3rd Rural and Remote Mental Health Symposium Impacts & Outcomes Aust. Rural and Remote Mental Health 14-16 November 2011, Victoria www.anzmh.asn.au/RRMH11

Innovations in Nurse Education in Practice, Thinking Aloud, Thinking Ahead ANEC 23-25 November 2011, New Zealand www.nursed.ac.nz

Educating for our Future Australian College for Emergency Medicine 20-24 November 2011, Sydney www.acem2011.com

2011 International Symposium Reducing Child Mortality

Educational Courses, Conferences & Events

15th Annual Australasian Nurse Educators Conference

ACEM 28th Annual Scientific Meeting

World Society for Pediatric Infectious Diseases 15 November 2011 Melbourne Convention Centre childmortality.msf.org.au

December 8th Annual Cardiac Seminar

7th Annual Conference

Experienced nurses working in both metropolitan and rural areas with patients that have cardiovascular conditions.

Health Services & Policy Research

Australian College of Critical Care Nurses (ACCCN) and the Victorian Cardiac Nurses Association (VCNA) 2 December 2011, Melbourne www.acccn.com.au

Health Services Research Association of Australia and New Zealand (HSRAANZ) 5-7 December 2011, Adelaide www.healthservicesconference.com.au

2012 The Early Years Conference 2012 The Development of Children’s Mental Health: How Do We Become Who We Are? The University of British Columbia 2-4 February 2012, Sydney http://interprofessional.ubc.ca/Early_Years.htm

Australian Wound Management Association Conference Harbouring wound care The AWMA 18-22 March 2012, Sydney www.awma2012.com

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Educational Courses, Conferences & Events

Shift Work and Nursing

N

ursing is a 24-hour a day job. People get sick at all hours of the day and night, and they always need someone there to take care of them. When the doctors go home and the other staff are tucked into their beds, night shift nurses are there when the patients condition gets worse the middle of the night, when they have only their wits and their coworkers to count on. Nursing is not an easy job, and nursing by night or rotating shifts makes that job even more difficult.

Defining Shift Work

In Australia in 2003, over one million people worked a night shift in the four 24

weeks prior to the questionnaire, according to the Australian Journal of Advanced Nursing, and 46 percent had worked a rotating shift. This means the worker had to work different shifts – day, evening or night – in the same schedule. As most nurses are aware, this is a common occurrence. Health workers make up 32.3 precent of shift workers in Australia, and nurses make up the largest group of health workers. Like it or not, nurses must work the off-shifts and deal with the problems that come with it. Some of those shifts even include 12 hour over night shifts that can contribute to fatigue.


Dangers of Shift Work

Working shifts can also lead to social isolation since most events take place during the day when shift workers are trying to sleep. It will come as no surprise to night shift workers that they tend to have bad health habits as well, including eating things that are high in fat and sodium, consuming too much caffeine, smoking and drinking alcohol. All of these can lead to serious health problems. However, a study published in “Nursing Economics” in 2008 found that working shifts does not lead to an adverse impact on health, absenteeism or performance when compared to those who claimed adaption to shift work or worked only day shifts.

Continued Professional Development provided by

Comment on this clinical article at: www.ausmedonline.com/nursing-blog.html Source: Australian Journal of Advanced Nursing; The Impact of Shift Work on People’s Daily Health Habits and Adverse Health Outcomes; Isabella Zhao RN, BN (Hons) and Catherine Turner RN, BA, Grad Dip Ed, MN, PhD http://www.ajan.com.au/Vol25/AJAN_25-3_Turner.pdf MedSurg Nursing; The Challenges of Shift Work; Ewa Blachowicz and MariJo Letizia; October 2006 http://findarticles.com/p/articles/mi_m0FSS/is_5_15/ai_ n17215446/ Nursing Economics; Shift Work in Nursing: Is it Really a Risk Factor for Nurses’ Health and Patients’ Safety?; Hanna Admi, PhD, RN, et. al.; 2008 http://www.medscape.com/viewarticle/580650 Navigate Nursing: 10 Tips for Surviving Shift Work http://www.navigatenursing.org/PDFs/Tip%20Card%20 surviving%20shift%20work.pdf

Tips for Working Shifts

Since working shifts is a part of the profession and it is not something that will soon go away, you need to devise some strategies to get your sleep and cope with shift work. For your bedroom, try to make your room as dark as possible by purchasing black-out blinds and shades. Consider making your room colder than the rest of the house because this can help encourage sleep. Ear plugs and eye masks are also really useful to block sound and light. Let family members know when your sleeping hours are and set up rules about when you are to be disturbed.

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One of the problems with night shift work is the subjective state of fatigue, according to MedSurg Nursing. This state can lead to problems with how alert you are, how you concentrate, your vigilance, your ability to make judgment calls, your mood and your performance. You may not even know you are fatigued and still experience negative side effects from it.

During your shift, make time for breaks. It is often easy to run the whole shift and ignore your own needs. If you find that you are feeling tired, take a quick exercise break by doing the stairs in the fire escape. Caffeine is almost a necessity on night shift, but plan to stop drinking it five hours before you intend to sleep. Try to eat a nutritious meal during your shift, and refrain from drinking alcohol immediately before going to sleep.


RN to MBBS Earn your MBBS at Oceania University of Medicine ~ Samoa – OUM-NP RNtoMBBS01/11col

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AGED CARE ASSOCIATION AUSTRALIA 30TH ANNUAL CONGRESS 6-8 NOVEMBER 2011 GOLD COAST CONVENTION AND EXHIBITION CENTRE QUEENSLAND AUSTRALIA

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MAGICAL MYSTERY TOUR


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COSA’s 38th Annual Scientific Meeting ‘Partnerships against cancer – bridging gaps, breaking barriers’ November 15-17th 2011, Perth Convention & Exhibition Centre

The COSA Annual Scientific Meeting is the leading gathering of cancer health professionals in our region. We welcome clinicians and researchers working in cancer from medical and radiation oncology, surgery, nursing, pharmacy, and allied health. This year’s scientific program will focus on urological and prostate cancers, as well as the role of primary care in cancer. In 2011, COSA is partnering with the Australian and New Zealand Urogenital and Prostate Cancer Trials Group (ANZUP) which will help ensure the program includes state of the art presentations on prostate and other urogenital cancers. Program highlights include: • Partnerships against cancer, with a presentation from David Weller titled “What role for primary care in earlier cancer diagnosis?” • Working with General Practitioners to care for the carers of advanced cancer patients • Next generation sequencing – cancer genetics, with Andrew Biankin presenting on the International Cancer Genome Consortium • Closing the gap – consumers in cancer care, with presentations from Jessica Corner and Karl Lorenz on the international perspective, and Helen Zorbas on the Australian experience • The true cost of running trials for cooperative trials groups, including a presentation from Mitch Kirkman on the Clinical Trials Action Group report

• The big picture downunder – a journey from the genetics of gynaecologic cancer to policy making in gynaecologic cancer • Hot Topic Panel discussion facilitated by Robyn Williams (ABC science journalist and broadcaster) As well as the full three-day scientific program, we will host breakfast sessions each morning, covering such interesting topics as: • Cognitive behavioural interventions for cancer related insomnia • Novel approaches to consent and the barriers to involvement For advanced trainees, COSA will host a weekend workshop on “Everything you need to know about colorectal cancer” 12-13 November 2011, at the St John of God Hospital in Subiaco. The conference is not all about presentations on the latest cancer treatment and research – we will again host preconference meetings, the conference dinner and industry dinners. There will be many opportunities for socialising with old friends and colleagues at this exciting annual event. Visit our website www.cosa2011.org for more information and to register. We look forward to seeing you in Perth! Nik Zeps, ASM 2011 Convenor

Awards & Grants on offer - Best of the Best - Travel Grants - Trainee Travel Grants Visit www.cosa2011.org for registration and program information 28


Australasian College for Emergency Medicine 28 th Annual Scientific Meeting

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20—24 November 2011 Sydney Convention and Exhibition Centre New South Wales, Australia

Register online at: www.acem2011.com

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