The Health Scoop - Issue 12: Midwifery by The Nursing Post

theHealthScoop The Career and Education Magazine for Health Professionals

Royal Flying Doctor Service

Delivering babies is always a possibility

24 June 2013

- ISSUE 12

Midwifery

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Editor’s note... Hi Readers, We are delighted to welcome you to Issue 12 of The Health Scoop magazine featuring Midwifery. This issue, we feature Royal Flying Doctor Service and midwife Jacqueline Noble, the service’s Women’s and Child Family Health Nurse. Based out of the RFDS Base in Broken Hill, Jacqueline began working with the RFDS in 2007. Part of her role is preparing expectant mothers for the imminent arrival of their baby, carrying out child health checks and immunisation as well as giving advice and information around child health, antenatal and postnatal care. To read more about this role with RFDS, turn to page 14. We also feature the wonderful work of Miracle Babies Foundation and the story of mother Sharon Gabriel. Sharon recalls the traumatic experience following the premature birth of her beautiful baby girl, Micsha. Sharon volunteers with Miracle Babies at Royal Randwick Hospital assisting with Nurture Time, inhospital parent-to-parent support and says working with Miracle Babies helps to put her world into perspective. To read Sharon’s story and to find out more about Miracle Babies Foundation, turn to page 16. Our next issue will arrive on Monday 8 July featuring Rural/Remote Healthcare. Until then, take care.

Naomi Byrne Editor

Midwifery

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Contents... Features 6 Cancer Council Australia

Stephanie Rice helps grow hope this Daffodil Day

8 The University of Notre Dame Australia Churack Chair supports bold vision to relieve Chronic Pain

30 Healthy Recipes

Featuring Emily Tan of Fuss Free Cooking

Midwifery Our Advertisers Inside Cvr 1

Quick & Easy Finance

Mediserve Nursing Agency

PULSE Nursing & Care

Continental Travel Nurse

Mercy Health and Aged Care

PULSE Staffing

CQ Nurse

UK Pension Transfers Australia

Inside Bck Back Cvr

King Edward Memorial Hospital

Midwives Australia

Royal Flying Doctor Service

Miracle Babies Foundation

Australian College of Nursing

Smart Salary Remote Area Health Corps (RAHC)

Welcomes work experience students My Journey into Private Practice in Toowoomba Delivering babies is always a possibility Providing in-hospital parent-to-parent support

Indigenous Health 18

Menzies School of Health Research

Body and build of Indigenous Australians in the spotlight

Cancer Council Australia

Daffodil Day Stephanie Rice helps grow hope this Daffodil Day survivors, and hope for a cancer-free future. Stephanie is inviting communities all over Australia to take part in this iconic event. “Daffodil Day is such an important day to raise funds and awareness for the Cancer Council. It is a day of hope! Hope to continue research for better treatments, survival and most of all a cure.” she said. The daffodil is the international symbol of hope for all touched by cancer. You too, can help in the fight against cancer by participating in Daffodil Day. Funds raised will help beat cancer. Just $5 can help support a newly diagnosed patient while $500 can help fund groundbreaking research into better ways to prevent, diagnose and treat cancer. These breakthroughs aim to reverse the alarming statistic that one in two Australians will be diagnosed with cancer by age 85. Getting involved is easy. Daffodil Day merchandise is on sale at selected outlets throughout July and August, and you can donate to Daffodil Day at any time. Why not order a merchandise box or volunteer your time on Daffodil Day. Australian Olympian Stephanie Rice has joined the campaign to grow hope this Daffodil Day Friday 23rd August. Every day, around 300 Australians are told they have a life-threatening cancer. By supporting Cancer Council’s Daffodil Day you will give hope to the many lives affected by cancer; hope for better treatments, hope for more

Cancer Council’s Daffodil Day is a chance for all of us to grow hope for a brighter, cancer-free future. With your contribution, we can grow hope and beat cancer. Together we can make a difference. Register to volunteer, order a merchandise box or donate by visiting www.daffodilday.com.au, phone 1300 65 65 85 or find us on Facebook www.facebook.com/daffodildayaustralia

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The University of Notre Dame Australia

Geoff and Moira Churack

The University of Notre Dame Australia Churack Chair supports bold vision to relieve Chronic Pain The University of Notre Dame Australia has launched a bold new initiative to relieve the widespread suffering caused by chronic pain - the nation’s biggest health problem impacting on more than 3.5 million Australians. As part of the plan, Notre Dame medical students will now enhance their learning about chronic pain management and rehabilitation as a core component of their integrated curriculum – believed a first for any university medical school in Australia. “Notre Dame wants to ensure that upon graduation our medical students possess a current and comprehensive understanding of chronic pain, including strategies for 8

management including drug use and their side effects,” said Vice Chancellor Celia Hammond. Prof Hammond said the exciting new initiative had been made possible due to the generosity of Rossmoyne couple, Geoff and Moira Churack, who have donated $1 million to establish The Churack Chair of Chronic Pain Education and Research. “This substantial donation will fund important education and research and the appointment of an internationallyacclaimed medical specialist to provide the leadership required to prepare students to deal with patients suffering from chronic pain,” said Professor Hammond.

Vice Chancellor Professor Celia Hammond, Geoff and Moira Churack, with the Dean of the School of Medicine, Fremantle, Professor Gavin Frost, at the media conference to launch the Churack Chair. “The research will be undertaken by leading pain researchers at Murdoch University and, together with clinical research at Notre Dame, will underpin much of the education and rehabilitation teaching.” Mr Churack, a successful West Australian businessman, was diagnosed with chronic neuropathic pain more than five years ago. In trying to find relief from his pain, he has independently researched chronic pain and has been prepared and willing to try numerous types of treatment options. His first-hand experience of the impact such pain can have on all aspects of someone’s life, and their family and friends, has motivated him to provide whatever assistance he can to see that research and treatment into chronic pain is advanced. Notre Dame’s Fremantle School of Medicine Dean, Professor Gavin Frost, said chronic pain cost the community more than $34 billion and there were long lists of patients awaiting treatment, many of them experiencing excruciating pain as well as emotional and psychological damage. “With Schools of Medicine, Nursing and Midwifery, Physiotherapy, and other health disciplines including Health Sciences and Counselling, Notre Dame will bring

them all together to holistically address the issue of Chronic Pain in the community,” he said. “With input from advanced research we want our graduates to be well equipped to help relieve the suffering of so many Australians.” Professor Hammond said Notre Dame would establish collaborative relationships with major hospitals, clinics and general practice networks. “The Chair will also be responsible for building relationships and forming research partnerships with organisations which are currently undertaking laboratory based research into Chronic Pain in ways which are consistent with our mission as a Catholic university,” she said. The Churack Chair of Chronic Pain Education and Research will be housed in the School of Medicine, Fremantle and have a direct link with the University’s Institute for Health Research, School of Physiotherapy, School of Nursing and Midwifery, School of Health Sciences and School of Arts & Sciences’ Counseling program. The University of Notre Dame Australia is currently raising $3 million with a view to establishing The Churack Chair during the second half of 2013.

Midwifery

KEMH midwife, Bev Thornton with work experience student, Kirstie Hall

King Edward Memorial Hospital Welcomes work experience students

The Get Real Experience and Try (GREaT) - Nursing and Midwifery Work Experience Program for Year 10 students enables them to observe nurses and midwives in the workplace. The four students placed at KEMH rotated through a range of clinical areas including the Day Surgery Unit and Special Care Nurseries. Swan Christian College student, Kirstie Hal said she had 10

“

During my work experience I rotated throughout different areas of the hospital with different mentors and midwives.

“

High school students thinking about a career in midwifery or nursing got a first-hand glimpse of life on the job at KEMH thanks to a new work experience program.

always wanted to become a neonatal nurse and was delighted to be given a placement at KEMH. “During my work experience I rotated throughout different areas of the hospital with different mentors and midwives,” she said.

“

I spent a fair bit of time in the Family Birth Centre, where I got to see how midwives worked with mothers to keep them calm before the birth.

“I spent a fair bit of time in the Family Birth Centre, where I got to see how midwives worked with mothers to keep them calm before the birth.” Kirstie said the real highlight for her was working in the special care nursery and looking after premature babies. Other health sites participating in the program include Armadale, Fremantle, Graylands, Osborne Park, Princess Margaret, Rockingham, Royal Perth, Sir Charles Gairdner, hospitals as well as several rural health services.

Application and dates available at the various health sites can be found at: www.nursing.health.wa.gov.au

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Midwifery

Bec Denny and Sonya Sloan, both midwives.

Midwives Australia My Journey into Private Practice in Toowoomba Sonya Sloan is a midwife at My Midwives in Toowoomba. My Midwives is a private midwifery group practice – the first in Australia to enable women to obtain a Medicare rebate for birth care in hospital. Sonya has been a midwife since 2001, training in Cairns, after a few years working as a nurse. The pull for Sonya was the ability to work with women in rural areas. During the last 11 years, she worked in Goondiwindi, Moree, Roma and Alice Springs before deciding to make a change and move into caseload midwifery. Caseload midwifery is the model where midwives follow 12

a woman from early pregnancy through labour and birth to six weeks post birth. The same midwife provides one on one care during this period. Sonya comments that she was fortunate to be a part of the caseload model of midwifery care at Goondiwindi Hospital. “It opened my eyes to the benefits of continuity of care for women and my love for midwifery blossomed. I found myself becoming a more confident and wholesome midwife as I provided care through the whole spectrum of pregnancy, birth and postnatal periods.” After three years, the “itch” hit Sonya and she began to look around for a change. This coincided with a chance meeting in Toowoomba with Liz Wilkes (Midwifery

Manager of My Midwives) and Makayla McIntosh (Practice Manager of My Midwives) in Toowoomba and her association with Midwives Australia. “I wasn’t aware initially of getting a Medicare provider number but it seemed that my quietly held dream of working in private practice was to become a reality. So I began the process of gaining AHPRA eligibility and a Medicare Provider number. Fortunately as a Caseload midwife, I had already done most of the requirements for eligibility,” Sonya indicates. Sonya says the change to private practice has taken some adjustment. “Midwives Australia was the initial contact point for me, and I participated in a mentoring program for six months. This gave me confidence. There is more to this way of working than meets the eye. Business responsibilities, Indemnity insurance, Medicare, billing women, and on call expectations were all aspects which took time to become familiar with and comfortable with.” My Midwives was the first practice in Australia to offer all options for women. “I love the sense of freedom in private practice. The woman has the opportunity to employ the midwife, so in a sense, I am only working for the woman. This is the way midwifery partnership works best in my view.” The ability for midwives to get access to Medicare is so new many midwives don’t realise that they have the opportunity to be self-employed and work with women this way. “Many people assume it is about home birth,” Sonya says, “It mostly about hospital birth, but the place of birth really doesn’t matter. The continuity of midwifery care is the most important thing.”

For more information please see: www.midwivesaustralia.com.au or www.mymidwives.com.au

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Midwifery

Jacqueline Noble, Women’s and Child Family Health Nurse at RFDS

Royal Flying Doctor Service Delivering babies is always a possibility For Royal Flying Doctor Service (RFDS) flight nurses, delivering babies is always a possibility. They are all experienced midwives.

Jacqueline’s patch covers empty red desert inhabited by isolated communities.

But for midwife Jacqueline Noble, the service’s Women’s and Child Family Health Nurse, delivering babies is a rare occurrence.

Three to four days a week she flies to one of 17 clinics in her territory, ranging from rural health centres to bush clinics set up in a dedicated clinic building, a local hall or a spare room on a remote station.

Based out of the RFDS Base in Broken Hill, Jacqueline began working with the RFDS in 2007.

“I do love to fly and probably always thought I was going to learn to fly,” says the mother of two.

Her territory covers 640,000 sq. km – north to Hungerford on the New South Wales - Queensland border, east to Louth and Tilpa, and North West to Innamincka and the Moomba gas fields.

“But you know life moves on and it costs quite a bit to learn so I haven’t quite done that yet. So flying with the RFDS is fantastic and that’s a nice thing about this job.”

Operating out in the community and over vast distances is nothing new for Jacqueline. She worked as a midwife with Medecins Sans Frontieres in Bouganville in 1999-2000. She was on her way home when she was offered a job as a Women’s and Child Health Consultant on an AusAidfunded project based in Port Moresby.

like to give birth in? Do you have family there?

Prior to this, while working in Aboriginal communities in the Central Desert in Western Australia, Jacqueline first came into contact with the RFDS.

“So for me, being a midwife is a multifaceted role. A lot of people think midwifery means just birthing and labour care but it includes antenatal care and postnatal care, and sometimes even preconception care as well.”

“I was eight hours due west of Alice Springs in an Indigenous community as a Remote Area Nurse - and the RFDS out of Alice Springs was our retrieval service for emergencies,” she said. But in 2007, while working in Melbourne, she saw an advertisement for a Women’s and Child Health Nurse with the RFDS, based in Broken Hill. Her mother was born and bred there.

“Some will return to places such as Brisbane where they have family. Others have the resources to arrive early in Adelaide or Broken Hill, for instance, so they are in the right place when labour starts.

Jacqueline says she works closely with the RFDS GPs across her territory. “They tell me if they see pregnant women at the RFDS GP clinics. My job is to make sure we are across the situation and can put everything in place to ensure things go smoothly.” Of course, such a position presents frequent challenges.

“I’ve still got lots of cousins in Broken Hill so there’s a personal connection as well,” she explains. However, it’s the continuity of care in her role with Outback women and families which, the 48-year-old says, makes her job so enjoyable. “The bread and butter of what I do are Pap smears, breast awareness, child health checks and immunisation, advice and information around child health and antenatal and postnatal care. “All of our flight nurses are midwives because it’s always possible they will be involved in some sort of labour or delivery care although we always strive not to put people in that situation. “You don’t want to have a birth outside of a birthing facility if you can avoid it. You don’t want to have a birth on a plane at 20,000 feet where you have a mother and a baby and a fairly cramped space.” So part of Jacqueline’s role in preparing expectant mothers for the imminent arrival of their baby is to avoid this happening if possible. “My job is to talk to women right from the start about where they plan to give birth. Which hospital would you

Jacqueline tells the story of an Indigenous woman, 42, who’d already had 10 children. The mother-to-be lived in Wilcannia, about 200km east of Broken Hill. “She was not able to financially or family-wise go and stay in Broken Hill in preparation for the birth. It was known some time ahead she was going to turn up in labour and then need to be transported. “She had extra risk factors because of the number of children she’d already had. She arrived at Wilcannia Hospital in early labour. A flight nurse and doctor flew to pick her up and she got to Broken Hill Hospital where everything went well.” Jacqueline’s role as Women’s, Child and Family Health Nurse means her ongoing contact with families can continue well after the birth. “New mums are coming along to see me for baby weight checks and health checks. There’s breastfeeding support if needed and child health checks and immunisations. “The whole thing is a journey and it’s very nice to see women through that journey. They may come back for their second and third child, and the relationship continues.”

Midwifery

Miracle Babies Foundation Providing in-hospital parent-to-parent support

“

Day four I think was the first time I held her. I was too afraid. I didn’t know what I could do. The NICU was so foreign I was trying to find my way around and learn the language.

“At the time, the severity of it didn’t register with me because I was so busy trying to be positive.”

Baby Micsha held by her mother, Sharon Gabriel

Walking into a routine midwife appointment at the 30-week point of her pregnancy, Sharon Gabriel never expected to give birth to her daughter Micsha that day. Her husband was overseas for work and due back in two weeks’ time. The parents had just bought a house and had half unpacked boxes strewn throughout the rooms. “Our lives were running to plan. I went to the hospital for the appointment and didn’t make it home,” Gabriel says. Micsha was just 780grams at birth, the size of a 24-26 week-old baby. Thrown into survival mode, Gabriel wanted to be as strong as possible for her new baby and her husband who couldn’t make it home until day four.

Despite this, the alien environment of the hospital and a bewildering lack of control was a traumatic experience. “I remember calling down to the NICU and asking how she was and they said she wasn’t tolerating any milk. I got off the phone and thought, ‘What does that mean? Is she going to die? Can I hold her again? I’ve failed as a mother already. How am I supposed to be the mother that I want to be? Where is my husband?’”, Gabriel says. “Day four I think was the first time I held her. I was too afraid. I didn’t know what I could do. The NICU was so foreign I was trying to find my way around and learn the language. It’s like going to somebody’s house for the first time. You don’t know where to sit or to stand, what you can and can’t touch.” Micsha spent 12 weeks in the NICU. The family was lucky to create wonderful, understanding friendships with other parents in the ward. They created their own mother’s group to support each other through their unique

Gabriel found that it was hard for some friends and family to be able to understand what her experience was like. “I’ve lost friends or grown apart from friends over the years because they just couldn’t understand my grief. I describe it like a death. Six, 12 or 18 months later you’re supposed to just get over it, get on with it and not talk about it anymore. This experience is exactly the same. You are not supposed to not talk about it and that’s just not how it is for us because the pain is still there.” Gabriel volunteers with Miracle Babies at Royal Randwick Hospital assisting with Nurture Time, in-hospital parentto-parent support. She visits the ward fortnightly and offers support and advice to parents who need someone to talk to. “Usually what I say to people is my job here is to give you some hope; that everything will be ok, it will get better. I’m here to give you a voice and I know how you’re feeling, but most of all I am here to let you know that you are not alone.” Volunteering with Miracle Babies has been especially fulfilling for Gabriel. “It really fills me up. I walk back into the NICU and I feel at home. I feel like I belong there and I am meant to be there. I still have close relationships with many of the staff.” When she fell pregnant with her second daughter Summer, volunteering with Miracle Babies helped her to cope with the anxiety and stress that came with the high

risk pregnancy and the post-traumatic stress associated with Micsha’s birth. “Volunteering gave me direction and helped me to keep going,” she says. Micsha, or ‘Peanut’ as she was known at the time, was a little celebrity on the ward for being the first baby under a kilo not to need ventilation. Now four, she is as challenging as most four-year-olds are but also a very gentle, kind soul. She looks after her little sister and loves playing ‘Teachers’. For Gabriel, working with Miracle Babies helps to put her world into perspective. “It reminds me how lucky I am. People don’t stop long enough to think how blessed they are in their world. I look at Micsha now and I think ‘God you’re amazing’.”

For more information about the wonderful work of Miracle Babies, to donate to this foundation or to find out more about volunteering, please visit www.miraclebabies.org.au

Usually what I say to people is my job here is to give you some hope; that everything will be ok, it will get better. I’m here to give you a voice and I know how you’re feeling, but most of all I am here to let you know that you are not alone.

“

It reminds me how lucky I am. People don’t stop long enough to think how blessed they are in their world. I look at Micsha now and I think ‘God you’re amazing’.

“

experiences. “A lot of our friends went home before us and they were trying to fit into regular mother’s groups and I knew a lot of people had trouble fitting in.”

Indigenous Health

Dr Jaqui Hughes, Research Fellow at Menzies School of Health Research

Menzies School of Health Research Body and build of Indigenous Australians in the spotlight The first ever detailed study of the body build and composition of Aboriginal and Torres Strait Islander people has been undertaken to help reduce the risk and impact of kidney disease in Indigenous populations. The study by Dr Jaqui Hughes entitled, The interrelationships between body build, body composition, body fat distribution, metabolic syndrome and inflammation in adult Aboriginal and Torres Strait Islander people, was vital to investigate high levels of obesity among this population, which is strongly linked to serious illnesses including diabetes, kidney disease and heart problems. Almost 60 per cent of Indigenous Australians are reported 18

to be either overweight or obese.* Dr Hughes, Research Fellow at Menzies School of Health Research, precisely measured bone length and widths using whole body dexa in more than 150 adult Aboriginal Torres Strait Islander and non-Indigenous Australians from Darwin and regions across Northern Australia. Australiaâ&#x20AC;&#x2122;s first Indigenous kidney specialist, Dr Hughes said overweight adults who have a larger waist than their hips (a high waist to hip ratio (WHR)) are known to have a higher risk of developing diabetes and heart disease. â&#x20AC;&#x153;My research has shown that overweight Indigenous Australians tend to accumulate fat around their

“This pattern of central obesity (a predominantly large belly) was strongly related to the skeletal body build, particularly those longer in the legs for overall height. This was not observed in people with a European background.” Dr Hughes said since abdominal obesity accompanies a particular skeletal build, it is hoped Indigenous Australians and health centres can better appreciate the risk to the individual. “It was concerning that young, healthy adult Indigenous people developed central body fat, while only modestly overweight and without a high BMI. This was also accompanied by blood markers of chronic disease, including a tendency towards early diabetes,” she said. Dr Hughes said it has been shown in other studies that kidney function is more stressed in the presence of central obesity, and this may play a role in some of the burden of obesity and diabetes in Aboriginal and Torres Strait Islander Australians. “Abdominal obesity is likely to be a key driver of permanent kidney damage,” Dr Hughes said.

“

My research has shed light on the importance of abdominal obesity and how you can ‘know your risk’.

“

mid-sections, rather than other areas of the body (arms, thighs, calves) as was observed in the non-Indigenous population,” she said.

“We need to educate young people about avoiding even small weight gains if you have this particular body build and avoiding other high risk behaviours, especially smoking. We need to put effort into assisting people with diabetes to lose weight, as there may be a real potential to minimise the expectant risk of kidney damage. “I also showed that something as simple as a tape measure, to measure the waist to hip ratio, can reveal abdominal obesity. Health risk is more reliably shown by abdominal obesity than BMI and can be very easily and cheaply measured.” Dr Hughes was conferred a Doctor of Philosophy at Charles Darwin University’s recent mid-year graduation ceremony.

Dr Hughes said there has been a rapid increase in kidney disease among Aboriginal and Torres Strait Islander people in Australia over the last 20 years, most of which has been caused by diabetes.

* 2008 Australian Institute of Health & Welfare report, Australia’s Health. This data was based on body mass index (BMI), which gives an indication of overall body size, but does not account for the high risk abdominal obesity.

“Aboriginal and Torres Strait Islander people are almost four times more likely to die with kidney disease than other Australians. They are also 14 times more likely to need in-hospital care for kidney dialysis.”

Visit Menzies School of Health Research at www.menzies.edu.au

Dr Hughes said controlling weight gain among young Aboriginal and Torres Strait Islander people remains a priority because it may save people from developing diabetes and kidney disease, and prevent heart attacks and strokes. “My research has shed light on the importance of abdominal obesity and how you can ‘know your risk’,” she said. 19

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Midwives - come join us! If you are a Dual Registered Midwife and Nurse then we want you! The Mater Hospitals in Mackay and Gladstone, operated by Mercy Health and Aged Care Central Queensland Limited (MH&ACCQL), are seeking Dual qualified midwives in these rapidly growing areas of Queensland. Registered Nurse/ Midwife: Applications are invited for dual qualified registered Nurses/Midwives to provide family-centred nursing care in collaboration with other health professionals and significant others to ensure safe, efficient and effective management of the patient. We are looking for experienced candidates with at least 2 years of experience as a Nurse/Midwife. Terms: Hours and employment terms are fully negotiable with full-time, part-time and casual positions available that attract a base hourly rate range of $29.47-$37.87 ($36.25 - $46.58 casual) dependant on comparable prior service + superannuation and penalties. Enquiries: Apply and/or gain more information about these positions at www.mercycq.com/jobs where the positions are listed under available positions. Alternatively, contact the Human Resources Department, on (07) 4931 7478 during business hours or email employment@mercycq.com â&#x20AC;&#x153;we are an equal opportunity employerâ&#x20AC;? 21

P1789 Nursing Post ad_P423 A4 nurse flyer 19-Sep-12 10:49 AM Page 1

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mripb pí~ÑÑáåÖ=fåíÉêå~íáçå~ä=Ü~ë=ÄÉÉå=êÉÅêìáíáåÖ=ÜÉ~äíÜÅ~êÉ=éêçÑÉëëáçå~äë=áå ^ìëíê~äá~=Ñçê=çîÉê=NR=óÉ~êëK=tÜÉíÜÉê=óçìÛêÉ=äççâáåÖ=Ñçê=íÜÉ=åÉñí=ëíÉé=áå óçìê=Å~êÉÉêI=çê=íÜÉ=ÉñéÉêáÉåÅÉ=óçì=~äï~óë=ÇêÉ~ãÉÇ=~ÄçìíI=çìê=ëéÉÅá~äáëí kìêëÉ=äÉÇ=êÉÅêìáíÉêë=Å~å=ÜÉäéK

mripb=mÉêãë are currently seeking Midwives, Theatres Nurses, Specialist General Nurses, Mental Health Nurses and Intensive Care Nurses for full time & permanent part time positions across the country. If needed, we can facilitate employer-sponsored visas.

mripb=qÉãéë are looking for ICU, General Medical & Surgical Nurses, Paediatric and Theatre Nurses as well as Midwives to fill shifts through our Sydney office

mripb=`çåíê~Åíë are currently seeking Indigenous Community Nurses, Mental Health Nurses, Nurses with A&E experience and Midwives for 12 week contracts in remote and rural hospitals and clinics throughout NSW, SA, NT, TAS and VIC with free accommodation*, free flights*, sign on bonus* and excellent rates of pay.

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ïïïKéìäëÉàçÄëKÅçã *Terms & conditions apply

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Up-coming Courses and Conferences Queensland National Leadership and Learning Conference Rydges South Bank, Brisbane, QLD 5 - 6 September 2013 www.matereducation.qld.edu.au/conference

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standards Design sustainable systems for the management of regular clinical audits

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New Frontiers and Big Ideas Mater Health Services is proud to offer another exceptional professional development event, delivering an innovative education and leadership toolkit for health professionals. We offer a valuable opportunity to review a broad range of leadership and learning strategies and consider innovative work practices relevant to health.

New South Wales Applying Clinical Governance to the National Standards

Northern Territory Centre for Remote Health Alice Springs, NT Ph: (08) 8951 4790 E: crh.studentadmin@flinders.edu.au Wanting to increase your skills to work out bush? Applications are now being accepted for Flinders University Courses in Remote Health!

Novotel Sydney Central, Sydney, NSW 30 - 31 July 2013 http://clinicalgovernancestandards.com

These courses aim to meet the higher education needs of Allied Health Professionals, Community Services Workers, Nurses and Medical Practitioners who are working in remote and Indigenous health or have an interest in joining the remote health workforce.

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Attend the not-to-be-missed Applying Clinical Governance to the National Standards for your chance to examine how to drive improvement through clinical governance. You will explore best practice models from around the country that demonstrate excellence on overarching NSQHS standards 1 and 2; safety, quality and consumer partnerships.

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Victoria

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Establish strong clinical governance frameworks for improved performance Develop effective consumer partnerships by involving consumers, patients and carers Evidence procedures and demonstrate enforcement of the

Melbourne Convention and Exhibition Centre, VIC 24 - 27 August 2013 www.accypnconf.com.au

Children and young people’s nurses connect locally and globally to deliver care to children and young people. Join us in Melbourne in 2013 as we provide a forum for you to connect, share knowledge and network to advance nursing practice in this speciality field. The theme of the Australian College of Children and Young People’s Nurses (ACCYPN) Conference 2013 is ‘connecting in children and young people’s healthcare’. The conference program will: • • •

explore innovative strategies to promote excellence in children and young people’s nursing across the continuum of care; advance nursing practice in clinical care, education, management and research using innovation, new technologies and evaluation; and create an international forum for the exchange of evidence-based practices and solutions among nurse researchers, clinicians, educators, policy makers and managers.

Are you passionate about nursing children and young people? Then this is a conference not to be missed - we look forward to seeing you in Melbourne 2013!

determinants of health and improve indigenous outcomes in terms of health, housing, education and welfare. You will contribute to developing a national strategy, which will be explored in interactive roundtables with all delegates.

Health Informatics Conference (HIC) 2013 Adelaide Convention Centre 16 - 18 July 2013 www.hisa.org.au/page/hic2013 HIC 2013: Digital Health Service Delivery – the Future is Now! HIC’s 150 presentations over 4 days is an invaluable chance to see the cutting edge of health informatics showcased in a world class scientific conference and industry trade show. HIC is a unique networking opportunity for academics, executives and policy makers alike. Day 3 of HIC 2013 will be themed around a mental health patient journey. Prof Gavin Andrews, Professor of Psychiatry at UNSW at St Vincent’s Hospital, Sydney and Prof Helen Christensen, Executive Director, Black Dog Institute will be addressing the audiences on this day.

South Australia Indigenous Informatics Conference (IIC) 2013 Adelaide Convention Centre 15 July 2013 www.hisa.org.au/page/hic2013indigenous Indigenous Informatics (II), a special interest group of HISA, is pleased to invite you to participate in IIC 2013, Australia’s Indigenous Informatics Conference, to be held on 15 July 2013 at the Adelaide Convention Centre. The primary theme of II 2013 is Linking Social Determinants of Health: The Indigenous Informatics Challenges and Opportunities. Australia’s ONLY Indigenous Informatics Conference builds on the continual success of this event, held every year since 2011. Join us this year to listen to and network with our esteemed national and international keynotes, leaders and interested individuals. The conference will address the need to use informatics knowledge and approaches to link social

Western Australia ACMHN’s 39th Annual International Mental Health Nursing Conference Pan Pacific Hotel Perth, WA 22 - 24 October 2013 www.acmhnconferences.acmhn.org “Collaboration and Partnerships in Mental Health Nursing” This year’s theme “Collaboration and Partnerships in Mental Health Nursing” reflects the changing practice domain and the importance of partnerships to the profession. We invite speakers and delegates to consider the significance of collaboration and partnerships to their professional lives and in the positioning of the profession into the future. The host committee believe that the theme will provide opportunity for speakers to address a wide range of mental health issues, and give a wide range for sub-themes. 25

The Health Scoop subscribers quote CC*HS when registering to SAVE 100!

Strengthening the

Aged Care Workforce Attracting & retaining employees to meet future needs

21st & 22nd August, 2013, CQ functions, melbourne

Key speakers

Learn strategies to Attract younger, more diverse staff via innovative recruitment strategies

Karen Best General Manager

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Emillie McKenna Human Resources Manager

Lee Thomas Federal Secretary

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Hear expert insights from 11 HACC & RAC providers

See inside for more speakers Pre, Mid & Post Conference Workshops Workshop A

Workshop B

Workshop C

Optimising your workforce

Developing employee programs for complex consumers

Strategies to recruit employees

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What I like about OUM is that I can continue to work part time and continue my studies in medicine. The ability to combine my studies with the cases I was seeing in the hospital really enhanced my education. Vivian Ndukwe, RN from Melbourne, OUM Class of 2012

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Take the next step, earn your MBBS at Oceania University of Medicine. OUM is proud to announce an even more attractive fee structure from 2013. Applications are now open for courses beginning in February and August. New facilities, greater capacity and over 150 students currently enrolled. Study from a Home Base under faculty from top international medical schools. Receive personalised attention from your own Academic Advisor. OUM Graduates are eligible to sit for the AMC exam or NZREX. OUM Graduates are employed in Australia, New Zealand, Samoa and USA.

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NURSING & MIDWIFERY SCHOLARSHIPS Open 22 July 2013 â&#x20AC;&#x201C; Close 13 September 2013 Scholarships are available in the following areas: > continuing professional development for nurses and midwives

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Navigating the Complexities of

Consumer Directed Care Mitigating risk & delivering quality under reform

28th & 29th August 2013, The Sydney Boulevard hotel, Sydney

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Learn how to Remain competitive by delivering responsive & unique services

Ian Yates AM Chief Executive

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Develop business models that support CDC in the market place Establish & manage successful brokerage arrangements

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Frank Crupi Chief Executive Officer

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Residential Aged Care Delivery Models Transitioning to responsive & flexible services under reform

18th & 19th september 2013, CQ Functions, Melbourne

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Attend & explore Changing models of rAC service delivery

Paula Trood General Manager Residential Services & Quality, Compliance and Continuous Improvement BenetAs

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How to define & ensure quality of care How to prepare your organisation for consumer directed care strategies for implementing supportive models for special needs groups

Glenys Webby Director of Strategy and Planning Services Blue CAre

Jeff Fiebig Manager Program Development ACH Group

Pre & Mid Conference Workshops Workshop A

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Hear expert insights & see case studies from 10 leading RAC providers

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Healthy recipes...

Emily Tan of Fuss Free Cooking joins us fortnightly sharing her delicious healthy recipes...

Lemon, Poppy Seed & Olive Oil Loaf Cake What you will need: • • • • • • • •

200g caster (fine) sugar 3 eggs 250 ml (1 cup) milk 250 ml (1 cup) extra-virgin olive oil Juice and finely grated rind of 2 lemons (about 300g) 300 gm (2 cups) plain flour, sieved 1 tbsp baking powder 1 tbsp poppy seeds *optional*

Method: 1. 2. 3. 4. 5. 6. 7. 30

Preheat oven to 180C. Using a handheld electric mixer, whisk sugar, eggs and a pinch of salt until thick and pale (3-4 minutes). Set aside. In a large jug, combine milk, oil, lemon juice and rind and whisk to combine (Note – Don’t be alarmed that the milk appears to be curdled after adding the lemon juice. It happens when you mix milk and lemon juice together and it does not affect the texture of the cake). Gradually add milk-oil mixture to egg mixture, whisking until just combined. Using a spatula, fold through flour and baking powder. It’s okay if there are small lumps in the batter. Transfer the batter to a baking paper lined loaf tin (make sure you grease the uncovered surface with some olive oil) and bake until golden and cooked through for 55 minutes to an hour. Cool in tins (5 minutes), then transfer to a flat plate. Serve warm or at room temperature. It is best eaten on day of making.

Turmeric, Capsicum & Soy Sauce Chicken What you will need: • • • • • • • • • • •

300g sliced chicken breasts 2 cloves of garlic, peeled & grated 1/2 inched sliced ginger, peeled & grated 1/2 tsp salt 1 tsp turmeric powder Cooking Oil 1 small brown onion, peeled & sliced 1 green capsicum (pepper), deseeded & sliced 2 tbsps kecap manis A small handful of fresh chopped coriander for garnish Sliced green chilli for garnish *optional*

* Serves 2

Method: 1. 2. 3. 4. 5. 6.

Combine chicken, garlic, ginger, turmeric powder and salt in a glass or ceramic bowl. Toss to combine. Refrigerate, covered, for 1 hour, if time permits. Heat a non-stick frying pan over medium-high heat with some cooking oil. Brown the chicken, in batches, until cooked through and become golden brown (I did mine over two batches). Set the chicken aside on a plate. Clean the pan if there are some burnt bits on the pan. Add a little cooking oil onto the same pan, sauté the onion and capsicum until softened. Add 1 tablespoon of water to help with the cooking. Once the vegetables have softened, transfer the chicken slices back into the pan and mix to combine. Add kecap manis and mix to combine the chicken pieces and vegetables until well-coated with the sauce. Taste the chicken. At this point, it will be a little sweet, so add more salt to taste. Finally, scatter some chopped coriander and green chilli just before plating. To serve, spoon some rice into bowls. Top with chicken and, pan juices. Serve immediately.

Follow Emily’s blog online at... www.fussfreecooking.com

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