The Health Scoop - Issue 15: Aged Care by The Nursing Post

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WIN

Compatible Care

Providing quality of care to our Aged Care

5 August 2013

- ISSUE 15

Aged Care

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Editor’s note... Hi Readers, We are delighted to welcome you to Issue 15 of The Health Scoop magazine featuring Aged Care. We are running our competition again offering you the chance to win a FREE ticket to Mind & It’s Potential 2013 Conference held over two days in Sydney on 14 and 15 November. Simply ‘like’ and follow our Facebook page for entry details! This issue, we feature Compatible Care Nursing Agency and the agency’s Proprietor and Director Of Care, Trish Gloede. Trish began Compatible Care Nursing Agency with a vision to provide a high quality of staff, educated in the necessary roles and committed to their facility and those they care for. The agency has come along in leaps and bounds and is providing a growing clientele with reliable service and excellent outcomes. To find out more about Compatible Care Nursing Agency, turn to page 12. We also feature Services for Australian Rural and Remote Allied Health (SARRAH), and Erin Healy, a student dietitian and SARRAH Scholar proving that rural placement is key to boosting the aged care workforce. To read more about Erin’s seven week rural placement scholarship in Broken Hill, turn to page 14. Our next issue will arrive on Monday 19 August featuring Theatre/Critical Care. Until then, take care.

Naomi Byrne Editor

Aged Care

Next Issue: Theatre/Critical Care

ABN: 28 105 044 282 PO BOX 6213, East Perth, WA, 6892 Ph: +(618) 9325 3917 | Fax: +(618) 9325 4037 E: editor@healthscoop.com.au W: www.healthscoop.com.au Next Publication Details: Issue 16: 19 August 2013 Content Deadline: 5 August 2013 Artwork Deadline: 12 August 2013 Printed by Daniels Printing Craftsmen Editor and Graphic Designer Naomi Byrne Sales and Marketing Manager Michael Kuhnert

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Aged Care 8

Contents...

Health Metrics

Feature

eCase - Aged Care Administration and Care Software

Australian Red Cross

Compatible Care

Services for Australian Rural and Remote Allied Health

Against all odds: homeless to employed in six months

6 The University of Western Australia

Glue ear mystery solved and researcher hears applause

Providing quality of care to our Aged Care

Rural placement is key to boosting aged care workforce

Courses, Conferences and Events Inside Cvr Mind & Itâ&#x20AC;&#x2122;s Potential Conference 21 Cancer Councilâ&#x20AC;&#x2122;s Daffodil Day

Our Advertisers 1

Quick & Easy Finance

Mediserve Nursing Agency

Hays Healthcare

Health Metrics

Continental Travelnurse

PULSE Staffing Australia

Australian College of Nursing

24 Strengthening the Aged Care Workforce Conference

UK Pension Transfers Australia

25 Curtin University

CQ Nurse

25 Oceania University of Medicine

Smart Salary

26 Residential Aged Care Delivery Models Conference

Inside Bck

27 5th Australian Rural & Remote Mental Health Symposium

Bck Cvr

No Roads Expeditions Foundation Compatible Care Nursing Agency

The University of Western Australia

Dr Ruth Thornton doing video otoscopy on a patient

The University of Western Australia Glue ear mystery solved and researcher hears applause Perth researchers are planning to end the sleepless nights that families face when ear infections strike and won’t go away. Dr Ruth Thornton of UWA’s School of Paediatrics and Child Health is part of a team whose findings could reduce the need for antibiotics and surgery, and help tackle hearing loss in Indigenous communities. Dr Thornton is one of 12 national finalists – and the only one from WA – in the annual Australia-wide Fresh Science competition. Nearly 60 early-career scientists were selected for the first round of the competition at State level. Dr Thornton and her team discovered that sticky nets of 6

DNA hide the bacteria in the ears of kids with recurrent middle-ear infections, and evade antibiotic treatment by creating impenetrable slimy biofilms. The researchers are targeting these nets with a drug that has already proven its ability to help kids with cystic fibrosis by breaking up thick secretions in their lungs. A study on the DNA net discovery was published in the online science journal Plos One in February and clinical drug trials are now underway. “Bacteria in the ear hide in a sticky glue made up of big nets of DNA from the children’s own immune system,” Dr Thornton said. “It is similar to what happens in the lungs of people with cystic fibrosis, where a treatment known

as Dornase alfa is used to break up this sticky DNA.” “We are now trialling this treatment in the ears of children when they have grommets inserted. We believe this could get rid of these bacteria and stop children getting more infections and needing more ear surgery.” Middle ear infection, or otitis media, is one of the commonest childhood complaints. It occurs in the space behind the eardrum where fluid collects and bacteria can cause painful infections. For some children, this fluid doesn’t go away and becomes like egg white over time, leading to “glue ear”. However, some children strike it doubly unlucky with chronic infections that resist antibiotics and require the insertion of ventilation tubes, or grommets, in their eardrums. Thirty per cent of these children need repeat grommet surgery due to re-infection, and the condition’s chronic nature has been associated with hearing loss and learning difficulties. The clinical trials at UWA involve 60 children under the age of five, who will each receive Dornase alfa in one ear during grommet surgery. The other ear will be used as a comparison and receive only surgery. Results will be collected over two years, with a larger national trial planned later. There are also plans to trial the treatment in indigenous children who suffer from high rates of severe chronic middle ear infections, and which can cause extensive hearing loss and chronically weeping ears. “This is the first potential change in treating middle-ear infections for a long time, and more effective treatments will hopefully lead to improved hearing, better learning outcomes and a reduced burden on children and their families,” Dr Thornton said.

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Aged Care

Health Metrics eCase - Aged Care Administration and Care Software eCase®, what is it? eCase is a comprehensive client centric enterprise solution for the health and ageing. It is delivering a new era of staff productivity opportunities that enhance the care outcomes for patients. eCase is based upon a clinical pathways model. It delivers electronic clinical care to the point of care via the use of an engine that we call The Care Canvas™. The customer uses the care canvas to ‘paint’ their policy and this generates a work schedule for care staff as well as consequent workflows. Clinical pathway tools enable the customer to implement a care policy with the confidence that the policy is followed 8

diligently whilst exceptions are managed according to their context. That is, nothing is missed, ensuring strict compliance. The Care Canvas™ The Care Canvas is the engine behind eCase’s electronic clinical care. The engine schedules the care procedures that are congruent with the organisational care policy. The schedules are triggered from a number of system touch points. For example, if the organisational policy deems that neurological observations must be done at specific intervals after a fall, then this (as with any other policy item) can be ‘painted’ into the canvas. Thus, any trigger that references a fall will generate the strict workflow schedule, consistent with policy.

Management views of the scheduled data ensures management discipline on which tasks are complete and which are incomplete. What this means is that eCase provides a fool-proof environment for ensuring compliance with agencies as well as congruence with policy. It also ensures the patient/ resident is receiving the clinical care they require, nothing can be missed. Point of Care and Workflow eCase puts the patient/resident front and centre. It is a client centric system. In eCase, all vital measurements are taken at the point of care, usually via a tablet device using the extremely user friendly, simple to use touch interface. If a measurement is out of the patient’s ‘normal’ range, an automatically generated email or SMS is sent directly to one or more health professionals, as defined by the user. This ensures appropriate medical staff are notified immediately and suitable medical attention or assistance is delivered as soon as necessary. The workflow engine provides for any data element in the system to be setup as an alert. This creates instantaneous management information for the supervision of the care process. This includes management sign-off functionality and ‘process gates’ that prevent process error. The combination of this workflow functionality and a care plan, created from a corresponding assessment closes the loop on diagnosis driven care.

administration of medication from eCase whilst Mederev provides the risk management and training for personnel. The risk management components of Mederev are invaluable to the total solution. It’s a perfect combination. ACFI Management and Optimisation eCase eases the burden of ACFI administration. It allows you to optimise your revenue by maximising your entitlements, ultimately driving better care outcomes for residents. You can also use eCase for staff ACFI training. eCase helps staff come to terms with the Aged Care Funding Instrument (ACFI). eCase supports the concepts of multiple appraisals and quality checking which allows the user to “model” the outcome before submission. iPad and Android Apps eCase can also be run on iPads and Android devices using specific “apps”. These applications provide a familiar, mobile, easy to use tablet user-interface, thus reducing the training needs for new staff. The apps also offer offline synchronization for added redundancy. Cloud Ready eCase has been built from the ground up to be cloud ready. eCase is built on a true cloud foundation. Whether the cloud is the customer’s own cloud or whether it is the Health Metrics’ cloud, eCase will operate optimally. eCase operates in a similar way to Internet Banking – it is secure, robust, scale-able and highly available.

Medication Management eCase offers a comprehensive, tightly integrated Medication Management module. The system manages all the administration functions of medication management. Pharmacy and Aged Care expert Keryn Coghill (www.mederev.com.au) says, “Health Metrics is leading the charge in integrated medication management technology”. The integration of Medication Management with its Single Client Record Architecture™ (SCRA) technology and the deep use of MIMS data (UBM Medica) combine to make the Health Metrics’ eCase solution second to none.

eCase is malleable and can be easily configured to your organisational requirements, whether your business is in Residential Aged Care, Community Care or the Acute Sector. For further information or to see an eCase demo, please call Health Metrics on 1800 810 081 or email us at enquiries@healthmetrics.com.au .

With the Mederev integration, the medication management solution ticks all the boxes. Providers receive ‘intelligent’ 9

Aged Care

Australian Red Cross Against all odds: homeless to employed in six months “I had no house, couldn’t afford food or my bus tickets and I started crying when I came into College that day,” says Glodie. Her trainer, Amanda Wilkins, quickly saw that she was in need and jumped into action. Amanda helped the teenager find somewhere to stay and supported her whilst pushing her to achieve what Amanda knew she was capable of. Glodie explains, “Amanda took me to the homeless centre to get general support and find accommodation.” “From finding me a place to stay when I lost my home to finding me a work placement,” Glodie says that Amanda went above and beyond to help her finish her course.

Glodie, 19, who completed a Certificate III in Aged Care at Red Cross College

Glodie, 19, moved from the Republic of the Congo to Adelaide five years ago and decided to study a Certificate III in Aged Care at Red Cross College. She absolutely loved the course and had settled into the learning environment well but came across a massive stumbling block when she was made homeless half way through. 10

“

I could see that she wasn’t going to give up, even when the odds were stacked against her and if we didn’t look after her, I knew she would fall through the cracks.

“Glodie is lucky she came to Red Cross College that day,” says Amanda, “I could see that she wasn’t going to give up, even when the odds were stacked against her and if we didn’t look after her, I knew she would fall through the cracks.” “When she first came to us she wasn’t even sure what Aged Care really involved,” Amanda laughs, “however, she was determined to achieve something

“

We have seen a complete transformation in Glodie from when she came to us. From a girl not sure why she was taking the course to now working in the sector and absolutely loving it.

to ensure she found a job and could pay her rent.” The flexible working environment at the College, from small class sizes to communal, state of the art, inclusive working spaces, even on days off, was an ideal safe work space for Glodie. The supportive and professional trainers accustomed to helping those who may previously have experienced barriers to learning were on board to help her every step of the way. Glodie says of the College that she felt a sense of belonging and was given a direction and a goal. Six months on Glodie has now secured herself a permanent part-time role in a well established Aged Care facility in Adelaide. She absolutely loves working in the sector and says that she doesn’t want to go home at the end of the day as she has so much fun. It is a credit to both Glodie’s determination, and Amanda’s belief in her that she has made it this far. “We have seen a complete transformation in Glodie from when she came to us. From a girl not sure why she was taking the course to now working in the sector and absolutely loving it,” Amanda says that’s why she works in the education sector.

Red Cross College is a nationally recognised training provider committed to delivering quality outcomes. As the commercial training arm of Australian Red Cross, the College is dedicated to generating income to support its humanitarian work. For more information about our Aged Care and Community Services courses please visit redcross.edu.au or call 1300 367 428.

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Aged Care

Trish Gloede, Proprietor and Director Of Care at Compatible Care Nursing Agency

Compatible Care Providing quality of care to our Aged Care Within the industry, aged care has always been considered a second rate level of nursing, where Registered Nurses go when they are getting to the end of their careers, where they work with unlicensed care staff and where they feel that there is no positive outcome for the residents under their care. For many, it is perceived as an unexciting area of nursing where you do not get to use your â&#x20AC;&#x153;so calledâ&#x20AC;? expertise.

Retired Director of Nursing, Trish Gloede spent 28 years as the DON at Carinya of Bicton nursing home.

The above could not be further from the truth.

One of the main problems Trish encountered as DON in aged care, is a lack of parity between nurses who work in aged care and those within the acute sector, with no mandated staffing levels.

In aged care, you look after frail and often very sick people that have multiple medical conditions plus physical, emotional and end-of-life situations. 12

Trish was not comfortable with retirement and saw the need during those years of experience for better provision of agency nurses to aged care homes. She felt there were better ways to service this need in aged care and decided to open her own agency, now known as Compatible Care Nursing Agency.

“During my 28 years as a Director of Nursing, I believe along with the staff doing the day to day care of my residents, that we made a difference in the final years of those we cared for and took the pressure off their relatives.“ On Trish leaving her position to retire, or so she thought, she continued to examine the years she had spent in the area of nursing that had become such an important part of her life and an area that she could do very little about in the position she held. “We relied on agency staff to assist in filling our rosters when we were understaffed, when staff were sick, or on annual leave. However, it never quite fulfilled the necessary requirements, not because of a lack of ability but more from a lack of direction in some cases.“ This encouraged Trish to begin Compatible Care Nursing Agency, where she hoped to mould a standard of staff that she would have liked coming to her facility to care for the frail residents. “I needed my agency staff to become as committed to a facility as they are with the residents they care for and as far as possible, to be a reliable appendix to permanent staff.” The following are the important changes she believed were required: • • • • •

Quality not quantity of care staff Keep the agency personal enough to develop a close relationship with my staff Staff that are committed to caring and don’t just see it as a “pay packet” Staff that will work harmoniously with permanent staff to provide a team outcome Ability to build up closeness with facilities and assure them that as far as possible, they would get the same selection of staff on a regular basis. This would give continuity of care to the residents and assist permanent staff

“ •

• •

I needed my agency staff to become as committed to a facility as they are with the residents they care for and as far as possible, to be a reliable appendix to permanent staff.

“

“Having worked in aged care for 30 years, I have always felt fulfilled in caring for one of the most vulnerable groups in our community. Caring for people who have had a full and productive life and now due to age and failing health are unable to care for themselves. We owe our ageing community more care and respect than they sometimes receive.”

All staff would be orientated to aged care by understanding their responsibilities as per the Aged Care Act. This is achieved by giving all staff an orientation prior to their first shift and regular ongoing education and training Staff that can service shifts regularly at very short notice To ask our clients to provide assistance in giving our staff adequate handover procedures and other routine duties pertinent to the facility

Compatible Care is a family run agency where all staff have been provided and educated in the necessary roles the agency needs to service facility requirements seven days a week. Hard work will assure this will continue. The agency has come along in leaps and bounds and is providing a growing clientele with reliable service and excellent outcomes.

Whether you are a job seeker or employer looking for a superior nursing recruitment agency, please contact us at: P: 1300 NURSE1 E: care@compatiblecare.com.au W: www.compatiblecare.com.au

Aged Care

Services for Australian Rural and Remote Allied Health Rural placement is key to boosting aged care workforce After your experience in Broken Hill, what is the main message you would tell others about working in rural aged care? I feel that working in the aged care setting as an allied health professional seems to get a bit of a bad rap. Prior to my experience in Broken Hill, I can honestly say I had very little interest in working in the aged care setting. I can now proudly say that with my wonderful rural Broken Hill experience and with the constant support and engagement of all staff, health professionals and aged care residents, I would happily work within the aged care setting. Not only is it a wonderful opportunity to help and improve the health of our elderly, it is also a fantastic opportunity to listen and learn from them. I like to think that from listening to their incredible stories, I have returned to Adelaide much more open minded, and perhaps even a little wiser. What were your first impressions of rural aged care? Erin Healy, a student dietitian at Flinders University in Adelaide, and SARRAH Scholar.

Erin Healy, a student dietitian at Flinders University in Adelaide, thought she was not cut out for aged care. That is, until she spent seven weeks in Broken Hill on a rural placement scholarship offered by Services for Australian Rural and Remote Allied Health (SARRAH).

I was very impressed with the aged care facility, as I can honestly say that I did not know what to expect. All areas of the facility (dining room, lounge room, individual bedrooms) felt very homely and welcoming. All residents seemed comfortable in the facility and the staff were very accommodating. I found it a little overwhelming at first, however after speaking with many residents, it became clear that being in aged care gave them a sense of security. They had a strong sense of community, with activities, performances, morning teas and other entertainment held daily. This was fantastic as it kept all of the residents active and social, with one lady

saying to me she had more of a social life now that she had moved into the aged care facility! Had you ever lived or worked in a rural area prior to this experience? Yes, I have had a lot of experience living and working in rural towns during my childhood. I lived in the town of Roxby Downs for five years prior to moving to the Clare Valley in 2000, so I am a country kid at heart despite moving to Adelaide in 2009 for university. What were some of the daily duties you were given on your rural placement? Initially, I was involved in screening all of the aged care residents for malnutrition and getting an overview of their knowledge of food and nutrition, and the role that nutrition plays in falls prevention. If a resident was screened as “at risk of malnutrition” or “malnourished” both myself and my project team were responsible for then referring them on to see a dietitian at the Broken Hill hospital. In addition to this, myself and the project team spent considerable time designing, preparing and delivering information and education sessions to both staff at the aged care facility and the residents. These sessions again focussed on nutrition and falls prevention in the elderly and aimed to eventually improve the nutritional status of the aged care facility residents and therefore reduce their risk of falls in the future. How did you find the patients? The residents were incredibly welcoming and always up for a chat! It was humbling how encouraging and supportive they were of our team’s efforts. I love speaking with people and I found that in this setting, perhaps more so than a busy hospital setting, there was more time to sit and speak with each individual resident about their interests, life stories, families and much much more. This allowed me to get to know the residents and helped me to build strong professional relationships with them. This then translated into allowing the residents to build trust in me and the nutrition program which was so important.

networking that was evident between many different allied health disciplines. It seemed that in the rural health care setting, communication between different disciplines was very highly regarded and well implemented. I think this is very important and hope to see in my future as a dietitian that this “multidisciplinary approach” to patient care continues to be adopted. Would you consider a rural career after this experience? I have always been very open to the idea of working in a rural setting as a dietitian due to growing up in rural towns. However, my experience in Broken Hill has cemented this and I would now jump at the opportunity to work in a rural setting. Not only did I love my experience working in an aged care setting in a rural town, I also loved the relaxed way of life in Broken Hill and my personal achievement of moving away from home for seven weeks and continuing down the very exciting road to becoming a dietitian!

Applications open soon Erin stayed in Broken Hill on a Nursing and Allied Health Scholarship and Support Scheme (NAHASSS) scholarship, funded by the Australian Government Department of Health and Ageing, and administered by SARRAH. Applications for clinical placements in 2014 open from 26 August to 8 October 2013. Funds of up to $11,000 are available to cover travel, accommodation and living expenses. Visit www.sarrah.org.au

What impressions did it give you about rural health care? I was pleasantly surprised with the communication and 15

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our Life Long Learning Program (3LP). > You can stay up-to-date with critical issues affecting the nursing profession through ACN publications, media releases and member-based communications. A chance to be published and recognised by peers is available too!

For membership information and online application visit: www.acn.edu.au or freecall 1800 061 660

> You can gain career advancement and

and ongoing education can be supported

> Grants and awards available to members can support you in undertaking research, projects and professional development. > As a member you receive discounts on insurance, accommodation, publications and educational courses. These savings alone pay for your membership!

Australian College of Nursing

Support Cancer Council

Friday 23 August

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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

Sam Porter Aged Care Industry Coordinator

CAlvARy RetiRement Communities HunteRmAnning

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Meet the demand for complex care needs Retain staff via organisational support Respond to future workforce needs

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

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Optimising your workforce

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Strategies to recruit employees

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

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

Key speakers

Attend & explore Changing models of rAC service delivery

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

Annie Gibney Director Residential Aged Care Wesley Mission BrisBAne

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

Workshop B

Delivering resident centred care & optimising resources

Implementing consumer directed care & managing the bottom line

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

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We are currently seeking:

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www.compatiblecare.com.au for our monthly specials... Compatible Care Nursing Agency specialise in temporary placement and recruitment of nurses and healthcare professionals. The high standard of care which our carefully selected staff possess is what sets us apart in the healthcare employment sector. Whether you are a job seeker looking for a superior nursing recruitment agency or an employer looking for a fresh, glowing change to healthcare employment and staffing in Western Australia, please feel free to email us at care@compatiblecare.com.au or call us on 1300 NURSE1 The Aged Care industry has a workforce that at times is extremely transient; we would like to be there to assist you with quality, competent and committed staff during these times of need. We are committed to providing you with a warm, personal and professional service you can expect from Compatible Care Nursing Agency. We are committed to excellence.

“CCNA would like to offer 1 FOC AIN shift so you can see for yourself our commitment to excellence. Please call 1300 NURSE1 to redeem this offer”