The Health Scoop - Issue 21: Working Abroad by The Nursing Post

theHealthScoop The Career and Education Magazine for Health Professionals

World Youth International Nurses in Action

28 October 2013

- ISSUE 21

Working Abroad

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NURSES IN ACTION KENYA, AFRICA

AN OVERSEAS VOLUNTEER PROGRAM DESIGNED BY NURSES FOR NURSES OF ALL AGES.

HAVE YOU ever wanted to volunteer overseas in a local healthcare sector? ARE YOU

looking to lend your skills overseas but concerned about travelling independently?

WOULD YOU like to be part of a team of like-minded allied health professionals committed to making a difference? And are you qualified in one of the following professions?

Registered Nurse (all areas), Qualified Midwife, Paramedic, Pharmacist, Social Worker, Division 2 Nurse, Qualified Pathologist, Completed 2nd year of Nursing Degree or higher. World Youth International’s Nurses in Action Program (in Kenya) runs over a four week period leaving Australia five times a year (Jan, Mar, Apr, Oct, Nov). $3,895 covers ALL in-country Your all-inclusive program fee of $3,795 expenses including:

• • • • • •

Meals, accommodation, transportation and orientation Two medical camps (provide free health care for hundreds of local villagers) A school healthcare program (free health check up for 300-500 children) A range of individual placements tailored to your profession A professionally-trained, medically qualified Team Leader who will guide you through the program A three-day rest and relaxation package midway through your program and a three-day all inclusive Masai Mara Game Park Safari at the conclusion of your program

FOR MORE INFORMATION: www.worldyouth.org.au (08) 8340 1266

Editorâ&#x20AC;&#x2122;s note... Hi Readers, We are delighted to welcome you to Issue 21 of The Health Scoop magazine featuring Working Abroad. This issue, we feature PULSE Nursing & Care and the experience of Intensive Care Nurse, Simon Byerley. Simon was recommended PULSE by a friend and contacted the agency in the hope of moving to the UK and working over there. PULSE guided him through the whole process, fulfilling his goal of travelling and working overseas. For more information about opportunities with PULSE, visit pages 8 and 17. We also feature volunteer opportunities in Africa with Projects Abroad, Australian Volunteers for International Development, and World Youth International. Nurse and Midwife, Katy Condliffe shares with us her experience on placement in Kenya as part of the Nurses in Action Program. Having always looked for a way to use her skills to benefit the wider community, she finally found a way to do this through the program and describes her experience as one of the most challenging yet rewarding experiences of her life. To read this feature, turn to page 14. For more information about volunteer opportunities with World Youth International, visit our inside front cover.

Working Abroad

Next Issue: Paediatrics/Child Health

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

Our next issue will arrive on Monday 11 November featuring Paediatrics/Child Health. Until then, take care.

Next Publication Details: Issue 22: 11 November 2013 Content Deadline: 28 October 2013 Artwork Deadline: 4 November 2013 Printed by Daniels Printing Craftsmen

Naomi Byrne Editor

Editor and Graphic Designer Naomi Byrne Sales and Marketing Manager Michael Kuhnert

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Working Abroad PULSE Nursing & Care

Fulfilling my dream of working in the UK

Projects Abroad

Australian Volunteers for International Development

Contents... Feature

Anyone can make a difference

Africa is calling all health workers

Remote Area Health Corps (RAHC)

RAHC Presentation Well-Received at National Comcare Conference

World Youth International Nurses in Action

Our Advertisers Courses, Conferences and Events 4

Breast Cancer Care WAâ&#x20AC;&#x2122;s Breaststrokeathon

Inside Cvr

World Youth International

Quick & Easy Finance

Mediserve Nursing Agency

UK Pension Transfers Australia

PULSE Nursing & Care

CQ Nurse

Continental Travelnurse

Oceania University of Medicine

Hays Healthcare

Applying Consumer Directed Care Conference

Danila Dilba

Indigenous Allied Health Australia 2013 National Conference

9th National Laser & Cosmetic Medicine Conference 2013

Australian College of Nursing

Strategic Approaches to Healthcare Infection Prevention Conference

Inside Bck Back Cvr

Smart Salary Zest Recruitment

Remote Area Health Corps (RAHC)

Fiona Wake, Clinical Manager for RAHC, at the National Comcare Conference. Pictured with Glenn Keys, MD of Aspen Medical and board member of RAHC.

Remote Area Health Corps RAHC Presentation Well-Received at National Comcare Conference

Fiona’s mix of personal stories from her remote experience coupled with a strong message of how RAHC supports health professionals before, during and after their placement made her one of the most popular speakers over the course of the two-day conference. RAHC also chose this conference to showcase two new 6

“

We focus on providing appropriate training and support to urban-based health professionals seeking to undertake a placement in the NT. This focus contributes to our repeat placement rate of over 80%.

“

Fiona Wake, Clinical Manager with the Remote Area Health Corps (RAHC), delivered a presentation focussing on RAHC’s support processes to the Comcare National Conference in Canberra which was held from 18 – 19 September. The 2013 conference theme was Better design for prevention, smarter support for recovery. The conference was attended by more than 600 delegates.

videos highlighting the experience of health professionals working remotely.

RAHC’s eLearning modules played a central role in showcasing the support provided to health professionals. The suite of 11 modules includes an Introduction to Indigenous Health, Chronic Conditions Management, Ear Health, Trachoma and more. The modules are free, open to all online at the RAHC website and endorsed by RACGP, ACN, APNA and ACCRM. Fiona also discussed the role of the Remote Educator in supporting new-to-remote health professionals. The Remote Educator works side-by-side with the new-to-remote nurse, promoting clinical and cultural safety and working on-call with the nurse. According to Philip Roberts, General Manager – RAHC: “We focus on providing appropriate training and support to urban-based health professionals seeking to undertake a placement in the NT. This focus contributes to our repeat placement rate of over 80%.” “Cultural and clinical orientation, online eLearning modules and the Remote Educators who accompany our health professionals on their first placement all combine to ease a health professional’s transition into working in a remote clinical setting and lay the foundation for a rewarding experience. We are delighted to share our processes and insights with industry professionals from across Australia.” RAHC recently placed it’s 2000th health professional in the Northern Territory. Dr. Richard’s journey before, during and after her placement can be seen on RAHC’s website www.rahc.com.au or the company’s YouTube channel. For more information on placements from three weeks to three months for urban-based health professionals in the NT call RAHC on 1300 697 242 or email enquiries@rahc.com.au.

Welcome to The Health Scoop magazine and online website specifically targeted towards Nurses and Allied Health Professionals. Our magazine is distributed fortnightly and free of charge to all major hospitals, clinics and rural and remote healthcare organisations located across Australia.

Advertise with us! For further information and a copy of our Media Kit, please contact: Michael Kuhnert marketing@healthscoop.com.au

Working Abroad

PULSE Nursing & Care Fulfilling my dream of working in the UK Standing on my balcony, I look out at the transforming skyline of London, moulding itself into a modern city. Trains, double-decker buses and cars whizz by below, the sun is shining down on a hot summer afternoon. I stir the mint into my Pimms and lemonade and take in a deep breath… this is the life. A few months earlier I had stood in the same spot, laden in woolen clothes, looking out over a crisp snow covered city. It’s hard to believe it was so different just five months ago. Each season in the UK is so distinctly different, and equally as beautiful. I’m not one of those professionals who ‘always wanted to be a nurse’, in fact, I transferred courses at university on 8

a whim as the thought of having a degree that guaranteed employment, career development and most of all travel, was highly appealing. I developed a strong passion for nursing, and focused on gaining skills in acute care, primarily intensive care and also completed a post graduate qualification in health management and leadership. After visiting London on a family holiday with my parents in 2008, I dreamt of returning, living and working in this vibrant city – something that, with the help of PULSE, has become a reality. Whilst working in Australia, I met other nurses who had worked in London and was recommended PULSE as an agency to consider. Being super organised, I contacted PULSE a year and a half before I had planned to leave

Australia. From that moment, I was guided through the process, making it hassle free. I developed good relationships with my recruitment team and felt welcomed as part of the company before I had even started working for them. Every question I had was answered, and they were not only happy to help with the nursing side of the organisation, but provided tips on all aspects of relocating, including areas to live and helped with bank account information. They supported me through my ILETS test, documentation for Nursing and Midwifery Council UK registration, visa application and before I knew it, I had booked my flights. Once arriving in the UK, I went into PULSE London HQ where I met the lovely team. I provided them with my completed application and immunisation documentation and immediately commenced mandatory training and the Overseas Nursing Program. Having just travelled around Europe for all of December, I wanted to start work as a health care assistant as soon as possible whilst waiting for my registration. I finished my mandatory training on the Friday and was in full time work on the Monday! I worked in community nursing in the Royal Borough of Kensington and Chelsea, what a place to start! Having only ever worked in community on clinical placement at university, I saw the time as a broadening of my scope of practice and experience. I worked full time with the same community team until my registration was processed. Since then, I have continued two days a week with community nursing and then a few shifts a week in trauma intensive care. At both workplaces, I felt valued and welcomed as part of the team, and it is evident the good relationship that PULSE has with its clients. I believe moving overseas, working in different healthcare systems and environments has given me experience that I would never have gained at home. Additionally, there is the added bonus of living in the amazing city of London, on the door step of Europe. PULSE helped bring my dream to realisation and for that I am ever grateful. I would highly recommend PULSE to any nurse interested in fulfilling their own dreams of moving to the UK.

Simon Byerley â&#x20AC;&#x201C; Intensive Care Nurse - PULSE

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Working Abroad

Registered Nurse, Denise Jose (front), pictured with fellow volunteers at Kakum National Park.

Projects Abroad Anyone can make a difference Towards the end of my first year contract as a qualified registered nurse, I was faced with the question â&#x20AC;&#x201C; what next? I had always thought about utilising my skills as an RN to help those less fortunate, so when I came across the Projects Abroad website, my decision was easy. After one year of working in a large public hospital in Adelaide, I was intrigued by the Public Health project in Ghana and I decided to volunteer for two months. With the current focus on treating those in the community in order to reduce hospital admissions, I thought that this would be a great opportunity boost to my budding nursing career. The thought of travelling to West Africa alone was 10

daunting, but I knew I would be supported by the Projects Abroad staff after reading numerous stories from previous volunteers. Ghana is often referred to as Africa for beginners as many people speak English and it is quite developed compared to many other neighbouring countries. The Public Health project is based in Kumasi, the second largest city located in the south of Ghana. Most of my days volunteering started with a healthy breakfast of fresh fruit and bread from my host mother. We would then meet Enoch â&#x20AC;&#x201C; the medical projects coordinator at a pre-organised spot via tro-tro. Trotros are the main mode of public transportation; they are essentially mini-vans crammed to capacity, plus about five more! I found them very easy to navigate

as most had signs and they were filled with passengers more than willing to assist confused looking foreigners. Our outreach locations were set up in busy markets, outside hospitals, clinics, schools and even at a tro-tro station. The number of volunteers greatly impacted on the services that we could provide at each outreach. On my first day, I was the only volunteer with Enoch. So we went along with some local community nurses and performed quick health checks on newborn babies aged between 1 â&#x20AC;&#x201C; 6 months. We weighed them, administered vitamins and vaccinations. This was also a good opportunity to monitor the blood pressures of the mothers. Many of the women remembered their previous blood pressures and would be eager to know whether it had improved. In the beginning I found it difficult to educate on healthy eating and exercising without understanding the Ghanaian culture first. I set out to learn more â&#x20AC;&#x201C; starting with learning a few basic Twi words and phrases from Enoch. Throughout my time in Ghana I was immersed in the culture, so refreshingly different from Australia, which helped me better understand the Ghanaian people. As the volunteer group became larger, we were able to provide more services such as HIV, Hepatitis B and Malaria testing, basic wound care, body mass index calculations and blood-glucose monitoring. I found

it very confronting to perform the HIV screenings as there is a lot of stigma and fear in Ghana, where those who are HIV positive are discriminated against by their community. However, I also learnt of the different strategies being implemented in Ghana to prevent new HIV infections and often saw signs encouraging people to get tested and find out their HIV status. I found the Public Health project to be a great way to explore the city whilst helping those in the community. I learnt so much about the Ghanaian culture through interaction with the locals at the outreaches where they felt safe in their own environment. I was pleasantly surprised by the amount of people interested in living healthier lifestyles. The many Ghanaians that I met were so enthusiastic and determined to improve their health, not just for themselves, but also for their family. The Public Health project has really opened my eyes to the possibilities available to healthcare workers and the impact we can make. I left Ghana after two months with more enthusiasm for my profession, more friends from around the world and more faith that anyone can make a difference.

For further information about Projects Abroad, visit www.projects-abroad.com.au

Denise Jose pictured with Projects Abroad staff members. 11

Working Abroad Australian Volunteer, Ben Gwilliam, teaches his assistant Francis how to apply a cast for a child with clubfoot at the Beit CURE International Hospital in Malawi. Courtesy: Ben Gwilliam

Australian Volunteers for International Development Africa is calling all health workers For Australian Volunteer Physiotherapist, Ben Gwilliam, Africa has always held a special place in his heart. Born in Swaziland in the 80’s, the pull to return and work in the continent was a strong one. In January 2013, Ben began an AusAID funded international volunteer placement at the Beit CURE International Hospital in Malawi, and eight months on says volunteering is one of the most rewarding things he has ever done. “The hospital is primarily a children’s orthopaedic hospital and the only one of its kind in Malawi. We provide children from all over Malawi and parts of Mozambique and Zimbabwe with free orthopaedic surgery and physiotherapy follow up. We also administer the National 12

Clubfoot Treatment Program and run training for clinicians from local clinics across the country,” Ben said. Ben’s role has two main functions; to improve the practical and clinical skills of his colleagues and to instil a more efficient administration and management structure so the physiotherapy department can provide more effective treatments. Although he has only been in the role a short time, Ben and his colleagues have worked hard to provide a more professional unit and a higher standard of care for more patients. “My days can be very busy. Normally I would begin with a ward round with the medical and nursing team first thing in the morning, followed by an outpatient clubfoot

CURE International visits district hospitals all over Malawi every six months to provide health care to rural and urban communities across the country. The vast majority of these patients are from poor rural villages and have a multitude of issues affecting their access to quality medical care. “Transport is a very large challenge around Malawi. Many families will save for months to raise the $7 or $8 it costs to bring their children to CURE and often other siblings are left at home in the care of another family or a husband or wife for the duration of the child’s treatment, which causes extra social pressure and anxiety for many guardians. Once the children have had their surgery and are beginning to recover, the next challenge is making sure they get as much physiotherapy follow up as possible. This needs to be balanced with what is practical for the family in terms of affordable transport.”

“

On a personal level Malawians are very open and friendly people. I’ve become quite involved in the local community, developing The Cricket Academy where I play and coach, and encourage young Malawians to take up the game.

“

or cerebral palsy clinic where we might see up to 30 children. In the afternoon I typically see the paediatric and adult inpatients. Some days I will also do small teaching sessions with my colleagues or lecture for one or two hours at the University as well. Other days I may be involved in an outreach clinic with one of the district hospitals in a smaller regional centre, where we treat patients and follow them up after surgery.”

audiologists, physiotherapists, occupational therapists, mental health professionals, lab technicians, health promoters and biomedical engineers. Through the Australian Volunteers for International Development program, all volunteers receive financial support, including airfares, visas, accommodation, a living allowance, insurance, pre-departure training, and in-country and post-assignment support. For further information see: www.australianvolunteers.com or visit www.ausaid.gov.au/volunteer

Ben credits his colleagues’ ingenuity and creative problem solving skills in being able to deliver such effective health outcomes in such resource poor settings. When he is not working, Ben says Malawi is an outdoor adventurer’s dream. “I recently brought a mountain bike so I’ve been having a great time with that. The Mulanje Massif Mountain Range is only a two hour drive away and Lake Malawi and many of the game parks are close by. So there is no shortage of places to go and things to do on the weekends. On a personal level Malawians are very open and friendly people. I’ve become quite involved in the local community, developing The Cricket Academy where I play and coach, and encourage young Malawians to take up the game,” he said. Australian Volunteers International is recruiting skilled professionals in all areas of health and vocational education, to work in Asia, the Pacific, the Middle East and Africa. Positions include: nursing and midwifery practitioners and educators, pharmacists, doctors, dentists, 13

Working Abroad

Nurse and Midwife, Katy Condliffe on placement in Kenya as part of the Nurses in Action Program.

World Youth International Nurses in Action

In March of this year I went to Odede which is a remote and isolated village in Western Kenya. I completed the Nurses in Action program through an Adelaide based NGO, World Youth International.

â&#x20AC;&#x153;

Working in Kenya was one of the most challenging yet rewarding experiences of my life. As a nurse and midwife, I have always looked for a way to use my skills to benefit the wider community and I finally found a way to do this.

â&#x20AC;&#x153;

Kenya will always have a place in my heart after I had the time of my life on the Nurses in Action Program. I will never forget the incredible time I had working, living and experiencing life in Kenya. Working in Kenya was one of the most challenging yet rewarding experiences of my life. As a nurse and midwife, I have always looked for a way to use my skills to benefit the wider community and I finally found a way to do this.

World Youth International has been working in Kenya for over 20 years and has recently committed to a seven-year project to make Odede a sustainable, healthy and prospering village. This has led to the

â&#x20AC;&#x153;

Living in the village taught me about myself, my values and where I want to go from here. This was further heightened by the amazing team of nurses and allied health workers I was privileged to travel with.

establishment of the Odede Community Hospital. On our program, we were able to empower and strengthen the capacity of local staff enabling them to provide quality health care. In Kenya people experience medical conditions that you only read about in Australia such as malaria, gastrointestinal disorders, tuberculosis and HIV/AIDS. I was able to dress wounds and burns, treat skin conditions and assist women during labour and birth. My team and I worked at the community hospital and we ran 2 mobile medical camps to remote communities. We set off with a van full of medication and equipment to treat those who generally are unable to reach or afford medical assistance. In just one day we worked with local medical staff to provide free medical care to over 300 people. The medical camps enabled me to become autonomous with providing medical care and my confidence as a nurse has grown. I have so many remarkable stories from my time in Kenya, some bringing joy and others full of sadness. I held the hand of Joyce, a 3 year-old girl dying from malaria. There was nothing I could do but provide comfort. We treated Jean who was only 30, the same age as me. I was part of her journey when she came into the Odede clinic to get tested for HIV, I was there when she was diagnosed HIV positive and I was there when she received the news. It was a journey filled with grief and despair but we were able to provide training and knowledge to help her move on with her life and live positively. I was also lucky enough to be at the birth of a beautiful baby girl named after one of the NIA volunteers.

vulnerable children of Odede, introduced an antenatal and maternal child health clinic, established a HIV treatment and support group, got involved in youth education, started a community outreach program and so much more. Working with and for the local people was definitely one of my many highlights. The Kenyan people are so welcoming, open hearted and eager for any help or assistance we were able to provide. Living in the village was both a challenge and a highlight. We lived in basic accommodation in the heart of the village. We walked to and from work with the locals, played with the kids and learnt to cook traditional food with the women. Despite the incredible hardships that the Kenyan people face every day, they are some of the happiest people I have ever met. Living in the village taught me about myself, my values and where I want to go from here. This was further heightened by the amazing team of nurses and allied health workers I was privileged to travel with. Going as a team enabled us to utilise our wide range of skills and meant we always had a friend by our side. I really connected with the people in my team and made life long friends. Our time in Odede flew by and before we knew it, it was time to leave. Odede and Kenya left such an impression on me and has changed my life forever. The people of Odede will always be with me and I feel so blessed that I was able to assist them, even for such a short time. I believe they gave me more than I could ever give them. I would highly recommend the Nurses in Action program to anyone wanting to step outside their comfort zone, help others, expand their skills and abilities and have a truly unique and life-changing experience.

You can find out more about World Youth International and the Nurses in Action program on their website www.worldyouth.org.au

We soon found that we were able to help the community not only through medical treatment, but also through capacity building. We worked on projects with the

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ST.viNCeNT’S hOSPiTAl President

Marija Juraja President

AuSTrAlASiAN COllege fOr iNfeCTiON PreveNTiON & CONTrOl (ACiPC)

iNTerNATiONAl SOCieTy fOr heArT ANd luNg TrANSPlANTATiON 2013-2014

Pre & Mid Conference Workshops Workshop A

Workshop B

Strategies to prioritise infection prevention & control

How to prepare for infection prevention accreditation

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