March 27, 2024 Nurse Leads Hui Presentation by WBOP PHO

Nurse Leads Hui March 27, 2024

Whakataka te Hau

Karakia Timatanga (opening)

Whakataka te hau ki te uru

Whakataka te hau ki te tonga

Kia mākinakina ki uta

Kia mātaratara ki tai

E hī ake ana te atakura

He tio, he huka, he hau hū

Tīhei mauri ora!

https://www.otago.ac.nz/m aori/world/te-reo-maori/karakia-pray

https://www.youtube.com/watch?v=_uQqIGt3H2w

ers/

Agenda

1. Welcome and Karakia Tīmitanga

2. PHO & Board Updates

3. Smoke Free

4. Professional Development and Recognition Programme (PDRP) Overview –Sue Matthews, Clinical Support Lead, WBOP PHO

5. HPV Screening Updates - Lynne Clayton, National Cervical Screening Programme Lead, Te Whatu Ora

6. Nurture Paediatric Physio - Amanda (Mandy) Meys

7. Network Services Updates

8. Any Other Business?

9. Close of Meeting & Karakia Whakamutunga

PHO & Board Updates

Lindsey Webber

Smoke Free

What is a Professional Recognition Programme? (PDRP)

Professional Development Recognition

• The good things about PDRP

• Assists in the requirements for your competence-based practicing cetificate

• Your expertise needs to be visible, valued and understood

• Rewarding to your practice development

• Reflection on your practice identifies you as a leaders and role models

• Provides a structure for your ongoing education and training

Where do I find resources?

• Te Whāriki a Toi – ePortfolio Set-Up

• Instruction Video

• PDRP Hand book

• PDRP Coordinator Toni Fitzpatrick

• Pilot (3rd party)

• Training Sessions

Scheduled Training Dates

• 17 April 2024,

• 12 June 2024,

• 21 August 2024,

• 16 October 2024

• IT Training Room, Tauranga Hospital Education Centre.

• Check at reception the IT training room.

• Bring your own device to the session

Next Steps and Support

• Consideration

• How you could set time aside to dedicate to this professional development.

• Contact Sue for any further information suem @wboppho.org.nz

WBOPPHO Nurse Leads Hui

27th March 2024

From 12/09/2023

• Māori

Fee Free Screening

Eligibility

• Pacific

• Unscreened

• Under-screened

• Community Service Card Holders

• People requiring follow-up and/or annual screening

Who is eligible for FREE cervical screening?

What follow-up cervical screening tests are FREE ?

WBOPPHO Email referrals@wboppho.org.nz

Support to Screening Service Provider

Requirements

HPV Screen-takers

For non-CST nurses

• eLearning modules

• HPV screen-taker webinar

• Policies and Standards section 3

• Clinical Practice Guidelines

• Professional Partnership assessment and agreement

Requirements

Still coming but when you get access:

Access to NCSPRegister

• You will have access to full screening history

• Anyone wishing to have access, including administrative staff will need to complete

• eLearning modules to level 3

• Approved privacy training

Links to Resources

Fee free eligibility and Support to Screening

HPV Screen-taker Requirements

Clinical Practice Guidelines

2023 and Policies and Standards

• Understanding HPV Primary Screening –Health New Zealand | Te Whatu Ora

Poipoia te kakano kia puawai - Nurture the seed

and it will blossom

Presented by Mandy Meys

INTRO

Amanda (Mandy) Meys

Bachelor Physio (Otago) 2009

PGDip (Child Health) 2016

Master Health Practice 2021

PhD Candidate 2024- investigate primary healthcare clinicians’ interactions and interventions with children early in the trajectory of musculoskeletal pain with the goal of preventing or reducing the trajectory of chronic musculoskeletal pain in childhood.

Nurture

Poipoia te kākano, kia puāwai.”

"Nurture the seed and it will blossom." Dedicated to tamariki, rangatahi and supporting their futures

• Unique

• Holistic

• Time in assessments

• Trust built, comfort

• EDUCATION!

• Empowered

Nurture

Nurture

Services

• Injury Rehabilitation (we are ACC registered)

• Pain Management and Chronic Pain

• Growth related injuries- Severs, Osgood Schlatters, Patellofemoral Pain etc.

• Balance & Coordination Difficulties

• Developmental Assessments

• Plagiocephaly and related

• Torticollis

• Toe Walking or In-Toeing Gait

• Hypermobility

• Simple breathing disorders

Normal Variants

They are not adults

“It is easier to build strong children than to repair broken men.”

Why the focus?

• Pain and fear created lifelong

• Distrust medical encounters

• Dismissal of pain and their symptoms

• Adult-centric assessment and management

• Dislike for physical activity

• Missing out on opportunities for development

• Family cycle of pain and reduced functional capacity

- Fredrick Douglas

• A survey of adolescents ranked MSK complaints only second to acne

• Limited undergrad teaching

• Different approach and unique skills required

Apophysis

Apophyseal injuries

Repetitive forces that exceed the capacity of the tissues create microtraumas to apophysis

Stimulation and hypertrophy of the chondrocytes

Inflammatory cell infiltration

Bone marrow oedema, inflammation and neurovascularisation in local soft tissues

Apophyseal widening, oedema, tendon thickening, ossicles, bony prominence

Peak Height Velocities

Growing more than 0.6cm per month is a greater risk of injury in adolescents

Peak height velocity is the 1 peak year of accelerated growth. varies between 10.8-12.2 years girls and 13.3-14.4 years in boys

Balance is better Guidelines

• Take 1 month off from a sport 3x per year

• 2 days off per week from a sport = decreased injury chance

• Multiple sports= decreases injury chance, stress and burnout

• Delaying specialising until late adolescence= more likely sporting success

• Hours organised sport should not exceed athletes age

Education

Network Services Team Updates

HPV Screening Progress with the Catch-Up Initiative Funding

Diabetes Project: New Info

Box for BPAC Referrals

Immunisation Project

Funding for:

• Overdue Immunisation Consults - for genuine vaccine hesitancy conversations, aligning with the priority groups.

• 2nd Trimester Immunisation Visits - for hapū māmā/ pregnant women that are ineligible for the ‘Best Start Kōwae’ programme.

• Via Halcyon.

Motivational Interviewing Workshop

Motivational interviewing (MI) is a practical, empathetic counselling method approach to support people to find internal motivation to make change.

13th May 9am-3.30pm (face to face)

14th and 21st June 9am-12:30pm (online)

Regulated/non-regulated staff Register here

Support for the Newborn Enrolment Process

A resource guide has been developed to support hapū māmā/ pregnant women and their whānau/ family. It can be found on the portal. This guide includes: • How to guide for newborn birth nominations and preliminary enrolment. • Bountiful pack resources that are available during pregnancy and at the birth of a baby. • Information on the Best Start Kōwae programme.

Feedback from Nurse Leads Survey

Extending meeting another 30 minutes? Comments received:

• It is already a struggle to release Alana for the time allocated, as appt time is so pressured.

• Including travel time and digestion of hui takes Nurse Lead off the floor for a big block of time.

• Our clinic is in GP crisis with mainly remote GPs only so often I as nurse lead am required for other tasks as I’m also Nurse prescriber so wont always be able to attend. Changing the times won’t make this easier for me.

• Clinic in crisis with GPs so as a prescriber I am often needed in clinic- changing the time won’t change this situation. I will attend if I can and read the meeting notes if I can’t attend.

• Happy to extend the time as long as it appropriate, timely and useful info

• Happy to extend time as long as the content is relevant and useful