Civilian response to Ashmore Reef Disaster 2009

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64

‘City going Country’’—–The marriage of rural andetropolitan nursing teams

rant Isedale, Ron Wilson ∗

Campbelltown & Camden Hospitals, PO Box 149, Campbell-own, NSW 2560, Australia

-mail address: ron.wilson@sswahs.nsw.gov.au (R. Wilson).

In 2006 a proposal was submitted to amalgamate theursing teams of a small rural hospital (approximately2,000 presentations per annum) and a major metropolitanospital (approximately 48,000 presentations per annum).he principle aim of this proposal was to reinvigorate theursing team to ensuring each individual had the opportu-ity to be exposed to a wide variety of clinical presentationsf varying clinical acuity whilst rotating across both sites.he intended outcomes of the proposal included forging twoursing teams into one cohesive group; providing profes-ional development to all nursing staff and exposing nurseso the challenges and similarities of emergency nursing inhe two unique environments, rural and metropolitan.

This presentation will discuss the change managementrocess adopted in order to marry the two nursing teamsogether. In addition the challenges, benefits and pitfallsill be discussed.

eywords: Amalgamation; Implementation; Staff attitude;linical confidence

oi:10.1016/j.aenj.2009.08.044

ivilian response to Ashmore Reef Disaster 2009

haron Johnson1,∗, Ronnie Taylor2

National Critical Care & Trauma Response Centre, Royalarwin Hospital, PO Box 41326, Casuarina NT 0811, Aus-raliaRoyal Darwin Hospital Trauma Service & National Criticalare & Trauma Response Centre, PO Box 41326, CasuarinaT 0811, Australia

-mail address: SharonMI.Johnson@nt.gov.au (S. Johnson).

On the 16th April 2009 at approximately 6 a.m. there wasboat explosion of asylum seekers at Ashmore Reef. Thereere 49 people on board the boat at the time of the explo-

ion. As the boat was under Australian board of protectionhe navy were able to retrieve the injured immediately. 44eople were injured from the boat and 2 navy personnel.people were missing and drowned. This presentation will

im to explore the Australia’s largest civilian response to aisaster offshore in Australian waters. In particular it willocus on the Royal Darwin Hospital response, from how the

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CONFERENCE ABSTRACTS

eywords: Disasters; Trauma; Ashmore Reef; Asylum seek-rs; Royal Darwin Hospital; Truscott Airbase & Nationalritical Care & Trauma Response Centre

oi:10.1016/j.aenj.2009.08.045

oyal Melbourne Hospital Emergency Departmentedevelopment—–A marriage of bricks and informationechnology

lizabeth Virtue ∗

Royal Melbourne Hospital, Grattan Street, Parkville 3050,ictoria, Australia

-mail address: elizabeth.virtue@mh.org.au.

The RMH Emergency Department redevelopment projectas provided an opportunity for ED clinicians to opti-ise patient focused care through the implementation

f Information Management Technology (IMT) systems andnfrastructure that facilitates the provision of timely andafe clinical care to the patient from within the ED cubicle.

The IMT strategy is pivotal to the success of the redevel-pment and a significant proportion of the capital budget haseen allocated to implementing the strategy. The principlesf the strategy include that it is clinically driven and friendly,ith a high degree of integration, provision for a completesset refresh, is based on IP technology and ensures redun-ancy and future proof capability.

This paper will discuss the innovative and comprehen-ive approach we have taken to use IMT to ensure that thelinical and administrative needs of emergency patients areptimized. Including streamlined triage and bedside regis-ration, automated wristband printing using radiofrequencyD (RFID), real time patient tracking, electronic medicalnd nursing charts, automated vitals upload from monitors,atient flow tracker and real time automated flow metrics,lectronic radiology and pathology, electronic medicationharting & prescriptions, patient and clinician centric viewsnd vocera communication.

eywords: Information technology; Communication; Elec-ronic records

oi:10.1016/j.aenj.2009.08.046

RAL PRESENTATIONS 3D — Practitioners & Leadership

12-month prospective review of the impact of Emer-ency Transitional Nurse Practitioners in one metropoli-an Emergency Department

argaret Fry ∗, Jacqueline Fong

Introduction: To meet increasing work demand, theSW government funded Emergency Transitional Nurse Prac-itioner (TENP) roles which would work within a Nurseractitioner framework. Therefore, the aims of this studyere to: (i) identify patient demographics and conditionsanaged by experienced nurses working within the NP