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Regional & Remote Health FeatureWorking remote as a physiotherapist

Labor pledges nurse to patient ratios for Queensland

More health risks for nurses working night shifts

Nurses applaud move to abandon Medicare rebate cut

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Jobs, courses and professional development

Nursing Careers Allied Health relaunches as HealthTimes

Nursing Careers Allied Health has been the premier nursing and allied health careers publication since it was founded more than 20 years ago, with a national distribution of over 43,000. More recently, the NCAH.com.au website has grown to become the number 1 careers website for nurses, midwives and allied health professionals in Australia receiving over 80,000 visits per month. In February 2015, Nursing Careers Allied Health relaunches as Health Times.


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Reforms needed to improve end-of-life care

Vital reforms to end-of-life care are essential

to assist the majority of Australians who want to

die ‘a good death’ at home.

A Grattan Institute perspective published in

the Medical Journal of Australia, based on its ear-

lier Dying Well report, states dying has become

highly institutionalised in Australia, with 54 per

cent of people dying in hospitals and 32 per cent

in aged care.

Professors Hal Swerissen and Stephen

Duckett state only 14 per cent of people die at

home in Australia despite up to 70 per cent of

people preferring a non-institutionalised death.

“Dying is not discussed, and we are not tak-

ing the opportunity to help people plan and pre-

pare for a good death,” they write.

“As a result, many experience a discon-

nected, confusing and distressing array of ser-

vices, interventions and relationships with health

professionals when they are dying.” Professors

Swerissen and Duckett recommend a public

education campaign that encourages people to

consider, discuss and document their end-of-life

preferences with their families and appropriate

health care professionals.

They propose trigger points for mandatory dis-

cussions about end-of-life care, including during

health assessments for people aged over 75, for

all aged care residents and high-needs recipients

of home-based care packages, and for all hospital

inpatients who are likely to die within a year.

Measures must be introduced to ensure pa-

tients’ plans are implemented, while they also

suggest health professionals are in the best posi-

tion to initiate the discussion.

“They must shift their focus from prevention,

cure and rehabilitation at appropriate points in

time if these conversations are to occur.

“It is therefore important that it becomes nor-

mal and expected practice for health profession-

als to discuss and plan for end-of-life with their

patients when it is appropriate.”

Professors Swerissen and Duckett say im-

provements are needed to better coordinate

end-of-life care while legislative frameworks

and guidelines for advance care plans must

change.

“They should include clear mechanisms

for assigning speci�c responsibility to health

care professionals to coordinate and imple-

ment plans when people enter end-of-life care.”

For the full article visit NCAH.com.au

By Karen Keast

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Registered Nurse – Forensic Mental HealthMalabar

Permanent Full Time, Permanent Part Time

JH No: 232954Salary: Public Health System Nurses & Midwives (State) Award, RN 2–8: $30.16–$40.17 ph.

Enquiries: Louise Flemming on (02) 9700 3123.

Closing Date: 8 February 2015.

To apply for this position please visit http://nswhealth.erecruit.com.au NSW Health Service – Justice Health & Forensic Mental Health Network is committed to Work Health & Safety, EEO, Ethical Practices, and the Principles of Cultural Diversity. Personal criminal records checks will be conducted. Prohibited persons as declared under the Child Protection (Prohibited Employment) Act 1998 are not eligible to apply for child-related employment.

NSW Health Service: employer of choice




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We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.

If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]

+ DISTRIBUTION 34,488

The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia

For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au

If you would like to change your mailing address, or be included on our distribution, please email [email protected]

Published by Seabreeze Communications Pty Ltd Trading as NCAH.

ABN 29 071 328 053.

© 2013 Seabreeze Communications Pty Ltd.

All rights reserved. No part of this publication may be copied or

reproduced by any means without the prior written permission of

the publisher. Compliance with the Trade Practices Act 1974 of

advertisements contained in this publication is the responsibility of

those who submit the advertisement for publication.

www.ncah.com.au

Next Publication: Education featurePublication Date: Monday 9th September 2013

Colour Artwork Deadline: Monday 2nd September 2013

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Issue 1 – 20 January 2014

Advertiser ListCare Flight


CQ Nurse

Education Cruises

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Health and Fitness Recruitment

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Colour Artwork Deadline: Tuesday 28th January 2013

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Next Publication: Midwifery & MaternalPublication Date: Monday 9th February 2015

Colour Artwork Deadline: Monday 2nd February 2015

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Midwives and Registered NursesRequired for both permanent roles and short or long term contract

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children/adolescent services, sexual health and cancer screening and rural nursing. There are seven rural hospitals with opportunities for a

unique rural experience in a supported environment to develop and enhance a wide range of clinical skills.

We provide education and training to assist our staff to develop their skills, advance their career and work to their full scope of practice. Mackay Base Hospital has undergone major development of clinical

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Mackay is a tropical setting situated halfway between Brisbane and Cairns, is the gateway to the Whitsundays and offers the opportunity for a lifestyle change in one of Queensland’s most liveable regional cities.

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We o�er rewarding careers in one of the most respected cardiac units in Australia, working with colleagues whose talents and

manner you will respect. A genuine team. Find out more about how we could change your life at westernhealth.org.au/careers.

Dietitians and nurses oppose fresh food GST

A proposal to expand the GST to fresh

foods is a recipe for poor health for Indig-

enous Australians, low income earners and

pensioners, according to the peak bodies for

dietitians, nurses and midwives.

The Dietitians Association of Australia

(DAA) and the Australian Nursing and Mid-

wifery Federation (ANMF) have criticised

Liberal backbencher Dan Tehan’s propos-

al to widen the GST from most processed

foods to also include fresh fruit and veg-

etables, meat, eggs, bread and some dairy

products.

DAA CEO Claire Hewat said people living in

remote communities, especially Indigenous Aus-

tralians, already pay too much for fresh food.

“Adding an extra cost through the GST would

only make matters worse - these are the same

groups with the poorest health outcomes,” she

said.

“Access to adequate nutritious food is a

basic human right and adding the GST to fresh,

healthy food puts this right at risk for many Aus-

tralians.”

Latest Australian Bureau of Statistics data

shows around one in 10 Australians, or just 6.8

per cent, aged two years and over eat enough

vegetables while just over half, or 54 per cent, eat

enough fruit.

Ms Hewat said many Australians already fail

to consume enough fruit and vegetables.

“Bumping up the price of these healthy sta-

ples will make it more dif�cult for some people to

eat these foods,” she said.

ANMF acting federal secretary Annie

Butler said a GST on fresh food will lead to

high-

e r

l e v e l s

of chronic

disease and

obesity.

“Australia currently

has one of the highest rates of obe-

sity in the world, with a quarter of children and

more than 60 per cent of adults overweight,”

she said.

“The fact is, we don’t consume enough fruit

and vegetables now - adding an extra 10 per

cent to the cost will simply make fresh food

even more expensive for Australians and their

families in the long term, particularly for lower

income earners and pensioners.”

Researchers at the University of Queens-

land in 2013 found axing the GST exemption on

fresh food could reduce people’s consumption

of fruit and vegetables about �ve per cent.

Dr Lennert Veerman said failure to eat

enough fruit and vegetables was associated

with increases in the risk of heart disease,

stroke and cancers of the lung, oesophagus,

stomach and colon.

“We’ve estimated that adding GST to fruit

and vegetables could add about 90,000 cases

of heart disease, stroke and cancer over the

lifetime of the current Australian population

and add another billion dollars to the country’s

health care bill,” he said.

The Federal Government will consider the

tax reform proposal as part of its taxation white

paper.

By Karen Keast


Geneva Healthcare





A large study in the United States has found

nurses working rotating night shifts face an in-

creased risk of cardiovascular disease and lung

cancer.

The study of almost 75,000 registered nurses

spanning 22 years shows nurses working rotating

night shifts, of at least three nights a month along

with day and evening shifts, for �ve or more years

had a modest rise in all-cause and cardiovascular

disease mortality.

The study, published in the American Journal

of Preventive Medicine, also found nurses work-

ing rotating night shifts of 15 or more years had a

modest increase in lung cancer mortality.

Researchers state the study is further evi-

dence of the potentially detrimental effects of ro-

tating night shift work on health and longevity.

An international team of researchers used data

from the Nurses’ Health Study, which is based at

Brigham and Women’s Hospital, and began col-

lecting night shift data in 1988.

After excluding women with pre-existing car-

diovascular or other than non-melanoma skin can-

cer, 74,862 women were included in the analysis.

Reviewing the 22 years of follow-up data, they

found 14,181 deaths documented, with more than

3000 of those attributed to cardiovascular disease

and more than 5400 to cancer.

Researchers discovered an 11 per cent rise in

all-cause mortality for women with 6 to 14 years or

more than 15 years of rotating shift work.

Cardiovascular-related mortality also ap-

peared to increase 19 per cent and 23 per cent for

these groups, respectively.

There was no association between rotating

shift work and any cancer mortality, except for

lung cancer in nurses who worked nights for 15

or more years - with a 25 per cent higher risk.

The World Health Organisation classi�ed

night shift work as a probable carcinogen in 2007

as a result of circadian disruption.

The study’s authors point to sleep and the

circadian system for playing a vital role in cardio-

vascular health and anti-tumour activity.

“The circadian system and its prime marker,

melatonin, are considered to have anti-tumour

effects through multiple pathways, including an-

tioxidant activity, anti-in�ammatory effects, and

immune enhancement,” it states.

“They also exhibit bene�cial actions on cardi-

ovascular health by enhancing endothelial func-

tion, maintaining metabolic homeostasis, and

reducing in�ammation.

“Direct nocturnal light exposure suppresses

melatonin production and resets the timing of the

circadian clock.

“In addition, sleep disruption may also ac-

centuate the negative effects of night work on

health.

“Taken together, substantial biological evi-

dence supports the role of night shift work in the

development of poor health conditions, including

cancer, CVD, and ultimately, mortality.”

The study shows women with longer dura-

tions of rotating night shift work tended to be old-

er, had a higher BMI, were more physically active

after standardising for age and were more likely

to be smokers, while they drank less alcohol and

ate less daily cereal �bre compared to women

without night shift work.

These nurses had also gained more weight

since the age of 18 and were more likely to have a

history of diabetes, hypertension and hypercho-

lesterolemia.


By Karen Keast



Peripheral Arterial Disease

Peripheral arterial disease (PAD) is a con-

dition arising through progressive occlusion of

the arteries of the lower limbs.1 PAD is caused

by atheroma or fatty deposits in the walls of the

arteries leading to arterial rigidity and progres-

sive narrowing of the arterial lumen, limiting

blood �ow to the muscles and other tissues in

distal extremities, in particular the legs.2 Insuf-

�cient blood �ow can produce ischemia. The

subsequent decrease in oxygen and nutrients

to the affected limb may lead to impaired tissue

integrity and ulceration.3 Arterial ulcers may

also be the result of minor trauma resulting in

a wound. Poor healing capacity due

to reduced peripheral perfu-

sion and local wound con-

ditions (reduced oxygen,

nutrients, temperature,

infection and devi-

talised or necrotic

tissue) leads to the

development of a

non-healing wound

or ulcer.3

Some patients

with PAD have symp-

toms but others are

asymptomatic. The com-

mon symptom, intermittent

claudication, is characterised by

leg pain and weakness brought on by

walking, with disappearance of the symptoms

following rest.1 Risk factors include increasing

age (>50) with a history of diabetes plus one

other atherosclerotic risk factor such as smok-

ing, hyperlipidaemia, hypertension, hyperchro-

mocysteinemia or elevated C-reactive protein;

or age over 70 years; leg symptoms with ex-

ertion (suggestive of claudication) or ischemic

pain, abnormal dorsalis pedis and/or posterior

tibial pulses; and a history of stroke, myocar-

dial infarction or renal artery disease.1

Ischemia, if left untreated, may lead to ul-

ceration, especially around the toes, the foot

(phalangeal heads, the malleoli region (ankle)

or mid tibia. The ulcer appears punched out

with well-demarcated rolled edges and may

be deep. The wound is characterised by pale

non-granulating often necrotic tissue (eschar)

and gangrene (wet or dry) may be present in

advanced stages. Gangrene (wet) may be as-

sociated with inflammation and cellulitis, an in-

fection in the underlying tissues. Exudate level

is usually low. The surrounding skin

may exhibit dusky erythema or

have a deep red to purplish

mottling effect, be cool

to touch, hairless, thin

and often with a shiny

appearance. Toenails

may be thickened,

opaque and discol-

oured or missing.

Patients with

arterial ulcers invari-

ably experience pain,

even without infection.

Pain may be alleviated by

hanging the foot over the

side of the bed or sleeping in a

chair. Pain usually begins distal to the

obstruction, moving proximally as ischemia

progresses. The ulcer itself is often painful.

Whilst oedema is not common in PAD, patients

with mixed aetiology ulcers (combination or

arterial and venous disease or heart disease)

oedema may be present. Critical limb ischemia

(CLI), the consequence of poorly managed

PAD, is the sustained and severe decrease in

blood flow to the effected extremity.2 CLI is

characterised by ischemic rest pain, non-heal-

ing ulcers and/or gangrene which may result

in amputation if left untreated.2 If able, when

your patient is lying in bed, ask them to lift their

leg above the level of their heart for a couple of

minutes. If the toes and forefoot become pale

on elevation and then turn a purplish-red when

placed back on the bed this is an indication the

patient has PAD.

Early diagnosis and intervention is the key

to successfully managing PAD. Wound assess-

ment should be holistic involving a compre-

hensive patient history (medical, medications,

surgical and psychosocial); wound assess-

ment with a clinical description of the wound

(ulcer); assessment of the limb (appearance of

nails and skin temperature and colour); pain

assessment; vascular assessment including

capillary refill time; presence or absence of

dorsalis pedis and posterior tibial pulses and

the presence/absence of bruits in the proxi-

mal leg arteries; ankle brachial pressure index

(ABPI); and assessment of vascular status

(determined by the vascular specialist or sur-

geon).

Patients with PAD and arterial ulcers gen-

erally have a decreased or absent pulse in the

dorsalis pedis and/or posterior tibial arteries,

have bruits in the proximal leg arteries indicat-

ing the presence of atherosclerosis, reduced

capillary refill time (< 2 seconds) and low ABPI.

ABPI is usually conducted to rule out ve-

nous disease with values < 0.8 indicative of

significant PAD while a value less than 0.5 sig-

nifies critical limb ischemia requiring surgical

intervention.3 Once diagnosed, the manage-

ment of PAD is multi-factorial, incorporating a

combination of surgical and pharmacological

interventions, lifestyle modifications and bet-

ter management of co-morbidities.1 Surgical

interventions to increase blood flow include

reconstructive surgery (revascularisation or

bypass graft surgery) and angioplasty. Op-

erative indications for critical limb ischemia

include non-healing ulceration, gangrene, rest

pain and progression of claudication.4,5 De-

pending on co-morbidities, pharmacological

interventions may include antiplatelet therapy

(usually clopidogrel or aspirin), lipid modifying

agents, antihypertensive agents, hypoglycae-

mic agents, folic acid and vitamin B6 (to lower

homocystiene levels) and transdermal nitro

patches (nitroglycerine) to improve blood flow

to the affected limb and improve claudication

symptoms.4,5 Lifestyle modifications general-

ly revolve around ongoing education regarding

diet and exercise, weight reduction and smok-

ing cessation.4,5

Accurate diagnosis of aetiology, manage-

ment of contributing factors and other co-

morbidities, and thorough wound assessment

are prerequisites for successful wound man-

agement. History of past wound dressings is

necessary to ascertain the efficacy of previous

management plans and to inform new man-

agement strategies.4 If infection is present

or suspected, wound swabs and cultures are

required to identify pathogens present and to

facilitate effective antimicrobial management.

Infected wounds may need treatment with

systemic antimicrobial therapy plus or minus

the use of topical antimicrobials. Cadexomer

iodine, medical honey, silver and prontosan

(polyhexamethylene biguanide (PHMB), an an-

timicrobial agent) are effective against a broad

range of infective pathogens which may be

present in wounds and provide gentle autolytic

debridement of sloughy, devitalised tissue.

Do not use iodine or silver on wounds

with exposed tendons, ligaments or bone

as once incorporated these products re-

main in the tissues. Prior to use of any topi-

cal agent it is important to ask the patient if

they have allergies to the intended product.

By Bonnie Fraser BSc, BNURS, RN





















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development of a

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high-

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paper.

By Karen Keast


GenevaHealthcare




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Pharmacies - the right medicine for Medicare?By Karen Keast

Community pharmacists equipped to provide

vaccinations, basic health checks, mental

health support, repeat prescriptions and treat mi-

nor ailments could be the remedy to Australia’s

rising health care costs.

The Pharmacy Guild of Australia says en-

hanced services at the nation’s 5450 community

pharmacies will deliver a more affordable and ac-

cessible health system.

The call comes after Health Minister Sussan

Ley recently vowed to consult with health profes-

sionals on reforms designed to make Medicare

more sustainable.

The Guild says pharmacists could provide

repeat prescriptions for stable, long term condi-

tions such as diabetes and high blood pressure.

Pharmacists could also dispense medicines

to treat a range of minor ailments such as urinary

tract infections, middle ear infections and minor

skin irritations, which make up about 26 million

GP consultations every year.

Trained community pharmacists could ad-

minister the �u and other vaccinations, through

the National Immunisation Program for at-risk

patient groups, and provide vaccines privately for

the wider population.

Under a trial, Queensland pharmacies are

delivering the in�uenza, whooping cough and

measles vaccines, while Western Australian and

South Australian pharmacists were also recently

given the green light to administer the �u vaccine.

The Guild proposes pharmacies could also

provide a systematic approach to medicines rec-

onciliation.

It argues post hospital and transitional care

medicine reconciliation support will address the

230,000 medicine-related hospital admissions

annually, that comes with a $1.2 billion price tag.

Pharmacies could deliver basic health

checks, risk assessments, lifestyle counselling,

support and referrals alongside initial screening

for diseases such as bowel cancer.

“This increased role in preventative health

and early intervention will help identify at-risk pa-

tients earlier and, with the necessary follow-up,

have the potential to reduce the prevalence of

expensive, chronic health conditions,” it states.

The Guild says pharmacists with the ap-

propriate quali�cations and training could also

provide early intervention, support, referral and

continuity of care for people with mental illness.

The Guild national president George Tambass-

is said community pharmacies in Australia have

already proven their ability to provide enhanced

medication support, diabetes services, asthma

management and blood pressure monitoring.

“The outstanding success of the recent �u

vaccination pilot in Queensland is the latest ex-

ample of how pharmacies can deliver high quality

and more convenient and cost-effective services

to patients,” he said.

“However, Australia is lagging many other

countries in terms of making the most effective

use of its highly accessible physical pharmacy

network and the skills of its pharmacist profes-

sion, working in close collaboration with doctors

and other health professionals.

“The government’s Medicare reforms, com-

bined with the upcoming new community phar-

macy agreement, aged care reforms, primary

health networks and potential changes to the

private health insurance rebate provide the right

climate to transform pharmacies into true health

destinations.”

For more articles visit NCAH.com.au

Working remote as a physiotherapist

Melbourne-trained physiotherapist Rob

Curry wanted a bush lifestyle - one far away

from the daily grind of the commute to work at

a metropolitan physiotherapy practice.

“I was interested in the bush and a rural life,

as a philosophical approach rather than living

in a city and all of the things that that entails,”

he says.

Rob ventured to Port Lincoln in South Aus-

tralia and had a brief stint working in Queens-

land before moving to Darwin in late 1983.

Rob went on to spend 30 years working

in the Northern Territory, mostly practising as

a physiotherapist in Aboriginal com-

munities outside of Darwin.

“I liked Darwin straight

away,” he says.

“I worked several

years at the Royal

Darwin Hospital and

then in about 1990

I took the remote

physio job working

in Aboriginal com-

munities.

“I did that for

about a decade, travel-

ling from Darwin to remote

communities like Maningrida,

Tiwi Islands, Oenpelli - those

sorts of places.

“That was a �ying job really - lots of �ying

in light aircraft or driving 4WD vehicles and oc-

casionally boats to get to places.”

Rob was the only physiotherapist for about

14,000 people living in remote communities.

He would visit the larger communities every

few months, spending a few days in each area,

prioritising his practise and focusing on aged

care and disability care.

“As a physio it was a bit frustrating really

because I would have liked to have worked

more on the sports injuries of the people out

there because remote Aboriginal people play a

lot of footy and a lot of sport,” he says.

“The main problems were people with dis-

abilities and people who had strokes or lost

limbs or who had other major injuries or ill-

nesses.

“They were the things I really had to priori-

tise as being the things that would either mean

that people would end up in hospital, either if

they didn’t get some physiotherapeutic input or

sometimes people would pass away

because they had lacked inde-

pendent movement.

“They would get pres-

sure sores or chest in-

fections or something

like that and ultimate-

ly end up in hospital

or pass away.

“Disabled kids

was a real focus -

kids who have had

head injuries or men-

ingitis or some other de-

velopmental problem.

“They were really the pri-

ority health issues - it meant peo-

ple could either stay living in the com-

munity or would have to go to hospital or go

to some sort of institution or aged care facility

in Darwin.”

Rob recalls treating and assisting an older

Aboriginal woman with arthritis and deformities

as a result of leprosy, who found it incredibly

dif�cult to walk.

Rob worked with a clinic in Darwin to devel-

op and trial a motorised buggy for the woman.

“She needed one that could get across

sand reasonably easy because it was quite

sandy where she lived,” he says.

“She was a beautiful old woman and it was

worth working with her on that.

“Eventually we did get the buggy devel-

oped but there were always issues with it in a

remote community of keeping it going but she

really appreciated those efforts, and it gave her

a lot more independence for the time that she

had the buggy before she passed away.”

While working as a physiotherapist in re-

mote communities came with its challenges,

Rob says he loved the country, the people and

especially the freedom that came with the role.

Professionally, Rob developed a cross-

cultural and multidisciplinary approach to his

practise.

The experience also sparked Rob’s inter-

est in the philosophy and practise of primary

health care.

Rob, who went on to complete a Graduate

Diploma in Aboriginal Studies and a Masters in

Primary Health Care, left physiotherapy to work

in management and public health roles in Abo-

riginal health in the Territory.

He worked for the Tiwi Health Board and

then with the Aboriginal Medical Services Alli-

ance of the Northern Territory (AMSANT).

Over the years, Rob has been a board mem-

ber of the Australian Physiotherapy Association

(APA) and the National Rural Health Alliance.

Rob is an inaugural member and current

vice president of Services for Australian Rural

and Remote Allied Health (SARRAH).

While Rob is semi-retired, lives on the mid-

north coast of New South Wales and no longer

practises physiotherapy, he remains passionate

about models of rural allied health practice, mul-

ti-disciplinary primary health care, and health

workforce issues.

Working remote as a physiotherapist was

not only incredibly enriching - the experience

shaped Rob’s entire career.

“I worked in amazing parts of Australia,

was stimulated by that and was working in a

different culture with different sets of rules

and different ways people live their lives and I

found that incredibly stimulating but challeng-

ing also,” he says.

Rob advises students to take up opportu-

nities to experience remote placements, and

says physiotherapists who are prepared to go

bush won’t look back.

“I think if you do plan it, it can be a really

exciting part of your life,” he says.

“If you go into it with your eyes wide open,

prepare and make sure you don’t get isolated

professionally, then I think it’s a great experi-

ence for people and would really encourage it.”

Rob’s tips for physiotherapists working remote:

1. Maintain your professional skills. Rob ad-

vises physiotherapists to plan their profes-

sional development. “Don’t just roll along and

let it happen,” he says. “In remote areas you

might get away a bit from your speci�c clinical

practice and you get into other roles, you de-

velop services, you advocate for services, you

do a lot of multidisciplinary work, but you might

actually back off your speci�c work like spinal

work or musculoskeletal work. Keep your pro-

fessional development skills up.”

2 . Make connections. Physiotherapists may

be working remotely but can connect with other

professionals in different physiotherapy �elds.

“Keep your connections with them so that you

can update your knowledge and check your

knowledge,” Rob says. “Otherwise you can

get professionally a bit isolated or lose touch

a bit. It’s a really full working life but it’s not so

clinically focused as say urban practice is. You

need to be wary of that.”


SA pharmacists to administer vaccinations

South Australian pharmacists are the lat-

est to receive the green light to administer flu

vaccinations.

State Health Minister Jack Snelling has

announced pharmacists will be able to ad-

minister the flu vaccine when it becomes

available in late March.

The move follows the success of last

year’s Queensland Pharmacist Immunisation

Project (QPIP) which delivered about 11,000

vaccinations.

The Western Australian government has

also allowed pharmacists to deliver the influ-

enza vaccine and a parliamentary inquiry has

recommended establishing a pharmacy im-

munisation trial in Victoria.

Under the South Australian initiative,

pharmacists will be able to vaccinate adults

over the age of 16 who are not already eligi-

ble for a free flu shot as part of the National

Immunisation Program.

Pharmacists wanting to administer flu

vaccines will undergo training to be equipped

with the knowledge and skills needed to not

only deliver the vaccine but to also be able to

identify and treat any possible side effects.

SA Health will also need to accredit any

participating pharmacies, which will receive

an audit every two years in line with pharma-

cy industry standards.

Last year, South Australia reported its

highest number of influenza cases on record

with more than 11,000 cases - exceeding the

2009 swine flu epidemic.

“Allowing pharmacists to directly admin-

ister the flu shot will encourage a greater up-

take of the vaccine in 2015,” Mr Snelling said

in a statement.

“Having as many people as possible vac-

cinated against influenza each year will go a

long way towards creating a healthier com-

munity and helping to reduce the additional

burden on the health system.”

Pharmacy Guild of Australia SA Branch

president Nick Panayiaris said the move will

make it easier for people to receive the flu

shot.

“The availability of vaccination by phar-

macists in rural areas will greatly assist the

community’s access to protection against in-

fluenza, where previously they may have not

had accessibility,” he said.

“South Australian pharmacists have al-

ways been a trusted source of health services

and advice, and vaccination will now become

another service pharmacists will take on and

perform professionally for the benefit of the

community.”

While pharmacists have been unable to

provide vaccines until the Queensland trial,

community pharmacy groups have been us-

ing nurse immunisers in a bid to introduce

their own flu vaccination programs.

The QPIP moved into phase two last

September, with more than 200 pharmacists

across the state able to deliver whooping

cough and measles vaccines.

Pharmacists provide vaccinations in the

United Kingdom, New Zealand, Canada and

the United States.

By Karen Keast






Queensland will legislate nurse to patient

ratios under a Labor state government.

Opposition leader Annastacia Palaszczuk

has pledged to legislate safe patient ratios in

public hospitals if Labor wins the January 31

election.

Under its Nursing Guarantee policy, La-

bor will fund an extra 400 nursing positions at

a cost of $110 million over four years.

The policy also outlines a plan to estab-

lish a benchmark ratio of one nurse per four

patients in acute wards during day shifts and

one nurse to eight patients overnight, as a

starting point for this year’s new EB9 enter-

prise agreement with nurses and midwives.

Labor will also legislate in its first term

for safe nurse to patient ratios and workload

provisions to ensure patient safety and qual-

ity health care.

Ms Palaszczuk said Labor will rebuild

health services slashed under the Newman

Government, which cut more than 4800 posi-

tions from hospitals and health services in-

cluding about 1800 full-time equivalent nurs-

ing and midwifery positions.

She said evidence showed mandated

nurse to patient ratios improved quality of

care and resulted in better health outcomes

for patients, reduced re-admission rates and

reduced post-operative mortality rates.

“The additional cost of ensuring appropri-

ate nurse bedside hours is recouped through

the reduced costs of better service delivery

and better patient outcomes,” she said.

Queensland Nurses’ Union (QNU) acting

secretary Des Elder said no legislation cur-

rently exists to govern how many patients

can be allocated to a single nurse or midwife.

“A commitment to install safe nurse to

patient ratios provides a ray of sunshine af-

ter three bleak years of hospital and health

service job cuts in Queensland,” he said.

“The nurses and midwives who have survived the LNP health cull have told us they are overworked, fearful for patient safety, tired and demoralised.

“The ALP’s announcement they will in-

troduce nurse ratio legislation if elected will

no doubt brighten their day.”

The newly elected Labor government in

Victoria has also vowed to enshrine nurse to

patient ratios in legislation.

The Queensland announcement comes

after renowned US patient safety researcher

Dr Linda Aiken visited the state in December

to discuss her research, which shows nurse

staffing levels contribute to a ‘seven-fold

difference’ in patient mortality rates between

hospitals.

As part of its nursing policy announce-

ment, Labor has pledged to create a Queens-

land Bureau of Health Statistics to publicly

report key indicators of public and private

hospitals and health services, and it will also

review the role of the Health Ombudsman.

Health Minister Lawrence Springborg

said the government has already pledged

another 2000 health workers.

By Karen Keast



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The Australian Nursing and Midwifery Fed-

eration (ANMF) has applauded the Federal

Government’s decision to dump plans to cut

the Medicare rebate for short GP visits.

New Health Minister Sussan Ley has an-

nounced the move to cut $20.10 from the re-

bate paid to GPs for consultations lasting less

than 10 minutes, due to take effect on January

19, will be taken off the table.

“The government is responding to con-

cerns that have been raised about the new

Medicare measure to improve patient care and

tackle the problem of ‘six minute medicine’,”

she said.

“The government is committed to encour-

aging doctors to spend more time with patients

where appropriate, whilst ensuring that taxpay-

ers’ dollars are effectively targeted.”

ANMF acting federal secretary Annie Butler

labelled it a “common sense decision”.

“As nurses and midwives, we were ex-

tremely worried that these proposed changes

would result in doctors passing on more out of

pockets costs on to their patients,” she said.

“We are now calling on Minister Ley to

consult with the ANMF and other health pro-

fessionals about how we can work together to

protect Medicare and the future sustainability

of Australia’s universal healthcare system.”

In a statement, Ms Ley said Medicare will

not survive in the long term without changes

“to make it sustainable”.

“In the last decade, spending on Medicare

has more than doubled from $8 billion in 2004

to $20 billion today, yet we raise only $10 billion

from the Medicare levy,” she said.

“Spending is projected to climb to $34 bil-

lion in the next decade to 2024.”

Meanwhile, the Australian Physiotherapy As-

sociation (APA) has put forward an alternative

Medicare reform solution.

The APA has reissued its call for physiothera-

pists to be able to refer patients directly to special-

ists with a Medicare rebate.

APA CEO Cris Massis said the proposal will

reap $13 million in savings a year.

“The government’s said it will consult with the

healthcare community for a sustainable plan - our

solution is to enable physiotherapists to refer pa-

tients direct to specialists,” he said.

“It will lead to immediate and significant lasting changes that will benefit patients and our health care system. It’s a simple reform that could save the Medicare Ben-efits Scheme millions.”

The APA has included the proposal in its

2015-16 pre-budget submission.

It estimates the move will reduce the number

of GP visits by about 737,000 a year and increase

specialist medical practitioner consultations by

55,521.

“The training and skills of physiotherapists

mean that they are capable and well quali�ed to

refer their clients to the right medical practitioner,”

the submission states.

The Australian Medical Association (AMA)

said the government’s decision to ditch the rebate

cut is a win for patients.

By Karen Keast


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more sustainable.





















onciliation.








































destinations.”










he says.









away,” he says.

“I worked several

years at the Royal

Darwin Hospital and

then in about 1990

I took the remote

physio job working

in Aboriginal com-

munities.

“I did that for





sorts of places.


















nesses.







pendent movement.






or pass away.

“Disabled kids

was a real focus -

kids who have had









in Darwin.”




dif�cult to walk.




















practise.



health care.




















workforce issues.














































vaccinations.








vaccinations.



























in a statement.









shot.











community.”












the United States.

By Karen Keast






Current Vacancies

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Live your passion.Be part of a proud Australian tradition.>









he says.









away,” he says.

“I worked several

years at the Royal

Darwin Hospital and

then in about 1990

I took the remote

physio job working

in Aboriginal com-

munities.

“I did that for





sorts of places.


















nesses.







pendent movement.






or pass away.

“Disabled kids

was a real focus -

kids who have had









in Darwin.”




dif�cult to walk.




















practise.



health care.




















workforce issues.












































Are you keen to utilise ALL of your nursing skills?

Opportunities exist for suitably qualified Nurses to join the Royal Flying Doctor Service, Central Operations in Adelaide. Working in a diverse, fulfilling and rewarding environment, RFDS nurses are at the forefront in delivery of aeromedical health services.

We are seeking registered nurses with General and Midwifery Nursing Certificates, currently registered with the Australian Health Practitioner Regulation Agency. You will also have comprehensive experience and/or post graduate qualifications in a critical care area, together with high level customer service skills and a professional approach to service delivery.

If you are keen to progress your career with an organisation that makes a real difference to all Australians, apply now.Please direct your confidential enquiries to Greg McHugh Ph: (08)8150 1313Applications to: Kate Guerin, HR Coordinator RFDS Central OperationsPO Box 381 Marleston DC SA 5033 Email: [email protected] Royal Flying Doctor Service Is An Equal Opportunity Employer

1318-025 1/2PG FULL COLOUR CMYK (typeset)SEE WA IN A DAYFlight nurses positions Regional bases Come and enjoy this exciting role with one of the largest areomedical services in Australia, providing a range of emergency services and primary health care to the state of Western Australia. Our operations are ever evolving and we are seeking Expressions of Interest from suitably skilled and motivated Registered Nurse / Midwives wanting to join our dynamic fl ight nurse teams at our regional bases within Western Australia.The role of a Flight Nurse is fun, rewarding and challenging while valuing team work and independent practice. If you are registered with AHPRA as a registered nurse and midwife, have 3-5 years post grad experience in emergency or critical care and great communication skills RFDS Western Operations may have the role for you.A comprehensive 2 week orientation, generous salary and salary packaging benefi ts, assistance with relocation and subsidised rental and utility costs along with district loadings and gratuities are some of the incentives offered to the successful candidates.If you are seeking the opportunity to work in all our locations within WA, Derby, Jandakot, Meekatharra, Kalgoorlie and Port Hedland and would like to know more about being a fl ight nurse contact Gabrielle West, Director of Nursing on (08) 9417 6300. The RFDS are open to a 6 month plus fl ight nurse contract for applicants seeking employment with the RFDS.Information on positions can be obtained from Rosemary Hunt, by phoning (08) 9417 6300 during offi ce hours or send your e-mail request to [email protected] date for applications is Monday 6th February 2012.

BlazeS052637

HEALTH SERVICES

PROGRAM MANAGER

The RFDS is an Equal Opportunity Employer


Flight NursesAre you keen to utilise ALL of your nursing skills?


We are seeking registered nurses with both General and Midwifery Nursing Certificates, currently registered with the Australian Health Practitioner Regulation Agency. You will also have comprehensive experience and/or post graduate qualifications in a critical care area, together with high level customer service skills and a professional approach to service delivery.

If you are keen to progress your career with an organisation that makes a real difference to all Australians, apply now.Please direct your confidential enquiries to Greg McHugh Ph: (08) 8150 1313Applications to: Kate Guerin, HR Coordinator RFDS Central OperationsPO Box 381 Marleston DC SA 5033 Email: [email protected] The Royal Flying Doctor Service is an Equal Opportunity Employer





Current Vacancies










We offer you:





501-005 1PG FULL COLOUR CMYK PDF424-037 1PG FULL COLOUR CMYK PDF






(ED or ICU)














he says.









away,” he says.

“I worked several

years at the Royal

Darwin Hospital and

then in about 1990

I took the remote

physio job working

in Aboriginal com-

munities.

“I did that for





sorts of places.


















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“Disabled kids

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kids who have had









in Darwin.”




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practise.



health care.




















workforce issues.

















































BlazeS052637

HEALTH SERVICES

PROGRAM MANAGER











Current Vacancies










We offer you:





501-005 1PG FULL COLOUR CMYK PDF424-037 1PG FULL COLOUR CMYK PDF






(ED or ICU)














he says.









away,” he says.

“I worked several

years at the Royal

Darwin Hospital and

then in about 1990

I took the remote

physio job working

in Aboriginal com-

munities.

“I did that for





sorts of places.


















nesses.







pendent movement.






or pass away.

“Disabled kids

was a real focus -

kids who have had









in Darwin.”




dif�cult to walk.




















practise.



health care.




















workforce issues.

















































BlazeS052637

HEALTH SERVICES

PROGRAM MANAGER











Current Vacancies










We offer you:





501-005 1PG FULL COLOUR CMYK PDF 424-037 1PG FULL COLOUR CMYK PDF






(ED or ICU)














he says.









away,” he says.

“I worked several

years at the Royal

Darwin Hospital and

then in about 1990

I took the remote

physio job working

in Aboriginal com-

munities.

“I did that for





sorts of places.


















nesses.







pendent movement.






or pass away.

“Disabled kids

was a real focus -

kids who have had









in Darwin.”




dif�cult to walk.




















practise.



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workforce issues.

















































BlazeS052637

HEALTH SERVICES

PROGRAM MANAGER










501-009 1PG FULL COLOUR CMYK PDF 424-005 1PG FULL COLOUR CMYK PDF 423-007 1PG FULL COLOUR CMYK PDF 422-005 1PG FULL COLOUR CMYK PDF 421-007 1PG FULL COLOUR CMYK PDF 420-005 1PG FULL COLOUR CMYK PDF 419-006 1PG FULL COLOUR CMYK PDF 418-004 1PG FULL COLOUR CMYK PDF 417-007 1PG FULL COLOUR CMYK PDF 416-004 1PG FULL COLOUR CMYK PDF 415-007 1PG FULL COLOUR CMYK PDF 414-005 1PG FULL COLOUR CMYK PDF 413-010 1PG FULL COLOUR CMYK PDF 412-005 1PG FULL COLOUR CMYK PDF 411-011 1PG FULL COLOUR CMYK PDF 409-012 1PG FULL COLOUR CMYK PDF 408-007 1PG FULL COLOUR CMYK PDF 407-013 1PG FULL COLOUR CMYK PDF 406-010 1PG FULL COLOUR CMYK PDF 405-013 1PG FULL COLOUR CMYK PDF 404-011 1PG FULL COLOUR CMYK PDF 403-015 1PG FULL COLOUR CMYK PDF 402-036 1PG FULL COLOUR CMYK PDF 401-003 1PG FULL COLOUR CMYK PDF 324-020 1PG FULL COLOUR CMYK PDF 323-022 1PG FULL COLOUR CMYK PDF 322-035 1PG FULL COLOUR CMYK PDF 321-014 1PG FULL COLOUR CMYK PDF 1320-006 1PG FULL COLOUR CMYK PDF (RPT)














more sustainable.





















onciliation.








































destinations.”










he says.









away,” he says.

“I worked several

years at the Royal

Darwin Hospital and

then in about 1990

I took the remote

physio job working

in Aboriginal com-

munities.

“I did that for





sorts of places.


















nesses.







pendent movement.






or pass away.

“Disabled kids

was a real focus -

kids who have had









in Darwin.”




dif�cult to walk.




















practise.



health care.




















workforce issues.














































vaccinations.








vaccinations.



























in a statement.









shot.











community.”












the United States.

By Karen Keast











election.













ity health care.





































hospitals.










By Karen Keast



501-027 1/2PG FULL COLOUR CMYK PDF 424-002 1/2PG FULL COLOUR CMYK PDF 423-001 1/2PG FULL COLOUR CMYK PDF 422-002 1/2PG FULL COLOUR CMYK PDF 421-001 1/2PG FULL COLOUR CMYK PDF 420-002 1/2PG FULL COLOUR CMYK PDF 419-001 1/2PG FULL COLOUR CMYK PDF 418-001 1/2PG FULL COLOUR CMYK PDF 417-002 1/2PG FULL COLOUR CMYK PDF 416-001 1/2PG FULL COLOUR CMYK PDF


�Attractive fee structure for our Graduate Entry Program.�Over 150 students currently enrolled and over 50 graduates

in Australia, New Zealand, Samoa and USA.�Home-based Pre-Clinical Study under top international


�Clinical Rotations can be performed locally, Interstate or Internationally.

�Receive personalised attention from an Academic Advisor.�OUM Graduates are eligible to sit the AMC exam or NZREX.


RNtoMD















she said.











































55,521.








By Karen Keast




Preferable:











election.













ity health care.





































hospitals.










By Karen Keast



501-027 1/2PG FULL COLOUR CMYK PDF424-002 1/2PG FULL COLOUR CMYK PDF423-001 1/2PG FULL COLOUR CMYK PDF422-002 1/2PG FULL COLOUR CMYK PDF421-001 1/2PG FULL COLOUR CMYK PDF420-002 1/2PG FULL COLOUR CMYK PDF419-001 1/2PG FULL COLOUR CMYK PDF418-001 1/2PG FULL COLOUR CMYK PDF417-002 1/2PG FULL COLOUR CMYK PDF416-001 1/2PG FULL COLOUR CMYK PDF


� Attractive fee structure for our Graduate Entry Program.� Over 150 students currently enrolled and over 50 graduates

in Australia, New Zealand, Samoa and USA.� Home-based Pre-Clinical Study under top international


� Clinical Rotations can be performed locally, Interstate or Internationally.

� Receive personalised attention from an Academic Advisor.� OUM Graduates are eligible to sit the AMC exam or NZREX.


RN to MD















she said.











































55,521.








By Karen Keast




Preferable:





501-009 1PG FULL COLOUR CMYK PDF424-005 1PG FULL COLOUR CMYK PDF423-007 1PG FULL COLOUR CMYK PDF422-005 1PG FULL COLOUR CMYK PDF421-007 1PG FULL COLOUR CMYK PDF420-005 1PG FULL COLOUR CMYK PDF419-006 1PG FULL COLOUR CMYK PDF418-004 1PG FULL COLOUR CMYK PDF417-007 1PG FULL COLOUR CMYK PDF416-004 1PG FULL COLOUR CMYK PDF415-007 1PG FULL COLOUR CMYK PDF414-005 1PG FULL COLOUR CMYK PDF413-010 1PG FULL COLOUR CMYK PDF412-005 1PG FULL COLOUR CMYK PDF411-011 1PG FULL COLOUR CMYK PDF409-012 1PG FULL COLOUR CMYK PDF408-007 1PG FULL COLOUR CMYK PDF407-013 1PG FULL COLOUR CMYK PDF406-010 1PG FULL COLOUR CMYK PDF405-013 1PG FULL COLOUR CMYK PDF404-011 1PG FULL COLOUR CMYK PDF403-015 1PG FULL COLOUR CMYK PDF402-036 1PG FULL COLOUR CMYK PDF401-003 1PG FULL COLOUR CMYK PDF324-020 1PG FULL COLOUR CMYK PDF323-022 1PG FULL COLOUR CMYK PDF322-035 1PG FULL COLOUR CMYK PDF321-014 1PG FULL COLOUR CMYK PDF1320-006 1PG FULL COLOUR CMYK PDF (RPT)














more sustainable.





















onciliation.








































destinations.”










he says.









away,” he says.

“I worked several

years at the Royal

Darwin Hospital and

then in about 1990

I took the remote

physio job working

in Aboriginal com-

munities.

“I did that for





sorts of places.


















nesses.







pendent movement.






or pass away.

“Disabled kids

was a real focus -

kids who have had









in Darwin.”




dif�cult to walk.




















practise.



health care.




















workforce issues.














































vaccinations.








vaccinations.



























in a statement.









shot.











community.”












the United States.

By Karen Keast






















products.







said.




tralians.”





enough fruit.








high-

er

levels

of chronic

disease and

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she said.















stomach and colon.









paper.

By Karen Keast


GenevaHealthcare








cancer.






disease mortality.














































circadian clock.



health.















lesterolemia.


By Karen Keast






















infection and devi-

talised or necrotic


development of a

non-healing wound

or ulcer.3

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cancer.






disease mortality.














































circadian clock.



health.















lesterolemia.


By Karen Keast






















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development of a

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said.




tralians.”





enough fruit.








high-

e r

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disease and

obesity.





she said.















stomach and colon.









paper.

By Karen Keast


Geneva Healthcare








Day 1:

Day 2:

Day 3:

Day 4:

To Register interest or enrol email:[email protected] or visit www.skinscience.co501-001 1/2PG FULL COLOUR CMYK PDF423-011 1/2PG FULL COLOUR CMYK PDF422-024 1/2PG FULL COLOUR CMYK PDF421-010 1/2PG FULL COLOUR CMYK PDF419-011 1/2PG FULL COLOUR CMYK PDF417-021 1/2PG FULL COLOUR CMYK PDF413-001 1/2PG FULL COLOUR CMYK PDF412-040 1/2PG FULL COLOUR CMYK PDF411-001 1/2PG FULL COLOUR CMYK PDF409-003 1/2PG FULL COLOUR CMYK PDF407-003 1/2PG FULL COLOUR CMYK PDF405-006 1/2PG FULL COLOUR CMYK PDF403-007 1/2PG FULL COLOUR CMYK PDF401-009 1/2PG FULL COLOUR CMYK PDF324-015 1/2PG FULL COLOUR CMYK PDF322-014 1/2PG FULL COLOUR CMYK PDF1320-018 1/2PG FULL COLOUR CMYK (repeat)







years experience




1300 650 873

Consider our product disclosure statement before making a decision about First State Super. Call us or visit our website for a copy. FSS Trustee Corporation ABN 11 118 202 672 AFSL 293340 is the trustee of the First State Superannuation Scheme ABN 53 226 460 365 N

CA_W

orks

Har

d_18

0x12

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in aged care.






































change.






By Karen Keast

501-031 1/4PG PDF











501-008 1PG FULL COLOUR CMYK PDF424-006 1PG FULL COLOUR CMYK PDF423-006 1PG FULL COLOUR CMYK PDF422-006 1PG FULL COLOUR CMYK PDF421-006 1PG FULL COLOUR CMYK PDF


AHN Recruitment

Ausmed

Austra Health




CQ Nurse

CRANAplus

Employment Offi ce

eNurse


Medacs Australia

No Roads to Health



Oxford Aunts Care

Pulse Staffi ng

Queensland Health



TR7 Health










ABN 29 071 328 053.







www.ncah.com.au




AHN Recruitment

Ausmed

Austra Health




CQ Nurse

CRANAplus

Employment Offi ce

eNurse


Medacs Australia

No Roads to Health



Oxford Aunts Care

Pulse Staffi ng

Queensland Health



TR7 Health










ABN 29 071 328 053.







www.ncah.com.au







CQ Nurse

Education Cruises

Employment Of�ce

Geneva Health




Lifescreen

Medacs Australia





Oxford Aunts Care

Pulse Staf�ng


TR7 Health

UK Pensions









AHN Recruitment

Ausmed

Austra Health




CQ Nurse

CRANAplus

Employment Offi ce

eNurse


Medacs Australia

No Roads to Health



Oxford Aunts Care

Pulse Staffi ng

Queensland Health



TR7 Health










ABN 29 071 328 053.







www.ncah.com.au




AHN Recruitment

Ausmed

Austra Health




CQ Nurse

CRANAplus

Employment Offi ce

eNurse


Medacs Australia

No Roads to Health



Oxford Aunts Care

Pulse Staffi ng

Queensland Health



TR7 Health










ABN 29 071 328 053.







www.ncah.com.au







CQ Nurse

Education Cruises

Employment Of�ce

Geneva Health




Lifescreen

Medacs Australia





Oxford Aunts Care

Pulse Staf�ng


TR7 Health

UK Pensions














Advertiser List


CQ Nurse

Geneva Health

Hays Healthcare


Justice Health

Lifescreen

Medacs Australia

Nurse at Call


Pulse Staf�ng

Queensland Health




Silver Chain

Skin Science

Uni�ed Healthcare

Western Health

1300 306 582

242-016 2PG

FULL C

OLO

UR

CM

YK
















242-

016

2PG

FU

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OLO

UR

CM

YK



















501-008 1PG FULL COLOUR CMYK PDF 424-006 1PG FULL COLOUR CMYK PDF 423-006 1PG FULL COLOUR CMYK PDF 422-006 1PG FULL COLOUR CMYK PDF 421-006 1PG FULL COLOUR CMYK PDF


AHN Recruitment

Ausmed

Austra Health




CQ Nurse

CRANAplus

Employment Offi ce

eNurse


Medacs Australia

No Roads to Health



Oxford Aunts Care

Pulse Staffi ng

Queensland Health



TR7 Health










ABN 29 071 328 053.







www.ncah.com.au




AHN Recruitment

Ausmed

Austra Health




CQ Nurse

CRANAplus

Employment Offi ce

eNurse


Medacs Australia

No Roads to Health



Oxford Aunts Care

Pulse Staffi ng

Queensland Health



TR7 Health










ABN 29 071 328 053.







www.ncah.com.au







CQ Nurse

Education Cruises

Employment Of�ce

Geneva Health




Lifescreen

Medacs Australia





Oxford Aunts Care

Pulse Staf�ng


TR7 Health

UK Pensions









AHN Recruitment

Ausmed

Austra Health




CQ Nurse

CRANAplus

Employment Offi ce

eNurse


Medacs Australia

No Roads to Health



Oxford Aunts Care

Pulse Staffi ng

Queensland Health



TR7 Health










ABN 29 071 328 053.







www.ncah.com.au




AHN Recruitment

Ausmed

Austra Health




CQ Nurse

CRANAplus

Employment Offi ce

eNurse


Medacs Australia

No Roads to Health



Oxford Aunts Care

Pulse Staffi ng

Queensland Health



TR7 Health










ABN 29 071 328 053.







www.ncah.com.au







CQ Nurse

Education Cruises

Employment Of�ce

Geneva Health




Lifescreen

Medacs Australia





Oxford Aunts Care

Pulse Staf�ng


TR7 Health

UK Pensions














Advertiser List


CQ Nurse

Geneva Health

Hays Healthcare


Justice Health

Lifescreen

Medacs Australia

Nurse at Call


Pulse Staf�ng

Queensland Health




Silver Chain

Skin Science

Uni�ed Healthcare

Western Health

1300 306 582

242-

016

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FU

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OLO

UR

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YK
















242-016 2PG

FULL C

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CM

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Day 1:

Day 2:

Day 3:

Day 4:

To Register interest or enrol email:[email protected] or visit www.skinscience.co501-001 1/2PG FULL COLOUR CMYK PDF 423-011 1/2PG FULL COLOUR CMYK PDF 422-024 1/2PG FULL COLOUR CMYK PDF 421-010 1/2PG FULL COLOUR CMYK PDF 419-011 1/2PG FULL COLOUR CMYK PDF 417-021 1/2PG FULL COLOUR CMYK PDF 413-001 1/2PG FULL COLOUR CMYK PDF 412-040 1/2PG FULL COLOUR CMYK PDF 411-001 1/2PG FULL COLOUR CMYK PDF 409-003 1/2PG FULL COLOUR CMYK PDF 407-003 1/2PG FULL COLOUR CMYK PDF 405-006 1/2PG FULL COLOUR CMYK PDF 403-007 1/2PG FULL COLOUR CMYK PDF 401-009 1/2PG FULL COLOUR CMYK PDF 324-015 1/2PG FULL COLOUR CMYK PDF 322-014 1/2PG FULL COLOUR CMYK PDF 1320-018 1/2PG FULL COLOUR CMYK (repeat)







years experience




1300 650 873

Consider our product disclosure statement before making a decision about First State Super. Call us or visit our website for a copy. FSS Trustee Corporation ABN 11 118 202 672 AFSL 293340 is the trustee of the First State Superannuation Scheme ABN 53 226 460 365N

CA_WorksH

ard_180x120P_0714










in aged care.






































change.






By Karen Keast

501-031 1/4PG PDF








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