32
healthtimes.com.au Regional & Remote Health + Preparing nurses for the Ebola frontline Surgical Wounds – Part 2 Nurse & son face deportation over autism diagnosis Pain management program targets Indigenous people + + + Issue 7 20/04/2015 Formerly Nursing Careers Allied Health ncah.com.au

Ncah issue 07 2015

Embed Size (px)

DESCRIPTION

Nursing jobs. Your guide to the best in careers and training in nursing and allied health.

Citation preview

Page 1: Ncah issue 07 2015

www.HealthTimes.com.auHealthTimes - Issue 7

Pri

nte

d b

y B

MP

- F

reecal

l 18

00

62

3 9

02

POSTAGEPAID

AUSTRALIA

PRINTPOST100015906

Seabreeze Communications Pty Ltd (ABN 29 071 328 053)PO Box 6744, Melbourne, VIC 3004

CHANGE OF ADDRESS: If the information on this mail label is incorrect, please email [email protected] with the address that is currently shown & your correct address.

healthtimes.com.au

Regional & Remote Health+ Preparing nurses for the Ebola frontline

Surgical Wounds – Part 2

Nurse & son face deportation over autism diagnosis

Pain management program targets Indigenous people

+

+

+

Issue 720/04/2015

Formerly

Nursing CareersAllied Health

ncah.com.au

507-006 1/2PG FULL COLOUR CMYK PDF

507-010 1PG FULL COLOUR CMYK PDF

First State Super works as hard as you do

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

507-005 1PG FULL COLOUR CMYK PDF

AUS Free Phone: 1800 818 844NZ Free Phone: 0800 700 839Dawn - [email protected]

Like us on Facebook: Careers with CCM Australasia

Hospital of St John & St ElizabethLondon, England

Representatives coming to Brisbane, Sydney, Melbourne & PerthPresentations & Interviews in June

If you always wanted to work in London, grab this opportunity & Book now

Positions are available but not limited to the following specialities: Urology, Gastrointestinal surgery, Plastics/Cosmetic surgery, Orthopaedics, Trauma & General Surgery, Gynaecology, Breast, ENT Surgery, Theatre, Recovery, Medical admissions & Day Surgery.

Bene�ts on Offer:Relocation package up to £2,500 (to cover costs of �ights, accommodation & removals)Generous annual leave – 27 days plus 8 public holidays Affordable accommodation, shared and single - close to the hospitalBuddy System - supported on arrival, to help you understand life in London

NMC Registration advantageous, but not essential at Presentation / Interview stage

Page 2: Ncah issue 07 2015

www.HealthTimes.com.au HealthTimes - Issue 7

Prin

ted

by B

MP

- Freecall 18

00

62

3 9

02

POSTAGEPAID

AUSTRALIA

PRINTPOST100015906

Seabreeze Communications Pty Ltd (ABN 29 071 328 053)PO Box 6744, Melbourne, VIC 3004

CHANGE OF ADDRESS: If the information on this mail label is incorrect, please email [email protected] with the address that is currently shown & your correct address.

healthtimes.com.au

Regional & Remote Health+Preparing nurses for the Ebola frontline

Surgical Wounds – Part 2

Nurse & son face deportation over autism diagnosis

Pain management program targets Indigenous people

+

+

+

Issue 720/04/2015

Formerly

Nursing CareersAllied Health

ncah.com.au

507-006 1/2PG FULL COLOUR CMYK PDF

507-010 1PG FULL COLOUR CMYK PDF

First State Super works as hard as you do

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

0P_0

714

507-005 1PG FULL COLOUR CMYK PDF

AUS Free Phone: 1800 818 844NZ Free Phone: 0800 700 839Dawn - [email protected]

Like us on Facebook: Careers with CCM Australasia

Hospital of St John & St ElizabethLondon, England

Representatives coming to Brisbane, Sydney, Melbourne & PerthPresentations & Interviews in June

If you always wanted to work in London, grab this opportunity & Book now

Positions are available but not limited to the following specialities: Urology, Gastrointestinal surgery, Plastics/Cosmetic surgery, Orthopaedics, Trauma & General Surgery, Gynaecology, Breast, ENT Surgery, Theatre, Recovery, Medical admissions & Day Surgery.

Bene�ts on Offer:Relocation package up to £2,500 (to cover costs of �ights, accommodation & removals)Generous annual leave – 27 days plus 8 public holidays Affordable accommodation, shared and single - close to the hospitalBuddy System - supported on arrival, to help you understand life in London

NMC Registration advantageous, but not essential at Presentation / Interview stage

Page 3: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 30 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 3

Page 6 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 27

507-015 1PG FULL COLOUR CMYK PDF506-020 1PG FULL COLOUR CMYK PDF505-024 1PG FULL COLOUR CMYK PDF

Nodeposit

Nodeposit

Nodeposit depositdeposit

Nodeposit

Find out how you could benefit from a novated car lease. Visit us online or call for an obligation-free quote.

Call us today 1300 221 971

www.smartnurses.com.au

*Based on the following assumptions: living in NSW 2123, salary: $70,000 gross p.a., travelling 15,000 kms p.a., lease term: 48 months. All figures quoted include budgets for fuel, servicing, tyres, maintenance and re-registration over the period of the lease. Also includes QBE comprehensive motor insurance, 2 year extended warranty (except for all Hyundai and Kia models) and platinum aftermarket pack, which includes window tint as part of the offer. Vehicle pricing is correct at the time of print and may be subject to change and availability.

No deposit to pay

NEW MAZDA CX-5Maxx (FWD) 2.0i Auto

Per fortnight

$395*

Package

includes

FuelFinanceMaintenanceWarranty

Re-registrationServicingInsurance

to payPer fortnight395

Re-registration

Nissan Xtrail ST 5st 2WD

Auto

$420*Per fortnight

Mazda 3 Maxx Auto Hatch/Sedan

$340*Per fortnight

Hyundai i30 Trophy 1.8i

Auto

$330*Per fortnight

Toyota Corolla Ascent Sport 1.8i

Auto

$345*Per fortnight

2014

State

Time for a new car?Consider a novated car lease with Smartleasing

NCAH-125 x 180_Time for a new car_March 2015.indd 1 10/03/2015 10:13:22 AM

507- 032 1PG FULL COLOUR CMYK PDF

Be the heart of Barwon Health.As Australia’s leading regional healthcare provider, we are at the leading edge of care, education and research. As the Geelong region’s largest employer, our people are at the heart of everything we do.

www.barwonhealth.org.au

Care | Education | Research

507-034 1PG FULL COLOUR CMYK PDF 506-011 1PG FULL COLOUR CMYK PDF

Did you know your employer can help you get into a brand-new Nissan SUV? If you’re working in health, they can. When you salary sacrifi ce a Nissan with your employer you’ll see that combining the potential for tax minimisation and Nissan’s novated pricing will exceed your expectations.

Talk to your employer about eligibility and your Nissan Dealer for novated pricing.

Excludes GT-R. For more info, visit nissan.com.au/salsac

Can you see yourself behind the wheel of a QASHQAI?

Your employer can.

FLT0114A/HT

Nurse and son face deportation over autism diagnosis

Growing up in the Philippines, Maria Sevilla

dreamed of one day becoming a nurse.

“The nurses used to travel using the pub-

lic transport and they were all wearing white

dresses,” she recalled.

“I said - ‘one day I am going to be in that

uniform and I’ll be a nurse’, but because at

the time my mum can’t afford to send me to a

nursing school, I ended up doing an engineer-

ing course in the public school.”

Years later, Maria’s aspirations became a re-

ality, when her mother and step-father urged

her to join them and move with her son Tyrone,

then aged two, to Townsville in Queensland.

“They offered to me if I wanted to study

nursing here in Australia. I was really over-

whelmed. I said - ‘yes, of course’.”

Maria studied the Diploma of Nursing at

TAFE and went on to complete her certifi-

cate three in aged care before completing her

Bachelor of Nursing Science at James Cook

University.

Fast forward four years and Maria is a reg-

istered nurse working in the rehabilitation ward

at the Townsville Hospital.

But Maria’s dreams of working as a nurse

and living with her family in Australia are at risk

after the Federal Government’s Migration Re-

view Tribunal denied her request for a Skilled

Regional Provisional visa because of Tyrone’s

autism, which he was diagnosed with in Aus-

tralia six months after their arrival.

Maria said the Immigration Department, in

a letter, rejected the visa application because

her son’s autism could be ‘a burden on the Aus-

tralian health system’.

Federal Immigration Minister Peter Dutton

now has the final say on Maria and Tyrone’s

future, and a decision on their deportation is

expected within 28 days.

“I’m just hoping that they will give Tyrone a

fair go and not label Tyrone as a burden to the

Australian society or any society because of his

autism,” Maria said.

“How would the Minister feel if his son was

labelled as a burden to society? You are strip-

ping away his chances of getting a bright future

in a safe environment and being with the rest

of his family.”

Tyrone does not speak Filipino and depor-

tation would force Maria and the 10-year-old

away from their family in Australia to the Phil-

ippines, where they have no close remaining

relatives or reliable health services.

Maria said deportation would also be ex-

tremely stressful for Tyrone who, due to his

autism, struggles with even small changes to

his routine.

The Queensland Nurses’ Union (QNU) has

rallied behind Maria and Tyrone.

QNU secretary Beth Mohle called on the

Minister to protect Tyrone instead of punishing

him for his condition.

“Tyrone’s mother Maria is a hard-working

and highly valued rehabilitation nurse who

helps patients who have lost limbs and suffered

spinal and brain injuries to rebuild their lives,”

she said.

“The QNU and the Australian public will rail

against any move to deport this child to the

Philippines.”

Maria said she’s been overwhelmed by the

support of her nursing and medical colleagues

and also the wider Australian community.

“Being a permanent nurse, that’s really a

part of my dreams and a part of it as well is be-

ing a resident here in Australia. I want to own

my own house for me and Tyrone.

for the full article visit HealthTimes.com.au

Page 4: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 28 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 5

Page 4 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 29

Issue 7 – 20 April 2015

Advertiser list

Australian Red Cross

Barwon Health

CCM Recruitment International

CQ Nurse

Employment O�ce

First State Super

Geneva Health

Hays Healthcare

Health Recruitment Specialists

Lifescreen

Medacs Australia

Nissan Fleet

North East Health Wangaratta

Northern Territory Medicare Local

Nurse at Call

Oceania University of Medicine

Quick and Easy Finance

Royal Flying Doctor Service

Smart Salary

St John of God Bendigo

Troll Dental

Umoona Tjutagku Health Service

Western District Health Service

Wyndham Clinic Private Hospital

Your Nursing Agency

We hope you enjoy perusing the range of opportunities included in Issue 7, 2015.

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 would like to receive our publication, please email us at [email protected]

The HealthTimes magazine is the most widely distributed national nursing and allied health publication in Australia.

For all advertising and production enquiries please contact us by telephone on 1300 306 582, email [email protected] or visit www.healthtimes.com.au

Published by Seabreeze Communications Pty Ltd trading as HealthTimes.ABN 29 071 328 053.

© 2015 Seabreeze Communications Pty Ltd.

All right 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.

DISTRIBUTION43,219

Midwifery & Maternal

Monday 27th of April 2015

Wednesday 29th April 2015

Next Publication:

Publication Date: Monday 4th of May 2015

Colour Artwork Deadline:

Mono Artwork Deadline:

507-001 1PG FULL COLOUR CMYK PDF 506-003 1PG FULL COLOUR CMYK PDF 505-002 1PG FULL COLOUR CMYK PDF 504-003 1PG FULL COLOUR CMYK PDF 503-005 1PG FULL COLOUR CMYK PDF 502-004 1PG FULL COLOUR CMYK PDF 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

Scheme attracts nurses and midwives to rural areas

Graduate nurses, midwives, sonographers

and specialists are continuing to be attracted

to rural and other hard-to-staff communities

in New Zealand.

Registrations for the 2015 intake of the na-

tion’s Voluntary Bonding Scheme, the seventh

intake of the incentive-based scheme, closed

on March 13.

The Health Workforce New Zealand ini-

tiative works to encourage nurses, midwives,

doctors, radiation therapists and medical

physicists into hard-to-staff specialities and

communities faced with higher vacancy rates,

greater locum use, longer waiting periods, and

a higher use of overseas trained professionals.

For the first time, sonographers were add-

ed to the list of high-demand professions this

year.

Health Workforce New Zealand manager

Ruth Anderson said more than 3500 graduates

have signed up to the scheme since it was first

introduced in 2009.

“When the scheme was first introduced,

there were 350 registrants on the scheme

across the eligible professions,” she said.

“Those numbers have been exceeded eve-

ry year and all eligible registrants have been

accepted on to the scheme, to date.

“Registrations generally fluctuate between

400-500 each year in response to the changes

in the hard-to-staff communities and special-

ties.”

Ms Anderson said hard-to-staff commu-

nities and specialties are revised each year,

through a nationwide stakeholder consulta-

tion, and are based on the needs of the New

Zealand workforce.

“The scheme is not just focused on specific

areas but is aimed at communities as a whole,”

she said.

“Rurality is a contributing factor with the

majority of hard-to-staff communities encom-

passing rural areas.

“The scheme is an important component of

an overall strategy to ensure New Zealand has a

workforce that is serving the needs of rural and

remote communities.

“The steady number of applicants to the

scheme shows that health professionals are go-

ing where they are needed most.”

Under the scheme, graduates are bonded

for a period of up to five years with participants

able to apply for reward payments after com-

pleting their bonding period.

For the full article visit HealthTimes.com.au507-018 1/4PG PDF

507-036 1PG FULL COLOUR CMYK PDF

Time for a new job?

These and hundreds more nursing, midwifery and allied health jobs at HealthTimes.com.au

Associate NUM (Theatre)Regional Victoria

Triage Nursing RolesWork from home

ED Nurses & MidwivesOutback Australia

Midwives & Postnatal EENsSydney Private Hospital

Physiotherapy OpportunitiesHobart

Part time Practice NurseMaryborough Queensland

Page 5: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 28 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 5

Page 4 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 29

Issue 7 – 20 April 2015

Advertiser list

Australian Red Cross

Barwon Health

CCM Recruitment International

CQ Nurse

Employment O�ce

First State Super

Geneva Health

Hays Healthcare

Health Recruitment Specialists

Lifescreen

Medacs Australia

Nissan Fleet

North East Health Wangaratta

Northern Territory Medicare Local

Nurse at Call

Oceania University of Medicine

Quick and Easy Finance

Royal Flying Doctor Service

Smart Salary

St John of God Bendigo

Troll Dental

Umoona Tjutagku Health Service

Western District Health Service

Wyndham Clinic Private Hospital

Your Nursing Agency

We hope you enjoy perusing the range of opportunities included in Issue 7, 2015.

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 would like to receive our publication, please email us at [email protected]

The HealthTimes magazine is the most widely distributed national nursing and allied health publication in Australia.

For all advertising and production enquiries please contact us by telephone on 1300 306 582, email [email protected] or visit www.healthtimes.com.au

Published by Seabreeze Communications Pty Ltd trading as HealthTimes.ABN 29 071 328 053.

© 2015 Seabreeze Communications Pty Ltd.

All right 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.

DISTRIBUTION43,219

Midwifery & Maternal

Monday 27th of April 2015

Wednesday 29th April 2015

Next Publication:

Publication Date:Monday 4th of May 2015

Colour Artwork Deadline:

Mono Artwork Deadline:

507-001 1PG FULL COLOUR CMYK PDF506-003 1PG FULL COLOUR CMYK PDF505-002 1PG FULL COLOUR CMYK PDF504-003 1PG FULL COLOUR CMYK PDF503-005 1PG FULL COLOUR CMYK PDF502-004 1PG FULL COLOUR CMYK PDF501-008 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

Scheme attracts nurses and midwives to rural areas

Graduate nurses, midwives, sonographers

and specialists are continuing to be attracted

to rural and other hard-to-staff communities

in New Zealand.

Registrations for the 2015 intake of the na-

tion’s Voluntary Bonding Scheme, the seventh

intake of the incentive-based scheme, closed

on March 13.

The Health Workforce New Zealand ini-

tiative works to encourage nurses, midwives,

doctors, radiation therapists and medical

physicists into hard-to-staff specialities and

communities faced with higher vacancy rates,

greater locum use, longer waiting periods, and

a higher use of overseas trained professionals.

For the first time, sonographers were add-

ed to the list of high-demand professions this

year.

Health Workforce New Zealand manager

Ruth Anderson said more than 3500 graduates

have signed up to the scheme since it was first

introduced in 2009.

“When the scheme was first introduced,

there were 350 registrants on the scheme

across the eligible professions,” she said.

“Those numbers have been exceeded eve-

ry year and all eligible registrants have been

accepted on to the scheme, to date.

“Registrations generally fluctuate between

400-500 each year in response to the changes

in the hard-to-staff communities and special-

ties.”

Ms Anderson said hard-to-staff commu-

nities and specialties are revised each year,

through a nationwide stakeholder consulta-

tion, and are based on the needs of the New

Zealand workforce.

“The scheme is not just focused on specific

areas but is aimed at communities as a whole,”

she said.

“Rurality is a contributing factor with the

majority of hard-to-staff communities encom-

passing rural areas.

“The scheme is an important component of

an overall strategy to ensure New Zealand has a

workforce that is serving the needs of rural and

remote communities.

“The steady number of applicants to the

scheme shows that health professionals are go-

ing where they are needed most.”

Under the scheme, graduates are bonded

for a period of up to five years with participants

able to apply for reward payments after com-

pleting their bonding period.

For the full article visit HealthTimes.com.au507-018 1/4PG PDF

507-036 1PG FULL COLOUR CMYK PDF

Time for a new job?

These and hundreds more nursing, midwifery and allied health jobs at HealthTimes.com.au

Associate NUM (Theatre)Regional Victoria

Triage Nursing RolesWork from home

ED Nurses & MidwivesOutback Australia

Midwives & Postnatal EENsSydney Private Hospital

Physiotherapy OpportunitiesHobart

Part time Practice NurseMaryborough Queensland

Page 6: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 30 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 3

Page 6 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 27

507-015 1PG FULL COLOUR CMYK PDF 506-020 1PG FULL COLOUR CMYK PDF 505-024 1PG FULL COLOUR CMYK PDF

Nodeposit

Nodeposit

Nodeposit

Nodeposit

Find out how you could benefit from a novated car lease. Visit us online or call for an obligation-free quote.

Call us today 1300 221 971

www.smartnurses.com.au

*Based on the following assumptions: living in NSW 2123, salary: $70,000 gross p.a., travelling 15,000 kms p.a., lease term: 48 months. All figures quoted include budgets for fuel, servicing, tyres, maintenance and re-registration over the period of the lease. Also includes QBE comprehensive motor insurance, 2 year extended warranty (except for all Hyundai and Kia models) and platinum aftermarket pack, which includes window tint as part of the offer. Vehicle pricing is correct at the time of print and may be subject to change and availability.

No deposit to pay NEW MAZDA CX-5

Maxx (FWD) 2.0i AutoPer fortnight

$395*

Package

includes

FuelFinanceMaintenanceWarranty

Re-registrationServicingInsurance

Nissan Xtrail ST 5st 2WD

Auto

$420*Per fortnight

Mazda 3 Maxx Auto Hatch/Sedan

$340*Per fortnight

Hyundai i30 Trophy 1.8i

Auto

$330*Per fortnight

Toyota Corolla Ascent Sport 1.8i

Auto

$345*Per fortnight

2014

State

Time for a new car?Consider a novated car lease with Smartleasing

NCAH-125 x 180_Time for a new car_March 2015.indd 110/03/2015 10:13:22 AM

507- 032 1PG FULL COLOUR CMYK PDF

Be the heart of Barwon Health.As Australia’s leading regional healthcare provider, we are at the leading edge of care, education and research. As the Geelong region’s largest employer, our people are at the heart of everything we do.

www.barwonhealth.org.au

Care | Education | Research

507-034 1PG FULL COLOUR CMYK PDF506-011 1PG FULL COLOUR CMYK PDF

Did you know your employer can help you get into a brand-new Nissan SUV? If you’re working in health, they can. When you salary sacrifi ce a Nissan with your employer you’ll see that combining the potential for tax minimisation and Nissan’s novated pricing will exceed your expectations.

Talk to your employer about eligibility and your Nissan Dealer for novated pricing.

Excludes GT-R. For more info, visit nissan.com.au/salsac

Can you see yourself behind the wheel of a QASHQAI?

Your employer can.

FLT0114A/HT

Nurse and son face deportation over autism diagnosis

Growing up in the Philippines, Maria Sevilla

dreamed of one day becoming a nurse.

“The nurses used to travel using the pub-

lic transport and they were all wearing white

dresses,” she recalled.

“I said - ‘one day I am going to be in that

uniform and I’ll be a nurse’, but because at

the time my mum can’t afford to send me to a

nursing school, I ended up doing an engineer-

ing course in the public school.”

Years later, Maria’s aspirations became a re-

ality, when her mother and step-father urged

her to join them and move with her son Tyrone,

then aged two, to Townsville in Queensland.

“They offered to me if I wanted to study

nursing here in Australia. I was really over-

whelmed. I said - ‘yes, of course’.”

Maria studied the Diploma of Nursing at

TAFE and went on to complete her certifi-

cate three in aged care before completing her

Bachelor of Nursing Science at James Cook

University.

Fast forward four years and Maria is a reg-

istered nurse working in the rehabilitation ward

at the Townsville Hospital.

But Maria’s dreams of working as a nurse

and living with her family in Australia are at risk

after the Federal Government’s Migration Re-

view Tribunal denied her request for a Skilled

Regional Provisional visa because of Tyrone’s

autism, which he was diagnosed with in Aus-

tralia six months after their arrival.

Maria said the Immigration Department, in

a letter, rejected the visa application because

her son’s autism could be ‘a burden on the Aus-

tralian health system’.

Federal Immigration Minister Peter Dutton

now has the final say on Maria and Tyrone’s

future, and a decision on their deportation is

expected within 28 days.

“I’m just hoping that they will give Tyrone a

fair go and not label Tyrone as a burden to the

Australian society or any society because of his

autism,” Maria said.

“How would the Minister feel if his son was

labelled as a burden to society? You are strip-

ping away his chances of getting a bright future

in a safe environment and being with the rest

of his family.”

Tyrone does not speak Filipino and depor-

tation would force Maria and the 10-year-old

away from their family in Australia to the Phil-

ippines, where they have no close remaining

relatives or reliable health services.

Maria said deportation would also be ex-

tremely stressful for Tyrone who, due to his

autism, struggles with even small changes to

his routine.

The Queensland Nurses’ Union (QNU) has

rallied behind Maria and Tyrone.

QNU secretary Beth Mohle called on the

Minister to protect Tyrone instead of punishing

him for his condition.

“Tyrone’s mother Maria is a hard-working

and highly valued rehabilitation nurse who

helps patients who have lost limbs and suffered

spinal and brain injuries to rebuild their lives,”

she said.

“The QNU and the Australian public will rail

against any move to deport this child to the

Philippines.”

Maria said she’s been overwhelmed by the

support of her nursing and medical colleagues

and also the wider Australian community.

“Being a permanent nurse, that’s really a

part of my dreams and a part of it as well is be-

ing a resident here in Australia. I want to own

my own house for me and Tyrone.

for the full article visit HealthTimes.com.au

Page 7: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 26 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 7

Page 10 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 23

507-008 1PG FULL COLOUR CMYK PDF506-006 1PG FULL COLOUR CMYK PDF

Superior Oral Care

Made in Sweden Used world wide

Quality brushes for lifePharmacy stockists - tepesmiles.com.au Direct postal delivery - oralcare4u.com.auWholesale - 1800 064 645

trolldental.com1800 064 645

Implant CareDenture CareDexterity AidsSensitive GumsInterdental Brushes

Call us for a catalogue ora sample today

Clinical Governance Guide for remote and isolated health

Nurses, midwives and allied health profes-

sionals have a practical guide to help them

navigate the unique challenges of clinical

governance while working in Australia’s re-

mote areas.

CRANAplus, the peak professional body

for the nation’s remote and isolated health

workforce, has developed a Clinical Govern-

ance Guide for health managers and clini-

cians.

The guide, designed for health centre

managers, nurses, midwives, allied health

professionals, doctors, Aboriginal and Torres

Strait Islander health care practitioners and

health workers, outlines the components and

processes for appropriate and effective clini-

cal governance and quality improvement for

remote and isolated health services.

CRANAplus professional officer Marcia

Hakendorf, a registered nurse and former SA

Health Department Nursing and Midwifery

policy advisor, says the resource simplifies

what clinical governance means to health

practitioners’ workplaces and their practices.

“There’s been a lot written about clinical

governance and it’s absolutely like a maze to

put the pieces together,” she says.

“So this was about demystifying and

grounding it for clinical managers and clini-

cians working in the bush.

“What we really wanted to do was to ensure that there was an effective and consistent standard of health ser-vice throughout remote and isolated areas of Australia, and it was also about improving the capacity of the remote health workforce in providing an effec-tive, consistent standard of health care to remote Australians.”

The guide provides clinicians with direc-

tion and guidance to ensure their health ser-

vice has robust clinical governance processes

focusing on the four pillars of remote clinical

governance - workforce effectiveness, clini-

cal performance and evaluation, clinical risk

management, and consumer participation.

“It also talks about the five components

of quality improvement for the remote sec-

tor such as organisational leadership and

strong management, quality improvement,

workforce development, environment and

cultural safety, and consumers and commu-

nity.”

The challenge when creating the guide

was to ensure it would be user-friendly, log-

ical and a practical resource for managers

and clinicians to refer to that complimented

the work of the NSQHS Standards from the

Australian Commission on Safety and Qual-

ity in Health Care (ACSQHC).

The guide is based on the National Safety

and Quality Health Service (NSQHS) Stand-

ards, which came into force in January 2013,

and particularly focuses on Standard One -

Governance for Safety and Quality in Health

Service Organisations and includes a refer-

ence to Standard Two - Partnership with Con-

sumers.

The Standards mainly cover hospital ser-

vices. CRANAplus received funding from the

Australian Government to produce a resource,

designed to compliment the Standards, that

would shine the spotlight on the complex is-

sues facing remote and isolated area health

service delivery.

The guide was conceived, researched and

written with direct input from clinicians work-

ing daily in the remote health context.

Since its completion in September 2013,

CRANAplus has distributed more than 930 of

the guides, which are also available online,

into the remote sector.

Ms Hakendorf says while health practition-

ers often understand what clinical governance

is and why they need it, they can struggle to

comprehend the ‘how’ of its implementation

when it comes to remote and isolated health.

“Remote areas have complexities including

implications of geographical location, the vast

distances, the social and cultural influences, the

professional isolation, and limited infrastructure

and communication resources,” she says.

“It’s a resource for managers and clinicians

to use to clarify - what does this mean, what

should be in place, what’s my responsibility as a

clinician and what’s my responsibility as a clini-

cal manager.

“This actually helps them to look at what

needs to be in place to provide safe, quality care

to remote and isolated communities.”

“This guide gives them a comprehensive

understanding of what needs to be in place for

the remote workforce covering all aspects of

clinical care from the recruitment processes,

use of evidence-based practice, the reporting

of incidences and having an incident manage-

ment system in place, audits, how you go about

continuous quality improvement, to the impor-

tance of engaging consumers in their care.”

The guide not only assists clinical manag-

ers and nurses, midwives and allied health pro-

fessionals on the ground, it ultimately results in

better care for patients, Ms Hakendorf adds.

“It’s about the practices, so that people

practice safely, reducing risks and ensuring

quality of care is given to clients and patients.”

CRANAplus will conduct a one-day work-

shop on the Clinical Governance Guide in the

lead up to the 2015 CRANAplus Conference

being held in Alice Springs from October 15-17.

507-004 1PG FULL COLOUR CMYK PDF 506-025 1PG FULL COLOUR CMYK PDF 505-004 1PG FULL COLOUR CMYK PDF

Thinking of going bush? Your outback adventure starts HERE!

Minimum requirements:• 2 years post-grad experience • Current AHPRA registration (or ability to obtain)• Evidence of immunity to hepatitis B• A sense of adventure (a sense of humour doesn’t hurt either!)

We offer you:• Short & long term contract in rural, remote and coastal Australia• Big $$$$$• Free travel & accommodation (conditions apply)• Ongoing support & personalised service by an experienced family focused organisation. • The experience of a lifetime

About us:Nurse at Call is proudly family owned & operated with experience spanning 30 years in the recruitment industry. We listen to YOU and ensure that YOU are supported from start to finish. We pride ourselves on putting YOU first.

What do I do now?Why wait? Contact us now!Australia: (07) 55787011 or New Zealand: 0800 740 758Email us: [email protected] Visit us: www.nurseatcall.com.au

MIDWIVESEMERGENCY NURSES Wanted for Outback Australia

507-013 1/2PG FULL COLOUR CMYK PDF

507-012 1PG FULL COLOUR CMYK PDF506-008 1/2PG FULL COLOUR CMYK PDF505-011 1/2PG FULL COLOUR CMYK PDF504-009 1/2PG FULL COLOUR CMYK PDF503-017 1/2PG FULL COLOUR CMYK PDF502-023 1/2PG FULL COLOUR CMYK PDF501-027 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

Make the dream of becoming a doctor a reality,earn your MD at Oceania University of Medicine.

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

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

medical school scholars, using world leading Pre-Clinical,24/7 online delivery techniques.

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

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

OCEANIA UNIVERSITY OF MEDICINEINTERNATIONALLY ACCREDITED For information visit www.RN2MD.org or 1300 665 343

Applications are now open for courses starting in January and July - No age restrictions

RN to MDOUM’s innovativeteaching style is

fantastic and exciting.Truly foreword thinking,OUM allows the student

to benefit from both local and international

resources.Brandy Wehinger, RNOUM Class of 2015

Page 8: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 24 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 9

Page 8 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 25

507-028 1PG FULL COLOUR CMYK PDF506-031 1PG FULL COLOUR CMYK PDF505-035 1PG FULL COLOUR CMYK PDF504-001 1PG FULL COLOUR CMYK PDF502-022 1PG FULL COLOUR CMYK PDF501-005 1PG FULL COLOUR CMYK PDF424-037 1PG FULL COLOUR CMYK PDF

The Royal Flying Doctor Service (RFDS) highly values the contribution and dedication of its people, who enjoy working together to provide high quality health care in a unique environment.

RFDS staff enjoy enriching work which broadens their horizons, builds professional experience and delivers the personal rewards of knowing they are making a difference to rural and remote Australia.

If you’re a Nurse/Midwife ready for a rewarding new challenge, the RFDS has a position for the right person to join our dynamic Flight Nurse Team.

You’ll be working with an amazing and motivated team of professionals dedicated

to providing primary care and emergency evacuations to those living and working in rural and remote areas.Applicants are required to have:> Dual Nursing and Midwifery registration> Significant postgraduate experience

and/or qualifications in critical care (ED or ICU)

The successful candidate will receive a comprehensive two-week orientation, generous salary and salary packaging benefits, and assistance with relocation if necessary.Applications close: Ongoing in 2014/15

Flight Nurses Western Australia

For futher information: Paul Ingram (08) 9417 6300 [email protected] flyingdoctor.org.au

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

507-003 1PG FULL COLOUR CMYK PDF 506-002 1PG FULL COLOUR CMYK PDF 505-003 1PG FULL COLOUR CMYK PDF 504-002 1PG FULL COLOUR CMYK PDF 503-006 1PG FULL COLOUR CMYK PDF 502-003 1PG FULL COLOUR CMYK PDF 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)

Surgical Wounds – Part 2: Surgical site infections, post-operative wound complications and their management By Bonnie Fraser, RN, BSc, BNURS, Grad Dip ED

Part one of this series focused on types of

surgical wounds, their healing intention and

factors that influence healing. In this article we

will consider post-operative wound complica-

tions including surgical site infections (SSIs) and

briefly touch on management.

By definition, a surgical site

infection (SSI) is an infec-

tion that develops within

30 days after a surgical

procedure or within

one year if an implant

was inserted and the

infection appears

to be related to the

surgery (Gottrup,

Melling & Hollander,

2005). SSIs can be su-

perficial (occurring in the

dermal and sub-cutaneous

layers) or deep incisional in-

fections involving muscle and fas-

cia. Organ space SSIs occur in the body

organs or organ spaces. Some general factors

will increase a patient’s risk for SSI such as age,

obesity, malnutrition, malignant disease, im-

munosuppression, smoking, prolonged pre-

operative stay endocrine and metabolic dis-

orders e.g. diabetes, hypoxia and anaemia. .

Local factors (wound and periwound) include

the presence of necrotic tissue, foreign bodies,

tissue ischemia, haematoma formation and poor

surgical technique (Gottrup, Melling & Hollander,

2005). The degree of microbial contamination,

host susceptibility, type and virulence of organ-

isms; and antibiotic resistance will impact risk

(Gottrup, Melling & Hollander, 2005). There-

fore, it is important to monitor surgical wounds

closely for infection in order to prevent more

serious complications. Indications

that the patient has developed

a SSI include classic signs

of inflammation (redness,

swelling, heat, erythema

and increased pain);

increased exudate

that is cloudy, discol-

oured or malodor-

ous; increase in the

size of the wound or

wound dehiscence

(the wound breaks

down at the site of the

surgical incision); fever and

a general feeling of being un-

well or lethargic..

Other wound complications that one

might encounter in the post-operative pa-

tient include surgical wound dehiscence, dead

space, incisional hernias, fistula formation, con-

tact dermatitis; and haematoma formation and

bleeding. Surgical wound dehiscence and en-

terocutaneous fistula will be dealt with in the

next article due to the complexity of these com-

plications.

Sometimes due to the nature of the wound,

wound edges beneath the skin cannot be closely

approximated and separate resulting is dead space. For the full article visit HealthTimes.com.au

Air and/or fluid can get trapped between the tis-

sue layers, especially the fatty layer which has

a poor blood supply. Consequently serum or

blood may collect in the space providing an ex-

cellent medium for the growth of microorgan-

isms that cause infection. Many post-operative

wounds will have a drain inserted to facilitate

drainage while the subcutaneous tissues heal.

New or increased pain, induration on palpa-

tion and spreading erythema around the site of

the surgical incision and increased temperature

may indicate a collection has occurred. The pa-

tient may require systemic antibiotics or return

to theatre to have the collection drained and/

or a drain inserted to facilitate drainage until the

wound heals.

Incisional hernias are complications oc-

curring at the site of a previous incision that

develops in the abdominal wall. Muscles at the

incision site become weakened allowing inter-

nal tissues to protrude through the muscle (Mil-

likan, 2003). The hernia protrudes under the skin

and can be painful or tender to touch. SSI and

surgical wound dehiscence are the most com-

monly reported risk factors for incisional hernia

(Millikan, 2003). Other risk factors include male

gender, age, obesity, abdominal distension,

post-operative pulmonary complications, early

re-operation, underlying disease process, suture

material used in closure, choice of original inci-

sion and patient post-operative activity that may

place undue stress on the deeper tissues of the

abdominal wound (Millikan, 2003). Surgery may

be required to repair the defect, especially if the

hernia is causing problems. The use of lumbar

and abdominal support belts after abdominal

surgery can reduce the risk of incisional hernia

as they support the abdomen post-operatively.

Holding a pillow or rolled up towel against the

surgical site while coughing and moving can

also provide support and protect internal struc-

tures from undue stress and strain.

Haematoma formation and bleeding in

and around the surgical site is common.

Postoperative haematoma is basically a lo-

calised collection of blood at and/or around

the surgery site. It is defined as the collection

or pooling of blood under the skin, in body tis-

sues or an organ. Haematomas form when cap-

illaries, arteries or veins rupture, allowing blood

to leak into the surrounding tissues, causing a

pool of blood which eventually clots. Symptoms

usually appear within the first 24 hours – bruis-

ing, pain, swelling and tightness over the area. In

most cases the haematoma will be reabsorbed,

however some require drainage or surgical in-

tervention. If left untreated some haematomas

get large enough to compress the tissues pre-

venting oxygen from reaching the skin, increas-

ing the risk of other complications such as in-

fection, wound dehiscence and necrosis.

Contact dermatitis is a localised rash or ir-

ritation of the skin caused by contact with a for-

eign substance. The skin becomes red, sore or

inflamed after direct contact with a substance,

for example a dressing adhesive or retention

tapes e.g. micropore; or latex gloves. Contact

dermatitis can be irritant or allergic – always

ask the patient if they have allergies before ap-

plication of dressings or use of surgical gloves

which contain latex. Many hospitals now have

latex-free gloves for general use on the ward

and latex-free surgical gloves are available.

While most surgical wounds undergo pri-

mary closure, some are left to heal by second-

ary intention or undergo delayed primary clo-

sure. Regardless of the method of closure, the

aims of treatment are to disturb the wound as

little as possible to allow healing and prevent

infection, optimise patient comfort, encourage

early return to full functional activity and provide

education regarding the wound and self care

(Davies, 2005).

Surgical Wounds – Part 2: Surgical site infections, post-operative wound complications and their management By Bonnie Fraser, RN, BSc, BNURS, Grad Dip ED

Part one of this series focused on types of

surgical wounds, their healing intention and

factors that influence healing. In this article we

will consider post-operative wound complica-

tions including surgical site infections (SSIs) and

briefly touch on management.

By definition, a surgical site

infection (SSI) is an infec-

tion that develops within

30 days after a surgical

procedure or within

one year if an implant

was inserted and the

infection appears

to be related to the

surgery (Gottrup,

Melling & Hollander,

2005). SSIs can be su-

perficial (occurring in the

dermal and sub-cutaneous

layers) or deep incisional in-

fections involving muscle and fas-

cia. Organ space SSIs occur in the body

organs or organ spaces. Some general factors

will increase a patient’s risk for SSI such as age,

obesity, malnutrition, malignant disease, im-

munosuppression, smoking, prolonged pre-

operative stay endocrine and metabolic dis-

orders e.g. diabetes, hypoxia and anaemia. .

Local factors (wound and periwound) include

the presence of necrotic tissue, foreign bodies,

tissue ischemia, haematoma formation and poor

surgical technique (Gottrup, Melling & Hollander,

2005). The degree of microbial contamination,

host susceptibility, type and virulence of organ-

isms; and antibiotic resistance will impact risk

(Gottrup, Melling & Hollander, 2005). There-

fore, it is important to monitor surgical wounds

closely for infection in order to prevent more

serious complications. Indications

that the patient has developed

a SSI include classic signs

of inflammation (redness,

swelling, heat, erythema

and increased pain);

increased exudate

that is cloudy, discol-

oured or malodor-

ous; increase in the

size of the wound or

wound dehiscence

(the wound breaks

down at the site of the

surgical incision); fever and

a general feeling of being un-

well or lethargic..

Other wound complications that one

might encounter in the post-operative pa-

tient include surgical wound dehiscence, dead

space, incisional hernias, fistula formation, con-

tact dermatitis; and haematoma formation and

bleeding. Surgical wound dehiscence and en-

terocutaneous fistula will be dealt with in the

next article due to the complexity of these com-

plications.

Sometimes due to the nature of the wound,

wound edges beneath the skin cannot be closely

approximated and separate resulting is dead space. For the full article visit HealthTimes.com.au

Air and/or fluid can get trapped between the tis-

sue layers, especially the fatty layer which has

a poor blood supply. Consequently serum or

blood may collect in the space providing an ex-

cellent medium for the growth of microorgan-

isms that cause infection. Many post-operative

wounds will have a drain inserted to facilitate

drainage while the subcutaneous tissues heal.

New or increased pain, induration on palpa-

tion and spreading erythema around the site of

the surgical incision and increased temperature

may indicate a collection has occurred. The pa-

tient may require systemic antibiotics or return

to theatre to have the collection drained and/

or a drain inserted to facilitate drainage until the

wound heals.

Incisional hernias are complications oc-

curring at the site of a previous incision that

develops in the abdominal wall. Muscles at the

incision site become weakened allowing inter-

nal tissues to protrude through the muscle (Mil-

likan, 2003). The hernia protrudes under the skin

and can be painful or tender to touch. SSI and

surgical wound dehiscence are the most com-

monly reported risk factors for incisional hernia

(Millikan, 2003). Other risk factors include male

gender, age, obesity, abdominal distension,

post-operative pulmonary complications, early

re-operation, underlying disease process, suture

material used in closure, choice of original inci-

sion and patient post-operative activity that may

place undue stress on the deeper tissues of the

abdominal wound (Millikan, 2003). Surgery may

be required to repair the defect, especially if the

hernia is causing problems. The use of lumbar

and abdominal support belts after abdominal

surgery can reduce the risk of incisional hernia

as they support the abdomen post-operatively.

Holding a pillow or rolled up towel against the

surgical site while coughing and moving can

also provide support and protect internal struc-

tures from undue stress and strain.

Haematoma formation and bleeding in

and around the surgical site is common.

Postoperative haematoma is basically a lo-

calised collection of blood at and/or around

the surgery site. It is defined as the collection

or pooling of blood under the skin, in body tis-

sues or an organ. Haematomas form when cap-

illaries, arteries or veins rupture, allowing blood

to leak into the surrounding tissues, causing a

pool of blood which eventually clots. Symptoms

usually appear within the first 24 hours – bruis-

ing, pain, swelling and tightness over the area. In

most cases the haematoma will be reabsorbed,

however some require drainage or surgical in-

tervention. If left untreated some haematomas

get large enough to compress the tissues pre-

venting oxygen from reaching the skin, increas-

ing the risk of other complications such as in-

fection, wound dehiscence and necrosis.

Contact dermatitis is a localised rash or ir-

ritation of the skin caused by contact with a for-

eign substance. The skin becomes red, sore or

inflamed after direct contact with a substance,

for example a dressing adhesive or retention

tapes e.g. micropore; or latex gloves. Contact

dermatitis can be irritant or allergic – always

ask the patient if they have allergies before ap-

plication of dressings or use of surgical gloves

which contain latex. Many hospitals now have

latex-free gloves for general use on the ward

and latex-free surgical gloves are available.

While most surgical wounds undergo pri-

mary closure, some are left to heal by second-

ary intention or undergo delayed primary clo-

sure. Regardless of the method of closure, the

aims of treatment are to disturb the wound as

little as possible to allow healing and prevent

infection, optimise patient comfort, encourage

early return to full functional activity and provide

education regarding the wound and self care

(Davies, 2005).

Page 9: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 24 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 9

Page 8 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 25

507-028 1PG FULL COLOUR CMYK PDF 506-031 1PG FULL COLOUR CMYK PDF 505-035 1PG FULL COLOUR CMYK PDF 504-001 1PG FULL COLOUR CMYK PDF 502-022 1PG FULL COLOUR CMYK PDF 501-005 1PG FULL COLOUR CMYK PDF 424-037 1PG FULL COLOUR CMYK PDF

The Royal Flying Doctor Service (RFDS) highly values the contribution and dedication of its people, who enjoy working together to provide high quality health care in a unique environment.

RFDS staff enjoy enriching work which broadens their horizons, builds professional experience and delivers the personal rewards of knowing they are making a difference to rural and remote Australia.

If you’re a Nurse/Midwife ready for a rewarding new challenge, the RFDS has a position for the right person to join our dynamic Flight Nurse Team.

You’ll be working with an amazing and motivated team of professionals dedicated

to providing primary care and emergency evacuations to those living and working in rural and remote areas.Applicants are required to have:> Dual Nursing and Midwifery registration>Significantpostgraduateexperience

and/orqualificationsincriticalcare (ED or ICU)

The successful candidate will receive a comprehensive two-week orientation, generous salary and salary packaging benefits,andassistancewithrelocation if necessary.Applications close: Ongoing in 2014/15

Flight Nurses Western Australia

For futher information: Paul Ingram (08) 9417 6300 [email protected] flyingdoctor.org.au

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

507-003 1PG FULL COLOUR CMYK PDF506-002 1PG FULL COLOUR CMYK PDF505-003 1PG FULL COLOUR CMYK PDF504-002 1PG FULL COLOUR CMYK PDF503-006 1PG FULL COLOUR CMYK PDF502-003 1PG FULL COLOUR CMYK PDF501-009 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)

Surgical Wounds – Part 2: Surgical site infections, post-operative wound complications and their management By Bonnie Fraser, RN, BSc, BNURS, Grad Dip ED

Part one of this series focused on types of

surgical wounds, their healing intention and

factors that influence healing. In this article we

will consider post-operative wound complica-

tions including surgical site infections (SSIs) and

briefly touch on management.

By definition, a surgical site

infection (SSI) is an infec-

tion that develops within

30 days after a surgical

procedure or within

one year if an implant

was inserted and the

infection appears

to be related to the

surgery (Gottrup,

Melling & Hollander,

2005). SSIs can be su-

perficial (occurring in the

dermal and sub-cutaneous

layers) or deep incisional in-

fections involving muscle and fas-

cia. Organ space SSIs occur in the body

organs or organ spaces. Some general factors

will increase a patient’s risk for SSI such as age,

obesity, malnutrition, malignant disease, im-

munosuppression, smoking, prolonged pre-

operative stay endocrine and metabolic dis-

orders e.g. diabetes, hypoxia and anaemia. .

Local factors (wound and periwound) include

the presence of necrotic tissue, foreign bodies,

tissue ischemia, haematoma formation and poor

surgical technique (Gottrup, Melling & Hollander,

2005). The degree of microbial contamination,

host susceptibility, type and virulence of organ-

isms; and antibiotic resistance will impact risk

(Gottrup, Melling & Hollander, 2005). There-

fore, it is important to monitor surgical wounds

closely for infection in order to prevent more

serious complications. Indications

that the patient has developed

a SSI include classic signs

of inflammation (redness,

swelling, heat, erythema

and increased pain);

increased exudate

that is cloudy, discol-

oured or malodor-

ous; increase in the

size of the wound or

wound dehiscence

(the wound breaks

down at the site of the

surgical incision); fever and

a general feeling of being un-

well or lethargic..

Other wound complications that one

might encounter in the post-operative pa-

tient include surgical wound dehiscence, dead

space, incisional hernias, fistula formation, con-

tact dermatitis; and haematoma formation and

bleeding. Surgical wound dehiscence and en-

terocutaneous fistula will be dealt with in the

next article due to the complexity of these com-

plications.

Sometimes due to the nature of the wound,

wound edges beneath the skin cannot be closely

approximated and separate resulting is dead space. For the full article visit HealthTimes.com.au

Air and/or fluid can get trapped between the tis-

sue layers, especially the fatty layer which has

a poor blood supply. Consequently serum or

blood may collect in the space providing an ex-

cellent medium for the growth of microorgan-

isms that cause infection. Many post-operative

wounds will have a drain inserted to facilitate

drainage while the subcutaneous tissues heal.

New or increased pain, induration on palpa-

tion and spreading erythema around the site of

the surgical incision and increased temperature

may indicate a collection has occurred. The pa-

tient may require systemic antibiotics or return

to theatre to have the collection drained and/

or a drain inserted to facilitate drainage until the

wound heals.

Incisional hernias are complications oc-

curring at the site of a previous incision that

develops in the abdominal wall. Muscles at the

incision site become weakened allowing inter-

nal tissues to protrude through the muscle (Mil-

likan, 2003). The hernia protrudes under the skin

and can be painful or tender to touch. SSI and

surgical wound dehiscence are the most com-

monly reported risk factors for incisional hernia

(Millikan, 2003). Other risk factors include male

gender, age, obesity, abdominal distension,

post-operative pulmonary complications, early

re-operation, underlying disease process, suture

material used in closure, choice of original inci-

sion and patient post-operative activity that may

place undue stress on the deeper tissues of the

abdominal wound (Millikan, 2003). Surgery may

be required to repair the defect, especially if the

hernia is causing problems. The use of lumbar

and abdominal support belts after abdominal

surgery can reduce the risk of incisional hernia

as they support the abdomen post-operatively.

Holding a pillow or rolled up towel against the

surgical site while coughing and moving can

also provide support and protect internal struc-

tures from undue stress and strain.

Haematoma formation and bleeding in

and around the surgical site is common.

Postoperative haematoma is basically a lo-

calised collection of blood at and/or around

the surgery site. It is defined as the collection

or pooling of blood under the skin, in body tis-

sues or an organ. Haematomas form when cap-

illaries, arteries or veins rupture, allowing blood

to leak into the surrounding tissues, causing a

pool of blood which eventually clots. Symptoms

usually appear within the first 24 hours – bruis-

ing, pain, swelling and tightness over the area. In

most cases the haematoma will be reabsorbed,

however some require drainage or surgical in-

tervention. If left untreated some haematomas

get large enough to compress the tissues pre-

venting oxygen from reaching the skin, increas-

ing the risk of other complications such as in-

fection, wound dehiscence and necrosis.

Contact dermatitis is a localised rash or ir-

ritation of the skin caused by contact with a for-

eign substance. The skin becomes red, sore or

inflamed after direct contact with a substance,

for example a dressing adhesive or retention

tapes e.g. micropore; or latex gloves. Contact

dermatitis can be irritant or allergic – always

ask the patient if they have allergies before ap-

plication of dressings or use of surgical gloves

which contain latex. Many hospitals now have

latex-free gloves for general use on the ward

and latex-free surgical gloves are available.

While most surgical wounds undergo pri-

mary closure, some are left to heal by second-

ary intention or undergo delayed primary clo-

sure. Regardless of the method of closure, the

aims of treatment are to disturb the wound as

little as possible to allow healing and prevent

infection, optimise patient comfort, encourage

early return to full functional activity and provide

education regarding the wound and self care

(Davies, 2005).

Surgical Wounds – Part 2: Surgical site infections, post-operative wound complications and their management By Bonnie Fraser, RN, BSc, BNURS, Grad Dip ED

Part one of this series focused on types of

surgical wounds, their healing intention and

factors that influence healing. In this article we

will consider post-operative wound complica-

tions including surgical site infections (SSIs) and

briefly touch on management.

By definition, a surgical site

infection (SSI) is an infec-

tion that develops within

30 days after a surgical

procedure or within

one year if an implant

was inserted and the

infection appears

to be related to the

surgery (Gottrup,

Melling & Hollander,

2005). SSIs can be su-

perficial (occurring in the

dermal and sub-cutaneous

layers) or deep incisional in-

fections involving muscle and fas-

cia. Organ space SSIs occur in the body

organs or organ spaces. Some general factors

will increase a patient’s risk for SSI such as age,

obesity, malnutrition, malignant disease, im-

munosuppression, smoking, prolonged pre-

operative stay endocrine and metabolic dis-

orders e.g. diabetes, hypoxia and anaemia. .

Local factors (wound and periwound) include

the presence of necrotic tissue, foreign bodies,

tissue ischemia, haematoma formation and poor

surgical technique (Gottrup, Melling & Hollander,

2005). The degree of microbial contamination,

host susceptibility, type and virulence of organ-

isms; and antibiotic resistance will impact risk

(Gottrup, Melling & Hollander, 2005). There-

fore, it is important to monitor surgical wounds

closely for infection in order to prevent more

serious complications. Indications

that the patient has developed

a SSI include classic signs

of inflammation (redness,

swelling, heat, erythema

and increased pain);

increased exudate

that is cloudy, discol-

oured or malodor-

ous; increase in the

size of the wound or

wound dehiscence

(the wound breaks

down at the site of the

surgical incision); fever and

a general feeling of being un-

well or lethargic..

Other wound complications that one

might encounter in the post-operative pa-

tient include surgical wound dehiscence, dead

space, incisional hernias, fistula formation, con-

tact dermatitis; and haematoma formation and

bleeding. Surgical wound dehiscence and en-

terocutaneous fistula will be dealt with in the

next article due to the complexity of these com-

plications.

Sometimes due to the nature of the wound,

wound edges beneath the skin cannot be closely

approximated and separate resulting is dead space. For the full article visit HealthTimes.com.au

Air and/or fluid can get trapped between the tis-

sue layers, especially the fatty layer which has

a poor blood supply. Consequently serum or

blood may collect in the space providing an ex-

cellent medium for the growth of microorgan-

isms that cause infection. Many post-operative

wounds will have a drain inserted to facilitate

drainage while the subcutaneous tissues heal.

New or increased pain, induration on palpa-

tion and spreading erythema around the site of

the surgical incision and increased temperature

may indicate a collection has occurred. The pa-

tient may require systemic antibiotics or return

to theatre to have the collection drained and/

or a drain inserted to facilitate drainage until the

wound heals.

Incisional hernias are complications oc-

curring at the site of a previous incision that

develops in the abdominal wall. Muscles at the

incision site become weakened allowing inter-

nal tissues to protrude through the muscle (Mil-

likan, 2003). The hernia protrudes under the skin

and can be painful or tender to touch. SSI and

surgical wound dehiscence are the most com-

monly reported risk factors for incisional hernia

(Millikan, 2003). Other risk factors include male

gender, age, obesity, abdominal distension,

post-operative pulmonary complications, early

re-operation, underlying disease process, suture

material used in closure, choice of original inci-

sion and patient post-operative activity that may

place undue stress on the deeper tissues of the

abdominal wound (Millikan, 2003). Surgery may

be required to repair the defect, especially if the

hernia is causing problems. The use of lumbar

and abdominal support belts after abdominal

surgery can reduce the risk of incisional hernia

as they support the abdomen post-operatively.

Holding a pillow or rolled up towel against the

surgical site while coughing and moving can

also provide support and protect internal struc-

tures from undue stress and strain.

Haematoma formation and bleeding in

and around the surgical site is common.

Postoperative haematoma is basically a lo-

calised collection of blood at and/or around

the surgery site. It is defined as the collection

or pooling of blood under the skin, in body tis-

sues or an organ. Haematomas form when cap-

illaries, arteries or veins rupture, allowing blood

to leak into the surrounding tissues, causing a

pool of blood which eventually clots. Symptoms

usually appear within the first 24 hours – bruis-

ing, pain, swelling and tightness over the area. In

most cases the haematoma will be reabsorbed,

however some require drainage or surgical in-

tervention. If left untreated some haematomas

get large enough to compress the tissues pre-

venting oxygen from reaching the skin, increas-

ing the risk of other complications such as in-

fection, wound dehiscence and necrosis.

Contact dermatitis is a localised rash or ir-

ritation of the skin caused by contact with a for-

eign substance. The skin becomes red, sore or

inflamed after direct contact with a substance,

for example a dressing adhesive or retention

tapes e.g. micropore; or latex gloves. Contact

dermatitis can be irritant or allergic – always

ask the patient if they have allergies before ap-

plication of dressings or use of surgical gloves

which contain latex. Many hospitals now have

latex-free gloves for general use on the ward

and latex-free surgical gloves are available.

While most surgical wounds undergo pri-

mary closure, some are left to heal by second-

ary intention or undergo delayed primary clo-

sure. Regardless of the method of closure, the

aims of treatment are to disturb the wound as

little as possible to allow healing and prevent

infection, optimise patient comfort, encourage

early return to full functional activity and provide

education regarding the wound and self care

(Davies, 2005).

Page 10: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 26 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 7

Page 10 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 23

507-008 1PG FULL COLOUR CMYK PDF 506-006 1PG FULL COLOUR CMYK PDF

Superior Oral Care

Made in Sweden Used world wide

Quality brushes for lifePharmacy stockists - tepesmiles.com.au Direct postal delivery - oralcare4u.com.auWholesale - 1800 064 645

trolldental.com1800 064 645

Implant CareDenture CareDexterity AidsSensitive GumsInterdental Brushes

Call us for a catalogue or a sample today

Clinical Governance Guide for remote and isolated health

Nurses, midwives and allied health profes-

sionals have a practical guide to help them

navigate the unique challenges of clinical

governance while working in Australia’s re-

mote areas.

CRANAplus, the peak professional body

for the nation’s remote and isolated health

workforce, has developed a Clinical Govern-

ance Guide for health managers and clini-

cians.

The guide, designed for health centre

managers, nurses, midwives, allied health

professionals, doctors, Aboriginal and Torres

Strait Islander health care practitioners and

health workers, outlines the components and

processes for appropriate and effective clini-

cal governance and quality improvement for

remote and isolated health services.

CRANAplus professional officer Marcia

Hakendorf, a registered nurse and former SA

Health Department Nursing and Midwifery

policy advisor, says the resource simplifies

what clinical governance means to health

practitioners’ workplaces and their practices.

“There’s been a lot written about clinical

governance and it’s absolutely like a maze to

put the pieces together,” she says.

“So this was about demystifying and

grounding it for clinical managers and clini-

cians working in the bush.

“What we really wanted to do was to ensure that there was an effective and consistent standard of health ser-vice throughout remote and isolated areas of Australia, and it was also about improving the capacity of the remote health workforce in providing an effec-tive, consistent standard of health care to remote Australians.”

The guide provides clinicians with direc-

tion and guidance to ensure their health ser-

vice has robust clinical governance processes

focusing on the four pillars of remote clinical

governance - workforce effectiveness, clini-

cal performance and evaluation, clinical risk

management, and consumer participation.

“It also talks about the five components

of quality improvement for the remote sec-

tor such as organisational leadership and

strong management, quality improvement,

workforce development, environment and

cultural safety, and consumers and commu-

nity.”

The challenge when creating the guide

was to ensure it would be user-friendly, log-

ical and a practical resource for managers

and clinicians to refer to that complimented

the work of the NSQHS Standards from the

Australian Commission on Safety and Qual-

ity in Health Care (ACSQHC).

The guide is based on the National Safety

and Quality Health Service (NSQHS) Stand-

ards, which came into force in January 2013,

and particularly focuses on Standard One -

Governance for Safety and Quality in Health

Service Organisations and includes a refer-

ence to Standard Two - Partnership with Con-

sumers.

The Standards mainly cover hospital ser-

vices. CRANAplus received funding from the

Australian Government to produce a resource,

designed to compliment the Standards, that

would shine the spotlight on the complex is-

sues facing remote and isolated area health

service delivery.

The guide was conceived, researched and

written with direct input from clinicians work-

ing daily in the remote health context.

Since its completion in September 2013,

CRANAplus has distributed more than 930 of

the guides, which are also available online,

into the remote sector.

Ms Hakendorf says while health practition-

ers often understand what clinical governance

is and why they need it, they can struggle to

comprehend the ‘how’ of its implementation

when it comes to remote and isolated health.

“Remote areas have complexities including

implications of geographical location, the vast

distances, the social and cultural influences, the

professional isolation, and limited infrastructure

and communication resources,” she says.

“It’s a resource for managers and clinicians

to use to clarify - what does this mean, what

should be in place, what’s my responsibility as a

clinician and what’s my responsibility as a clini-

cal manager.

“This actually helps them to look at what

needs to be in place to provide safe, quality care

to remote and isolated communities.”

“This guide gives them a comprehensive

understanding of what needs to be in place for

the remote workforce covering all aspects of

clinical care from the recruitment processes,

use of evidence-based practice, the reporting

of incidences and having an incident manage-

ment system in place, audits, how you go about

continuous quality improvement, to the impor-

tance of engaging consumers in their care.”

The guide not only assists clinical manag-

ers and nurses, midwives and allied health pro-

fessionals on the ground, it ultimately results in

better care for patients, Ms Hakendorf adds.

“It’s about the practices, so that people

practice safely, reducing risks and ensuring

quality of care is given to clients and patients.”

CRANAplus will conduct a one-day work-

shop on the Clinical Governance Guide in the

lead up to the 2015 CRANAplus Conference

being held in Alice Springs from October 15-17.

507-004 1PG FULL COLOUR CMYK PDF506-025 1PG FULL COLOUR CMYK PDF505-004 1PG FULL COLOUR CMYK PDF

Thinking of going bush? Your outback adventure starts HERE!

Minimum requirements:• 2 years post-grad experience • Current AHPRA registration (or ability to obtain)• Evidence of immunity to hepatitis B• A sense of adventure (a sense of humour doesn’t hurt either!)

We offer you:• Short & long term contract in rural, remote and coastal Australia• Big $$$$$• Free travel & accommodation (conditions apply)• Ongoing support & personalised service by an experienced family focused organisation. • The experience of a lifetime

About us:Nurse at Call is proudly family owned & operated with experience spanning 30 years in the recruitment industry. We listen to YOU and ensure that YOU are supported from start to finish. We pride ourselves on putting YOU first.

What do I do now?Why wait? Contact us now!Australia: (07) 55787011 or New Zealand: 0800 740 758Email us: [email protected] Visit us: www.nurseatcall.com.au

MIDWIVESEMERGENCY NURSES Wanted for Outback Australia

507-013 1/2PG FULL COLOUR CMYK PDF

507-012 1PG FULL COLOUR CMYK PDF 506-008 1/2PG FULL COLOUR CMYK PDF 505-011 1/2PG FULL COLOUR CMYK PDF 504-009 1/2PG FULL COLOUR CMYK PDF 503-017 1/2PG FULL COLOUR CMYK PDF 502-023 1/2PG FULL COLOUR CMYK PDF 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

Make the dream of becoming a doctor a reality,earn your MD at Oceania University of Medicine.

nAttractive fee structure for our Graduate Entry Program.nOver 150 students currently enrolled and over 50 graduates

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

medical school scholars, using world leading Pre-Clinical,24/7 online delivery techniques.

nClinical Rotations can be performed locally, Interstate or Internationally.

nReceive personalised attention from an Academic Advisor.nOUM Graduates are eligible to sit the AMC exam or NZREX.

OCEANIA UNIVERSITY OF MEDICINEINTERNATIONALLY ACCREDITED For information visit www.RN2MD.orgor 1300 665 343

Applications are now open for courses starting in January and July - No age restrictions

RNtoMD OUM’s innovativeteaching style is

fantastic and exciting.Truly foreword thinking,OUM allows the student

to benefit from both local and international

resources.Brandy Wehinger, RNOUM Class of 2015

Page 11: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 22 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 11

Page 14 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 19

Clinical Governance Guide for remote and isolated health

Nurses, midwives and allied health profes-

sionals have a practical guide to help them

navigate the unique challenges of clinical

governance while working in Australia’s re-

mote areas.

CRANAplus, the peak professional body

for the nation’s remote and isolated health

workforce, has developed a Clinical Govern-

ance Guide for health managers and clini-

cians.

The guide, designed for health centre

managers, nurses, midwives, allied health

professionals, doctors, Aboriginal and Torres

Strait Islander health care practitioners and

health workers, outlines the components and

processes for appropriate and effective clini-

cal governance and quality improvement for

remote and isolated health services.

CRANAplus professional officer Marcia

Hakendorf, a registered nurse and former SA

Health Department Nursing and Midwifery

policy advisor, says the resource simplifies

what clinical governance means to health

practitioners’ workplaces and their practices.

“There’s been a lot written about clinical

governance and it’s absolutely like a maze to

put the pieces together,” she says.

“So this was about demystifying and

grounding it for clinical managers and clini-

cians working in the bush.

“What we really wanted to do was to ensure that there was an effective and consistent standard of health ser-vice throughout remote and isolated areas of Australia, and it was also about improving the capacity of the remote health workforce in providing an effec-tive, consistent standard of health care to remote Australians.”

The guide provides clinicians with direc-

tion and guidance to ensure their health ser-

vice has robust clinical governance processes

focusing on the four pillars of remote clinical

governance - workforce effectiveness, clini-

cal performance and evaluation, clinical risk

management, and consumer participation.

“It also talks about the five components

of quality improvement for the remote sec-

tor such as organisational leadership and

strong management, quality improvement,

workforce development, environment and

cultural safety, and consumers and commu-

nity.”

The challenge when creating the guide

was to ensure it would be user-friendly, log-

ical and a practical resource for managers

and clinicians to refer to that complimented

the work of the NSQHS Standards from the

Australian Commission on Safety and Qual-

ity in Health Care (ACSQHC).

The guide is based on the National Safety

and Quality Health Service (NSQHS) Stand-

ards, which came into force in January 2013,

and particularly focuses on Standard One -

Governance for Safety and Quality in Health

Service Organisations and includes a refer-

ence to Standard Two - Partnership with Con-

sumers.

The Standards mainly cover hospital ser-

vices. CRANAplus received funding from the

Australian Government to produce a resource,

designed to compliment the Standards, that

would shine the spotlight on the complex is-

sues facing remote and isolated area health

service delivery.

The guide was conceived, researched and

written with direct input from clinicians work-

ing daily in the remote health context.

Since its completion in September 2013,

CRANAplus has distributed more than 930 of

the guides, which are also available online,

into the remote sector.

Ms Hakendorf says while health practition-

ers often understand what clinical governance

is and why they need it, they can struggle to

comprehend the ‘how’ of its implementation

when it comes to remote and isolated health.

“Remote areas have complexities including

implications of geographical location, the vast

distances, the social and cultural influences, the

professional isolation, and limited infrastructure

and communication resources,” she says.

“It’s a resource for managers and clinicians

to use to clarify - what does this mean, what

should be in place, what’s my responsibility as a

clinician and what’s my responsibility as a clini-

cal manager.

“This actually helps them to look at what

needs to be in place to provide safe, quality care

to remote and isolated communities.”

“This guide gives them a comprehensive

understanding of what needs to be in place for

the remote workforce covering all aspects of

clinical care from the recruitment processes,

use of evidence-based practice, the reporting

of incidences and having an incident manage-

ment system in place, audits, how you go about

continuous quality improvement, to the impor-

tance of engaging consumers in their care.”

The guide not only assists clinical manag-

ers and nurses, midwives and allied health pro-

fessionals on the ground, it ultimately results in

better care for patients, Ms Hakendorf adds.

“It’s about the practices, so that people

practice safely, reducing risks and ensuring

quality of care is given to clients and patients.”

CRANAplus will conduct a one-day work-

shop on the Clinical Governance Guide in the

lead up to the 2015 CRANAplus Conference

being held in Alice Springs from October 15-17.

507-030 1/2PG FULL COLOUR CMYK PDF324-026 1/2PG FULL COLOUR CMYK PDF

PO Box 83 Ocean Grove [email protected]

Closing date:24 March 2014

STRATEGIC DIRECTOR Grampians Integrated Cancer Service The Strategic Director is the key leadership role within GICS and reports directly to the Governance Group. The Strategic Director is responsible for facilitating the implementation of cancer service reform across the Grampians region.

The successful applicant will be able to demonstrate executive level management

of cancer services and models of care within Victoria.

key position will be negotiated with the successful applicant.

Full position details can be obtained from our website at:

332 598 or applications can be forwarded to: [email protected]

www.hrsa.com.au

324-026 1/2PG FULL COLOUR CMYK PDF

PO Box 83 Ocean Grove [email protected]

Closing date:24 March 2014

507-033 1/2PG FULL COLOUR CMYK PDF507-027 1PG FULL COLOUR CMYK PDF

We are better than ever before!

Umoona Tjutagku Health Service Aboriginal Corporation are among the �rst Community Controlled Aboriginal Health Services to have achieved

Priscilla Larkins (CEO)

Dilshan Perera (BS & HR Manager)

Michael Fernando (Practice Manager)

A big thanks to the Board, Management & staff who made this happen.

in South Australia

ISO 9001 Accreditation

507-011 1/2PG FULL COLOUR CMYK PDF

hays.com.au

PRACTICE MANAGER LEAD & INFLUENCE A TEAMAdelaide Eye and Retina Centre has been established for over 20 years. It has three Ophthalmologists specialising in medical and surgical retina and oncology and is supported by 23 additional staff with plans for further expansion. We’re seeking a Practice Manager to join this successful Adelaide based organisation.

You’ll lead a team of administrative and clinical staff and will have responsibility for managing the day to day operations of the clinic.

Experience within a medical environment is essential. You’ll have strong people management, commercial and organisational skills. As a strategic and inspiring leader, you’ll be capable of supporting a dynamic and growing business.

Contact Lynsey White at [email protected] or 08 7221 4144.

507-029 1/2PG FULL COLOUR CMYK PDF

Registered Nurse Division 1 & 2Wyndham Clinic Private Hospital

Wyndham Clinic is a purpose built private inpatient and day patient adult mental health service and day procedure centre located in Werribee, 30 km west of Melbourne, easily accessible by train and only 2 minutes from the freeway. Our mental health and drug and alcohol services offer a range of evidence based interventions to clients both inpatient and day program. Due to an expansion of our service, we have exciting opportunities for experienced Registered Nurses Division 1 and 2, both full and part time, to join our inpatient mental health team.

We offer:

together to achieve quality care delivery

initiative and suggestions for service improvement

mental health and/ or drug and alcohol inpatient setting.

Successful Candidates will have:

For more information, please contact [email protected], call 03 9731 6646.

Full Time and Part Time Positions are Available

507-017 1/4PG PDF

Associate Nurse Unit Manager

St John of God Bendigo Hospital, a division of St John of God Health Care is a leader in the provision of health within hospitals, pathology and community services throughout Australia and New Zealand. As a Catholic not-for-pro�t group, SJGHC returns pro�ts to the communities we serve through our extensive Social Outreach and Advocacy programs.

11764 - ANUM - TheatreAn exciting opportunity has arisen for a permanent full time individual, to join our committed leadership team in this dynamic and busy Theatre unit. You will be responsible for assisting in the overall clinical management of the Main Theatre and supervision of care given by junior staff.

A minimum of �ve years’ perioperative experience and/or a relevant graduate quali�cation is essential for further consideration.

For enquiries about this position, contact Karen Millsom-Ryan, NUM on (03) 5434 3481

To access the position description or to apply, visit www.sjog.org.au and click on careers tab, reference number 11764. Applications Close: 30 April 2015

507-019 1/4PG PDF

NURSE UNIT MANAGER

NORTHEAST HEALTH WANGARATTA

Maternity Unit, Full-time, Ref No: 15/16

The successful applicants will have undergone a WWC& police check. For further details including a

position description visit:

Exciting career opportunity Great country lifestyle in a beautiful rural location Salary packaging available

Contact: Meryn Pease, DON, (03) 57225330Closing Date: 1 May 2015

As NUM you will provide clinical leadership, operational management & strategic

direction for the Unit including antenatal clinics/classes, the Community Midwife Program, Lactation Clinic and safe and

effective Domiciliary services. Cost effective service delivery and high quality patient outcomes will also be required.

www.nhw.hume.org.au

Page 12: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 20 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 13

Page 12 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 21

507-016 1/2PG FULL COLOUR CMYK PDF

Everyday work, life-changing workplacesIt takes resilient, adaptable, and kind people to volunteer overseas. Think you’ve got what it takes?People suited to rural or remote nursing tend to have the can-do attitude that’s vital for international development work. Right now assignments in nursing, midwifery and public health are available in Cambodia, Fiji & Vanuatu. We’ll support you with airfares, accommodation and allowances.Visit www.redcross.org.au/aidwork or call (03) 9345 1834 to explore your options.The Australian Volunteers program is an Australian Government initiative.

dfat.gov.au/australianvolunteers507-002 1/2PG FULL COLOUR CMYK PDF506-033 1/2PG FULL COLOUR CMYK PDF505-001 1/2PG FULL COLOUR CMYK PDF504-021 1/2PG FULL COLOUR CMYK PDF503-001 1/2PG FULL COLOUR CMYK PDF424-025 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)

For enquiries or to apply, please call 1800 673 123 or send your resume to [email protected]

UNIQUE OPPORTUNITY FOR REGISTERED NURSESAre you a self-motivated registered nurse searching for work/life balance?

Are you an ICU, ED, recovery, HITH, or even remote nurse searching for a way to earn income, and fi t in around your existing lifestyle?Lifescreen provides Health Services to the Insurance Industry, and Clinical Services for several pharmaceutical companies. We are looking for nurses to join our expanding operations to provide community-based services for our clients.

Lifescreen can offer you:

• Extra $$$

• Work/life balance

• Continuity of patient care

• Job satisfaction

• Certifi ed CPR/anaphylaxis training provided at no cost to you

To be considered for a role as a nurse contractor for Lifescreen you must have the following:

• Registered nurse with >5 years experience

• Australian Citizen

• ABN

• Cannulation competent

• Strong written and verbal communication skills

• Own car and mobile phone

507-009 1PG FULL COLOUR CMYK PDF

Geneva Healthcare

Preparing nurses for the Ebola frontlineAustralian health professionals are combatting the worst outbreak of the world’s deadliest disease in a foreign and inhospitable landscape. An Aussie nurse is behind the training that prepares our nurses and doctors for the challenges of working in the Australian-run Ebola Treatment Centre. By Sierra Leone

Jane Armstrong and her team at Aspen Medi-

cal had about 10 working days to pull togeth-

er the training designed to educate and prepare

health professionals being deployed

to the Australian-flagged front-

line in the fight against Ebola.

With almost 40 years’

clinical and training

experience, the reg-

istered nurse and

Aspen Medical train-

ing education and

development man-

ager had already be-

gun researching Ebola

when the Federal Gov-

ernment announced

in November 2014 that it

planned to establish an Ebola

Treatment Centre (ETC) in the

West African nation of Sierra Leone.

The Aspen Medical International Deploy-

ment Induction (AMIDI) for Sierra Leone was

created to complement three days of intensive

training on the ground in West Africa, where

there’s a focus on personal protection equip-

ment (PPE) coupled with four days of supervi-

sion in work areas.

The two and a half day pre-deployment

training program, based at Aspen Medical in

Canberra, has been built on the organisation’s

experience combined with consultation from its

subject matter experts and resources from the

international aid sector.

The training provides a grounding in areas

such as using the vital PPE, along with water,

sanitation and hygiene, clinical standard op-

erating procedures, child protection

awareness, post deployment

awareness and Aspen Medi-

cal’s Employee Assistance

Program.

What’s more, the

program aims to pre-

pare health work-

ers for more than

the clinical practice

of caring for pa-

tients and halting the

spread of Ebola. It also

focuses on the grim re-

ality of this extraordinary

and dangerous working envi-

ronment, including the prepara-

tion of wills.

The training also considers the cultural

sensitivities of working in Sierra Leone, from

supporting the families of the deceased to the

burial practices related to Ebola.

The medical company, which has a track

record of working with government and non-

government organisations to deliver essential

health care services in the wake of conflicts

or natural disasters, was awarded the contract

to run the 100-bed ETC for eight months. It

received more than 1000 applications from

health professionals wanting to join the Aus-

tralian response.For the full article visit HealthTimes.com.au

Aspen Medical has so far delivered five

training sessions to 76 health professionals and

environmental health officers, including 49

nurses.

Once trained, health professionals are de-

ployed for six to eight weeks, creating a team

of about 30 staff at the ETC. When they return,

workers begin a 21 day period of self-monitor-

ing for any Ebola symptoms.

Ms Armstrong, who worked as a nurse in

various public and private practices for 20 years

before moving into health promotion and then

into clinical educating, training and lecturing

roles, joined Aspen Medical in 2012.

She says some nurses and doctors often

enter the training with a level of uncertainty.

“However after three days of face to face

training and particularly the practical scenario

settings that we had prepared, it turned peo-

ple around so that staff ended up relieved that

they had some knowledge transfer and also felt

more confident and ready to be deployed,” she

says.

“That to me was really a hallmark of the ex-

pert training we were able to offer.”

The training provides the latest Ebola infor-

mation for staff deploying to the area, including

an overview of the disease and its transmission,

and also covers protocols and policies, com-

prising media relations and also the use of so-

cial media.

Staff are taken through clinical treatment

guidelines, infection control, the process of

putting on the PPE, which includes gumboots,

long cuffed double gloves and double masks,

and its safe use.

Clinicians spend three hours wearing the

PPE, where they participate in three different

scenarios.

The exercise is not designed to replicate

the experience of working at the ETC but gives

health workers an understanding of what it’s

like to provide treatment in the PPE, Ms Arm-

strong explains.

“You’ve just got a really hot environment,

you are in tremendously weighty gear and gum-

boots. It’s trying to do all of those wonderful

things that clinicians do but with all the gear on,”

she says.

At the ETC, health professionals are required

to wear the PPE in searing 40° heat. Due to the

sweltering conditions and the risk of heat stress,

clinicians spend 40 minutes working in the ETC

and then take a 40 minute break. Even so, some

workers have reported losing a kilo to a kilo and

a half within an hour.

“The bottom line is around raising aware-

ness on how that PPE feels and to experience

that - so the glasses fogging up, feeling sweaty

and feeling uncomfortable in the gear,” Ms Arm-

strong says.

The training also drives home the impor-

tance of team-work and protecting your work

‘buddy’ in the ETC.

“You could be in the red zone, treating West

Africans with Ebola, and your buddy notices that

your goggles have fogged,” Ms Armstrong says.

“Now immediately you have to stop what

you are doing and both you and the person with

the fogged goggles, so you and your buddy,

must leave the treatment centre, that’s the rule.

“That way there’s no opportunity for any-

thing to happen to you, we’d both leave the red

zone together.”

Facing language barriers and cultural dif-

ferences, Australian nurses and doctors are also

culturally orientated about the area that they’re

about to enter. It’s often a hostile environment,

where relatives of patients can shout and rat-

tle the cage surrounding the ETC in an attempt

to gain access, despite the risk of contracting

Ebola.

Importantly, clinicians are taught effective

communication and how to diffuse aggression

within the ETC.

Preparing nurses for the Ebola frontlineAustralian health professionals are combatting the worst outbreak of the world’s deadliest disease in a foreign and inhospitable landscape. An Aussie nurse is behind the training that prepares our nurses and doctors for the challenges of working in the Australian-run Ebola Treatment Centre. By Sierra Leone

Jane Armstrong and her team at Aspen Medi-

cal had about 10 working days to pull togeth-

er the training designed to educate and prepare

health professionals being deployed

to the Australian-flagged front-

line in the fight against Ebola.

With almost 40 years’

clinical and training

experience, the reg-

istered nurse and

Aspen Medical train-

ing education and

development man-

ager had already be-

gun researching Ebola

when the Federal Gov-

ernment announced

in November 2014 that it

planned to establish an Ebola

Treatment Centre (ETC) in the

West African nation of Sierra Leone.

The Aspen Medical International Deploy-

ment Induction (AMIDI) for Sierra Leone was

created to complement three days of intensive

training on the ground in West Africa, where

there’s a focus on personal protection equip-

ment (PPE) coupled with four days of supervi-

sion in work areas.

The two and a half day pre-deployment

training program, based at Aspen Medical in

Canberra, has been built on the organisation’s

experience combined with consultation from its

subject matter experts and resources from the

international aid sector.

The training provides a grounding in areas

such as using the vital PPE, along with water,

sanitation and hygiene, clinical standard op-

erating procedures, child protection

awareness, post deployment

awareness and Aspen Medi-

cal’s Employee Assistance

Program.

What’s more, the

program aims to pre-

pare health work-

ers for more than

the clinical practice

of caring for pa-

tients and halting the

spread of Ebola. It also

focuses on the grim re-

ality of this extraordinary

and dangerous working envi-

ronment, including the prepara-

tion of wills.

The training also considers the cultural

sensitivities of working in Sierra Leone, from

supporting the families of the deceased to the

burial practices related to Ebola.

The medical company, which has a track

record of working with government and non-

government organisations to deliver essential

health care services in the wake of conflicts

or natural disasters, was awarded the contract

to run the 100-bed ETC for eight months. It

received more than 1000 applications from

health professionals wanting to join the Aus-

tralian response. For the full article visit HealthTimes.com.au

Aspen Medical has so far delivered five

training sessions to 76 health professionals and

environmental health officers, including 49

nurses.

Once trained, health professionals are de-

ployed for six to eight weeks, creating a team

of about 30 staff at the ETC. When they return,

workers begin a 21 day period of self-monitor-

ing for any Ebola symptoms.

Ms Armstrong, who worked as a nurse in

various public and private practices for 20 years

before moving into health promotion and then

into clinical educating, training and lecturing

roles, joined Aspen Medical in 2012.

She says some nurses and doctors often

enter the training with a level of uncertainty.

“However after three days of face to face

training and particularly the practical scenario

settings that we had prepared, it turned peo-

ple around so that staff ended up relieved that

they had some knowledge transfer and also felt

more confident and ready to be deployed,” she

says.

“That to me was really a hallmark of the ex-

pert training we were able to offer.”

The training provides the latest Ebola infor-

mation for staff deploying to the area, including

an overview of the disease and its transmission,

and also covers protocols and policies, com-

prising media relations and also the use of so-

cial media.

Staff are taken through clinical treatment

guidelines, infection control, the process of

putting on the PPE, which includes gumboots,

long cuffed double gloves and double masks,

and its safe use.

Clinicians spend three hours wearing the

PPE, where they participate in three different

scenarios.

The exercise is not designed to replicate

the experience of working at the ETC but gives

health workers an understanding of what it’s

like to provide treatment in the PPE, Ms Arm-

strong explains.

“You’ve just got a really hot environment,

you are in tremendously weighty gear and gum-

boots. It’s trying to do all of those wonderful

things that clinicians do but with all the gear on,”

she says.

At the ETC, health professionals are required

to wear the PPE in searing 40° heat. Due to the

sweltering conditions and the risk of heat stress,

clinicians spend 40 minutes working in the ETC

and then take a 40 minute break. Even so, some

workers have reported losing a kilo to a kilo and

a half within an hour.

“The bottom line is around raising aware-

ness on how that PPE feels and to experience

that - so the glasses fogging up, feeling sweaty

and feeling uncomfortable in the gear,” Ms Arm-

strong says.

The training also drives home the impor-

tance of team-work and protecting your work

‘buddy’ in the ETC.

“You could be in the red zone, treating West

Africans with Ebola, and your buddy notices that

your goggles have fogged,” Ms Armstrong says.

“Now immediately you have to stop what

you are doing and both you and the person with

the fogged goggles, so you and your buddy,

must leave the treatment centre, that’s the rule.

“That way there’s no opportunity for any-

thing to happen to you, we’d both leave the red

zone together.”

Facing language barriers and cultural dif-

ferences, Australian nurses and doctors are also

culturally orientated about the area that they’re

about to enter. It’s often a hostile environment,

where relatives of patients can shout and rat-

tle the cage surrounding the ETC in an attempt

to gain access, despite the risk of contracting

Ebola.

Importantly, clinicians are taught effective

communication and how to diffuse aggression

within the ETC.

Page 13: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 20 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 13

Page 12 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 21

507-016 1/2PG FULL COLOUR CMYK PDF

Everyday work, life-changing workplaces It takes resilient, adaptable, and kind people to volunteer overseas. Think you’ve got what it takes?People suited to rural or remote nursing tend to have the can-do attitude that’s vital for international development work. Right now assignments in nursing, midwifery and public health are available in Cambodia, Fiji & Vanuatu. We’ll support you with airfares, accommodation and allowances.Visit www.redcross.org.au/aidwork or call (03) 9345 1834 to explore your options.The Australian Volunteers program is an Australian Government initiative.

dfat.gov.au/australianvolunteers507-002 1/2PG FULL COLOUR CMYK PDF 506-033 1/2PG FULL COLOUR CMYK PDF 505-001 1/2PG FULL COLOUR CMYK PDF 504-021 1/2PG FULL COLOUR CMYK PDF 503-001 1/2PG FULL COLOUR CMYK PDF 424-025 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)

For enquiries or to apply, please call 1800 673 123 or send your resume to [email protected]

UNIQUE OPPORTUNITY FOR REGISTERED NURSESAre you a self-motivated registered nurse searching for work/life balance?

Are you an ICU, ED, recovery, HITH, or even remote nurse searching for a way to earn income, and fi t in around your existing lifestyle?Lifescreen provides Health Services to the Insurance Industry, and Clinical Services for several pharmaceutical companies. We are looking for nurses to join our expanding operations to provide community-based services for our clients.

Lifescreen can offer you:

• Extra $$$

• Work/life balance

• Continuity of patient care

• Job satisfaction

• Certifi ed CPR/anaphylaxis training provided at no cost to you

To be considered for a role as a nurse contractor for Lifescreen you must have the following:

• Registered nurse with >5 years experience

• Australian Citizen

• ABN

• Cannulation competent

• Strong written and verbal communication skills

• Own car and mobile phone

507-009 1PG FULL COLOUR CMYK PDF

GenevaHealthcare

Preparing nurses for the Ebola frontlineAustralian health professionals are combatting the worst outbreak of the world’s deadliest disease in a foreign and inhospitable landscape. An Aussie nurse is behind the training that prepares our nurses and doctors for the challenges of working in the Australian-run Ebola Treatment Centre. By Sierra Leone

Jane Armstrong and her team at Aspen Medi-

cal had about 10 working days to pull togeth-

er the training designed to educate and prepare

health professionals being deployed

to the Australian-flagged front-

line in the fight against Ebola.

With almost 40 years’

clinical and training

experience, the reg-

istered nurse and

Aspen Medical train-

ing education and

development man-

ager had already be-

gun researching Ebola

when the Federal Gov-

ernment announced

in November 2014 that it

planned to establish an Ebola

Treatment Centre (ETC) in the

West African nation of Sierra Leone.

The Aspen Medical International Deploy-

ment Induction (AMIDI) for Sierra Leone was

created to complement three days of intensive

training on the ground in West Africa, where

there’s a focus on personal protection equip-

ment (PPE) coupled with four days of supervi-

sion in work areas.

The two and a half day pre-deployment

training program, based at Aspen Medical in

Canberra, has been built on the organisation’s

experience combined with consultation from its

subject matter experts and resources from the

international aid sector.

The training provides a grounding in areas

such as using the vital PPE, along with water,

sanitation and hygiene, clinical standard op-

erating procedures, child protection

awareness, post deployment

awareness and Aspen Medi-

cal’s Employee Assistance

Program.

What’s more, the

program aims to pre-

pare health work-

ers for more than

the clinical practice

of caring for pa-

tients and halting the

spread of Ebola. It also

focuses on the grim re-

ality of this extraordinary

and dangerous working envi-

ronment, including the prepara-

tion of wills.

The training also considers the cultural

sensitivities of working in Sierra Leone, from

supporting the families of the deceased to the

burial practices related to Ebola.

The medical company, which has a track

record of working with government and non-

government organisations to deliver essential

health care services in the wake of conflicts

or natural disasters, was awarded the contract

to run the 100-bed ETC for eight months. It

received more than 1000 applications from

health professionals wanting to join the Aus-

tralian response. For the full article visit HealthTimes.com.au

Aspen Medical has so far delivered five

training sessions to 76 health professionals and

environmental health officers, including 49

nurses.

Once trained, health professionals are de-

ployed for six to eight weeks, creating a team

of about 30 staff at the ETC. When they return,

workers begin a 21 day period of self-monitor-

ing for any Ebola symptoms.

Ms Armstrong, who worked as a nurse in

various public and private practices for 20 years

before moving into health promotion and then

into clinical educating, training and lecturing

roles, joined Aspen Medical in 2012.

She says some nurses and doctors often

enter the training with a level of uncertainty.

“However after three days of face to face

training and particularly the practical scenario

settings that we had prepared, it turned peo-

ple around so that staff ended up relieved that

they had some knowledge transfer and also felt

more confident and ready to be deployed,” she

says.

“That to me was really a hallmark of the ex-

pert training we were able to offer.”

The training provides the latest Ebola infor-

mation for staff deploying to the area, including

an overview of the disease and its transmission,

and also covers protocols and policies, com-

prising media relations and also the use of so-

cial media.

Staff are taken through clinical treatment

guidelines, infection control, the process of

putting on the PPE, which includes gumboots,

long cuffed double gloves and double masks,

and its safe use.

Clinicians spend three hours wearing the

PPE, where they participate in three different

scenarios.

The exercise is not designed to replicate

the experience of working at the ETC but gives

health workers an understanding of what it’s

like to provide treatment in the PPE, Ms Arm-

strong explains.

“You’ve just got a really hot environment,

you are in tremendously weighty gear and gum-

boots. It’s trying to do all of those wonderful

things that clinicians do but with all the gear on,”

she says.

At the ETC, health professionals are required

to wear the PPE in searing 40° heat. Due to the

sweltering conditions and the risk of heat stress,

clinicians spend 40 minutes working in the ETC

and then take a 40 minute break. Even so, some

workers have reported losing a kilo to a kilo and

a half within an hour.

“The bottom line is around raising aware-

ness on how that PPE feels and to experience

that - so the glasses fogging up, feeling sweaty

and feeling uncomfortable in the gear,” Ms Arm-

strong says.

The training also drives home the impor-

tance of team-work and protecting your work

‘buddy’ in the ETC.

“You could be in the red zone, treating West

Africans with Ebola, and your buddy notices that

your goggles have fogged,” Ms Armstrong says.

“Now immediately you have to stop what

you are doing and both you and the person with

the fogged goggles, so you and your buddy,

must leave the treatment centre, that’s the rule.

“That way there’s no opportunity for any-

thing to happen to you, we’d both leave the red

zone together.”

Facing language barriers and cultural dif-

ferences, Australian nurses and doctors are also

culturally orientated about the area that they’re

about to enter. It’s often a hostile environment,

where relatives of patients can shout and rat-

tle the cage surrounding the ETC in an attempt

to gain access, despite the risk of contracting

Ebola.

Importantly, clinicians are taught effective

communication and how to diffuse aggression

within the ETC.

Preparing nurses for the Ebola frontlineAustralian health professionals are combatting the worst outbreak of the world’s deadliest disease in a foreign and inhospitable landscape. An Aussie nurse is behind the training that prepares our nurses and doctors for the challenges of working in the Australian-run Ebola Treatment Centre. By Sierra Leone

Jane Armstrong and her team at Aspen Medi-

cal had about 10 working days to pull togeth-

er the training designed to educate and prepare

health professionals being deployed

to the Australian-flagged front-

line in the fight against Ebola.

With almost 40 years’

clinical and training

experience, the reg-

istered nurse and

Aspen Medical train-

ing education and

development man-

ager had already be-

gun researching Ebola

when the Federal Gov-

ernment announced

in November 2014 that it

planned to establish an Ebola

Treatment Centre (ETC) in the

West African nation of Sierra Leone.

The Aspen Medical International Deploy-

ment Induction (AMIDI) for Sierra Leone was

created to complement three days of intensive

training on the ground in West Africa, where

there’s a focus on personal protection equip-

ment (PPE) coupled with four days of supervi-

sion in work areas.

The two and a half day pre-deployment

training program, based at Aspen Medical in

Canberra, has been built on the organisation’s

experience combined with consultation from its

subject matter experts and resources from the

international aid sector.

The training provides a grounding in areas

such as using the vital PPE, along with water,

sanitation and hygiene, clinical standard op-

erating procedures, child protection

awareness, post deployment

awareness and Aspen Medi-

cal’s Employee Assistance

Program.

What’s more, the

program aims to pre-

pare health work-

ers for more than

the clinical practice

of caring for pa-

tients and halting the

spread of Ebola. It also

focuses on the grim re-

ality of this extraordinary

and dangerous working envi-

ronment, including the prepara-

tion of wills.

The training also considers the cultural

sensitivities of working in Sierra Leone, from

supporting the families of the deceased to the

burial practices related to Ebola.

The medical company, which has a track

record of working with government and non-

government organisations to deliver essential

health care services in the wake of conflicts

or natural disasters, was awarded the contract

to run the 100-bed ETC for eight months. It

received more than 1000 applications from

health professionals wanting to join the Aus-

tralian response.For the full article visit HealthTimes.com.au

Aspen Medical has so far delivered five

training sessions to 76 health professionals and

environmental health officers, including 49

nurses.

Once trained, health professionals are de-

ployed for six to eight weeks, creating a team

of about 30 staff at the ETC. When they return,

workers begin a 21 day period of self-monitor-

ing for any Ebola symptoms.

Ms Armstrong, who worked as a nurse in

various public and private practices for 20 years

before moving into health promotion and then

into clinical educating, training and lecturing

roles, joined Aspen Medical in 2012.

She says some nurses and doctors often

enter the training with a level of uncertainty.

“However after three days of face to face

training and particularly the practical scenario

settings that we had prepared, it turned peo-

ple around so that staff ended up relieved that

they had some knowledge transfer and also felt

more confident and ready to be deployed,” she

says.

“That to me was really a hallmark of the ex-

pert training we were able to offer.”

The training provides the latest Ebola infor-

mation for staff deploying to the area, including

an overview of the disease and its transmission,

and also covers protocols and policies, com-

prising media relations and also the use of so-

cial media.

Staff are taken through clinical treatment

guidelines, infection control, the process of

putting on the PPE, which includes gumboots,

long cuffed double gloves and double masks,

and its safe use.

Clinicians spend three hours wearing the

PPE, where they participate in three different

scenarios.

The exercise is not designed to replicate

the experience of working at the ETC but gives

health workers an understanding of what it’s

like to provide treatment in the PPE, Ms Arm-

strong explains.

“You’ve just got a really hot environment,

you are in tremendously weighty gear and gum-

boots. It’s trying to do all of those wonderful

things that clinicians do but with all the gear on,”

she says.

At the ETC, health professionals are required

to wear the PPE in searing 40° heat. Due to the

sweltering conditions and the risk of heat stress,

clinicians spend 40 minutes working in the ETC

and then take a 40 minute break. Even so, some

workers have reported losing a kilo to a kilo and

a half within an hour.

“The bottom line is around raising aware-

ness on how that PPE feels and to experience

that - so the glasses fogging up, feeling sweaty

and feeling uncomfortable in the gear,” Ms Arm-

strong says.

The training also drives home the impor-

tance of team-work and protecting your work

‘buddy’ in the ETC.

“You could be in the red zone, treating West

Africans with Ebola, and your buddy notices that

your goggles have fogged,” Ms Armstrong says.

“Now immediately you have to stop what

you are doing and both you and the person with

the fogged goggles, so you and your buddy,

must leave the treatment centre, that’s the rule.

“That way there’s no opportunity for any-

thing to happen to you, we’d both leave the red

zone together.”

Facing language barriers and cultural dif-

ferences, Australian nurses and doctors are also

culturally orientated about the area that they’re

about to enter. It’s often a hostile environment,

where relatives of patients can shout and rat-

tle the cage surrounding the ETC in an attempt

to gain access, despite the risk of contracting

Ebola.

Importantly, clinicians are taught effective

communication and how to diffuse aggression

within the ETC.

Page 14: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 22 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 11

Page 14 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 19

Clinical Governance Guide for remote and isolated health

Nurses, midwives and allied health profes-

sionals have a practical guide to help them

navigate the unique challenges of clinical

governance while working in Australia’s re-

mote areas.

CRANAplus, the peak professional body

for the nation’s remote and isolated health

workforce, has developed a Clinical Govern-

ance Guide for health managers and clini-

cians.

The guide, designed for health centre

managers, nurses, midwives, allied health

professionals, doctors, Aboriginal and Torres

Strait Islander health care practitioners and

health workers, outlines the components and

processes for appropriate and effective clini-

cal governance and quality improvement for

remote and isolated health services.

CRANAplus professional officer Marcia

Hakendorf, a registered nurse and former SA

Health Department Nursing and Midwifery

policy advisor, says the resource simplifies

what clinical governance means to health

practitioners’ workplaces and their practices.

“There’s been a lot written about clinical

governance and it’s absolutely like a maze to

put the pieces together,” she says.

“So this was about demystifying and

grounding it for clinical managers and clini-

cians working in the bush.

“What we really wanted to do was to ensure that there was an effective and consistent standard of health ser-vice throughout remote and isolated areas of Australia, and it was also about improving the capacity of the remote health workforce in providing an effec-tive, consistent standard of health care to remote Australians.”

The guide provides clinicians with direc-

tion and guidance to ensure their health ser-

vice has robust clinical governance processes

focusing on the four pillars of remote clinical

governance - workforce effectiveness, clini-

cal performance and evaluation, clinical risk

management, and consumer participation.

“It also talks about the five components

of quality improvement for the remote sec-

tor such as organisational leadership and

strong management, quality improvement,

workforce development, environment and

cultural safety, and consumers and commu-

nity.”

The challenge when creating the guide

was to ensure it would be user-friendly, log-

ical and a practical resource for managers

and clinicians to refer to that complimented

the work of the NSQHS Standards from the

Australian Commission on Safety and Qual-

ity in Health Care (ACSQHC).

The guide is based on the National Safety

and Quality Health Service (NSQHS) Stand-

ards, which came into force in January 2013,

and particularly focuses on Standard One -

Governance for Safety and Quality in Health

Service Organisations and includes a refer-

ence to Standard Two - Partnership with Con-

sumers.

The Standards mainly cover hospital ser-

vices. CRANAplus received funding from the

Australian Government to produce a resource,

designed to compliment the Standards, that

would shine the spotlight on the complex is-

sues facing remote and isolated area health

service delivery.

The guide was conceived, researched and

written with direct input from clinicians work-

ing daily in the remote health context.

Since its completion in September 2013,

CRANAplus has distributed more than 930 of

the guides, which are also available online,

into the remote sector.

Ms Hakendorf says while health practition-

ers often understand what clinical governance

is and why they need it, they can struggle to

comprehend the ‘how’ of its implementation

when it comes to remote and isolated health.

“Remote areas have complexities including

implications of geographical location, the vast

distances, the social and cultural influences, the

professional isolation, and limited infrastructure

and communication resources,” she says.

“It’s a resource for managers and clinicians

to use to clarify - what does this mean, what

should be in place, what’s my responsibility as a

clinician and what’s my responsibility as a clini-

cal manager.

“This actually helps them to look at what

needs to be in place to provide safe, quality care

to remote and isolated communities.”

“This guide gives them a comprehensive

understanding of what needs to be in place for

the remote workforce covering all aspects of

clinical care from the recruitment processes,

use of evidence-based practice, the reporting

of incidences and having an incident manage-

ment system in place, audits, how you go about

continuous quality improvement, to the impor-

tance of engaging consumers in their care.”

The guide not only assists clinical manag-

ers and nurses, midwives and allied health pro-

fessionals on the ground, it ultimately results in

better care for patients, Ms Hakendorf adds.

“It’s about the practices, so that people

practice safely, reducing risks and ensuring

quality of care is given to clients and patients.”

CRANAplus will conduct a one-day work-

shop on the Clinical Governance Guide in the

lead up to the 2015 CRANAplus Conference

being held in Alice Springs from October 15-17.

507-030 1/2PG FULL COLOUR CMYK PDF 324-026 1/2PG FULL COLOUR CMYK PDF

PO Box 83 Ocean Grove [email protected]

Closing date:24 March 2014

STRATEGIC DIRECTOR Grampians Integrated Cancer Service The Strategic Director is the key leadership role within GICS and reports directly to the Governance Group. The Strategic Director is responsible for facilitating the implementation of cancer service reform across the Grampians region.

The successful applicant will be able to demonstrate executive level management

of cancer services and models of care within Victoria.

key position will be negotiated with the successful applicant.

Full position details can be obtained from our website at:

332 598 or applications can be forwarded to: [email protected]

www.hrsa.com.au

324-026 1/2PG FULL COLOUR CMYK PDF

PO Box 83 Ocean Grove [email protected]

Closing date:24 March 2014

507-033 1/2PG FULL COLOUR CMYK PDF 507-027 1PG FULL COLOUR CMYK PDF

We are better than ever before!

Umoona Tjutagku Health Service Aboriginal Corporation are among the �rst Community Controlled Aboriginal Health Services to have achieved

Priscilla Larkins (CEO)

Dilshan Perera (BS & HR Manager)

Michael Fernando (Practice Manager)

A big thanks to the Board, Management & staff who made this happen.

in South Australia

ISO 9001 Accreditation

507-011 1/2PG FULL COLOUR CMYK PDF

hays.com.au

PRACTICE MANAGER LEAD & INFLUENCE A TEAMAdelaide Eye and Retina Centre has been established for over 20 years. It has three Ophthalmologists specialising in medical and surgical retina and oncology and is supported by 23 additional staff with plans for further expansion. We’re seeking a Practice Manager to join this successful Adelaide based organisation.

You’ll lead a team of administrative and clinical staff and will have responsibility for managing the day to day operations of the clinic.

Experience within a medical environment is essential. You’ll have strong people management, commercial and organisational skills. As a strategic and inspiring leader, you’ll be capable of supporting a dynamic and growing business.

Contact Lynsey White at [email protected] or 08 7221 4144.

507-029 1/2PG FULL COLOUR CMYK PDF

Registered Nurse Division 1 & 2Wyndham Clinic Private Hospital

Wyndham Clinic is a purpose built private inpatient and day patient adult mental health service and day procedure centre located in Werribee, 30 km west of Melbourne, easily accessible by train and only 2 minutes from the freeway. Our mental health and drug and alcohol services offer a range of evidence based interventions to clients both inpatient and day program. Due to an expansion of our service, we have exciting opportunities for experienced Registered Nurses Division 1 and 2, both full and part time, to join our inpatient mental health team. expansion of our service, we have exciting opportunities for experienced Registered Nurses Division 1 and 2, both full and part time, to join our inpatient mental health team.

We offer:

together to achieve quality care delivery

initiative and suggestions for service improvement

mental health and/ or drug and alcohol inpatient setting.

Successful Candidates will have:

For more information, please contact [email protected], call 03 9731 6646.

Full Time and Part Time Positions are Available

507-017 1/4PG PDF

Associate Nurse Unit Manager

St John of God Bendigo Hospital, a division of St John of God Health Care is a leader in the provision of health within hospitals, pathology and community services throughout Australia and New Zealand. As a Catholic not-for-pro�t group, SJGHC returns pro�ts to the communities we serve through our extensive Social Outreach and Advocacy programs.

11764 - ANUM - TheatreAn exciting opportunity has arisen for a permanent full time individual, to join our committed leadership team in this dynamic and busy Theatre unit. You will be responsible for assisting in the overall clinical management of the Main Theatre and supervision of care given by junior staff.

A minimum of �ve years’ perioperative experience and/or a relevant graduate quali�cation is essential for further consideration.

For enquiries about this position, contact Karen Millsom-Ryan, NUM on (03) 5434 3481

To access the position description or to apply, visit www.sjog.org.au and click on careers tab, reference number 11764. Applications Close: 30 April 2015

507-019 1/4PG PDF

NURSE UNIT MANAGER

NORTHEAST HEALTH WANGARATTA

Maternity Unit, Full-time, Ref No: 15/16

The successful applicants will have undergone a WWC& police check. For further details including a

position description visit:

Exciting career opportunity Great country lifestyle in a beautiful rural location Salary packaging available

Contact: Meryn Pease, DON, (03) 57225330Closing Date: 1 May 2015

As NUM you will provide clinical leadership, operational management & strategic

direction for the Unit including antenatal clinics/classes, the Community Midwife Program, Lactation Clinic and safe and

effective Domiciliary services. Cost effective service delivery and high quality patient outcomes will also be required.

www.nhw.hume.org.au

Page 15: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 18 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 15

Page 16 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 17

507-021 1PG FULL COLOUR CMYK PDF502-008 1PG FULL COLOUR CMYK PDF

Hamilton, the Heart of the Western DistrictHamilton is strategically located 3.5 hours from Melbourne and 5 hours from

Adelaide. Southern Grampians spans the heart of Victoria’s renowned

Executive Director of NursingAn exceptional opportunity has arisen for a dynamic, engaging and proactive Executive Director of Nursing at Western District Health Service.

executive team, this position will give you the opportunity to drive

We are looking for someone who has exceptional clinical governance and leadership experience combined with sound business acumen. You will be a successful change-manager, be politically savvy and have highly developed analytical skills. Naturally, you will have demonstrated excellent people management in your previous roles.

To be considered for this exciting role, you will have previous senior nursing management experience and be a registered Division 1 Nurse.

If you would want to transform your career please visit our web-site www.wdhs.net. Applications for this position, please contact the

507-

022

2PG

FU

LL C

OLO

UR

CM

YK

Pain management program targets urban Indigenous people

Two Queensland allied health profession-

als have developed a culturally appropriate

chronic pain management program for urban

Aboriginal and Torres Strait Islander people.

Psychologist Tabinda Basit, who works

at Brisbane’s Institute for Urban Indigenous

Health, and Dr Emma Campbell, an occupa-

tional therapist and associate lecturer at the

University of Queensland, created the Pain He-

roes self-management chronic pain

program due to a lack of cul-

turally responsive programs

for urban Indigenous

people.

Ms Basit said re-

search into chronic

pain prevalence in

Aboriginal and Tor-

res Strait Islander

people suggests

Indigenous people

have a unique expe-

rience when it comes

to chronic pain and its

response to different treat-

ments.

“If we know that the way they re-

spond to treatment is different then we should

have a treatment program that is distinctive for

that group of people and not a one-size-fits-all

approach,” she said.

The two non-Indigenous allied health

practitioners consulted with Aboriginal health

workers, dietitians, nurses, exercise physiolo-

gists and GPs to develop the health behaviour

change program for Aboriginal and Torres Strait

Islander people.

The Pain Heroes program, which provides

six information and discussion sessions, has

now been piloted at two health clinics.

The sessions feature topics covering - what

is chronic pain, the body systems that involve

chronic pain, relaxation strategies for pain and

medication, and also introduce clients to GPs

and allied health professionals in an informal

setting.

“I think one of the big aims of the program

is to actually increase access to allied health for

those clients,” Ms Basit said.

“They might have chronic pain

and only be seeing their GP. It’s

kind of about opening their

eyes and saying - well,

there are a lot of health

professionals that can

help you with this and

these are the differ-

ent things that they

do - so it’s not so

confronting.”

The sessions

are designed to build

knowledge and self-

management skills in In-

digenous people experiencing

chronic pain through a culturally

responsive framework that is group-fo-

cused, features a holistic model of health, and

also uses ‘yarning’ for peer-to-peer informa-

tion sharing.

“One of the practices that is highly valued

amongst Aboriginal and Torres Strait Islander

people is having a yarn,” Ms Basit said.

“That is really the sharing of experiences

and it’s a real mutual process - which is what

we are trying to emulate.”

Ms Basit said the program, which has re-

ceived positive feedback, is continuing to

evolve from clients’ feedback, and is likely to be

rolled out at more clinics in Queensland.

Page 16: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 18 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 15

Page 16 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 17

507-021 1PG FULL COLOUR CMYK PDF 502-008 1PG FULL COLOUR CMYK PDF

Hamilton, the Heart of the Western DistrictHamilton is strategically located 3.5 hours from Melbourne and 5 hours from

Adelaide. Southern Grampians spans the heart of Victoria’s renowned

Executive Director of NursingAn exceptional opportunity has arisen for a dynamic, engaging and proactive Executive Director of Nursing at Western District Health Service.

executive team, this position will give you the opportunity to drive

We are looking for someone who has exceptional clinical governance and leadership experience combined with sound business acumen. You will be a successful change-manager, be politically savvy and have highly developed analytical skills. Naturally, you will have demonstrated excellent people management in your previous roles.

To be considered for this exciting role, you will have previous senior nursing management experience and be a registered Division 1 Nurse.

If you would want to transform your career please visit our web-site www.wdhs.net. Applications for this position, please contact the

507-022 2PG

FULL C

OLO

UR

CM

YK

Pain management program targets urban Indigenous people

Two Queensland allied health profession-

als have developed a culturally appropriate

chronic pain management program for urban

Aboriginal and Torres Strait Islander people.

Psychologist Tabinda Basit, who works

at Brisbane’s Institute for Urban Indigenous

Health, and Dr Emma Campbell, an occupa-

tional therapist and associate lecturer at the

University of Queensland, created the Pain He-

roes self-management chronic pain

program due to a lack of cul-

turally responsive programs

for urban Indigenous

people.

Ms Basit said re-

search into chronic

pain prevalence in

Aboriginal and Tor-

res Strait Islander

people suggests

Indigenous people

have a unique expe-

rience when it comes

to chronic pain and its

response to different treat-

ments.

“If we know that the way they re-

spond to treatment is different then we should

have a treatment program that is distinctive for

that group of people and not a one-size-fits-all

approach,” she said.

The two non-Indigenous allied health

practitioners consulted with Aboriginal health

workers, dietitians, nurses, exercise physiolo-

gists and GPs to develop the health behaviour

change program for Aboriginal and Torres Strait

Islander people.

The Pain Heroes program, which provides

six information and discussion sessions, has

now been piloted at two health clinics.

The sessions feature topics covering - what

is chronic pain, the body systems that involve

chronic pain, relaxation strategies for pain and

medication, and also introduce clients to GPs

and allied health professionals in an informal

setting.

“I think one of the big aims of the program

is to actually increase access to allied health for

those clients,” Ms Basit said.

“They might have chronic pain

and only be seeing their GP. It’s

kind of about opening their

eyes and saying - well,

there are a lot of health

professionals that can

help you with this and

these are the differ-

ent things that they

do - so it’s not so

confronting.”

The sessions

are designed to build

knowledge and self-

management skills in In-

digenous people experiencing

chronic pain through a culturally

responsive framework that is group-fo-

cused, features a holistic model of health, and

also uses ‘yarning’ for peer-to-peer informa-

tion sharing.

“One of the practices that is highly valued

amongst Aboriginal and Torres Strait Islander

people is having a yarn,” Ms Basit said.

“That is really the sharing of experiences

and it’s a real mutual process - which is what

we are trying to emulate.”

Ms Basit said the program, which has re-

ceived positive feedback, is continuing to

evolve from clients’ feedback, and is likely to be

rolled out at more clinics in Queensland.

Page 17: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 18 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 15

Page 16 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 17

507-021 1PG FULL COLOUR CMYK PDF 502-008 1PG FULL COLOUR CMYK PDF

Hamilton, the Heart of the Western DistrictHamilton is strategically located 3.5 hours from Melbourne and 5 hours from

Adelaide. Southern Grampians spans the heart of Victoria’s renowned

Executive Director of NursingAn exceptional opportunity has arisen for a dynamic, engaging and proactive Executive Director of Nursing at Western District Health Service.

executive team, this position will give you the opportunity to drive

We are looking for someone who has exceptional clinical governance and leadership experience combined with sound business acumen. You will be a successful change-manager, be politically savvy and have highly developed analytical skills. Naturally, you will have demonstrated excellent people management in your previous roles.

To be considered for this exciting role, you will have previous senior nursing management experience and be a registered Division 1 Nurse.

If you would want to transform your career please visit our web-site www.wdhs.net. Applications for this position, please contact the

507-022 2PG

FULL C

OLO

UR

CM

YK

Pain management program targets urban Indigenous people

Two Queensland allied health profession-

als have developed a culturally appropriate

chronic pain management program for urban

Aboriginal and Torres Strait Islander people.

Psychologist Tabinda Basit, who works

at Brisbane’s Institute for Urban Indigenous

Health, and Dr Emma Campbell, an occupa-

tional therapist and associate lecturer at the

University of Queensland, created the Pain He-

roes self-management chronic pain

program due to a lack of cul-

turally responsive programs

for urban Indigenous

people.

Ms Basit said re-

search into chronic

pain prevalence in

Aboriginal and Tor-

res Strait Islander

people suggests

Indigenous people

have a unique expe-

rience when it comes

to chronic pain and its

response to different treat-

ments.

“If we know that the way they re-

spond to treatment is different then we should

have a treatment program that is distinctive for

that group of people and not a one-size-fits-all

approach,” she said.

The two non-Indigenous allied health

practitioners consulted with Aboriginal health

workers, dietitians, nurses, exercise physiolo-

gists and GPs to develop the health behaviour

change program for Aboriginal and Torres Strait

Islander people.

The Pain Heroes program, which provides

six information and discussion sessions, has

now been piloted at two health clinics.

The sessions feature topics covering - what

is chronic pain, the body systems that involve

chronic pain, relaxation strategies for pain and

medication, and also introduce clients to GPs

and allied health professionals in an informal

setting.

“I think one of the big aims of the program

is to actually increase access to allied health for

those clients,” Ms Basit said.

“They might have chronic pain

and only be seeing their GP. It’s

kind of about opening their

eyes and saying - well,

there are a lot of health

professionals that can

help you with this and

these are the differ-

ent things that they

do - so it’s not so

confronting.”

The sessions

are designed to build

knowledge and self-

management skills in In-

digenous people experiencing

chronic pain through a culturally

responsive framework that is group-fo-

cused, features a holistic model of health, and

also uses ‘yarning’ for peer-to-peer informa-

tion sharing.

“One of the practices that is highly valued

amongst Aboriginal and Torres Strait Islander

people is having a yarn,” Ms Basit said.

“That is really the sharing of experiences

and it’s a real mutual process - which is what

we are trying to emulate.”

Ms Basit said the program, which has re-

ceived positive feedback, is continuing to

evolve from clients’ feedback, and is likely to be

rolled out at more clinics in Queensland.

Page 18: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 18 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 15

Page 16 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 17

507-021 1PG FULL COLOUR CMYK PDF502-008 1PG FULL COLOUR CMYK PDF

Hamilton, the Heart of the Western DistrictHamilton is strategically located 3.5 hours from Melbourne and 5 hours from

Adelaide. Southern Grampians spans the heart of Victoria’s renowned

Executive Director of NursingAn exceptional opportunity has arisen for a dynamic, engaging and proactive Executive Director of Nursing at Western District Health Service.

executive team, this position will give you the opportunity to drive

We are looking for someone who has exceptional clinical governance and leadership experience combined with sound business acumen. You will be a successful change-manager, be politically savvy and have highly developed analytical skills. Naturally, you will have demonstrated excellent people management in your previous roles.

To be considered for this exciting role, you will have previous senior nursing management experience and be a registered Division 1 Nurse.

If you would want to transform your career please visit our web-site www.wdhs.net. Applications for this position, please contact the

507-

022

2PG

FU

LL C

OLO

UR

CM

YK

Pain management program targets urban Indigenous people

Two Queensland allied health profession-

als have developed a culturally appropriate

chronic pain management program for urban

Aboriginal and Torres Strait Islander people.

Psychologist Tabinda Basit, who works

at Brisbane’s Institute for Urban Indigenous

Health, and Dr Emma Campbell, an occupa-

tional therapist and associate lecturer at the

University of Queensland, created the Pain He-

roes self-management chronic pain

program due to a lack of cul-

turally responsive programs

for urban Indigenous

people.

Ms Basit said re-

search into chronic

pain prevalence in

Aboriginal and Tor-

res Strait Islander

people suggests

Indigenous people

have a unique expe-

rience when it comes

to chronic pain and its

response to different treat-

ments.

“If we know that the way they re-

spond to treatment is different then we should

have a treatment program that is distinctive for

that group of people and not a one-size-fits-all

approach,” she said.

The two non-Indigenous allied health

practitioners consulted with Aboriginal health

workers, dietitians, nurses, exercise physiolo-

gists and GPs to develop the health behaviour

change program for Aboriginal and Torres Strait

Islander people.

The Pain Heroes program, which provides

six information and discussion sessions, has

now been piloted at two health clinics.

The sessions feature topics covering - what

is chronic pain, the body systems that involve

chronic pain, relaxation strategies for pain and

medication, and also introduce clients to GPs

and allied health professionals in an informal

setting.

“I think one of the big aims of the program

is to actually increase access to allied health for

those clients,” Ms Basit said.

“They might have chronic pain

and only be seeing their GP. It’s

kind of about opening their

eyes and saying - well,

there are a lot of health

professionals that can

help you with this and

these are the differ-

ent things that they

do - so it’s not so

confronting.”

The sessions

are designed to build

knowledge and self-

management skills in In-

digenous people experiencing

chronic pain through a culturally

responsive framework that is group-fo-

cused, features a holistic model of health, and

also uses ‘yarning’ for peer-to-peer informa-

tion sharing.

“One of the practices that is highly valued

amongst Aboriginal and Torres Strait Islander

people is having a yarn,” Ms Basit said.

“That is really the sharing of experiences

and it’s a real mutual process - which is what

we are trying to emulate.”

Ms Basit said the program, which has re-

ceived positive feedback, is continuing to

evolve from clients’ feedback, and is likely to be

rolled out at more clinics in Queensland.

Page 19: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 22 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 11

Page 14 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 19

Clinical Governance Guide for remote and isolated health

Nurses, midwives and allied health profes-

sionals have a practical guide to help them

navigate the unique challenges of clinical

governance while working in Australia’s re-

mote areas.

CRANAplus, the peak professional body

for the nation’s remote and isolated health

workforce, has developed a Clinical Govern-

ance Guide for health managers and clini-

cians.

The guide, designed for health centre

managers, nurses, midwives, allied health

professionals, doctors, Aboriginal and Torres

Strait Islander health care practitioners and

health workers, outlines the components and

processes for appropriate and effective clini-

cal governance and quality improvement for

remote and isolated health services.

CRANAplus professional officer Marcia

Hakendorf, a registered nurse and former SA

Health Department Nursing and Midwifery

policy advisor, says the resource simplifies

what clinical governance means to health

practitioners’ workplaces and their practices.

“There’s been a lot written about clinical

governance and it’s absolutely like a maze to

put the pieces together,” she says.

“So this was about demystifying and

grounding it for clinical managers and clini-

cians working in the bush.

“What we really wanted to do was to ensure that there was an effective and consistent standard of health ser-vice throughout remote and isolated areas of Australia, and it was also about improving the capacity of the remote health workforce in providing an effec-tive, consistent standard of health care to remote Australians.”

The guide provides clinicians with direc-

tion and guidance to ensure their health ser-

vice has robust clinical governance processes

focusing on the four pillars of remote clinical

governance - workforce effectiveness, clini-

cal performance and evaluation, clinical risk

management, and consumer participation.

“It also talks about the five components

of quality improvement for the remote sec-

tor such as organisational leadership and

strong management, quality improvement,

workforce development, environment and

cultural safety, and consumers and commu-

nity.”

The challenge when creating the guide

was to ensure it would be user-friendly, log-

ical and a practical resource for managers

and clinicians to refer to that complimented

the work of the NSQHS Standards from the

Australian Commission on Safety and Qual-

ity in Health Care (ACSQHC).

The guide is based on the National Safety

and Quality Health Service (NSQHS) Stand-

ards, which came into force in January 2013,

and particularly focuses on Standard One -

Governance for Safety and Quality in Health

Service Organisations and includes a refer-

ence to Standard Two - Partnership with Con-

sumers.

The Standards mainly cover hospital ser-

vices. CRANAplus received funding from the

Australian Government to produce a resource,

designed to compliment the Standards, that

would shine the spotlight on the complex is-

sues facing remote and isolated area health

service delivery.

The guide was conceived, researched and

written with direct input from clinicians work-

ing daily in the remote health context.

Since its completion in September 2013,

CRANAplus has distributed more than 930 of

the guides, which are also available online,

into the remote sector.

Ms Hakendorf says while health practition-

ers often understand what clinical governance

is and why they need it, they can struggle to

comprehend the ‘how’ of its implementation

when it comes to remote and isolated health.

“Remote areas have complexities including

implications of geographical location, the vast

distances, the social and cultural influences, the

professional isolation, and limited infrastructure

and communication resources,” she says.

“It’s a resource for managers and clinicians

to use to clarify - what does this mean, what

should be in place, what’s my responsibility as a

clinician and what’s my responsibility as a clini-

cal manager.

“This actually helps them to look at what

needs to be in place to provide safe, quality care

to remote and isolated communities.”

“This guide gives them a comprehensive

understanding of what needs to be in place for

the remote workforce covering all aspects of

clinical care from the recruitment processes,

use of evidence-based practice, the reporting

of incidences and having an incident manage-

ment system in place, audits, how you go about

continuous quality improvement, to the impor-

tance of engaging consumers in their care.”

The guide not only assists clinical manag-

ers and nurses, midwives and allied health pro-

fessionals on the ground, it ultimately results in

better care for patients, Ms Hakendorf adds.

“It’s about the practices, so that people

practice safely, reducing risks and ensuring

quality of care is given to clients and patients.”

CRANAplus will conduct a one-day work-

shop on the Clinical Governance Guide in the

lead up to the 2015 CRANAplus Conference

being held in Alice Springs from October 15-17.

507-030 1/2PG FULL COLOUR CMYK PDF 324-026 1/2PG FULL COLOUR CMYK PDF

PO Box 83 Ocean Grove [email protected]

Closing date:24 March 2014

STRATEGIC DIRECTOR Grampians Integrated Cancer Service The Strategic Director is the key leadership role within GICS and reports directly to the Governance Group. The Strategic Director is responsible for facilitating the implementation of cancer service reform across the Grampians region.

The successful applicant will be able to demonstrate executive level management

of cancer services and models of care within Victoria.

key position will be negotiated with the successful applicant.

Full position details can be obtained from our website at:

332 598 or applications can be forwarded to: [email protected]

www.hrsa.com.au

324-026 1/2PG FULL COLOUR CMYK PDF

PO Box 83 Ocean Grove [email protected]

Closing date:24 March 2014

507-033 1/2PG FULL COLOUR CMYK PDF 507-027 1PG FULL COLOUR CMYK PDF

We are better than ever before!

Umoona Tjutagku Health Service Aboriginal Corporation are among the �rst Community Controlled Aboriginal Health Services to have achieved

Priscilla Larkins (CEO)

Dilshan Perera (BS & HR Manager)

Michael Fernando (Practice Manager)

A big thanks to the Board, Management & staff who made this happen.

in South Australia

ISO 9001 Accreditation

507-011 1/2PG FULL COLOUR CMYK PDF

hays.com.au

PRACTICE MANAGER LEAD & INFLUENCE A TEAMAdelaide Eye and Retina Centre has been established for over 20 years. It has three Ophthalmologists specialising in medical and surgical retina and oncology and is supported by 23 additional staff with plans for further expansion. We’re seeking a Practice Manager to join this successful Adelaide based organisation.

You’ll lead a team of administrative and clinical staff and will have responsibility for managing the day to day operations of the clinic.

Experience within a medical environment is essential. You’ll have strong people management, commercial and organisational skills. As a strategic and inspiring leader, you’ll be capable of supporting a dynamic and growing business.

Contact Lynsey White at [email protected] or 08 7221 4144.

507-029 1/2PG FULL COLOUR CMYK PDF

Registered Nurse Division 1 & 2Wyndham Clinic Private Hospital

Wyndham Clinic is a purpose built private inpatient and day patient adult mental health service and day procedure centre located in Werribee, 30 km west of Melbourne, easily accessible by train and only 2 minutes from the freeway. Our mental health and drug and alcohol services offer a range of evidence based interventions to clients both inpatient and day program. Due to an expansion of our service, we have exciting opportunities for experienced Registered Nurses Division 1 and 2, both full and part time, to join our inpatient mental health team.

We offer:

together to achieve quality care delivery

initiative and suggestions for service improvement

mental health and/ or drug and alcohol inpatient setting.

Successful Candidates will have:

For more information, please contact [email protected], call 03 9731 6646.

Full Time and Part Time Positions are Available

507-017 1/4PG PDF

Associate Nurse Unit Manager

St John of God Bendigo Hospital, a division of St John of God Health Care is a leader in the provision of health within hospitals, pathology and community services throughout Australia and New Zealand. As a Catholic not-for-pro�t group, SJGHC returns pro�ts to the communities we serve through our extensive Social Outreach and Advocacy programs.

11764 - ANUM - TheatreAn exciting opportunity has arisen for a permanent full time individual, to join our committed leadership team in this dynamic and busy Theatre unit. You will be responsible for assisting in the overall clinical management of the Main Theatre and supervision of care given by junior staff.

A minimum of �ve years’ perioperative experience and/or a relevant graduate quali�cation is essential for further consideration.

For enquiries about this position, contact Karen Millsom-Ryan, NUM on (03) 5434 3481

To access the position description or to apply, visit www.sjog.org.au and click on careers tab, reference number 11764. Applications Close: 30 April 2015

507-019 1/4PG PDF

NURSE UNIT MANAGER

NORTHEAST HEALTH WANGARATTA

Maternity Unit, Full-time, Ref No: 15/16

The successful applicants will have undergone a WWC& police check. For further details including a

position description visit:

Exciting career opportunity Great country lifestyle in a beautiful rural location Salary packaging available

Contact: Meryn Pease, DON, (03) 57225330Closing Date: 1 May 2015

As NUM you will provide clinical leadership, operational management & strategic

direction for the Unit including antenatal clinics/classes, the Community Midwife Program, Lactation Clinic and safe and

effective Domiciliary services. Cost effective service delivery and high quality patient outcomes will also be required.

www.nhw.hume.org.au

Page 20: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 20 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 13

Page 12 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 21

507-016 1/2PG FULL COLOUR CMYK PDF

Everyday work, life-changing workplaces It takes resilient, adaptable, and kind people to volunteer overseas. Think you’ve got what it takes?People suited to rural or remote nursing tend to have the can-do attitude that’s vital for international development work. Right now assignments in nursing, midwifery and public health are available in Cambodia, Fiji & Vanuatu. We’ll support you with airfares, accommodation and allowances.Visit www.redcross.org.au/aidwork or call (03) 9345 1834 to explore your options.The Australian Volunteers program is an Australian Government initiative.

dfat.gov.au/australianvolunteers507-002 1/2PG FULL COLOUR CMYK PDF 506-033 1/2PG FULL COLOUR CMYK PDF 505-001 1/2PG FULL COLOUR CMYK PDF 504-021 1/2PG FULL COLOUR CMYK PDF 503-001 1/2PG FULL COLOUR CMYK PDF 424-025 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)

For enquiries or to apply, please call 1800 673 123 or send your resume to [email protected]

UNIQUE OPPORTUNITY FOR REGISTERED NURSESAre you a self-motivated registered nurse searching for work/life balance?

Are you an ICU, ED, recovery, HITH, or even remote nurse searching for a way to earn income, and fi t in around your existing lifestyle?Lifescreen provides Health Services to the Insurance Industry, and Clinical Services for several pharmaceutical companies. We are looking for nurses to join our expanding operations to provide community-based services for our clients.

Lifescreen can offer you:

• Extra $$$

• Work/life balance

• Continuity of patient care

• Job satisfaction

• Certifi ed CPR/anaphylaxis training provided at no cost to you

To be considered for a role as a nurse contractor for Lifescreen you must have the following:

• Registered nurse with >5 years experience

• Australian Citizen

• ABN

• Cannulation competent

• Strong written and verbal communication skills

• Own car and mobile phone

507-009 1PG FULL COLOUR CMYK PDF

GenevaHealthcare

Preparing nurses for the Ebola frontlineAustralian health professionals are combatting the worst outbreak of the world’s deadliest disease in a foreign and inhospitable landscape. An Aussie nurse is behind the training that prepares our nurses and doctors for the challenges of working in the Australian-run Ebola Treatment Centre. By Sierra Leone

Jane Armstrong and her team at Aspen Medi-

cal had about 10 working days to pull togeth-

er the training designed to educate and prepare

health professionals being deployed

to the Australian-flagged front-

line in the fight against Ebola.

With almost 40 years’

clinical and training

experience, the reg-

istered nurse and

Aspen Medical train-

ing education and

development man-

ager had already be-

gun researching Ebola

when the Federal Gov-

ernment announced

in November 2014 that it

planned to establish an Ebola

Treatment Centre (ETC) in the

West African nation of Sierra Leone.

The Aspen Medical International Deploy-

ment Induction (AMIDI) for Sierra Leone was

created to complement three days of intensive

training on the ground in West Africa, where

there’s a focus on personal protection equip-

ment (PPE) coupled with four days of supervi-

sion in work areas.

The two and a half day pre-deployment

training program, based at Aspen Medical in

Canberra, has been built on the organisation’s

experience combined with consultation from its

subject matter experts and resources from the

international aid sector.

The training provides a grounding in areas

such as using the vital PPE, along with water,

sanitation and hygiene, clinical standard op-

erating procedures, child protection

awareness, post deployment

awareness and Aspen Medi-

cal’s Employee Assistance

Program.

What’s more, the

program aims to pre-

pare health work-

ers for more than

the clinical practice

of caring for pa-

tients and halting the

spread of Ebola. It also

focuses on the grim re-

ality of this extraordinary

and dangerous working envi-

ronment, including the prepara-

tion of wills.

The training also considers the cultural

sensitivities of working in Sierra Leone, from

supporting the families of the deceased to the

burial practices related to Ebola.

The medical company, which has a track

record of working with government and non-

government organisations to deliver essential

health care services in the wake of conflicts

or natural disasters, was awarded the contract

to run the 100-bed ETC for eight months. It

received more than 1000 applications from

health professionals wanting to join the Aus-

tralian response. For the full article visit HealthTimes.com.au

Aspen Medical has so far delivered five

training sessions to 76 health professionals and

environmental health officers, including 49

nurses.

Once trained, health professionals are de-

ployed for six to eight weeks, creating a team

of about 30 staff at the ETC. When they return,

workers begin a 21 day period of self-monitor-

ing for any Ebola symptoms.

Ms Armstrong, who worked as a nurse in

various public and private practices for 20 years

before moving into health promotion and then

into clinical educating, training and lecturing

roles, joined Aspen Medical in 2012.

She says some nurses and doctors often

enter the training with a level of uncertainty.

“However after three days of face to face

training and particularly the practical scenario

settings that we had prepared, it turned peo-

ple around so that staff ended up relieved that

they had some knowledge transfer and also felt

more confident and ready to be deployed,” she

says.

“That to me was really a hallmark of the ex-

pert training we were able to offer.”

The training provides the latest Ebola infor-

mation for staff deploying to the area, including

an overview of the disease and its transmission,

and also covers protocols and policies, com-

prising media relations and also the use of so-

cial media.

Staff are taken through clinical treatment

guidelines, infection control, the process of

putting on the PPE, which includes gumboots,

long cuffed double gloves and double masks,

and its safe use.

Clinicians spend three hours wearing the

PPE, where they participate in three different

scenarios.

The exercise is not designed to replicate

the experience of working at the ETC but gives

health workers an understanding of what it’s

like to provide treatment in the PPE, Ms Arm-

strong explains.

“You’ve just got a really hot environment,

you are in tremendously weighty gear and gum-

boots. It’s trying to do all of those wonderful

things that clinicians do but with all the gear on,”

she says.

At the ETC, health professionals are required

to wear the PPE in searing 40° heat. Due to the

sweltering conditions and the risk of heat stress,

clinicians spend 40 minutes working in the ETC

and then take a 40 minute break. Even so, some

workers have reported losing a kilo to a kilo and

a half within an hour.

“The bottom line is around raising aware-

ness on how that PPE feels and to experience

that - so the glasses fogging up, feeling sweaty

and feeling uncomfortable in the gear,” Ms Arm-

strong says.

The training also drives home the impor-

tance of team-work and protecting your work

‘buddy’ in the ETC.

“You could be in the red zone, treating West

Africans with Ebola, and your buddy notices that

your goggles have fogged,” Ms Armstrong says.

“Now immediately you have to stop what

you are doing and both you and the person with

the fogged goggles, so you and your buddy,

must leave the treatment centre, that’s the rule.

“That way there’s no opportunity for any-

thing to happen to you, we’d both leave the red

zone together.”

Facing language barriers and cultural dif-

ferences, Australian nurses and doctors are also

culturally orientated about the area that they’re

about to enter. It’s often a hostile environment,

where relatives of patients can shout and rat-

tle the cage surrounding the ETC in an attempt

to gain access, despite the risk of contracting

Ebola.

Importantly, clinicians are taught effective

communication and how to diffuse aggression

within the ETC.

Preparing nurses for the Ebola frontlineAustralian health professionals are combatting the worst outbreak of the world’s deadliest disease in a foreign and inhospitable landscape. An Aussie nurse is behind the training that prepares our nurses and doctors for the challenges of working in the Australian-run Ebola Treatment Centre. By Sierra Leone

Jane Armstrong and her team at Aspen Medi-

cal had about 10 working days to pull togeth-

er the training designed to educate and prepare

health professionals being deployed

to the Australian-flagged front-

line in the fight against Ebola.

With almost 40 years’

clinical and training

experience, the reg-

istered nurse and

Aspen Medical train-

ing education and

development man-

ager had already be-

gun researching Ebola

when the Federal Gov-

ernment announced

in November 2014 that it

planned to establish an Ebola

Treatment Centre (ETC) in the

West African nation of Sierra Leone.

The Aspen Medical International Deploy-

ment Induction (AMIDI) for Sierra Leone was

created to complement three days of intensive

training on the ground in West Africa, where

there’s a focus on personal protection equip-

ment (PPE) coupled with four days of supervi-

sion in work areas.

The two and a half day pre-deployment

training program, based at Aspen Medical in

Canberra, has been built on the organisation’s

experience combined with consultation from its

subject matter experts and resources from the

international aid sector.

The training provides a grounding in areas

such as using the vital PPE, along with water,

sanitation and hygiene, clinical standard op-

erating procedures, child protection

awareness, post deployment

awareness and Aspen Medi-

cal’s Employee Assistance

Program.

What’s more, the

program aims to pre-

pare health work-

ers for more than

the clinical practice

of caring for pa-

tients and halting the

spread of Ebola. It also

focuses on the grim re-

ality of this extraordinary

and dangerous working envi-

ronment, including the prepara-

tion of wills.

The training also considers the cultural

sensitivities of working in Sierra Leone, from

supporting the families of the deceased to the

burial practices related to Ebola.

The medical company, which has a track

record of working with government and non-

government organisations to deliver essential

health care services in the wake of conflicts

or natural disasters, was awarded the contract

to run the 100-bed ETC for eight months. It

received more than 1000 applications from

health professionals wanting to join the Aus-

tralian response.For the full article visit HealthTimes.com.au

Aspen Medical has so far delivered five

training sessions to 76 health professionals and

environmental health officers, including 49

nurses.

Once trained, health professionals are de-

ployed for six to eight weeks, creating a team

of about 30 staff at the ETC. When they return,

workers begin a 21 day period of self-monitor-

ing for any Ebola symptoms.

Ms Armstrong, who worked as a nurse in

various public and private practices for 20 years

before moving into health promotion and then

into clinical educating, training and lecturing

roles, joined Aspen Medical in 2012.

She says some nurses and doctors often

enter the training with a level of uncertainty.

“However after three days of face to face

training and particularly the practical scenario

settings that we had prepared, it turned peo-

ple around so that staff ended up relieved that

they had some knowledge transfer and also felt

more confident and ready to be deployed,” she

says.

“That to me was really a hallmark of the ex-

pert training we were able to offer.”

The training provides the latest Ebola infor-

mation for staff deploying to the area, including

an overview of the disease and its transmission,

and also covers protocols and policies, com-

prising media relations and also the use of so-

cial media.

Staff are taken through clinical treatment

guidelines, infection control, the process of

putting on the PPE, which includes gumboots,

long cuffed double gloves and double masks,

and its safe use.

Clinicians spend three hours wearing the

PPE, where they participate in three different

scenarios.

The exercise is not designed to replicate

the experience of working at the ETC but gives

health workers an understanding of what it’s

like to provide treatment in the PPE, Ms Arm-

strong explains.

“You’ve just got a really hot environment,

you are in tremendously weighty gear and gum-

boots. It’s trying to do all of those wonderful

things that clinicians do but with all the gear on,”

she says.

At the ETC, health professionals are required

to wear the PPE in searing 40° heat. Due to the

sweltering conditions and the risk of heat stress,

clinicians spend 40 minutes working in the ETC

and then take a 40 minute break. Even so, some

workers have reported losing a kilo to a kilo and

a half within an hour.

“The bottom line is around raising aware-

ness on how that PPE feels and to experience

that - so the glasses fogging up, feeling sweaty

and feeling uncomfortable in the gear,” Ms Arm-

strong says.

The training also drives home the impor-

tance of team-work and protecting your work

‘buddy’ in the ETC.

“You could be in the red zone, treating West

Africans with Ebola, and your buddy notices that

your goggles have fogged,” Ms Armstrong says.

“Now immediately you have to stop what

you are doing and both you and the person with

the fogged goggles, so you and your buddy,

must leave the treatment centre, that’s the rule.

“That way there’s no opportunity for any-

thing to happen to you, we’d both leave the red

zone together.”

Facing language barriers and cultural dif-

ferences, Australian nurses and doctors are also

culturally orientated about the area that they’re

about to enter. It’s often a hostile environment,

where relatives of patients can shout and rat-

tle the cage surrounding the ETC in an attempt

to gain access, despite the risk of contracting

Ebola.

Importantly, clinicians are taught effective

communication and how to diffuse aggression

within the ETC.

Page 21: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 20 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 13

Page 12 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 21

507-016 1/2PG FULL COLOUR CMYK PDF

Everyday work, life-changing workplacesIt takes resilient, adaptable, and kind people to volunteer overseas. Think you’ve got what it takes?People suited to rural or remote nursing tend to have the can-do attitude that’s vital for international development work. Right now assignments in nursing, midwifery and public health are available in Cambodia, Fiji & Vanuatu. We’ll support you with airfares, accommodation and allowances.Visit www.redcross.org.au/aidwork or call (03) 9345 1834 to explore your options.The Australian Volunteers program is an Australian Government initiative.

dfat.gov.au/australianvolunteers507-002 1/2PG FULL COLOUR CMYK PDF506-033 1/2PG FULL COLOUR CMYK PDF505-001 1/2PG FULL COLOUR CMYK PDF504-021 1/2PG FULL COLOUR CMYK PDF503-001 1/2PG FULL COLOUR CMYK PDF424-025 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)

For enquiries or to apply, please call 1800 673 123 or send your resume to [email protected]

UNIQUE OPPORTUNITY FOR REGISTERED NURSESAre you a self-motivated registered nurse searching for work/life balance?

Are you an ICU, ED, recovery, HITH, or even remote nurse searching for a way to earn income, and fi t in around your existing lifestyle?Lifescreen provides Health Services to the Insurance Industry, and Clinical Services for several pharmaceutical companies. We are looking for nurses to join our expanding operations to provide community-based services for our clients.

Lifescreen can offer you:

• Extra $$$

• Work/life balance

• Continuity of patient care

• Job satisfaction

• Certifi ed CPR/anaphylaxis training provided at no cost to you

To be considered for a role as a nurse contractor for Lifescreen you must have the following:

• Registered nurse with >5 years experience

• Australian Citizen

• ABN

• Cannulation competent

• Strong written and verbal communication skills

• Own car and mobile phone

507-009 1PG FULL COLOUR CMYK PDF

Geneva Healthcare

Preparing nurses for the Ebola frontlineAustralian health professionals are combatting the worst outbreak of the world’s deadliest disease in a foreign and inhospitable landscape. An Aussie nurse is behind the training that prepares our nurses and doctors for the challenges of working in the Australian-run Ebola Treatment Centre. By Sierra Leone

Jane Armstrong and her team at Aspen Medi-

cal had about 10 working days to pull togeth-

er the training designed to educate and prepare

health professionals being deployed

to the Australian-flagged front-

line in the fight against Ebola.

With almost 40 years’

clinical and training

experience, the reg-

istered nurse and

Aspen Medical train-

ing education and

development man-

ager had already be-

gun researching Ebola

when the Federal Gov-

ernment announced

in November 2014 that it

planned to establish an Ebola

Treatment Centre (ETC) in the

West African nation of Sierra Leone.

The Aspen Medical International Deploy-

ment Induction (AMIDI) for Sierra Leone was

created to complement three days of intensive

training on the ground in West Africa, where

there’s a focus on personal protection equip-

ment (PPE) coupled with four days of supervi-

sion in work areas.

The two and a half day pre-deployment

training program, based at Aspen Medical in

Canberra, has been built on the organisation’s

experience combined with consultation from its

subject matter experts and resources from the

international aid sector.

The training provides a grounding in areas

such as using the vital PPE, along with water,

sanitation and hygiene, clinical standard op-

erating procedures, child protection

awareness, post deployment

awareness and Aspen Medi-

cal’s Employee Assistance

Program.

What’s more, the

program aims to pre-

pare health work-

ers for more than

the clinical practice

of caring for pa-

tients and halting the

spread of Ebola. It also

focuses on the grim re-

ality of this extraordinary

and dangerous working envi-

ronment, including the prepara-

tion of wills.

The training also considers the cultural

sensitivities of working in Sierra Leone, from

supporting the families of the deceased to the

burial practices related to Ebola.

The medical company, which has a track

record of working with government and non-

government organisations to deliver essential

health care services in the wake of conflicts

or natural disasters, was awarded the contract

to run the 100-bed ETC for eight months. It

received more than 1000 applications from

health professionals wanting to join the Aus-

tralian response.For the full article visit HealthTimes.com.au

Aspen Medical has so far delivered five

training sessions to 76 health professionals and

environmental health officers, including 49

nurses.

Once trained, health professionals are de-

ployed for six to eight weeks, creating a team

of about 30 staff at the ETC. When they return,

workers begin a 21 day period of self-monitor-

ing for any Ebola symptoms.

Ms Armstrong, who worked as a nurse in

various public and private practices for 20 years

before moving into health promotion and then

into clinical educating, training and lecturing

roles, joined Aspen Medical in 2012.

She says some nurses and doctors often

enter the training with a level of uncertainty.

“However after three days of face to face

training and particularly the practical scenario

settings that we had prepared, it turned peo-

ple around so that staff ended up relieved that

they had some knowledge transfer and also felt

more confident and ready to be deployed,” she

says.

“That to me was really a hallmark of the ex-

pert training we were able to offer.”

The training provides the latest Ebola infor-

mation for staff deploying to the area, including

an overview of the disease and its transmission,

and also covers protocols and policies, com-

prising media relations and also the use of so-

cial media.

Staff are taken through clinical treatment

guidelines, infection control, the process of

putting on the PPE, which includes gumboots,

long cuffed double gloves and double masks,

and its safe use.

Clinicians spend three hours wearing the

PPE, where they participate in three different

scenarios.

The exercise is not designed to replicate

the experience of working at the ETC but gives

health workers an understanding of what it’s

like to provide treatment in the PPE, Ms Arm-

strong explains.

“You’ve just got a really hot environment,

you are in tremendously weighty gear and gum-

boots. It’s trying to do all of those wonderful

things that clinicians do but with all the gear on,”

she says.

At the ETC, health professionals are required

to wear the PPE in searing 40° heat. Due to the

sweltering conditions and the risk of heat stress,

clinicians spend 40 minutes working in the ETC

and then take a 40 minute break. Even so, some

workers have reported losing a kilo to a kilo and

a half within an hour.

“The bottom line is around raising aware-

ness on how that PPE feels and to experience

that - so the glasses fogging up, feeling sweaty

and feeling uncomfortable in the gear,” Ms Arm-

strong says.

The training also drives home the impor-

tance of team-work and protecting your work

‘buddy’ in the ETC.

“You could be in the red zone, treating West

Africans with Ebola, and your buddy notices that

your goggles have fogged,” Ms Armstrong says.

“Now immediately you have to stop what

you are doing and both you and the person with

the fogged goggles, so you and your buddy,

must leave the treatment centre, that’s the rule.

“That way there’s no opportunity for any-

thing to happen to you, we’d both leave the red

zone together.”

Facing language barriers and cultural dif-

ferences, Australian nurses and doctors are also

culturally orientated about the area that they’re

about to enter. It’s often a hostile environment,

where relatives of patients can shout and rat-

tle the cage surrounding the ETC in an attempt

to gain access, despite the risk of contracting

Ebola.

Importantly, clinicians are taught effective

communication and how to diffuse aggression

within the ETC.

Preparing nurses for the Ebola frontlineAustralian health professionals are combatting the worst outbreak of the world’s deadliest disease in a foreign and inhospitable landscape. An Aussie nurse is behind the training that prepares our nurses and doctors for the challenges of working in the Australian-run Ebola Treatment Centre. By Sierra Leone

Jane Armstrong and her team at Aspen Medi-

cal had about 10 working days to pull togeth-

er the training designed to educate and prepare

health professionals being deployed

to the Australian-flagged front-

line in the fight against Ebola.

With almost 40 years’

clinical and training

experience, the reg-

istered nurse and

Aspen Medical train-

ing education and

development man-

ager had already be-

gun researching Ebola

when the Federal Gov-

ernment announced

in November 2014 that it

planned to establish an Ebola

Treatment Centre (ETC) in the

West African nation of Sierra Leone.

The Aspen Medical International Deploy-

ment Induction (AMIDI) for Sierra Leone was

created to complement three days of intensive

training on the ground in West Africa, where

there’s a focus on personal protection equip-

ment (PPE) coupled with four days of supervi-

sion in work areas.

The two and a half day pre-deployment

training program, based at Aspen Medical in

Canberra, has been built on the organisation’s

experience combined with consultation from its

subject matter experts and resources from the

international aid sector.

The training provides a grounding in areas

such as using the vital PPE, along with water,

sanitation and hygiene, clinical standard op-

erating procedures, child protection

awareness, post deployment

awareness and Aspen Medi-

cal’s Employee Assistance

Program.

What’s more, the

program aims to pre-

pare health work-

ers for more than

the clinical practice

of caring for pa-

tients and halting the

spread of Ebola. It also

focuses on the grim re-

ality of this extraordinary

and dangerous working envi-

ronment, including the prepara-

tion of wills.

The training also considers the cultural

sensitivities of working in Sierra Leone, from

supporting the families of the deceased to the

burial practices related to Ebola.

The medical company, which has a track

record of working with government and non-

government organisations to deliver essential

health care services in the wake of conflicts

or natural disasters, was awarded the contract

to run the 100-bed ETC for eight months. It

received more than 1000 applications from

health professionals wanting to join the Aus-

tralian response. For the full article visit HealthTimes.com.au

Aspen Medical has so far delivered five

training sessions to 76 health professionals and

environmental health officers, including 49

nurses.

Once trained, health professionals are de-

ployed for six to eight weeks, creating a team

of about 30 staff at the ETC. When they return,

workers begin a 21 day period of self-monitor-

ing for any Ebola symptoms.

Ms Armstrong, who worked as a nurse in

various public and private practices for 20 years

before moving into health promotion and then

into clinical educating, training and lecturing

roles, joined Aspen Medical in 2012.

She says some nurses and doctors often

enter the training with a level of uncertainty.

“However after three days of face to face

training and particularly the practical scenario

settings that we had prepared, it turned peo-

ple around so that staff ended up relieved that

they had some knowledge transfer and also felt

more confident and ready to be deployed,” she

says.

“That to me was really a hallmark of the ex-

pert training we were able to offer.”

The training provides the latest Ebola infor-

mation for staff deploying to the area, including

an overview of the disease and its transmission,

and also covers protocols and policies, com-

prising media relations and also the use of so-

cial media.

Staff are taken through clinical treatment

guidelines, infection control, the process of

putting on the PPE, which includes gumboots,

long cuffed double gloves and double masks,

and its safe use.

Clinicians spend three hours wearing the

PPE, where they participate in three different

scenarios.

The exercise is not designed to replicate

the experience of working at the ETC but gives

health workers an understanding of what it’s

like to provide treatment in the PPE, Ms Arm-

strong explains.

“You’ve just got a really hot environment,

you are in tremendously weighty gear and gum-

boots. It’s trying to do all of those wonderful

things that clinicians do but with all the gear on,”

she says.

At the ETC, health professionals are required

to wear the PPE in searing 40° heat. Due to the

sweltering conditions and the risk of heat stress,

clinicians spend 40 minutes working in the ETC

and then take a 40 minute break. Even so, some

workers have reported losing a kilo to a kilo and

a half within an hour.

“The bottom line is around raising aware-

ness on how that PPE feels and to experience

that - so the glasses fogging up, feeling sweaty

and feeling uncomfortable in the gear,” Ms Arm-

strong says.

The training also drives home the impor-

tance of team-work and protecting your work

‘buddy’ in the ETC.

“You could be in the red zone, treating West

Africans with Ebola, and your buddy notices that

your goggles have fogged,” Ms Armstrong says.

“Now immediately you have to stop what

you are doing and both you and the person with

the fogged goggles, so you and your buddy,

must leave the treatment centre, that’s the rule.

“That way there’s no opportunity for any-

thing to happen to you, we’d both leave the red

zone together.”

Facing language barriers and cultural dif-

ferences, Australian nurses and doctors are also

culturally orientated about the area that they’re

about to enter. It’s often a hostile environment,

where relatives of patients can shout and rat-

tle the cage surrounding the ETC in an attempt

to gain access, despite the risk of contracting

Ebola.

Importantly, clinicians are taught effective

communication and how to diffuse aggression

within the ETC.

Page 22: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 22 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 11

Page 14 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 19

Clinical Governance Guide for remote and isolated health

Nurses, midwives and allied health profes-

sionals have a practical guide to help them

navigate the unique challenges of clinical

governance while working in Australia’s re-

mote areas.

CRANAplus, the peak professional body

for the nation’s remote and isolated health

workforce, has developed a Clinical Govern-

ance Guide for health managers and clini-

cians.

The guide, designed for health centre

managers, nurses, midwives, allied health

professionals, doctors, Aboriginal and Torres

Strait Islander health care practitioners and

health workers, outlines the components and

processes for appropriate and effective clini-

cal governance and quality improvement for

remote and isolated health services.

CRANAplus professional officer Marcia

Hakendorf, a registered nurse and former SA

Health Department Nursing and Midwifery

policy advisor, says the resource simplifies

what clinical governance means to health

practitioners’ workplaces and their practices.

“There’s been a lot written about clinical

governance and it’s absolutely like a maze to

put the pieces together,” she says.

“So this was about demystifying and

grounding it for clinical managers and clini-

cians working in the bush.

“What we really wanted to do was to ensure that there was an effective and consistent standard of health ser-vice throughout remote and isolated areas of Australia, and it was also about improving the capacity of the remote health workforce in providing an effec-tive, consistent standard of health care to remote Australians.”

The guide provides clinicians with direc-

tion and guidance to ensure their health ser-

vice has robust clinical governance processes

focusing on the four pillars of remote clinical

governance - workforce effectiveness, clini-

cal performance and evaluation, clinical risk

management, and consumer participation.

“It also talks about the five components

of quality improvement for the remote sec-

tor such as organisational leadership and

strong management, quality improvement,

workforce development, environment and

cultural safety, and consumers and commu-

nity.”

The challenge when creating the guide

was to ensure it would be user-friendly, log-

ical and a practical resource for managers

and clinicians to refer to that complimented

the work of the NSQHS Standards from the

Australian Commission on Safety and Qual-

ity in Health Care (ACSQHC).

The guide is based on the National Safety

and Quality Health Service (NSQHS) Stand-

ards, which came into force in January 2013,

and particularly focuses on Standard One -

Governance for Safety and Quality in Health

Service Organisations and includes a refer-

ence to Standard Two - Partnership with Con-

sumers.

The Standards mainly cover hospital ser-

vices. CRANAplus received funding from the

Australian Government to produce a resource,

designed to compliment the Standards, that

would shine the spotlight on the complex is-

sues facing remote and isolated area health

service delivery.

The guide was conceived, researched and

written with direct input from clinicians work-

ing daily in the remote health context.

Since its completion in September 2013,

CRANAplus has distributed more than 930 of

the guides, which are also available online,

into the remote sector.

Ms Hakendorf says while health practition-

ers often understand what clinical governance

is and why they need it, they can struggle to

comprehend the ‘how’ of its implementation

when it comes to remote and isolated health.

“Remote areas have complexities including

implications of geographical location, the vast

distances, the social and cultural influences, the

professional isolation, and limited infrastructure

and communication resources,” she says.

“It’s a resource for managers and clinicians

to use to clarify - what does this mean, what

should be in place, what’s my responsibility as a

clinician and what’s my responsibility as a clini-

cal manager.

“This actually helps them to look at what

needs to be in place to provide safe, quality care

to remote and isolated communities.”

“This guide gives them a comprehensive

understanding of what needs to be in place for

the remote workforce covering all aspects of

clinical care from the recruitment processes,

use of evidence-based practice, the reporting

of incidences and having an incident manage-

ment system in place, audits, how you go about

continuous quality improvement, to the impor-

tance of engaging consumers in their care.”

The guide not only assists clinical manag-

ers and nurses, midwives and allied health pro-

fessionals on the ground, it ultimately results in

better care for patients, Ms Hakendorf adds.

“It’s about the practices, so that people

practice safely, reducing risks and ensuring

quality of care is given to clients and patients.”

CRANAplus will conduct a one-day work-

shop on the Clinical Governance Guide in the

lead up to the 2015 CRANAplus Conference

being held in Alice Springs from October 15-17.

507-030 1/2PG FULL COLOUR CMYK PDF324-026 1/2PG FULL COLOUR CMYK PDF

PO Box 83 Ocean Grove [email protected]

Closing date:24 March 2014

STRATEGIC DIRECTOR Grampians Integrated Cancer Service The Strategic Director is the key leadership role within GICS and reports directly to the Governance Group. The Strategic Director is responsible for facilitating the implementation of cancer service reform across the Grampians region.

The successful applicant will be able to demonstrate executive level management

of cancer services and models of care within Victoria.

key position will be negotiated with the successful applicant.

Full position details can be obtained from our website at:

332 598 or applications can be forwarded to: [email protected]

www.hrsa.com.au

324-026 1/2PG FULL COLOUR CMYK PDF

PO Box 83 Ocean Grove [email protected]

Closing date:24 March 2014

507-033 1/2PG FULL COLOUR CMYK PDF507-027 1PG FULL COLOUR CMYK PDF

We are better than ever before!

Umoona Tjutagku Health Service Aboriginal Corporation are among the �rst Community Controlled Aboriginal Health Services to have achieved

Priscilla Larkins (CEO)

Dilshan Perera (BS & HR Manager)

Michael Fernando (Practice Manager)

A big thanks to the Board, Management & staff who made this happen.

in South Australia

ISO 9001 Accreditation

507-011 1/2PG FULL COLOUR CMYK PDF

hays.com.au

PRACTICE MANAGER LEAD & INFLUENCE A TEAMAdelaide Eye and Retina Centre has been established for over 20 years. It has three Ophthalmologists specialising in medical and surgical retina and oncology and is supported by 23 additional staff with plans for further expansion. We’re seeking a Practice Manager to join this successful Adelaide based organisation.

You’ll lead a team of administrative and clinical staff and will have responsibility for managing the day to day operations of the clinic.

Experience within a medical environment is essential. You’ll have strong people management, commercial and organisational skills. As a strategic and inspiring leader, you’ll be capable of supporting a dynamic and growing business.

Contact Lynsey White at [email protected] or 08 7221 4144.

507-029 1/2PG FULL COLOUR CMYK PDF

Registered Nurse Division 1 & 2Wyndham Clinic Private Hospital

Wyndham Clinic is a purpose built private inpatient and day patient adult mental health service and day procedure centre located in Werribee, 30 km west of Melbourne, easily accessible by train and only 2 minutes from the freeway. Our mental health and drug and alcohol services offer a range of evidence based interventions to clients both inpatient and day program. Due to an expansion of our service, we have exciting opportunities for experienced Registered Nurses Division 1 and 2, both full and part time, to join our inpatient mental health team.

We offer:

together to achieve quality care delivery

initiative and suggestions for service improvement

mental health and/ or drug and alcohol inpatient setting.

Successful Candidates will have:

For more information, please contact [email protected], call 03 9731 6646.

Full Time and Part Time Positions are Available

507-017 1/4PG PDF

Associate Nurse Unit Manager

St John of God Bendigo Hospital, a division of St John of God Health Care is a leader in the provision of health within hospitals, pathology and community services throughout Australia and New Zealand. As a Catholic not-for-pro�t group, SJGHC returns pro�ts to the communities we serve through our extensive Social Outreach and Advocacy programs.

11764 - ANUM - TheatreAn exciting opportunity has arisen for a permanent full time individual, to join our committed leadership team in this dynamic and busy Theatre unit. You will be responsible for assisting in the overall clinical management of the Main Theatre and supervision of care given by junior staff.

A minimum of �ve years’ perioperative experience and/or a relevant graduate quali�cation is essential for further consideration.

For enquiries about this position, contact Karen Millsom-Ryan, NUM on (03) 5434 3481

To access the position description or to apply, visit www.sjog.org.au and click on careers tab, reference number 11764. Applications Close: 30 April 2015

507-019 1/4PG PDF

NURSE UNIT MANAGER

NORTHEAST HEALTH WANGARATTA

Maternity Unit, Full-time, Ref No: 15/16

The successful applicants will have undergone a WWC& police check. For further details including a

position description visit:

Exciting career opportunity Great country lifestyle in a beautiful rural location Salary packaging available

Contact: Meryn Pease, DON, (03) 57225330Closing Date: 1 May 2015

As NUM you will provide clinical leadership, operational management & strategic

direction for the Unit including antenatal clinics/classes, the Community Midwife Program, Lactation Clinic and safe and

effective Domiciliary services. Cost effective service delivery and high quality patient outcomes will also be required.

& police check. For further details including a

www.nhw.hume.org.au

NORTHEAST HEALTH WANGARATTA

Page 23: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 26 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 7

Page 10 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 23

507-008 1PG FULL COLOUR CMYK PDF 506-006 1PG FULL COLOUR CMYK PDF

Superior Oral Care

Made in Sweden Used world wide

Quality brushes for lifePharmacy stockists - tepesmiles.com.au Direct postal delivery - oralcare4u.com.auWholesale - 1800 064 645

trolldental.com1800 064 645

Implant CareDenture CareDexterity AidsSensitive GumsInterdental Brushes

Call us for a catalogue or a sample today

Clinical Governance Guide for remote and isolated health

Nurses, midwives and allied health profes-

sionals have a practical guide to help them

navigate the unique challenges of clinical

governance while working in Australia’s re-

mote areas.

CRANAplus, the peak professional body

for the nation’s remote and isolated health

workforce, has developed a Clinical Govern-

ance Guide for health managers and clini-

cians.

The guide, designed for health centre

managers, nurses, midwives, allied health

professionals, doctors, Aboriginal and Torres

Strait Islander health care practitioners and

health workers, outlines the components and

processes for appropriate and effective clini-

cal governance and quality improvement for

remote and isolated health services.

CRANAplus professional officer Marcia

Hakendorf, a registered nurse and former SA

Health Department Nursing and Midwifery

policy advisor, says the resource simplifies

what clinical governance means to health

practitioners’ workplaces and their practices.

“There’s been a lot written about clinical

governance and it’s absolutely like a maze to

put the pieces together,” she says.

“So this was about demystifying and

grounding it for clinical managers and clini-

cians working in the bush.

“What we really wanted to do was to ensure that there was an effective and consistent standard of health ser-vice throughout remote and isolated areas of Australia, and it was also about improving the capacity of the remote health workforce in providing an effec-tive, consistent standard of health care to remote Australians.”

The guide provides clinicians with direc-

tion and guidance to ensure their health ser-

vice has robust clinical governance processes

focusing on the four pillars of remote clinical

governance - workforce effectiveness, clini-

cal performance and evaluation, clinical risk

management, and consumer participation.

“It also talks about the five components

of quality improvement for the remote sec-

tor such as organisational leadership and

strong management, quality improvement,

workforce development, environment and

cultural safety, and consumers and commu-

nity.”

The challenge when creating the guide

was to ensure it would be user-friendly, log-

ical and a practical resource for managers

and clinicians to refer to that complimented

the work of the NSQHS Standards from the

Australian Commission on Safety and Qual-

ity in Health Care (ACSQHC).

The guide is based on the National Safety

and Quality Health Service (NSQHS) Stand-

ards, which came into force in January 2013,

and particularly focuses on Standard One -

Governance for Safety and Quality in Health

Service Organisations and includes a refer-

ence to Standard Two - Partnership with Con-

sumers.

The Standards mainly cover hospital ser-

vices. CRANAplus received funding from the

Australian Government to produce a resource,

designed to compliment the Standards, that

would shine the spotlight on the complex is-

sues facing remote and isolated area health

service delivery.

The guide was conceived, researched and

written with direct input from clinicians work-

ing daily in the remote health context.

Since its completion in September 2013,

CRANAplus has distributed more than 930 of

the guides, which are also available online,

into the remote sector.

Ms Hakendorf says while health practition-

ers often understand what clinical governance

is and why they need it, they can struggle to

comprehend the ‘how’ of its implementation

when it comes to remote and isolated health.

“Remote areas have complexities including

implications of geographical location, the vast

distances, the social and cultural influences, the

professional isolation, and limited infrastructure

and communication resources,” she says.

“It’s a resource for managers and clinicians

to use to clarify - what does this mean, what

should be in place, what’s my responsibility as a

clinician and what’s my responsibility as a clini-

cal manager.

“This actually helps them to look at what

needs to be in place to provide safe, quality care

to remote and isolated communities.”

“This guide gives them a comprehensive

understanding of what needs to be in place for

the remote workforce covering all aspects of

clinical care from the recruitment processes,

use of evidence-based practice, the reporting

of incidences and having an incident manage-

ment system in place, audits, how you go about

continuous quality improvement, to the impor-

tance of engaging consumers in their care.”

The guide not only assists clinical manag-

ers and nurses, midwives and allied health pro-

fessionals on the ground, it ultimately results in

better care for patients, Ms Hakendorf adds.

“It’s about the practices, so that people

practice safely, reducing risks and ensuring

quality of care is given to clients and patients.”

CRANAplus will conduct a one-day work-

shop on the Clinical Governance Guide in the

lead up to the 2015 CRANAplus Conference

being held in Alice Springs from October 15-17.

507-004 1PG FULL COLOUR CMYK PDF506-025 1PG FULL COLOUR CMYK PDF505-004 1PG FULL COLOUR CMYK PDF

Thinking of going bush? Your outback adventure starts HERE!

Minimum requirements:• 2 years post-grad experience • Current AHPRA registration (or ability to obtain)• Evidence of immunity to hepatitis B• A sense of adventure (a sense of humour doesn’t hurt either!)

We offer you:• Short & long term contract in rural, remote and coastal Australia• Big $$$$$• Free travel & accommodation (conditions apply)• Ongoing support & personalised service by an experienced family focused organisation. • The experience of a lifetime

About us:Nurse at Call is proudly family owned & operated with experience spanning 30 years in the recruitment industry. We listen to YOU and ensure that YOU are supported from start to finish. We pride ourselves on putting YOU first.

What do I do now?Why wait? Contact us now!Australia: (07) 55787011 or New Zealand: 0800 740 758Email us: [email protected] Visit us: www.nurseatcall.com.au

MIDWIVESEMERGENCY NURSES Wanted for Outback Australia

507-013 1/2PG FULL COLOUR CMYK PDF

507-012 1PG FULL COLOUR CMYK PDF 506-008 1/2PG FULL COLOUR CMYK PDF 505-011 1/2PG FULL COLOUR CMYK PDF 504-009 1/2PG FULL COLOUR CMYK PDF 503-017 1/2PG FULL COLOUR CMYK PDF 502-023 1/2PG FULL COLOUR CMYK PDF 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

Make the dream of becoming a doctor a reality,earn your MD at Oceania University of Medicine.

nAttractive fee structure for our Graduate Entry Program.nOver 150 students currently enrolled and over 50 graduates

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

medical school scholars, using world leading Pre-Clinical,24/7 online delivery techniques.

nClinical Rotations can be performed locally, Interstate or Internationally.

nReceive personalised attention from an Academic Advisor.nOUM Graduates are eligible to sit the AMC exam or NZREX.

OCEANIA UNIVERSITY OF MEDICINEINTERNATIONALLY ACCREDITED For information visit www.RN2MD.orgor 1300 665 343

Applications are now open for courses starting in January and July - No age restrictions

RNtoMD OUM’s innovativeteaching style is

fantastic and exciting.Truly foreword thinking,OUM allows the student

to benefit from both local and international

resources.Brandy Wehinger, RNOUM Class of 2015

Page 24: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 24 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 9

Page 8 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 25

507-028 1PG FULL COLOUR CMYK PDF 506-031 1PG FULL COLOUR CMYK PDF 505-035 1PG FULL COLOUR CMYK PDF 504-001 1PG FULL COLOUR CMYK PDF 502-022 1PG FULL COLOUR CMYK PDF 501-005 1PG FULL COLOUR CMYK PDF 424-037 1PG FULL COLOUR CMYK PDF

The Royal Flying Doctor Service (RFDS) highly values the contribution and dedication of its people, who enjoy working together to provide high quality health care in a unique environment.

RFDS staff enjoy enriching work which broadens their horizons, builds professional experience and delivers the personal rewards of knowing they are making a difference to rural and remote Australia.

If you’re a Nurse/Midwife ready for a rewarding new challenge, the RFDS has a position for the right person to join our dynamic Flight Nurse Team.

You’ll be working with an amazing and motivated team of professionals dedicated

to providing primary care and emergency evacuations to those living and working in rural and remote areas.Applicants are required to have:> Dual Nursing and Midwifery registration>Significantpostgraduateexperience

and/orqualificationsincriticalcare (ED or ICU)

The successful candidate will receive a comprehensive two-week orientation, generous salary and salary packaging benefits,andassistancewithrelocation if necessary.Applications close: Ongoing in 2014/15

Flight Nurses Western Australia

For futher information: Paul Ingram (08) 9417 6300 [email protected] flyingdoctor.org.au

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

507-003 1PG FULL COLOUR CMYK PDF506-002 1PG FULL COLOUR CMYK PDF505-003 1PG FULL COLOUR CMYK PDF504-002 1PG FULL COLOUR CMYK PDF503-006 1PG FULL COLOUR CMYK PDF502-003 1PG FULL COLOUR CMYK PDF501-009 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)

Surgical Wounds – Part 2: Surgical site infections, post-operative wound complications and their management By Bonnie Fraser, RN, BSc, BNURS, Grad Dip ED

Part one of this series focused on types of

surgical wounds, their healing intention and

factors that influence healing. In this article we

will consider post-operative wound complica-

tions including surgical site infections (SSIs) and

briefly touch on management.

By definition, a surgical site

infection (SSI) is an infec-

tion that develops within

30 days after a surgical

procedure or within

one year if an implant

was inserted and the

infection appears

to be related to the

surgery (Gottrup,

Melling & Hollander,

2005). SSIs can be su-

perficial (occurring in the

dermal and sub-cutaneous

layers) or deep incisional in-

fections involving muscle and fas-

cia. Organ space SSIs occur in the body

organs or organ spaces. Some general factors

will increase a patient’s risk for SSI such as age,

obesity, malnutrition, malignant disease, im-

munosuppression, smoking, prolonged pre-

operative stay endocrine and metabolic dis-

orders e.g. diabetes, hypoxia and anaemia. .

Local factors (wound and periwound) include

the presence of necrotic tissue, foreign bodies,

tissue ischemia, haematoma formation and poor

surgical technique (Gottrup, Melling & Hollander,

2005). The degree of microbial contamination,

host susceptibility, type and virulence of organ-

isms; and antibiotic resistance will impact risk

(Gottrup, Melling & Hollander, 2005). There-

fore, it is important to monitor surgical wounds

closely for infection in order to prevent more

serious complications. Indications

that the patient has developed

a SSI include classic signs

of inflammation (redness,

swelling, heat, erythema

and increased pain);

increased exudate

that is cloudy, discol-

oured or malodor-

ous; increase in the

size of the wound or

wound dehiscence

(the wound breaks

down at the site of the

surgical incision); fever and

a general feeling of being un-

well or lethargic..

Other wound complications that one

might encounter in the post-operative pa-

tient include surgical wound dehiscence, dead

space, incisional hernias, fistula formation, con-

tact dermatitis; and haematoma formation and

bleeding. Surgical wound dehiscence and en-

terocutaneous fistula will be dealt with in the

next article due to the complexity of these com-

plications.

Sometimes due to the nature of the wound,

wound edges beneath the skin cannot be closely

approximated and separate resulting is dead space. For the full article visit HealthTimes.com.au

Air and/or fluid can get trapped between the tis-

sue layers, especially the fatty layer which has

a poor blood supply. Consequently serum or

blood may collect in the space providing an ex-

cellent medium for the growth of microorgan-

isms that cause infection. Many post-operative

wounds will have a drain inserted to facilitate

drainage while the subcutaneous tissues heal.

New or increased pain, induration on palpa-

tion and spreading erythema around the site of

the surgical incision and increased temperature

may indicate a collection has occurred. The pa-

tient may require systemic antibiotics or return

to theatre to have the collection drained and/

or a drain inserted to facilitate drainage until the

wound heals.

Incisional hernias are complications oc-

curring at the site of a previous incision that

develops in the abdominal wall. Muscles at the

incision site become weakened allowing inter-

nal tissues to protrude through the muscle (Mil-

likan, 2003). The hernia protrudes under the skin

and can be painful or tender to touch. SSI and

surgical wound dehiscence are the most com-

monly reported risk factors for incisional hernia

(Millikan, 2003). Other risk factors include male

gender, age, obesity, abdominal distension,

post-operative pulmonary complications, early

re-operation, underlying disease process, suture

material used in closure, choice of original inci-

sion and patient post-operative activity that may

place undue stress on the deeper tissues of the

abdominal wound (Millikan, 2003). Surgery may

be required to repair the defect, especially if the

hernia is causing problems. The use of lumbar

and abdominal support belts after abdominal

surgery can reduce the risk of incisional hernia

as they support the abdomen post-operatively.

Holding a pillow or rolled up towel against the

surgical site while coughing and moving can

also provide support and protect internal struc-

tures from undue stress and strain.

Haematoma formation and bleeding in

and around the surgical site is common.

Postoperative haematoma is basically a lo-

calised collection of blood at and/or around

the surgery site. It is defined as the collection

or pooling of blood under the skin, in body tis-

sues or an organ. Haematomas form when cap-

illaries, arteries or veins rupture, allowing blood

to leak into the surrounding tissues, causing a

pool of blood which eventually clots. Symptoms

usually appear within the first 24 hours – bruis-

ing, pain, swelling and tightness over the area. In

most cases the haematoma will be reabsorbed,

however some require drainage or surgical in-

tervention. If left untreated some haematomas

get large enough to compress the tissues pre-

venting oxygen from reaching the skin, increas-

ing the risk of other complications such as in-

fection, wound dehiscence and necrosis.

Contact dermatitis is a localised rash or ir-

ritation of the skin caused by contact with a for-

eign substance. The skin becomes red, sore or

inflamed after direct contact with a substance,

for example a dressing adhesive or retention

tapes e.g. micropore; or latex gloves. Contact

dermatitis can be irritant or allergic – always

ask the patient if they have allergies before ap-

plication of dressings or use of surgical gloves

which contain latex. Many hospitals now have

latex-free gloves for general use on the ward

and latex-free surgical gloves are available.

While most surgical wounds undergo pri-

mary closure, some are left to heal by second-

ary intention or undergo delayed primary clo-

sure. Regardless of the method of closure, the

aims of treatment are to disturb the wound as

little as possible to allow healing and prevent

infection, optimise patient comfort, encourage

early return to full functional activity and provide

education regarding the wound and self care

(Davies, 2005).

Surgical Wounds – Part 2: Surgical site infections, post-operative wound complications and their management By Bonnie Fraser, RN, BSc, BNURS, Grad Dip ED

Part one of this series focused on types of

surgical wounds, their healing intention and

factors that influence healing. In this article we

will consider post-operative wound complica-

tions including surgical site infections (SSIs) and

briefly touch on management.

By definition, a surgical site

infection (SSI) is an infec-

tion that develops within

30 days after a surgical

procedure or within

one year if an implant

was inserted and the

infection appears

to be related to the

surgery (Gottrup,

Melling & Hollander,

2005). SSIs can be su-

perficial (occurring in the

dermal and sub-cutaneous

layers) or deep incisional in-

fections involving muscle and fas-

cia. Organ space SSIs occur in the body

organs or organ spaces. Some general factors

will increase a patient’s risk for SSI such as age,

obesity, malnutrition, malignant disease, im-

munosuppression, smoking, prolonged pre-

operative stay endocrine and metabolic dis-

orders e.g. diabetes, hypoxia and anaemia. .

Local factors (wound and periwound) include

the presence of necrotic tissue, foreign bodies,

tissue ischemia, haematoma formation and poor

surgical technique (Gottrup, Melling & Hollander,

2005). The degree of microbial contamination,

host susceptibility, type and virulence of organ-

isms; and antibiotic resistance will impact risk

(Gottrup, Melling & Hollander, 2005). There-

fore, it is important to monitor surgical wounds

closely for infection in order to prevent more

serious complications. Indications

that the patient has developed

a SSI include classic signs

of inflammation (redness,

swelling, heat, erythema

and increased pain);

increased exudate

that is cloudy, discol-

oured or malodor-

ous; increase in the

size of the wound or

wound dehiscence

(the wound breaks

down at the site of the

surgical incision); fever and

a general feeling of being un-

well or lethargic..

Other wound complications that one

might encounter in the post-operative pa-

tient include surgical wound dehiscence, dead

space, incisional hernias, fistula formation, con-

tact dermatitis; and haematoma formation and

bleeding. Surgical wound dehiscence and en-

terocutaneous fistula will be dealt with in the

next article due to the complexity of these com-

plications.

Sometimes due to the nature of the wound,

wound edges beneath the skin cannot be closely

approximated and separate resulting is dead space. For the full article visit HealthTimes.com.au

Air and/or fluid can get trapped between the tis-

sue layers, especially the fatty layer which has

a poor blood supply. Consequently serum or

blood may collect in the space providing an ex-

cellent medium for the growth of microorgan-

isms that cause infection. Many post-operative

wounds will have a drain inserted to facilitate

drainage while the subcutaneous tissues heal.

New or increased pain, induration on palpa-

tion and spreading erythema around the site of

the surgical incision and increased temperature

may indicate a collection has occurred. The pa-

tient may require systemic antibiotics or return

to theatre to have the collection drained and/

or a drain inserted to facilitate drainage until the

wound heals.

Incisional hernias are complications oc-

curring at the site of a previous incision that

develops in the abdominal wall. Muscles at the

incision site become weakened allowing inter-

nal tissues to protrude through the muscle (Mil-

likan, 2003). The hernia protrudes under the skin

and can be painful or tender to touch. SSI and

surgical wound dehiscence are the most com-

monly reported risk factors for incisional hernia

(Millikan, 2003). Other risk factors include male

gender, age, obesity, abdominal distension,

post-operative pulmonary complications, early

re-operation, underlying disease process, suture

material used in closure, choice of original inci-

sion and patient post-operative activity that may

place undue stress on the deeper tissues of the

abdominal wound (Millikan, 2003). Surgery may

be required to repair the defect, especially if the

hernia is causing problems. The use of lumbar

and abdominal support belts after abdominal

surgery can reduce the risk of incisional hernia

as they support the abdomen post-operatively.

Holding a pillow or rolled up towel against the

surgical site while coughing and moving can

also provide support and protect internal struc-

tures from undue stress and strain.

Haematoma formation and bleeding in

and around the surgical site is common.

Postoperative haematoma is basically a lo-

calised collection of blood at and/or around

the surgery site. It is defined as the collection

or pooling of blood under the skin, in body tis-

sues or an organ. Haematomas form when cap-

illaries, arteries or veins rupture, allowing blood

to leak into the surrounding tissues, causing a

pool of blood which eventually clots. Symptoms

usually appear within the first 24 hours – bruis-

ing, pain, swelling and tightness over the area. In

most cases the haematoma will be reabsorbed,

however some require drainage or surgical in-

tervention. If left untreated some haematomas

get large enough to compress the tissues pre-

venting oxygen from reaching the skin, increas-

ing the risk of other complications such as in-

fection, wound dehiscence and necrosis.

Contact dermatitis is a localised rash or ir-

ritation of the skin caused by contact with a for-

eign substance. The skin becomes red, sore or

inflamed after direct contact with a substance,

for example a dressing adhesive or retention

tapes e.g. micropore; or latex gloves. Contact

dermatitis can be irritant or allergic – always

ask the patient if they have allergies before ap-

plication of dressings or use of surgical gloves

which contain latex. Many hospitals now have

latex-free gloves for general use on the ward

and latex-free surgical gloves are available.

While most surgical wounds undergo pri-

mary closure, some are left to heal by second-

ary intention or undergo delayed primary clo-

sure. Regardless of the method of closure, the

aims of treatment are to disturb the wound as

little as possible to allow healing and prevent

infection, optimise patient comfort, encourage

early return to full functional activity and provide

education regarding the wound and self care

(Davies, 2005).

Page 25: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 24 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 9

Page 8 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 25

507-028 1PG FULL COLOUR CMYK PDF506-031 1PG FULL COLOUR CMYK PDF505-035 1PG FULL COLOUR CMYK PDF504-001 1PG FULL COLOUR CMYK PDF502-022 1PG FULL COLOUR CMYK PDF501-005 1PG FULL COLOUR CMYK PDF424-037 1PG FULL COLOUR CMYK PDF

The Royal Flying Doctor Service (RFDS) highly values the contribution and dedication of its people, who enjoy working together to provide high quality health care in a unique environment.

RFDS staff enjoy enriching work which broadens their horizons, builds professional experience and delivers the personal rewards of knowing they are making a difference to rural and remote Australia.

If you’re a Nurse/Midwife ready for a rewarding new challenge, the RFDS has a position for the right person to join our dynamic Flight Nurse Team.

You’ll be working with an amazing and motivated team of professionals dedicated

to providing primary care and emergency evacuations to those living and working in rural and remote areas.Applicants are required to have:> Dual Nursing and Midwifery registration> Significant postgraduate experience

and/or qualifications in critical care (ED or ICU)

The successful candidate will receive a comprehensive two-week orientation, generous salary and salary packaging benefits, and assistance with relocation if necessary.Applications close: Ongoing in 2014/15

Flight Nurses Western Australia

For futher information: Paul Ingram (08) 9417 6300 [email protected] flyingdoctor.org.au

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

507-003 1PG FULL COLOUR CMYK PDF 506-002 1PG FULL COLOUR CMYK PDF 505-003 1PG FULL COLOUR CMYK PDF 504-002 1PG FULL COLOUR CMYK PDF 503-006 1PG FULL COLOUR CMYK PDF 502-003 1PG FULL COLOUR CMYK PDF 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)

Surgical Wounds – Part 2: Surgical site infections, post-operative wound complications and their management By Bonnie Fraser, RN, BSc, BNURS, Grad Dip ED

Part one of this series focused on types of

surgical wounds, their healing intention and

factors that influence healing. In this article we

will consider post-operative wound complica-

tions including surgical site infections (SSIs) and

briefly touch on management.

By definition, a surgical site

infection (SSI) is an infec-

tion that develops within

30 days after a surgical

procedure or within

one year if an implant

was inserted and the

infection appears

to be related to the

surgery (Gottrup,

Melling & Hollander,

2005). SSIs can be su-

perficial (occurring in the

dermal and sub-cutaneous

layers) or deep incisional in-

fections involving muscle and fas-

cia. Organ space SSIs occur in the body

organs or organ spaces. Some general factors

will increase a patient’s risk for SSI such as age,

obesity, malnutrition, malignant disease, im-

munosuppression, smoking, prolonged pre-

operative stay endocrine and metabolic dis-

orders e.g. diabetes, hypoxia and anaemia. .

Local factors (wound and periwound) include

the presence of necrotic tissue, foreign bodies,

tissue ischemia, haematoma formation and poor

surgical technique (Gottrup, Melling & Hollander,

2005). The degree of microbial contamination,

host susceptibility, type and virulence of organ-

isms; and antibiotic resistance will impact risk

(Gottrup, Melling & Hollander, 2005). There-

fore, it is important to monitor surgical wounds

closely for infection in order to prevent more

serious complications. Indications

that the patient has developed

a SSI include classic signs

of inflammation (redness,

swelling, heat, erythema

and increased pain);

increased exudate

that is cloudy, discol-

oured or malodor-

ous; increase in the

size of the wound or

wound dehiscence

(the wound breaks

down at the site of the

surgical incision); fever and

a general feeling of being un-

well or lethargic..

Other wound complications that one

might encounter in the post-operative pa-

tient include surgical wound dehiscence, dead

space, incisional hernias, fistula formation, con-

tact dermatitis; and haematoma formation and

bleeding. Surgical wound dehiscence and en-

terocutaneous fistula will be dealt with in the

next article due to the complexity of these com-

plications.

Sometimes due to the nature of the wound,

wound edges beneath the skin cannot be closely

approximated and separate resulting is dead space. For the full article visit HealthTimes.com.au

Air and/or fluid can get trapped between the tis-

sue layers, especially the fatty layer which has

a poor blood supply. Consequently serum or

blood may collect in the space providing an ex-

cellent medium for the growth of microorgan-

isms that cause infection. Many post-operative

wounds will have a drain inserted to facilitate

drainage while the subcutaneous tissues heal.

New or increased pain, induration on palpa-

tion and spreading erythema around the site of

the surgical incision and increased temperature

may indicate a collection has occurred. The pa-

tient may require systemic antibiotics or return

to theatre to have the collection drained and/

or a drain inserted to facilitate drainage until the

wound heals.

Incisional hernias are complications oc-

curring at the site of a previous incision that

develops in the abdominal wall. Muscles at the

incision site become weakened allowing inter-

nal tissues to protrude through the muscle (Mil-

likan, 2003). The hernia protrudes under the skin

and can be painful or tender to touch. SSI and

surgical wound dehiscence are the most com-

monly reported risk factors for incisional hernia

(Millikan, 2003). Other risk factors include male

gender, age, obesity, abdominal distension,

post-operative pulmonary complications, early

re-operation, underlying disease process, suture

material used in closure, choice of original inci-

sion and patient post-operative activity that may

place undue stress on the deeper tissues of the

abdominal wound (Millikan, 2003). Surgery may

be required to repair the defect, especially if the

hernia is causing problems. The use of lumbar

and abdominal support belts after abdominal

surgery can reduce the risk of incisional hernia

as they support the abdomen post-operatively.

Holding a pillow or rolled up towel against the

surgical site while coughing and moving can

also provide support and protect internal struc-

tures from undue stress and strain.

Haematoma formation and bleeding in

and around the surgical site is common.

Postoperative haematoma is basically a lo-

calised collection of blood at and/or around

the surgery site. It is defined as the collection

or pooling of blood under the skin, in body tis-

sues or an organ. Haematomas form when cap-

illaries, arteries or veins rupture, allowing blood

to leak into the surrounding tissues, causing a

pool of blood which eventually clots. Symptoms

usually appear within the first 24 hours – bruis-

ing, pain, swelling and tightness over the area. In

most cases the haematoma will be reabsorbed,

however some require drainage or surgical in-

tervention. If left untreated some haematomas

get large enough to compress the tissues pre-

venting oxygen from reaching the skin, increas-

ing the risk of other complications such as in-

fection, wound dehiscence and necrosis.

Contact dermatitis is a localised rash or ir-

ritation of the skin caused by contact with a for-

eign substance. The skin becomes red, sore or

inflamed after direct contact with a substance,

for example a dressing adhesive or retention

tapes e.g. micropore; or latex gloves. Contact

dermatitis can be irritant or allergic – always

ask the patient if they have allergies before ap-

plication of dressings or use of surgical gloves

which contain latex. Many hospitals now have

latex-free gloves for general use on the ward

and latex-free surgical gloves are available.

While most surgical wounds undergo pri-

mary closure, some are left to heal by second-

ary intention or undergo delayed primary clo-

sure. Regardless of the method of closure, the

aims of treatment are to disturb the wound as

little as possible to allow healing and prevent

infection, optimise patient comfort, encourage

early return to full functional activity and provide

education regarding the wound and self care

(Davies, 2005).

Surgical Wounds – Part 2: Surgical site infections, post-operative wound complications and their management By Bonnie Fraser, RN, BSc, BNURS, Grad Dip ED

Part one of this series focused on types of

surgical wounds, their healing intention and

factors that influence healing. In this article we

will consider post-operative wound complica-

tions including surgical site infections (SSIs) and

briefly touch on management.

By definition, a surgical site

infection (SSI) is an infec-

tion that develops within

30 days after a surgical

procedure or within

one year if an implant

was inserted and the

infection appears

to be related to the

surgery (Gottrup,

Melling & Hollander,

2005). SSIs can be su-

perficial (occurring in the

dermal and sub-cutaneous

layers) or deep incisional in-

fections involving muscle and fas-

cia. Organ space SSIs occur in the body

organs or organ spaces. Some general factors

will increase a patient’s risk for SSI such as age,

obesity, malnutrition, malignant disease, im-

munosuppression, smoking, prolonged pre-

operative stay endocrine and metabolic dis-

orders e.g. diabetes, hypoxia and anaemia. .

Local factors (wound and periwound) include

the presence of necrotic tissue, foreign bodies,

tissue ischemia, haematoma formation and poor

surgical technique (Gottrup, Melling & Hollander,

2005). The degree of microbial contamination,

host susceptibility, type and virulence of organ-

isms; and antibiotic resistance will impact risk

(Gottrup, Melling & Hollander, 2005). There-

fore, it is important to monitor surgical wounds

closely for infection in order to prevent more

serious complications. Indications

that the patient has developed

a SSI include classic signs

of inflammation (redness,

swelling, heat, erythema

and increased pain);

increased exudate

that is cloudy, discol-

oured or malodor-

ous; increase in the

size of the wound or

wound dehiscence

(the wound breaks

down at the site of the

surgical incision); fever and

a general feeling of being un-

well or lethargic..

Other wound complications that one

might encounter in the post-operative pa-

tient include surgical wound dehiscence, dead

space, incisional hernias, fistula formation, con-

tact dermatitis; and haematoma formation and

bleeding. Surgical wound dehiscence and en-

terocutaneous fistula will be dealt with in the

next article due to the complexity of these com-

plications.

Sometimes due to the nature of the wound,

wound edges beneath the skin cannot be closely

approximated and separate resulting is dead space. For the full article visit HealthTimes.com.au

Air and/or fluid can get trapped between the tis-

sue layers, especially the fatty layer which has

a poor blood supply. Consequently serum or

blood may collect in the space providing an ex-

cellent medium for the growth of microorgan-

isms that cause infection. Many post-operative

wounds will have a drain inserted to facilitate

drainage while the subcutaneous tissues heal.

New or increased pain, induration on palpa-

tion and spreading erythema around the site of

the surgical incision and increased temperature

may indicate a collection has occurred. The pa-

tient may require systemic antibiotics or return

to theatre to have the collection drained and/

or a drain inserted to facilitate drainage until the

wound heals.

Incisional hernias are complications oc-

curring at the site of a previous incision that

develops in the abdominal wall. Muscles at the

incision site become weakened allowing inter-

nal tissues to protrude through the muscle (Mil-

likan, 2003). The hernia protrudes under the skin

and can be painful or tender to touch. SSI and

surgical wound dehiscence are the most com-

monly reported risk factors for incisional hernia

(Millikan, 2003). Other risk factors include male

gender, age, obesity, abdominal distension,

post-operative pulmonary complications, early

re-operation, underlying disease process, suture

material used in closure, choice of original inci-

sion and patient post-operative activity that may

place undue stress on the deeper tissues of the

abdominal wound (Millikan, 2003). Surgery may

be required to repair the defect, especially if the

hernia is causing problems. The use of lumbar

and abdominal support belts after abdominal

surgery can reduce the risk of incisional hernia

as they support the abdomen post-operatively.

Holding a pillow or rolled up towel against the

surgical site while coughing and moving can

also provide support and protect internal struc-

tures from undue stress and strain.

Haematoma formation and bleeding in

and around the surgical site is common.

Postoperative haematoma is basically a lo-

calised collection of blood at and/or around

the surgery site. It is defined as the collection

or pooling of blood under the skin, in body tis-

sues or an organ. Haematomas form when cap-

illaries, arteries or veins rupture, allowing blood

to leak into the surrounding tissues, causing a

pool of blood which eventually clots. Symptoms

usually appear within the first 24 hours – bruis-

ing, pain, swelling and tightness over the area. In

most cases the haematoma will be reabsorbed,

however some require drainage or surgical in-

tervention. If left untreated some haematomas

get large enough to compress the tissues pre-

venting oxygen from reaching the skin, increas-

ing the risk of other complications such as in-

fection, wound dehiscence and necrosis.

Contact dermatitis is a localised rash or ir-

ritation of the skin caused by contact with a for-

eign substance. The skin becomes red, sore or

inflamed after direct contact with a substance,

for example a dressing adhesive or retention

tapes e.g. micropore; or latex gloves. Contact

dermatitis can be irritant or allergic – always

ask the patient if they have allergies before ap-

plication of dressings or use of surgical gloves

which contain latex. Many hospitals now have

latex-free gloves for general use on the ward

and latex-free surgical gloves are available.

While most surgical wounds undergo pri-

mary closure, some are left to heal by second-

ary intention or undergo delayed primary clo-

sure. Regardless of the method of closure, the

aims of treatment are to disturb the wound as

little as possible to allow healing and prevent

infection, optimise patient comfort, encourage

early return to full functional activity and provide

education regarding the wound and self care

(Davies, 2005).

Page 26: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 26 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 7

Page 10 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 23

507-008 1PG FULL COLOUR CMYK PDF506-006 1PG FULL COLOUR CMYK PDF

Superior Oral Care

Made in Sweden Used world wide

Quality brushes for lifePharmacy stockists - tepesmiles.com.au Direct postal delivery - oralcare4u.com.auWholesale - 1800 064 645

trolldental.com1800 064 645

Implant CareDenture CareDexterity AidsSensitive GumsInterdental Brushes

Call us for a catalogue ora sample today

Clinical Governance Guide for remote and isolated health

Nurses, midwives and allied health profes-

sionals have a practical guide to help them

navigate the unique challenges of clinical

governance while working in Australia’s re-

mote areas.

CRANAplus, the peak professional body

for the nation’s remote and isolated health

workforce, has developed a Clinical Govern-

ance Guide for health managers and clini-

cians.

The guide, designed for health centre

managers, nurses, midwives, allied health

professionals, doctors, Aboriginal and Torres

Strait Islander health care practitioners and

health workers, outlines the components and

processes for appropriate and effective clini-

cal governance and quality improvement for

remote and isolated health services.

CRANAplus professional officer Marcia

Hakendorf, a registered nurse and former SA

Health Department Nursing and Midwifery

policy advisor, says the resource simplifies

what clinical governance means to health

practitioners’ workplaces and their practices.

“There’s been a lot written about clinical

governance and it’s absolutely like a maze to

put the pieces together,” she says.

“So this was about demystifying and

grounding it for clinical managers and clini-

cians working in the bush.

“What we really wanted to do was to ensure that there was an effective and consistent standard of health ser-vice throughout remote and isolated areas of Australia, and it was also about improving the capacity of the remote health workforce in providing an effec-tive, consistent standard of health care to remote Australians.”

The guide provides clinicians with direc-

tion and guidance to ensure their health ser-

vice has robust clinical governance processes

focusing on the four pillars of remote clinical

governance - workforce effectiveness, clini-

cal performance and evaluation, clinical risk

management, and consumer participation.

“It also talks about the five components

of quality improvement for the remote sec-

tor such as organisational leadership and

strong management, quality improvement,

workforce development, environment and

cultural safety, and consumers and commu-

nity.”

The challenge when creating the guide

was to ensure it would be user-friendly, log-

ical and a practical resource for managers

and clinicians to refer to that complimented

the work of the NSQHS Standards from the

Australian Commission on Safety and Qual-

ity in Health Care (ACSQHC).

The guide is based on the National Safety

and Quality Health Service (NSQHS) Stand-

ards, which came into force in January 2013,

and particularly focuses on Standard One -

Governance for Safety and Quality in Health

Service Organisations and includes a refer-

ence to Standard Two - Partnership with Con-

sumers.

The Standards mainly cover hospital ser-

vices. CRANAplus received funding from the

Australian Government to produce a resource,

designed to compliment the Standards, that

would shine the spotlight on the complex is-

sues facing remote and isolated area health

service delivery.

The guide was conceived, researched and

written with direct input from clinicians work-

ing daily in the remote health context.

Since its completion in September 2013,

CRANAplus has distributed more than 930 of

the guides, which are also available online,

into the remote sector.

Ms Hakendorf says while health practition-

ers often understand what clinical governance

is and why they need it, they can struggle to

comprehend the ‘how’ of its implementation

when it comes to remote and isolated health.

“Remote areas have complexities including

implications of geographical location, the vast

distances, the social and cultural influences, the

professional isolation, and limited infrastructure

and communication resources,” she says.

“It’s a resource for managers and clinicians

to use to clarify - what does this mean, what

should be in place, what’s my responsibility as a

clinician and what’s my responsibility as a clini-

cal manager.

“This actually helps them to look at what

needs to be in place to provide safe, quality care

to remote and isolated communities.”

“This guide gives them a comprehensive

understanding of what needs to be in place for

the remote workforce covering all aspects of

clinical care from the recruitment processes,

use of evidence-based practice, the reporting

of incidences and having an incident manage-

ment system in place, audits, how you go about

continuous quality improvement, to the impor-

tance of engaging consumers in their care.”

The guide not only assists clinical manag-

ers and nurses, midwives and allied health pro-

fessionals on the ground, it ultimately results in

better care for patients, Ms Hakendorf adds.

“It’s about the practices, so that people

practice safely, reducing risks and ensuring

quality of care is given to clients and patients.”

CRANAplus will conduct a one-day work-

shop on the Clinical Governance Guide in the

lead up to the 2015 CRANAplus Conference

being held in Alice Springs from October 15-17.

507-004 1PG FULL COLOUR CMYK PDF 506-025 1PG FULL COLOUR CMYK PDF 505-004 1PG FULL COLOUR CMYK PDF

Thinking of going bush? Your outback adventure starts HERE!

Minimum requirements:• 2 years post-grad experience • Current AHPRA registration (or ability to obtain)• Evidence of immunity to hepatitis B• A sense of adventure (a sense of humour doesn’t hurt either!)

We offer you:• Short & long term contract in rural, remote and coastal Australia• Big $$$$$• Free travel & accommodation (conditions apply)• Ongoing support & personalised service by an experienced family focused organisation. • The experience of a lifetime

About us:Nurse at Call is proudly family owned & operated with experience spanning 30 years in the recruitment industry. We listen to YOU and ensure that YOU are supported from start to finish. We pride ourselves on putting YOU first.

What do I do now?Why wait? Contact us now!Australia: (07) 55787011 or New Zealand: 0800 740 758Email us: [email protected] Visit us: www.nurseatcall.com.au

MIDWIVESEMERGENCY NURSES Wanted for Outback Australia

507-013 1/2PG FULL COLOUR CMYK PDF

507-012 1PG FULL COLOUR CMYK PDF506-008 1/2PG FULL COLOUR CMYK PDF505-011 1/2PG FULL COLOUR CMYK PDF504-009 1/2PG FULL COLOUR CMYK PDF503-017 1/2PG FULL COLOUR CMYK PDF502-023 1/2PG FULL COLOUR CMYK PDF501-027 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

Make the dream of becoming a doctor a reality,earn your MD at Oceania University of Medicine.

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

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

medical school scholars, using world leading Pre-Clinical,24/7 online delivery techniques.

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

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

OCEANIA UNIVERSITY OF MEDICINEINTERNATIONALLY ACCREDITED For information visit www.RN2MD.org or 1300 665 343

Applications are now open for courses starting in January and July - No age restrictions

RN to MDOUM’s innovativeteaching style is

fantastic and exciting.Truly foreword thinking,OUM allows the student

to benefit from both local and international

resources.Brandy Wehinger, RNOUM Class of 2015

Page 27: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 30 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 3

Page 6 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 27

507-015 1PG FULL COLOUR CMYK PDF 506-020 1PG FULL COLOUR CMYK PDF 505-024 1PG FULL COLOUR CMYK PDF

Nodeposit

Nodeposit

Nodeposit

Nodeposit

Find out how you could benefit from a novated car lease. Visit us online or call for an obligation-free quote.

Call us today 1300 221 971

www.smartnurses.com.au

*Based on the following assumptions: living in NSW 2123, salary: $70,000 gross p.a., travelling 15,000 kms p.a., lease term: 48 months. All figures quoted include budgets for fuel, servicing, tyres, maintenance and re-registration over the period of the lease. Also includes QBE comprehensive motor insurance, 2 year extended warranty (except for all Hyundai and Kia models) and platinum aftermarket pack, which includes window tint as part of the offer. Vehicle pricing is correct at the time of print and may be subject to change and availability.

No deposit to pay NEW MAZDA CX-5

Maxx (FWD) 2.0i AutoPer fortnight

$395*

Package

includes

FuelFinanceMaintenanceWarranty

Re-registrationServicingInsurance

Nissan Xtrail ST 5st 2WD

Auto

$420*Per fortnight

Mazda 3 Maxx Auto Hatch/Sedan

$340*Per fortnight

Hyundai i30 Trophy 1.8i

Auto

$330*Per fortnight

Toyota Corolla Ascent Sport 1.8i

Auto

$345*Per fortnight

2014

State

Time for a new car?Consider a novated car lease with Smartleasing

NCAH-125 x 180_Time for a new car_March 2015.indd 110/03/2015 10:13:22 AM

507- 032 1PG FULL COLOUR CMYK PDF

Be the heart of Barwon Health.As Australia’s leading regional healthcare provider, we are at the leading edge of care, education and research. As the Geelong region’s largest employer, our people are at the heart of everything we do.

www.barwonhealth.org.au

Care | Education | Research

507-034 1PG FULL COLOUR CMYK PDF506-011 1PG FULL COLOUR CMYK PDF

Did you know your employer can help you get into a brand-new Nissan SUV? If you’re working in health, they can. When you salary sacrifi ce a Nissan with your employer you’ll see that combining the potential for tax minimisation and Nissan’s novated pricing will exceed your expectations.

Talk to your employer about eligibility and your Nissan Dealer for novated pricing.

Excludes GT-R. For more info, visit nissan.com.au/salsac

Can you see yourself behind the wheel of a QASHQAI?

Your employer can.

FLT0114A/HT

Nurse and son face deportation over autism diagnosis

Growing up in the Philippines, Maria Sevilla

dreamed of one day becoming a nurse.

“The nurses used to travel using the pub-

lic transport and they were all wearing white

dresses,” she recalled.

“I said - ‘one day I am going to be in that

uniform and I’ll be a nurse’, but because at

the time my mum can’t afford to send me to a

nursing school, I ended up doing an engineer-

ing course in the public school.”

Years later, Maria’s aspirations became a re-

ality, when her mother and step-father urged

her to join them and move with her son Tyrone,

then aged two, to Townsville in Queensland.

“They offered to me if I wanted to study

nursing here in Australia. I was really over-

whelmed. I said - ‘yes, of course’.”

Maria studied the Diploma of Nursing at

TAFE and went on to complete her certifi-

cate three in aged care before completing her

Bachelor of Nursing Science at James Cook

University.

Fast forward four years and Maria is a reg-

istered nurse working in the rehabilitation ward

at the Townsville Hospital.

But Maria’s dreams of working as a nurse

and living with her family in Australia are at risk

after the Federal Government’s Migration Re-

view Tribunal denied her request for a Skilled

Regional Provisional visa because of Tyrone’s

autism, which he was diagnosed with in Aus-

tralia six months after their arrival.

Maria said the Immigration Department, in

a letter, rejected the visa application because

her son’s autism could be ‘a burden on the Aus-

tralian health system’.

Federal Immigration Minister Peter Dutton

now has the final say on Maria and Tyrone’s

future, and a decision on their deportation is

expected within 28 days.

“I’m just hoping that they will give Tyrone a

fair go and not label Tyrone as a burden to the

Australian society or any society because of his

autism,” Maria said.

“How would the Minister feel if his son was

labelled as a burden to society? You are strip-

ping away his chances of getting a bright future

in a safe environment and being with the rest

of his family.”

Tyrone does not speak Filipino and depor-

tation would force Maria and the 10-year-old

away from their family in Australia to the Phil-

ippines, where they have no close remaining

relatives or reliable health services.

Maria said deportation would also be ex-

tremely stressful for Tyrone who, due to his

autism, struggles with even small changes to

his routine.

The Queensland Nurses’ Union (QNU) has

rallied behind Maria and Tyrone.

QNU secretary Beth Mohle called on the

Minister to protect Tyrone instead of punishing

him for his condition.

“Tyrone’s mother Maria is a hard-working

and highly valued rehabilitation nurse who

helps patients who have lost limbs and suffered

spinal and brain injuries to rebuild their lives,”

she said.

“The QNU and the Australian public will rail

against any move to deport this child to the

Philippines.”

Maria said she’s been overwhelmed by the

support of her nursing and medical colleagues

and also the wider Australian community.

“Being a permanent nurse, that’s really a

part of my dreams and a part of it as well is be-

ing a resident here in Australia. I want to own

my own house for me and Tyrone.

for the full article visit HealthTimes.com.au

Page 28: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 28 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 5

Page 4 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 29

Issue 7 – 20 April 2015

Advertiser list

Australian Red Cross

Barwon Health

CCM Recruitment International

CQ Nurse

Employment O�ce

First State Super

Geneva Health

Hays Healthcare

Health Recruitment Specialists

Lifescreen

Medacs Australia

Nissan Fleet

North East Health Wangaratta

Northern Territory Medicare Local

Nurse at Call

Oceania University of Medicine

Quick and Easy Finance

Royal Flying Doctor Service

Smart Salary

St John of God Bendigo

Troll Dental

Umoona Tjutagku Health Service

Western District Health Service

Wyndham Clinic Private Hospital

Your Nursing Agency

We hope you enjoy perusing the range of opportunities included in Issue 7, 2015.

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 would like to receive our publication, please email us at [email protected]

The HealthTimes magazine is the most widely distributed national nursing and allied health publication in Australia.

For all advertising and production enquiries please contact us by telephone on 1300 306 582, email [email protected] or visit www.healthtimes.com.au

Published by Seabreeze Communications Pty Ltd trading as HealthTimes.ABN 29 071 328 053.

© 2015 Seabreeze Communications Pty Ltd.

All right 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.

DISTRIBUTION43,219

Midwifery & Maternal

Monday 27th of April 2015

Wednesday 29th April 2015

Next Publication:

Publication Date:Monday 4th of May 2015

Colour Artwork Deadline:

Mono Artwork Deadline:

507-001 1PG FULL COLOUR CMYK PDF506-003 1PG FULL COLOUR CMYK PDF505-002 1PG FULL COLOUR CMYK PDF504-003 1PG FULL COLOUR CMYK PDF503-005 1PG FULL COLOUR CMYK PDF502-004 1PG FULL COLOUR CMYK PDF501-008 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

Scheme attracts nurses and midwives to rural areas

Graduate nurses, midwives, sonographers

and specialists are continuing to be attracted

to rural and other hard-to-staff communities

in New Zealand.

Registrations for the 2015 intake of the na-

tion’s Voluntary Bonding Scheme, the seventh

intake of the incentive-based scheme, closed

on March 13.

The Health Workforce New Zealand ini-

tiative works to encourage nurses, midwives,

doctors, radiation therapists and medical

physicists into hard-to-staff specialities and

communities faced with higher vacancy rates,

greater locum use, longer waiting periods, and

a higher use of overseas trained professionals.

For the first time, sonographers were add-

ed to the list of high-demand professions this

year.

Health Workforce New Zealand manager

Ruth Anderson said more than 3500 graduates

have signed up to the scheme since it was first

introduced in 2009.

“When the scheme was first introduced,

there were 350 registrants on the scheme

across the eligible professions,” she said.

“Those numbers have been exceeded eve-

ry year and all eligible registrants have been

accepted on to the scheme, to date.

“Registrations generally fluctuate between

400-500 each year in response to the changes

in the hard-to-staff communities and special-

ties.”

Ms Anderson said hard-to-staff commu-

nities and specialties are revised each year,

through a nationwide stakeholder consulta-

tion, and are based on the needs of the New

Zealand workforce.

“The scheme is not just focused on specific

areas but is aimed at communities as a whole,”

she said.

“Rurality is a contributing factor with the

majority of hard-to-staff communities encom-

passing rural areas.

“The scheme is an important component of

an overall strategy to ensure New Zealand has a

workforce that is serving the needs of rural and

remote communities.

“The steady number of applicants to the

scheme shows that health professionals are go-

ing where they are needed most.”

Under the scheme, graduates are bonded

for a period of up to five years with participants

able to apply for reward payments after com-

pleting their bonding period.

For the full article visit HealthTimes.com.au507-018 1/4PG PDF

507-036 1PG FULL COLOUR CMYK PDF

Time for a new job?

These and hundreds more nursing, midwifery and allied health jobs at HealthTimes.com.au

Associate NUM (Theatre)Regional Victoria

Triage Nursing RolesWork from home

ED Nurses & MidwivesOutback Australia

Midwives & Postnatal EENsSydney Private Hospital

Physiotherapy OpportunitiesHobart

Part time Practice NurseMaryborough Queensland

Page 29: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 28 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 5

Page 4 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 29

Issue 7 – 20 April 2015

Advertiser list

Australian Red Cross

Barwon Health

CCM Recruitment International

CQ Nurse

Employment O�ce

First State Super

Geneva Health

Hays Healthcare

Health Recruitment Specialists

Lifescreen

Medacs Australia

Nissan Fleet

North East Health Wangaratta

Northern Territory Medicare Local

Nurse at Call

Oceania University of Medicine

Quick and Easy Finance

Royal Flying Doctor Service

Smart Salary

St John of God Bendigo

Troll Dental

Umoona Tjutagku Health Service

Western District Health Service

Wyndham Clinic Private Hospital

Your Nursing Agency

We hope you enjoy perusing the range of opportunities included in Issue 7, 2015.

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 would like to receive our publication, please email us at [email protected]

The HealthTimes magazine is the most widely distributed national nursing and allied health publication in Australia.

For all advertising and production enquiries please contact us by telephone on 1300 306 582, email [email protected] or visit www.healthtimes.com.au

Published by Seabreeze Communications Pty Ltd trading as HealthTimes.ABN 29 071 328 053.

© 2015 Seabreeze Communications Pty Ltd.

All right 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.

DISTRIBUTION43,219

Midwifery & Maternal

Monday 27th of April 2015

Wednesday 29th April 2015

Next Publication:

Publication Date: Monday 4th of May 2015

Colour Artwork Deadline:

Mono Artwork Deadline:

507-001 1PG FULL COLOUR CMYK PDF 506-003 1PG FULL COLOUR CMYK PDF 505-002 1PG FULL COLOUR CMYK PDF 504-003 1PG FULL COLOUR CMYK PDF 503-005 1PG FULL COLOUR CMYK PDF 502-004 1PG FULL COLOUR CMYK PDF 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

Scheme attracts nurses and midwives to rural areas

Graduate nurses, midwives, sonographers

and specialists are continuing to be attracted

to rural and other hard-to-staff communities

in New Zealand.

Registrations for the 2015 intake of the na-

tion’s Voluntary Bonding Scheme, the seventh

intake of the incentive-based scheme, closed

on March 13.

The Health Workforce New Zealand ini-

tiative works to encourage nurses, midwives,

doctors, radiation therapists and medical

physicists into hard-to-staff specialities and

communities faced with higher vacancy rates,

greater locum use, longer waiting periods, and

a higher use of overseas trained professionals.

For the first time, sonographers were add-

ed to the list of high-demand professions this

year.

Health Workforce New Zealand manager

Ruth Anderson said more than 3500 graduates

have signed up to the scheme since it was first

introduced in 2009.

“When the scheme was first introduced,

there were 350 registrants on the scheme

across the eligible professions,” she said.

“Those numbers have been exceeded eve-

ry year and all eligible registrants have been

accepted on to the scheme, to date.

“Registrations generally fluctuate between

400-500 each year in response to the changes

in the hard-to-staff communities and special-

ties.”

Ms Anderson said hard-to-staff commu-

nities and specialties are revised each year,

through a nationwide stakeholder consulta-

tion, and are based on the needs of the New

Zealand workforce.

“The scheme is not just focused on specific

areas but is aimed at communities as a whole,”

she said.

“Rurality is a contributing factor with the

majority of hard-to-staff communities encom-

passing rural areas.

“The scheme is an important component of

an overall strategy to ensure New Zealand has a

workforce that is serving the needs of rural and

remote communities.

“The steady number of applicants to the

scheme shows that health professionals are go-

ing where they are needed most.”

Under the scheme, graduates are bonded

for a period of up to five years with participants

able to apply for reward payments after com-

pleting their bonding period.

For the full article visit HealthTimes.com.au507-018 1/4PG PDF

507-036 1PG FULL COLOUR CMYK PDF

Time for a new job?

These and hundreds more nursing, midwifery and allied health jobs at HealthTimes.com.au

Associate NUM (Theatre)Regional Victoria

Triage Nursing RolesWork from home

ED Nurses & MidwivesOutback Australia

Midwives & Postnatal EENsSydney Private Hospital

Physiotherapy OpportunitiesHobart

Part time Practice NurseMaryborough Queensland

Page 30: Ncah issue 07 2015

CYAN MAGENTA YELLOW BLACK

Page 30 | www.HealthTimes.com.au HealthTimes - Issue 7 | Page 3

Page 6 | www.HealthTimes.com.auHealthTimes - Issue 7 | Page 27

507-015 1PG FULL COLOUR CMYK PDF506-020 1PG FULL COLOUR CMYK PDF505-024 1PG FULL COLOUR CMYK PDF

Nodeposit

Nodeposit

Nodeposit

Nodeposit

Find out how you could benefit from a novated car lease. Visit us online or call for an obligation-free quote.

Call us today 1300 221 971

www.smartnurses.com.au

*Based on the following assumptions: living in NSW 2123, salary: $70,000 gross p.a., travelling 15,000 kms p.a., lease term: 48 months. All figures quoted include budgets for fuel, servicing, tyres, maintenance and re-registration over the period of the lease. Also includes QBE comprehensive motor insurance, 2 year extended warranty (except for all Hyundai and Kia models) and platinum aftermarket pack, which includes window tint as part of the offer. Vehicle pricing is correct at the time of print and may be subject to change and availability.

No deposit to pay

NEW MAZDA CX-5Maxx (FWD) 2.0i Auto

Per fortnight

$395*

Package

includes

FuelFinanceMaintenanceWarranty

Re-registrationServicingInsurance

Nissan Xtrail ST 5st 2WD

Auto

$420*Per fortnight

Mazda 3 Maxx Auto Hatch/Sedan

$340*Per fortnight

Hyundai i30 Trophy 1.8i

Auto

$330*Per fortnight

Toyota Corolla Ascent Sport 1.8i

Auto

$345*Per fortnight

2014

State

Time for a new car?Consider a novated car lease with Smartleasing

NCAH-125 x 180_Time for a new car_March 2015.indd 1 10/03/2015 10:13:22 AM

507- 032 1PG FULL COLOUR CMYK PDF

Be the heart of Barwon Health.As Australia’s leading regional healthcare provider, we are at the leading edge of care, education and research. As the Geelong region’s largest employer, our people are at the heart of everything we do.

www.barwonhealth.org.au

Care | Education | Research

507-034 1PG FULL COLOUR CMYK PDF 506-011 1PG FULL COLOUR CMYK PDF

Did you know your employer can help you get into a brand-new Nissan SUV? If you’re working in health, they can. When you salary sacrifi ce a Nissan with your employer you’ll see that combining the potential for tax minimisation and Nissan’s novated pricing will exceed your expectations.

Talk to your employer about eligibility and your Nissan Dealer for novated pricing.

Excludes GT-R. For more info, visit nissan.com.au/salsac

Can you see yourself behind the wheel of a QASHQAI?

Your employer can.

FLT0114A/HT

Nurse and son face deportation over autism diagnosis

Growing up in the Philippines, Maria Sevilla

dreamed of one day becoming a nurse.

“The nurses used to travel using the pub-

lic transport and they were all wearing white

dresses,” she recalled.

“I said - ‘one day I am going to be in that

uniform and I’ll be a nurse’, but because at

the time my mum can’t afford to send me to a

nursing school, I ended up doing an engineer-

ing course in the public school.”

Years later, Maria’s aspirations became a re-

ality, when her mother and step-father urged

her to join them and move with her son Tyrone,

then aged two, to Townsville in Queensland.

“They offered to me if I wanted to study

nursing here in Australia. I was really over-

whelmed. I said - ‘yes, of course’.”

Maria studied the Diploma of Nursing at

TAFE and went on to complete her certifi-

cate three in aged care before completing her

Bachelor of Nursing Science at James Cook

University.

Fast forward four years and Maria is a reg-

istered nurse working in the rehabilitation ward

at the Townsville Hospital.

But Maria’s dreams of working as a nurse

and living with her family in Australia are at risk

after the Federal Government’s Migration Re-

view Tribunal denied her request for a Skilled

Regional Provisional visa because of Tyrone’s

autism, which he was diagnosed with in Aus-

tralia six months after their arrival.

Maria said the Immigration Department, in

a letter, rejected the visa application because

her son’s autism could be ‘a burden on the Aus-

tralian health system’.

Federal Immigration Minister Peter Dutton

now has the final say on Maria and Tyrone’s

future, and a decision on their deportation is

expected within 28 days.

“I’m just hoping that they will give Tyrone a

fair go and not label Tyrone as a burden to the

Australian society or any society because of his

autism,” Maria said.

“How would the Minister feel if his son was

labelled as a burden to society? You are strip-

ping away his chances of getting a bright future

in a safe environment and being with the rest

of his family.”

Tyrone does not speak Filipino and depor-

tation would force Maria and the 10-year-old

away from their family in Australia to the Phil-

ippines, where they have no close remaining

relatives or reliable health services.

Maria said deportation would also be ex-

tremely stressful for Tyrone who, due to his

autism, struggles with even small changes to

his routine.

The Queensland Nurses’ Union (QNU) has

rallied behind Maria and Tyrone.

QNU secretary Beth Mohle called on the

Minister to protect Tyrone instead of punishing

him for his condition.

“Tyrone’s mother Maria is a hard-working

and highly valued rehabilitation nurse who

helps patients who have lost limbs and suffered

spinal and brain injuries to rebuild their lives,”

she said.

“The QNU and the Australian public will rail

against any move to deport this child to the

Philippines.”

Maria said she’s been overwhelmed by the

support of her nursing and medical colleagues

and also the wider Australian community.

“Being a permanent nurse, that’s really a

part of my dreams and a part of it as well is be-

ing a resident here in Australia. I want to own

my own house for me and Tyrone.

for the full article visit HealthTimes.com.au

Page 31: Ncah issue 07 2015

www.HealthTimes.com.au HealthTimes - Issue 7

Prin

ted

by B

MP

- Freecall 18

00

62

3 9

02

POSTAGEPAID

AUSTRALIA

PRINTPOST100015906

Seabreeze Communications Pty Ltd (ABN 29 071 328 053)PO Box 6744, Melbourne, VIC 3004

CHANGE OF ADDRESS: If the information on this mail label is incorrect, please email [email protected] with the address that is currently shown & your correct address.

healthtimes.com.au

Regional & Remote Health+Preparing nurses for the Ebola frontline

Surgical Wounds – Part 2

Nurse & son face deportation over autism diagnosis

Pain management program targets Indigenous people

+

+

+

Issue 720/04/2015

Formerly

Nursing CareersAllied Health

ncah.com.au

507-006 1/2PG FULL COLOUR CMYK PDF

507-010 1PG FULL COLOUR CMYK PDF

First State Super works as hard as you do

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

0P_0

714

507-005 1PG FULL COLOUR CMYK PDF

AUS Free Phone: 1800 818 844NZ Free Phone: 0800 700 839Dawn - [email protected]

Like us on Facebook: Careers with CCM Australasia

Hospital of St John & St ElizabethLondon, England

Representatives coming to Brisbane, Sydney, Melbourne & PerthPresentations & Interviews in June

If you always wanted to work in London, grab this opportunity & Book now

Positions are available but not limited to the following specialities: Urology, Gastrointestinal surgery, Plastics/Cosmetic surgery, Orthopaedics, Trauma & General Surgery, Gynaecology, Breast, ENT Surgery, Theatre, Recovery, Medical admissions & Day Surgery.

Bene�ts on Offer:Relocation package up to £2,500 (to cover costs of �ights, accommodation & removals)Generous annual leave – 27 days plus 8 public holidays Affordable accommodation, shared and single - close to the hospitalBuddy System - supported on arrival, to help you understand life in London

NMC Registration advantageous, but not essential at Presentation / Interview stage

Page 32: Ncah issue 07 2015

www.HealthTimes.com.auHealthTimes - Issue 7

Pri

nte

d b

y B

MP

- F

reecal

l 18

00

62

3 9

02

POSTAGEPAID

AUSTRALIA

PRINTPOST100015906

Seabreeze Communications Pty Ltd (ABN 29 071 328 053)PO Box 6744, Melbourne, VIC 3004

CHANGE OF ADDRESS: If the information on this mail label is incorrect, please email [email protected] with the address that is currently shown & your correct address.

healthtimes.com.au

Regional & Remote Health+ Preparing nurses for the Ebola frontline

Surgical Wounds – Part 2

Nurse & son face deportation over autism diagnosis

Pain management program targets Indigenous people

+

+

+

Issue 720/04/2015

Formerly

Nursing CareersAllied Health

ncah.com.au

507-006 1/2PG FULL COLOUR CMYK PDF

507-010 1PG FULL COLOUR CMYK PDF

First State Super works as hard as you do

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

507-005 1PG FULL COLOUR CMYK PDF

AUS Free Phone: 1800 818 844NZ Free Phone: 0800 700 839Dawn - [email protected]

Like us on Facebook: Careers with CCM Australasia

Hospital of St John & St ElizabethLondon, England

Representatives coming to Brisbane, Sydney, Melbourne & PerthPresentations & Interviews in June

If you always wanted to work in London, grab this opportunity & Book now

Positions are available but not limited to the following specialities: Urology, Gastrointestinal surgery, Plastics/Cosmetic surgery, Orthopaedics, Trauma & General Surgery, Gynaecology, Breast, ENT Surgery, Theatre, Recovery, Medical admissions & Day Surgery.

Bene�ts on Offer:Relocation package up to £2,500 (to cover costs of �ights, accommodation & removals)Generous annual leave – 27 days plus 8 public holidays Affordable accommodation, shared and single - close to the hospitalBuddy System - supported on arrival, to help you understand life in London

NMC Registration advantageous, but not essential at Presentation / Interview stage