Ncah issue 13 2013

www.ncah.com.auNursing Careers Allied Health - Issue 13

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B E N D I G OV I C 3 5 5 0

P R I N TP O S T

Midwifery & Maternal Feature

The move into midwifery prescribing

Prison nurses see red over pay

New app secures patient photos

Jobs to go at RDNS SA

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Page 30 | www.ncah.com.au Nursing Careers Allied Health - Issue 13 | Page 3

Page 6 | www.ncah.com.auNursing Careers Allied Health - Issue 13 | Page 27

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Matthew Molineux decided to pursue a career in occupational therapy after his teenage sister received treatment from an occupational therapist for perceptual motor problems.

Twenty three years later, and now a Professor establishing Grif� th University’s � rst occupational therapy course, Matthew says occupational therapy has provided him with a diverse career – spanning work in prisons to working with returned servicemen and women, working in the community with children, adults and older people and now working in education to forge the next generation of occupational therapists.

It’s that potential for career diversity that Matthew is hoping will inspire students to consider a career in occupational therapy – where, he says, they can shape a career for themselves.

“Come and do the degree and you can create the career you want,” he says.

“The skills of occupational therapists can be used in a whole range of settings. Where we work in the future is almost limitless.”

With the Australian Government predicting “very strong employment” for occupational therapists in the next � ve years, Matthew says the four-year Bachelor of Occupational Therapy, set to begin next year, will enable students to work in health and education but to also explore new and emerging areas of practice.

He says the course will prepare students to work in traditional settings but to also discover how their skills can be used in a wide range of areas, with Australian occupational therapists now working in areas such as consulting, shaping government policy, working with refugees and asylum seekers, and working with homeless people.

“Occupational therapists are creative health professionals who � nd solutions by adapting environments, modifying activities or facilitating the development of new skills in collaboration with the client and other health professionals,” he says.

“Clients could be individuals, groups or even entire communities.

“Looking to the future of the profession will mean students will be at the cutting edge of occupational therapy at a time when its demand will be bigger than ever before.”

Matthew says the new course,which will be located on the Gold Coast and will have an intake of 40 students, is focused on building strong relationships with the local industry and community through work placements and community connections.

Originally from Brisbane, Matthew established a similar program at Leeds Metropolitan University in the United Kingdom.

New occupational therapy course amid job growth forecastsby Karen Keast

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An Australian-designed app that enables nurses and allied health professionals to securely capture and store images of their patients has been released.

The PicSafe Medi app, developed by two Victorian doctors, allows health professionals to obtain full legal patient consent, via a verbal recording or screen signing, for the photos to be taken and stored in a highly-secure, Australian-based cloud storage system.

The photo is taken through the app, so that the image is not retained in the smart device’s camera roll, and can only be accessed through a uniquely generated short URL which grants access to the photo to other users, nominated by the photographer, for up to � ve minutes before the URL is then inactivated.

The PicSafe Medi system also separates photos from patient identity to ensure it complies with electronic health record and patient privacy legislation, and stores patient data for a minimum of seven years.

PicSafe Medi project manager Pete Saunders said the app meets current healthcare legislation requirements and also looming amendments to patient privacy, due to take effect in March 2014.

He said under the changes to federal law, health professionals with unsecure patient images on their smart devices face � nes of up to $340,000 and institutions face � nes of up to $1,700,000 for any breach of patient privacy.

Mr Saunders said the PicSafe Medi app was unique.

“I think this might be the � rst app of its kind in the world,” he said.

“It’s secure – nothing is ever stored on your

phone. You take a photo and it sends it

directly to a cloud based server.”

Mr Saunders said the app had enormous

potential in the Australian health sector and

abroad, and would become an indispensable,

every-day tool for students, nurses, allied

health professionals and doctors.

“A nurse might actually wrap a burn and

before they do, they can take a photo of the

burn with PicSafe and start to securely wrap

it up,” he said.

“When the doctor comes around, instead of

unwrapping the burn, the doctor can look at

a secure document of that burn.”

The PicSafe Medi app is available from iTunes

and on Google Play for android. The app is

free for the � rst month and then has a monthly

subscription of $5.49.

New app secures patient photosby Karen Keast




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We hope you enjoy perusing the range of opportunities included in Issue 13, 2013.

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

The NCAH Magazine distribution is independently audited by the Circulations Audit Board.

Total Audited Print and Digital Distribution: 28,090

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

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

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

Published by Seabreeze Communications Pty Ltd Trading as NCAH.

ABN 29 071 328 053.

© 2013 Seabreeze Communications Pty Ltd.

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

reproduced by any means without the prior written permission of

the publisher. Compliance with the Trade Practices Act 1974 of

advertisements contained in this publication is the responsibility of

those who submit the advertisement for publication.

www.ncah.com.au

Next Publication: Nurse Leaders featurePublication Date: Monday 15th July 2013

Colour Artwork Deadline: Monday 8th July 2013

Mono Artwork Deadline: Wednesday 10th July 2013




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Queensland based student nurse Kay Seymour has earned herself a nomination for an Outstanding Bravery Medal in News Limited’s 2013 Pride of Australia Medal.

The mature nursing student last month leapt on to train tracks at Wooloowin station, on Brisbane’s north side, to rescue a man who had fallen on the lines after having a seizure.

The 42-year-old, formerly a teacher aide in a school special-needs unit where she had learned to read the signs of seizure, is a few months into her nurse training.

On the morning of May 9, Seymour walked on to the platform at Wooloowin station, with around eight minutes to spare before her usual train was set to arrive. It is understood that shortly after she arrived on the platform she heard a commotion, and woman screaming that a man had fallen on the tracks.

Recent training on cognitive functioning allowed Seymour to confi rm the man’s lack of response indicated a possible head injury. With around six minutes before the next train,

she went onto the tracks to help, asked the man questions to test his mental alertness and checked his vital signs. She then assisted him back up on to the platform where she and Queensland Rail staff waited with him until ambulance offi cers arrived.

It was later revealed that freight and express trains regularly pass through Wooloowin station. However Seymour reportedly confi rmed that if a train had come, she would have dragged the man to the middle of the tracks and protected him.

“I don’t wear the hero tag too comfortably,” she said. “I was just in the right place at the right time and was a good Samaritan. If I do something that makes my friends and family proud, then all very well.”

Queensland student nurse earns recognition for braveryby Karen Keast

ICU | Theatre | Scrub NursesRequirements:

Eligible to register with the UK’s NMC Must have the right to work in the UK Have 12mths experience in ICU, Theatre or Scrubs

Salary & Benefits:Salary - Nurse Band 5 - £25,411 to £33,150 Based on 37.5 hours per week Onsite accommoda on - £500 p.c.m. bills inc. Annual Leave 27 days + plus 8 public holidays Within walking distance of London Underground Excellent opportuni es for professional growth Full Time permanent posi ons

For job descrip on and further informa on please email your CV in English to [email protected] - Interviews Arranged At Your Convenience - Kate Cowhig Interna onal Healthcare Recruitment (Dublin) +353 1 671 5557 - (London) +44 207 833 8830

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For the full article visit NCAH.com.au

RDNS SA has blamed “a steady reduction in referral volumes” for its decision to cut 40 nursing and non-nursing jobs.

The organisation, which is run by Silver Chain Group and delivers home-based health care in South Australia, has revealed it will offer voluntary redundancy packages to 30 nursing full-time equivalent (FTE) employees and 10 non-nursing FTE employees until June 26, when it may move to forced redundancies.

“Decreasing referral volumes directly and adversely affect the organisation, speci� cally the numbers of staff required to deliver services,” RDNS SA said in a statement.

“Until now, RDNS SA has been actively managing this situation through recruitment freezes, attrition, and closely monitoring volume and shift patterns.”

Forty nursing and care jobs to go at RDNS SAby Karen Keast

The organisation, which is in no way connected with RDNS (Royal District Nursing Service), employs 500 nurses, allied health professionals and care workers, making more than 15,000 visits each week across Adelaide.

“We will also consider the implementation of other measures, such as reduced hours and alternative shift patterns across our workforce,” RDNS SA added.

“Depending on the level of participation, we may be required to implement a program of involuntary redundancies.”

The organisation, which has been operating since 1894, said it was working with the Australian Nursing and Midwifery Federation SA Branch (ANMF-SA) to offer redundancies“well above” the national employment standard.

Email Elizabeth Hevesi-Nagy on [email protected] call Nerida Edwards on 0407 725 912

Mental HealthNursing OpportunitiesAre you an Endorsed Enrolled Nurse interested in a career in Mental Health Nursing?

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Delivering tailored healthcare solutions




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Australia’s largest health union has thrown

its weight behind a new push to fund nursing

and allied health students to work in rural and

remote areas.

The Australian Nursing Federation is

supporting the Australian Rural Health

Education Network (ARHEN) as it lobbies

politicians for a pre-election commitment to

fund initiatives aimed at boosting the nation’s

rural and remote health workforce.

With rural areas in desperate need for more

health care workers, ARHENhas met with

MPs in Canberra in a bid to secure funding

for its programs that support nursing, allied

health, dentistry and Indigenous students.

ANF assistant secretary Yvonne Chaperon

said ARHEN’s calls for more funding come

as the union works to � nd funding solutions

for the nation’s nursing and midwifery crisis,

particularly in high-need rural and remote

communities.

“The ANF continues to be extremely

concerned by the increasing shortage of

highly-trained nurses and midwives and

the limited employment opportunities for

Australia’s graduate nurses and midwives,”

she said in a statement.

“As a nation, we need to urgently start building

a future nursing and midwifery workforce to

replace the current staff, retiring over the next

15 to 20 years, with 90,000 highly-trained

nurses expected to retire.

“That’s why it is crucial that more nursing and

midwifery graduates are employed in order to

build a sustainable workforce into the future.”

Ms Chaperon said rural and remote

communities are in “real need” of nursing and

midwifery professionals.

“Highly-trained nurses and midwives are vital

in delivering safe patient care throughout

regional and remote communities, which more

often than not experience limited access to

health services, yet there just aren’t enough

incentives to allow nurses and midwives to

move into rural practice,” she said.

Ms Chaperon said the ANF was working with

the Federal Government, the Opposition, key

Independent MPs, and health and aged care

stakeholders in the lead up to the September

election to develop and implement career

pathways for nurses and midwives in

communities across the country experiencing

high workforce shortages.

The ANF wants graduate programs to be

offered in non-traditional areas such as aged

care and primary care, and the union is calling

for HECS fees to be removed as an incentive

for nursing and midwifery graduates to work

in dif� cult-to-staff rural and remote areas.

“The ANF is urging all the parties to make safe

patient care for all Australians a top priority

at the upcoming election by working together

on the very important issue of nurse and

midwife shortages and the underemployment

of graduates,” Ms Chaperon said.

ANF supports push for rural and remote fundingby Karen Keast

OCEANIA UNIVERSITYOF MEDICINE

Take the next step, earn your MBBS atOceania University of Medicine.

RNtoMBBSWhat I like aboutOUM is that I cancontinue to work

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In AU 1300 665 343 or NZ 0800 99 01 01

Perioperative Services ManagerBased in Shepparton, Goulburn Valley Health, is the largest public health care provider in the Hume region, an easy 2 hour drive north of Melbourne. It is growing its services to meet the needs of the region. They are currently seeking an experienced nursing professional with substantial experience in the perioperative fi eld to undertake this challenging role. Reporting to the Divisional Operations Director of Women and Children’s and Surgical Services, the Perioperative Services Manager provides operational and clinical leadership, management and direction for Theatre and Anaesthetic Services, Day Procedure Unit, and Central Sterilisation Services Department. To be a strong contender for this position you will hold current AHPRA registration and have post-graduate qualifi cations in the perioperative fi eld. You will need to be able to demonstrate clinical leadership experience and expert knowledge of AS4187 and ACORN standards.

Full position details can be obtained from our website at:www.hrsa.com.au

Enquiries should be made in the fi rst instance to John Bowman on 0407 835 747 or applications comprising: Letter of application; updated resume; and brief statement addressing the KSC can

be forwarded to: [email protected]

PO Box 83 Ocean Grove 3226

[email protected]

www.hrsa.com.au


Who can you trust? Well, as it turns out – we trust our paramedics and � re� ghters the most, with nurses and pharmacists also rating high.

Paramedics and � re� ghters tied for � rst place in the annual Australian Readers Digest ‘Most Trusted Professions’ survey, followed by rescue volunteers, nurses, pilots, doctors, pharmacists, veterinarians, air traf� c controllers and farmers rounding out the top 10 on the list of 50 jobs.

About 1200 people were asked to rank 50 different professions for the poll, with one South Australian respondent commending the nation’s paramedics, stating: “They have the most responsible job of all to do, saving lives � rst hand”.Another respondent stated � re� ghters are worthy of our trust because “anyone running into a burning building when everybody else is running out deserves your full trust”.

Police came in at number 13, dentists at 14, hairdressers at 20, builders at 26, alternative health practitioners at 27, professional sportspeople at 34, � nancial planners at 36 and lawyers at 39.

The least trustworthy professions to round out the � nal 10 include CEOs, taxi drivers, journalists, talkback radio hosts, real estate agents, sex workers, call centre staff, insurance salespeople, with politicians coming in at 49 and door-to-door salespeople claiming last place.

Meanwhile, nurses have been voted as the most ethical and honest profession for the 19th year in a row in the recently released annual Roy Morgan ‘Image of Professions’ survey.

We trust in paramedics, nurses and pharmacists

by Karen Keast

1312-003 1PG FULL COLOUR CMYK (repeat)

W: www.ahnr.com.au E: [email protected] T: 1300 981 509www.ahnr.com.au

If you are looking to make a fresh start to your career or would like to register your interest in future job opportunities go to

Infection Prevention and Control Coordinator• Grade 5• Part-time (20 hours per week)• Located in Benalla, Victoria

The Infection Prevention and Control Coordinator is responsible for ensuring all services provided by Benalla Health meet best practice standards to prevent the spread of infection thereby ensuring that the risk of patients, residents’, clients and staff acquiring infection is minimised.

Prospective candidates will need to:

• Hold current nursing registration with AHPRA, preferably with substantial post basic experience in nursing

• Have previous management experience

• Hold relevant post-graduate qualifications in infection control or prepared to work towards and obtain same

• Demonstrated well-developed communication and interpersonal skills

• Knowledge and commitment to Quality Management and Accreditation processes

Interested applicants can contact Peter McGregor on 0407 139 257 for more details.




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remote areas.

















communities.
















































RN to MBBSWhat I like aboutOUM is that I cancontinue to work





In AU 1300 665 343 or NZ 0800 99 01 01






[email protected]

www.hrsa.com.au









by Karen Keast


W: www.ahnr.com.au E: [email protected] T: 1300 981 509 www.ahnr.com.au














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ICU|Theatre|ScrubNursesRequirements:


Salary&Benefits:Salary - Nurse Band 5 - £25,411 to £33,150 Based on 37.5 hours per week Onsite accommodaon - £500 p.c.m. bills inc. Annual Leave 27 days + plus 8 public holidays Within walking distance of London Underground Excellent opportunies for professional growth Full Time permanent posions

For job descripon and further informaon please email your CV in English [email protected] - Interviews Arranged At Your Convenience - Kate Cowhig Internaonal Healthcare Recruitment (Dublin) +353 1 671 5557 - (London) +44 207 833 8830






We have


















opportunities











management skills







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… it is crucial that our current nursing professionals work in a safe environment...

– Lee Thomas Federal Secretary

Australian Nursing Federation

The �ght for legislation that would force every Australian hospital to introduce safety-engineered medical devices (SEMDs) in a bid to reduce Australia’s needlestick and sharps injuries has gone to Federal Parliament.

Western Australian MP Dr Mal Washer has introduced a Private Member’s Bill that proposes enforcing the use of SEMDs, which would bring Australia into line with laws on SEMDs in countries such as Canada, the United States and in parts of Europe.

It comes as statistics show at least 18,000 Australian nurses and other health care workers receive sharps and needlestick injuries every year,risking infection with a potentially life-threatening bloodborne disease such as Hepatitis B or C or HIV/AIDS.

The Medical Technology Association of Australia recently released a report that found SEMDs can reduce injuries by more than 80 per cent, and when used in conjunction with training and guidelines SEMDs can reduce injuries by more than 90 per cent.

It found implementing SEMDs in all Australian hospitals wouldresult in an average cost saving of $18.6 million a year.

Australian Nursing Federation federal secretary Lee Thomas said the solution to preventing needlestick injuries for nurses was a combination of legislation, the use of SEMDs, workplace risk assessments and ongoing education.

Ms Thomas said despite ANF estimates it would cost $50 million to equip Australia’s public hospitals with safe needle use education and safety equipment, there has only been limited progress in the use of safety devices throughout the nation’s hospitals.

The ANF also wants conventional needles to be replaced where possible with lock syringes or retractable syringes.

“At a time of growing nurse shortages across Australia’s health and aged care systems, it is crucial that our current nursing professionals work in a safe environment, with appropriate measures undertaken to ensure their protection from the risk of preventable injury from needles and sharps,” Ms Thomas said.

“Unlike other western countries, like the US and Canada, Australia has no nationally mandated approach to the utilisation of safety devices to prevent needlestick injuries to nurses and other health care workers.”

The ANF and The Alliance for Sharps Safety and Needlestick Prevention in Healthcare have both welcomed Dr Washer’s Bill.

Needlestick and sharps injuries bid goes to parliamentby Karen Keast

Nurse Unit Manager FAMILY BIRTHING UNIT

Mercy Hospital, Mount Lawley is seeking a Nurse Unit Manager in our Family Birthing Unit. The Unit will deliver over 1550 babies this year and has 6 birth suites and a 30 bed postnatal ward many boasting double beds and private ensuites enabling families to stay together during the patient’s stay. There is a 8 bed Special Care Nursery providing care for babies over 34 weeks and the unit has a 24 hour Paediatric, Anaesthetic and Theatre on call roster, as well as an onsite RMO. Additional services include antenatal classes and clinics, lactation consultancy, specialist neonatal hearing screening and an on site specialist obstetric and gynaecology imaging service.

In this position you will be responsible and accountable for leading, planning,

material resources for the Family Birthing Unit to ensure that clinical standards are maintained and improved, a high level of quality care is delivered and the Mission and Values of MercyCare are achieved supported by a Clinical Midwifery Specialist and Clinical Midwifery Educator.

following criteria:

Essential 1. Demonstrated commitment and ability to uphold and promote the Mission,

Vision, Values and Philosophy of the MercyCare group.

2. Current registration as a Registered Nurse with the Australian Health Practitioners

experience and recent experience at a middle-management level.

3.

4. Evidence of excellent leadership and people management skills, with the ability to foster teamwork and manage and motivate staff and deliver a quality service in a collaborative way that meets industry benchmarks and patient expectations.

5. Demonstrated knowledge and experience in the following areas:Advanced clinical experience NMBA national competency standards, Infection Control and Occupational Safety and Health, Risk Management and EEO and legislative requirements and how these impact on employment, people management and service delivery.

delivery of a range of complex services utilizing relevant computer based systems. Extensive knowledge of ACHS EQuIP and National standards and ability to apply continuous quality improvement principles to enhance service delivery.

resolution, report writing and analytical decision making

Desirable1. Current registration as a Midwife with the Australian Health Practitioners

Regulation Agency (AHPRA) with a minimum two (2) years recent acute midwifery experience

2.

3. Knowledge of the funding system as applied to WA private Health Funds.

4.

We offer:Ongoing professional developmentFlexible working conditions

Free and secure parkingClose to train line

To apply Please visit our website www.mercycare.com.au

To be considered for this position, applicants must provide current evidence of:

Eligibility to work in Australia A National Police Clearance A Working with Children Check

Applications close 5 July 2013

Nurse Unit ManagerFAMILY BIRTHING UNIT

A MercyCare Service MercyCare is a leading Catholic provider of hospital, health,

aged care, family and community services.www.mercycare.com.au/hospital

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Mercy Hospital Mount Lawley was �rst opened by the Sisters of Mercy in 1937 as St Anne’s Hospital. It is now a licensed 205 bed facility that provides acute, overnight hospital and day treatments across a range of clinical specialties. In retaining the history of St Anne’s, care begins with babies and families continuing across the ages in the surgical and medical domains to care for the elderly and those with mental health issues. We also assist transition back into the community with rehabilitation and restorative services. The Hospital provides services to both private and public patients.

Situated on the banks of the beautiful Swan River, the Hospital offers beautifully appointed private and shared rooms many with spectacular river views. Located only �ve kilometres from the Central Business District of Perth in Western Australia, the Hospital has easy access from the Graham Farmer, Mitchell and Kwinana Freeways and is close to public transport.

We offer:. Ongoing professional development. Flexible working conditions. Salary sacri�ce options up to $9,050 per annum. Free and secure parking. Close to train line

We are seeking a Nurse Unit Manager in our Family Birthing Unit. The Unit will deliver over 1550 babies this year and has 6 birth suites and a 30 bed postnatal ward many boasting double beds and private ensuites enabling families to stay together during the patient’s stay. There is a 8 bed Special Care Nursery providing care for babies over 34 weeks and the unit has a 24 hour Paediatric, Anaesthetic and Theatre on call roster, as well as an onsite RMO. Additional services include antenatal classes and clinics, lactation consultancy, specialist neonatal hearing screening and an on site specialist obstetric and gynaecology imaging service.

In this position you will be responsible and accountable for leading, planning, organising, directing and coordinating the ef�cient management of human and material resources for the Family Birthing Unit to ensure that clinical standards are maintained and improved, a high level of quality care is delivered and the Mission and Values of MercyCare are achieved supported by a Clinical Midwifery Specialist and Clinical Midwifery Educator.

Please contact Susan Cantwell, Director of Nursing on: 08 9370 9290 for a con�dential discussion about this opportunity.


To be considered for this position, applicants must provide current evidence of:. Eligibility to work in Australia . A National Police Clearance . A Working with Children Check


In her dual roles as a physiotherapist and a midwife, Heather Pierce has witnessed the pain women go through in labour and helped women in their recovery post-birth.

So it comes as no surprise the New South Wales practitioner has welcomed a new study that provides evidence to support the use of massage to control pain during labour.

The study, conducted by researchers in Brazil and published in the Australian Physiotherapy Association’s Journal of Physiotherapy, found health professionals should encourage massage to assist women in labour as it “reduced the severity of pain in labour”.

Researchers also found massage provides the birthing woman with direct contact with another person during the active stage of labour, providing emotional support, and they also discovered there were no adverse effects on the path of delivery or the newborn.

Heather, a physiotherapist of 30 years who also moved into midwifery more than 10 years ago, said the results help to give women more choice when it comes to their birth.

“Women should be able to choose and if one of their choices is to have a massage, and the woman understands that massage has an effect, she should be able to choose,” she said.

“That massage doesn’t necessarily have to come from a physiotherapist, they also talk about training up partners in the study, but obviously a physiotherapist has specialised skills in massage.”

However, Heather conceded the study’s results were limited and said further research in the area was needed.

“It’s a great trial and it does demonstrate an effect of massage to help women with pain but it hasn’t demonstrated a difference to

the women’s uptake of other pain control measures,” she said.

“It doesn’t mean she hasn’t had to have an epidural or that she hasn’t had a caesarean.

“It’s certainly something that can be explored further. Everyone is looking for better outcomes for women and that includes supporting them in labour and helping them cope with pain and empowering them to make choices in labour around pain management.

“If it’s cheap, if it’s non-invasive and makes a difference, I think there certainly is a role there for physiotherapists to get involved in this.”

The study involved 46 women pregnant at 37 weeks gestation with a single fetus, with spontaneous onset of labour, 4-5cm of cervical dilation, intact ovular membranes and no use of medication after admission to hospital.

In the experimental group, physiotherapists provided participants with a 30 minute lumbar massage during the active phase of labour while a physiotherapist attended the control group of participants for the same period but only answered questions.

Heather, who works in two separate jobs as a women’s health physiotherapist and as a midwife in the birth unit both at Sydney’s Westmead Hospital and is also a casual academic at the University of Technology Sydney, said she moved into midwifery to care for pregnant women with a focus on preventative health care.

“There’s a lot of trauma that is associated with birth and that’s where physiotherapists are experienced in picking up the pieces,” she said.

“Hopefully, as a midwife, I will be able to do myself out of a job as a physiotherapist.”

Study shows massage can reduce severity of pain in labourby Karen Keast

for them, when they have already made the right decision,” she says.

“It really respects them as a healthcare professional in their own right.

“I think it’s also really important for the women that see midwives. It now seems their midwife is more of a one-stop-shop for them, instead of midwives looking after their pregnancy and offering advice, and saying - you need a prescription, go and see a doctor.

“That costs women more and it costs the healthcare system more. Midwives are still going to use doctors if women are sick.”

Dr Small says qualified midwives will be able to prescribe for a range of medications, from those used to treat uncomplicated urinary tract infections in the early stages of pregnancy to medication for managing morning sickness, simple pain relief for an injury, routine medication for newborns and contraception for the mother post-birth.

Dr Small plans to see the course through its bedding-in phase and then wants to hand it over to an Australian midwifery prescriber.

“It’s exciting but my plan is to not forever hold the monopoly over it,” she says.

“I would love to see in a couple of years we have midwives, who are experienced at prescribing, who can start stepping in and start in an education role.

“It belongs in the hands of the midwifery profession ultimately.”

For more information view the Registration Standard for Endorsement for Scheduled Medicines for Midwives atwww.nursingmidwiferyboard.gov.au/Registration-Standards.aspx

comprise between 20 and 50 students.

“As soon as it got around we were in the process of writing the course we had people asking about it,” she says.

“There’s been increasing interest in midwives moving into private practice since that option first opened up and some graduates are interested in going straight from their training into private practising midwifery.”

Dr Small says offering an online course, which also features real time web sessions, enables midwives juggling their private practices and families to fit their study in with their busy lifestyles.

And she’s excited to be able to provide a course that helps prepare midwives for contemporary prescribing practice.

“To be able to do this and make sure that midwives around Australia can start their journey off right and to know that their education has been really sound and they can hold their head up…it’s a nice feeling.

“It’s been a long time coming,” she says.

To be eligible for endorsement for scheduled medicines under section 94 of the National Law, applicants must be able to demonstrate they meet a range of requirements, including being a currently registered midwife in Australia, having the equivalent of three years’ full-time post initial registration experience as a midwife and being equipped with an approved qualification to prescribe scheduled medicines.

Dr Small says midwives have long been involved in prescribing decisions but were just unable to sign the prescription.

“For midwives, they can actually now work to the full scope of their practice without having to dash off to get a doctor to sign a bit of paper




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Recently published research indicates a new and potentially more accurate way of measuring the stress experienced by healthy, full-term babies, could be on the horizon.

With foetal stress established as a relevant factor in outcomes for newborn babies, the research, which has just been published by online open source body PLOS ONE, was designed to test the hypothesis that preferential foetalcorticosterone synthesis occurs in response to foetal intra-partum stress

Cortisol is currently used to estimate the stress experienced by both mother and child during the process of giving birth. However, the new � ndings indicate that the stress hormone, corticosterone, may be a more accurate way to measure the stress experienced.

For their study, researchers tested foetal levels of cortisol and corticosterone in 265 samples of umbilical cord blood from healthy deliveries. Though the total levels of cortisol detected were higher than corticosterone levels, researchers found that foetuses produced

the latter at a greater rate in response to the stress of labour and delivery.

The study also found that newborns secreted more corticosterone when a Caesarian section was performed due to complications during labour than they did after a normal C-section. Foetalcorticosterone levels were also higher after passage through the birth canal. These differences were not seen in levels of cortisol production.

Based on these data, the authors of the research suggest that the full-term foetus is more likely to secrete corticosterone than cortisol in response to stress, meaningcorticosterone may be a more accurate clinical biomarker to assess foetal stress.

Corticosteroneoccurs in the adult world, as adults continue to make the hormone throughout their lives, though in a much smaller proportion relative to cortisol.

The point at which babies switch to producing more cortisol rather than corticosterone isn’t yet clear, but the developmental changes involved may help track or diagnose adrenal gland functions in newborns

Research suggests new indicator for foetal stressby Karen Keast

www.newcastle.edu.au/job-vacancies/.

www.newcastle.edu.au/job-vacancies/why-work-here/

University of NewcastleFaculty of Health School of Nursing and Midwifery

The Northern Beaches Health Service encompasses Manly and Mona Vale Hospitals and are located on the beautiful northern beaches of Sydney. We are seeking enthusiastic and experienced Midwives to join our friendly and supportive Maternity Team, in either a full-time or part-time capacity. Accommodation is available.

The service provides hospital and community-based antenatal and postnatal care, birthing on both sites and Midwifery continuity as well as traditional models of care. This Level 4 Maternity Service provides care to approximately 1500 women per year. Midwives work in all areas of Maternity care, including the Level 2 Special Care Nursery, and across both sites, on a rotational basis.



For further information, please contact: Ms. Jacqui Edgley Director of Nursing and Midwifery Mona Vale Hospital Ph. (02) 9998-0201 Email: [email protected]

To �nd out more contact us today

If you would like to enquire about opportunities or a site visit and tour of clinical settings please contact

Winnie Leung Phone: 9887 5989Email: [email protected]

Mental Health Services located at Northern Sydney Local Health District currently have a range of Mental Health Nursing opportunities for both Registered and Enrolled Nurses across a number of Clinical Services and Teams which include locations at:

Northern Sydney Local Health District offers �exible work options, salary packaging, education support

A 12 month New Graduate Program is offered for

Then NOW is the time.

We look forward to welcoming you to a friendly and supportive Team!

Mental Health Nursing OpportunitiesAre you a Registered Nurse or Enrolled Nurse

Northern SydneyLocal Health District

For further information,please contact:

Ms. Jacqui EdgleyDirector of Nursing and Midwifery Mona Vale HospitalPh. (02) 9998-0201Email: [email protected]

Midwifery in Sydney... at the beach

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: 26 July 2013.

For futher information: Rosemary Hunt (08) 94176300 [email protected] flyingdoctor.org.au

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

Flight Nurses Port Hedland or Kalgoorlie Base

LOCUM SUPPORT FOR MIDWIVES

“Having a NAHRLS midwife here is great.”

“Having a NAHRLS midwife

here is great. Every NAHRLS

locum has enjoyed their time

with us and learned a lot.

Wallaroo Hospital is a rural site

and many NAHRLS locums have

returned several times to provide

us with support for staff on leave.

The site is well equipped, the staff

are friendly and the

GP’s are supportive.

We look forward

to seeing more staff get

a rural experience that

is well supported.”

Find out more by visiting

nahrls.com.au or call

1300 NAHRLS



Carol Barnes Director of Nursing and Midwifery Wallaroo Hospital & Health Service, SA

Australian Government FundedNo Fees or Charges Apply




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and final approval for media publication of this ad is the client’s responsibility. Please check all details carefully.

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The move into midwifery prescribingby Karen Keast

certain PBS-subsidised medicines, resulting in more affordable maternity care to women.

Midwives are also able to work collaboratively with obstetricians and medical practitioners and can access Australian Government-supported professional indemnity insurance.

Midwives have been quick to embrace the reforms, with Flinders University revealing it received 160 applications for its fi rst intake for the prescribing course, its Graduate Certifi cate in Midwifery, last year.

Thirty-four midwives completed the course full-time in one semester, graduating in December, and 79 will soon graduate after completing the course part-time.

Another 59 began the course at the start of this year. Applications are now open for the next intake while 50 have already accepted offers to begin studying the course for semester two.

The online course covers the topics of investigations and diagnostics for midwives and a topic on pharmacology for midwives.

Now, Griffi th University is also coming on board to offer a course on midwifery prescribing, with the course now going through the fi nal approvals stage amid plans to accept its fi rst intake for semester two this month.

Its Screening, Diagnostics, Pharmacology and Prescribing for Midwives course, which is also being written by Dr Small, is a one semester online course.

The course is designed to establish advanced, integrated understanding of the knowledge and skills required for safe and effective prescribing within the legal and regulatory frameworks governing midwifery practice in Australia.

Dr Small, a lecturer at Griffi th University’s School of Nursing and Midwifery, says the university has been “overwhelmed” with inquiries regarding the course, and she expects its fi rst intake will

Recent changes to the way maternity services are provided in Australia have opened the doors to midwives being able to prescribe PBS medicines. As Karen Keast discovered, midwives are heading back to university to gain the necessary qualifi cation in droves.

As an obstetrician and gynaecologist, several years ago Dr Kirsten Small faced the mammoth task of writing the very fi rst prescribing course for midwives in Australia, to be launched at Flinders University.

But despite the rivalry that can occur between medical practitioners and midwives, it wasn’t a diffi cult proposition for Dr Small to compile the course material that would create Australia’s fi rst batch of midwives qualifi ed to prescribe Pharmaceutical Benefi ts Scheme-subsidised medicines.

As a self-described “woman centered” obstetrician, Dr Small works with two Medicare eligible privately practising midwives on the Sunshine Coast, at a practice called Know Your Midwife.

“I am really used to working with midwives and see them as capable, autonomous health providers and don’t see them as a threat,” she says.

“Having gone from a standard private medical practice in a hospital to working with midwives, this is such a nice way to be able to do it.”

The 2009-2010 maternity services reforms paved the way for women to have more choice in their birthing experience and were designed to ease the growing pressure on the nation’s maternity services due to an increasing number of births and workforce shortages.

Now, Australia’s eligible, privately practising midwives are able to access the Medicare Benefi ts Schedule (MBS) and the Pharmaceutical Benefi ts Schedule (PBS), providing Medicare-rebateable services to women and prescribing

CQ Nurse, Australia’s premier nursing agency, has contracts available NOW.

Earn extra $$$$Meet new peopleVisit new destinationsBe where you are neededExciting locations throughout Australia

discoveryours to

www.cqnurse.com.auOffice location239 Nebo Road, Mackayp 07 4998 5550 f 07 4998 5545 e [email protected]

A CHANGE is as good asA HOLIDAY

Various positions available throughout regional, rural and remote Australia

MIDWIFERY positions available throughout Australia

Want to be the pick of the bunch?

Place text here that introduces your organization and describes your specific products or services. This text should be brief and should entice the reader to want to know more about the goods or services you offer.

Murrumbidgee Local Health District

Midwifery Positions Cootamundra, Leeton, Narrandera, Temora, Young

Griffith & Wagga Wagga

Nurse Unit Managers Wagga Wagga

Apply Online at http://www.health.nsw.gov.au/mlhn/

Photo: Dan / FreeD

igitalPhotos.net




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!… it is crucial that our current nursing professionals work in a safe environment...



















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Adcorp has prepared the above proof for your approval. Accuracy, content, media, position, appearance dates

and final approval for media publication of this ad is the client’s responsibility. Please check all details carefully.

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following criteria:





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Nurse Unit ManagerFAMILY BIRTHING UNIT



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!Queensland based student nurse Kay Seymour has earned herself a nomination for an Outstanding Bravery Medal in News Limited’s 2013 Pride of Australia Medal.









ICU|Theatre|ScrubNursesRequirements:


Salary&Benefits:Salary - Nurse Band 5 - £25,411 to £33,150 Based on 37.5 hours per week Onsite accommodaon - £500 p.c.m. bills inc. Annual Leave 27 days + plus 8 public holidays Within walking distance of London Underground Excellent opportunies for professional growth Full Time permanent posions

For job descripon and further informaon please email your CV in English [email protected] - Interviews Arranged At Your Convenience - Kate Cowhig Internaonal Healthcare Recruitment (Dublin) +353 1 671 5557 - (London) +44 207 833 8830






We have


















opportunities











management skills







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In AU 1300 665 343 or NZ 0800 99 01 01






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by Karen Keast


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www.ncah.com.au Nursing Careers Allied Health - Issue 13

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BENDIGOVIC 3550

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Ncah issue 13 2013