www.ncah.com.auNursing Careers Allied Health - Issue 1
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POSTAGEPAID
AUSTRALIA
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Seabreeze Communications Pty Ltd (ABN 29 071 328 053)PO Box 6744, Melbourne, VIC 3004
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Issue 127/01/14
fortnightly
Issue 127/01/14
fortnightly
Regional & Remote Health FeatureWorking remote as a physiotherapist
Labor pledges nurse to patient ratios for Queensland
More health risks for nurses working night shifts
Nurses applaud move to abandon Medicare rebate cut
501-023 1PG FULL COLOUR CMYK PDF
Jobs, courses and professional development
Nursing Careers Allied Health relaunches as HealthTimes
Nursing Careers Allied Health has been the premier nursing and allied health careers publication since it was founded more than 20 years ago, with a national distribution of over 43,000. More recently, the NCAH.com.au website has grown to become the number 1 careers website for nurses, midwives and allied health professionals in Australia receiving over 80,000 visits per month. In February 2015, Nursing Careers Allied Health relaunches as Health Times.
501-012 1PG FULL COLOUR CMYK PDF
Phone: AUS Free Phone: 1800 818 844 or NZ Free Phone: 0800 700 839
Contact: Dawn - [email protected] Raquel - [email protected] Erica - [email protected]
Like us on Facebook: Careers with CCM Australasia
Qatar Bahrain Saudi ArabiaIreland
Abu Dhabi & Dubai
Other locations
Now recruiting Medical/Surgical and ICU nurses for a VIP suite in a world leading hospital in Abu Dhabi.
Additional specialties required
2015Could this beyour best year yet?
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www.ncah.com.au Nursing Careers Allied Health - Issue 1
Printed by BM
P - Freecall 1800 623 902
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 and your correct address.
Issue 127/01/14
fortnightly
Regional & Remote Health FeatureWorking remote as a physiotherapist
Labor pledges nurse to patient ratios for Queensland
More health risks for nurses working night shifts
Nurses applaud move to abandon Medicare rebate cut
501-023 1PG FULL COLOUR CMYK PDF
Jobs, courses and professional development
Nursing Careers Allied Health relaunches as HealthTimes
Nursing Careers Allied Health has been the premier nursing and allied health careers publication since it was founded more than 20 years ago, with a national distribution of over 43,000. More recently, the NCAH.com.au website has grown to become the number 1 careers website for nurses, midwives and allied health professionals in Australia receiving over 80,000 visits per month. In February 2015, Nursing Careers Allied Health relaunches as Health Times.
501-012 1PG FULL COLOUR CMYK PDF
Phone: AUS Free Phone: 1800 818 844 or NZ Free Phone: 0800 700 839
Contact: Dawn - [email protected] Raquel - [email protected] Erica - [email protected]
Like us on Facebook: Careers with CCM Australasia
QatarBahrainSaudi Arabia Ireland
Abu Dhabi & Dubai
Other locations
Now recruiting Medical/Surgical and ICU nurses for a VIP suite in a world leading hospital in Abu Dhabi.
Additional specialties required
2015Could this beyour best year yet?
501-015 1/2PG FULL COLOUR CMYK PDF
CYAN MAGENTA YELLOW BLACK
Page 30 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 3
Page 6 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 27
501-014 1PG FULL COLOUR CMYK PDF
501-029 1/2PG FULL COLOUR CMYK PDF
Cosmetic Injectables Training 4 Day CourseTheory & Clinical Techniques for the application of Cosmetic Injection.
Four day intensive course designed for Registered Nurses Div 1 & 2 who would like to become part of the growing world of Anti-Ageing and Cosmetic Enhancement.
Day 1:
Day 2:
Day 3:
Day 4:
To Register interest or enrol email:[email protected] or visit www.skinscience.co501-001 1/2PG FULL COLOUR CMYK PDF 423-011 1/2PG FULL COLOUR CMYK PDF 422-024 1/2PG FULL COLOUR CMYK PDF 421-010 1/2PG FULL COLOUR CMYK PDF 419-011 1/2PG FULL COLOUR CMYK PDF 417-021 1/2PG FULL COLOUR CMYK PDF 413-001 1/2PG FULL COLOUR CMYK PDF 412-040 1/2PG FULL COLOUR CMYK PDF 411-001 1/2PG FULL COLOUR CMYK PDF 409-003 1/2PG FULL COLOUR CMYK PDF 407-003 1/2PG FULL COLOUR CMYK PDF 405-006 1/2PG FULL COLOUR CMYK PDF 403-007 1/2PG FULL COLOUR CMYK PDF 401-009 1/2PG FULL COLOUR CMYK PDF 324-015 1/2PG FULL COLOUR CMYK PDF 322-014 1/2PG FULL COLOUR CMYK PDF 1320-018 1/2PG FULL COLOUR CMYK (repeat)
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:
training provided at no cost to you
To be considered for a role as a nurse contractor for Lifescreen you must have the following:
years experience
communication skills
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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
Reforms needed to improve end-of-life care
Vital reforms to end-of-life care are essential
to assist the majority of Australians who want to
die ‘a good death’ at home.
A Grattan Institute perspective published in
the Medical Journal of Australia, based on its ear-
lier Dying Well report, states dying has become
highly institutionalised in Australia, with 54 per
cent of people dying in hospitals and 32 per cent
in aged care.
Professors Hal Swerissen and Stephen
Duckett state only 14 per cent of people die at
home in Australia despite up to 70 per cent of
people preferring a non-institutionalised death.
“Dying is not discussed, and we are not tak-
ing the opportunity to help people plan and pre-
pare for a good death,” they write.
“As a result, many experience a discon-
nected, confusing and distressing array of ser-
vices, interventions and relationships with health
professionals when they are dying.” Professors
Swerissen and Duckett recommend a public
education campaign that encourages people to
consider, discuss and document their end-of-life
preferences with their families and appropriate
health care professionals.
They propose trigger points for mandatory dis-
cussions about end-of-life care, including during
health assessments for people aged over 75, for
all aged care residents and high-needs recipients
of home-based care packages, and for all hospital
inpatients who are likely to die within a year.
Measures must be introduced to ensure pa-
tients’ plans are implemented, while they also
suggest health professionals are in the best posi-
tion to initiate the discussion.
“They must shift their focus from prevention,
cure and rehabilitation at appropriate points in
time if these conversations are to occur.
“It is therefore important that it becomes nor-
mal and expected practice for health profession-
als to discuss and plan for end-of-life with their
patients when it is appropriate.”
Professors Swerissen and Duckett say im-
provements are needed to better coordinate
end-of-life care while legislative frameworks
and guidelines for advance care plans must
change.
“They should include clear mechanisms
for assigning speci�c responsibility to health
care professionals to coordinate and imple-
ment plans when people enter end-of-life care.”
For the full article visit NCAH.com.au
By Karen Keast
501-031 1/4PG PDF
Registered Nurse – Forensic Mental HealthMalabar
Permanent Full Time, Permanent Part Time
JH No: 232954Salary: Public Health System Nurses & Midwives (State) Award, RN 2–8: $30.16–$40.17 ph.
Enquiries: Louise Flemming on (02) 9700 3123.
Closing Date: 8 February 2015.
To apply for this position please visit http://nswhealth.erecruit.com.au NSW Health Service – Justice Health & Forensic Mental Health Network is committed to Work Health & Safety, EEO, Ethical Practices, and the Principles of Cultural Diversity. Personal criminal records checks will be conducted. Prohibited persons as declared under the Child Protection (Prohibited Employment) Act 1998 are not eligible to apply for child-related employment.
NSW Health Service: employer of choice
CYAN MAGENTA YELLOW BLACK
Page 28 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 5
Page 4 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 29
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
401-029 1PG FULL COLOUR CMYK PDF
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
Issue 1 – 20 January 2014
Advertiser ListCare Flight
CCM Recruitment International
CQ Nurse
Education Cruises
Employment Of�ce
Geneva Health
Grif�th University
Health and Fitness Recruitment
Koala Nursing Agency
Lifescreen
Medacs Australia
Medibank Health Solutions
Northern Sydney Local Health District
Nursing and Allied Health Rural Locum Scheme
Oceania University of Medicine
Oxford Aunts Care
Pulse Staf�ng
Quick and Easy Finance
TR7 Health
UK Pensions
Uni�ed Healthcare Group
UK Pensions Wimmera Healthcare Group
Next Publication: Regional & Remote featurePublication Date: Monday 3rd February 2013
Colour Artwork Deadline: Tuesday 28th January 2013
Mono Artwork Deadline: Wednesday 29th January 2013
We hope you enjoy perusing the range of opportunities included in Issue 1, 2014.
© 2014 Seabreeze Communications Pty Ltd.
401-029 1PG FULL COLOUR CMYK PDF
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
Issue 1 – 20 January 2014
Advertiser ListCare Flight
CCM Recruitment International
CQ Nurse
Education Cruises
Employment Of�ce
Geneva Health
Grif�th University
Health and Fitness Recruitment
Koala Nursing Agency
Lifescreen
Medacs Australia
Medibank Health Solutions
Northern Sydney Local Health District
Nursing and Allied Health Rural Locum Scheme
Oceania University of Medicine
Oxford Aunts Care
Pulse Staf�ng
Quick and Easy Finance
TR7 Health
UK Pensions
Uni�ed Healthcare Group
UK Pensions Wimmera Healthcare Group
Next Publication: Regional & Remote featurePublication Date: Monday 3rd February 2013
Colour Artwork Deadline: Tuesday 28th January 2013
Mono Artwork Deadline: Wednesday 29th January 2013
We hope you enjoy perusing the range of opportunities included in Issue 1, 2014.
© 2014 Seabreeze Communications Pty Ltd.
501-026 1PG FULL COLOUR CMYK PDF
Next Publication: Midwifery & MaternalPublication Date: Monday 9th February 2015
Colour Artwork Deadline: Monday 2nd February 2015
Mono Artwork Deadline: Wednesday 4th February 2015
Issue 1 – 27 January 2015
We hope you enjoy perusing the range of opportunities included in Issue 1, 2015.
Advertiser List
CCM Recruitment International
CQ Nurse
Geneva Health
Hays Healthcare
Health and Fitness Recruitment Australia
Justice Health
Lifescreen
Medacs Australia
Nurse at Call
Oceania University of Medicine
Pulse Staf�ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
Royal Flying Doctor Service
Silver Chain
Skin Science
Uni�ed Healthcare
Western Health
1300 306 582
242-
016
2PG
FU
LL C
OLO
UR
CM
YK
Check out our facebook page - facebook.com/mackayhhs
Midwives and Registered NursesRequired for both permanent roles and short or long term contract
opportunities in all areas of nursing over the next 12 months.
Mackay Hospital and Health Service offers the opportunity to work in a dynamic environment including rural facilities and experience a diverse range of services including midwifery, renal, coronary care and cardiac
interventional services, general medical/rehabilitation, ambulatory care and hospital in the home, mental health, alcohol and other
drugs, oncology, general surgical, operating theatre and extended day surgery unit, emergency department, women’s and
children/adolescent services, sexual health and cancer screening and rural nursing. There are seven rural hospitals with opportunities for a
unique rural experience in a supported environment to develop and enhance a wide range of clinical skills.
We provide education and training to assist our staff to develop their skills, advance their career and work to their full scope of practice. Mackay Base Hospital has undergone major development of clinical
services and facilities to ensure it is a state of the art facility including wireless technology and electronic medical records and is in the
process of becoming a fully digital hospital.
Mackay is a tropical setting situated halfway between Brisbane and Cairns, is the gateway to the Whitsundays and offers the opportunity for a lifestyle change in one of Queensland’s most liveable regional cities.
Please email your resume and expression of interest to [email protected] call Lynne Cameron on 07 4885 7712
and reference this advertisement
Please note: only applications from candidates will be accepted; applications that may result in an agency fee will not be considered
242-016 2PG
FULL C
OLO
UR
CM
YK
Check out our facebook page - facebook.com/mackayhhs
Midwives and Registered NursesRequired for both permanent roles and short or long term contract
opportunities in all areas of nursing over the next 12 months.
Mackay Hospital and Health Service offers the opportunity to work in a dynamic environment including rural facilities and experience a diverse range of services including midwifery, renal, coronary care and cardiac
interventional services, general medical/rehabilitation, ambulatory care and hospital in the home, mental health, alcohol and other
drugs, oncology, general surgical, operating theatre and extended day surgery unit, emergency department, women’s and
children/adolescent services, sexual health and cancer screening and rural nursing. There are seven rural hospitals with opportunities for a
unique rural experience in a supported environment to develop and enhance a wide range of clinical skills.
We provide education and training to assist our staff to develop their skills, advance their career and work to their full scope of practice. Mackay Base Hospital has undergone major development of clinical
services and facilities to ensure it is a state of the art facility including wireless technology and electronic medical records and is in the
process of becoming a fully digital hospital.
Mackay is a tropical setting situated halfway between Brisbane and Cairns, is the gateway to the Whitsundays and offers the opportunity for a lifestyle change in one of Queensland’s most liveable regional cities.
Please email your resume and expression of interest to [email protected] call Lynne Cameron on 07 4885 7712
and reference this advertisement
Please note: only applications from candidates will be accepted; applications that may result in an agency fee will not be considered
CYAN MAGENTA YELLOW BLACK
Page 28 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 5
Page 4 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 29
501-008 1PG FULL COLOUR CMYK PDF424-006 1PG FULL COLOUR CMYK PDF423-006 1PG FULL COLOUR CMYK PDF422-006 1PG FULL COLOUR CMYK PDF421-006 1PG FULL COLOUR CMYK PDF
401-029 1PG FULL COLOUR CMYK PDF
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
Issue 1 – 20 January 2014
Advertiser ListCare Flight
CCM Recruitment International
CQ Nurse
Education Cruises
Employment Of�ce
Geneva Health
Grif�th University
Health and Fitness Recruitment
Koala Nursing Agency
Lifescreen
Medacs Australia
Medibank Health Solutions
Northern Sydney Local Health District
Nursing and Allied Health Rural Locum Scheme
Oceania University of Medicine
Oxford Aunts Care
Pulse Staf�ng
Quick and Easy Finance
TR7 Health
UK Pensions
Uni�ed Healthcare Group
UK Pensions Wimmera Healthcare Group
Next Publication: Regional & Remote featurePublication Date: Monday 3rd February 2013
Colour Artwork Deadline: Tuesday 28th January 2013
Mono Artwork Deadline: Wednesday 29th January 2013
We hope you enjoy perusing the range of opportunities included in Issue 1, 2014.
© 2014 Seabreeze Communications Pty Ltd.
401-029 1PG FULL COLOUR CMYK PDF
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
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Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
Issue 1 – 20 January 2014
Advertiser ListCare Flight
CCM Recruitment International
CQ Nurse
Education Cruises
Employment Of�ce
Geneva Health
Grif�th University
Health and Fitness Recruitment
Koala Nursing Agency
Lifescreen
Medacs Australia
Medibank Health Solutions
Northern Sydney Local Health District
Nursing and Allied Health Rural Locum Scheme
Oceania University of Medicine
Oxford Aunts Care
Pulse Staf�ng
Quick and Easy Finance
TR7 Health
UK Pensions
Uni�ed Healthcare Group
UK Pensions Wimmera Healthcare Group
Next Publication: Regional & Remote featurePublication Date: Monday 3rd February 2013
Colour Artwork Deadline: Tuesday 28th January 2013
Mono Artwork Deadline: Wednesday 29th January 2013
We hope you enjoy perusing the range of opportunities included in Issue 1, 2014.
© 2014 Seabreeze Communications Pty Ltd.
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Next Publication: Midwifery & MaternalPublication Date: Monday 9th February 2015
Colour Artwork Deadline: Monday 2nd February 2015
Mono Artwork Deadline: Wednesday 4th February 2015
Issue 1 – 27 January 2015
We hope you enjoy perusing the range of opportunities included in Issue 1, 2015.
Advertiser List
CCM Recruitment International
CQ Nurse
Geneva Health
Hays Healthcare
Health and Fitness Recruitment Australia
Justice Health
Lifescreen
Medacs Australia
Nurse at Call
Oceania University of Medicine
Pulse Staf�ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
Royal Flying Doctor Service
Silver Chain
Skin Science
Uni�ed Healthcare
Western Health
1300 306 582
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Check out our facebook page - facebook.com/mackayhhs
Midwives and Registered NursesRequired for both permanent roles and short or long term contract
opportunities in all areas of nursing over the next 12 months.
Mackay Hospital and Health Service offers the opportunity to work in a dynamic environment including rural facilities and experience a diverse range of services including midwifery, renal, coronary care and cardiac
interventional services, general medical/rehabilitation, ambulatory care and hospital in the home, mental health, alcohol and other
drugs, oncology, general surgical, operating theatre and extended day surgery unit, emergency department, women’s and
children/adolescent services, sexual health and cancer screening and rural nursing. There are seven rural hospitals with opportunities for a
unique rural experience in a supported environment to develop and enhance a wide range of clinical skills.
We provide education and training to assist our staff to develop their skills, advance their career and work to their full scope of practice. Mackay Base Hospital has undergone major development of clinical
services and facilities to ensure it is a state of the art facility including wireless technology and electronic medical records and is in the
process of becoming a fully digital hospital.
Mackay is a tropical setting situated halfway between Brisbane and Cairns, is the gateway to the Whitsundays and offers the opportunity for a lifestyle change in one of Queensland’s most liveable regional cities.
Please email your resume and expression of interest to [email protected] call Lynne Cameron on 07 4885 7712
and reference this advertisement
Please note: only applications from candidates will be accepted; applications that may result in an agency fee will not be considered
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Check out our facebook page - facebook.com/mackayhhs
Midwives and Registered NursesRequired for both permanent roles and short or long term contract
opportunities in all areas of nursing over the next 12 months.
Mackay Hospital and Health Service offers the opportunity to work in a dynamic environment including rural facilities and experience a diverse range of services including midwifery, renal, coronary care and cardiac
interventional services, general medical/rehabilitation, ambulatory care and hospital in the home, mental health, alcohol and other
drugs, oncology, general surgical, operating theatre and extended day surgery unit, emergency department, women’s and
children/adolescent services, sexual health and cancer screening and rural nursing. There are seven rural hospitals with opportunities for a
unique rural experience in a supported environment to develop and enhance a wide range of clinical skills.
We provide education and training to assist our staff to develop their skills, advance their career and work to their full scope of practice. Mackay Base Hospital has undergone major development of clinical
services and facilities to ensure it is a state of the art facility including wireless technology and electronic medical records and is in the
process of becoming a fully digital hospital.
Mackay is a tropical setting situated halfway between Brisbane and Cairns, is the gateway to the Whitsundays and offers the opportunity for a lifestyle change in one of Queensland’s most liveable regional cities.
Please email your resume and expression of interest to [email protected] call Lynne Cameron on 07 4885 7712
and reference this advertisement
Please note: only applications from candidates will be accepted; applications that may result in an agency fee will not be considered
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Page 30 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 3
Page 6 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 27
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Cosmetic Injectables Training 4 Day CourseTheory & Clinical Techniques for the application of Cosmetic Injection.
Four day intensive course designed for Registered Nurses Div 1 & 2 who would like to become part of the growing world of Anti-Ageing and Cosmetic Enhancement.
Day 1:
Day 2:
Day 3:
Day 4:
To Register interest or enrol email:[email protected] or visit www.skinscience.co501-001 1/2PG FULL COLOUR CMYK PDF423-011 1/2PG FULL COLOUR CMYK PDF422-024 1/2PG FULL COLOUR CMYK PDF421-010 1/2PG FULL COLOUR CMYK PDF419-011 1/2PG FULL COLOUR CMYK PDF417-021 1/2PG FULL COLOUR CMYK PDF413-001 1/2PG FULL COLOUR CMYK PDF412-040 1/2PG FULL COLOUR CMYK PDF411-001 1/2PG FULL COLOUR CMYK PDF409-003 1/2PG FULL COLOUR CMYK PDF407-003 1/2PG FULL COLOUR CMYK PDF405-006 1/2PG FULL COLOUR CMYK PDF403-007 1/2PG FULL COLOUR CMYK PDF401-009 1/2PG FULL COLOUR CMYK PDF324-015 1/2PG FULL COLOUR CMYK PDF322-014 1/2PG FULL COLOUR CMYK PDF1320-018 1/2PG FULL COLOUR CMYK (repeat)
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:
training provided at no cost to you
To be considered for a role as a nurse contractor for Lifescreen you must have the following:
years experience
communication skills
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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
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Reforms needed to improve end-of-life care
Vital reforms to end-of-life care are essential
to assist the majority of Australians who want to
die ‘a good death’ at home.
A Grattan Institute perspective published in
the Medical Journal of Australia, based on its ear-
lier Dying Well report, states dying has become
highly institutionalised in Australia, with 54 per
cent of people dying in hospitals and 32 per cent
in aged care.
Professors Hal Swerissen and Stephen
Duckett state only 14 per cent of people die at
home in Australia despite up to 70 per cent of
people preferring a non-institutionalised death.
“Dying is not discussed, and we are not tak-
ing the opportunity to help people plan and pre-
pare for a good death,” they write.
“As a result, many experience a discon-
nected, confusing and distressing array of ser-
vices, interventions and relationships with health
professionals when they are dying.” Professors
Swerissen and Duckett recommend a public
education campaign that encourages people to
consider, discuss and document their end-of-life
preferences with their families and appropriate
health care professionals.
They propose trigger points for mandatory dis-
cussions about end-of-life care, including during
health assessments for people aged over 75, for
all aged care residents and high-needs recipients
of home-based care packages, and for all hospital
inpatients who are likely to die within a year.
Measures must be introduced to ensure pa-
tients’ plans are implemented, while they also
suggest health professionals are in the best posi-
tion to initiate the discussion.
“They must shift their focus from prevention,
cure and rehabilitation at appropriate points in
time if these conversations are to occur.
“It is therefore important that it becomes nor-
mal and expected practice for health profession-
als to discuss and plan for end-of-life with their
patients when it is appropriate.”
Professors Swerissen and Duckett say im-
provements are needed to better coordinate
end-of-life care while legislative frameworks
and guidelines for advance care plans must
change.
“They should include clear mechanisms
for assigning speci�c responsibility to health
care professionals to coordinate and imple-
ment plans when people enter end-of-life care.”
For the full article visit NCAH.com.au
By Karen Keast
501-031 1/4PG PDF
Registered Nurse – Forensic Mental HealthMalabar
Permanent Full Time, Permanent Part Time
JH No: 232954Salary: Public Health System Nurses & Midwives (State) Award, RN 2–8: $30.16–$40.17 ph.
Enquiries: Louise Flemming on (02) 9700 3123.
Closing Date: 8 February 2015.
To apply for this position please visit http://nswhealth.erecruit.com.au NSW Health Service – Justice Health & Forensic Mental Health Network is committed to Work Health & Safety, EEO, Ethical Practices, and the Principles of Cultural Diversity. Personal criminal records checks will be conducted. Prohibited persons as declared under the Child Protection (Prohibited Employment) Act 1998 are not eligible to apply for child-related employment.
NSW Health Service: employer of choice
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Page 26 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 7
Page 10 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 23
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We o�er rewarding careers in one of the most respected cardiac units in Australia, working with colleagues whose talents and
manner you will respect. A genuine team. Find out more about how we could change your life at westernhealth.org.au/careers.
Dietitians and nurses oppose fresh food GST
A proposal to expand the GST to fresh
foods is a recipe for poor health for Indig-
enous Australians, low income earners and
pensioners, according to the peak bodies for
dietitians, nurses and midwives.
The Dietitians Association of Australia
(DAA) and the Australian Nursing and Mid-
wifery Federation (ANMF) have criticised
Liberal backbencher Dan Tehan’s propos-
al to widen the GST from most processed
foods to also include fresh fruit and veg-
etables, meat, eggs, bread and some dairy
products.
DAA CEO Claire Hewat said people living in
remote communities, especially Indigenous Aus-
tralians, already pay too much for fresh food.
“Adding an extra cost through the GST would
only make matters worse - these are the same
groups with the poorest health outcomes,” she
said.
“Access to adequate nutritious food is a
basic human right and adding the GST to fresh,
healthy food puts this right at risk for many Aus-
tralians.”
Latest Australian Bureau of Statistics data
shows around one in 10 Australians, or just 6.8
per cent, aged two years and over eat enough
vegetables while just over half, or 54 per cent, eat
enough fruit.
Ms Hewat said many Australians already fail
to consume enough fruit and vegetables.
“Bumping up the price of these healthy sta-
ples will make it more dif�cult for some people to
eat these foods,” she said.
ANMF acting federal secretary Annie
Butler said a GST on fresh food will lead to
high-
e r
l e v e l s
of chronic
disease and
obesity.
“Australia currently
has one of the highest rates of obe-
sity in the world, with a quarter of children and
more than 60 per cent of adults overweight,”
she said.
“The fact is, we don’t consume enough fruit
and vegetables now - adding an extra 10 per
cent to the cost will simply make fresh food
even more expensive for Australians and their
families in the long term, particularly for lower
income earners and pensioners.”
Researchers at the University of Queens-
land in 2013 found axing the GST exemption on
fresh food could reduce people’s consumption
of fruit and vegetables about �ve per cent.
Dr Lennert Veerman said failure to eat
enough fruit and vegetables was associated
with increases in the risk of heart disease,
stroke and cancers of the lung, oesophagus,
stomach and colon.
“We’ve estimated that adding GST to fruit
and vegetables could add about 90,000 cases
of heart disease, stroke and cancer over the
lifetime of the current Australian population
and add another billion dollars to the country’s
health care bill,” he said.
The Federal Government will consider the
tax reform proposal as part of its taxation white
paper.
By Karen Keast
501-030 1PG FULL COLOUR CMYK PDF
Geneva Healthcare
CYAN MAGENTA YELLOW BLACK
Page 24 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 9
Page 8 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 25
More health risks for nurses working night shifts
A large study in the United States has found
nurses working rotating night shifts face an in-
creased risk of cardiovascular disease and lung
cancer.
The study of almost 75,000 registered nurses
spanning 22 years shows nurses working rotating
night shifts, of at least three nights a month along
with day and evening shifts, for �ve or more years
had a modest rise in all-cause and cardiovascular
disease mortality.
The study, published in the American Journal
of Preventive Medicine, also found nurses work-
ing rotating night shifts of 15 or more years had a
modest increase in lung cancer mortality.
Researchers state the study is further evi-
dence of the potentially detrimental effects of ro-
tating night shift work on health and longevity.
An international team of researchers used data
from the Nurses’ Health Study, which is based at
Brigham and Women’s Hospital, and began col-
lecting night shift data in 1988.
After excluding women with pre-existing car-
diovascular or other than non-melanoma skin can-
cer, 74,862 women were included in the analysis.
Reviewing the 22 years of follow-up data, they
found 14,181 deaths documented, with more than
3000 of those attributed to cardiovascular disease
and more than 5400 to cancer.
Researchers discovered an 11 per cent rise in
all-cause mortality for women with 6 to 14 years or
more than 15 years of rotating shift work.
Cardiovascular-related mortality also ap-
peared to increase 19 per cent and 23 per cent for
these groups, respectively.
There was no association between rotating
shift work and any cancer mortality, except for
lung cancer in nurses who worked nights for 15
or more years - with a 25 per cent higher risk.
The World Health Organisation classi�ed
night shift work as a probable carcinogen in 2007
as a result of circadian disruption.
The study’s authors point to sleep and the
circadian system for playing a vital role in cardio-
vascular health and anti-tumour activity.
“The circadian system and its prime marker,
melatonin, are considered to have anti-tumour
effects through multiple pathways, including an-
tioxidant activity, anti-in�ammatory effects, and
immune enhancement,” it states.
“They also exhibit bene�cial actions on cardi-
ovascular health by enhancing endothelial func-
tion, maintaining metabolic homeostasis, and
reducing in�ammation.
“Direct nocturnal light exposure suppresses
melatonin production and resets the timing of the
circadian clock.
“In addition, sleep disruption may also ac-
centuate the negative effects of night work on
health.
“Taken together, substantial biological evi-
dence supports the role of night shift work in the
development of poor health conditions, including
cancer, CVD, and ultimately, mortality.”
The study shows women with longer dura-
tions of rotating night shift work tended to be old-
er, had a higher BMI, were more physically active
after standardising for age and were more likely
to be smokers, while they drank less alcohol and
ate less daily cereal �bre compared to women
without night shift work.
These nurses had also gained more weight
since the age of 18 and were more likely to have a
history of diabetes, hypertension and hypercho-
lesterolemia.
For the full article visit NCAH.com.au
By Karen Keast
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Peripheral Arterial Disease
Peripheral arterial disease (PAD) is a con-
dition arising through progressive occlusion of
the arteries of the lower limbs.1 PAD is caused
by atheroma or fatty deposits in the walls of the
arteries leading to arterial rigidity and progres-
sive narrowing of the arterial lumen, limiting
blood �ow to the muscles and other tissues in
distal extremities, in particular the legs.2 Insuf-
�cient blood �ow can produce ischemia. The
subsequent decrease in oxygen and nutrients
to the affected limb may lead to impaired tissue
integrity and ulceration.3 Arterial ulcers may
also be the result of minor trauma resulting in
a wound. Poor healing capacity due
to reduced peripheral perfu-
sion and local wound con-
ditions (reduced oxygen,
nutrients, temperature,
infection and devi-
talised or necrotic
tissue) leads to the
development of a
non-healing wound
or ulcer.3
Some patients
with PAD have symp-
toms but others are
asymptomatic. The com-
mon symptom, intermittent
claudication, is characterised by
leg pain and weakness brought on by
walking, with disappearance of the symptoms
following rest.1 Risk factors include increasing
age (>50) with a history of diabetes plus one
other atherosclerotic risk factor such as smok-
ing, hyperlipidaemia, hypertension, hyperchro-
mocysteinemia or elevated C-reactive protein;
or age over 70 years; leg symptoms with ex-
ertion (suggestive of claudication) or ischemic
pain, abnormal dorsalis pedis and/or posterior
tibial pulses; and a history of stroke, myocar-
dial infarction or renal artery disease.1
Ischemia, if left untreated, may lead to ul-
ceration, especially around the toes, the foot
(phalangeal heads, the malleoli region (ankle)
or mid tibia. The ulcer appears punched out
with well-demarcated rolled edges and may
be deep. The wound is characterised by pale
non-granulating often necrotic tissue (eschar)
and gangrene (wet or dry) may be present in
advanced stages. Gangrene (wet) may be as-
sociated with inflammation and cellulitis, an in-
fection in the underlying tissues. Exudate level
is usually low. The surrounding skin
may exhibit dusky erythema or
have a deep red to purplish
mottling effect, be cool
to touch, hairless, thin
and often with a shiny
appearance. Toenails
may be thickened,
opaque and discol-
oured or missing.
Patients with
arterial ulcers invari-
ably experience pain,
even without infection.
Pain may be alleviated by
hanging the foot over the
side of the bed or sleeping in a
chair. Pain usually begins distal to the
obstruction, moving proximally as ischemia
progresses. The ulcer itself is often painful.
Whilst oedema is not common in PAD, patients
with mixed aetiology ulcers (combination or
arterial and venous disease or heart disease)
oedema may be present. Critical limb ischemia
(CLI), the consequence of poorly managed
PAD, is the sustained and severe decrease in
blood flow to the effected extremity.2 CLI is
characterised by ischemic rest pain, non-heal-
ing ulcers and/or gangrene which may result
in amputation if left untreated.2 If able, when
your patient is lying in bed, ask them to lift their
leg above the level of their heart for a couple of
minutes. If the toes and forefoot become pale
on elevation and then turn a purplish-red when
placed back on the bed this is an indication the
patient has PAD.
Early diagnosis and intervention is the key
to successfully managing PAD. Wound assess-
ment should be holistic involving a compre-
hensive patient history (medical, medications,
surgical and psychosocial); wound assess-
ment with a clinical description of the wound
(ulcer); assessment of the limb (appearance of
nails and skin temperature and colour); pain
assessment; vascular assessment including
capillary refill time; presence or absence of
dorsalis pedis and posterior tibial pulses and
the presence/absence of bruits in the proxi-
mal leg arteries; ankle brachial pressure index
(ABPI); and assessment of vascular status
(determined by the vascular specialist or sur-
geon).
Patients with PAD and arterial ulcers gen-
erally have a decreased or absent pulse in the
dorsalis pedis and/or posterior tibial arteries,
have bruits in the proximal leg arteries indicat-
ing the presence of atherosclerosis, reduced
capillary refill time (< 2 seconds) and low ABPI.
ABPI is usually conducted to rule out ve-
nous disease with values < 0.8 indicative of
significant PAD while a value less than 0.5 sig-
nifies critical limb ischemia requiring surgical
intervention.3 Once diagnosed, the manage-
ment of PAD is multi-factorial, incorporating a
combination of surgical and pharmacological
interventions, lifestyle modifications and bet-
ter management of co-morbidities.1 Surgical
interventions to increase blood flow include
reconstructive surgery (revascularisation or
bypass graft surgery) and angioplasty. Op-
erative indications for critical limb ischemia
include non-healing ulceration, gangrene, rest
pain and progression of claudication.4,5 De-
pending on co-morbidities, pharmacological
interventions may include antiplatelet therapy
(usually clopidogrel or aspirin), lipid modifying
agents, antihypertensive agents, hypoglycae-
mic agents, folic acid and vitamin B6 (to lower
homocystiene levels) and transdermal nitro
patches (nitroglycerine) to improve blood flow
to the affected limb and improve claudication
symptoms.4,5 Lifestyle modifications general-
ly revolve around ongoing education regarding
diet and exercise, weight reduction and smok-
ing cessation.4,5
Accurate diagnosis of aetiology, manage-
ment of contributing factors and other co-
morbidities, and thorough wound assessment
are prerequisites for successful wound man-
agement. History of past wound dressings is
necessary to ascertain the efficacy of previous
management plans and to inform new man-
agement strategies.4 If infection is present
or suspected, wound swabs and cultures are
required to identify pathogens present and to
facilitate effective antimicrobial management.
Infected wounds may need treatment with
systemic antimicrobial therapy plus or minus
the use of topical antimicrobials. Cadexomer
iodine, medical honey, silver and prontosan
(polyhexamethylene biguanide (PHMB), an an-
timicrobial agent) are effective against a broad
range of infective pathogens which may be
present in wounds and provide gentle autolytic
debridement of sloughy, devitalised tissue.
Do not use iodine or silver on wounds
with exposed tendons, ligaments or bone
as once incorporated these products re-
main in the tissues. Prior to use of any topi-
cal agent it is important to ask the patient if
they have allergies to the intended product.
By Bonnie Fraser BSc, BNURS, RN
For the full article visit NCAH.com.au
Peripheral Arterial Disease
Peripheral arterial disease (PAD) is a con-
dition arising through progressive occlusion of
the arteries of the lower limbs.1 PAD is caused
by atheroma or fatty deposits in the walls of the
arteries leading to arterial rigidity and progres-
sive narrowing of the arterial lumen, limiting
blood �ow to the muscles and other tissues in
distal extremities, in particular the legs.2 Insuf-
�cient blood �ow can produce ischemia. The
subsequent decrease in oxygen and nutrients
to the affected limb may lead to impaired tissue
integrity and ulceration.3 Arterial ulcers may
also be the result of minor trauma resulting in
a wound. Poor healing capacity due
to reduced peripheral perfu-
sion and local wound con-
ditions (reduced oxygen,
nutrients, temperature,
infection and devi-
talised or necrotic
tissue) leads to the
development of a
non-healing wound
or ulcer.3
Some patients
with PAD have symp-
toms but others are
asymptomatic. The com-
mon symptom, intermittent
claudication, is characterised by
leg pain and weakness brought on by
walking, with disappearance of the symptoms
following rest.1 Risk factors include increasing
age (>50) with a history of diabetes plus one
other atherosclerotic risk factor such as smok-
ing, hyperlipidaemia, hypertension, hyperchro-
mocysteinemia or elevated C-reactive protein;
or age over 70 years; leg symptoms with ex-
ertion (suggestive of claudication) or ischemic
pain, abnormal dorsalis pedis and/or posterior
tibial pulses; and a history of stroke, myocar-
dial infarction or renal artery disease.1
Ischemia, if left untreated, may lead to ul-
ceration, especially around the toes, the foot
(phalangeal heads, the malleoli region (ankle)
or mid tibia. The ulcer appears punched out
with well-demarcated rolled edges and may
be deep. The wound is characterised by pale
non-granulating often necrotic tissue (eschar)
and gangrene (wet or dry) may be present in
advanced stages. Gangrene (wet) may be as-
sociated with inflammation and cellulitis, an in-
fection in the underlying tissues. Exudate level
is usually low. The surrounding skin
may exhibit dusky erythema or
have a deep red to purplish
mottling effect, be cool
to touch, hairless, thin
and often with a shiny
appearance. Toenails
may be thickened,
opaque and discol-
oured or missing.
Patients with
arterial ulcers invari-
ably experience pain,
even without infection.
Pain may be alleviated by
hanging the foot over the
side of the bed or sleeping in a
chair. Pain usually begins distal to the
obstruction, moving proximally as ischemia
progresses. The ulcer itself is often painful.
Whilst oedema is not common in PAD, patients
with mixed aetiology ulcers (combination or
arterial and venous disease or heart disease)
oedema may be present. Critical limb ischemia
(CLI), the consequence of poorly managed
PAD, is the sustained and severe decrease in
blood flow to the effected extremity.2 CLI is
characterised by ischemic rest pain, non-heal-
ing ulcers and/or gangrene which may result
in amputation if left untreated.2 If able, when
your patient is lying in bed, ask them to lift their
leg above the level of their heart for a couple of
minutes. If the toes and forefoot become pale
on elevation and then turn a purplish-red when
placed back on the bed this is an indication the
patient has PAD.
Early diagnosis and intervention is the key
to successfully managing PAD. Wound assess-
ment should be holistic involving a compre-
hensive patient history (medical, medications,
surgical and psychosocial); wound assess-
ment with a clinical description of the wound
(ulcer); assessment of the limb (appearance of
nails and skin temperature and colour); pain
assessment; vascular assessment including
capillary refill time; presence or absence of
dorsalis pedis and posterior tibial pulses and
the presence/absence of bruits in the proxi-
mal leg arteries; ankle brachial pressure index
(ABPI); and assessment of vascular status
(determined by the vascular specialist or sur-
geon).
Patients with PAD and arterial ulcers gen-
erally have a decreased or absent pulse in the
dorsalis pedis and/or posterior tibial arteries,
have bruits in the proximal leg arteries indicat-
ing the presence of atherosclerosis, reduced
capillary refill time (< 2 seconds) and low ABPI.
ABPI is usually conducted to rule out ve-
nous disease with values < 0.8 indicative of
significant PAD while a value less than 0.5 sig-
nifies critical limb ischemia requiring surgical
intervention.3 Once diagnosed, the manage-
ment of PAD is multi-factorial, incorporating a
combination of surgical and pharmacological
interventions, lifestyle modifications and bet-
ter management of co-morbidities.1 Surgical
interventions to increase blood flow include
reconstructive surgery (revascularisation or
bypass graft surgery) and angioplasty. Op-
erative indications for critical limb ischemia
include non-healing ulceration, gangrene, rest
pain and progression of claudication.4,5 De-
pending on co-morbidities, pharmacological
interventions may include antiplatelet therapy
(usually clopidogrel or aspirin), lipid modifying
agents, antihypertensive agents, hypoglycae-
mic agents, folic acid and vitamin B6 (to lower
homocystiene levels) and transdermal nitro
patches (nitroglycerine) to improve blood flow
to the affected limb and improve claudication
symptoms.4,5 Lifestyle modifications general-
ly revolve around ongoing education regarding
diet and exercise, weight reduction and smok-
ing cessation.4,5
Accurate diagnosis of aetiology, manage-
ment of contributing factors and other co-
morbidities, and thorough wound assessment
are prerequisites for successful wound man-
agement. History of past wound dressings is
necessary to ascertain the efficacy of previous
management plans and to inform new man-
agement strategies.4 If infection is present
or suspected, wound swabs and cultures are
required to identify pathogens present and to
facilitate effective antimicrobial management.
Infected wounds may need treatment with
systemic antimicrobial therapy plus or minus
the use of topical antimicrobials. Cadexomer
iodine, medical honey, silver and prontosan
(polyhexamethylene biguanide (PHMB), an an-
timicrobial agent) are effective against a broad
range of infective pathogens which may be
present in wounds and provide gentle autolytic
debridement of sloughy, devitalised tissue.
Do not use iodine or silver on wounds
with exposed tendons, ligaments or bone
as once incorporated these products re-
main in the tissues. Prior to use of any topi-
cal agent it is important to ask the patient if
they have allergies to the intended product.
By Bonnie Fraser BSc, BNURS, RN
For the full article visit NCAH.com.au
CYAN MAGENTA YELLOW BLACK
Page 24 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 9
Page 8 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 25
More health risks for nurses working night shifts
A large study in the United States has found
nurses working rotating night shifts face an in-
creased risk of cardiovascular disease and lung
cancer.
The study of almost 75,000 registered nurses
spanning 22 years shows nurses working rotating
night shifts, of at least three nights a month along
with day and evening shifts, for �ve or more years
had a modest rise in all-cause and cardiovascular
disease mortality.
The study, published in the American Journal
of Preventive Medicine, also found nurses work-
ing rotating night shifts of 15 or more years had a
modest increase in lung cancer mortality.
Researchers state the study is further evi-
dence of the potentially detrimental effects of ro-
tating night shift work on health and longevity.
An international team of researchers used data
from the Nurses’ Health Study, which is based at
Brigham and Women’s Hospital, and began col-
lecting night shift data in 1988.
After excluding women with pre-existing car-
diovascular or other than non-melanoma skin can-
cer, 74,862 women were included in the analysis.
Reviewing the 22 years of follow-up data, they
found 14,181 deaths documented, with more than
3000 of those attributed to cardiovascular disease
and more than 5400 to cancer.
Researchers discovered an 11 per cent rise in
all-cause mortality for women with 6 to 14 years or
more than 15 years of rotating shift work.
Cardiovascular-related mortality also ap-
peared to increase 19 per cent and 23 per cent for
these groups, respectively.
There was no association between rotating
shift work and any cancer mortality, except for
lung cancer in nurses who worked nights for 15
or more years - with a 25 per cent higher risk.
The World Health Organisation classi�ed
night shift work as a probable carcinogen in 2007
as a result of circadian disruption.
The study’s authors point to sleep and the
circadian system for playing a vital role in cardio-
vascular health and anti-tumour activity.
“The circadian system and its prime marker,
melatonin, are considered to have anti-tumour
effects through multiple pathways, including an-
tioxidant activity, anti-in�ammatory effects, and
immune enhancement,” it states.
“They also exhibit bene�cial actions on cardi-
ovascular health by enhancing endothelial func-
tion, maintaining metabolic homeostasis, and
reducing in�ammation.
“Direct nocturnal light exposure suppresses
melatonin production and resets the timing of the
circadian clock.
“In addition, sleep disruption may also ac-
centuate the negative effects of night work on
health.
“Taken together, substantial biological evi-
dence supports the role of night shift work in the
development of poor health conditions, including
cancer, CVD, and ultimately, mortality.”
The study shows women with longer dura-
tions of rotating night shift work tended to be old-
er, had a higher BMI, were more physically active
after standardising for age and were more likely
to be smokers, while they drank less alcohol and
ate less daily cereal �bre compared to women
without night shift work.
These nurses had also gained more weight
since the age of 18 and were more likely to have a
history of diabetes, hypertension and hypercho-
lesterolemia.
For the full article visit NCAH.com.au
By Karen Keast
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Peripheral Arterial Disease
Peripheral arterial disease (PAD) is a con-
dition arising through progressive occlusion of
the arteries of the lower limbs.1 PAD is caused
by atheroma or fatty deposits in the walls of the
arteries leading to arterial rigidity and progres-
sive narrowing of the arterial lumen, limiting
blood �ow to the muscles and other tissues in
distal extremities, in particular the legs.2 Insuf-
�cient blood �ow can produce ischemia. The
subsequent decrease in oxygen and nutrients
to the affected limb may lead to impaired tissue
integrity and ulceration.3 Arterial ulcers may
also be the result of minor trauma resulting in
a wound. Poor healing capacity due
to reduced peripheral perfu-
sion and local wound con-
ditions (reduced oxygen,
nutrients, temperature,
infection and devi-
talised or necrotic
tissue) leads to the
development of a
non-healing wound
or ulcer.3
Some patients
with PAD have symp-
toms but others are
asymptomatic. The com-
mon symptom, intermittent
claudication, is characterised by
leg pain and weakness brought on by
walking, with disappearance of the symptoms
following rest.1 Risk factors include increasing
age (>50) with a history of diabetes plus one
other atherosclerotic risk factor such as smok-
ing, hyperlipidaemia, hypertension, hyperchro-
mocysteinemia or elevated C-reactive protein;
or age over 70 years; leg symptoms with ex-
ertion (suggestive of claudication) or ischemic
pain, abnormal dorsalis pedis and/or posterior
tibial pulses; and a history of stroke, myocar-
dial infarction or renal artery disease.1
Ischemia, if left untreated, may lead to ul-
ceration, especially around the toes, the foot
(phalangeal heads, the malleoli region (ankle)
or mid tibia. The ulcer appears punched out
with well-demarcated rolled edges and may
be deep. The wound is characterised by pale
non-granulating often necrotic tissue (eschar)
and gangrene (wet or dry) may be present in
advanced stages. Gangrene (wet) may be as-
sociated with inflammation and cellulitis, an in-
fection in the underlying tissues. Exudate level
is usually low. The surrounding skin
may exhibit dusky erythema or
have a deep red to purplish
mottling effect, be cool
to touch, hairless, thin
and often with a shiny
appearance. Toenails
may be thickened,
opaque and discol-
oured or missing.
Patients with
arterial ulcers invari-
ably experience pain,
even without infection.
Pain may be alleviated by
hanging the foot over the
side of the bed or sleeping in a
chair. Pain usually begins distal to the
obstruction, moving proximally as ischemia
progresses. The ulcer itself is often painful.
Whilst oedema is not common in PAD, patients
with mixed aetiology ulcers (combination or
arterial and venous disease or heart disease)
oedema may be present. Critical limb ischemia
(CLI), the consequence of poorly managed
PAD, is the sustained and severe decrease in
blood flow to the effected extremity.2 CLI is
characterised by ischemic rest pain, non-heal-
ing ulcers and/or gangrene which may result
in amputation if left untreated.2 If able, when
your patient is lying in bed, ask them to lift their
leg above the level of their heart for a couple of
minutes. If the toes and forefoot become pale
on elevation and then turn a purplish-red when
placed back on the bed this is an indication the
patient has PAD.
Early diagnosis and intervention is the key
to successfully managing PAD. Wound assess-
ment should be holistic involving a compre-
hensive patient history (medical, medications,
surgical and psychosocial); wound assess-
ment with a clinical description of the wound
(ulcer); assessment of the limb (appearance of
nails and skin temperature and colour); pain
assessment; vascular assessment including
capillary refill time; presence or absence of
dorsalis pedis and posterior tibial pulses and
the presence/absence of bruits in the proxi-
mal leg arteries; ankle brachial pressure index
(ABPI); and assessment of vascular status
(determined by the vascular specialist or sur-
geon).
Patients with PAD and arterial ulcers gen-
erally have a decreased or absent pulse in the
dorsalis pedis and/or posterior tibial arteries,
have bruits in the proximal leg arteries indicat-
ing the presence of atherosclerosis, reduced
capillary refill time (< 2 seconds) and low ABPI.
ABPI is usually conducted to rule out ve-
nous disease with values < 0.8 indicative of
significant PAD while a value less than 0.5 sig-
nifies critical limb ischemia requiring surgical
intervention.3 Once diagnosed, the manage-
ment of PAD is multi-factorial, incorporating a
combination of surgical and pharmacological
interventions, lifestyle modifications and bet-
ter management of co-morbidities.1 Surgical
interventions to increase blood flow include
reconstructive surgery (revascularisation or
bypass graft surgery) and angioplasty. Op-
erative indications for critical limb ischemia
include non-healing ulceration, gangrene, rest
pain and progression of claudication.4,5 De-
pending on co-morbidities, pharmacological
interventions may include antiplatelet therapy
(usually clopidogrel or aspirin), lipid modifying
agents, antihypertensive agents, hypoglycae-
mic agents, folic acid and vitamin B6 (to lower
homocystiene levels) and transdermal nitro
patches (nitroglycerine) to improve blood flow
to the affected limb and improve claudication
symptoms.4,5 Lifestyle modifications general-
ly revolve around ongoing education regarding
diet and exercise, weight reduction and smok-
ing cessation.4,5
Accurate diagnosis of aetiology, manage-
ment of contributing factors and other co-
morbidities, and thorough wound assessment
are prerequisites for successful wound man-
agement. History of past wound dressings is
necessary to ascertain the efficacy of previous
management plans and to inform new man-
agement strategies.4 If infection is present
or suspected, wound swabs and cultures are
required to identify pathogens present and to
facilitate effective antimicrobial management.
Infected wounds may need treatment with
systemic antimicrobial therapy plus or minus
the use of topical antimicrobials. Cadexomer
iodine, medical honey, silver and prontosan
(polyhexamethylene biguanide (PHMB), an an-
timicrobial agent) are effective against a broad
range of infective pathogens which may be
present in wounds and provide gentle autolytic
debridement of sloughy, devitalised tissue.
Do not use iodine or silver on wounds
with exposed tendons, ligaments or bone
as once incorporated these products re-
main in the tissues. Prior to use of any topi-
cal agent it is important to ask the patient if
they have allergies to the intended product.
By Bonnie Fraser BSc, BNURS, RN
For the full article visit NCAH.com.au
Peripheral Arterial Disease
Peripheral arterial disease (PAD) is a con-
dition arising through progressive occlusion of
the arteries of the lower limbs.1 PAD is caused
by atheroma or fatty deposits in the walls of the
arteries leading to arterial rigidity and progres-
sive narrowing of the arterial lumen, limiting
blood �ow to the muscles and other tissues in
distal extremities, in particular the legs.2 Insuf-
�cient blood �ow can produce ischemia. The
subsequent decrease in oxygen and nutrients
to the affected limb may lead to impaired tissue
integrity and ulceration.3 Arterial ulcers may
also be the result of minor trauma resulting in
a wound. Poor healing capacity due
to reduced peripheral perfu-
sion and local wound con-
ditions (reduced oxygen,
nutrients, temperature,
infection and devi-
talised or necrotic
tissue) leads to the
development of a
non-healing wound
or ulcer.3
Some patients
with PAD have symp-
toms but others are
asymptomatic. The com-
mon symptom, intermittent
claudication, is characterised by
leg pain and weakness brought on by
walking, with disappearance of the symptoms
following rest.1 Risk factors include increasing
age (>50) with a history of diabetes plus one
other atherosclerotic risk factor such as smok-
ing, hyperlipidaemia, hypertension, hyperchro-
mocysteinemia or elevated C-reactive protein;
or age over 70 years; leg symptoms with ex-
ertion (suggestive of claudication) or ischemic
pain, abnormal dorsalis pedis and/or posterior
tibial pulses; and a history of stroke, myocar-
dial infarction or renal artery disease.1
Ischemia, if left untreated, may lead to ul-
ceration, especially around the toes, the foot
(phalangeal heads, the malleoli region (ankle)
or mid tibia. The ulcer appears punched out
with well-demarcated rolled edges and may
be deep. The wound is characterised by pale
non-granulating often necrotic tissue (eschar)
and gangrene (wet or dry) may be present in
advanced stages. Gangrene (wet) may be as-
sociated with inflammation and cellulitis, an in-
fection in the underlying tissues. Exudate level
is usually low. The surrounding skin
may exhibit dusky erythema or
have a deep red to purplish
mottling effect, be cool
to touch, hairless, thin
and often with a shiny
appearance. Toenails
may be thickened,
opaque and discol-
oured or missing.
Patients with
arterial ulcers invari-
ably experience pain,
even without infection.
Pain may be alleviated by
hanging the foot over the
side of the bed or sleeping in a
chair. Pain usually begins distal to the
obstruction, moving proximally as ischemia
progresses. The ulcer itself is often painful.
Whilst oedema is not common in PAD, patients
with mixed aetiology ulcers (combination or
arterial and venous disease or heart disease)
oedema may be present. Critical limb ischemia
(CLI), the consequence of poorly managed
PAD, is the sustained and severe decrease in
blood flow to the effected extremity.2 CLI is
characterised by ischemic rest pain, non-heal-
ing ulcers and/or gangrene which may result
in amputation if left untreated.2 If able, when
your patient is lying in bed, ask them to lift their
leg above the level of their heart for a couple of
minutes. If the toes and forefoot become pale
on elevation and then turn a purplish-red when
placed back on the bed this is an indication the
patient has PAD.
Early diagnosis and intervention is the key
to successfully managing PAD. Wound assess-
ment should be holistic involving a compre-
hensive patient history (medical, medications,
surgical and psychosocial); wound assess-
ment with a clinical description of the wound
(ulcer); assessment of the limb (appearance of
nails and skin temperature and colour); pain
assessment; vascular assessment including
capillary refill time; presence or absence of
dorsalis pedis and posterior tibial pulses and
the presence/absence of bruits in the proxi-
mal leg arteries; ankle brachial pressure index
(ABPI); and assessment of vascular status
(determined by the vascular specialist or sur-
geon).
Patients with PAD and arterial ulcers gen-
erally have a decreased or absent pulse in the
dorsalis pedis and/or posterior tibial arteries,
have bruits in the proximal leg arteries indicat-
ing the presence of atherosclerosis, reduced
capillary refill time (< 2 seconds) and low ABPI.
ABPI is usually conducted to rule out ve-
nous disease with values < 0.8 indicative of
significant PAD while a value less than 0.5 sig-
nifies critical limb ischemia requiring surgical
intervention.3 Once diagnosed, the manage-
ment of PAD is multi-factorial, incorporating a
combination of surgical and pharmacological
interventions, lifestyle modifications and bet-
ter management of co-morbidities.1 Surgical
interventions to increase blood flow include
reconstructive surgery (revascularisation or
bypass graft surgery) and angioplasty. Op-
erative indications for critical limb ischemia
include non-healing ulceration, gangrene, rest
pain and progression of claudication.4,5 De-
pending on co-morbidities, pharmacological
interventions may include antiplatelet therapy
(usually clopidogrel or aspirin), lipid modifying
agents, antihypertensive agents, hypoglycae-
mic agents, folic acid and vitamin B6 (to lower
homocystiene levels) and transdermal nitro
patches (nitroglycerine) to improve blood flow
to the affected limb and improve claudication
symptoms.4,5 Lifestyle modifications general-
ly revolve around ongoing education regarding
diet and exercise, weight reduction and smok-
ing cessation.4,5
Accurate diagnosis of aetiology, manage-
ment of contributing factors and other co-
morbidities, and thorough wound assessment
are prerequisites for successful wound man-
agement. History of past wound dressings is
necessary to ascertain the efficacy of previous
management plans and to inform new man-
agement strategies.4 If infection is present
or suspected, wound swabs and cultures are
required to identify pathogens present and to
facilitate effective antimicrobial management.
Infected wounds may need treatment with
systemic antimicrobial therapy plus or minus
the use of topical antimicrobials. Cadexomer
iodine, medical honey, silver and prontosan
(polyhexamethylene biguanide (PHMB), an an-
timicrobial agent) are effective against a broad
range of infective pathogens which may be
present in wounds and provide gentle autolytic
debridement of sloughy, devitalised tissue.
Do not use iodine or silver on wounds
with exposed tendons, ligaments or bone
as once incorporated these products re-
main in the tissues. Prior to use of any topi-
cal agent it is important to ask the patient if
they have allergies to the intended product.
By Bonnie Fraser BSc, BNURS, RN
For the full article visit NCAH.com.au
CYAN MAGENTA YELLOW BLACK
Page 26 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 7
Page 10 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 23
501-006 1PG FULL COLOUR CMYK PDF
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We o�er rewarding careers in one of the most respected cardiac units in Australia, working with colleagues whose talents and
manner you will respect. A genuine team. Find out more about how we could change your life at westernhealth.org.au/careers.
Dietitians and nurses oppose fresh food GST
A proposal to expand the GST to fresh
foods is a recipe for poor health for Indig-
enous Australians, low income earners and
pensioners, according to the peak bodies for
dietitians, nurses and midwives.
The Dietitians Association of Australia
(DAA) and the Australian Nursing and Mid-
wifery Federation (ANMF) have criticised
Liberal backbencher Dan Tehan’s propos-
al to widen the GST from most processed
foods to also include fresh fruit and veg-
etables, meat, eggs, bread and some dairy
products.
DAA CEO Claire Hewat said people living in
remote communities, especially Indigenous Aus-
tralians, already pay too much for fresh food.
“Adding an extra cost through the GST would
only make matters worse - these are the same
groups with the poorest health outcomes,” she
said.
“Access to adequate nutritious food is a
basic human right and adding the GST to fresh,
healthy food puts this right at risk for many Aus-
tralians.”
Latest Australian Bureau of Statistics data
shows around one in 10 Australians, or just 6.8
per cent, aged two years and over eat enough
vegetables while just over half, or 54 per cent, eat
enough fruit.
Ms Hewat said many Australians already fail
to consume enough fruit and vegetables.
“Bumping up the price of these healthy sta-
ples will make it more dif�cult for some people to
eat these foods,” she said.
ANMF acting federal secretary Annie
Butler said a GST on fresh food will lead to
high-
er
levels
of chronic
disease and
obesity.
“Australia currently
has one of the highest rates of obe-
sity in the world, with a quarter of children and
more than 60 per cent of adults overweight,”
she said.
“The fact is, we don’t consume enough fruit
and vegetables now - adding an extra 10 per
cent to the cost will simply make fresh food
even more expensive for Australians and their
families in the long term, particularly for lower
income earners and pensioners.”
Researchers at the University of Queens-
land in 2013 found axing the GST exemption on
fresh food could reduce people’s consumption
of fruit and vegetables about �ve per cent.
Dr Lennert Veerman said failure to eat
enough fruit and vegetables was associated
with increases in the risk of heart disease,
stroke and cancers of the lung, oesophagus,
stomach and colon.
“We’ve estimated that adding GST to fruit
and vegetables could add about 90,000 cases
of heart disease, stroke and cancer over the
lifetime of the current Australian population
and add another billion dollars to the country’s
health care bill,” he said.
The Federal Government will consider the
tax reform proposal as part of its taxation white
paper.
By Karen Keast
501-030 1PG FULL COLOUR CMYK PDF
GenevaHealthcare
CYAN MAGENTA YELLOW BLACK
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Pharmacies - the right medicine for Medicare?By Karen Keast
Community pharmacists equipped to provide
vaccinations, basic health checks, mental
health support, repeat prescriptions and treat mi-
nor ailments could be the remedy to Australia’s
rising health care costs.
The Pharmacy Guild of Australia says en-
hanced services at the nation’s 5450 community
pharmacies will deliver a more affordable and ac-
cessible health system.
The call comes after Health Minister Sussan
Ley recently vowed to consult with health profes-
sionals on reforms designed to make Medicare
more sustainable.
The Guild says pharmacists could provide
repeat prescriptions for stable, long term condi-
tions such as diabetes and high blood pressure.
Pharmacists could also dispense medicines
to treat a range of minor ailments such as urinary
tract infections, middle ear infections and minor
skin irritations, which make up about 26 million
GP consultations every year.
Trained community pharmacists could ad-
minister the �u and other vaccinations, through
the National Immunisation Program for at-risk
patient groups, and provide vaccines privately for
the wider population.
Under a trial, Queensland pharmacies are
delivering the in�uenza, whooping cough and
measles vaccines, while Western Australian and
South Australian pharmacists were also recently
given the green light to administer the �u vaccine.
The Guild proposes pharmacies could also
provide a systematic approach to medicines rec-
onciliation.
It argues post hospital and transitional care
medicine reconciliation support will address the
230,000 medicine-related hospital admissions
annually, that comes with a $1.2 billion price tag.
Pharmacies could deliver basic health
checks, risk assessments, lifestyle counselling,
support and referrals alongside initial screening
for diseases such as bowel cancer.
“This increased role in preventative health
and early intervention will help identify at-risk pa-
tients earlier and, with the necessary follow-up,
have the potential to reduce the prevalence of
expensive, chronic health conditions,” it states.
The Guild says pharmacists with the ap-
propriate quali�cations and training could also
provide early intervention, support, referral and
continuity of care for people with mental illness.
The Guild national president George Tambass-
is said community pharmacies in Australia have
already proven their ability to provide enhanced
medication support, diabetes services, asthma
management and blood pressure monitoring.
“The outstanding success of the recent �u
vaccination pilot in Queensland is the latest ex-
ample of how pharmacies can deliver high quality
and more convenient and cost-effective services
to patients,” he said.
“However, Australia is lagging many other
countries in terms of making the most effective
use of its highly accessible physical pharmacy
network and the skills of its pharmacist profes-
sion, working in close collaboration with doctors
and other health professionals.
“The government’s Medicare reforms, com-
bined with the upcoming new community phar-
macy agreement, aged care reforms, primary
health networks and potential changes to the
private health insurance rebate provide the right
climate to transform pharmacies into true health
destinations.”
For more articles visit NCAH.com.au
Working remote as a physiotherapist
Melbourne-trained physiotherapist Rob
Curry wanted a bush lifestyle - one far away
from the daily grind of the commute to work at
a metropolitan physiotherapy practice.
“I was interested in the bush and a rural life,
as a philosophical approach rather than living
in a city and all of the things that that entails,”
he says.
Rob ventured to Port Lincoln in South Aus-
tralia and had a brief stint working in Queens-
land before moving to Darwin in late 1983.
Rob went on to spend 30 years working
in the Northern Territory, mostly practising as
a physiotherapist in Aboriginal com-
munities outside of Darwin.
“I liked Darwin straight
away,” he says.
“I worked several
years at the Royal
Darwin Hospital and
then in about 1990
I took the remote
physio job working
in Aboriginal com-
munities.
“I did that for
about a decade, travel-
ling from Darwin to remote
communities like Maningrida,
Tiwi Islands, Oenpelli - those
sorts of places.
“That was a �ying job really - lots of �ying
in light aircraft or driving 4WD vehicles and oc-
casionally boats to get to places.”
Rob was the only physiotherapist for about
14,000 people living in remote communities.
He would visit the larger communities every
few months, spending a few days in each area,
prioritising his practise and focusing on aged
care and disability care.
“As a physio it was a bit frustrating really
because I would have liked to have worked
more on the sports injuries of the people out
there because remote Aboriginal people play a
lot of footy and a lot of sport,” he says.
“The main problems were people with dis-
abilities and people who had strokes or lost
limbs or who had other major injuries or ill-
nesses.
“They were the things I really had to priori-
tise as being the things that would either mean
that people would end up in hospital, either if
they didn’t get some physiotherapeutic input or
sometimes people would pass away
because they had lacked inde-
pendent movement.
“They would get pres-
sure sores or chest in-
fections or something
like that and ultimate-
ly end up in hospital
or pass away.
“Disabled kids
was a real focus -
kids who have had
head injuries or men-
ingitis or some other de-
velopmental problem.
“They were really the pri-
ority health issues - it meant peo-
ple could either stay living in the com-
munity or would have to go to hospital or go
to some sort of institution or aged care facility
in Darwin.”
Rob recalls treating and assisting an older
Aboriginal woman with arthritis and deformities
as a result of leprosy, who found it incredibly
dif�cult to walk.
Rob worked with a clinic in Darwin to devel-
op and trial a motorised buggy for the woman.
“She needed one that could get across
sand reasonably easy because it was quite
sandy where she lived,” he says.
“She was a beautiful old woman and it was
worth working with her on that.
“Eventually we did get the buggy devel-
oped but there were always issues with it in a
remote community of keeping it going but she
really appreciated those efforts, and it gave her
a lot more independence for the time that she
had the buggy before she passed away.”
While working as a physiotherapist in re-
mote communities came with its challenges,
Rob says he loved the country, the people and
especially the freedom that came with the role.
Professionally, Rob developed a cross-
cultural and multidisciplinary approach to his
practise.
The experience also sparked Rob’s inter-
est in the philosophy and practise of primary
health care.
Rob, who went on to complete a Graduate
Diploma in Aboriginal Studies and a Masters in
Primary Health Care, left physiotherapy to work
in management and public health roles in Abo-
riginal health in the Territory.
He worked for the Tiwi Health Board and
then with the Aboriginal Medical Services Alli-
ance of the Northern Territory (AMSANT).
Over the years, Rob has been a board mem-
ber of the Australian Physiotherapy Association
(APA) and the National Rural Health Alliance.
Rob is an inaugural member and current
vice president of Services for Australian Rural
and Remote Allied Health (SARRAH).
While Rob is semi-retired, lives on the mid-
north coast of New South Wales and no longer
practises physiotherapy, he remains passionate
about models of rural allied health practice, mul-
ti-disciplinary primary health care, and health
workforce issues.
Working remote as a physiotherapist was
not only incredibly enriching - the experience
shaped Rob’s entire career.
“I worked in amazing parts of Australia,
was stimulated by that and was working in a
different culture with different sets of rules
and different ways people live their lives and I
found that incredibly stimulating but challeng-
ing also,” he says.
Rob advises students to take up opportu-
nities to experience remote placements, and
says physiotherapists who are prepared to go
bush won’t look back.
“I think if you do plan it, it can be a really
exciting part of your life,” he says.
“If you go into it with your eyes wide open,
prepare and make sure you don’t get isolated
professionally, then I think it’s a great experi-
ence for people and would really encourage it.”
Rob’s tips for physiotherapists working remote:
1. Maintain your professional skills. Rob ad-
vises physiotherapists to plan their profes-
sional development. “Don’t just roll along and
let it happen,” he says. “In remote areas you
might get away a bit from your speci�c clinical
practice and you get into other roles, you de-
velop services, you advocate for services, you
do a lot of multidisciplinary work, but you might
actually back off your speci�c work like spinal
work or musculoskeletal work. Keep your pro-
fessional development skills up.”
2 . Make connections. Physiotherapists may
be working remotely but can connect with other
professionals in different physiotherapy �elds.
“Keep your connections with them so that you
can update your knowledge and check your
knowledge,” Rob says. “Otherwise you can
get professionally a bit isolated or lose touch
a bit. It’s a really full working life but it’s not so
clinically focused as say urban practice is. You
need to be wary of that.”
For the full article visit NCAH.com.au
SA pharmacists to administer vaccinations
South Australian pharmacists are the lat-
est to receive the green light to administer flu
vaccinations.
State Health Minister Jack Snelling has
announced pharmacists will be able to ad-
minister the flu vaccine when it becomes
available in late March.
The move follows the success of last
year’s Queensland Pharmacist Immunisation
Project (QPIP) which delivered about 11,000
vaccinations.
The Western Australian government has
also allowed pharmacists to deliver the influ-
enza vaccine and a parliamentary inquiry has
recommended establishing a pharmacy im-
munisation trial in Victoria.
Under the South Australian initiative,
pharmacists will be able to vaccinate adults
over the age of 16 who are not already eligi-
ble for a free flu shot as part of the National
Immunisation Program.
Pharmacists wanting to administer flu
vaccines will undergo training to be equipped
with the knowledge and skills needed to not
only deliver the vaccine but to also be able to
identify and treat any possible side effects.
SA Health will also need to accredit any
participating pharmacies, which will receive
an audit every two years in line with pharma-
cy industry standards.
Last year, South Australia reported its
highest number of influenza cases on record
with more than 11,000 cases - exceeding the
2009 swine flu epidemic.
“Allowing pharmacists to directly admin-
ister the flu shot will encourage a greater up-
take of the vaccine in 2015,” Mr Snelling said
in a statement.
“Having as many people as possible vac-
cinated against influenza each year will go a
long way towards creating a healthier com-
munity and helping to reduce the additional
burden on the health system.”
Pharmacy Guild of Australia SA Branch
president Nick Panayiaris said the move will
make it easier for people to receive the flu
shot.
“The availability of vaccination by phar-
macists in rural areas will greatly assist the
community’s access to protection against in-
fluenza, where previously they may have not
had accessibility,” he said.
“South Australian pharmacists have al-
ways been a trusted source of health services
and advice, and vaccination will now become
another service pharmacists will take on and
perform professionally for the benefit of the
community.”
While pharmacists have been unable to
provide vaccines until the Queensland trial,
community pharmacy groups have been us-
ing nurse immunisers in a bid to introduce
their own flu vaccination programs.
The QPIP moved into phase two last
September, with more than 200 pharmacists
across the state able to deliver whooping
cough and measles vaccines.
Pharmacists provide vaccinations in the
United Kingdom, New Zealand, Canada and
the United States.
By Karen Keast
For more articles visit NCAH.com.au
CYAN MAGENTA YELLOW BLACK
Page 20 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 13
Page 12 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 21
Labor pledges nurse to patient ratios for Queensland
Queensland will legislate nurse to patient
ratios under a Labor state government.
Opposition leader Annastacia Palaszczuk
has pledged to legislate safe patient ratios in
public hospitals if Labor wins the January 31
election.
Under its Nursing Guarantee policy, La-
bor will fund an extra 400 nursing positions at
a cost of $110 million over four years.
The policy also outlines a plan to estab-
lish a benchmark ratio of one nurse per four
patients in acute wards during day shifts and
one nurse to eight patients overnight, as a
starting point for this year’s new EB9 enter-
prise agreement with nurses and midwives.
Labor will also legislate in its first term
for safe nurse to patient ratios and workload
provisions to ensure patient safety and qual-
ity health care.
Ms Palaszczuk said Labor will rebuild
health services slashed under the Newman
Government, which cut more than 4800 posi-
tions from hospitals and health services in-
cluding about 1800 full-time equivalent nurs-
ing and midwifery positions.
She said evidence showed mandated
nurse to patient ratios improved quality of
care and resulted in better health outcomes
for patients, reduced re-admission rates and
reduced post-operative mortality rates.
“The additional cost of ensuring appropri-
ate nurse bedside hours is recouped through
the reduced costs of better service delivery
and better patient outcomes,” she said.
Queensland Nurses’ Union (QNU) acting
secretary Des Elder said no legislation cur-
rently exists to govern how many patients
can be allocated to a single nurse or midwife.
“A commitment to install safe nurse to
patient ratios provides a ray of sunshine af-
ter three bleak years of hospital and health
service job cuts in Queensland,” he said.
“The nurses and midwives who have survived the LNP health cull have told us they are overworked, fearful for patient safety, tired and demoralised.
“The ALP’s announcement they will in-
troduce nurse ratio legislation if elected will
no doubt brighten their day.”
The newly elected Labor government in
Victoria has also vowed to enshrine nurse to
patient ratios in legislation.
The Queensland announcement comes
after renowned US patient safety researcher
Dr Linda Aiken visited the state in December
to discuss her research, which shows nurse
staffing levels contribute to a ‘seven-fold
difference’ in patient mortality rates between
hospitals.
As part of its nursing policy announce-
ment, Labor has pledged to create a Queens-
land Bureau of Health Statistics to publicly
report key indicators of public and private
hospitals and health services, and it will also
review the role of the Health Ombudsman.
Health Minister Lawrence Springborg
said the government has already pledged
another 2000 health workers.
By Karen Keast
For more articles visit NCAH.com.au
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Make the dream of becoming a doctor a reality,earn your MD at Oceania University of Medicine.
� Attractive fee structure for our Graduate Entry Program.� Over 150 students currently enrolled and over 50 graduates
in Australia, New Zealand, Samoa and USA.� Home-based Pre-Clinical Study under top international
medical school scholars, using world leading Pre-Clinical,24/7 online delivery techniques.
� Clinical Rotations can be performed locally, Interstate or Internationally.
� Receive personalised attention from an Academic Advisor.� OUM Graduates are eligible to sit the AMC exam or NZREX.
OCEANIA UNIVERSITY OF MEDICINEFor information visit or 1300 665 343
RN to MD
Nurses applaud move to abandon Medicare rebate cut
The Australian Nursing and Midwifery Fed-
eration (ANMF) has applauded the Federal
Government’s decision to dump plans to cut
the Medicare rebate for short GP visits.
New Health Minister Sussan Ley has an-
nounced the move to cut $20.10 from the re-
bate paid to GPs for consultations lasting less
than 10 minutes, due to take effect on January
19, will be taken off the table.
“The government is responding to con-
cerns that have been raised about the new
Medicare measure to improve patient care and
tackle the problem of ‘six minute medicine’,”
she said.
“The government is committed to encour-
aging doctors to spend more time with patients
where appropriate, whilst ensuring that taxpay-
ers’ dollars are effectively targeted.”
ANMF acting federal secretary Annie Butler
labelled it a “common sense decision”.
“As nurses and midwives, we were ex-
tremely worried that these proposed changes
would result in doctors passing on more out of
pockets costs on to their patients,” she said.
“We are now calling on Minister Ley to
consult with the ANMF and other health pro-
fessionals about how we can work together to
protect Medicare and the future sustainability
of Australia’s universal healthcare system.”
In a statement, Ms Ley said Medicare will
not survive in the long term without changes
“to make it sustainable”.
“In the last decade, spending on Medicare
has more than doubled from $8 billion in 2004
to $20 billion today, yet we raise only $10 billion
from the Medicare levy,” she said.
“Spending is projected to climb to $34 bil-
lion in the next decade to 2024.”
Meanwhile, the Australian Physiotherapy As-
sociation (APA) has put forward an alternative
Medicare reform solution.
The APA has reissued its call for physiothera-
pists to be able to refer patients directly to special-
ists with a Medicare rebate.
APA CEO Cris Massis said the proposal will
reap $13 million in savings a year.
“The government’s said it will consult with the
healthcare community for a sustainable plan - our
solution is to enable physiotherapists to refer pa-
tients direct to specialists,” he said.
“It will lead to immediate and significant lasting changes that will benefit patients and our health care system. It’s a simple reform that could save the Medicare Ben-efits Scheme millions.”
The APA has included the proposal in its
2015-16 pre-budget submission.
It estimates the move will reduce the number
of GP visits by about 737,000 a year and increase
specialist medical practitioner consultations by
55,521.
“The training and skills of physiotherapists
mean that they are capable and well quali�ed to
refer their clients to the right medical practitioner,”
the submission states.
The Australian Medical Association (AMA)
said the government’s decision to ditch the rebate
cut is a win for patients.
By Karen Keast
For more articles visit NCAH.com.au
NC-501-028 1/2PG FULL COLOUR CMYK PDF
IMMUNISATION NURSES WANTED 2015 Flu Season
Preferable:
Health & Fitness Recruitment Australia - www.hfrecruitment.com.au
CYAN MAGENTA YELLOW BLACK
Page 20 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 13
Page 12 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 21
Labor pledges nurse to patient ratios for Queensland
Queensland will legislate nurse to patient
ratios under a Labor state government.
Opposition leader Annastacia Palaszczuk
has pledged to legislate safe patient ratios in
public hospitals if Labor wins the January 31
election.
Under its Nursing Guarantee policy, La-
bor will fund an extra 400 nursing positions at
a cost of $110 million over four years.
The policy also outlines a plan to estab-
lish a benchmark ratio of one nurse per four
patients in acute wards during day shifts and
one nurse to eight patients overnight, as a
starting point for this year’s new EB9 enter-
prise agreement with nurses and midwives.
Labor will also legislate in its first term
for safe nurse to patient ratios and workload
provisions to ensure patient safety and qual-
ity health care.
Ms Palaszczuk said Labor will rebuild
health services slashed under the Newman
Government, which cut more than 4800 posi-
tions from hospitals and health services in-
cluding about 1800 full-time equivalent nurs-
ing and midwifery positions.
She said evidence showed mandated
nurse to patient ratios improved quality of
care and resulted in better health outcomes
for patients, reduced re-admission rates and
reduced post-operative mortality rates.
“The additional cost of ensuring appropri-
ate nurse bedside hours is recouped through
the reduced costs of better service delivery
and better patient outcomes,” she said.
Queensland Nurses’ Union (QNU) acting
secretary Des Elder said no legislation cur-
rently exists to govern how many patients
can be allocated to a single nurse or midwife.
“A commitment to install safe nurse to
patient ratios provides a ray of sunshine af-
ter three bleak years of hospital and health
service job cuts in Queensland,” he said.
“The nurses and midwives who have survived the LNP health cull have told us they are overworked, fearful for patient safety, tired and demoralised.
“The ALP’s announcement they will in-
troduce nurse ratio legislation if elected will
no doubt brighten their day.”
The newly elected Labor government in
Victoria has also vowed to enshrine nurse to
patient ratios in legislation.
The Queensland announcement comes
after renowned US patient safety researcher
Dr Linda Aiken visited the state in December
to discuss her research, which shows nurse
staffing levels contribute to a ‘seven-fold
difference’ in patient mortality rates between
hospitals.
As part of its nursing policy announce-
ment, Labor has pledged to create a Queens-
land Bureau of Health Statistics to publicly
report key indicators of public and private
hospitals and health services, and it will also
review the role of the Health Ombudsman.
Health Minister Lawrence Springborg
said the government has already pledged
another 2000 health workers.
By Karen Keast
For more articles visit NCAH.com.au
501-025 1PG 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.
�Attractive fee structure for our Graduate Entry Program.�Over 150 students currently enrolled and over 50 graduates
in Australia, New Zealand, Samoa and USA.�Home-based Pre-Clinical Study under top international
medical school scholars, using world leading Pre-Clinical,24/7 online delivery techniques.
�Clinical Rotations can be performed locally, Interstate or Internationally.
�Receive personalised attention from an Academic Advisor.�OUM Graduates are eligible to sit the AMC exam or NZREX.
OCEANIA UNIVERSITY OF MEDICINEFor information visit or 1300 665 343
RNtoMD
Nurses applaud move to abandon Medicare rebate cut
The Australian Nursing and Midwifery Fed-
eration (ANMF) has applauded the Federal
Government’s decision to dump plans to cut
the Medicare rebate for short GP visits.
New Health Minister Sussan Ley has an-
nounced the move to cut $20.10 from the re-
bate paid to GPs for consultations lasting less
than 10 minutes, due to take effect on January
19, will be taken off the table.
“The government is responding to con-
cerns that have been raised about the new
Medicare measure to improve patient care and
tackle the problem of ‘six minute medicine’,”
she said.
“The government is committed to encour-
aging doctors to spend more time with patients
where appropriate, whilst ensuring that taxpay-
ers’ dollars are effectively targeted.”
ANMF acting federal secretary Annie Butler
labelled it a “common sense decision”.
“As nurses and midwives, we were ex-
tremely worried that these proposed changes
would result in doctors passing on more out of
pockets costs on to their patients,” she said.
“We are now calling on Minister Ley to
consult with the ANMF and other health pro-
fessionals about how we can work together to
protect Medicare and the future sustainability
of Australia’s universal healthcare system.”
In a statement, Ms Ley said Medicare will
not survive in the long term without changes
“to make it sustainable”.
“In the last decade, spending on Medicare
has more than doubled from $8 billion in 2004
to $20 billion today, yet we raise only $10 billion
from the Medicare levy,” she said.
“Spending is projected to climb to $34 bil-
lion in the next decade to 2024.”
Meanwhile, the Australian Physiotherapy As-
sociation (APA) has put forward an alternative
Medicare reform solution.
The APA has reissued its call for physiothera-
pists to be able to refer patients directly to special-
ists with a Medicare rebate.
APA CEO Cris Massis said the proposal will
reap $13 million in savings a year.
“The government’s said it will consult with the
healthcare community for a sustainable plan - our
solution is to enable physiotherapists to refer pa-
tients direct to specialists,” he said.
“It will lead to immediate and significant lasting changes that will benefit patients and our health care system. It’s a simple reform that could save the Medicare Ben-efits Scheme millions.”
The APA has included the proposal in its
2015-16 pre-budget submission.
It estimates the move will reduce the number
of GP visits by about 737,000 a year and increase
specialist medical practitioner consultations by
55,521.
“The training and skills of physiotherapists
mean that they are capable and well quali�ed to
refer their clients to the right medical practitioner,”
the submission states.
The Australian Medical Association (AMA)
said the government’s decision to ditch the rebate
cut is a win for patients.
By Karen Keast
For more articles visit NCAH.com.au
NC-501-028 1/2PG FULL COLOUR CMYK PDF
IMMUNISATION NURSES WANTED 2015 Flu Season
Preferable:
Health & Fitness Recruitment Australia - www.hfrecruitment.com.au
CYAN MAGENTA YELLOW BLACK
Page 22 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 11
Page 14 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 19
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)
Pharmacies - the right medicine for Medicare?By Karen Keast
Community pharmacists equipped to provide
vaccinations, basic health checks, mental
health support, repeat prescriptions and treat mi-
nor ailments could be the remedy to Australia’s
rising health care costs.
The Pharmacy Guild of Australia says en-
hanced services at the nation’s 5450 community
pharmacies will deliver a more affordable and ac-
cessible health system.
The call comes after Health Minister Sussan
Ley recently vowed to consult with health profes-
sionals on reforms designed to make Medicare
more sustainable.
The Guild says pharmacists could provide
repeat prescriptions for stable, long term condi-
tions such as diabetes and high blood pressure.
Pharmacists could also dispense medicines
to treat a range of minor ailments such as urinary
tract infections, middle ear infections and minor
skin irritations, which make up about 26 million
GP consultations every year.
Trained community pharmacists could ad-
minister the �u and other vaccinations, through
the National Immunisation Program for at-risk
patient groups, and provide vaccines privately for
the wider population.
Under a trial, Queensland pharmacies are
delivering the in�uenza, whooping cough and
measles vaccines, while Western Australian and
South Australian pharmacists were also recently
given the green light to administer the �u vaccine.
The Guild proposes pharmacies could also
provide a systematic approach to medicines rec-
onciliation.
It argues post hospital and transitional care
medicine reconciliation support will address the
230,000 medicine-related hospital admissions
annually, that comes with a $1.2 billion price tag.
Pharmacies could deliver basic health
checks, risk assessments, lifestyle counselling,
support and referrals alongside initial screening
for diseases such as bowel cancer.
“This increased role in preventative health
and early intervention will help identify at-risk pa-
tients earlier and, with the necessary follow-up,
have the potential to reduce the prevalence of
expensive, chronic health conditions,” it states.
The Guild says pharmacists with the ap-
propriate quali�cations and training could also
provide early intervention, support, referral and
continuity of care for people with mental illness.
The Guild national president George Tambass-
is said community pharmacies in Australia have
already proven their ability to provide enhanced
medication support, diabetes services, asthma
management and blood pressure monitoring.
“The outstanding success of the recent �u
vaccination pilot in Queensland is the latest ex-
ample of how pharmacies can deliver high quality
and more convenient and cost-effective services
to patients,” he said.
“However, Australia is lagging many other
countries in terms of making the most effective
use of its highly accessible physical pharmacy
network and the skills of its pharmacist profes-
sion, working in close collaboration with doctors
and other health professionals.
“The government’s Medicare reforms, com-
bined with the upcoming new community phar-
macy agreement, aged care reforms, primary
health networks and potential changes to the
private health insurance rebate provide the right
climate to transform pharmacies into true health
destinations.”
For more articles visit NCAH.com.au
Working remote as a physiotherapist
Melbourne-trained physiotherapist Rob
Curry wanted a bush lifestyle - one far away
from the daily grind of the commute to work at
a metropolitan physiotherapy practice.
“I was interested in the bush and a rural life,
as a philosophical approach rather than living
in a city and all of the things that that entails,”
he says.
Rob ventured to Port Lincoln in South Aus-
tralia and had a brief stint working in Queens-
land before moving to Darwin in late 1983.
Rob went on to spend 30 years working
in the Northern Territory, mostly practising as
a physiotherapist in Aboriginal com-
munities outside of Darwin.
“I liked Darwin straight
away,” he says.
“I worked several
years at the Royal
Darwin Hospital and
then in about 1990
I took the remote
physio job working
in Aboriginal com-
munities.
“I did that for
about a decade, travel-
ling from Darwin to remote
communities like Maningrida,
Tiwi Islands, Oenpelli - those
sorts of places.
“That was a �ying job really - lots of �ying
in light aircraft or driving 4WD vehicles and oc-
casionally boats to get to places.”
Rob was the only physiotherapist for about
14,000 people living in remote communities.
He would visit the larger communities every
few months, spending a few days in each area,
prioritising his practise and focusing on aged
care and disability care.
“As a physio it was a bit frustrating really
because I would have liked to have worked
more on the sports injuries of the people out
there because remote Aboriginal people play a
lot of footy and a lot of sport,” he says.
“The main problems were people with dis-
abilities and people who had strokes or lost
limbs or who had other major injuries or ill-
nesses.
“They were the things I really had to priori-
tise as being the things that would either mean
that people would end up in hospital, either if
they didn’t get some physiotherapeutic input or
sometimes people would pass away
because they had lacked inde-
pendent movement.
“They would get pres-
sure sores or chest in-
fections or something
like that and ultimate-
ly end up in hospital
or pass away.
“Disabled kids
was a real focus -
kids who have had
head injuries or men-
ingitis or some other de-
velopmental problem.
“They were really the pri-
ority health issues - it meant peo-
ple could either stay living in the com-
munity or would have to go to hospital or go
to some sort of institution or aged care facility
in Darwin.”
Rob recalls treating and assisting an older
Aboriginal woman with arthritis and deformities
as a result of leprosy, who found it incredibly
dif�cult to walk.
Rob worked with a clinic in Darwin to devel-
op and trial a motorised buggy for the woman.
“She needed one that could get across
sand reasonably easy because it was quite
sandy where she lived,” he says.
“She was a beautiful old woman and it was
worth working with her on that.
“Eventually we did get the buggy devel-
oped but there were always issues with it in a
remote community of keeping it going but she
really appreciated those efforts, and it gave her
a lot more independence for the time that she
had the buggy before she passed away.”
While working as a physiotherapist in re-
mote communities came with its challenges,
Rob says he loved the country, the people and
especially the freedom that came with the role.
Professionally, Rob developed a cross-
cultural and multidisciplinary approach to his
practise.
The experience also sparked Rob’s inter-
est in the philosophy and practise of primary
health care.
Rob, who went on to complete a Graduate
Diploma in Aboriginal Studies and a Masters in
Primary Health Care, left physiotherapy to work
in management and public health roles in Abo-
riginal health in the Territory.
He worked for the Tiwi Health Board and
then with the Aboriginal Medical Services Alli-
ance of the Northern Territory (AMSANT).
Over the years, Rob has been a board mem-
ber of the Australian Physiotherapy Association
(APA) and the National Rural Health Alliance.
Rob is an inaugural member and current
vice president of Services for Australian Rural
and Remote Allied Health (SARRAH).
While Rob is semi-retired, lives on the mid-
north coast of New South Wales and no longer
practises physiotherapy, he remains passionate
about models of rural allied health practice, mul-
ti-disciplinary primary health care, and health
workforce issues.
Working remote as a physiotherapist was
not only incredibly enriching - the experience
shaped Rob’s entire career.
“I worked in amazing parts of Australia,
was stimulated by that and was working in a
different culture with different sets of rules
and different ways people live their lives and I
found that incredibly stimulating but challeng-
ing also,” he says.
Rob advises students to take up opportu-
nities to experience remote placements, and
says physiotherapists who are prepared to go
bush won’t look back.
“I think if you do plan it, it can be a really
exciting part of your life,” he says.
“If you go into it with your eyes wide open,
prepare and make sure you don’t get isolated
professionally, then I think it’s a great experi-
ence for people and would really encourage it.”
Rob’s tips for physiotherapists working remote:
1. Maintain your professional skills. Rob ad-
vises physiotherapists to plan their profes-
sional development. “Don’t just roll along and
let it happen,” he says. “In remote areas you
might get away a bit from your speci�c clinical
practice and you get into other roles, you de-
velop services, you advocate for services, you
do a lot of multidisciplinary work, but you might
actually back off your speci�c work like spinal
work or musculoskeletal work. Keep your pro-
fessional development skills up.”
2 . Make connections. Physiotherapists may
be working remotely but can connect with other
professionals in different physiotherapy �elds.
“Keep your connections with them so that you
can update your knowledge and check your
knowledge,” Rob says. “Otherwise you can
get professionally a bit isolated or lose touch
a bit. It’s a really full working life but it’s not so
clinically focused as say urban practice is. You
need to be wary of that.”
For the full article visit NCAH.com.au
SA pharmacists to administer vaccinations
South Australian pharmacists are the lat-
est to receive the green light to administer flu
vaccinations.
State Health Minister Jack Snelling has
announced pharmacists will be able to ad-
minister the flu vaccine when it becomes
available in late March.
The move follows the success of last
year’s Queensland Pharmacist Immunisation
Project (QPIP) which delivered about 11,000
vaccinations.
The Western Australian government has
also allowed pharmacists to deliver the influ-
enza vaccine and a parliamentary inquiry has
recommended establishing a pharmacy im-
munisation trial in Victoria.
Under the South Australian initiative,
pharmacists will be able to vaccinate adults
over the age of 16 who are not already eligi-
ble for a free flu shot as part of the National
Immunisation Program.
Pharmacists wanting to administer flu
vaccines will undergo training to be equipped
with the knowledge and skills needed to not
only deliver the vaccine but to also be able to
identify and treat any possible side effects.
SA Health will also need to accredit any
participating pharmacies, which will receive
an audit every two years in line with pharma-
cy industry standards.
Last year, South Australia reported its
highest number of influenza cases on record
with more than 11,000 cases - exceeding the
2009 swine flu epidemic.
“Allowing pharmacists to directly admin-
ister the flu shot will encourage a greater up-
take of the vaccine in 2015,” Mr Snelling said
in a statement.
“Having as many people as possible vac-
cinated against influenza each year will go a
long way towards creating a healthier com-
munity and helping to reduce the additional
burden on the health system.”
Pharmacy Guild of Australia SA Branch
president Nick Panayiaris said the move will
make it easier for people to receive the flu
shot.
“The availability of vaccination by phar-
macists in rural areas will greatly assist the
community’s access to protection against in-
fluenza, where previously they may have not
had accessibility,” he said.
“South Australian pharmacists have al-
ways been a trusted source of health services
and advice, and vaccination will now become
another service pharmacists will take on and
perform professionally for the benefit of the
community.”
While pharmacists have been unable to
provide vaccines until the Queensland trial,
community pharmacy groups have been us-
ing nurse immunisers in a bid to introduce
their own flu vaccination programs.
The QPIP moved into phase two last
September, with more than 200 pharmacists
across the state able to deliver whooping
cough and measles vaccines.
Pharmacists provide vaccinations in the
United Kingdom, New Zealand, Canada and
the United States.
By Karen Keast
For more articles visit NCAH.com.au
CYAN MAGENTA YELLOW BLACK
Page 18 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 15
Page 16 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 17
501-011 1/2PG FULL COLOUR CMYK PDF
Current Vacancies
YOU CAN MAKE A DIFFERENCE
For over 100 years Silver Chain has been changing and improving lives, today we are one of the largest community health and are providers in Western Australia (WA). The Country Services Division provides a range of support services including Nursing, Allied Health, Domestic Assistance and much more.
The current vacancies in Country Services are:Albany - Physiotherapist, Registered Nurse and Therapy AssistantBeacon - Remote Area NurseHyden - Remote Area Nurse Practitioner (Full Time, with on-call requirementsNortham - Nurse PractitionerPilbara - Case Co-ordinatorShark Bay - Remote Area Nurse Practitioner (Part Time, with on-call requirements)Western Australia - Remote Area Nurse
If you’re passionate, dedicated and want to make a difference to Australian communities then visit silverchaincareers.org.au today.
501- 010 1PG FULL COLOUR CMYK PDF
Where are all the midwives? You are a rare breed and Outback Australia is calling (actually, it’s screaming) your name!
Thinking of going bush? Dreaming of red dusty plains, rugged landscapes & exquisite remote beaches? Dream no more. Your 2015 outback adventure starts HERE!
Nurse at Call is seeking registered midwives for short and long term contracts in various rural, remote and coastal locations throughout outback Australia.
Minimum requirements:
We offer you:
Ongoing support and personalised service by an experienced family focused organisation
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 �nish. We pride ourselves on putting YOU �rst.
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
MIDWIVESWanted for Outback Australia!
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
(ED or ICU)
The successful candidate will receive a comprehensive two-week orientation, generous salary and salary packaging
if necessary.Applications close: Ongoing in 2014/15
Flight Nurses Western Australia
For futher information: Paul Ingram (08) 9417 6300 [email protected]
Live your passion.Be part of a proud Australian tradition.>
Working remote as a physiotherapist
Melbourne-trained physiotherapist Rob
Curry wanted a bush lifestyle - one far away
from the daily grind of the commute to work at
a metropolitan physiotherapy practice.
“I was interested in the bush and a rural life,
as a philosophical approach rather than living
in a city and all of the things that that entails,”
he says.
Rob ventured to Port Lincoln in South Aus-
tralia and had a brief stint working in Queens-
land before moving to Darwin in late 1983.
Rob went on to spend 30 years working
in the Northern Territory, mostly practising as
a physiotherapist in Aboriginal com-
munities outside of Darwin.
“I liked Darwin straight
away,” he says.
“I worked several
years at the Royal
Darwin Hospital and
then in about 1990
I took the remote
physio job working
in Aboriginal com-
munities.
“I did that for
about a decade, travel-
ling from Darwin to remote
communities like Maningrida,
Tiwi Islands, Oenpelli - those
sorts of places.
“That was a �ying job really - lots of �ying
in light aircraft or driving 4WD vehicles and oc-
casionally boats to get to places.”
Rob was the only physiotherapist for about
14,000 people living in remote communities.
He would visit the larger communities every
few months, spending a few days in each area,
prioritising his practise and focusing on aged
care and disability care.
“As a physio it was a bit frustrating really
because I would have liked to have worked
more on the sports injuries of the people out
there because remote Aboriginal people play a
lot of footy and a lot of sport,” he says.
“The main problems were people with dis-
abilities and people who had strokes or lost
limbs or who had other major injuries or ill-
nesses.
“They were the things I really had to priori-
tise as being the things that would either mean
that people would end up in hospital, either if
they didn’t get some physiotherapeutic input or
sometimes people would pass away
because they had lacked inde-
pendent movement.
“They would get pres-
sure sores or chest in-
fections or something
like that and ultimate-
ly end up in hospital
or pass away.
“Disabled kids
was a real focus -
kids who have had
head injuries or men-
ingitis or some other de-
velopmental problem.
“They were really the pri-
ority health issues - it meant peo-
ple could either stay living in the com-
munity or would have to go to hospital or go
to some sort of institution or aged care facility
in Darwin.”
Rob recalls treating and assisting an older
Aboriginal woman with arthritis and deformities
as a result of leprosy, who found it incredibly
dif�cult to walk.
Rob worked with a clinic in Darwin to devel-
op and trial a motorised buggy for the woman.
“She needed one that could get across
sand reasonably easy because it was quite
sandy where she lived,” he says.
“She was a beautiful old woman and it was
worth working with her on that.
“Eventually we did get the buggy devel-
oped but there were always issues with it in a
remote community of keeping it going but she
really appreciated those efforts, and it gave her
a lot more independence for the time that she
had the buggy before she passed away.”
While working as a physiotherapist in re-
mote communities came with its challenges,
Rob says he loved the country, the people and
especially the freedom that came with the role.
Professionally, Rob developed a cross-
cultural and multidisciplinary approach to his
practise.
The experience also sparked Rob’s inter-
est in the philosophy and practise of primary
health care.
Rob, who went on to complete a Graduate
Diploma in Aboriginal Studies and a Masters in
Primary Health Care, left physiotherapy to work
in management and public health roles in Abo-
riginal health in the Territory.
He worked for the Tiwi Health Board and
then with the Aboriginal Medical Services Alli-
ance of the Northern Territory (AMSANT).
Over the years, Rob has been a board mem-
ber of the Australian Physiotherapy Association
(APA) and the National Rural Health Alliance.
Rob is an inaugural member and current
vice president of Services for Australian Rural
and Remote Allied Health (SARRAH).
While Rob is semi-retired, lives on the mid-
north coast of New South Wales and no longer
practises physiotherapy, he remains passionate
about models of rural allied health practice, mul-
ti-disciplinary primary health care, and health
workforce issues.
Working remote as a physiotherapist was
not only incredibly enriching - the experience
shaped Rob’s entire career.
“I worked in amazing parts of Australia,
was stimulated by that and was working in a
different culture with different sets of rules
and different ways people live their lives and I
found that incredibly stimulating but challeng-
ing also,” he says.
Rob advises students to take up opportu-
nities to experience remote placements, and
says physiotherapists who are prepared to go
bush won’t look back.
“I think if you do plan it, it can be a really
exciting part of your life,” he says.
“If you go into it with your eyes wide open,
prepare and make sure you don’t get isolated
professionally, then I think it’s a great experi-
ence for people and would really encourage it.”
Rob’s tips for physiotherapists working remote:
1. Maintain your professional skills. Rob ad-
vises physiotherapists to plan their profes-
sional development. “Don’t just roll along and
let it happen,” he says. “In remote areas you
might get away a bit from your speci�c clinical
practice and you get into other roles, you de-
velop services, you advocate for services, you
do a lot of multidisciplinary work, but you might
actually back off your speci�c work like spinal
work or musculoskeletal work. Keep your pro-
fessional development skills up.”
2 . Make connections. Physiotherapists may
be working remotely but can connect with other
professionals in different physiotherapy �elds.
“Keep your connections with them so that you
can update your knowledge and check your
knowledge,” Rob says. “Otherwise you can
get professionally a bit isolated or lose touch
a bit. It’s a really full working life but it’s not so
clinically focused as say urban practice is. You
need to be wary of that.”
For the full article visit NCAH.com.au
501-013 1/2PG FULL COLOUR CMYK PDF
Are you keen to utilise ALL of your nursing skills?
Opportunities exist for suitably qualified Nurses to join the Royal Flying Doctor Service, Central Operations in Adelaide. Working in a diverse, fulfilling and rewarding environment, RFDS nurses are at the forefront in delivery of aeromedical health services.
We are seeking registered nurses with General and Midwifery Nursing Certificates, currently registered with the Australian Health Practitioner Regulation Agency. You will also have comprehensive experience and/or post graduate qualifications in a critical care area, together with high level customer service skills and a professional approach to service delivery.
If you are keen to progress your career with an organisation that makes a real difference to all Australians, apply now.Please direct your confidential enquiries to Greg McHugh Ph: (08)8150 1313Applications to: Kate Guerin, HR Coordinator RFDS Central OperationsPO Box 381 Marleston DC SA 5033 Email: [email protected] Royal Flying Doctor Service Is An Equal Opportunity Employer
1318-025 1/2PG FULL COLOUR CMYK (typeset)SEE WA IN A DAYFlight nurses positions Regional bases Come and enjoy this exciting role with one of the largest areomedical services in Australia, providing a range of emergency services and primary health care to the state of Western Australia. Our operations are ever evolving and we are seeking Expressions of Interest from suitably skilled and motivated Registered Nurse / Midwives wanting to join our dynamic fl ight nurse teams at our regional bases within Western Australia.The role of a Flight Nurse is fun, rewarding and challenging while valuing team work and independent practice. If you are registered with AHPRA as a registered nurse and midwife, have 3-5 years post grad experience in emergency or critical care and great communication skills RFDS Western Operations may have the role for you.A comprehensive 2 week orientation, generous salary and salary packaging benefi ts, assistance with relocation and subsidised rental and utility costs along with district loadings and gratuities are some of the incentives offered to the successful candidates.If you are seeking the opportunity to work in all our locations within WA, Derby, Jandakot, Meekatharra, Kalgoorlie and Port Hedland and would like to know more about being a fl ight nurse contact Gabrielle West, Director of Nursing on (08) 9417 6300. The RFDS are open to a 6 month plus fl ight nurse contract for applicants seeking employment with the RFDS.Information on positions can be obtained from Rosemary Hunt, by phoning (08) 9417 6300 during offi ce hours or send your e-mail request to [email protected] date for applications is Monday 6th February 2012.
BlazeS052637
HEALTH SERVICES
PROGRAM MANAGER
The RFDS is an Equal Opportunity Employer
417-024 1/2PG FULL COLOUR CMYK PDF
Flight NursesAre you keen to utilise ALL of your nursing skills?
Opportunities exist for suitably qualified Nurses to join the Royal Flying Doctor Service, Central Operations in Adelaide. Working in a diverse, fulfilling and rewarding environment, RFDS nurses are at the forefront in delivery of aeromedical health services.
We are seeking registered nurses with both General and Midwifery Nursing Certificates, currently registered with the Australian Health Practitioner Regulation Agency. You will also have comprehensive experience and/or post graduate qualifications in a critical care area, together with high level customer service skills and a professional approach to service delivery.
If you are keen to progress your career with an organisation that makes a real difference to all Australians, apply now.Please direct your confidential enquiries to Greg McHugh Ph: (08) 8150 1313Applications to: Kate Guerin, HR Coordinator RFDS Central OperationsPO Box 381 Marleston DC SA 5033 Email: [email protected] The Royal Flying Doctor Service is an Equal Opportunity Employer
CYAN MAGENTA YELLOW BLACK
Page 18 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 15
Page 16 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 17
501-011 1/2PG FULL COLOUR CMYK PDF
Current Vacancies
YOU CAN MAKE A DIFFERENCE
For over 100 years Silver Chain has been changing and improving lives, today we are one of the largest community health and are providers in Western Australia (WA). The Country Services Division provides a range of support services including Nursing, Allied Health, Domestic Assistance and much more.
The current vacancies in Country Services are:Albany - Physiotherapist, Registered Nurse and Therapy AssistantBeacon - Remote Area NurseHyden - Remote Area Nurse Practitioner (Full Time, with on-call requirementsNortham - Nurse PractitionerPilbara - Case Co-ordinatorShark Bay - Remote Area Nurse Practitioner (Part Time, with on-call requirements)Western Australia - Remote Area Nurse
If you’re passionate, dedicated and want to make a difference to Australian communities then visit silverchaincareers.org.au today.
501- 010 1PG FULL COLOUR CMYK PDF
Where are all the midwives? You are a rare breed and Outback Australia is calling (actually, it’s screaming) your name!
Thinking of going bush? Dreaming of red dusty plains, rugged landscapes & exquisite remote beaches? Dream no more. Your 2015 outback adventure starts HERE!
Nurse at Call is seeking registered midwives for short and long term contracts in various rural, remote and coastal locations throughout outback Australia.
Minimum requirements:
We offer you:
Ongoing support and personalised service by an experienced family focused organisation
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 �nish. We pride ourselves on putting YOU �rst.
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
MIDWIVESWanted for Outback Australia!
501-005 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
(ED or ICU)
The successful candidate will receive a comprehensive two-week orientation, generous salary and salary packaging
if necessary.Applications close: Ongoing in 2014/15
Flight Nurses Western Australia
For futher information: Paul Ingram (08) 9417 6300 [email protected]
Live your passion.Be part of a proud Australian tradition.>
Working remote as a physiotherapist
Melbourne-trained physiotherapist Rob
Curry wanted a bush lifestyle - one far away
from the daily grind of the commute to work at
a metropolitan physiotherapy practice.
“I was interested in the bush and a rural life,
as a philosophical approach rather than living
in a city and all of the things that that entails,”
he says.
Rob ventured to Port Lincoln in South Aus-
tralia and had a brief stint working in Queens-
land before moving to Darwin in late 1983.
Rob went on to spend 30 years working
in the Northern Territory, mostly practising as
a physiotherapist in Aboriginal com-
munities outside of Darwin.
“I liked Darwin straight
away,” he says.
“I worked several
years at the Royal
Darwin Hospital and
then in about 1990
I took the remote
physio job working
in Aboriginal com-
munities.
“I did that for
about a decade, travel-
ling from Darwin to remote
communities like Maningrida,
Tiwi Islands, Oenpelli - those
sorts of places.
“That was a �ying job really - lots of �ying
in light aircraft or driving 4WD vehicles and oc-
casionally boats to get to places.”
Rob was the only physiotherapist for about
14,000 people living in remote communities.
He would visit the larger communities every
few months, spending a few days in each area,
prioritising his practise and focusing on aged
care and disability care.
“As a physio it was a bit frustrating really
because I would have liked to have worked
more on the sports injuries of the people out
there because remote Aboriginal people play a
lot of footy and a lot of sport,” he says.
“The main problems were people with dis-
abilities and people who had strokes or lost
limbs or who had other major injuries or ill-
nesses.
“They were the things I really had to priori-
tise as being the things that would either mean
that people would end up in hospital, either if
they didn’t get some physiotherapeutic input or
sometimes people would pass away
because they had lacked inde-
pendent movement.
“They would get pres-
sure sores or chest in-
fections or something
like that and ultimate-
ly end up in hospital
or pass away.
“Disabled kids
was a real focus -
kids who have had
head injuries or men-
ingitis or some other de-
velopmental problem.
“They were really the pri-
ority health issues - it meant peo-
ple could either stay living in the com-
munity or would have to go to hospital or go
to some sort of institution or aged care facility
in Darwin.”
Rob recalls treating and assisting an older
Aboriginal woman with arthritis and deformities
as a result of leprosy, who found it incredibly
dif�cult to walk.
Rob worked with a clinic in Darwin to devel-
op and trial a motorised buggy for the woman.
“She needed one that could get across
sand reasonably easy because it was quite
sandy where she lived,” he says.
“She was a beautiful old woman and it was
worth working with her on that.
“Eventually we did get the buggy devel-
oped but there were always issues with it in a
remote community of keeping it going but she
really appreciated those efforts, and it gave her
a lot more independence for the time that she
had the buggy before she passed away.”
While working as a physiotherapist in re-
mote communities came with its challenges,
Rob says he loved the country, the people and
especially the freedom that came with the role.
Professionally, Rob developed a cross-
cultural and multidisciplinary approach to his
practise.
The experience also sparked Rob’s inter-
est in the philosophy and practise of primary
health care.
Rob, who went on to complete a Graduate
Diploma in Aboriginal Studies and a Masters in
Primary Health Care, left physiotherapy to work
in management and public health roles in Abo-
riginal health in the Territory.
He worked for the Tiwi Health Board and
then with the Aboriginal Medical Services Alli-
ance of the Northern Territory (AMSANT).
Over the years, Rob has been a board mem-
ber of the Australian Physiotherapy Association
(APA) and the National Rural Health Alliance.
Rob is an inaugural member and current
vice president of Services for Australian Rural
and Remote Allied Health (SARRAH).
While Rob is semi-retired, lives on the mid-
north coast of New South Wales and no longer
practises physiotherapy, he remains passionate
about models of rural allied health practice, mul-
ti-disciplinary primary health care, and health
workforce issues.
Working remote as a physiotherapist was
not only incredibly enriching - the experience
shaped Rob’s entire career.
“I worked in amazing parts of Australia,
was stimulated by that and was working in a
different culture with different sets of rules
and different ways people live their lives and I
found that incredibly stimulating but challeng-
ing also,” he says.
Rob advises students to take up opportu-
nities to experience remote placements, and
says physiotherapists who are prepared to go
bush won’t look back.
“I think if you do plan it, it can be a really
exciting part of your life,” he says.
“If you go into it with your eyes wide open,
prepare and make sure you don’t get isolated
professionally, then I think it’s a great experi-
ence for people and would really encourage it.”
Rob’s tips for physiotherapists working remote:
1. Maintain your professional skills. Rob ad-
vises physiotherapists to plan their profes-
sional development. “Don’t just roll along and
let it happen,” he says. “In remote areas you
might get away a bit from your speci�c clinical
practice and you get into other roles, you de-
velop services, you advocate for services, you
do a lot of multidisciplinary work, but you might
actually back off your speci�c work like spinal
work or musculoskeletal work. Keep your pro-
fessional development skills up.”
2 . Make connections. Physiotherapists may
be working remotely but can connect with other
professionals in different physiotherapy �elds.
“Keep your connections with them so that you
can update your knowledge and check your
knowledge,” Rob says. “Otherwise you can
get professionally a bit isolated or lose touch
a bit. It’s a really full working life but it’s not so
clinically focused as say urban practice is. You
need to be wary of that.”
For the full article visit NCAH.com.au
501-013 1/2PG FULL COLOUR CMYK PDF
Are you keen to utilise ALL of your nursing skills?
Opportunities exist for suitably qualified Nurses to join the Royal Flying Doctor Service, Central Operations in Adelaide. Working in a diverse, fulfilling and rewarding environment, RFDS nurses are at the forefront in delivery of aeromedical health services.
We are seeking registered nurses with General and Midwifery Nursing Certificates, currently registered with the Australian Health Practitioner Regulation Agency. You will also have comprehensive experience and/or post graduate qualifications in a critical care area, together with high level customer service skills and a professional approach to service delivery.
If you are keen to progress your career with an organisation that makes a real difference to all Australians, apply now.Please direct your confidential enquiries to Greg McHugh Ph: (08)8150 1313Applications to: Kate Guerin, HR Coordinator RFDS Central OperationsPO Box 381 Marleston DC SA 5033 Email: [email protected] Royal Flying Doctor Service Is An Equal Opportunity Employer
1318-025 1/2PG FULL COLOUR CMYK (typeset)SEE WA IN A DAYFlight nurses positions Regional bases Come and enjoy this exciting role with one of the largest areomedical services in Australia, providing a range of emergency services and primary health care to the state of Western Australia. Our operations are ever evolving and we are seeking Expressions of Interest from suitably skilled and motivated Registered Nurse / Midwives wanting to join our dynamic fl ight nurse teams at our regional bases within Western Australia.The role of a Flight Nurse is fun, rewarding and challenging while valuing team work and independent practice. If you are registered with AHPRA as a registered nurse and midwife, have 3-5 years post grad experience in emergency or critical care and great communication skills RFDS Western Operations may have the role for you.A comprehensive 2 week orientation, generous salary and salary packaging benefi ts, assistance with relocation and subsidised rental and utility costs along with district loadings and gratuities are some of the incentives offered to the successful candidates.If you are seeking the opportunity to work in all our locations within WA, Derby, Jandakot, Meekatharra, Kalgoorlie and Port Hedland and would like to know more about being a fl ight nurse contact Gabrielle West, Director of Nursing on (08) 9417 6300. The RFDS are open to a 6 month plus fl ight nurse contract for applicants seeking employment with the RFDS.Information on positions can be obtained from Rosemary Hunt, by phoning (08) 9417 6300 during offi ce hours or send your e-mail request to [email protected] date for applications is Monday 6th February 2012.
BlazeS052637
HEALTH SERVICES
PROGRAM MANAGER
The RFDS is an Equal Opportunity Employer
417-024 1/2PG FULL COLOUR CMYK PDF
Flight NursesAre you keen to utilise ALL of your nursing skills?
Opportunities exist for suitably qualified Nurses to join the Royal Flying Doctor Service, Central Operations in Adelaide. Working in a diverse, fulfilling and rewarding environment, RFDS nurses are at the forefront in delivery of aeromedical health services.
We are seeking registered nurses with both General and Midwifery Nursing Certificates, currently registered with the Australian Health Practitioner Regulation Agency. You will also have comprehensive experience and/or post graduate qualifications in a critical care area, together with high level customer service skills and a professional approach to service delivery.
If you are keen to progress your career with an organisation that makes a real difference to all Australians, apply now.Please direct your confidential enquiries to Greg McHugh Ph: (08) 8150 1313Applications to: Kate Guerin, HR Coordinator RFDS Central OperationsPO Box 381 Marleston DC SA 5033 Email: [email protected] The Royal Flying Doctor Service is an Equal Opportunity Employer
CYAN MAGENTA YELLOW BLACK
Page 18 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 15
Page 16 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 17
501-011 1/2PG FULL COLOUR CMYK PDF
Current Vacancies
YOU CAN MAKE A DIFFERENCE
For over 100 years Silver Chain has been changing and improving lives, today we are one of the largest community health and are providers in Western Australia (WA). The Country Services Division provides a range of support services including Nursing, Allied Health, Domestic Assistance and much more.
The current vacancies in Country Services are:Albany - Physiotherapist, Registered Nurse and Therapy AssistantBeacon - Remote Area NurseHyden - Remote Area Nurse Practitioner (Full Time, with on-call requirementsNortham - Nurse PractitionerPilbara - Case Co-ordinatorShark Bay - Remote Area Nurse Practitioner (Part Time, with on-call requirements)Western Australia - Remote Area Nurse
If you’re passionate, dedicated and want to make a difference to Australian communities then visit silverchaincareers.org.au today.
501- 010 1PG FULL COLOUR CMYK PDF
Where are all the midwives? You are a rare breed and Outback Australia is calling (actually, it’s screaming) your name!
Thinking of going bush? Dreaming of red dusty plains, rugged landscapes & exquisite remote beaches? Dream no more. Your 2015 outback adventure starts HERE!
Nurse at Call is seeking registered midwives for short and long term contracts in various rural, remote and coastal locations throughout outback Australia.
Minimum requirements:
We offer you:
Ongoing support and personalised service by an experienced family focused organisation
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 �nish. We pride ourselves on putting YOU �rst.
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
MIDWIVESWanted for Outback Australia!
501-005 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
(ED or ICU)
The successful candidate will receive a comprehensive two-week orientation, generous salary and salary packaging
if necessary.Applications close: Ongoing in 2014/15
Flight Nurses Western Australia
For futher information: Paul Ingram (08) 9417 6300 [email protected]
Live your passion.Be part of a proud Australian tradition.>
Working remote as a physiotherapist
Melbourne-trained physiotherapist Rob
Curry wanted a bush lifestyle - one far away
from the daily grind of the commute to work at
a metropolitan physiotherapy practice.
“I was interested in the bush and a rural life,
as a philosophical approach rather than living
in a city and all of the things that that entails,”
he says.
Rob ventured to Port Lincoln in South Aus-
tralia and had a brief stint working in Queens-
land before moving to Darwin in late 1983.
Rob went on to spend 30 years working
in the Northern Territory, mostly practising as
a physiotherapist in Aboriginal com-
munities outside of Darwin.
“I liked Darwin straight
away,” he says.
“I worked several
years at the Royal
Darwin Hospital and
then in about 1990
I took the remote
physio job working
in Aboriginal com-
munities.
“I did that for
about a decade, travel-
ling from Darwin to remote
communities like Maningrida,
Tiwi Islands, Oenpelli - those
sorts of places.
“That was a �ying job really - lots of �ying
in light aircraft or driving 4WD vehicles and oc-
casionally boats to get to places.”
Rob was the only physiotherapist for about
14,000 people living in remote communities.
He would visit the larger communities every
few months, spending a few days in each area,
prioritising his practise and focusing on aged
care and disability care.
“As a physio it was a bit frustrating really
because I would have liked to have worked
more on the sports injuries of the people out
there because remote Aboriginal people play a
lot of footy and a lot of sport,” he says.
“The main problems were people with dis-
abilities and people who had strokes or lost
limbs or who had other major injuries or ill-
nesses.
“They were the things I really had to priori-
tise as being the things that would either mean
that people would end up in hospital, either if
they didn’t get some physiotherapeutic input or
sometimes people would pass away
because they had lacked inde-
pendent movement.
“They would get pres-
sure sores or chest in-
fections or something
like that and ultimate-
ly end up in hospital
or pass away.
“Disabled kids
was a real focus -
kids who have had
head injuries or men-
ingitis or some other de-
velopmental problem.
“They were really the pri-
ority health issues - it meant peo-
ple could either stay living in the com-
munity or would have to go to hospital or go
to some sort of institution or aged care facility
in Darwin.”
Rob recalls treating and assisting an older
Aboriginal woman with arthritis and deformities
as a result of leprosy, who found it incredibly
dif�cult to walk.
Rob worked with a clinic in Darwin to devel-
op and trial a motorised buggy for the woman.
“She needed one that could get across
sand reasonably easy because it was quite
sandy where she lived,” he says.
“She was a beautiful old woman and it was
worth working with her on that.
“Eventually we did get the buggy devel-
oped but there were always issues with it in a
remote community of keeping it going but she
really appreciated those efforts, and it gave her
a lot more independence for the time that she
had the buggy before she passed away.”
While working as a physiotherapist in re-
mote communities came with its challenges,
Rob says he loved the country, the people and
especially the freedom that came with the role.
Professionally, Rob developed a cross-
cultural and multidisciplinary approach to his
practise.
The experience also sparked Rob’s inter-
est in the philosophy and practise of primary
health care.
Rob, who went on to complete a Graduate
Diploma in Aboriginal Studies and a Masters in
Primary Health Care, left physiotherapy to work
in management and public health roles in Abo-
riginal health in the Territory.
He worked for the Tiwi Health Board and
then with the Aboriginal Medical Services Alli-
ance of the Northern Territory (AMSANT).
Over the years, Rob has been a board mem-
ber of the Australian Physiotherapy Association
(APA) and the National Rural Health Alliance.
Rob is an inaugural member and current
vice president of Services for Australian Rural
and Remote Allied Health (SARRAH).
While Rob is semi-retired, lives on the mid-
north coast of New South Wales and no longer
practises physiotherapy, he remains passionate
about models of rural allied health practice, mul-
ti-disciplinary primary health care, and health
workforce issues.
Working remote as a physiotherapist was
not only incredibly enriching - the experience
shaped Rob’s entire career.
“I worked in amazing parts of Australia,
was stimulated by that and was working in a
different culture with different sets of rules
and different ways people live their lives and I
found that incredibly stimulating but challeng-
ing also,” he says.
Rob advises students to take up opportu-
nities to experience remote placements, and
says physiotherapists who are prepared to go
bush won’t look back.
“I think if you do plan it, it can be a really
exciting part of your life,” he says.
“If you go into it with your eyes wide open,
prepare and make sure you don’t get isolated
professionally, then I think it’s a great experi-
ence for people and would really encourage it.”
Rob’s tips for physiotherapists working remote:
1. Maintain your professional skills. Rob ad-
vises physiotherapists to plan their profes-
sional development. “Don’t just roll along and
let it happen,” he says. “In remote areas you
might get away a bit from your speci�c clinical
practice and you get into other roles, you de-
velop services, you advocate for services, you
do a lot of multidisciplinary work, but you might
actually back off your speci�c work like spinal
work or musculoskeletal work. Keep your pro-
fessional development skills up.”
2 . Make connections. Physiotherapists may
be working remotely but can connect with other
professionals in different physiotherapy �elds.
“Keep your connections with them so that you
can update your knowledge and check your
knowledge,” Rob says. “Otherwise you can
get professionally a bit isolated or lose touch
a bit. It’s a really full working life but it’s not so
clinically focused as say urban practice is. You
need to be wary of that.”
For the full article visit NCAH.com.au
501-013 1/2PG FULL COLOUR CMYK PDF
Are you keen to utilise ALL of your nursing skills?
Opportunities exist for suitably qualified Nurses to join the Royal Flying Doctor Service, Central Operations in Adelaide. Working in a diverse, fulfilling and rewarding environment, RFDS nurses are at the forefront in delivery of aeromedical health services.
We are seeking registered nurses with General and Midwifery Nursing Certificates, currently registered with the Australian Health Practitioner Regulation Agency. You will also have comprehensive experience and/or post graduate qualifications in a critical care area, together with high level customer service skills and a professional approach to service delivery.
If you are keen to progress your career with an organisation that makes a real difference to all Australians, apply now.Please direct your confidential enquiries to Greg McHugh Ph: (08)8150 1313Applications to: Kate Guerin, HR Coordinator RFDS Central OperationsPO Box 381 Marleston DC SA 5033 Email: [email protected] Royal Flying Doctor Service Is An Equal Opportunity Employer
1318-025 1/2PG FULL COLOUR CMYK (typeset)SEE WA IN A DAYFlight nurses positions Regional bases Come and enjoy this exciting role with one of the largest areomedical services in Australia, providing a range of emergency services and primary health care to the state of Western Australia. Our operations are ever evolving and we are seeking Expressions of Interest from suitably skilled and motivated Registered Nurse / Midwives wanting to join our dynamic fl ight nurse teams at our regional bases within Western Australia.The role of a Flight Nurse is fun, rewarding and challenging while valuing team work and independent practice. If you are registered with AHPRA as a registered nurse and midwife, have 3-5 years post grad experience in emergency or critical care and great communication skills RFDS Western Operations may have the role for you.A comprehensive 2 week orientation, generous salary and salary packaging benefi ts, assistance with relocation and subsidised rental and utility costs along with district loadings and gratuities are some of the incentives offered to the successful candidates.If you are seeking the opportunity to work in all our locations within WA, Derby, Jandakot, Meekatharra, Kalgoorlie and Port Hedland and would like to know more about being a fl ight nurse contact Gabrielle West, Director of Nursing on (08) 9417 6300. The RFDS are open to a 6 month plus fl ight nurse contract for applicants seeking employment with the RFDS.Information on positions can be obtained from Rosemary Hunt, by phoning (08) 9417 6300 during offi ce hours or send your e-mail request to [email protected] date for applications is Monday 6th February 2012.
BlazeS052637
HEALTH SERVICES
PROGRAM MANAGER
The RFDS is an Equal Opportunity Employer
417-024 1/2PG FULL COLOUR CMYK PDF
Flight NursesAre you keen to utilise ALL of your nursing skills?
Opportunities exist for suitably qualified Nurses to join the Royal Flying Doctor Service, Central Operations in Adelaide. Working in a diverse, fulfilling and rewarding environment, RFDS nurses are at the forefront in delivery of aeromedical health services.
We are seeking registered nurses with both General and Midwifery Nursing Certificates, currently registered with the Australian Health Practitioner Regulation Agency. You will also have comprehensive experience and/or post graduate qualifications in a critical care area, together with high level customer service skills and a professional approach to service delivery.
If you are keen to progress your career with an organisation that makes a real difference to all Australians, apply now.Please direct your confidential enquiries to Greg McHugh Ph: (08) 8150 1313Applications to: Kate Guerin, HR Coordinator RFDS Central OperationsPO Box 381 Marleston DC SA 5033 Email: [email protected] The Royal Flying Doctor Service is an Equal Opportunity Employer
CYAN MAGENTA YELLOW BLACK
Page 18 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 15
Page 16 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 17
501-011 1/2PG FULL COLOUR CMYK PDF
Current Vacancies
YOU CAN MAKE A DIFFERENCE
For over 100 years Silver Chain has been changing and improving lives, today we are one of the largest community health and are providers in Western Australia (WA). The Country Services Division provides a range of support services including Nursing, Allied Health, Domestic Assistance and much more.
The current vacancies in Country Services are:Albany - Physiotherapist, Registered Nurse and Therapy AssistantBeacon - Remote Area NurseHyden - Remote Area Nurse Practitioner (Full Time, with on-call requirementsNortham - Nurse PractitionerPilbara - Case Co-ordinatorShark Bay - Remote Area Nurse Practitioner (Part Time, with on-call requirements)Western Australia - Remote Area Nurse
If you’re passionate, dedicated and want to make a difference to Australian communities then visit silverchaincareers.org.au today.
501- 010 1PG FULL COLOUR CMYK PDF
Where are all the midwives? You are a rare breed and Outback Australia is calling (actually, it’s screaming) your name!
Thinking of going bush? Dreaming of red dusty plains, rugged landscapes & exquisite remote beaches? Dream no more. Your 2015 outback adventure starts HERE!
Nurse at Call is seeking registered midwives for short and long term contracts in various rural, remote and coastal locations throughout outback Australia.
Minimum requirements:
We offer you:
Ongoing support and personalised service by an experienced family focused organisation
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 �nish. We pride ourselves on putting YOU �rst.
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
MIDWIVESWanted for Outback Australia!
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
(ED or ICU)
The successful candidate will receive a comprehensive two-week orientation, generous salary and salary packaging
if necessary.Applications close: Ongoing in 2014/15
Flight Nurses Western Australia
For futher information: Paul Ingram (08) 9417 6300 [email protected]
Live your passion.Be part of a proud Australian tradition.>
Working remote as a physiotherapist
Melbourne-trained physiotherapist Rob
Curry wanted a bush lifestyle - one far away
from the daily grind of the commute to work at
a metropolitan physiotherapy practice.
“I was interested in the bush and a rural life,
as a philosophical approach rather than living
in a city and all of the things that that entails,”
he says.
Rob ventured to Port Lincoln in South Aus-
tralia and had a brief stint working in Queens-
land before moving to Darwin in late 1983.
Rob went on to spend 30 years working
in the Northern Territory, mostly practising as
a physiotherapist in Aboriginal com-
munities outside of Darwin.
“I liked Darwin straight
away,” he says.
“I worked several
years at the Royal
Darwin Hospital and
then in about 1990
I took the remote
physio job working
in Aboriginal com-
munities.
“I did that for
about a decade, travel-
ling from Darwin to remote
communities like Maningrida,
Tiwi Islands, Oenpelli - those
sorts of places.
“That was a �ying job really - lots of �ying
in light aircraft or driving 4WD vehicles and oc-
casionally boats to get to places.”
Rob was the only physiotherapist for about
14,000 people living in remote communities.
He would visit the larger communities every
few months, spending a few days in each area,
prioritising his practise and focusing on aged
care and disability care.
“As a physio it was a bit frustrating really
because I would have liked to have worked
more on the sports injuries of the people out
there because remote Aboriginal people play a
lot of footy and a lot of sport,” he says.
“The main problems were people with dis-
abilities and people who had strokes or lost
limbs or who had other major injuries or ill-
nesses.
“They were the things I really had to priori-
tise as being the things that would either mean
that people would end up in hospital, either if
they didn’t get some physiotherapeutic input or
sometimes people would pass away
because they had lacked inde-
pendent movement.
“They would get pres-
sure sores or chest in-
fections or something
like that and ultimate-
ly end up in hospital
or pass away.
“Disabled kids
was a real focus -
kids who have had
head injuries or men-
ingitis or some other de-
velopmental problem.
“They were really the pri-
ority health issues - it meant peo-
ple could either stay living in the com-
munity or would have to go to hospital or go
to some sort of institution or aged care facility
in Darwin.”
Rob recalls treating and assisting an older
Aboriginal woman with arthritis and deformities
as a result of leprosy, who found it incredibly
dif�cult to walk.
Rob worked with a clinic in Darwin to devel-
op and trial a motorised buggy for the woman.
“She needed one that could get across
sand reasonably easy because it was quite
sandy where she lived,” he says.
“She was a beautiful old woman and it was
worth working with her on that.
“Eventually we did get the buggy devel-
oped but there were always issues with it in a
remote community of keeping it going but she
really appreciated those efforts, and it gave her
a lot more independence for the time that she
had the buggy before she passed away.”
While working as a physiotherapist in re-
mote communities came with its challenges,
Rob says he loved the country, the people and
especially the freedom that came with the role.
Professionally, Rob developed a cross-
cultural and multidisciplinary approach to his
practise.
The experience also sparked Rob’s inter-
est in the philosophy and practise of primary
health care.
Rob, who went on to complete a Graduate
Diploma in Aboriginal Studies and a Masters in
Primary Health Care, left physiotherapy to work
in management and public health roles in Abo-
riginal health in the Territory.
He worked for the Tiwi Health Board and
then with the Aboriginal Medical Services Alli-
ance of the Northern Territory (AMSANT).
Over the years, Rob has been a board mem-
ber of the Australian Physiotherapy Association
(APA) and the National Rural Health Alliance.
Rob is an inaugural member and current
vice president of Services for Australian Rural
and Remote Allied Health (SARRAH).
While Rob is semi-retired, lives on the mid-
north coast of New South Wales and no longer
practises physiotherapy, he remains passionate
about models of rural allied health practice, mul-
ti-disciplinary primary health care, and health
workforce issues.
Working remote as a physiotherapist was
not only incredibly enriching - the experience
shaped Rob’s entire career.
“I worked in amazing parts of Australia,
was stimulated by that and was working in a
different culture with different sets of rules
and different ways people live their lives and I
found that incredibly stimulating but challeng-
ing also,” he says.
Rob advises students to take up opportu-
nities to experience remote placements, and
says physiotherapists who are prepared to go
bush won’t look back.
“I think if you do plan it, it can be a really
exciting part of your life,” he says.
“If you go into it with your eyes wide open,
prepare and make sure you don’t get isolated
professionally, then I think it’s a great experi-
ence for people and would really encourage it.”
Rob’s tips for physiotherapists working remote:
1. Maintain your professional skills. Rob ad-
vises physiotherapists to plan their profes-
sional development. “Don’t just roll along and
let it happen,” he says. “In remote areas you
might get away a bit from your speci�c clinical
practice and you get into other roles, you de-
velop services, you advocate for services, you
do a lot of multidisciplinary work, but you might
actually back off your speci�c work like spinal
work or musculoskeletal work. Keep your pro-
fessional development skills up.”
2 . Make connections. Physiotherapists may
be working remotely but can connect with other
professionals in different physiotherapy �elds.
“Keep your connections with them so that you
can update your knowledge and check your
knowledge,” Rob says. “Otherwise you can
get professionally a bit isolated or lose touch
a bit. It’s a really full working life but it’s not so
clinically focused as say urban practice is. You
need to be wary of that.”
For the full article visit NCAH.com.au
501-013 1/2PG FULL COLOUR CMYK PDF
Are you keen to utilise ALL of your nursing skills?
Opportunities exist for suitably qualified Nurses to join the Royal Flying Doctor Service, Central Operations in Adelaide. Working in a diverse, fulfilling and rewarding environment, RFDS nurses are at the forefront in delivery of aeromedical health services.
We are seeking registered nurses with General and Midwifery Nursing Certificates, currently registered with the Australian Health Practitioner Regulation Agency. You will also have comprehensive experience and/or post graduate qualifications in a critical care area, together with high level customer service skills and a professional approach to service delivery.
If you are keen to progress your career with an organisation that makes a real difference to all Australians, apply now.Please direct your confidential enquiries to Greg McHugh Ph: (08)8150 1313Applications to: Kate Guerin, HR Coordinator RFDS Central OperationsPO Box 381 Marleston DC SA 5033 Email: [email protected] Royal Flying Doctor Service Is An Equal Opportunity Employer
1318-025 1/2PG FULL COLOUR CMYK (typeset)SEE WA IN A DAYFlight nurses positions Regional bases Come and enjoy this exciting role with one of the largest areomedical services in Australia, providing a range of emergency services and primary health care to the state of Western Australia. Our operations are ever evolving and we are seeking Expressions of Interest from suitably skilled and motivated Registered Nurse / Midwives wanting to join our dynamic fl ight nurse teams at our regional bases within Western Australia.The role of a Flight Nurse is fun, rewarding and challenging while valuing team work and independent practice. If you are registered with AHPRA as a registered nurse and midwife, have 3-5 years post grad experience in emergency or critical care and great communication skills RFDS Western Operations may have the role for you.A comprehensive 2 week orientation, generous salary and salary packaging benefi ts, assistance with relocation and subsidised rental and utility costs along with district loadings and gratuities are some of the incentives offered to the successful candidates.If you are seeking the opportunity to work in all our locations within WA, Derby, Jandakot, Meekatharra, Kalgoorlie and Port Hedland and would like to know more about being a fl ight nurse contact Gabrielle West, Director of Nursing on (08) 9417 6300. The RFDS are open to a 6 month plus fl ight nurse contract for applicants seeking employment with the RFDS.Information on positions can be obtained from Rosemary Hunt, by phoning (08) 9417 6300 during offi ce hours or send your e-mail request to [email protected] date for applications is Monday 6th February 2012.
BlazeS052637
HEALTH SERVICES
PROGRAM MANAGER
The RFDS is an Equal Opportunity Employer
417-024 1/2PG FULL COLOUR CMYK PDF
Flight NursesAre you keen to utilise ALL of your nursing skills?
Opportunities exist for suitably qualified Nurses to join the Royal Flying Doctor Service, Central Operations in Adelaide. Working in a diverse, fulfilling and rewarding environment, RFDS nurses are at the forefront in delivery of aeromedical health services.
We are seeking registered nurses with both General and Midwifery Nursing Certificates, currently registered with the Australian Health Practitioner Regulation Agency. You will also have comprehensive experience and/or post graduate qualifications in a critical care area, together with high level customer service skills and a professional approach to service delivery.
If you are keen to progress your career with an organisation that makes a real difference to all Australians, apply now.Please direct your confidential enquiries to Greg McHugh Ph: (08) 8150 1313Applications to: Kate Guerin, HR Coordinator RFDS Central OperationsPO Box 381 Marleston DC SA 5033 Email: [email protected] The Royal Flying Doctor Service is an Equal Opportunity Employer
CYAN MAGENTA YELLOW BLACK
Page 22 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 11
Page 14 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 19
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Pharmacies - the right medicine for Medicare?By Karen Keast
Community pharmacists equipped to provide
vaccinations, basic health checks, mental
health support, repeat prescriptions and treat mi-
nor ailments could be the remedy to Australia’s
rising health care costs.
The Pharmacy Guild of Australia says en-
hanced services at the nation’s 5450 community
pharmacies will deliver a more affordable and ac-
cessible health system.
The call comes after Health Minister Sussan
Ley recently vowed to consult with health profes-
sionals on reforms designed to make Medicare
more sustainable.
The Guild says pharmacists could provide
repeat prescriptions for stable, long term condi-
tions such as diabetes and high blood pressure.
Pharmacists could also dispense medicines
to treat a range of minor ailments such as urinary
tract infections, middle ear infections and minor
skin irritations, which make up about 26 million
GP consultations every year.
Trained community pharmacists could ad-
minister the �u and other vaccinations, through
the National Immunisation Program for at-risk
patient groups, and provide vaccines privately for
the wider population.
Under a trial, Queensland pharmacies are
delivering the in�uenza, whooping cough and
measles vaccines, while Western Australian and
South Australian pharmacists were also recently
given the green light to administer the �u vaccine.
The Guild proposes pharmacies could also
provide a systematic approach to medicines rec-
onciliation.
It argues post hospital and transitional care
medicine reconciliation support will address the
230,000 medicine-related hospital admissions
annually, that comes with a $1.2 billion price tag.
Pharmacies could deliver basic health
checks, risk assessments, lifestyle counselling,
support and referrals alongside initial screening
for diseases such as bowel cancer.
“This increased role in preventative health
and early intervention will help identify at-risk pa-
tients earlier and, with the necessary follow-up,
have the potential to reduce the prevalence of
expensive, chronic health conditions,” it states.
The Guild says pharmacists with the ap-
propriate quali�cations and training could also
provide early intervention, support, referral and
continuity of care for people with mental illness.
The Guild national president George Tambass-
is said community pharmacies in Australia have
already proven their ability to provide enhanced
medication support, diabetes services, asthma
management and blood pressure monitoring.
“The outstanding success of the recent �u
vaccination pilot in Queensland is the latest ex-
ample of how pharmacies can deliver high quality
and more convenient and cost-effective services
to patients,” he said.
“However, Australia is lagging many other
countries in terms of making the most effective
use of its highly accessible physical pharmacy
network and the skills of its pharmacist profes-
sion, working in close collaboration with doctors
and other health professionals.
“The government’s Medicare reforms, com-
bined with the upcoming new community phar-
macy agreement, aged care reforms, primary
health networks and potential changes to the
private health insurance rebate provide the right
climate to transform pharmacies into true health
destinations.”
For more articles visit NCAH.com.au
Working remote as a physiotherapist
Melbourne-trained physiotherapist Rob
Curry wanted a bush lifestyle - one far away
from the daily grind of the commute to work at
a metropolitan physiotherapy practice.
“I was interested in the bush and a rural life,
as a philosophical approach rather than living
in a city and all of the things that that entails,”
he says.
Rob ventured to Port Lincoln in South Aus-
tralia and had a brief stint working in Queens-
land before moving to Darwin in late 1983.
Rob went on to spend 30 years working
in the Northern Territory, mostly practising as
a physiotherapist in Aboriginal com-
munities outside of Darwin.
“I liked Darwin straight
away,” he says.
“I worked several
years at the Royal
Darwin Hospital and
then in about 1990
I took the remote
physio job working
in Aboriginal com-
munities.
“I did that for
about a decade, travel-
ling from Darwin to remote
communities like Maningrida,
Tiwi Islands, Oenpelli - those
sorts of places.
“That was a �ying job really - lots of �ying
in light aircraft or driving 4WD vehicles and oc-
casionally boats to get to places.”
Rob was the only physiotherapist for about
14,000 people living in remote communities.
He would visit the larger communities every
few months, spending a few days in each area,
prioritising his practise and focusing on aged
care and disability care.
“As a physio it was a bit frustrating really
because I would have liked to have worked
more on the sports injuries of the people out
there because remote Aboriginal people play a
lot of footy and a lot of sport,” he says.
“The main problems were people with dis-
abilities and people who had strokes or lost
limbs or who had other major injuries or ill-
nesses.
“They were the things I really had to priori-
tise as being the things that would either mean
that people would end up in hospital, either if
they didn’t get some physiotherapeutic input or
sometimes people would pass away
because they had lacked inde-
pendent movement.
“They would get pres-
sure sores or chest in-
fections or something
like that and ultimate-
ly end up in hospital
or pass away.
“Disabled kids
was a real focus -
kids who have had
head injuries or men-
ingitis or some other de-
velopmental problem.
“They were really the pri-
ority health issues - it meant peo-
ple could either stay living in the com-
munity or would have to go to hospital or go
to some sort of institution or aged care facility
in Darwin.”
Rob recalls treating and assisting an older
Aboriginal woman with arthritis and deformities
as a result of leprosy, who found it incredibly
dif�cult to walk.
Rob worked with a clinic in Darwin to devel-
op and trial a motorised buggy for the woman.
“She needed one that could get across
sand reasonably easy because it was quite
sandy where she lived,” he says.
“She was a beautiful old woman and it was
worth working with her on that.
“Eventually we did get the buggy devel-
oped but there were always issues with it in a
remote community of keeping it going but she
really appreciated those efforts, and it gave her
a lot more independence for the time that she
had the buggy before she passed away.”
While working as a physiotherapist in re-
mote communities came with its challenges,
Rob says he loved the country, the people and
especially the freedom that came with the role.
Professionally, Rob developed a cross-
cultural and multidisciplinary approach to his
practise.
The experience also sparked Rob’s inter-
est in the philosophy and practise of primary
health care.
Rob, who went on to complete a Graduate
Diploma in Aboriginal Studies and a Masters in
Primary Health Care, left physiotherapy to work
in management and public health roles in Abo-
riginal health in the Territory.
He worked for the Tiwi Health Board and
then with the Aboriginal Medical Services Alli-
ance of the Northern Territory (AMSANT).
Over the years, Rob has been a board mem-
ber of the Australian Physiotherapy Association
(APA) and the National Rural Health Alliance.
Rob is an inaugural member and current
vice president of Services for Australian Rural
and Remote Allied Health (SARRAH).
While Rob is semi-retired, lives on the mid-
north coast of New South Wales and no longer
practises physiotherapy, he remains passionate
about models of rural allied health practice, mul-
ti-disciplinary primary health care, and health
workforce issues.
Working remote as a physiotherapist was
not only incredibly enriching - the experience
shaped Rob’s entire career.
“I worked in amazing parts of Australia,
was stimulated by that and was working in a
different culture with different sets of rules
and different ways people live their lives and I
found that incredibly stimulating but challeng-
ing also,” he says.
Rob advises students to take up opportu-
nities to experience remote placements, and
says physiotherapists who are prepared to go
bush won’t look back.
“I think if you do plan it, it can be a really
exciting part of your life,” he says.
“If you go into it with your eyes wide open,
prepare and make sure you don’t get isolated
professionally, then I think it’s a great experi-
ence for people and would really encourage it.”
Rob’s tips for physiotherapists working remote:
1. Maintain your professional skills. Rob ad-
vises physiotherapists to plan their profes-
sional development. “Don’t just roll along and
let it happen,” he says. “In remote areas you
might get away a bit from your speci�c clinical
practice and you get into other roles, you de-
velop services, you advocate for services, you
do a lot of multidisciplinary work, but you might
actually back off your speci�c work like spinal
work or musculoskeletal work. Keep your pro-
fessional development skills up.”
2 . Make connections. Physiotherapists may
be working remotely but can connect with other
professionals in different physiotherapy �elds.
“Keep your connections with them so that you
can update your knowledge and check your
knowledge,” Rob says. “Otherwise you can
get professionally a bit isolated or lose touch
a bit. It’s a really full working life but it’s not so
clinically focused as say urban practice is. You
need to be wary of that.”
For the full article visit NCAH.com.au
SA pharmacists to administer vaccinations
South Australian pharmacists are the lat-
est to receive the green light to administer flu
vaccinations.
State Health Minister Jack Snelling has
announced pharmacists will be able to ad-
minister the flu vaccine when it becomes
available in late March.
The move follows the success of last
year’s Queensland Pharmacist Immunisation
Project (QPIP) which delivered about 11,000
vaccinations.
The Western Australian government has
also allowed pharmacists to deliver the influ-
enza vaccine and a parliamentary inquiry has
recommended establishing a pharmacy im-
munisation trial in Victoria.
Under the South Australian initiative,
pharmacists will be able to vaccinate adults
over the age of 16 who are not already eligi-
ble for a free flu shot as part of the National
Immunisation Program.
Pharmacists wanting to administer flu
vaccines will undergo training to be equipped
with the knowledge and skills needed to not
only deliver the vaccine but to also be able to
identify and treat any possible side effects.
SA Health will also need to accredit any
participating pharmacies, which will receive
an audit every two years in line with pharma-
cy industry standards.
Last year, South Australia reported its
highest number of influenza cases on record
with more than 11,000 cases - exceeding the
2009 swine flu epidemic.
“Allowing pharmacists to directly admin-
ister the flu shot will encourage a greater up-
take of the vaccine in 2015,” Mr Snelling said
in a statement.
“Having as many people as possible vac-
cinated against influenza each year will go a
long way towards creating a healthier com-
munity and helping to reduce the additional
burden on the health system.”
Pharmacy Guild of Australia SA Branch
president Nick Panayiaris said the move will
make it easier for people to receive the flu
shot.
“The availability of vaccination by phar-
macists in rural areas will greatly assist the
community’s access to protection against in-
fluenza, where previously they may have not
had accessibility,” he said.
“South Australian pharmacists have al-
ways been a trusted source of health services
and advice, and vaccination will now become
another service pharmacists will take on and
perform professionally for the benefit of the
community.”
While pharmacists have been unable to
provide vaccines until the Queensland trial,
community pharmacy groups have been us-
ing nurse immunisers in a bid to introduce
their own flu vaccination programs.
The QPIP moved into phase two last
September, with more than 200 pharmacists
across the state able to deliver whooping
cough and measles vaccines.
Pharmacists provide vaccinations in the
United Kingdom, New Zealand, Canada and
the United States.
By Karen Keast
For more articles visit NCAH.com.au
CYAN MAGENTA YELLOW BLACK
Page 20 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 13
Page 12 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 21
Labor pledges nurse to patient ratios for Queensland
Queensland will legislate nurse to patient
ratios under a Labor state government.
Opposition leader Annastacia Palaszczuk
has pledged to legislate safe patient ratios in
public hospitals if Labor wins the January 31
election.
Under its Nursing Guarantee policy, La-
bor will fund an extra 400 nursing positions at
a cost of $110 million over four years.
The policy also outlines a plan to estab-
lish a benchmark ratio of one nurse per four
patients in acute wards during day shifts and
one nurse to eight patients overnight, as a
starting point for this year’s new EB9 enter-
prise agreement with nurses and midwives.
Labor will also legislate in its first term
for safe nurse to patient ratios and workload
provisions to ensure patient safety and qual-
ity health care.
Ms Palaszczuk said Labor will rebuild
health services slashed under the Newman
Government, which cut more than 4800 posi-
tions from hospitals and health services in-
cluding about 1800 full-time equivalent nurs-
ing and midwifery positions.
She said evidence showed mandated
nurse to patient ratios improved quality of
care and resulted in better health outcomes
for patients, reduced re-admission rates and
reduced post-operative mortality rates.
“The additional cost of ensuring appropri-
ate nurse bedside hours is recouped through
the reduced costs of better service delivery
and better patient outcomes,” she said.
Queensland Nurses’ Union (QNU) acting
secretary Des Elder said no legislation cur-
rently exists to govern how many patients
can be allocated to a single nurse or midwife.
“A commitment to install safe nurse to
patient ratios provides a ray of sunshine af-
ter three bleak years of hospital and health
service job cuts in Queensland,” he said.
“The nurses and midwives who have survived the LNP health cull have told us they are overworked, fearful for patient safety, tired and demoralised.
“The ALP’s announcement they will in-
troduce nurse ratio legislation if elected will
no doubt brighten their day.”
The newly elected Labor government in
Victoria has also vowed to enshrine nurse to
patient ratios in legislation.
The Queensland announcement comes
after renowned US patient safety researcher
Dr Linda Aiken visited the state in December
to discuss her research, which shows nurse
staffing levels contribute to a ‘seven-fold
difference’ in patient mortality rates between
hospitals.
As part of its nursing policy announce-
ment, Labor has pledged to create a Queens-
land Bureau of Health Statistics to publicly
report key indicators of public and private
hospitals and health services, and it will also
review the role of the Health Ombudsman.
Health Minister Lawrence Springborg
said the government has already pledged
another 2000 health workers.
By Karen Keast
For more articles visit NCAH.com.au
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Make the dream of becoming a doctor a reality,earn your MD at Oceania University of Medicine.
�Attractive fee structure for our Graduate Entry Program.�Over 150 students currently enrolled and over 50 graduates
in Australia, New Zealand, Samoa and USA.�Home-based Pre-Clinical Study under top international
medical school scholars, using world leading Pre-Clinical,24/7 online delivery techniques.
�Clinical Rotations can be performed locally, Interstate or Internationally.
�Receive personalised attention from an Academic Advisor.�OUM Graduates are eligible to sit the AMC exam or NZREX.
OCEANIA UNIVERSITY OF MEDICINEFor information visit or 1300 665 343
RNtoMD
Nurses applaud move to abandon Medicare rebate cut
The Australian Nursing and Midwifery Fed-
eration (ANMF) has applauded the Federal
Government’s decision to dump plans to cut
the Medicare rebate for short GP visits.
New Health Minister Sussan Ley has an-
nounced the move to cut $20.10 from the re-
bate paid to GPs for consultations lasting less
than 10 minutes, due to take effect on January
19, will be taken off the table.
“The government is responding to con-
cerns that have been raised about the new
Medicare measure to improve patient care and
tackle the problem of ‘six minute medicine’,”
she said.
“The government is committed to encour-
aging doctors to spend more time with patients
where appropriate, whilst ensuring that taxpay-
ers’ dollars are effectively targeted.”
ANMF acting federal secretary Annie Butler
labelled it a “common sense decision”.
“As nurses and midwives, we were ex-
tremely worried that these proposed changes
would result in doctors passing on more out of
pockets costs on to their patients,” she said.
“We are now calling on Minister Ley to
consult with the ANMF and other health pro-
fessionals about how we can work together to
protect Medicare and the future sustainability
of Australia’s universal healthcare system.”
In a statement, Ms Ley said Medicare will
not survive in the long term without changes
“to make it sustainable”.
“In the last decade, spending on Medicare
has more than doubled from $8 billion in 2004
to $20 billion today, yet we raise only $10 billion
from the Medicare levy,” she said.
“Spending is projected to climb to $34 bil-
lion in the next decade to 2024.”
Meanwhile, the Australian Physiotherapy As-
sociation (APA) has put forward an alternative
Medicare reform solution.
The APA has reissued its call for physiothera-
pists to be able to refer patients directly to special-
ists with a Medicare rebate.
APA CEO Cris Massis said the proposal will
reap $13 million in savings a year.
“The government’s said it will consult with the
healthcare community for a sustainable plan - our
solution is to enable physiotherapists to refer pa-
tients direct to specialists,” he said.
“It will lead to immediate and significant lasting changes that will benefit patients and our health care system. It’s a simple reform that could save the Medicare Ben-efits Scheme millions.”
The APA has included the proposal in its
2015-16 pre-budget submission.
It estimates the move will reduce the number
of GP visits by about 737,000 a year and increase
specialist medical practitioner consultations by
55,521.
“The training and skills of physiotherapists
mean that they are capable and well quali�ed to
refer their clients to the right medical practitioner,”
the submission states.
The Australian Medical Association (AMA)
said the government’s decision to ditch the rebate
cut is a win for patients.
By Karen Keast
For more articles visit NCAH.com.au
NC-501-028 1/2PG FULL COLOUR CMYK PDF
IMMUNISATION NURSES WANTED 2015 Flu Season
Preferable:
Health & Fitness Recruitment Australia - www.hfrecruitment.com.au
CYAN MAGENTA YELLOW BLACK
Page 20 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 13
Page 12 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 21
Labor pledges nurse to patient ratios for Queensland
Queensland will legislate nurse to patient
ratios under a Labor state government.
Opposition leader Annastacia Palaszczuk
has pledged to legislate safe patient ratios in
public hospitals if Labor wins the January 31
election.
Under its Nursing Guarantee policy, La-
bor will fund an extra 400 nursing positions at
a cost of $110 million over four years.
The policy also outlines a plan to estab-
lish a benchmark ratio of one nurse per four
patients in acute wards during day shifts and
one nurse to eight patients overnight, as a
starting point for this year’s new EB9 enter-
prise agreement with nurses and midwives.
Labor will also legislate in its first term
for safe nurse to patient ratios and workload
provisions to ensure patient safety and qual-
ity health care.
Ms Palaszczuk said Labor will rebuild
health services slashed under the Newman
Government, which cut more than 4800 posi-
tions from hospitals and health services in-
cluding about 1800 full-time equivalent nurs-
ing and midwifery positions.
She said evidence showed mandated
nurse to patient ratios improved quality of
care and resulted in better health outcomes
for patients, reduced re-admission rates and
reduced post-operative mortality rates.
“The additional cost of ensuring appropri-
ate nurse bedside hours is recouped through
the reduced costs of better service delivery
and better patient outcomes,” she said.
Queensland Nurses’ Union (QNU) acting
secretary Des Elder said no legislation cur-
rently exists to govern how many patients
can be allocated to a single nurse or midwife.
“A commitment to install safe nurse to
patient ratios provides a ray of sunshine af-
ter three bleak years of hospital and health
service job cuts in Queensland,” he said.
“The nurses and midwives who have survived the LNP health cull have told us they are overworked, fearful for patient safety, tired and demoralised.
“The ALP’s announcement they will in-
troduce nurse ratio legislation if elected will
no doubt brighten their day.”
The newly elected Labor government in
Victoria has also vowed to enshrine nurse to
patient ratios in legislation.
The Queensland announcement comes
after renowned US patient safety researcher
Dr Linda Aiken visited the state in December
to discuss her research, which shows nurse
staffing levels contribute to a ‘seven-fold
difference’ in patient mortality rates between
hospitals.
As part of its nursing policy announce-
ment, Labor has pledged to create a Queens-
land Bureau of Health Statistics to publicly
report key indicators of public and private
hospitals and health services, and it will also
review the role of the Health Ombudsman.
Health Minister Lawrence Springborg
said the government has already pledged
another 2000 health workers.
By Karen Keast
For more articles visit NCAH.com.au
501-025 1PG FULL COLOUR CMYK PDF
501-027 1/2PG FULL COLOUR CMYK PDF424-002 1/2PG FULL COLOUR CMYK PDF423-001 1/2PG FULL COLOUR CMYK PDF422-002 1/2PG FULL COLOUR CMYK PDF421-001 1/2PG FULL COLOUR CMYK PDF420-002 1/2PG FULL COLOUR CMYK PDF419-001 1/2PG FULL COLOUR CMYK PDF418-001 1/2PG FULL COLOUR CMYK PDF417-002 1/2PG FULL COLOUR CMYK PDF416-001 1/2PG FULL COLOUR CMYK PDF
Make the dream of becoming a doctor a reality,earn your MD at Oceania University of Medicine.
� Attractive fee structure for our Graduate Entry Program.� Over 150 students currently enrolled and over 50 graduates
in Australia, New Zealand, Samoa and USA.� Home-based Pre-Clinical Study under top international
medical school scholars, using world leading Pre-Clinical,24/7 online delivery techniques.
� Clinical Rotations can be performed locally, Interstate or Internationally.
� Receive personalised attention from an Academic Advisor.� OUM Graduates are eligible to sit the AMC exam or NZREX.
OCEANIA UNIVERSITY OF MEDICINEFor information visit or 1300 665 343
RN to MD
Nurses applaud move to abandon Medicare rebate cut
The Australian Nursing and Midwifery Fed-
eration (ANMF) has applauded the Federal
Government’s decision to dump plans to cut
the Medicare rebate for short GP visits.
New Health Minister Sussan Ley has an-
nounced the move to cut $20.10 from the re-
bate paid to GPs for consultations lasting less
than 10 minutes, due to take effect on January
19, will be taken off the table.
“The government is responding to con-
cerns that have been raised about the new
Medicare measure to improve patient care and
tackle the problem of ‘six minute medicine’,”
she said.
“The government is committed to encour-
aging doctors to spend more time with patients
where appropriate, whilst ensuring that taxpay-
ers’ dollars are effectively targeted.”
ANMF acting federal secretary Annie Butler
labelled it a “common sense decision”.
“As nurses and midwives, we were ex-
tremely worried that these proposed changes
would result in doctors passing on more out of
pockets costs on to their patients,” she said.
“We are now calling on Minister Ley to
consult with the ANMF and other health pro-
fessionals about how we can work together to
protect Medicare and the future sustainability
of Australia’s universal healthcare system.”
In a statement, Ms Ley said Medicare will
not survive in the long term without changes
“to make it sustainable”.
“In the last decade, spending on Medicare
has more than doubled from $8 billion in 2004
to $20 billion today, yet we raise only $10 billion
from the Medicare levy,” she said.
“Spending is projected to climb to $34 bil-
lion in the next decade to 2024.”
Meanwhile, the Australian Physiotherapy As-
sociation (APA) has put forward an alternative
Medicare reform solution.
The APA has reissued its call for physiothera-
pists to be able to refer patients directly to special-
ists with a Medicare rebate.
APA CEO Cris Massis said the proposal will
reap $13 million in savings a year.
“The government’s said it will consult with the
healthcare community for a sustainable plan - our
solution is to enable physiotherapists to refer pa-
tients direct to specialists,” he said.
“It will lead to immediate and significant lasting changes that will benefit patients and our health care system. It’s a simple reform that could save the Medicare Ben-efits Scheme millions.”
The APA has included the proposal in its
2015-16 pre-budget submission.
It estimates the move will reduce the number
of GP visits by about 737,000 a year and increase
specialist medical practitioner consultations by
55,521.
“The training and skills of physiotherapists
mean that they are capable and well quali�ed to
refer their clients to the right medical practitioner,”
the submission states.
The Australian Medical Association (AMA)
said the government’s decision to ditch the rebate
cut is a win for patients.
By Karen Keast
For more articles visit NCAH.com.au
NC-501-028 1/2PG FULL COLOUR CMYK PDF
IMMUNISATION NURSES WANTED 2015 Flu Season
Preferable:
Health & Fitness Recruitment Australia - www.hfrecruitment.com.au
CYAN MAGENTA YELLOW BLACK
Page 22 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 11
Page 14 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 19
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Pharmacies - the right medicine for Medicare?By Karen Keast
Community pharmacists equipped to provide
vaccinations, basic health checks, mental
health support, repeat prescriptions and treat mi-
nor ailments could be the remedy to Australia’s
rising health care costs.
The Pharmacy Guild of Australia says en-
hanced services at the nation’s 5450 community
pharmacies will deliver a more affordable and ac-
cessible health system.
The call comes after Health Minister Sussan
Ley recently vowed to consult with health profes-
sionals on reforms designed to make Medicare
more sustainable.
The Guild says pharmacists could provide
repeat prescriptions for stable, long term condi-
tions such as diabetes and high blood pressure.
Pharmacists could also dispense medicines
to treat a range of minor ailments such as urinary
tract infections, middle ear infections and minor
skin irritations, which make up about 26 million
GP consultations every year.
Trained community pharmacists could ad-
minister the �u and other vaccinations, through
the National Immunisation Program for at-risk
patient groups, and provide vaccines privately for
the wider population.
Under a trial, Queensland pharmacies are
delivering the in�uenza, whooping cough and
measles vaccines, while Western Australian and
South Australian pharmacists were also recently
given the green light to administer the �u vaccine.
The Guild proposes pharmacies could also
provide a systematic approach to medicines rec-
onciliation.
It argues post hospital and transitional care
medicine reconciliation support will address the
230,000 medicine-related hospital admissions
annually, that comes with a $1.2 billion price tag.
Pharmacies could deliver basic health
checks, risk assessments, lifestyle counselling,
support and referrals alongside initial screening
for diseases such as bowel cancer.
“This increased role in preventative health
and early intervention will help identify at-risk pa-
tients earlier and, with the necessary follow-up,
have the potential to reduce the prevalence of
expensive, chronic health conditions,” it states.
The Guild says pharmacists with the ap-
propriate quali�cations and training could also
provide early intervention, support, referral and
continuity of care for people with mental illness.
The Guild national president George Tambass-
is said community pharmacies in Australia have
already proven their ability to provide enhanced
medication support, diabetes services, asthma
management and blood pressure monitoring.
“The outstanding success of the recent �u
vaccination pilot in Queensland is the latest ex-
ample of how pharmacies can deliver high quality
and more convenient and cost-effective services
to patients,” he said.
“However, Australia is lagging many other
countries in terms of making the most effective
use of its highly accessible physical pharmacy
network and the skills of its pharmacist profes-
sion, working in close collaboration with doctors
and other health professionals.
“The government’s Medicare reforms, com-
bined with the upcoming new community phar-
macy agreement, aged care reforms, primary
health networks and potential changes to the
private health insurance rebate provide the right
climate to transform pharmacies into true health
destinations.”
For more articles visit NCAH.com.au
Working remote as a physiotherapist
Melbourne-trained physiotherapist Rob
Curry wanted a bush lifestyle - one far away
from the daily grind of the commute to work at
a metropolitan physiotherapy practice.
“I was interested in the bush and a rural life,
as a philosophical approach rather than living
in a city and all of the things that that entails,”
he says.
Rob ventured to Port Lincoln in South Aus-
tralia and had a brief stint working in Queens-
land before moving to Darwin in late 1983.
Rob went on to spend 30 years working
in the Northern Territory, mostly practising as
a physiotherapist in Aboriginal com-
munities outside of Darwin.
“I liked Darwin straight
away,” he says.
“I worked several
years at the Royal
Darwin Hospital and
then in about 1990
I took the remote
physio job working
in Aboriginal com-
munities.
“I did that for
about a decade, travel-
ling from Darwin to remote
communities like Maningrida,
Tiwi Islands, Oenpelli - those
sorts of places.
“That was a �ying job really - lots of �ying
in light aircraft or driving 4WD vehicles and oc-
casionally boats to get to places.”
Rob was the only physiotherapist for about
14,000 people living in remote communities.
He would visit the larger communities every
few months, spending a few days in each area,
prioritising his practise and focusing on aged
care and disability care.
“As a physio it was a bit frustrating really
because I would have liked to have worked
more on the sports injuries of the people out
there because remote Aboriginal people play a
lot of footy and a lot of sport,” he says.
“The main problems were people with dis-
abilities and people who had strokes or lost
limbs or who had other major injuries or ill-
nesses.
“They were the things I really had to priori-
tise as being the things that would either mean
that people would end up in hospital, either if
they didn’t get some physiotherapeutic input or
sometimes people would pass away
because they had lacked inde-
pendent movement.
“They would get pres-
sure sores or chest in-
fections or something
like that and ultimate-
ly end up in hospital
or pass away.
“Disabled kids
was a real focus -
kids who have had
head injuries or men-
ingitis or some other de-
velopmental problem.
“They were really the pri-
ority health issues - it meant peo-
ple could either stay living in the com-
munity or would have to go to hospital or go
to some sort of institution or aged care facility
in Darwin.”
Rob recalls treating and assisting an older
Aboriginal woman with arthritis and deformities
as a result of leprosy, who found it incredibly
dif�cult to walk.
Rob worked with a clinic in Darwin to devel-
op and trial a motorised buggy for the woman.
“She needed one that could get across
sand reasonably easy because it was quite
sandy where she lived,” he says.
“She was a beautiful old woman and it was
worth working with her on that.
“Eventually we did get the buggy devel-
oped but there were always issues with it in a
remote community of keeping it going but she
really appreciated those efforts, and it gave her
a lot more independence for the time that she
had the buggy before she passed away.”
While working as a physiotherapist in re-
mote communities came with its challenges,
Rob says he loved the country, the people and
especially the freedom that came with the role.
Professionally, Rob developed a cross-
cultural and multidisciplinary approach to his
practise.
The experience also sparked Rob’s inter-
est in the philosophy and practise of primary
health care.
Rob, who went on to complete a Graduate
Diploma in Aboriginal Studies and a Masters in
Primary Health Care, left physiotherapy to work
in management and public health roles in Abo-
riginal health in the Territory.
He worked for the Tiwi Health Board and
then with the Aboriginal Medical Services Alli-
ance of the Northern Territory (AMSANT).
Over the years, Rob has been a board mem-
ber of the Australian Physiotherapy Association
(APA) and the National Rural Health Alliance.
Rob is an inaugural member and current
vice president of Services for Australian Rural
and Remote Allied Health (SARRAH).
While Rob is semi-retired, lives on the mid-
north coast of New South Wales and no longer
practises physiotherapy, he remains passionate
about models of rural allied health practice, mul-
ti-disciplinary primary health care, and health
workforce issues.
Working remote as a physiotherapist was
not only incredibly enriching - the experience
shaped Rob’s entire career.
“I worked in amazing parts of Australia,
was stimulated by that and was working in a
different culture with different sets of rules
and different ways people live their lives and I
found that incredibly stimulating but challeng-
ing also,” he says.
Rob advises students to take up opportu-
nities to experience remote placements, and
says physiotherapists who are prepared to go
bush won’t look back.
“I think if you do plan it, it can be a really
exciting part of your life,” he says.
“If you go into it with your eyes wide open,
prepare and make sure you don’t get isolated
professionally, then I think it’s a great experi-
ence for people and would really encourage it.”
Rob’s tips for physiotherapists working remote:
1. Maintain your professional skills. Rob ad-
vises physiotherapists to plan their profes-
sional development. “Don’t just roll along and
let it happen,” he says. “In remote areas you
might get away a bit from your speci�c clinical
practice and you get into other roles, you de-
velop services, you advocate for services, you
do a lot of multidisciplinary work, but you might
actually back off your speci�c work like spinal
work or musculoskeletal work. Keep your pro-
fessional development skills up.”
2 . Make connections. Physiotherapists may
be working remotely but can connect with other
professionals in different physiotherapy �elds.
“Keep your connections with them so that you
can update your knowledge and check your
knowledge,” Rob says. “Otherwise you can
get professionally a bit isolated or lose touch
a bit. It’s a really full working life but it’s not so
clinically focused as say urban practice is. You
need to be wary of that.”
For the full article visit NCAH.com.au
SA pharmacists to administer vaccinations
South Australian pharmacists are the lat-
est to receive the green light to administer flu
vaccinations.
State Health Minister Jack Snelling has
announced pharmacists will be able to ad-
minister the flu vaccine when it becomes
available in late March.
The move follows the success of last
year’s Queensland Pharmacist Immunisation
Project (QPIP) which delivered about 11,000
vaccinations.
The Western Australian government has
also allowed pharmacists to deliver the influ-
enza vaccine and a parliamentary inquiry has
recommended establishing a pharmacy im-
munisation trial in Victoria.
Under the South Australian initiative,
pharmacists will be able to vaccinate adults
over the age of 16 who are not already eligi-
ble for a free flu shot as part of the National
Immunisation Program.
Pharmacists wanting to administer flu
vaccines will undergo training to be equipped
with the knowledge and skills needed to not
only deliver the vaccine but to also be able to
identify and treat any possible side effects.
SA Health will also need to accredit any
participating pharmacies, which will receive
an audit every two years in line with pharma-
cy industry standards.
Last year, South Australia reported its
highest number of influenza cases on record
with more than 11,000 cases - exceeding the
2009 swine flu epidemic.
“Allowing pharmacists to directly admin-
ister the flu shot will encourage a greater up-
take of the vaccine in 2015,” Mr Snelling said
in a statement.
“Having as many people as possible vac-
cinated against influenza each year will go a
long way towards creating a healthier com-
munity and helping to reduce the additional
burden on the health system.”
Pharmacy Guild of Australia SA Branch
president Nick Panayiaris said the move will
make it easier for people to receive the flu
shot.
“The availability of vaccination by phar-
macists in rural areas will greatly assist the
community’s access to protection against in-
fluenza, where previously they may have not
had accessibility,” he said.
“South Australian pharmacists have al-
ways been a trusted source of health services
and advice, and vaccination will now become
another service pharmacists will take on and
perform professionally for the benefit of the
community.”
While pharmacists have been unable to
provide vaccines until the Queensland trial,
community pharmacy groups have been us-
ing nurse immunisers in a bid to introduce
their own flu vaccination programs.
The QPIP moved into phase two last
September, with more than 200 pharmacists
across the state able to deliver whooping
cough and measles vaccines.
Pharmacists provide vaccinations in the
United Kingdom, New Zealand, Canada and
the United States.
By Karen Keast
For more articles visit NCAH.com.au
CYAN MAGENTA YELLOW BLACK
Page 26 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 7
Page 10 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 23
501-006 1PG FULL COLOUR CMYK PDF
501-024 1PG FULL COLOUR CMYK PDF
We o�er rewarding careers in one of the most respected cardiac units in Australia, working with colleagues whose talents and
manner you will respect. A genuine team. Find out more about how we could change your life at westernhealth.org.au/careers.
Dietitians and nurses oppose fresh food GST
A proposal to expand the GST to fresh
foods is a recipe for poor health for Indig-
enous Australians, low income earners and
pensioners, according to the peak bodies for
dietitians, nurses and midwives.
The Dietitians Association of Australia
(DAA) and the Australian Nursing and Mid-
wifery Federation (ANMF) have criticised
Liberal backbencher Dan Tehan’s propos-
al to widen the GST from most processed
foods to also include fresh fruit and veg-
etables, meat, eggs, bread and some dairy
products.
DAA CEO Claire Hewat said people living in
remote communities, especially Indigenous Aus-
tralians, already pay too much for fresh food.
“Adding an extra cost through the GST would
only make matters worse - these are the same
groups with the poorest health outcomes,” she
said.
“Access to adequate nutritious food is a
basic human right and adding the GST to fresh,
healthy food puts this right at risk for many Aus-
tralians.”
Latest Australian Bureau of Statistics data
shows around one in 10 Australians, or just 6.8
per cent, aged two years and over eat enough
vegetables while just over half, or 54 per cent, eat
enough fruit.
Ms Hewat said many Australians already fail
to consume enough fruit and vegetables.
“Bumping up the price of these healthy sta-
ples will make it more dif�cult for some people to
eat these foods,” she said.
ANMF acting federal secretary Annie
Butler said a GST on fresh food will lead to
high-
er
levels
of chronic
disease and
obesity.
“Australia currently
has one of the highest rates of obe-
sity in the world, with a quarter of children and
more than 60 per cent of adults overweight,”
she said.
“The fact is, we don’t consume enough fruit
and vegetables now - adding an extra 10 per
cent to the cost will simply make fresh food
even more expensive for Australians and their
families in the long term, particularly for lower
income earners and pensioners.”
Researchers at the University of Queens-
land in 2013 found axing the GST exemption on
fresh food could reduce people’s consumption
of fruit and vegetables about �ve per cent.
Dr Lennert Veerman said failure to eat
enough fruit and vegetables was associated
with increases in the risk of heart disease,
stroke and cancers of the lung, oesophagus,
stomach and colon.
“We’ve estimated that adding GST to fruit
and vegetables could add about 90,000 cases
of heart disease, stroke and cancer over the
lifetime of the current Australian population
and add another billion dollars to the country’s
health care bill,” he said.
The Federal Government will consider the
tax reform proposal as part of its taxation white
paper.
By Karen Keast
501-030 1PG FULL COLOUR CMYK PDF
GenevaHealthcare
CYAN MAGENTA YELLOW BLACK
Page 24 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 9
Page 8 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 25
More health risks for nurses working night shifts
A large study in the United States has found
nurses working rotating night shifts face an in-
creased risk of cardiovascular disease and lung
cancer.
The study of almost 75,000 registered nurses
spanning 22 years shows nurses working rotating
night shifts, of at least three nights a month along
with day and evening shifts, for �ve or more years
had a modest rise in all-cause and cardiovascular
disease mortality.
The study, published in the American Journal
of Preventive Medicine, also found nurses work-
ing rotating night shifts of 15 or more years had a
modest increase in lung cancer mortality.
Researchers state the study is further evi-
dence of the potentially detrimental effects of ro-
tating night shift work on health and longevity.
An international team of researchers used data
from the Nurses’ Health Study, which is based at
Brigham and Women’s Hospital, and began col-
lecting night shift data in 1988.
After excluding women with pre-existing car-
diovascular or other than non-melanoma skin can-
cer, 74,862 women were included in the analysis.
Reviewing the 22 years of follow-up data, they
found 14,181 deaths documented, with more than
3000 of those attributed to cardiovascular disease
and more than 5400 to cancer.
Researchers discovered an 11 per cent rise in
all-cause mortality for women with 6 to 14 years or
more than 15 years of rotating shift work.
Cardiovascular-related mortality also ap-
peared to increase 19 per cent and 23 per cent for
these groups, respectively.
There was no association between rotating
shift work and any cancer mortality, except for
lung cancer in nurses who worked nights for 15
or more years - with a 25 per cent higher risk.
The World Health Organisation classi�ed
night shift work as a probable carcinogen in 2007
as a result of circadian disruption.
The study’s authors point to sleep and the
circadian system for playing a vital role in cardio-
vascular health and anti-tumour activity.
“The circadian system and its prime marker,
melatonin, are considered to have anti-tumour
effects through multiple pathways, including an-
tioxidant activity, anti-in�ammatory effects, and
immune enhancement,” it states.
“They also exhibit bene�cial actions on cardi-
ovascular health by enhancing endothelial func-
tion, maintaining metabolic homeostasis, and
reducing in�ammation.
“Direct nocturnal light exposure suppresses
melatonin production and resets the timing of the
circadian clock.
“In addition, sleep disruption may also ac-
centuate the negative effects of night work on
health.
“Taken together, substantial biological evi-
dence supports the role of night shift work in the
development of poor health conditions, including
cancer, CVD, and ultimately, mortality.”
The study shows women with longer dura-
tions of rotating night shift work tended to be old-
er, had a higher BMI, were more physically active
after standardising for age and were more likely
to be smokers, while they drank less alcohol and
ate less daily cereal �bre compared to women
without night shift work.
These nurses had also gained more weight
since the age of 18 and were more likely to have a
history of diabetes, hypertension and hypercho-
lesterolemia.
For the full article visit NCAH.com.au
By Karen Keast
501-007 1/2PG FULL COLOUR CMYK PDF
501-004 1/2PG FULL COLOUR CMYK PDF
Peripheral Arterial Disease
Peripheral arterial disease (PAD) is a con-
dition arising through progressive occlusion of
the arteries of the lower limbs.1 PAD is caused
by atheroma or fatty deposits in the walls of the
arteries leading to arterial rigidity and progres-
sive narrowing of the arterial lumen, limiting
blood �ow to the muscles and other tissues in
distal extremities, in particular the legs.2 Insuf-
�cient blood �ow can produce ischemia. The
subsequent decrease in oxygen and nutrients
to the affected limb may lead to impaired tissue
integrity and ulceration.3 Arterial ulcers may
also be the result of minor trauma resulting in
a wound. Poor healing capacity due
to reduced peripheral perfu-
sion and local wound con-
ditions (reduced oxygen,
nutrients, temperature,
infection and devi-
talised or necrotic
tissue) leads to the
development of a
non-healing wound
or ulcer.3
Some patients
with PAD have symp-
toms but others are
asymptomatic. The com-
mon symptom, intermittent
claudication, is characterised by
leg pain and weakness brought on by
walking, with disappearance of the symptoms
following rest.1 Risk factors include increasing
age (>50) with a history of diabetes plus one
other atherosclerotic risk factor such as smok-
ing, hyperlipidaemia, hypertension, hyperchro-
mocysteinemia or elevated C-reactive protein;
or age over 70 years; leg symptoms with ex-
ertion (suggestive of claudication) or ischemic
pain, abnormal dorsalis pedis and/or posterior
tibial pulses; and a history of stroke, myocar-
dial infarction or renal artery disease.1
Ischemia, if left untreated, may lead to ul-
ceration, especially around the toes, the foot
(phalangeal heads, the malleoli region (ankle)
or mid tibia. The ulcer appears punched out
with well-demarcated rolled edges and may
be deep. The wound is characterised by pale
non-granulating often necrotic tissue (eschar)
and gangrene (wet or dry) may be present in
advanced stages. Gangrene (wet) may be as-
sociated with inflammation and cellulitis, an in-
fection in the underlying tissues. Exudate level
is usually low. The surrounding skin
may exhibit dusky erythema or
have a deep red to purplish
mottling effect, be cool
to touch, hairless, thin
and often with a shiny
appearance. Toenails
may be thickened,
opaque and discol-
oured or missing.
Patients with
arterial ulcers invari-
ably experience pain,
even without infection.
Pain may be alleviated by
hanging the foot over the
side of the bed or sleeping in a
chair. Pain usually begins distal to the
obstruction, moving proximally as ischemia
progresses. The ulcer itself is often painful.
Whilst oedema is not common in PAD, patients
with mixed aetiology ulcers (combination or
arterial and venous disease or heart disease)
oedema may be present. Critical limb ischemia
(CLI), the consequence of poorly managed
PAD, is the sustained and severe decrease in
blood flow to the effected extremity.2 CLI is
characterised by ischemic rest pain, non-heal-
ing ulcers and/or gangrene which may result
in amputation if left untreated.2 If able, when
your patient is lying in bed, ask them to lift their
leg above the level of their heart for a couple of
minutes. If the toes and forefoot become pale
on elevation and then turn a purplish-red when
placed back on the bed this is an indication the
patient has PAD.
Early diagnosis and intervention is the key
to successfully managing PAD. Wound assess-
ment should be holistic involving a compre-
hensive patient history (medical, medications,
surgical and psychosocial); wound assess-
ment with a clinical description of the wound
(ulcer); assessment of the limb (appearance of
nails and skin temperature and colour); pain
assessment; vascular assessment including
capillary refill time; presence or absence of
dorsalis pedis and posterior tibial pulses and
the presence/absence of bruits in the proxi-
mal leg arteries; ankle brachial pressure index
(ABPI); and assessment of vascular status
(determined by the vascular specialist or sur-
geon).
Patients with PAD and arterial ulcers gen-
erally have a decreased or absent pulse in the
dorsalis pedis and/or posterior tibial arteries,
have bruits in the proximal leg arteries indicat-
ing the presence of atherosclerosis, reduced
capillary refill time (< 2 seconds) and low ABPI.
ABPI is usually conducted to rule out ve-
nous disease with values < 0.8 indicative of
significant PAD while a value less than 0.5 sig-
nifies critical limb ischemia requiring surgical
intervention.3 Once diagnosed, the manage-
ment of PAD is multi-factorial, incorporating a
combination of surgical and pharmacological
interventions, lifestyle modifications and bet-
ter management of co-morbidities.1 Surgical
interventions to increase blood flow include
reconstructive surgery (revascularisation or
bypass graft surgery) and angioplasty. Op-
erative indications for critical limb ischemia
include non-healing ulceration, gangrene, rest
pain and progression of claudication.4,5 De-
pending on co-morbidities, pharmacological
interventions may include antiplatelet therapy
(usually clopidogrel or aspirin), lipid modifying
agents, antihypertensive agents, hypoglycae-
mic agents, folic acid and vitamin B6 (to lower
homocystiene levels) and transdermal nitro
patches (nitroglycerine) to improve blood flow
to the affected limb and improve claudication
symptoms.4,5 Lifestyle modifications general-
ly revolve around ongoing education regarding
diet and exercise, weight reduction and smok-
ing cessation.4,5
Accurate diagnosis of aetiology, manage-
ment of contributing factors and other co-
morbidities, and thorough wound assessment
are prerequisites for successful wound man-
agement. History of past wound dressings is
necessary to ascertain the efficacy of previous
management plans and to inform new man-
agement strategies.4 If infection is present
or suspected, wound swabs and cultures are
required to identify pathogens present and to
facilitate effective antimicrobial management.
Infected wounds may need treatment with
systemic antimicrobial therapy plus or minus
the use of topical antimicrobials. Cadexomer
iodine, medical honey, silver and prontosan
(polyhexamethylene biguanide (PHMB), an an-
timicrobial agent) are effective against a broad
range of infective pathogens which may be
present in wounds and provide gentle autolytic
debridement of sloughy, devitalised tissue.
Do not use iodine or silver on wounds
with exposed tendons, ligaments or bone
as once incorporated these products re-
main in the tissues. Prior to use of any topi-
cal agent it is important to ask the patient if
they have allergies to the intended product.
By Bonnie Fraser BSc, BNURS, RN
For the full article visit NCAH.com.au
Peripheral Arterial Disease
Peripheral arterial disease (PAD) is a con-
dition arising through progressive occlusion of
the arteries of the lower limbs.1 PAD is caused
by atheroma or fatty deposits in the walls of the
arteries leading to arterial rigidity and progres-
sive narrowing of the arterial lumen, limiting
blood �ow to the muscles and other tissues in
distal extremities, in particular the legs.2 Insuf-
�cient blood �ow can produce ischemia. The
subsequent decrease in oxygen and nutrients
to the affected limb may lead to impaired tissue
integrity and ulceration.3 Arterial ulcers may
also be the result of minor trauma resulting in
a wound. Poor healing capacity due
to reduced peripheral perfu-
sion and local wound con-
ditions (reduced oxygen,
nutrients, temperature,
infection and devi-
talised or necrotic
tissue) leads to the
development of a
non-healing wound
or ulcer.3
Some patients
with PAD have symp-
toms but others are
asymptomatic. The com-
mon symptom, intermittent
claudication, is characterised by
leg pain and weakness brought on by
walking, with disappearance of the symptoms
following rest.1 Risk factors include increasing
age (>50) with a history of diabetes plus one
other atherosclerotic risk factor such as smok-
ing, hyperlipidaemia, hypertension, hyperchro-
mocysteinemia or elevated C-reactive protein;
or age over 70 years; leg symptoms with ex-
ertion (suggestive of claudication) or ischemic
pain, abnormal dorsalis pedis and/or posterior
tibial pulses; and a history of stroke, myocar-
dial infarction or renal artery disease.1
Ischemia, if left untreated, may lead to ul-
ceration, especially around the toes, the foot
(phalangeal heads, the malleoli region (ankle)
or mid tibia. The ulcer appears punched out
with well-demarcated rolled edges and may
be deep. The wound is characterised by pale
non-granulating often necrotic tissue (eschar)
and gangrene (wet or dry) may be present in
advanced stages. Gangrene (wet) may be as-
sociated with inflammation and cellulitis, an in-
fection in the underlying tissues. Exudate level
is usually low. The surrounding skin
may exhibit dusky erythema or
have a deep red to purplish
mottling effect, be cool
to touch, hairless, thin
and often with a shiny
appearance. Toenails
may be thickened,
opaque and discol-
oured or missing.
Patients with
arterial ulcers invari-
ably experience pain,
even without infection.
Pain may be alleviated by
hanging the foot over the
side of the bed or sleeping in a
chair. Pain usually begins distal to the
obstruction, moving proximally as ischemia
progresses. The ulcer itself is often painful.
Whilst oedema is not common in PAD, patients
with mixed aetiology ulcers (combination or
arterial and venous disease or heart disease)
oedema may be present. Critical limb ischemia
(CLI), the consequence of poorly managed
PAD, is the sustained and severe decrease in
blood flow to the effected extremity.2 CLI is
characterised by ischemic rest pain, non-heal-
ing ulcers and/or gangrene which may result
in amputation if left untreated.2 If able, when
your patient is lying in bed, ask them to lift their
leg above the level of their heart for a couple of
minutes. If the toes and forefoot become pale
on elevation and then turn a purplish-red when
placed back on the bed this is an indication the
patient has PAD.
Early diagnosis and intervention is the key
to successfully managing PAD. Wound assess-
ment should be holistic involving a compre-
hensive patient history (medical, medications,
surgical and psychosocial); wound assess-
ment with a clinical description of the wound
(ulcer); assessment of the limb (appearance of
nails and skin temperature and colour); pain
assessment; vascular assessment including
capillary refill time; presence or absence of
dorsalis pedis and posterior tibial pulses and
the presence/absence of bruits in the proxi-
mal leg arteries; ankle brachial pressure index
(ABPI); and assessment of vascular status
(determined by the vascular specialist or sur-
geon).
Patients with PAD and arterial ulcers gen-
erally have a decreased or absent pulse in the
dorsalis pedis and/or posterior tibial arteries,
have bruits in the proximal leg arteries indicat-
ing the presence of atherosclerosis, reduced
capillary refill time (< 2 seconds) and low ABPI.
ABPI is usually conducted to rule out ve-
nous disease with values < 0.8 indicative of
significant PAD while a value less than 0.5 sig-
nifies critical limb ischemia requiring surgical
intervention.3 Once diagnosed, the manage-
ment of PAD is multi-factorial, incorporating a
combination of surgical and pharmacological
interventions, lifestyle modifications and bet-
ter management of co-morbidities.1 Surgical
interventions to increase blood flow include
reconstructive surgery (revascularisation or
bypass graft surgery) and angioplasty. Op-
erative indications for critical limb ischemia
include non-healing ulceration, gangrene, rest
pain and progression of claudication.4,5 De-
pending on co-morbidities, pharmacological
interventions may include antiplatelet therapy
(usually clopidogrel or aspirin), lipid modifying
agents, antihypertensive agents, hypoglycae-
mic agents, folic acid and vitamin B6 (to lower
homocystiene levels) and transdermal nitro
patches (nitroglycerine) to improve blood flow
to the affected limb and improve claudication
symptoms.4,5 Lifestyle modifications general-
ly revolve around ongoing education regarding
diet and exercise, weight reduction and smok-
ing cessation.4,5
Accurate diagnosis of aetiology, manage-
ment of contributing factors and other co-
morbidities, and thorough wound assessment
are prerequisites for successful wound man-
agement. History of past wound dressings is
necessary to ascertain the efficacy of previous
management plans and to inform new man-
agement strategies.4 If infection is present
or suspected, wound swabs and cultures are
required to identify pathogens present and to
facilitate effective antimicrobial management.
Infected wounds may need treatment with
systemic antimicrobial therapy plus or minus
the use of topical antimicrobials. Cadexomer
iodine, medical honey, silver and prontosan
(polyhexamethylene biguanide (PHMB), an an-
timicrobial agent) are effective against a broad
range of infective pathogens which may be
present in wounds and provide gentle autolytic
debridement of sloughy, devitalised tissue.
Do not use iodine or silver on wounds
with exposed tendons, ligaments or bone
as once incorporated these products re-
main in the tissues. Prior to use of any topi-
cal agent it is important to ask the patient if
they have allergies to the intended product.
By Bonnie Fraser BSc, BNURS, RN
For the full article visit NCAH.com.au
CYAN MAGENTA YELLOW BLACK
Page 24 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 9
Page 8 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 25
More health risks for nurses working night shifts
A large study in the United States has found
nurses working rotating night shifts face an in-
creased risk of cardiovascular disease and lung
cancer.
The study of almost 75,000 registered nurses
spanning 22 years shows nurses working rotating
night shifts, of at least three nights a month along
with day and evening shifts, for �ve or more years
had a modest rise in all-cause and cardiovascular
disease mortality.
The study, published in the American Journal
of Preventive Medicine, also found nurses work-
ing rotating night shifts of 15 or more years had a
modest increase in lung cancer mortality.
Researchers state the study is further evi-
dence of the potentially detrimental effects of ro-
tating night shift work on health and longevity.
An international team of researchers used data
from the Nurses’ Health Study, which is based at
Brigham and Women’s Hospital, and began col-
lecting night shift data in 1988.
After excluding women with pre-existing car-
diovascular or other than non-melanoma skin can-
cer, 74,862 women were included in the analysis.
Reviewing the 22 years of follow-up data, they
found 14,181 deaths documented, with more than
3000 of those attributed to cardiovascular disease
and more than 5400 to cancer.
Researchers discovered an 11 per cent rise in
all-cause mortality for women with 6 to 14 years or
more than 15 years of rotating shift work.
Cardiovascular-related mortality also ap-
peared to increase 19 per cent and 23 per cent for
these groups, respectively.
There was no association between rotating
shift work and any cancer mortality, except for
lung cancer in nurses who worked nights for 15
or more years - with a 25 per cent higher risk.
The World Health Organisation classi�ed
night shift work as a probable carcinogen in 2007
as a result of circadian disruption.
The study’s authors point to sleep and the
circadian system for playing a vital role in cardio-
vascular health and anti-tumour activity.
“The circadian system and its prime marker,
melatonin, are considered to have anti-tumour
effects through multiple pathways, including an-
tioxidant activity, anti-in�ammatory effects, and
immune enhancement,” it states.
“They also exhibit bene�cial actions on cardi-
ovascular health by enhancing endothelial func-
tion, maintaining metabolic homeostasis, and
reducing in�ammation.
“Direct nocturnal light exposure suppresses
melatonin production and resets the timing of the
circadian clock.
“In addition, sleep disruption may also ac-
centuate the negative effects of night work on
health.
“Taken together, substantial biological evi-
dence supports the role of night shift work in the
development of poor health conditions, including
cancer, CVD, and ultimately, mortality.”
The study shows women with longer dura-
tions of rotating night shift work tended to be old-
er, had a higher BMI, were more physically active
after standardising for age and were more likely
to be smokers, while they drank less alcohol and
ate less daily cereal �bre compared to women
without night shift work.
These nurses had also gained more weight
since the age of 18 and were more likely to have a
history of diabetes, hypertension and hypercho-
lesterolemia.
For the full article visit NCAH.com.au
By Karen Keast
501-007 1/2PG FULL COLOUR CMYK PDF
501-004 1/2PG FULL COLOUR CMYK PDF
Peripheral Arterial Disease
Peripheral arterial disease (PAD) is a con-
dition arising through progressive occlusion of
the arteries of the lower limbs.1 PAD is caused
by atheroma or fatty deposits in the walls of the
arteries leading to arterial rigidity and progres-
sive narrowing of the arterial lumen, limiting
blood �ow to the muscles and other tissues in
distal extremities, in particular the legs.2 Insuf-
�cient blood �ow can produce ischemia. The
subsequent decrease in oxygen and nutrients
to the affected limb may lead to impaired tissue
integrity and ulceration.3 Arterial ulcers may
also be the result of minor trauma resulting in
a wound. Poor healing capacity due
to reduced peripheral perfu-
sion and local wound con-
ditions (reduced oxygen,
nutrients, temperature,
infection and devi-
talised or necrotic
tissue) leads to the
development of a
non-healing wound
or ulcer.3
Some patients
with PAD have symp-
toms but others are
asymptomatic. The com-
mon symptom, intermittent
claudication, is characterised by
leg pain and weakness brought on by
walking, with disappearance of the symptoms
following rest.1 Risk factors include increasing
age (>50) with a history of diabetes plus one
other atherosclerotic risk factor such as smok-
ing, hyperlipidaemia, hypertension, hyperchro-
mocysteinemia or elevated C-reactive protein;
or age over 70 years; leg symptoms with ex-
ertion (suggestive of claudication) or ischemic
pain, abnormal dorsalis pedis and/or posterior
tibial pulses; and a history of stroke, myocar-
dial infarction or renal artery disease.1
Ischemia, if left untreated, may lead to ul-
ceration, especially around the toes, the foot
(phalangeal heads, the malleoli region (ankle)
or mid tibia. The ulcer appears punched out
with well-demarcated rolled edges and may
be deep. The wound is characterised by pale
non-granulating often necrotic tissue (eschar)
and gangrene (wet or dry) may be present in
advanced stages. Gangrene (wet) may be as-
sociated with inflammation and cellulitis, an in-
fection in the underlying tissues. Exudate level
is usually low. The surrounding skin
may exhibit dusky erythema or
have a deep red to purplish
mottling effect, be cool
to touch, hairless, thin
and often with a shiny
appearance. Toenails
may be thickened,
opaque and discol-
oured or missing.
Patients with
arterial ulcers invari-
ably experience pain,
even without infection.
Pain may be alleviated by
hanging the foot over the
side of the bed or sleeping in a
chair. Pain usually begins distal to the
obstruction, moving proximally as ischemia
progresses. The ulcer itself is often painful.
Whilst oedema is not common in PAD, patients
with mixed aetiology ulcers (combination or
arterial and venous disease or heart disease)
oedema may be present. Critical limb ischemia
(CLI), the consequence of poorly managed
PAD, is the sustained and severe decrease in
blood flow to the effected extremity.2 CLI is
characterised by ischemic rest pain, non-heal-
ing ulcers and/or gangrene which may result
in amputation if left untreated.2 If able, when
your patient is lying in bed, ask them to lift their
leg above the level of their heart for a couple of
minutes. If the toes and forefoot become pale
on elevation and then turn a purplish-red when
placed back on the bed this is an indication the
patient has PAD.
Early diagnosis and intervention is the key
to successfully managing PAD. Wound assess-
ment should be holistic involving a compre-
hensive patient history (medical, medications,
surgical and psychosocial); wound assess-
ment with a clinical description of the wound
(ulcer); assessment of the limb (appearance of
nails and skin temperature and colour); pain
assessment; vascular assessment including
capillary refill time; presence or absence of
dorsalis pedis and posterior tibial pulses and
the presence/absence of bruits in the proxi-
mal leg arteries; ankle brachial pressure index
(ABPI); and assessment of vascular status
(determined by the vascular specialist or sur-
geon).
Patients with PAD and arterial ulcers gen-
erally have a decreased or absent pulse in the
dorsalis pedis and/or posterior tibial arteries,
have bruits in the proximal leg arteries indicat-
ing the presence of atherosclerosis, reduced
capillary refill time (< 2 seconds) and low ABPI.
ABPI is usually conducted to rule out ve-
nous disease with values < 0.8 indicative of
significant PAD while a value less than 0.5 sig-
nifies critical limb ischemia requiring surgical
intervention.3 Once diagnosed, the manage-
ment of PAD is multi-factorial, incorporating a
combination of surgical and pharmacological
interventions, lifestyle modifications and bet-
ter management of co-morbidities.1 Surgical
interventions to increase blood flow include
reconstructive surgery (revascularisation or
bypass graft surgery) and angioplasty. Op-
erative indications for critical limb ischemia
include non-healing ulceration, gangrene, rest
pain and progression of claudication.4,5 De-
pending on co-morbidities, pharmacological
interventions may include antiplatelet therapy
(usually clopidogrel or aspirin), lipid modifying
agents, antihypertensive agents, hypoglycae-
mic agents, folic acid and vitamin B6 (to lower
homocystiene levels) and transdermal nitro
patches (nitroglycerine) to improve blood flow
to the affected limb and improve claudication
symptoms.4,5 Lifestyle modifications general-
ly revolve around ongoing education regarding
diet and exercise, weight reduction and smok-
ing cessation.4,5
Accurate diagnosis of aetiology, manage-
ment of contributing factors and other co-
morbidities, and thorough wound assessment
are prerequisites for successful wound man-
agement. History of past wound dressings is
necessary to ascertain the efficacy of previous
management plans and to inform new man-
agement strategies.4 If infection is present
or suspected, wound swabs and cultures are
required to identify pathogens present and to
facilitate effective antimicrobial management.
Infected wounds may need treatment with
systemic antimicrobial therapy plus or minus
the use of topical antimicrobials. Cadexomer
iodine, medical honey, silver and prontosan
(polyhexamethylene biguanide (PHMB), an an-
timicrobial agent) are effective against a broad
range of infective pathogens which may be
present in wounds and provide gentle autolytic
debridement of sloughy, devitalised tissue.
Do not use iodine or silver on wounds
with exposed tendons, ligaments or bone
as once incorporated these products re-
main in the tissues. Prior to use of any topi-
cal agent it is important to ask the patient if
they have allergies to the intended product.
By Bonnie Fraser BSc, BNURS, RN
For the full article visit NCAH.com.au
Peripheral Arterial Disease
Peripheral arterial disease (PAD) is a con-
dition arising through progressive occlusion of
the arteries of the lower limbs.1 PAD is caused
by atheroma or fatty deposits in the walls of the
arteries leading to arterial rigidity and progres-
sive narrowing of the arterial lumen, limiting
blood �ow to the muscles and other tissues in
distal extremities, in particular the legs.2 Insuf-
�cient blood �ow can produce ischemia. The
subsequent decrease in oxygen and nutrients
to the affected limb may lead to impaired tissue
integrity and ulceration.3 Arterial ulcers may
also be the result of minor trauma resulting in
a wound. Poor healing capacity due
to reduced peripheral perfu-
sion and local wound con-
ditions (reduced oxygen,
nutrients, temperature,
infection and devi-
talised or necrotic
tissue) leads to the
development of a
non-healing wound
or ulcer.3
Some patients
with PAD have symp-
toms but others are
asymptomatic. The com-
mon symptom, intermittent
claudication, is characterised by
leg pain and weakness brought on by
walking, with disappearance of the symptoms
following rest.1 Risk factors include increasing
age (>50) with a history of diabetes plus one
other atherosclerotic risk factor such as smok-
ing, hyperlipidaemia, hypertension, hyperchro-
mocysteinemia or elevated C-reactive protein;
or age over 70 years; leg symptoms with ex-
ertion (suggestive of claudication) or ischemic
pain, abnormal dorsalis pedis and/or posterior
tibial pulses; and a history of stroke, myocar-
dial infarction or renal artery disease.1
Ischemia, if left untreated, may lead to ul-
ceration, especially around the toes, the foot
(phalangeal heads, the malleoli region (ankle)
or mid tibia. The ulcer appears punched out
with well-demarcated rolled edges and may
be deep. The wound is characterised by pale
non-granulating often necrotic tissue (eschar)
and gangrene (wet or dry) may be present in
advanced stages. Gangrene (wet) may be as-
sociated with inflammation and cellulitis, an in-
fection in the underlying tissues. Exudate level
is usually low. The surrounding skin
may exhibit dusky erythema or
have a deep red to purplish
mottling effect, be cool
to touch, hairless, thin
and often with a shiny
appearance. Toenails
may be thickened,
opaque and discol-
oured or missing.
Patients with
arterial ulcers invari-
ably experience pain,
even without infection.
Pain may be alleviated by
hanging the foot over the
side of the bed or sleeping in a
chair. Pain usually begins distal to the
obstruction, moving proximally as ischemia
progresses. The ulcer itself is often painful.
Whilst oedema is not common in PAD, patients
with mixed aetiology ulcers (combination or
arterial and venous disease or heart disease)
oedema may be present. Critical limb ischemia
(CLI), the consequence of poorly managed
PAD, is the sustained and severe decrease in
blood flow to the effected extremity.2 CLI is
characterised by ischemic rest pain, non-heal-
ing ulcers and/or gangrene which may result
in amputation if left untreated.2 If able, when
your patient is lying in bed, ask them to lift their
leg above the level of their heart for a couple of
minutes. If the toes and forefoot become pale
on elevation and then turn a purplish-red when
placed back on the bed this is an indication the
patient has PAD.
Early diagnosis and intervention is the key
to successfully managing PAD. Wound assess-
ment should be holistic involving a compre-
hensive patient history (medical, medications,
surgical and psychosocial); wound assess-
ment with a clinical description of the wound
(ulcer); assessment of the limb (appearance of
nails and skin temperature and colour); pain
assessment; vascular assessment including
capillary refill time; presence or absence of
dorsalis pedis and posterior tibial pulses and
the presence/absence of bruits in the proxi-
mal leg arteries; ankle brachial pressure index
(ABPI); and assessment of vascular status
(determined by the vascular specialist or sur-
geon).
Patients with PAD and arterial ulcers gen-
erally have a decreased or absent pulse in the
dorsalis pedis and/or posterior tibial arteries,
have bruits in the proximal leg arteries indicat-
ing the presence of atherosclerosis, reduced
capillary refill time (< 2 seconds) and low ABPI.
ABPI is usually conducted to rule out ve-
nous disease with values < 0.8 indicative of
significant PAD while a value less than 0.5 sig-
nifies critical limb ischemia requiring surgical
intervention.3 Once diagnosed, the manage-
ment of PAD is multi-factorial, incorporating a
combination of surgical and pharmacological
interventions, lifestyle modifications and bet-
ter management of co-morbidities.1 Surgical
interventions to increase blood flow include
reconstructive surgery (revascularisation or
bypass graft surgery) and angioplasty. Op-
erative indications for critical limb ischemia
include non-healing ulceration, gangrene, rest
pain and progression of claudication.4,5 De-
pending on co-morbidities, pharmacological
interventions may include antiplatelet therapy
(usually clopidogrel or aspirin), lipid modifying
agents, antihypertensive agents, hypoglycae-
mic agents, folic acid and vitamin B6 (to lower
homocystiene levels) and transdermal nitro
patches (nitroglycerine) to improve blood flow
to the affected limb and improve claudication
symptoms.4,5 Lifestyle modifications general-
ly revolve around ongoing education regarding
diet and exercise, weight reduction and smok-
ing cessation.4,5
Accurate diagnosis of aetiology, manage-
ment of contributing factors and other co-
morbidities, and thorough wound assessment
are prerequisites for successful wound man-
agement. History of past wound dressings is
necessary to ascertain the efficacy of previous
management plans and to inform new man-
agement strategies.4 If infection is present
or suspected, wound swabs and cultures are
required to identify pathogens present and to
facilitate effective antimicrobial management.
Infected wounds may need treatment with
systemic antimicrobial therapy plus or minus
the use of topical antimicrobials. Cadexomer
iodine, medical honey, silver and prontosan
(polyhexamethylene biguanide (PHMB), an an-
timicrobial agent) are effective against a broad
range of infective pathogens which may be
present in wounds and provide gentle autolytic
debridement of sloughy, devitalised tissue.
Do not use iodine or silver on wounds
with exposed tendons, ligaments or bone
as once incorporated these products re-
main in the tissues. Prior to use of any topi-
cal agent it is important to ask the patient if
they have allergies to the intended product.
By Bonnie Fraser BSc, BNURS, RN
For the full article visit NCAH.com.au
CYAN MAGENTA YELLOW BLACK
Page 26 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 7
Page 10 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 23
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We o�er rewarding careers in one of the most respected cardiac units in Australia, working with colleagues whose talents and
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Dietitians and nurses oppose fresh food GST
A proposal to expand the GST to fresh
foods is a recipe for poor health for Indig-
enous Australians, low income earners and
pensioners, according to the peak bodies for
dietitians, nurses and midwives.
The Dietitians Association of Australia
(DAA) and the Australian Nursing and Mid-
wifery Federation (ANMF) have criticised
Liberal backbencher Dan Tehan’s propos-
al to widen the GST from most processed
foods to also include fresh fruit and veg-
etables, meat, eggs, bread and some dairy
products.
DAA CEO Claire Hewat said people living in
remote communities, especially Indigenous Aus-
tralians, already pay too much for fresh food.
“Adding an extra cost through the GST would
only make matters worse - these are the same
groups with the poorest health outcomes,” she
said.
“Access to adequate nutritious food is a
basic human right and adding the GST to fresh,
healthy food puts this right at risk for many Aus-
tralians.”
Latest Australian Bureau of Statistics data
shows around one in 10 Australians, or just 6.8
per cent, aged two years and over eat enough
vegetables while just over half, or 54 per cent, eat
enough fruit.
Ms Hewat said many Australians already fail
to consume enough fruit and vegetables.
“Bumping up the price of these healthy sta-
ples will make it more dif�cult for some people to
eat these foods,” she said.
ANMF acting federal secretary Annie
Butler said a GST on fresh food will lead to
high-
e r
l e v e l s
of chronic
disease and
obesity.
“Australia currently
has one of the highest rates of obe-
sity in the world, with a quarter of children and
more than 60 per cent of adults overweight,”
she said.
“The fact is, we don’t consume enough fruit
and vegetables now - adding an extra 10 per
cent to the cost will simply make fresh food
even more expensive for Australians and their
families in the long term, particularly for lower
income earners and pensioners.”
Researchers at the University of Queens-
land in 2013 found axing the GST exemption on
fresh food could reduce people’s consumption
of fruit and vegetables about �ve per cent.
Dr Lennert Veerman said failure to eat
enough fruit and vegetables was associated
with increases in the risk of heart disease,
stroke and cancers of the lung, oesophagus,
stomach and colon.
“We’ve estimated that adding GST to fruit
and vegetables could add about 90,000 cases
of heart disease, stroke and cancer over the
lifetime of the current Australian population
and add another billion dollars to the country’s
health care bill,” he said.
The Federal Government will consider the
tax reform proposal as part of its taxation white
paper.
By Karen Keast
501-030 1PG FULL COLOUR CMYK PDF
Geneva Healthcare
CYAN MAGENTA YELLOW BLACK
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UNIQUE OPPORTUNITY FOR REGISTERED NURSESAre you a self-motivated registered nurse searching for work/life balance?
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Reforms needed to improve end-of-life care
Vital reforms to end-of-life care are essential
to assist the majority of Australians who want to
die ‘a good death’ at home.
A Grattan Institute perspective published in
the Medical Journal of Australia, based on its ear-
lier Dying Well report, states dying has become
highly institutionalised in Australia, with 54 per
cent of people dying in hospitals and 32 per cent
in aged care.
Professors Hal Swerissen and Stephen
Duckett state only 14 per cent of people die at
home in Australia despite up to 70 per cent of
people preferring a non-institutionalised death.
“Dying is not discussed, and we are not tak-
ing the opportunity to help people plan and pre-
pare for a good death,” they write.
“As a result, many experience a discon-
nected, confusing and distressing array of ser-
vices, interventions and relationships with health
professionals when they are dying.” Professors
Swerissen and Duckett recommend a public
education campaign that encourages people to
consider, discuss and document their end-of-life
preferences with their families and appropriate
health care professionals.
They propose trigger points for mandatory dis-
cussions about end-of-life care, including during
health assessments for people aged over 75, for
all aged care residents and high-needs recipients
of home-based care packages, and for all hospital
inpatients who are likely to die within a year.
Measures must be introduced to ensure pa-
tients’ plans are implemented, while they also
suggest health professionals are in the best posi-
tion to initiate the discussion.
“They must shift their focus from prevention,
cure and rehabilitation at appropriate points in
time if these conversations are to occur.
“It is therefore important that it becomes nor-
mal and expected practice for health profession-
als to discuss and plan for end-of-life with their
patients when it is appropriate.”
Professors Swerissen and Duckett say im-
provements are needed to better coordinate
end-of-life care while legislative frameworks
and guidelines for advance care plans must
change.
“They should include clear mechanisms
for assigning speci�c responsibility to health
care professionals to coordinate and imple-
ment plans when people enter end-of-life care.”
For the full article visit NCAH.com.au
By Karen Keast
501-031 1/4PG PDF
Registered Nurse – Forensic Mental HealthMalabar
Permanent Full Time, Permanent Part Time
JH No: 232954Salary: Public Health System Nurses & Midwives (State) Award, RN 2–8: $30.16–$40.17 ph.
Enquiries: Louise Flemming on (02) 9700 3123.
Closing Date: 8 February 2015.
To apply for this position please visit http://nswhealth.erecruit.com.au NSW Health Service – Justice Health & Forensic Mental Health Network is committed to Work Health & Safety, EEO, Ethical Practices, and the Principles of Cultural Diversity. Personal criminal records checks will be conducted. Prohibited persons as declared under the Child Protection (Prohibited Employment) Act 1998 are not eligible to apply for child-related employment.
NSW Health Service: employer of choice
CYAN MAGENTA YELLOW BLACK
Page 28 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 5
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AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
Issue 1 – 20 January 2014
Advertiser ListCare Flight
CCM Recruitment International
CQ Nurse
Education Cruises
Employment Of�ce
Geneva Health
Grif�th University
Health and Fitness Recruitment
Koala Nursing Agency
Lifescreen
Medacs Australia
Medibank Health Solutions
Northern Sydney Local Health District
Nursing and Allied Health Rural Locum Scheme
Oceania University of Medicine
Oxford Aunts Care
Pulse Staf�ng
Quick and Easy Finance
TR7 Health
UK Pensions
Uni�ed Healthcare Group
UK Pensions Wimmera Healthcare Group
Next Publication: Regional & Remote featurePublication Date: Monday 3rd February 2013
Colour Artwork Deadline: Tuesday 28th January 2013
Mono Artwork Deadline: Wednesday 29th January 2013
We hope you enjoy perusing the range of opportunities included in Issue 1, 2014.
© 2014 Seabreeze Communications Pty Ltd.
401-029 1PG FULL COLOUR CMYK PDF
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
Issue 1 – 20 January 2014
Advertiser ListCare Flight
CCM Recruitment International
CQ Nurse
Education Cruises
Employment Of�ce
Geneva Health
Grif�th University
Health and Fitness Recruitment
Koala Nursing Agency
Lifescreen
Medacs Australia
Medibank Health Solutions
Northern Sydney Local Health District
Nursing and Allied Health Rural Locum Scheme
Oceania University of Medicine
Oxford Aunts Care
Pulse Staf�ng
Quick and Easy Finance
TR7 Health
UK Pensions
Uni�ed Healthcare Group
UK Pensions Wimmera Healthcare Group
Next Publication: Regional & Remote featurePublication Date: Monday 3rd February 2013
Colour Artwork Deadline: Tuesday 28th January 2013
Mono Artwork Deadline: Wednesday 29th January 2013
We hope you enjoy perusing the range of opportunities included in Issue 1, 2014.
© 2014 Seabreeze Communications Pty Ltd.
501-026 1PG FULL COLOUR CMYK PDF
Next Publication: Midwifery & MaternalPublication Date: Monday 9th February 2015
Colour Artwork Deadline: Monday 2nd February 2015
Mono Artwork Deadline: Wednesday 4th February 2015
Issue 1 – 27 January 2015
We hope you enjoy perusing the range of opportunities included in Issue 1, 2015.
Advertiser List
CCM Recruitment International
CQ Nurse
Geneva Health
Hays Healthcare
Health and Fitness Recruitment Australia
Justice Health
Lifescreen
Medacs Australia
Nurse at Call
Oceania University of Medicine
Pulse Staf�ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
Royal Flying Doctor Service
Silver Chain
Skin Science
Uni�ed Healthcare
Western Health
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242-016 2PG
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OLO
UR
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YK
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Midwives and Registered NursesRequired for both permanent roles and short or long term contract
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interventional services, general medical/rehabilitation, ambulatory care and hospital in the home, mental health, alcohol and other
drugs, oncology, general surgical, operating theatre and extended day surgery unit, emergency department, women’s and
children/adolescent services, sexual health and cancer screening and rural nursing. There are seven rural hospitals with opportunities for a
unique rural experience in a supported environment to develop and enhance a wide range of clinical skills.
We provide education and training to assist our staff to develop their skills, advance their career and work to their full scope of practice. Mackay Base Hospital has undergone major development of clinical
services and facilities to ensure it is a state of the art facility including wireless technology and electronic medical records and is in the
process of becoming a fully digital hospital.
Mackay is a tropical setting situated halfway between Brisbane and Cairns, is the gateway to the Whitsundays and offers the opportunity for a lifestyle change in one of Queensland’s most liveable regional cities.
Please email your resume and expression of interest to [email protected] call Lynne Cameron on 07 4885 7712
and reference this advertisement
Please note: only applications from candidates will be accepted; applications that may result in an agency fee will not be considered
242-
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Check out our facebook page - facebook.com/mackayhhs
Midwives and Registered NursesRequired for both permanent roles and short or long term contract
opportunities in all areas of nursing over the next 12 months.
Mackay Hospital and Health Service offers the opportunity to work in a dynamic environment including rural facilities and experience a diverse range of services including midwifery, renal, coronary care and cardiac
interventional services, general medical/rehabilitation, ambulatory care and hospital in the home, mental health, alcohol and other
drugs, oncology, general surgical, operating theatre and extended day surgery unit, emergency department, women’s and
children/adolescent services, sexual health and cancer screening and rural nursing. There are seven rural hospitals with opportunities for a
unique rural experience in a supported environment to develop and enhance a wide range of clinical skills.
We provide education and training to assist our staff to develop their skills, advance their career and work to their full scope of practice. Mackay Base Hospital has undergone major development of clinical
services and facilities to ensure it is a state of the art facility including wireless technology and electronic medical records and is in the
process of becoming a fully digital hospital.
Mackay is a tropical setting situated halfway between Brisbane and Cairns, is the gateway to the Whitsundays and offers the opportunity for a lifestyle change in one of Queensland’s most liveable regional cities.
Please email your resume and expression of interest to [email protected] call Lynne Cameron on 07 4885 7712
and reference this advertisement
Please note: only applications from candidates will be accepted; applications that may result in an agency fee will not be considered
CYAN MAGENTA YELLOW BLACK
Page 28 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 5
Page 4 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 29
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
401-029 1PG FULL COLOUR CMYK PDF
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
Issue 1 – 20 January 2014
Advertiser ListCare Flight
CCM Recruitment International
CQ Nurse
Education Cruises
Employment Of�ce
Geneva Health
Grif�th University
Health and Fitness Recruitment
Koala Nursing Agency
Lifescreen
Medacs Australia
Medibank Health Solutions
Northern Sydney Local Health District
Nursing and Allied Health Rural Locum Scheme
Oceania University of Medicine
Oxford Aunts Care
Pulse Staf�ng
Quick and Easy Finance
TR7 Health
UK Pensions
Uni�ed Healthcare Group
UK Pensions Wimmera Healthcare Group
Next Publication: Regional & Remote featurePublication Date: Monday 3rd February 2013
Colour Artwork Deadline: Tuesday 28th January 2013
Mono Artwork Deadline: Wednesday 29th January 2013
We hope you enjoy perusing the range of opportunities included in Issue 1, 2014.
© 2014 Seabreeze Communications Pty Ltd.
401-029 1PG FULL COLOUR CMYK PDF
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
Issue 1 – 20 January 2014
Advertiser ListCare Flight
CCM Recruitment International
CQ Nurse
Education Cruises
Employment Of�ce
Geneva Health
Grif�th University
Health and Fitness Recruitment
Koala Nursing Agency
Lifescreen
Medacs Australia
Medibank Health Solutions
Northern Sydney Local Health District
Nursing and Allied Health Rural Locum Scheme
Oceania University of Medicine
Oxford Aunts Care
Pulse Staf�ng
Quick and Easy Finance
TR7 Health
UK Pensions
Uni�ed Healthcare Group
UK Pensions Wimmera Healthcare Group
Next Publication: Regional & Remote featurePublication Date: Monday 3rd February 2013
Colour Artwork Deadline: Tuesday 28th January 2013
Mono Artwork Deadline: Wednesday 29th January 2013
We hope you enjoy perusing the range of opportunities included in Issue 1, 2014.
© 2014 Seabreeze Communications Pty Ltd.
501-026 1PG FULL COLOUR CMYK PDF
Next Publication: Midwifery & MaternalPublication Date: Monday 9th February 2015
Colour Artwork Deadline: Monday 2nd February 2015
Mono Artwork Deadline: Wednesday 4th February 2015
Issue 1 – 27 January 2015
We hope you enjoy perusing the range of opportunities included in Issue 1, 2015.
Advertiser List
CCM Recruitment International
CQ Nurse
Geneva Health
Hays Healthcare
Health and Fitness Recruitment Australia
Justice Health
Lifescreen
Medacs Australia
Nurse at Call
Oceania University of Medicine
Pulse Staf�ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
Royal Flying Doctor Service
Silver Chain
Skin Science
Uni�ed Healthcare
Western Health
1300 306 582
242-
016
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Check out our facebook page - facebook.com/mackayhhs
Midwives and Registered NursesRequired for both permanent roles and short or long term contract
opportunities in all areas of nursing over the next 12 months.
Mackay Hospital and Health Service offers the opportunity to work in a dynamic environment including rural facilities and experience a diverse range of services including midwifery, renal, coronary care and cardiac
interventional services, general medical/rehabilitation, ambulatory care and hospital in the home, mental health, alcohol and other
drugs, oncology, general surgical, operating theatre and extended day surgery unit, emergency department, women’s and
children/adolescent services, sexual health and cancer screening and rural nursing. There are seven rural hospitals with opportunities for a
unique rural experience in a supported environment to develop and enhance a wide range of clinical skills.
We provide education and training to assist our staff to develop their skills, advance their career and work to their full scope of practice. Mackay Base Hospital has undergone major development of clinical
services and facilities to ensure it is a state of the art facility including wireless technology and electronic medical records and is in the
process of becoming a fully digital hospital.
Mackay is a tropical setting situated halfway between Brisbane and Cairns, is the gateway to the Whitsundays and offers the opportunity for a lifestyle change in one of Queensland’s most liveable regional cities.
Please email your resume and expression of interest to [email protected] call Lynne Cameron on 07 4885 7712
and reference this advertisement
Please note: only applications from candidates will be accepted; applications that may result in an agency fee will not be considered
242-016 2PG
FULL C
OLO
UR
CM
YK
Check out our facebook page - facebook.com/mackayhhs
Midwives and Registered NursesRequired for both permanent roles and short or long term contract
opportunities in all areas of nursing over the next 12 months.
Mackay Hospital and Health Service offers the opportunity to work in a dynamic environment including rural facilities and experience a diverse range of services including midwifery, renal, coronary care and cardiac
interventional services, general medical/rehabilitation, ambulatory care and hospital in the home, mental health, alcohol and other
drugs, oncology, general surgical, operating theatre and extended day surgery unit, emergency department, women’s and
children/adolescent services, sexual health and cancer screening and rural nursing. There are seven rural hospitals with opportunities for a
unique rural experience in a supported environment to develop and enhance a wide range of clinical skills.
We provide education and training to assist our staff to develop their skills, advance their career and work to their full scope of practice. Mackay Base Hospital has undergone major development of clinical
services and facilities to ensure it is a state of the art facility including wireless technology and electronic medical records and is in the
process of becoming a fully digital hospital.
Mackay is a tropical setting situated halfway between Brisbane and Cairns, is the gateway to the Whitsundays and offers the opportunity for a lifestyle change in one of Queensland’s most liveable regional cities.
Please email your resume and expression of interest to [email protected] call Lynne Cameron on 07 4885 7712
and reference this advertisement
Please note: only applications from candidates will be accepted; applications that may result in an agency fee will not be considered
CYAN MAGENTA YELLOW BLACK
Page 30 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 3
Page 6 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 27
501-014 1PG FULL COLOUR CMYK PDF
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Cosmetic Injectables Training 4 Day CourseTheory & Clinical Techniques for the application of Cosmetic Injection.
Four day intensive course designed for Registered Nurses Div 1 & 2 who would like to become part of the growing world of Anti-Ageing and Cosmetic Enhancement.
Day 1:
Day 2:
Day 3:
Day 4:
To Register interest or enrol email:[email protected] or visit www.skinscience.co501-001 1/2PG FULL COLOUR CMYK PDF 423-011 1/2PG FULL COLOUR CMYK PDF 422-024 1/2PG FULL COLOUR CMYK PDF 421-010 1/2PG FULL COLOUR CMYK PDF 419-011 1/2PG FULL COLOUR CMYK PDF 417-021 1/2PG FULL COLOUR CMYK PDF 413-001 1/2PG FULL COLOUR CMYK PDF 412-040 1/2PG FULL COLOUR CMYK PDF 411-001 1/2PG FULL COLOUR CMYK PDF 409-003 1/2PG FULL COLOUR CMYK PDF 407-003 1/2PG FULL COLOUR CMYK PDF 405-006 1/2PG FULL COLOUR CMYK PDF 403-007 1/2PG FULL COLOUR CMYK PDF 401-009 1/2PG FULL COLOUR CMYK PDF 324-015 1/2PG FULL COLOUR CMYK PDF 322-014 1/2PG FULL COLOUR CMYK PDF 1320-018 1/2PG FULL COLOUR CMYK (repeat)
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:
training provided at no cost to you
To be considered for a role as a nurse contractor for Lifescreen you must have the following:
years experience
communication skills
501-035 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
Reforms needed to improve end-of-life care
Vital reforms to end-of-life care are essential
to assist the majority of Australians who want to
die ‘a good death’ at home.
A Grattan Institute perspective published in
the Medical Journal of Australia, based on its ear-
lier Dying Well report, states dying has become
highly institutionalised in Australia, with 54 per
cent of people dying in hospitals and 32 per cent
in aged care.
Professors Hal Swerissen and Stephen
Duckett state only 14 per cent of people die at
home in Australia despite up to 70 per cent of
people preferring a non-institutionalised death.
“Dying is not discussed, and we are not tak-
ing the opportunity to help people plan and pre-
pare for a good death,” they write.
“As a result, many experience a discon-
nected, confusing and distressing array of ser-
vices, interventions and relationships with health
professionals when they are dying.” Professors
Swerissen and Duckett recommend a public
education campaign that encourages people to
consider, discuss and document their end-of-life
preferences with their families and appropriate
health care professionals.
They propose trigger points for mandatory dis-
cussions about end-of-life care, including during
health assessments for people aged over 75, for
all aged care residents and high-needs recipients
of home-based care packages, and for all hospital
inpatients who are likely to die within a year.
Measures must be introduced to ensure pa-
tients’ plans are implemented, while they also
suggest health professionals are in the best posi-
tion to initiate the discussion.
“They must shift their focus from prevention,
cure and rehabilitation at appropriate points in
time if these conversations are to occur.
“It is therefore important that it becomes nor-
mal and expected practice for health profession-
als to discuss and plan for end-of-life with their
patients when it is appropriate.”
Professors Swerissen and Duckett say im-
provements are needed to better coordinate
end-of-life care while legislative frameworks
and guidelines for advance care plans must
change.
“They should include clear mechanisms
for assigning speci�c responsibility to health
care professionals to coordinate and imple-
ment plans when people enter end-of-life care.”
For the full article visit NCAH.com.au
By Karen Keast
501-031 1/4PG PDF
Registered Nurse – Forensic Mental HealthMalabar
Permanent Full Time, Permanent Part Time
JH No: 232954Salary: Public Health System Nurses & Midwives (State) Award, RN 2–8: $30.16–$40.17 ph.
Enquiries: Louise Flemming on (02) 9700 3123.
Closing Date: 8 February 2015.
To apply for this position please visit http://nswhealth.erecruit.com.au NSW Health Service – Justice Health & Forensic Mental Health Network is committed to Work Health & Safety, EEO, Ethical Practices, and the Principles of Cultural Diversity. Personal criminal records checks will be conducted. Prohibited persons as declared under the Child Protection (Prohibited Employment) Act 1998 are not eligible to apply for child-related employment.
NSW Health Service: employer of choice
www.ncah.com.au Nursing Careers Allied Health - Issue 1
Printed by BM
P - Freecall 1800 623 902
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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 and your correct address.
Issue 127/01/14
fortnightly
Regional & Remote Health FeatureWorking remote as a physiotherapist
Labor pledges nurse to patient ratios for Queensland
More health risks for nurses working night shifts
Nurses applaud move to abandon Medicare rebate cut
501-023 1PG FULL COLOUR CMYK PDF
Jobs, courses and professional development
Nursing Careers Allied Health relaunches as HealthTimes
Nursing Careers Allied Health has been the premier nursing and allied health careers publication since it was founded more than 20 years ago, with a national distribution of over 43,000. More recently, the NCAH.com.au website has grown to become the number 1 careers website for nurses, midwives and allied health professionals in Australia receiving over 80,000 visits per month. In February 2015, Nursing Careers Allied Health relaunches as Health Times.
501-012 1PG FULL COLOUR CMYK PDF
Phone: AUS Free Phone: 1800 818 844 or NZ Free Phone: 0800 700 839
Contact: Dawn - [email protected] Raquel - [email protected] Erica - [email protected]
Like us on Facebook: Careers with CCM Australasia
QatarBahrainSaudi Arabia Ireland
Abu Dhabi & Dubai
Other locations
Now recruiting Medical/Surgical and ICU nurses for a VIP suite in a world leading hospital in Abu Dhabi.
Additional specialties required
2015Could this beyour best year yet?
501-015 1/2PG FULL COLOUR CMYK PDF
www.ncah.com.auNursing Careers Allied Health - Issue 1
Prin
ted
by B
MP
- Fr
eeca
ll 18
00 6
23 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 and your correct address.
Issue 127/01/14
fortnightly
Regional & Remote Health FeatureWorking remote as a physiotherapist
Labor pledges nurse to patient ratios for Queensland
More health risks for nurses working night shifts
Nurses applaud move to abandon Medicare rebate cut
501-023 1PG FULL COLOUR CMYK PDF
Jobs, courses and professional development
Nursing Careers Allied Health relaunches as HealthTimes
Nursing Careers Allied Health has been the premier nursing and allied health careers publication since it was founded more than 20 years ago, with a national distribution of over 43,000. More recently, the NCAH.com.au website has grown to become the number 1 careers website for nurses, midwives and allied health professionals in Australia receiving over 80,000 visits per month. In February 2015, Nursing Careers Allied Health relaunches as Health Times.
501-012 1PG FULL COLOUR CMYK PDF
Phone: AUS Free Phone: 1800 818 844 or NZ Free Phone: 0800 700 839
Contact: Dawn - [email protected] Raquel - [email protected] Erica - [email protected]
Like us on Facebook: Careers with CCM Australasia
Qatar Bahrain Saudi ArabiaIreland
Abu Dhabi & Dubai
Other locations
Now recruiting Medical/Surgical and ICU nurses for a VIP suite in a world leading hospital in Abu Dhabi.
Additional specialties required
2015Could this beyour best year yet?
501-015 1/2PG FULL COLOUR CMYK PDF
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