2015 March Connect+

A COUNTIES MANUKAU HEALTH PUBLICATION | MARCH/APRIL 2015

In this issue PATIENT EXPERIENCE WEEK 23–26 MARCH PAGE 10 LIVING OUR VALUES TOGETHER – OUR VALUES AND STRATEGY REFRESH PAGE 2 MENTAL HEALTH LOOKS TO THE FUTURE PAGE 6

d FUN! + CrossworAND MORE

FROM THE CEO

CONTENTS Values and strategy refresh ����������������������� 2 New Zealand Emergency Defence ������������������ 3 Orderlies graduation a proud moment ��������������� 4

It is not terribly often that we, a small country at the bottom of the world, are recognised as being world leaders in many things other than sport, but that is just what has happened with the publication of an international paper by the very well-respected King’s Fund.

The King’s Fund is an independent charity working to improve health and health care in England. They help to shape policy and practice through research and analysis; develop individuals, teams and organisations; promote understanding of the health and social care system; and bring people together to learn, share knowledge and debate.

Their vision is that the best possible care is available to all.

In a recent paper they have highlighted the work being done

by CM Health as something that the NHS in England can take real lessons from.

They point to our work in localities to develop health teams aligned with the needs of the local population and our close partnerships with general practices. They also flag our improvements in immunisation rates, cardiovascular risk assessment and smoking cessation support, which has gone from around 65% to 90% in the last two years, and our acute hospital admissions which are now below expected demographic growth rates.

Their paper discusses the focus moving from integrated health care to population health, necessitated by an aging population with chronic conditions and complex health needs. The central purpose of their paper is to challenge those involved in integrated care and public health to ‘join up the dots’. They recognise that population health is affected by a wide range of influences across society and within communities. Improving population health is not just the responsibility of health and social care services, or of public health professionals. Instead, they argue that it requires coordinated efforts across population health systems.

This means thinking of integrated care as part of a broader shift away from fragmentation and heading towards population health. Making this shift will require action and alignment across a number of different levels, from central government and national bodies to local communities and individuals.

So, well done to all of us! It is also pleasing to see improvements in the government-set health targets. Thank you for making these improvements a reality.

Best wishes,

Geraint A Martin CEO, CM HEALTH

1 | CONNECT + MARCH 2015

Dr Sai Wong awarded ONZM ���������������������� 5 Heathcliff, pioneer in stroke nursing care ������������ 5 Environmental sustainability ���������������������� 6 Tiaho Mai – what’s happening? �������������������� 6 Project SWIFT – clinicians take the driving seat �������� 6 Preview of the new website ����������������������� 7 Newman’s Own, supports Child, Youth and Family ����� 7 Manaaki Hauora – Supporting Wellness ������������� 8 Patients benefit from shared care ������������������ 9 Patient Experience Week ������������������������ 10 Volunteers – Our people service our community ������ 11 Five minutes with Avi Prasad ��������������������� 11 CM Health produces Connect+ bi-monthly. If you have something to share, or would like to receive a copy of this publication, please email the Communications Team, communications@middlemore.co.nz

u a n a a h W / t n e i Pat K C A B D FEE ing staff of Ward 34 rs

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Values and Strategy Last month saw the launch of our values refresh project called, Living our values, together.

Our current values were developed several years ago and without doubt have served us well. But the organisation has changed, the community and our environment have changed, and it’s time to review our values and make them current.

While we are refreshing our values, we are also doing the same with our 2020 strategic goal so that who we are fits with what we choose to do. The value statements will reflect our final strategy by July 2015.

Project Manager Adeline Cumings (pictured right), answers a few FAQs on the values refresh project.

When we use the term ‘organisation values’ what do we really mean?

Values are the behaviours that we as an organisation want to live by. They help define the care we provide to patients, family/whaanau, the interactions we have with each other, and the type of people we want to recruit into our organisation.

We are all here to improve the health care of our community.

We know that a values-led approach drives positive staff, patient and family/whaanau experience. It has been proven that when values are embedded in the culture of an organisation, there are lower mortality rates, fewer hospitalacquired infections, better patient outcomes, shorter lengths of stay, fewer readmission rates, significantly fewer mistakes and greater staff and patient satisfaction.

Why has CM Health decided to refresh our values?

It is timely to refresh our values at the same time we refresh our strategy and see out the current ‘Best healthcare system in Australasia by December 2015’, so

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ATIONS! L U T A R G N O C Please join us in congratulating the December House Officer of the Month – Dr Morisha Ali! Morisha is a House Officer in our Plastic Surgery ward and was nominated by senior staff for the collegiality and admirable work ethic she displays. A special mention was made about the clinical support she provides to fellow house officers during night shifts. Way to go Morisha!

that who we are fits with what we do.

How can staff become active participants in the values refresh conversation?

We want all staff to have their say, so I urge everyone to complete the short online survey available on SouthNET. Hard copies are also available to distribute to your teams and either return to me or place in one of the blue feedback boxes situated around the organisation.

We will also be looking for staff to attend workshops during Values Week 28 April–4 May. How are we involving patients in this process?

We want all patients to have their say as well so a short survey will be available on our external website and through our communication channels. The survey will be made available online and also in hard copy and can either be returned to me or placed in one of the blue feedback boxes.

We will also be inviting patients to attend the workshops during Values Week 28 April–4 May. How will the new values be used within the organisation?

We want the new values to be used by everyone, everywhere across the organisation – from daily interactions with patients, family/whaanau, and between staff, to provide direction on the types of people who should be recruited into the organisation, and guidance for those difficult conversations around acceptable and unacceptable behaviours.

Staff are encouraged to visit the Values and Strategy Refresh Project page via the SouthNET homepage. You can also contact Adeline directly on 021 478 233 or Adeline.Cumings@middlemore.co.nz.

Happy 1St Birthday Middlemore Hospital Theatres!

It’s hard to believe the “new” Middlemore Hospital theatres have been open for a full year! Where has the time gone? 2014 was a year of trialling and learning many new processes and seeing what works and what doesn’t.

None of this would have been possible without the fantastic staff who make up the theatre teams.

Thank you all very much and bring on year two! Robyn Hughes, Nurse Manager – Middlemore Hospital Operating Theatres.

Don’t miss out on any updates, follow Counties Manukau Health on Facebook, Twitter, LinkedIn, YouTube and Google+.

COUNTIES MANUKAU DISTRICT HEALTH BOARD | 2

Kevin Henshall (left) enjoys making a difference to people's lives.

Disaster zones need medics CM Health is leading a national drive to provide expert medical assistance during disasters both at home and overseas.

The training allowed Kevin to be deployed to the Solomon Islands in 2013 following extensive flooding that resulted in 21 deaths and 9,000 people displaced.

The Government set up the New Zealand Medical Assistance Team (NZMAT) in response to the devastating Pacific tsunami of 2009 and contracted CM Health to run it.

NZMAT responds to domestic disasters and manages requests from overseas governments to provide skilled emergency health assistance.

The team is now calling for a new wave of applicants to supplement more than 800 health staff from across New Zealand who have already volunteered.

One of the early volunteers was Kevin Henshall, a nurse specialist for the Trauma Service at Middlemore Hospital who signed up for NZMAT two years ago.

“I saw it as a great opportunity to fully utilise my nursing skills and enhance them to try and make a real difference to people’s lives,” he says.

NZMAT volunteers undergo a three-day training course to prepare them for the challenging situations they may face. “It was an intensive experience and gave me a good understanding of what problems you can encounter in an austere environment.”

3 | CONNECT + MARCH/APRIL 2015

Kevin says it was a humbling experience and he was privileged to work with many experienced clinicians in a highly challenging and even hostile environment.

If you’re interested in volunteering for NZMAT email Judy.Fairgray@middlemore.co.nz

What is NZMAT? NZMAT is a civilian-based disaster medical assistance team comprising of clinical and allied health along with non-medical staff such as logisticians.

Interested in volunteering?

It’s easy to register your interest. Go to: health.govt.nz/nzmat

ORDERLIES GRADUATION

a proud moment

DR SAI WONG AWARDED ONZM Dr Sai Wong has been made an Officer of the New Zealand Order of Merit (ONZM), at the New Year’s honours list, an extremely prestigious acknowledgement in New Zealand.

Sai is a Consultant Psychiatrist, who received his psychiatric training both in Hong Kong and New Zealand.

He has worked for CM Health for the past 30 years and contributed as a clinician, teacher, leader and currently works part-time at Te Rawhiti Adult Community Mental Health Centre, Highland Park.

Greg Simpson presents the

certificate to Sione (left)

with his sister.

Congratulations to all of the recipients of the NZQA National Certificate in Health Disability (Level 3).

This was presented to 28 orderlies, four non clinical support managers and eight team leaders.

It’s the first time the Certificate has been offered to non-clinical support staff and is designed to ensure people have the appropriate skills and knowledge to perform the role and provide quality support to those they work with.

Sai has made an immense contribution to mental health service users, clinicians and services across the Auckland region over many decades. In 2006, Sai and his colleagues introduced a Cultural Liaison – consultation service to the public mental health sectors in Auckland, emphasising cultural competency and access to services for Asian migrants. Sai was involved in founding telephone counselling service – Chinese Life Line and established a day centre for elderly Chinese people. Congratulations Sai!

“When we brought the cleaners and orderlies in house some years ago, it was important to provide on-going training and up-skilling opportunities,” says Greg Simpson, GM Facilities. “The Certificate, which is recognised throughout New Zealand, not only acknowledges the great work our staff do, it also boosts people’s confidence and self-worth. As a result service has improved and patients are receiving better care.”

Middlemore Orderlies Simone and Sione, jumped at the opportunity to take part. While the course validated the work they were doing, they also picked up additional skills, education and ways to improve current practice.

I’m now more aware of what I do and the role I play within the Hospital,” says Sione. “It’s been a great learning opportunity and I’m now sharing this knowledge with the people I work with.

“I’m really proud of what I have achieved,” says Simone (pictured right).

“It’s given me a lot of confidence and motivated me to keep learning. Who knows what the future will hold.”

Heathcliff Ingelton, Ward 6 Middlemore Hospital.

HEATHCLIFF INGELTON PIONEER IN STROKE NURSING CARE Heathcliff Ingelton is the first nurse in New Zealand to complete the stroke specific training course – NETSMART Junior: Neurovascular Education and Training in Stroke Management and Acute Reperfusion Therapies.

Heathcliff joined Middlemore Hospital in 2004, as a health care assistant. He went on to train as a registered comprehensive nurse, graduated and joined the Ward 6 Stroke team. In May 2013 Heathcliff was awarded a Proficient Registered Nurse on the CM Health PDRP pathway. Heathcliff is interested in medication safety, and his goal is to go on to be a nurse specialist in Stroke care.

NETSMART Junior is a distance education program that allows nurses to develop expertise in acute stroke nursing care and can contribute to postgraduate studies in acute stroke nursing.

COUNTIES MANUKAU DISTRICT HEALTH BOARD | 4

L A T N E M N O ENVIR Y T I L I B A N I SUSTA Join the worldwide reduce-waste movement. Here are some ideas to help our organisation save waste.

1.

OPT OUT OF YOUR PAPER PAYSLIP Make your way onto the Applications Directory on SouthNET. Click onto employee kiosk: http://staffnet/KioskApplication/ and you will see the ‘turn off payslips’ option at the bottom of that screen – easy!

JOIN THE REUSE REVOLUTION

2.

Keep an eye out for our second ‘Keep Cup’ promotion which starts in March.

Using a reusable coffee cup saves you money as you get a 20 cent discount each time.

Most disposable cups are not recyclable so they end up in landfill. Using a reusable cup reduces waste going to landfill – plus they look cool!

3.

CUT DOWN ON PAPER Large organisations like ours produce many tonnes of paper waste. Of course some of this is essential but we can all help to cut down.

Printing tips Double sided where possible Black and white – not colour Only print essential documents Ensure waste paper is recycled

People often ask what’s the difference between confidential paper document destruction and nonconfidential paper recycling?

Confidential documents (anything paper that contains patient details) should be placed into the secure document destruction bins. All other paper can be placed into the non-confidential paper recycling bins. Confidential paper recycling costs eight times more than non-confidential paper recycling and involves less transportation and resources to dispose of.

For more information please visit the Environmental Sustainability page via SouthNET. 5 | CONNECT + MARCH/APRIL 2015

TIAHO MAI In the past 10 years, we have invested significantly in our mental health workforce and community mental health services. As the Counties Manukau population continues to grow, so do the demands on Tiaho Mai, our acute mental health inpatient service.

The service has seen the number of admissions to the inpatient unit increase by 40 per cent in the past five years. The inpatient unit is often more than 100 per cent full, creating a cramped environment which does not support mental health recovery.

Our Board has approved the proposal to invest in a new, 76bed, purpose-built inpatient facility at Middlemore Hospital.

In the past year, our Mental Health Service has been researching local and international best practice and

The drawing above is an architectural illustrative concept only. The design of the new Tiaho Main Building is currently in consultation.

innovative service models in inpatient care. At a series of sessions service users, family/whaanau, staff and key stakeholders reviewed the model of care and gave feedback on the facility design.

The emerging new inpatient unit design presented in February incorporated their wish for a safe, light, culturally safe and welcoming environment, with space for time out when needed. The design also reflected modern psychiatric practice and thinking.

A business case has been prepared for the National Health Board’s Capital Investment Committee. All going well approval will follow from the Ministry of Health and then construction of the new building will commence in mid-2016.

This exciting development is one of many aiming to achieve a good range of mental health services in the community and in hospital, to meet the needs of our service users and their family/whaanau.

Dr Hamish Read (pictured) is an Emergency Care clinician grappling with a daily load of paperwork.

Clinicians take the driving seat Clinicians and consumers will drive the next phase of System Wide Integration For Transformation (SWIFT), as the project focuses on diseases that have a high impact on the community and the health system.

Eighty clinicians responded to the call for clinical involvement in the project, with clinical leads soon to be confirmed along with consumers who will represent the patient view.

Phillip Balmer, Director of Hospital Services and sponsor of the Solution Design project workstream, says the team is focusing on three key disease groups – bowel cancer, cardiac chest pain and inflammatory respiratory disease – with the aim of streamlining processes.

“By taking a conditions-led approach to redesigning processes we can take a whole-of-system view of how we work in those key disease groups. We’ll be focused on the perspective of the patient journey, which will flow on to other areas,” says Phillip.

The SWIFT team is now ‘shadowing’ groups of clinicians in their daily work to get deeper into the detail of what processes can be improved.

“The paper-based processes we still use are time-consuming and inefficient,” he says. “We fax referrals, pin x-ray requests on a board for the orderlies to pick up and take to Radiology, we do ward handovers with paper notes and most things are written down and then inputted into the system by a clerk.”

“There’s duplication throughout our processes and if we had some or all of it online we’d be saving time and effort all round.”

In the next few months the SWIFT team will be working on detailed plans to improve hospital, outpatient and elective systems. Improvements will focus on medical ordering, rostering, booking and scheduling, new workflows and point of care information and mobile access to information and resources.

The team will also work closely with primary care to examine how CM Health can best respond to the increasing needs of its community and provide more coordinated services closer to home.

View more information on SouthNET or visit www.countiesmanukau.health.nz/About_CMDHB/ Project-Swift/ COUNTIES MANUKAU DISTRICT HEALTH BOARD | 6

?

DID YOU KNOW The air from a human sneeze can travel at speeds of 100 miles per hour or more – another good reason to cover your nose and mouth when you sneeze – or duck when you hear one coming your way.

Your nose is not as sensitive as a dog’s, but it can remember 50,000 different scents.

Preview of the new CM Health website We know it’s important for our online information to be easy to find and understand, so we’ve decided to build a new CM Health website. Currently, we’re focusing on;

A human baby has over 60 more bones than an adult.

We all have tiny mites living in our eyelashes. (and you just blinked) If the human eye was a digital camera it would have 576 megapixels.

The highest recorded body temperature in a human being was a fever of 46.5°C

Reorganising content, so it’s easier to find Rewriting content in crystal clear English (non-clinical) Building a website suitable to view on any device, including smartphones and tablets Using the Government endorsed Common Web Platform provider Sliverstripe which aligns with the ICT Strategy and Action Plan 2013 – 2017 Providing a feature-rich content management system, hosting, back up disaster recovery, online code repository, service desk, cofounded development and proactive patching to keep website secure Bringing together content from Counties Health Jobs, Auckland Spinal Unit and BreastScreen Counties Manukau, that currently sits on other websites.

Over the coming weeks, we’ll start migrating content over to the new site, with the aim of having the full site live April 2015. Keep an eye out for the changes at countiesmanukau.health.nz The upgrade to SouthNET will begin later in 2015.

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Newman’s Own Foundation, supports Child, Youth and Family building upgrade Movie star Paul Newman was one of Hollywood’s favourite actors, winning an Oscar for The Colour of Money, half a dozen Golden Globes, an Emmy, a Bafta, and many other awards.

He was also a director, entrepreneur, professional racing driver and team owner, an environmentalist, a social activist and co-founded Newman’s Own – familiar to anyone who buys salad dressings in their local supermarket – from which all profits go to charity.

At the end of 2014, that was more than $400 million. $30,000 of that was spent to revamp the MultiAgency Centre (MAC) on Great South Road, which houses Child, Youth and Family, Police and CM Health child protection teams.

deal with numerous people involved in his care, and lacked control and awareness of how to manage his health. He found it hard to get up in the mornings, got out of breath mowing a small patch of his lawn, and felt his confidence fade away.

James is one of 67,000 people managing long term conditions in Counties Manukau. Many deal with preventable risk factors, such as high blood pressure, obesity and mental health conditions such as anxiety and depression.

James with Isa Nacewa, Blues Performance Coach.

A helping hand for people with long-term conditions A new campaign aims to put 50,000 people with long-term conditions back in control of their lives.

CM Health and Ko Awatea have started Manaaki Hauora – Supporting Wellness to better support people with longterm conditions and their family/whaanau.

Living with a long-term condition can be a daily struggle.

No-one knows this better than James (pictured left), who was diagnosed with heart failure in 2011. Finding it hard to stay on top of his health, James felt like he was on a roller coaster. He had frequent trips to the doctor, had to

Self-care packages are developed for individual patients, ranging from better management of diabetes, heart failure and respiratory conditions, to help quitting smoking or losing weight. The packages may include exercise, nutrition and health programmes, peer support, education and access to resources, tools and advice.

As for James, he is proof that campaigns such as Manaaki Hauora – Supporting Wellness can inspire and empower people to better manage their health. Since starting a nine-week Healthy Hearts Fit to Exercise programme, which focused on individualised exercise and advice, James has reclaimed his life. He is fitter, healthier and has the energy to mow his entire lawn. He is sharing his new-found knowledge with his two sons, who also have heart problems.

For more information about the campaign go to http://koawatea.co.nz/campaigns/self-managementsupport/

Middlemore Foundation public relations officer David Kemeys said it was no ordinary revamp. “MAC staff involved the users, who decided on the colours, the furniture, the technology, came up with the quotes on the walls and advised in every area.”

The money funded a complete redesign of the adolescent health area, iPads, furniture and material, produced by the centre’s users, that explains what it does.

Kidz First Children’s Hospital child protection service clinical nurse specialist Julie Carroll said the grant was magic. “We have a strong child focus, but the centre was once shared with police working in adult sexual violence, so areas had to be set up to collect forensic evidence. That work relocated, but it left a child-unfriendly environment.

“We made some progress but the young people kept telling us it felt institutional and made them uncomfortable. And all credit to those who engaged with the project, they have created a much nicer place, and they’ve got great taste!”

The iPads are being used in an interactive way to explain sexual health, alcohol and drug education, and chronic health conditions.

And while the initial proposal centred on a treatment suite and a “quiet room”, reusing existing items meant the money went further, with two treatment areas upgraded.

“Nothing was wasted, so anything serviceable was put to use somewhere,” Ms Carroll said.

“You read about some of today’s stars and their lavish lifestyles, so it’s special to know a movie star made it all happen. Some of the young people are quite taken by that.”

Paul Newman provided the voice for Doc Hudson in the Pixar sensation Cars in 2006, retired from acting the following year, and died in 2008, a year when he contributed more than $20million to Newman’s Own.

COUNTIES MANUKAU DISTRICT HEALTH BOARD | 8

Patients benefit from shared care More than 4,300 Counties Manukau patients are benefiting from a coordinated approach to care for their complex conditions.

“It’s helped me gain a much better understanding of my condition and how I can manage it myself. I’m staying out of hospital and continue to work full time which is the best thing of all.”

Thanks to the support of primary health organisations (PHOs), all general practices in the district will be signed up to use shared care plans by the end of July. It means in all our communities, multidisciplinary teams will focus on patients who are most at risk of future admissions to hospital.

Medication plans supplement shared care

Enid Wardle, who works at Whirinaki, Counties Manukau Health’s child mental health services, is one patient who benefited from the ARI programme.

From her 20s she had arthritis. From there she was confirmed as having early onset arthritis and cellulitis infections, and suffered headaches, migraines and skin problems caused by a genetic condition.

Increasingly from the age of 40, problems with her weight began to affect her health and at the age of 50 she was diagnosed with a heart condition.

“I was in touch with the cellulitis team who realised there was a whole lot going on with me. I was finally diagnosed with lipedema and secondary lymphedema which explained the weight problems and other symptoms,” says Enid.

“Until then though, all the doctors I was seeing were fixing a little bit of it but with eShared Care there was a much more holistic view. The first thing my care coordinator asked me was what the biggest issue was for me and from there we looked at every aspect of my health.

“Now I have specially made stocking to relieve the lipedema pain and prevent infection, I have iron injections and get more coordinated care from my specialists.

Enid says she’s particularly looking forward to the shared care plans that clinicians work with being available to patients, and is thrilled to see the programme benefiting so many Counties Manukau patients.

9 | CONNECT + MARCH/APRIL 2015

Community pharmacists in Counties Manukau can now enrol their Long Term Conditions Service patients in eShared Care and create medication plans that can be viewed by a patient’s entire care team.

The eShared Care platform – which is being rolled out across the Northern Region DHBs – provides a central place where pharmacists can create and store important information like a Medicine Adherence Plan and a Managed Medicines List.

Carole B

These are in addition to shared care plans and advance care plans, both of which are owned and managed by general practice staff, while medication plans are owned by pharmacists.

Carole Baxter of Unichem Tuakau says the plans give pharmacists the ability to properly track their patients’ adherence to their medication.

“Patients don’t adhere to medication for lots of reasons and previously we had an idea that there might be a problem but no real way of proving that they weren’t taking their medicines.

“Now we can track whether they’ve come back for repeats which makes it easier to talk to them about any problems they’re having.

“The ability to work in a coordinated way with the GP team next door means we can be properly patient centred and a lot of our patients are benefiting from that.”

Enid Wardle

For more info go to http://www.countiesmanukau. health.nz/AchievingBalance/System-Integration/systemintegration-home.htm#Place

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The Allied Health staff will be leading the Empathy Zone on Monday 23 March between 1pm and 3.30pm in the Ko Awatea Centre.

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Patient Experience Week

ll w ts a ec aff

You will experience: How it feels to be hoisted from bed to a chair

Patient Experience Week aims to showcase current and proposed patient experience activities including projects, research and patient experience survey results. Our plan is that this interactive event will be fun, educational and will promote the benefits of healthcare staff, patients and whaanau working together in order to design services that meet the needs of our communities. It will show you how you can create a positive experience that feels good.

How difficult it is to write or operate a computer with stiff arthritic hands

As part of Patient Experience Week, which will take place between Monday 23 and Thursday 26 of March, Ko Awatea will be running a series of interactive events enabling staff to experience some of the things that our patient’s experience.

This is just one of the great activities you can get involved in which details the opportunities hosted in the Ko Awatea Centre over the week to allow you to gain a unique understanding of our patient’s experiences.

1

2

How it feels to be on an operating bed awaiting your surgery How difficult it is to ask someone a question when you are having trouble speaking, or are hearing voices inside your head.

Crossword

Fun!

3

4 5

6 7

ACROSS I clean my hands to prevent the spread of 2

8

9

10

_ _ _ _ _ _ _ _ _ (9).

11

5

12

_ _ _ _ _ _ _ _ _ (10) precautions are used _ when standards precaution alone may not stop the spread of infection.

6 _ _ _ _ _ _ _ _ (8) precautions are work 13

practices used during the care and treatment of all patients regardless of their known or presumed infectious status.

14

15

18

9

17 18

19

11

_ _ _ _ _ _ _ _ _ _ _ _ _ (12) hand gel should not be used If hands are visibly dirty. _ _ _ _ _ _ _ _ _ _ _ (11) should be used to dry my hands after washing with soap and water.

12 I should wash my hands _ _ _ _ _ _ ( 6) and

20

after contact with patients, contact with the patient’s environment or performing procedures.

DOWN 1 I t is important I wash my hands before and 10 I should _ _ _ _ (4) my hands after removing

13 Singing _ _ _ _ _ _ _ _ _ _ _ _ _ (13) twice is

3 The transmission of infection is called

14 _ _ _ _ _ _ _ _ (8) A microorganism or

15 The most important procedure for the

4 _ _ _ _ _ (5) should be kept short in order

16 Hands should be washed with alcohol hand

7 It is important to _ _ _ (3) your hands after

17 The use of _ _ _ _ _ _ (6) is not an effective

after significant _ _ _ _ _ (5) contact. _ _ _ _ _ _ _ _ _ _ _ _ _ _ (14).

to help prevent spreading infection.

washing with soap and water, to prevent bacteria growth and skin irritation.

8 Broken areas of skin should be covered with a _ _ _ _ _ _ _ _ _ _ (10) dressing.

my gloves.

substance capable of producing a disease. rub or soap and _ _ _ _ (11) water. substitute for hand washing.

19 I should wash my hands for at least _ _ _ _ _ _ (6) seconds.

the amount of time I should take washing my hands. prevention of infection from bacteria and viruses is _ _ _ _ _ _ _ _ _ _ _ (11).

18 Use _ _ _ _ _ _ _ _ (8) to clean between

fingers, palms, nail beds, back of hands and wrists.

20 You must wash your hands after removing your _ _ _ _ (4).

COUNTIES MANUKAU DISTRICT HEALTH BOARD | 10

OUR PEOPLE SERVING OUR COMMUNITY

Five minutes with...

Avi Prasad, who joined the CM Health Recruitment team at the beginning of March!

What is your role in CM Health?

As the Strategic Sourcing and Brand Development Consultant, I am responsible for the promotion of the overarching brand and market positioning for the Talent Acquisition Service. I maximise the optimum advantage of the designs and features of social media and other channels in order to present a consistent, positive and compelling brand identity.

What led you to CM Health?

My journey over the last 12 months has been spontaneous in nature. For most of last year, I was living in Beijing China working at the British Chamber of Commerce helping to develop their social media presence and further their marketing strategies. I returned to New Zealand and took up a contract with the military at the Defence Technology Agency in Devonport Naval base, where I contributed business advisory for military projects. I felt like I needed a change, and now I am here with the CM Health Recruitment team! I still work with the military as a territorial soldier and continue my work as a volunteer with Spirit of Adventure Trust.

What do you like most about being here?

There’s a lot to like about what I do. The role is a new position; this allows me creative freedom to a certain degree to bring new ideas and concepts to the organisation. Being a DHB there are new challenges however I find this exciting and refreshing. I work with a great team, and that helps but I think what gets me is the community culture at CM Health. I can easily relate to why a lot of people do what they do, it’s the sense of purpose and helping people, and that is truly remarkable in my eyes.

KEY UPCOMING DATES AND EVENTS Patient Experience Week Good Friday Easter Monday Conversations that Count Day Anzac Day Values Week

11 | CONNECT + MARCH/APRIL 2015

23–26 March 3 April 6 April 16 April 25 April 28 April–4 May

Susan Champion, Esther Leilua and Roxanna Anderson on the front desk.

A recent call for volunteers prompted more than 300 responses from people in our community who want to give a helping hand.

Volunteer Service Manager Neshanee Naidoo tells us what the team has been up to.

“Our applicants are members of our diverse community who want to be involved in their hospital and give back to the community. Many are students who are interested in a career in health wanting to gain experience within the hospital setting while studying. Our volunteer applicants are keen to lend a helping hand to staff, patients and family/whaanau, wherever it may be needed.

We see the volunteers as an extension of our workforce, helping to make the patient experience as comfortable as possible while they are in our care.

This also frees up our clinical staff to focus solely on patient care. We will see the volunteers helping patients to fill out menus, read to patients, provide companionship for those who do not have family/ whaanau visiting and help complete surveys.

We recently hosted a group of foreign exchange students from De La Salle College in the Philippines. Nine boys were part of the programme who volunteered their time to help make up Mother and Baby packs for our Women’s Health service.

The students made up close to 600 packs on the day that was greatly appreciated by the service. We see the volunteers as an integral part of the CM Health team, helping improve the patient experience at Middlemore Hospital in any way they can.

We are excited about the volunteers’ new uniform that will be rolled out over the next few months. The new uniform will make it easier for patients and visitors to identify our volunteers throughout the hospital.

We’re also looking at new processes, policies and systems so it’s exciting times ahead as we work together to grow our volunteer army. Please contact me via email or ext. 2591, if you need a volunteer!”