Canterbury DHB CEO Update Monday 6 July 2015

CEO Update Monday 6 July 2015

West Coast floods challenge health system Some of you may be aware of the torrential rain which hit the West Coast a couple of weeks ago. This one-in-150 year weather event created chaos for many people including a West Coast rest home – the Ultimate Care Allen Bryant facility in Hokitika.

Following the torrential downpour on 18 June, the facility was awash with contaminated flood waters. All 45 residents had to be evacuated and the building now has to be gutted, sterilised and dried before rebuilding can take place. The facility is likely to be closed for up to six months.

This has created a huge challenge for West Coast DHB and some of our transalpine teams who support aged residential care. Since the flood they have been working with residents and their families trying to find the best temporary placements for 45 people.

This is a major undertaking for the West Coast Complex Clinical Care Network team, they’re dealing with a situation on a scale that is huge for the Coast, comparable if not larger in proportion to the situation we were dealing with for our older folk post the Canterbury earthquakes when over 500 older people had to be evacuated from rest homes.

I want to offer my thanks to all those involved in working through these emotionally and physically difficult times for a large group of older people and their families on the Coast. This work will be ongoing and I would like to acknowledge the significant work that has already gone on by a team of staff from both sides of the Alps.

David Meates

CEO Canterbury District Health Board Rest home residents being evacuated.

In this issue »» Zero fees for children under 13...page 3. »» Volunteer awards abound...page 5. »» Dry July news...page 6.

»» Allied Health Assistants graduate... page 7

»» Professional Interpreter Service... page 12.

»» ‘Add a dollar’ campaign...page 11.

»» Research Radar...page 14.

cdhb.health.nz 1

CEO Update

Bouquets CAAU, Christchurch Hospital Thank you for the amazing job you do! You made our stay so much better and answered all our questions. We are so grateful!

Children’s outpatients (COPD/ POPD), Christchurch Hospital I would like to commend Tom Townend in paediatrics for his excellent service. Great work.

We were very impressed with your attitude, professionalism and knowledge on our recent visit with our son.

Ward 21 and Playroom, Christchurch Hospital Thank you all so much for your care, concern and humanity to ... in her stay here. Everything was made so much easier because of the inter relations between depts. My child was in so much pain, that to see you all work together to help and us as her whānau to be part of her care was amazing. It is with pride I watch how this hospital has developed to caring for the whole person and that includes whānau. You took care of every conceivable aspect that could impact on all of us. Arohanui.

Playroom, Christchurch Hospital Activity room is amazing and play specialists are awesome.

Ward 21, Christchurch Hospital The service provided by the nurses and staff was awesome. We were blessed to be here during my daughter’s middle finger operation/ surgery. Thank you very much and keep up the good work, not forgetting the anaesthetic team at the theatre.

God bless you all.

Ward 22, Christchurch Hospital When my daughter was admitted, the process from admission to discharge was absolutely seamless and a very positive experience. We were greeted warmly by the ward clerk on arrival and shown to our room. Then two lovely nurses met us and made us all feel very comfortable. I had complete trust in their abilities and willingness to care for us all. Whilst we were waiting to go to theatre another nurse came in to play with our daughter and make her laugh. Her genuine love of children and her job was obvious- her name was Hannah.

Our anaesthetist, Ben, was very pleasant and made us feel at ease about the procedure, whilst ensuring that we knew the risks.

The PACU staff were equally as wonderful and were so caring towards my daughter and made sure that as parents, we were comfortable.

So all in all a very positive day

for all of us. Every single person we encountered was fantastic, competent, caring and obviously enjoyed their work. I am so very impressed. Thank you.

NICU, Christchurch Hospital They are very amazing and kept me updated with everything. They are all polite and they are all easy to talk to.

I just wanted to compliment everyone on the NICU team for their amazing service.

NICU Dad very impressed with support and care. Very good, keep it up. God bless.

NICU Great people. Warm and friendly service.

NICU NICU staff Sophie Ferguson - what a fantastic teacher to both patients and new staff. She was so good at explaining things, and so patient and efficient. Also Emily was also very compassionate and helpful. We really do appreciate all the small gestures from the NICU staff - it has made our stay so much easier. Steve the social worker - thank you so much for organising Ronald McDonald House for us. Gilly was also fantastic and made the stay more enjoyable.

The MoH Certification audit is two weeks away Twelve Auditors will visit Canterbury DHB from Monday 20 July to Thursday 24 July.

The audit will measure our compliance with the Health & Disability Sector Standards NZS 8134:2008.

The auditors will track a number of patient episodes of care

through the organization. You may be asked questions regarding your role in the CDHB health system associated with the patient’s journey.

Look for ten tips through this newsletter that will help you get ready.

cdhb.health.nz 2

CEO Update

Zero fees for children under 13 years

If your child is under 13 years and enrolled with a general practice team then getting them medical care may now be a whole lot cheaper. The new zero fees for under-13s scheme was officially launched on Wednesday 1 July at the Karori Medical Centre in Wellington.

Most general practices are now offering zero-fee visits for children under 13 and you’ll no longer need to pay the $5 charge for each item of prescription medicine for under-13s, though other charges may apply.

The ’zero fees’ scheme applies to a standard daytime visit to the child’s regular general practice team (where they are enrolled) or an after-hours visit to a participating clinic. It also applies to injuries covered by ACC. After-hours services are designed for urgent visits when the child’s regular practice is closed and where the child needs to be seen before the practice opens again.

Here’s how it will work in Canterbury: In-Hours (i.e. 8am-6pm Mon-Fri) »» All General Practices in Canterbury (except CPIT who do not enrol U13s) are offering free in-hours care to enrolled patients aged under 13 years for medical presentations »» Accident presentations will be free at the majority of General Practices, though some practices may still charge a co-payment.

Prime Minister, Hon. John Key, Health Minister Dr Jonathan Coleman, Karori GP, Dr Jeff Lowe and an under 13 patient from the practice. Photographer: Dionne Ward.

After Hours (i.e. 6pm-8am Mon-Fri, all day weekends and public holidays) »» As with the Under 6 scheme, accident and medical presentations by enrolled and casual patients aged under 13 will be free at the 24 Hour Surgery, Riccarton Clinic, and Moorhouse Medical Centre, where those presentations occur after hours. »» The DHB and PHOs have worked together to agree a model for delivery of after-hours care. It is voluntary for General Practices to sign up to the agreement to deliver free after-hours care »» Some Christchurch based General Practices offer extended hours into evenings and at weekends. For most of those practices attendance at these times will be free for under 13s. »» Most Rural Practices will deliver free after-hours care for medical presentations. »» Practices may charge for a home visit/call out, given the high cost of providing such a service. »» Accident presentations after hours to a general practice may incur a co-payment For more information see www.health.govt.nz/visiting-a-doctor

Health Minister Dr Jonathan Coleman and an under 13 patient from the practice. Photographer: Dionne Ward.

cdhb.health.nz 3

CEO Update

Monday’s Facilities Fast Facts Burwood Staff at The Princess Margaret Hospital are beginning to think about their eventual moves to new locations. One of the first steps in the process is to have a big clear-out – what you must keep, what needs to be archived, and what can be (securely) disposed of.

Janice Lavelle, Service Manager of the Community Service teams, writes: “On 24 June, the 2nd, 3rd and 5th floors of the Heathcote Building at The Princess Margaret Hospital held an indoors version of kerbside recycling and rubbish collection. Staff were encouraged to fossick through their cupboards, store rooms and office spaces and put any unwanted items outside their doors (no confidential material though!).

“With no real idea about what sort of response we would get, we planned on this being a one day exercise. However, the response was overwhelming. It took Shannon and Peter from the Facilities Team at TPMH three days to collect the offerings. After filling the usual on-site skips, an additional nine cubic metre skip had to be ordered.

“Kerbside collection” in the Heathcote Building.

“A big thanks to the staff for getting behind this. It’s all great preparation for our move to new facilities – for more information, see the Workforce Transition intranet page.”

Christchurch Work on the Acute Services building has now moved into a new phase with the arrival of the foundation contractors (Fletchers Construction).

The photo shows preparations ahead of the first major foundation concrete pour - a damp-proof orange geomembrane being laid over the site surface, with reinforcing steel being woven on top of it. Each 15m long piece of steel weighs 180 kg. Pits for lift shaft footings have also been dug (on the right of the picture).

Elsewhere on site, the enabling works contractors (Schick) are finishing construction of a new Dirty Dock (for refuse collection and dirty linen) at the rear of the Riverside building.

User group news User Groups are continuing to meet to review and provide feedback to the design team on the detailed design plans and room data sheets for the Acute Services Building. Meanwhile, the Outpatients User Group has started to discuss schedules of accommodation. A schedule of accommodation is a breakdown of how space will be used – it specifies sizes of rooms and numbers of rooms. Some of the outpatients services are planning sessions at the Design Lab to better understand the spaces allowed for in the schedules of accommodation.

Certification tip 1: Clinical Records »» All entries are legible with date, time and signed by the person with name and designation clearly annotated under the signature. »» A patient label is present on every page of the clinical record. »» All clinical records are stored appropriately in all areas (i.e. protected from unauthorised access and not left unattended in public areas including corridors). »» There is a clearly documented plan of care and evidence of regular patient review. »» There is evidence of open disclosure for any adverse events and incident reporting. »» There is evidence of informed consent. cdhb.health.nz 4

CEO Update

Volunteer awards abound Congratulations to our volunteers who have received both regional and national recognition awards for the work they do.

Christchurch Hospital Volunteers received The Volunteering Canterbury Award in recognition of their outstanding contribution to the community.

Above: Volunteers Pat Williams and Sarah Scadden receiving the award from Garry Moore.

Above: From left: Sarah Scadden, Jan Danrell, Simone Riches, and Pat Williams. Sarah, Simone and Pat are all volunteers.

The Christchurch Hospital Way Finding Team received the 2015 Minister of Health Volunteer Award for the category ‘Health Care Provider Service Volunteer Team’.

Left: Pictured at Parliament after receiving the award: Dr Jonathan Coleman (Minister of Health), Anne-Marie Loughnan (volunteer), Jan Danrell (Christchurch Hospital Volunteer Co-ordinator) and Chris Irons (volunteer).

Certification tip 2: Medication Management »» Allergy status is completed on all charts. »» Staff know how to report an adverse drug reaction.

»» The surname of the prescriber is written in capitals as well as a signature on the Drug Treatment Sheet. »» All discontinued medications are dated and signed. cdhb.health.nz 5

CEO Update

Punch a hit for DJs Dry July has been launched with a punch – an offering of refreshing alcohol-free drink.

Members of the CDHB/Christchurch Hospital DJ Team set up a cup of punch for a gold coin donation stand last Wednesday outside the Great Escape café at Christchurch Hospital.

Dry July Chair, Iain Ward was delighted with the event.

“People donated $119.90, which I have added to the total for our team. But, more importantly, we were able to tell lots of

people about Dry July and what it does,” says Iain.

There are still lots of other ways you can support the team and help raise funds for comfort items to be used by adult Cancer patients receiving treatment in Canterbury: »» Sign up today to go alcohol free for July and raise funds.

You are welcome to join the CDHB/Christchurch Hospital DJ Team or start your own. »» Donate to someone on the team »» Come along to one of the other fundraising events. There’s a bake sale planned for Thursday 9 July, 9am – 11am, inside front entrance of Christchurch Hospital and raffles at the end of July.

If you can help with any of these events (raffle prizes, baked goods etc) please email: Hayley.beckman@cdhb.health.nz.

You’ll find more information on our Dry July webpage.

Sign up now for Dry July and support adults living with cancer who receive treatment from the Canterbury Regional Cancer & Haematology Service (CRC&HS).

Left: Dry July Team members from left: Hayley Beckman (Charge Nurse Manager, Oncology/ Haematology) Andrew Cousins (Radiation Oncology Physics Team Leader), Joanne Maggs (Radiation Therapy Treatment Head of Section), Iain Ward (Radiation Oncologist) and Ngaere Dawson (Team Facilitator, Business Development Unit, CDHB).

Dry July a chance to “give back”

Eric Gamble

Eric Gamble is encouraging people to support Dry July because he wants to give something back for the good life he has lived in New Zealand over the last 61 years.

Eric was born in Hackney, East London, which he describes as “a fairly rough district.” He fought in Burma and India in World War 2.

He immigrated to New Zealand as a 30 year old but still speaks with friends in England via Skype.

Eric was diagnosed with prostate cancer in 1991 following a routine health check by his General Practitioner. He was referred to Christchurch Hospital’s Oncology Department and a series of tests confirmed prostate cancer.

Over the last 21 years he has been on a number of different medications which have kept the cancer at bay.

“Life wasn’t meant to be fair, it was meant to be lived. I don’t have the energy I did when I was a younger man, but you expect that. I have had a good life. I married twice and have a great family. I’ve had a good run here,” Eric says.

As a long term survivor of prostate cancer he has got to know his doctors well and keeps in touch with them.

Eric, aged 91, knows how important things like the DJ-funded illuminated picture above the Radiotherapy CT Scanner are for patients. That is why he is encouraging people to support Dry July fundraising for patient comforts that will it make better for those being treated for cancer.

Certification tip 3: Patient Privacy »» Curtains are fully closed when patient privacy is required. »» Options are available for conversations of a sensitive nature to be held in private.

cdhb.health.nz 6

CEO Update

Canterbury Grand Round

Robyn and Analise will talk about life with Tourette’s.

Friday 10 July 2015, 12.15- to 1.15pm with lunch from 11.45am.

Chair: Chris Drennan

Venue: Rolleston Lecture Theatre Speaker one: Robyn and Analise Twemlow, Tourette’s Association “Tourette’s Syndrome” Tourette’s Syndrome is a neurological condition which starts in the young and can increase in severity as people get older. Robyn’s daughter Analise was diagnosed at aged 9.

As a response to this Robyn established the Tourette’s Association of New Zealand and has recently returned from the first World Congress on TS.

Please note that the advertised talk by Nicola Austin will occur later in the year.

Video Conference set up in: »» Burwood Meeting Room »» Meeting Room, Level 1 PMH »» Wakanui Room, Ashburton »» Administration Building, Hillmorton All staff and students welcome Talks (with Speaker approval) will be available in two weeks on the CDHB intranet.

Next Grand Round is on Friday 17 July 2015.

Convenor: Dr RL Spearing Email: ruth.spearing@cdhb.health.nz

Allied Health Assistants Graduate Congratulations go to 18 Allied Health Assistants from The Princess Margaret Hospital (TPMH), Burwood and Christchurch Hospital who have completed their National Certificate in Health, Rehabilitation Strand. This has been a 15 month NZQA course of study for the assistants.

Rehabilitation). The AHA training framework will in addition to implementation of the training, provide recommendations for development of regional and local process or policy for orientation, clinical competency, access to supervision and ongoing professional development for AHAs.

The ceremony took place on Tuesday 16 June in the Riley Lounge, TPMH.

For more information on the Project please contact Catherine:

The Allied Health Assistant Development Project is an initiative of the SIRTH Allied Health Work stream. The overall project goal is to develop a framework for the implementation of Allied Health Assistant (AHA) Training and Development into the five regional South Island DHB’s using the Careerforce National Certificate in Health, Disability, and Aged Support (Health Assistants) (NZQA Level 3) (Strands: Dental, Dietetics, and

Catherine Coups, Project Lead Allied Health Assistant Development Programme: catherinecoups@siapo.health.nz Check the Careerforce website for information about Careerforce and the Health Assistant qualification.

Certification tip 4: Code of Rights »» Staff know how to request an interpreter if required. »» Staff know what do to if a patient wants to make a complaint. »» Health information is kept secure (clinical records are returned to the storage area in the wards). »» Staff introduce themselves when seeing patients.

Above: Allied Health Assistants at their graduation ceremony.

cdhb.health.nz 7

CEO Update

Hand Hygiene performance – still heading in the right direction: Up! The National Audit Period finished at the end of June 2015.

The CDHB result came in at 76.8 %, just short of the 80% target but a further 4.1% better than the last audit period and an impressive 15% up from the audit period finishing in October 2014. A total of 2658 moments were audited, 2041 moments of which were correct.

A big thank you to all involved for making this happen.

The national wards part of this audit period were CWH: CHOC, NICU, Gynaecology Med/Surg: ICU, Acute Dialysis, BMTU, Ward 26, Ward 20 TPMH: Ward 2B & 3A Burwood: Spinal Unit & Surgical Ward Ashburton & Rural Health: Ward 6 A special mention must go to those wards that achieved over 80% compliance: Ward 6, Acute Dialysis and BMTU - with Neonatal Intensive Care Unit topping the charts with 88%.

Both Ward 22 and ICU achieved impressive increases from previous audit results. Ward 22, a 14% increase from 76 to 89 % and ICU a 9% increase from 65 to 74% compliance. This was achieved by improved understanding and staff knowledge of the 5 moments, education sessions both one on one and as a group, more hand gel dispensers easily accessible, and direct feedback/on the spot coaching by vigilant staff. Also within Ward 22 a peer support programme was implemented where a junior doctor is nominated to observe hand hygiene practices on physician ward rounds and prompt/educate to reaffirm when hand hygiene is necessary.

Compliance with Hand Hygiene is best after touching a patient but the lowest scoring moment is after touching a patient surroundings.

Other interesting facts are: »» When healthcare workers correctly performed hand hygiene the proportion of Moments where alcohol based hand rub was used was 81.7% and the proportion of Moments where soap and water was used was 18.3%. »» Of all Moments where glove use is recorded, Healthcare Workers FAILED to perform hand hygiene 24.5% of the time. »» Health Care Workers who achieved over 80% compliance were Invasive Technician 89% and Nurse/Midwife 81%.

Other areas and clinical with invasive procedures have local audits conducted which are not part of this national report.

Full report and Resources to drive local improvements can be found on the CDHB intranet.

cdhb.health.nz 8

CEO Update

Protecting patient privacy; your obligations when using HealthOne Access to patient information held electronically by Canterbury DHB is audited to prevent inappropriate access or misuse of patient data. But did you know that this includes patient data in HealthOne, where primary care information is shared by General Practice and Community Pharmacy across Canterbury and the West Coast?

To access patient data held in HealthOne, you need to be actively involved in that patient’s care*. Most of the time, this can be established automatically without you having to do a thing thanks to the technology in place that carries out regular privacy audit reporting behind the scenes. However, your access may appear in the privacy audit report for a number of reasons including the following: Reason for access

Action

You were involved in the patient’s care, but for some reason we could not automatically establish this in the audit report.

To help us refine our reporting to capture this information in the future, we will write to you to ask you to verify the access.

You accessed HealthOne for research, auditing or reporting purposes.

These are all great uses of patient data, however the information held in HealthOne cannot be used in this way. It is strictly for use at the point of care only. You will receive a letter asking you to provide us your reason for accessing the patient’s record. If the reason is for research purposes, you will likely be subject to further investigation and/or your access to HealthOne removed.

Certification tip 5: Clinical Guidelines »» Area specific guidelines and procedures are up to date. »» Staff know how to access CDHB policy and procedures.

Nigel Millar, Chief Medical Officer says “We are now checking more accesses in the secondary care environment as part of our duty to respect patient privacy. For a while we expect to be generating more letters to help educate users on our obligations to protect patient privacy and to help us further refine the privacy audit reporting.”

If you receive a letter from the HealthOne Privacy Office asking for help in establishing why you have accessed a patient’s record in HealthOne, please do not panic! There are numerous reasons why access may legitimately occur without the patient actually being present, which is why it is important you provide a reason when prompted and help us refine our reporting.

Please work with us to help realise the full benefits of sharing patient data across the health service while fulfilling our obligations as clinicians to continue to safeguard patient privacy.

If you have any questions or concerns please email HealthOne.Privacy@cdhb.health.nz *“Actively involved in delivering care to a patient” means that you are viewing information in the patient record and carry a duty of care to the patient which would require you to act if the information indicated a necessity to do so. This may be a direct relationship with the patient or a clinical responsibility arising as part of your clinical role.

Certification tip 6: Human Resources »» Staff received orientation. »» Training to maintain competency is in place and recorded. »» Frequency of performance appraisals.

cdhb.health.nz 9

CEO Update

One minute with…

Abiel Dayo (Abi) RN, NetP, Ward 19 What does your job involve?

Patient care, advocacy, liaising with multidisciplinary staff and patients, spinal care, orthopaedic planning.

Why did you choose to work in this field?

I like working with people, I was a youth worker before and really enjoyed interacting with people. I also enjoyed my physiology and anatomy studies. If you join the two together, nursing!

What do you like about it?

The relational aspects and the acute environment which always keeps me thinking.

What are the challenging bits?

Learning the system that the hospital works within.

Who do you admire in a professional capacity at work and why?

RN Dave Halligan, he has great people skills and ample nursing knowledge.

The last book I read was…

The Five Love Languages.

If I could be anywhere in the world right now it would be…

Corsair Bay. My ultimate Sunday would involve…

Going for a walk with friends, enjoying great scenery and food.

One food I really dislike is…

Fried pork belly fat.

Abiel Dayo

If you would like to take part in this column or would like to nominate someone please contact Naomi.Gilling@cdhb.health.nz.

My favourite music is…

Sky Full of Stars – Coldplay.

New free health resources available

Certification tip 7: Transfer of Patients

The Community Health Information Centre (CHIC) provides free health resources for Canterbury, South Canterbury and the West Coast.

Do you know your role & responsibility transferring patients between hospitals?

Their resources are constantly being updated. Click here to view some of their latest resources, including ‘Staying Well with Heart Failure (Red Card)’, All Right’s Matariki bookmarks, and new ‘Water is the best choice’ resources from the Health Promotion Agency.

Are you familiar with how to order the ‘Yellow ARC Envelope’ for ARC & Canterbury DHB transfers?

To view complete list go to www.cph.co.nz/resources or request a stock list. Orders can be made by mail, fax, phone, email, or online.

For more information contact Resource Coordinator Sue Burgess on 03 364 7844 or email sue.burgess@cdhb.health.nz

View CDHB Clinical Manual Vol. 11 Transfer of Patients between Hospitals

The Yellow ARC Envelope can be ordered through supply (Oracle #182108) At time of transfer have you? »» Checked patient transfer documentation is accurate & complete. »» Ensured that the patient has been given a discharge letter.

cdhb.health.nz 10

CEO Update

Support ‘Add a Dollar’ Campaign Afghani father, Mirwais Wiziri, says he will be first in line to donate to the ‘Add a Dollar’ Campaign.

impossible for his daughter.” He is encouraging people to support children like Ramla.

Christchurch Hospital’s Child Health Division will use funds raised in the campaign to purchase portable suction pumps, which Mirwais and his wife, Feroza, require for their daughter, Ramla.

“If you donate a dollar I would say you are making a lifetime investment for a child like mine.”

Ramla has a tracheostomy due to upper airway obstruction and her parents use the pump to suction the tracheostomy many times a day to rid it of secretions and ensure she can breathe properly. The four year old girl has developmental delay, does not speak, and due to her breathing issues sleeps no more than five hours at time.

Child Health Service Manager, Anne Morgan, says having the right equipment to enable children to be cared for in the home is vital, keeping hospital admissions for when it is really required.

Below: Ramla Wiziri

The ‘Add a Dollar’ Campaign started at The Warehouse on 1 July. It invites Canterbury customers to donate to the Child Health Division at Christchurch Hospital by adding a dollar to their purchase.

Suction machines, also known as aspirators, have many different uses from tracheal suctioning to the suctioning and the clearing of mucus from the mouths of patients who have trouble swallowing.

Ramla was born in Afghanistan where Mirwais says she would “cry all day and all night” because she couldn’t breathe properly.

“We lived in Afghanistan until Ramla was one year old and no-one could understand what she was suffering. During that year my wife didn’t sleep.”

Mirwais, says if he and Feroza, and their children had not immigrated to New Zealand Ramla wouldn’t be alive today.

The suction pump enables them to manage Ramla’s tracheostomy care at home, allowing her to spend as much time as possible out of hospital. Because the unit is portable they can visit family and friends and can move it to wherever Ramla is in the house, which encourages vital social involvement.

Mirwais says without the suction pump “life would be

HRC Research Project Grant Funding The application forms and guidelines for 2016 annual funding round are now available from the HRC website.

Researchers should aim to make a significant improvement in, or develop knowledge that contributes to, health outcomes. The HRC offers contracts worth up to $400,000 per year, to a maximum contract value of $1.2M. The HRC uses a two-stage process to assess Projects. In the first stage, applicants register their interest and submit an Expression of Interest (EOI) application. Applicants who are selected to go through to the second round are invited to submit a full application.

If you are interested in applying or would like further information please contact the CDHB Research Office before 10 July on cdhb.researchoffice@otago.ac.nz or phone 378 6370.

Certification tip 8: Clinical Incident Management Do you know your role & responsibility for incident reporting? »» If in doubt visit CDHB intranet site: Clinical Incident Management

cdhb.health.nz 11

CEO Update

CDHB’s Professional in-house interpreter service available Canterbury has a diverse population encompassing many ethnic communities of people who have settled here or are visiting. They can be refugees, migrants and their elderly relatives, tourists, or more recently rebuild workers and their families.

For a large number of these people English is a second language and for those whose English is limited this becomes difficult when they are in the health setting and have problems understanding the health language used.

“Imagine if you were in hospital, feeling scared and uncertain and you couldn’t understand what those caring for you are saying and doing”, says Interpreter Co-ordinator, Kerin Henderson.

Canterbury DHB’s Interpreter Service has been operating since 1996. The service ensures we comply with the Code of Consumer rights and contracts 57 professional, trained interpreters who between them speak and sign 40 languages for Christchurch, Burwood, Christchurch Women’s, The Princess Margaret and Hillmorton hospitals as well as Community and Public Health.

All interpreters are CDHB contracted professionals who are accountable to the required ethical and professional standards.

They are bound by the same confidentiality guidelines as all staff. They work across all services and departments as the need arises, from ED, to oncology, the neonatal unit, to outpatient clinics and mental health services to name just a few, Kerin says.

The most commonly requested languages are Mandarin, Cantonese, Korean, Farsi or Dari (Afghani), New Zealand Sign language, Nepali and Hindi. Korean Interpreter, Jenny, says she enjoys interpreting at the hospital. It is satisfying to help overcome the barriers in communication between medical staff and patients who have limited English.

“Through my job, I get to meet a variety of people, and learn about many different medical conditions as well. The most rewarding moments are when patients or medical staff tell me that they couldn’t do it without me.”

Customer Services Manager, Joy Sixtus, says the service is a 24-hour one and should be used for all patients for whom English is limited and could restrict their understanding about their choices and consent to treatment.

Canterbury DHB’s interpreters undergo in-service education and training four times a year and their presence at consultations is documented in the clinical notes and as part of the informed consent process.

“We are very patient focused and responsive to the needs of Christchurch’s ethnic community and confidentiality is our number one priority”, Joy says.

As for all patients, CDHB as a provider is subject to the duties outlined in the Code of Rights.

How to book an Interpreter »» Normal Working Days: - Monday to Friday 8.00am to 4.30pm »» Email: interpreterbookings@cdhb.health.nz (non urgent / same day bookings) (This is in the global email address list) »» Phone: 80669/ Fax: 81364 »» After hours / weekends / public holidays:

Call the Duty Nurse Manager in your hospital

Call the CCO in the birthing suite (Women’s Hospital)

They have the CDHB Interpreters List

Certification tip 9: Restraint Do you know your role & responsibility when using restraint? »» To ensure you use restraint appropriately visit CDHB intranet to view the following resources: Restraint Minimisation and Safe Practice Policy Clinical Manual Vol. 11

Interpreters at their December Training session.

cdhb.health.nz 12

CEO Update

Patients – coming to a screen near you

The possibilities really are endless. For example, did you know that there is a video remote interpreting service available to the DHB that means Deaf patients access to NZ Sign Language Interpreter? (www.vri.govt.nz).

Telemedicine has been available in CDHB for over a decade.

Over the last few years in particular it has become increasingly used to deliver care directly to patients, and the links between Canterbury and the West Coast are particularly strong.

The TeleHealth team is also the first point of contact for those already using telemedicine, should any questions or issues come up. Our contact details are:

There is however huge potential for it to be used more. For example, each year approximately 100,000 people come to a follow up outpatient visit in Christchurch from more than 45 mins away, and West Coast patients make 6000 visits to Christchurch, travelling three million kilometres to do so. If you are a clinician of any description, we want you to think about delivering some of your patient care by telemedicine.

Nicole Redfern - 80520 or 027 5415866 or telehealth@cdhb.health.nz John Garrett - 027 2629886 Robert Ashford - 80514 Tony Blacker - 80518

The Telehealth Team at CDHB consists of Dr John Garrett, Clinical Leader, Nicole Redfern, Telehealth Project Facilitator, Bob Ashford, Clinical Manager of Medical Illustrations, and Tony Blackler, Manager Clinical Technologies. Currently there are 38 hardware based units within the DHB, and there are a number of people working with software based units. Many of the hardware based units are mobile, and used in a number of locations. The Southern Cancer Network runs its Oncology MDMs over a very sophisticated system in the Oncology Lecture Theatre.

Once you make contact, the Telehealth team would meet with you and discuss what you want to achieve. We would then be able to provide advice on what technology would be suitable, help to obtain it, and provide user training. Another great source of information is the New Zealand Telehealth Resource Centre www.telehealth.co.nz which covers in detail all aspects of the clinical use of telemedicine.

Above: A weekly VC with Dunedin to discuss the care of shared patients.

At the table: Dr Rob Corbett, Megan Brown and Stephanie Smith.

On screen: Dr Andrew Kelly and Claire Hagglund.

Staff Wellbeing Programme: One for the Blokes – discussing men’s mental health One for the Blokes – additional workshop at CHCH Campus Three of these workshops, focusing on men’s mental health, were run for CDHB staff in June.

Social Interest Groups Click here to visit the SIG intranet page. Have some fun with like-minded colleagues – or start your own group!

Feedback was very positive and we’ve been lucky enough to arrange another workshop at CHCH Campus on 14 July from 1100-1300.

For more information on all wellbeing initiatives visit the Staff Wellbeing Programme intranet page

Click here to register or for more information click here. Limited to 20 places – available on a first come, first served basis Wellbeing Workshops Registrations are now open for the remaining 2015 workshops in July, August and September.

Click here to register

Andy Hearn, Staff Wellbeing Coordinator Canterbury and West Coast DHB

Phone: 03 337 7394 | Ext: 66394 | Mobile: 027 218 4924 andy.hearn@cdhb.health.nz

Certification tip 10: Infection Prevention & Control »» Do you know that IP&C policies & resources are now available on the intranet? If asked, could you find them?

June 2015 Sexual Health Newsletter The latest CDHB Sexual Health Newsletter provides up to date information to health coordinators in schools and others working in the area of sexual and youth health in the Canterbury/ West Coast region. Read it here

cdhb.health.nz 13

CEO Update

Empowering sick children by asking their opinion Seriously ill children in Christchurch Hospital are being asked what they need from the health system, in what could be a world first.

Paediatric nurse, Dr Mandie Foster and Associate Professor Lisa Whitehead of the University of Otago, Christchurch’s Centre for Postgraduate Nursing Studies have developed a questionnaire to explore the needs of school-aged patients. It is possibly the only one of its kind, and is already attracting international attention with other hospitals wanting to adapt and adopt it.

Associate Professor Whitehead says the questionnaire has so far been given to seriously unwell children in Christchurch Hospital’s high dependency unit. It contains a series of questions about what things young people consider to be important in hospital and whether these needs are being met.

“What we have found is that young people generally want things such as internet access, for their parents to be able to stay overnight with them and remain involved in their

care, and to feel understood by staff. An important outcome of the questionnaire is the feedback that young people are excited to be asked about their needs instead of questions always being directed at their parents or caregivers.”

Associate Professor Whitehead says a critical part of the project’s success has been involvement of Canterbury District Health Board staff such as Victoria Cullens, who is a clinical nurse specialist with the paediatric high dependency unit and liaises with whānau in the unit about being part of the research.

The researchers have validated the questionnaire for use in the hospital setting and are looking to develop a version for the community setting. There is a high level of interest from collaborators in Australia, Iceland and the USA to use the questionnaire as it is the first to explore the child’s perspective.

Below: From left, Associate Professor Lisa Whitehead, Dr Mandie Foster and Victoria Cullens.

cdhb.health.nz 14

CEO Update

PDRP update for Senior Nurses and preceptors Are you a Charge Nurse, Clinical Nurse Specialist, Nurse Educator, Nurse Consultant, preceptor or person responsible for providing evidence for another nurse against the NCNZ competencies as part of the performance appraisal process? Are you up to date with the requirements of PDRP? Do you know how to write your evidence in the performance appraisal if a nurse is audited by NCNZ or participating in the Regional PDRP programme?

If you need an update, are unsure of PDRP requirements or perhaps new to the role and would like further information

please make time in your diary to attend one of the following sessions which are being held at various CDHB campuses.

This is not a session on how to put together your PDRP portfolio. These sessions are designed for the senior nurse or preceptors writing up evidence in a performance appraisal.

There is no need to book, please just turn up on the day.

This session will be run by Suzanne Johnson the Nurse Educator for PDRP.

PDU Tuesday 28 July

Room 6

1pm, 1.40pm, 3pm

Wednesday 29 July

Clinical Skills Unit

1pm, 1.40pm, 3pm

Pukeko Room (Administration Area)

1pm, 1.40pm, 3pm

5th Floor Board Room

1pm, 1.40pm, 3pm

Meeting Room 4

11am, 1pm, 1.40pm, 3pm

Burwood Tuesday 4 August TPMH Tuesday 13 August Hillmorton Friday 14 August

CDHB Postgraduate Education Fair – Coming Soon Have you been thinking about your development?

We have some good news for you, the annual postgraduate education fair is on the first week of August!

There will be an opportunity to meet with representatives from the Universities, discuss HWNZ funding and explore options for postgraduate nursing education. The fairs will be at all hospital sites and you are welcome to attend at any site.

Keep an eye out - Information about the virtual fair and dates for our face-to-face information sessions for postgraduate nursing will be advertised next week.

People in Disasters Conference - Early Bird Registration extended to 31 August 2015 The People in Disasters Conference is pleased to announce that Early Bird Registration will continue until August 31, 2015. We have heard your pleas and recognise that we did not take into account the end of year finances into our initial planning of dates.

Visit our website for registration details www.peopleindisasters.org.nz

“Learning is a journey, not a destination” “E kore e mutu to ako”. cdhb.health.nz 15

CEO Update

2015 Quality Improvement and Innovation Awards Key dates

The Awards recognise, reward and publicly acknowledge the excellent quality improvements and innovations taking place within the Canterbury health system.

Entrants are invited to submit EITHER the full Written Project Submission OR a Poster Submission outlining the quality initiative.

The Canterbury Health System Quality Improvement and Innovation Awards are back in 2015!

Become a mentor, assessor or enter your project in 2015

Written submissions are due 24th July, email to Amanda.Bielski@cdhb.health.nz

Written Project Submission

Entrant Materials are available on the Awards Page on Quality and Patient Safety site.

The contribution of Assessors is essential to the success of the Awards programme.

Please email Amanda.Bielski@cdhb.health.nz to register your interest in being an Assessor this year.

Expression of Interest form due

24 April

Mentor Workshop

20 April

Assessor Workshop

20 July

Written Project Submission

24 July

Assessor Site Visits

7-18 Sept

Poster Submission Expression of Interest form due

Poster Submission due

Quality Improvement and Innovation Awards Ceremony

7 August

28 August

2 November

The awards are open to all DHB staff and providers whose services are funded by the DHB. For more information including entrants guides visit the Awards page on http://cdhbintranet/Corporate/Quality/SitePages/Home.aspx or email Amanda.Bielski@cdhb.health.nz

Wellbeing Workshops

“ The greatest wealth is health

“

-Virgil

2015

For All CDHB Staff To support your wellbeing, the CDHB Staff Wellbeing Programme and MHERC are running a series of 2.5 hour wellbeing workshops.

Canterbury Collaborative Simulation Interest Group Meeting

The CDHB acknowledges the crucial role you play in the delivery of high quality care to the Canterbury community. In the current Christchurch environment it is more important than ever that you take the time to focus on your own wellbeing.

PUT THE DATE IN YOUR DIARY Date: 15th July 2016

2.5 hours to focus on YOUR wellbeing!

Time: 1.00pm – 4.00 pm

We are running a number of workshops in 2015 to allow you to put your wellbeing first. Evidence suggests that by doing this, those around you – your family, friends, your colleagues and patients will also benefit.

Venue: CPIT – venue room to be confirmed Registration fee: No charge

Programme: What’s happening in simulation locally?  3 presentations from local simulation programmes  Networking with other simulation enthusiasts  Share ideas

Workshop Overview: • The importance of wellbeing; psychological and emotional effects • Learn about stress responses and how to cope with stressful environments • Understand the science and practice of applications of self-care • Appreciate the progress of recovery for communities and individuals • Gain skills and take ownership of tools for increasing your own and others’ wellbeing • Improve your health and wellbeing: 5 Ways to Wellbeing, Staff Wellbeing Programme • Enhance positive relationships and social connections Workshop Details:  All workshops run for 2.5 hours, including refreshments  For dates and to register for a workshop click here Facilitated by Alison Ogier-Price MSc Psyc, B.Comm, BA Hons, C.AT, MNZAPP

Click here to register

To register please contact: Professional Development Unit.

Further information to follow watch this space!

For more information contact: Lee Tuki Lee.Tuki@cdhb.health.nz 027 689 0285 Andy Hearn Andy.Hearn@cdhb.health.nz 027 218 4924

cdhb.health.nz 16