Canterbury DHB CEO Update Tuesday 27 April 2015

CEO Update Tuesday 28 April 2015

Flu immunisations for staff start on Friday The first of our Influenza clinics will be held this Friday. Clinics have been planned at various times and venues to make it easy for staff to receive a free flu vaccination. It’s quick, it’s relatively painless and the benefits are huge. This year’s flu season is predicted to be a tough one – let’s do what we can to prevent the spread.

The slight delay this year is due to the new formulation of the vaccine. In Canterbury, DHB staff will be given a quadrivalent vaccine, which includes protection for four influenza virus strains: »» A/Californian (H1N1) – like virus »» A/Switzerland (H3N2) – like virus »» B/Phuket – like virus. »» B/Brisbane – like virus I will be rolling up my sleeve and getting my phone ready for a selfie afterwards.

If you’re in any doubt about whether

getting a flu immunisation is a good idea, I suggest you read Lance Jenning’s article in this update. I fully support his view that we have a responsibility to our patients to do everything we can to protect them while in our care. To protect our patients, we need to protect ourselves. If you didn’t read this flu survival story in the media last week, it’s a very timely reminder about the seriousness of influenza.

Check the staff influenza immunisation timetable here

Snap a selfie either before, during or after your flu vaccination.

Post your selfie on CDHB’s facebook page with hashtag #FLUHQ and a line about why you chose to be vaccinated. Remember to link it to your own page.

Or forward to communications@cdhb.health.nz and we’ll post it for you.

The most liked selfie will win a prize each month.

More information on the staff intranet.

Based on a campaign run by the Liverpool Community Health, NHS Trust.

Urgent reminder for Christchurch Campus staff Please be careful cycling or walking across Rolleston Avenue Bridge Last week a very near miss was observed between a fully laden construction truck and a cyclist on the Rolleston Bridge. For their own safety, cyclists should dismount and walk across the bridge on the footpath.

Fully laden 44-tonne trucks cannot stop quickly and will use the whole roadway, which is why it has been fenced off.

Staff are reminded of their responsibility to ensure they follow the explicit instructions on the signs, and in the various updates which have been provided since construction began.

Health and Safety is everyone’s responsibility.

To be clear - cyclists need to dismount and walk across the bridge – on the footpath.

The Antigua Street footbridge is expected to be open on Thursday April, from 7.30 am. The bridge is for pedestrians and cyclists. This should help ease the current congestion across the Rolleston Avenue bridge.

David Meates

CEO Canterbury District Health Board

In this issue

»» Dr Lance Jennings talks about influenza vaccinations...page 2.

»» Well regarded mental health practitioner retires...page 6.

»» Facilities fast facts...page 4.

»» Hillmorton’s carpooling debutantes...page 7.

»» Nurse Practitioner improving journey for palliative care patients... page 5.

»» Celebrating our administration professionals...page 8.

cdhb.health.nz 1

CEO Update

Flu vaccinations on the wayprotect you, your family & patients The delivery of the influenza vaccine has been delayed, but it’s nearly on our doorstep with clinics planned from 1 May. Therefore it’s time for staff to seriously consider the importance of being vaccinated.

Virologist, Dr Lance Jennings says that protecting people in their care is a key part of being a healthcare professional.

Getting an influenza vaccination protects you, your family and the people you are charged with caring for.

“A guiding principle for us all working in health is to ‘do no harm’ and whatever the intervention or procedure, the patient’s well-being is our primary focus,” Lance says.

By this time last year, influenza vaccination was well underway. This year we have a later start, because of the addition of two new influenza strains to the vaccine.

The influenza season can vary from year to year, but we usually see influenza activity increase during June, so we have May to get ourselves vaccinated and ready.

“Therefore staff need to get to a vaccination clinic as soon as possible as it takes up to two weeks to develop immunity.

“We experienced a relatively mild influenza season during 2013 and 2014,

but we mustn’t become complacent about the threat of influenza.“ Given the predominance of Influenza A(H3N2) in the Northern Hemisphere, it is possible that this strain will circulate in New Zealand this winter.

Influenza A(H3N2) has historically been associated with higher morbidity and mortality, especially in the older aged groups.

“Influenza transmission to patients by healthcare workers (HCW) is well documented. HCW can acquire and transmit influenza from patients or transmit influenza to patients and other staff. Vaccination remains the single most effective preventive measure available against influenza and can prevent many illnesses and deaths,” Lance says.

“We must protect those in our community who are susceptible and whose outcome would be more severe if they contracted influenza. They are more likely to stay in hospital for longer and more likely to die from complications.”

The healthier we are, the better we respond to the vaccination, so staff should be lining up come 1 May. Clinic times are posted in the staff intranet. Watch this space for new clinics as they are scheduled.

These videos were produced by Northland DHB and make compelling viewing. cdhb.health.nz 2

CEO Update

Bouquets Breastfeeding support Dear CDHB, I’d just like to say a huge thank you to CDHB for the funding and importance they place on providing quality support for breast feeding families.

I attended the CDHB breast feeding course before giving birth, which was excellent and have attended the Bishopdale support group at times when things have got tricky. Without these drop in groups and lactation consultants I am 100% sure my experience would not have been so positive with breast feeding. They checked for tongue tie and helped me overcome issues like my baby spilling after every feed.

Just knowing someone is there helps so much, it’s a tough road sometimes breast feeding and I can’t thank CDHB enough for ensuring there is quality support out there.

My now 18 month old and I still adore breast feeding three times a day. The support groups and lactation consultants helped us in the early months considerably.

Thank you for understanding the vital importance and funding these wonderful services.

Te Awakura East/ Takepu, Hillmorton Hospital The care and support I have received at this hospital has been outstanding. The staff and doctors have supported me in my journey to wellness and freedom.

Their professionalism and guidance has helped me to become the person that I am today. I did the work through their belief in me.

Emergency Department, Christchurch Hospital Thank you for taking excellent care of

me on my recent visit. The staff were professional and extremely dedicated and I thank you all for saving my life.

Children’s Acute Assessment Unit (CAAU), Christchurch Women’s Hospital I’d like to take this opportunity to thank the whole staff at the CAAU, with particular mention to the amazing nurses, who take great care of our baby boy whenever we have to come in. Not only that, they always go above and beyond to make sure we, the parents, are also taken care of, fed, hydrated and rested.

We always feel blessed to be part of the CDHB and to have wonderful facilities like this at our service when we need them. This time, I’d like to specially thank nurses Rose and Josie who watched out for us. Thank you so much!

Rangiora Convalescent Unit, Women and Children’s Health I would like to thank everyone so much for the service and help all doctors, nurses, and staff have given me in the last five weeks at Christchurch hospital and especially Rangiora Hospital. You are all very special people. Thank you.

Gynaecology ward, Christchurch Women’s Hospital I have spent four days in Christchurch Women’s Hospital. I found the staff on the gynaecology ward to be very kind and helpful cheerful and very willing to go out of their way for their patients and I thank them very much.

Children’s outpatients Great job. Thank you! Very thorough, professional and warm. Appreciate the job you are doing.

Lincoln Maternity Hospital We have had such a lovely stay at

Lincoln. The staff are so supportive, friendly and we have learnt a lot during our time. The meals were beautiful and definitely satisfy a hungry breast feeding woman. Thank you so much for making our special time even more special.

Lincoln Maternity Hospital Loved the birthing room here. There were many options for me to get into good positions and with five people present and a two year old toddler it didn’t feel cramped. Food was amazing.

Midwives friendly, helpful and respecting my space. Letting me sleep at night.

Thank you for providing this space.

Burwood Birthing suit Absolutely fantastic, looked after my partner and it was comfortable. Thank you.

Vascular, Cardiology and Endocrinology services, Christchurch Hospital I feel I must write you this letter regarding health services provided by West Coast/ Canterbury District Health Boards… I have a husband with multi health issues who is a regular user of medical facilities at both Greymouth and Christchurch hospitals and have the utmost appreciation for the excellent level of care and attention provided to him ‘both sides of the Alps.’

I would particularly like to mention staff at Christchurch Hospital… only one appointment was scheduled for that week… I managed, with the fantastic cooperation from the relevant secretaries involved to tee up all the appointments for the one week, hence saving us ‘considerable’ travelling time. They have all been brilliant to say the least, so well done Christchurch – we are forever grateful.

cdhb.health.nz 3

CEO Update

Tuesday’s Facilities Fast Facts With our facilities development projects now in full swing, it’s timely to remind staff about the process for alerting the project team to site issues such as excess dust, noise etc.

Staff should not approach the site contractors directly. Instead, please call Shirley Butcher on ext 99345 or 027 777 0135 for any issues relating to the Burwood campus, and George Schwass on ext 85343 or 027 431 4781 or David Brian on 027 434 2418 for any issues relating to the Christchurch site.

Burwood Staff from The Princess Margaret Hospital who will be moving into the new wards at Burwood are being offered the opportunity to visit the ward pod mock-up at the Design Lab over the next two weeks. These sessions will be led by staff who were involved in deciding on the principles which were used to test and design the ward pod layout. These principles ensure that the layout will meet the requirements of our patient care delivery model when staff move into the new facilities, and into the future.

Right: Last week the Clinical Leaders Group had a tour of the Burwood site. This photo of the group gives a good idea of the scale of the new ward blocks.

Concrete pours continue at the site each week. The latest pours have been for the outpatients building’s base slab and connecting corridors.

Christchurch The Antigua Street footbridge is expected to open next Thursday 30 April, from 7.30 am. The bridge is for pedestrians and cyclists. This will help to ease the current congestion across the Rolleston Avenue bridge. For the latest on cycling and the bridge, see page one of this CEO Update.

Christchurch Hospital. Corporate office staff are welcome to view the layouts.

The Eye Outpatient Department’s main entrance has moved, to allow construction to begin on a new switchgear/substation building. Previously accessed at 19 St Asaph Street, the new main entrance to the department is on the other side of the building at 524 Hagley Ave, next to the entrance to the Labs (see photo). Please note that parking is very limited in this area.

A drop off/pick up zone has been created for patients being dropped off or collected by a support person or taxi.

On Saturday May 2 there will be some traffic disruption outside the entrance to Christchurch Women’s Hospital. This is for planned sewer connection work. A traffic management plan has been drawn up and signs will direct vehicles where to go.

User Groups have been reviewing a new set of floor plans issued by the design team. These plans capture the last of the changes to walls and doors following sign-off of the plans late last year. The design team is now working on a final set of fully populated plans and co-ordinated room data sheets which will capture the remaining issues raised by user groups.

At the Design Lab, mock-ups have been created of the proposed internal layout of the new corporate offices, which are currently under construction on Oxford Terrace near

Above: The Rolleston Bridge at the rear of Christchurch Hospital is now fenced off to ensure only construction vehicles enter and exit the site. It will be manned 7 days a week.

cdhb.health.nz 4

CEO Update

Nurse Practitioner improving journey for palliative care patients As a Nurse Practitioner (NP) Willem Vink uses a partnership model and skilled symptom management to ensure excellence of care for his palliative patients.

“I work alongside the patient to help them think about what is most important to them,” he says This helps to mitigate their feelings of fear and uncertainty surrounding their pending death.

‘We find other ways of approaching dying,” he says, “with many people learning to adapt to ‘living’ with dying and valuing the remaining time more fully.”

This partnership model of care helps restore a sense of hope and peace to the patient, particularly when it is accompanied by skilled symptom management, which is the cornerstone of his practice as an NP. The further study required to become an NP has increased his knowledge of pharmacotherapeutics (the study of the therapeutic uses and effects of drugs).

“The ability to be able to select and prescribe an appropriate opiate and co-analgesics to manage pain, together

with providing a holistic approach to patient care can vastly improve a person’s quality of life.”

This then allows the person to focus on what is most important to them as they face the end of their life. As an NP he can help with honest discussions regarding preferences for place of death and end of life care which provides a way forward and reduces uncertainty.

Willem says when physical symptoms are relieved and psycho-spiritual suffering is reduced, the patient and their family/whanau may experience a ‘good death’.

providing palliative care study days: and mentoring and supporting all health professionals less experienced in palliative care.

Vital to being able to practice successfully as an NP is working within a supportive team that allows me the flexibility to work across CDHB and, for a period, with the community palliative care team based at Nurse Maude, Willem says.

“When this occurs the likelihood of disabling complicated grief among loved ones is reduced benefiting the public health and the wider community,” he says.

It is widely anticipated the demand for specialist palliative care provision will increase as the population ages and people live longer with chronic diseases.

Key factors in improving outcomes for palliative care patients as an NP include: gathering evidence to support best practice; assisting in the provision of resources such as CDHB’s Palliative Care Service clinical guidelines;

Willem Vink, Nurse Practitioner.

Canterbury Grand Round Friday 1 May 2015, 12.15 to 1.15pm - with lunch from 11.45am Venue: Rolleston Lecture Theatre International Speaker: Anthony G Gallagher Ph.D., D.Sc. Professor of Technology Enhanced Learning, Director of Research Training in medicine and healthcare must become more than an interesting ‘educational experience’!

The ASSERT (Application of Science to Simulation, Education and Research on Training) for Health Centre at UCC, School of Medicine, University College Cork, Ireland High profile error cases, reduced work hours and rapid developments in medical technologies require medicine and healthcare to consider new approaches to training. The use of simulation and technology enhanced learning (TEL) for the acquisition and maintenance of skills has an increasing role to play, particularly for learning how to safely use new treatment

and diagnostic technologies. Outcome-based training with TEL ensures quantitatively defined performance levels and greater homogeneity in trainee skill-sets.

Chair: Spencer Beasley Video Conference set up in: »» Burwood Meeting Room »» Meeting Room, Level 1 PMH »» Wakanui Room, Ashburton »» Administration Building, Hillmorton All staff and students welcome Next Grand Round is on Friday 8 May 2015.

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

cdhb.health.nz 5

CEO Update

Well regarded mental health practitioner retires In his 40 year career CDHB Advanced Clinical Social worker, Met Zorlu, has spent countless hours listening to clients and helping them develop resilience in the face of psychological and emotional pain.

The culture at Cherry Farm Hospital “was punitive and controlling”, Met says.

“I have respect for people who have gone to hell and back a few times in their lives and have still managed to survive” he says.

In May 1977 Met was appointed to Sunnyside Hospital to develop a Training Resource Unit for social workers. He developed his own student evaluation systems and student handbook and established a functional training unit for social workers in CDHB’s Mental Health Division.

Met, (short for Mehmet) works in Hillmorton Hospital’s North Adult Community Psychiatric Service, in assessment, counselling, therapy and supervision. He retires on 30 April.

Born and raised in Cyprus, Met attended university in Turkey. Unsure of what he wanted to do, he travelled in Europe, had jobs in factories and worked as a chauffeur before joining the British Army where he worked with an officer supporting army families in Germany.

It was here his interest in social work developed and he trained as a social worker in England. Some years later he was specifically recruited to this country at a time when there were few formally trained psychiatric social workers working in New Zealand mental health settings.

Met and his German-born wife, Uti, and their two children, travelled to New Zealand by ship, air and train, arriving in Dunedin, in December 1974, for his first job in New Zealand as a Psychiatric Social Worker at Cherry Farm Hospital.

About two years later it was closed and patients were either rehabilitated back to the community or transferred to Dunedin’s Wakari Hospital.

Mental Health Service, Brenda Cromie, says Met has had an amazing career both as a senior clinician and a trainer.

He is known for his practice wisdom, his ability to link theory to practice and his work to bring change for consumers and families in his care.

“He is well respected and valued and will be dearly missed,” she says.

Met intents to keep his social work registration and may do some private work in his retirement-in between gardening and spending time with family.

Met had senior social worker roles at Templeton Hospital and Queen Mary Hospital, providing training and supervision to staff. He also helped establish and train volunteers for the St Luke’s Drop-in Centre in Christchurch.

In September 1991 Met was appointed coordinator of the Training Resource Unit at Sunnyside Hospital. He provided and coordinated training and education for the Mental Health Division, at a time when nursing staff and others were moving from Sunnyside Hospital into the community.

Among his numerous achievements he is proud of coordinating, developing and delivering teaching programmes, providing case management training for nurses and providing training and supervision for NGO staff.

Clinical Leader, Social Work, Specialist

Met Zorlu, Advanced Clinical Social Worker.

Anzac tribute at Christchurch Hospital On display at Christchurch Hospital campus, these hand-knitted poppies donated by staff from across Canterbury DHB are a beautiful tribute to the soldiers who lost their lives at Gallipoli 75 years ago.

cdhb.health.nz 6

CEO Update

Hillmorton’s Carpooling Debutantes Car-poolers extraordinaire Mary Anne Thyne and Sarah Bell (pictured with their carpooling tokens) have led the way and are the first users of the carpooling car parks outside the Ferguson Building at Hillmorton Hospital.

“Its good to have a guaranteed carpark, it’s a safer journey and we save lots of money” says Sarah.

They travel a long way – from Ashburton to Hillmorton, and carpooling just two days a week saves them $1,700 a yeareach!

“The time seems to go fast as we chat and laugh together,” says Mary-Anne.

As well as saving money and having a more interesting commute, they are also reducing their carbon footprint by two tonnes per annum.

As part of the Clever Commuters project 10 carpooling car parks have been created on the Hillmorton Campus. These are in a premium spots, with five close to the Admin Building and five close to the Ferguson building. To use the carparks carpoolers need to display a carpooling token, which can be obtained by emailing CDHB Sustainability Adviser James Young (James.Young@cdhb.health.nz).

To find a person to carpool with people can then register with www.letscarpool.govt.nz. Users make their own arrangements about who drives, pays or what days to drive.

Mary-Anne Thyne and Sarah Bell.

“If you’re working at Hillmorton and want to stop spending so much money commuting, want a car park right next to work, and would like to do your bit for the environment, please contact me” says James.

You can find more about carpooling, biking, walking and taking the bus on the Clever Commuters intranet page.

The Clever Commuters project will be rolled out at other campuses later in the year.

Staff refreshed after training course Training sessions helping nursing and administrative staff to brush up on basic computer skills are underway at The Princess Margaret and Burwood hospitals.

The sessions, which were designed in response to staff feedback, aim to prepare staff for the roll out of the South Island Patient Information Care System (SI PICS) by increasing confidence and competency in the use of computer systems.

The three one-hour sessions cover the basics of computing including logging into the network to access selected software and view records, data entry and using Outlook for communication.

Elizabeth Spooner, support and training manager, said: “More paper-based processes are being replaced by electronic ones, such as SI PICS, e-Meds and Safety1st, so it’s critical that our staff have a basic IT skill set.

“Initially we want to prepare staff for the upcoming changes, but our long term plan is to address the knowledge gap using a range of tools such as e-learning, quick references and hands-on training.”

If you want help with day-to-day computer skills, contact Support and Training through the service desk to discuss your requirements. You can also check other timetabled courses available from the ISG intranet page

cdhb.health.nz 7

CEO Update

Celebrating our Administrative Professionals Last week clinicians, managers, team leaders and colleagues from across CDHB celebrated and acknowledged our administrative professionals and the valuable contribution they make to the health system day-in and day-out.

Julie Jones, Team Leader at Community and Public Health took her admin team to the local AAPNZ (Association of Administrative Professionals of NZ) breakfast at the Hotel Montreal. More than 50 administrators from organisations across Christchurch attended this event.

Kay Strang, Administration Manager notes “We know it’s been a challenging year for our admin folk and that they are the glue that holds things together! Thank you to all those who took the time to stop by their administrator(s) desk and thank them for the tremendous job they do and the professionalism with which they go about their work.”

Here at CDHB a very tangible way of celebrating and acknowledging our administrative workforce is through professional development opportunities such as our annual admin workshop series. These workshops are in addition to learning experiences available to all staff through the CDHB Learning and Development Calendar. This year’s admin workshops are scheduled for 14/15 July and more information will be coming out to people soon.

Here’s how the day was celebrated at CDHB.

Above: Several members of the Oncology administrative team celebrated with coffee and a very special cake provided by Bronwyn Marshall, Practice Co-ordinator, Oncology (Front).

Above: Referral Centre team.

Children's Commissioner: news update New advice for wise giving Over the last few years we’ve been approached by a number of philanthropic organisations and businesses asking us the same, seemingly simple question: “We’re concerned about child poverty and we want to DO something. What can we do?”

Read the full newsletter

cdhb.health.nz 8

CEO Update

Lippincott Clinical Procedures Lippincott Procedures “Go Live” in South Island DHBs From Tuesday 5 May, Lippincott Clinical Procedures will be available online at all South Island district health boards, a move which looks set to support the better delivery of evidence based nursing practice across the region. Wider access to the online resource - to primary care, NGOs, community health, the aged care sector and relevant tertiary education providers for example will follow over the coming months.

Lippincott Procedures is an online evidence based resource that provides real time access to step-by-step guides for over 1,300 evidence-based procedures and skills in a variety of specialty settings. The South Island executive directors of nursing and the South Island Regional Training Hub (SIRTH) support the implementation of Lippincott in partnership with Midlands region where it is an already proven success.

From 5 May Lippincott procedures will be accessible from any hospital workstation or via a mobile iPad app, both online and

offline. Offline access will enable nurses in remote regions or with unreliable internet connections to retrieve procedures and information. When fully implemented access to Lippincott will be available 24 hours a day, seven days a week to all nursing staff across South Island health systems.

to search for those policies elsewhere.

This technology has improved access for our nurses to the most current health care information supporting the growth and expansion of evidence-based nursing practice in our organisation.”

The standardisation of clinical procedures utilising the latest evidence based practice will improve patient safety in the South Island. The availability of Lippincott Procedures will mean that a clinical procedure is being delivered in the same way whether it’s in a hospital or community setting.

South Island Directors of Nursing Position Statement

Jennifer Graham Powers, RN, CN IV, BSN, CCRN

For further information please contact Robyn Cumings: Robyn.Cumings@cdhb.health.nz or Jenny Gardner Jenny.Gardner@cdhb.health.nz

The South Island executive directors of nursing jointly recognise that having up-to-date, centralised, procedures online can improve clinical practice and patient care, as well as contribute to the professional development and retention of a highly skilled nursing workforce.

“Our nurses can open Lippincott Procedures at any time from any computer terminal, eliminating the need

Health Professionals’ Perceptions of Quality Survey Victoria University and the University of Otago are conducting research into the effect of the Health Quality and Safety Commission’s (HSQC) work in promoting quality and safety in healthcare nationally, and the Open for better care national patient safety campaign.

CDHB supports the objectives of this research and your participation is important in making the findings as relevant and useful to Canterbury DHB as possible.

All clinical staff are invited to complete the following questionnaire. It will take less than ten minutes.

All your responses will be confidential. No one outside the research team will see the raw data. All answers will be combined so that no individual can be identified.

Please complete the survey by 5 May. This survey has been approved by the Victoria University of Wellington Human Ethics Committee. Michael Frampton (GM People and Capability) has also approved this survey. A summary of the results will be put up on the HQSC website.

Take the survey.

Thanks for your participation.

Michael Frampton, GM People and Capability The Research Team: Prof Jackie Cumming, Dr Phil Hider, Dr Kirsten Lovelock, Dr Greg Martin.

If you have any questions or concerns please contact: Dr Greg Martin Health Services Research Centre Victoria University of Wellington 04 463 6574 Email greg.j.martin@vuw.ac.nz Or: Dr Kirsten Lovelock University of Otago Wellington 04 385 5541 x4490 Email kirsten.lovelock@otago.ac.nz

cdhb.health.nz 9

CEO Update

New evacuation illustrations for Parkside, Clinical Services and Riverside Buildings Many staff at Christchurch campus are now working in different areas due to building repairs and redevelopments. It is really important that all staff know the evacuation procedure in the areas they work.

New evacuation illustrations have been created to show the correct ‘internal emergency assembly zones’ and ‘external assembly areas’. These are aligned with the ‘Fire and Emergency’ documentation.

If you need further information contact Tui Theyers, Emergency Planning Assistant ext: 68722 Tui.Theyers@cdhb.health.nz

EVACUATION PLAN | EXTERNAL ASSEMBLY POINTS Follow the instructions of the Floor Warden LOWER GROUND FLOOR They can be identified by their orange arm band They can be identified by their orange arm band

C

LL ES N TO E. AV

For non-ward areas, your illustrations will be placed for you at your nearest ‘EXIT/s’. There will be exceptions to this rule with some business units having a set of illustrations placed inside of their offices. If we are unable to gain access, they will be delivered with a note of expectation that the occupier places them on their main egress door.

For additional copies contact Medical Illustrations, they hold the Master Copies.

NB: The newly located Child Oncology and Haematology Centre has no illustrations prepared at this stage.

Other areas to be reviewed will be the Intensive Care Unit and the area CHOC previously occupied.

RO

Each ward will be provided with three sets of illustrations. The charge nurse manager is required to ensure one set of illustrations is placed at each ‘EXIT’.

The ‘YOU ARE HERE’ stickers also need to be placed correctly, so they match the location you are placing the illustration. If time allows this may be completed by the Emergency Planning Team when they deliver the new packs.

It’s very important staff don’t duplicate these illustrations. There are 56 zones in the Riverside, Clinical Services and Parkside Buildings and each illustration has been carefully matched to each zone. Each illustration is also printed on material approved by Infection Control.

CONSTRUCTION SITE

D B A

E G

H I Persons with disabilities please proceed to the nearest exit stairwell and await assistance LOWER GROUND FLOOR

Find where you are on the map

J

J

Find your external assembly point

Authorised by: Manager, Quality Date: 2015

Above: Example of the new illustrations.

Key Messages & Summary from the Alliance Leadership Team (ALT) April 2015 Dr Jenny Keightley and Nanette Ainge presented on the direction of the Health of Older People Workstream, including promising results that show subsidised admissions to rest home level care continue to slowly track down despite population increases.

ALT endorsed a refocusing of the current HPV Outreach Programme.

Through the programme, catch up vaccinations are to be offered to year 8 girls in their school setting from 2016, bringing Canterbury in line with other DHBs. By increasing the number of

targeted schools, it aims to achieve the new HPV Immunisation Performance Target that 65% of 12-year-old girls complete the programme. ALT acknowledged that general practice will continue to be the primary provider of the HPV programme by offering HPV vaccinations for girls (in Canterbury, HPV is made available to coincide with National Immunisation Register vaccinations scheduled at age 11).

The Alliance Leadership Team endorsed the Canterbury DHB’s Draft 2015-16 Annual Plan and Māori

Health Action Plan as reflective of Alliance focus and activities. Melissa Macfarlane from Planning & Funding reported the System Integration, Primary Care and Long Term Conditions sections in the plan had been approved by the Ministry in the first draft, which ALT acknowledged was a significant achievement for Canterbury.

Read all the CCN ALT messages in full.

cdhb.health.nz 10

CEO Update

Community falls prevention – getting referrals right together It might be fun to test your knowledge about referrals to the Community Falls Prevention Service and maybe have a think about what we could do better and what your role could be in helping ensure we prioritise the patients who would benefit the most: Quick quiz 1 Over 5000 referrals have been made to Community Falls Prevention Service over the past 3 years since it began in Feb 2012. How many of these have been by secondary services?

A) Nearly all of them B) More than half C) Less than half or D) Less than 1000?

2 Rank the following (highest to lowest) according to the percentage of referrals they generate: Ashburton and rural, OPH and Rehab: Burwood, OPH and Rehab: OPHSS, Women and children’s, Med Surg.

3 Match the total number of referrals in three years with the referral source 76 359 45 56 CPH Acute Medical Assessment Unit Orthopaedics (Ward 18, 19, orthopaedic outpatients, orthopaedic rehab) TPMH Needs Co-ordination Centre Christhchurch Hospital ED 4 Since January 2012, 70 percent of people who have had a fractured NOF were living in the community (the rest were living in an Aged Residential Care facility). Of those people, what percentage have been referred to the Community Falls Programme?

A) 6% B) 21% C) 35% D) 60% 5 True or false? The most simple indicator of “need and benefit” for the Community Falls Programme is a person being unable to get out of a chair without using their hands.

Answers to the quick quiz 1 Answer C – less than half (2200 in fact) 2 Med Surg 52% OPH & Rehab: OPHSS 25% OPH& Rehab: Burwood 13% Ashburton and Rural hospitals 9.7% Womens and Childrens .3% 3 CPH Acute Medical Assessment Unit 76 Orthopaedics (Ward 18, 19 orthopaedic outpatients, orthopaedic rehab) 56 TPMH Needs Co-ordination Centre 359 Christchurch Hospital ED 45 4 21% 5 TRUE: Anyone can assess whether someone is at risk of a fall, simply by observing whether they can get out of a chair unassisted.

Do you enjoy eating Kiwifruit?

Health Quality & Safety Commission e-update – Issue 41, 30 March–19 April 2015

Do you use kiwifruit to help keep your bowels regular?

Plant & Food Research are looking for volunteers for a study looking at the effects of kiwifruit on gut health. This is a 16 week study which involves eating kiwifruit and pysllium (fibre).

Included in this issue: »» Bestselling US health writer Dr Atul Gawande gives Wellington public lecture »» A day for ‘conversations that count’ about end-of-life care »» Safe use of opioids collaborative newsletter – issue one »» Starting a conversation that counts »» Lessons learnt from reviewing patient falls »» Triage of patient with post-procedure ophthalmic symptoms in the emergency department Read the full newsletter

We require people aged 18 to 65 years who are generally healthy, suffer from constipation or suffer from irritable bowel syndrome.

You will be required to visit 40 Stewart Street, Central Christchurch for periods of 30 minutes on six occasions. You will be reimbursed for your participation.

To find out more about the study contact: Sarah Eady on (03) 325 9671 or 027 476 6137.

Email: sarah.eady@plantandfood.co.nz

cdhb.health.nz 11

CEO Update

Visual cues all systems go from 30 April The Hospital Fall Prevention Programme Steering Group is pleased to be able to confirm a changeover date of 30 April to the new set of standardised Fall Prevention Visual Cues.

From that date the green fall risk bracelet and green ward information board magnet must no longer be used and instead, the new black fall risk magnet and traffic light colours will be used to denote the degree of support needed by a patient at a glance.

Executive sponsor Mary Gordon says the introduction of a single set of visual cues across our health system is simple but smart solution and represents another significant advance in safer care and takes us closer to our aim of zero harm.

“With a highly flexible workforce often working in more than one location, consistency is hugely important in preventing harm to the people under our care.”

Visual cues fall broadly into four categories: Fall risk magnets for ward information boards, colour-coded mobility bracelets for the patient, similarly colour-coded tags for walking aids and equipment, and bedside Patient Status at a Glance signs that use the same colour visual cues. The colours and the written messages have been informed by clinical input, and our own consumer council.

Essentially, red bracelets or tags feature the words “Give me a hand”, yellow bracelets say “Keep an eye on me”. There is no green bracelet to signal the patient is independent, as the absence of a red or yellow one does that – and we have just taken the old green bracelet out of circulation because it was confusing. There is however a green equipment tag that says “I’ll ask if I need help” because patients we consider independent might still use a walking aid.

An educational video clip is currently being developed showing how the fall prevention visual cues are to be used and bedside signage is to be used and a poster promoting the new standardised fall prevention visual cues is also being created.

Information on the Visual Cues Project and the latest resources can be found on the intranet Visual Cues page http:// cdhbintranet/corporate/Quality/SitePages/Visual%20Cues.aspx , including the latest copy of the User Guide. It covers how to order the new tools and outlines the procedure for completing the bedside Patient Status at a Glance signs, which includes the Safe Mobility Plan.

Many of the new fall prevention visual cues are available for use now if you want to get started – check out the User Guide for oracle numbers: »» The red and yellow mobility bracelets are currently in stock at Supply »» The mobility equipment tags will arrive imminently »» The first batch of the Fall Risk magnets have been distributed to key contacts in each division to distribute – there are still a few left so if you need more get in touch with Michelle Morland-McRae in Corporate Quality & Patient Safety.

Ongoing ordering of the fall risk magnet can be done via Supply. »» Electronic copies of the Safe Mobility plans are available on the Visual Cues intranet page – you will need to laminate them before using them. Contact your local Fall Prevention Committee to discuss which Safe Mobility Plan will work best in your ward. The plan is to have the bedside Patient Status at a Glance signage also available through Supply following the evaluation of the bedside Patient Status at a Glance test phase.

C4 Cancer Research Workshop – Responding to New Challenges

University of Otago, Christchurch

Register your attendance

Responding to New Challenges Sessions

Bookings are essential for catering purposes.

Please visit www.otago.ac.nz/c4 or email c4.uoc@otago.ac.nz to register.

Our fifth C4 Cancer Research Workshop is an opportunity for cancer professionals to learn about the latest scientific research, clinical advances and community updates in Canterbury.

»» Life factors that impact on cancer

Wednesday 6 May 2015, 2.00-5.00pm Beaven Lecture Theatre, Level 7,

The following themes will be covered by our invited speakers: »» Advances in cancer diagnosis and treatments »» Responding to the community

More details about the programme will be available at www.otago.ac.nz/c4 soon. cdhb.health.nz 12

CEO Update

One minute with…Abbie Cameron, Public Health Nurse What does your job involve?

My role involves providing community health care to children and their families through referral intervention. It is a free and confidential service which covers a very wide variety of health concerns, ranging from allergies, anaphylaxis, medical conditions, nutrition, hygiene, puberty, sexual health, behavioural concerns and mental health.

The last book I read was…

Born to run, by Christopher McDougall. A great book that tells a story about the abilities of a reclusive tribe living in the Mexican canyons who run ultra-distances. Very motivational book for any runners out there.

We are able to meet with parents/caregivers at their home, school or work to provide health support, assessments, advice and to coordinate that family’s needs with school or other supportive agencies where required. Each public health nurse is responsible for a set amount of schools, which we have regular contact with and advise on children’s health.

My ultimate Sunday would involve…

Hanging out with friends on the beach either; laughing about Saturday night’s antics, or feeling good about having been for a long run and relaxing in the sunshine.

Youth health clinics at intermediate and secondary schools are also part of this, along with HPV immunisation clinics, held this year for girls in year 10. Our service also includes running BCG immunisations for identified at-risk children under five years of age and also providing B4 school checks to help support general practice.

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

On a beach; Bora Bora would be a good option!

One food I really dislike is…

Cooked carrot - raw is better!

My favourite music is…

Pretty wide taste really, just no 80s ballads or anything too poppish. I really miss Triple J, a radio station from Australia (it’s always streaming in our house though!).

Why did you choose to work in this field?

Previous to this role I was working in high acute paediatric areas such as emergency and oncology which I absolutely loved but had always wondered what community based nursing would be like. I had been living in Australia for the past seven years and saw a public health nurse job advertised in Christchurch. With the encouragement of my family to move back home I ended up applying, did the interview in my lunch hour one day at work, and six weeks later had relocated back to New Zealand.

What do you like about it?

I really enjoy the autonomy of the role and the responsibility that you take on with each individual case. I find it a privilege to be accepted into people’s homes and work with the families in their own environment. I also love the variety of the work and am constantly learning. I enjoy working alongside other agencies and schools to take on a team approach in improving children’s health care. I also love not wearing a uniform, it is a great excuse to keep buying new clothes!

What are the challenging bits?

Some families may be at risk and vulnerable (for a number of reasons) and/or hesitant about accepting outside help, which can be an initial hurdle to overcome – however these can be the cases where the work we do is most beneficial so it’s definitely worth the extra effort involved.

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

I work with a fantastic team who are all very experienced and passionate about what they do. Everyone is incredibly supportive and although it is an autonomous role there is always someone to throw ideas round with, debrief with or support you when in the community.

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

cdhb.health.nz 13

CEO Update

Staff Wellbeing Programme Being Active & Staff Wellbeing Workshops Be Active If you watched a Nigel Latta presentation you’ll recall that Nigel mentioned three key points that are proven to improve our wellbeing: 1. Being more active (onsite yoga/pilates/zumba timetables)

‘Really good to interact with the other participants‘

2. Eating well, and

‘It was useful to be reminded that moods are contagious.

It makes me more aware of mine, and more aware of how others impact me.’

3. Being more mindful.

Wellbeing Workshops – Open to all Staff Following the successful programme of Wellbeing Workshops run for line managers in 2014 we are delighted to offer a further 25 workshops, open to all staff, during 2015. The first 10 workshops are scheduled between 4 May and 21 July.

Workshop details are available on the registration page.

Places are limited so talk to your manager and find a time that suits.

The workshops are run in association with the Mental Health Education and Resource Centre (MHERC) and are facilitated

by Alison Ogier-Price, who specialises in the application of positive psychology to wellbeing and personal development.

‘Alison was a great presenter - very easy to listen to and she obviously knows her stuff’ ‘Positive psychology is based on the belief that people want to lead meaningful and fulfilling lives, to cultivate what is best within themselves, and to enhance their experiences of love, work, and play’, says Alison Ogier-Price. ‘Positive psychology is the scientific study of what enables individuals and communities to thrive’. »» Each 2.5 hour session included morning/afternoon tea and covers: »» The importance of wellbeing; psychological and emotional effects »» Stress responses and coping in stressful environments »» Dealing with change and perceived loss-of-control »» Relating to others through positive communication »» Understanding the science and practice of applications of self- and other-care »» Wellbeing resources to improve your health and wellbeing including: Staff Wellbeing Programme, 5 Ways to Wellbeing Participants at last year’s workshops made the following comments: ‘Great balance of science and practical solutions’ ‘The whole session was really worthwhile and I have put some of the tools to use already’

‘Good strategies on living life in a different way to build resilience.’

‘Very well facilitated with everyone able to be involved and interact.’

More information or register Other Staff Wellbeing Programme initiatives

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.

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.

2.5 hours to focus on YOUR wellbeing!

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.

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

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 14

CEO Update Free, impartial earthquake building/housing advice extended The Residential Advisory Service (RAS), which provides Cantabrians with free, impartial advice on getting their home repaired or rebuilt due to earthquake damage has received funding for another year.

RAS, funded by the Earthquake Commission, members of the Insurance Council of New Zealand and the Canterbury Earthquake Recovery Authority, has received an additional $1.2 million to keep the service running for another year.

In announcing the extension to the service Associate Canterbury Earthquake Recovery Minister Nicky Wagner said it has been extremely popular since its launch in May 2013 with more than 2200 cases logged, of which 1600 have been successfully progressed or resolved.

“RAS links residents with the right people for their particular issue and ensures they are given specific guidance

by independent advisors.”

New resources have also been added to the service, such as the technical panel, which can offer a second opinion on existing repair plans and documents.

This means the service can either provide reassurance that repair plans are technically sound or highlight any concerns.

“Cases dealt with by the service can be complex, however satisfaction levels remain high with over 90 per cent of users reporting they felt listened to and understood, with 77 per cent of people saying they were either satisfied or very satisfied with the service.

“I encourage anyone who is still facing challenges with their rebuild or repairs to make use of the free and independent advice that is available,” Ms Wagner says.

Residents can find more information at www.advisory.org.nz or by calling 0800 777 299.

Free Financial/Retirement planning and Housing Advice Westpac is running free 30 minute appointments at main hospital sites with an Authorised Financial Advisor or Home Loan Expert Next sessions at TPMH, 5 & 6 May More information on dates/times or make an appointment Visit the Staff Wellbeing Programme intranet page for all staff wellbeing information 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

Professional Development and Recognition Programme (PDRP) - New Assessor Training Our New Assessor Training is scheduled for: Thursday 21 and Friday 22 May Tuesday 25 and Wednesday 26 August

Free Legal Advice – Staff Wellbeing Programme ARE YOU STUCK OR CONFUSED ABOUT YOUR INSURANCE / EQC MATTERS? The Residential Advisory Service (RAS) provides:  free independent and impartial legal advice to help home owners navigate through their rebuild, repair or resettlement issues  free technical advice on existing repair solutions (desk top review)  free facilitated meetings with Insurers and other interested parties to try and achieve agreement on a way forward The service is focussed on progressing issues between home owners, insurance companies and the Earthquake Commission.

RAS is holding clinics for CDHB staff members where you have the opportunity to meet with one of our Independent Advisors, who are all qualified lawyers. You will be able to briefly discuss your situation, hear how the service may be able to assist you and ask questions about your rebuild or repair process, but you will need to make an appointment.

RAS clinics will be held from 1000-1500hrs at:     

Christchurch Campus - Thursday 26 March Hillmorton Hospital - Thursday 23 April TPMH - Thursday 30 April Burwood Hospital - Thursday 14 May Christchurch Campus - Thursday 28 May

Note: Appointment rooms will be confirmed by the RAS nearer the time.

To make an appointment please email Glenys Thornhill glenys.thornhill@cera.govt.nz who will telephone you back to arrange a suitable time. Appointments will be in 30 minute slots starting on, and half past, the hour. When emailing please ensure you include your daytime contact number.

If you can’t attend the above clinics but would like to know if RAS can help you please call RAS on (03) 379 7027 or 0800 777 299 or check out the RAS website: https://advisory.org.nz 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

Download poster

For more information about other Staff Wellbeing Programme initiatives visit the Staff Wellbeing Programme intranet page http://cdhbintranet/corporate/HealthandSafety/SitePages/Staff%20Wellbeing.aspx

As part of the Staff Wellbeing Programme CDHB staff have access to onsite RAS sessions. There are still a limited number of appointments available in the current series – click here for more information. More onsite sessions are being planned for later in the year.

Participants wanted: Alcohol, personality & attention

Participants are wanted for an EEG study investigating drinking patterns, personality factors and visual attention.

Participation involves completing questionnaires, simple problem-solving tasks and a visual attention task, while an EEG cap monitors brain activity. Participants will receive a $20 voucher for their time (one session of 2 – 2½ hours) at the New Zealand Brain Research Institute (66 Stewart Street).

The study is looking for participants over 18 with a variety of drinking patterns. Those interested are invited to visit this website.

This research is being carried out by University of Canterbury Psychology Masters student, Jessica Langbridge, who can be contacted at: jessica.langbridge@pg.canterbury.ac.nz (under the supervision of Prof. Richard Jones and Dr. Juan Canales).

This project has been reviewed and approved by the University of Canterbury Human Ethics Committee.

If interested in attending please contact Seonaid.macmillan@cdhb.health.nz

cdhb.health.nz 15

CEO Update

In brief

Council gives the go-ahead for consultation on three Central City transport projects The Christchurch City Council has given the go-ahead to start public consultation on three concept designs for further transport projects needed to support key anchor projects in the Central City.

The concept designs focus on three groups of streets within the Central City: »» Hospital Corner Stage two (final layout) – including sections of Hagley Avenue, St Asaph Street, Tuam Street, Antigua Street and Montreal Street. »» Durham Street / Cambridge Terrace – from Kilmore Street to Tuam Street. »» Manchester Street – from Kilmore Street to Lichfield Street.

Consultation is scheduled to begin today, Tuesday 28 April and will continue to Tuesday 26 May 2015. Consultation material and information about how to make a submission is available through the Council’s website: www.ccc.govt.nz/haveyoursay Read the full media release

Read full newsletter

»» The CEO Update is compiled weekly by the Communications Team of CDHB »» Contributions should be emailed to communications@cdhb.health.nz »» Copy deadlines are Thursday morning each week before publication (which is usually on the following Monday) »» CDHB reserves the right to edit articles for spelling, grammar and space restrictions

cdhb.health.nz 16