Issuu

Volume 47 Issue 3 October 2021

INSIDE National Action Plan for Hep C Launched Case Study: –Overview of learning achieved through post graduate course: advanced assessment and clinical reasoning GENCA IBD Nursing Foundation School a hit!

OLYMPUS CORNER WELCOME TO THE OLYMPUS CORNER AI in Colonoscopy

Olympus Academy

ENDO-AID is an AI-powered platform that includes the endoscopy application, Computer-Aided Detection (CADe) for colon. This new AI platform enables real-time display of automatically detected suspicious lesions and works seamlessly with Olympus’ recently introduced EVIS X1, its most advanced endoscopy system to date.

Offers courses for reprocessing and endoscope training, specific topics include infection control, reducing the risk of cross contamination, and other adverse events related to the reprocessing of flexible endoscopes and surgical instruments. To view course calendar and make bookings visit Olympus Academy website. For more information please contact your local Olympus representative.

EVIS X1, was developed to set new standards for image detection, characterisation, staging, and treatment to further strengthen the support of screening and diagnosis. With ENDO-AID, Olympus is now enhancing the capabilities of EVIS X1 through AI technology.

Australian Gastroenterology Week (AGW) Virtual 4 - 12 September

ENDO-AID uses a sophisticated algorithm via a neural network developed and trained by Olympus to alert endoscopist in real time with an intuitive marker on the screen when a suspected colonic lesion is detected. Among endoscopists in the same health care system and shared patient population, ADR varies from 7% to 53%1,2.

This year AGW was held virtually across 2 weekends in September and despite the ongoing challenges in Australia it was a successful and informative online event. Olympus were delighted to have Professor Krish Ragunath and Dr Sneha John facilitate the Olympus sponsored AGWebinar to present on Endoscopic Imaging in 2021: a technology update. Professor Ragunath and Dr John introduced the latest EVIS X1 technologies and discussed how they have impacted their clinical practice.

Below meta-analysis and pooled analysis of AI CADe in colorectal polyps detection studies in general, five randomised trials shown positive results with pooled adenoma detection rate (ADR) increased from 25% - 37%3.

NZ Society of Gastroenterology Conference 2021 1. Corley D, Jensen C, Marks A. Adenoma detection rate and risk of colorectal cancer and death. N Engl J Med 2014;370(26):2539–41. 2. Robin Zacharich, Andrew Ninh, Willian Karnes. Artificial intelligence for colon polyps detection: Why should we embrace this? Techniques and Innovations in Gastrointestinal Endoscopy 22 (2020) 48-51. 3. Cesare Hassan C et al. Gastrointestinal Endoscopy 2021.

17 - 19 November

With NZ Gastro fast approaching, Olympus looks forward to bringing you the most advanced Endoscopic System: EVIS X1 up amongst other endoscopic technologies. Please join us and visit us on booth 03-06 on 17-19 November at Christchurch Town Hall.

If you would like more information on Olympus products and services, please contact your local Sales Specialist or Olympus New Zealand Customer Service on 0508 659 6787.

OLYMPUS NEW ZEALAND LIMITED 28 Corinthian Drive, Albany, Auckland

Customer Service: 0508 659 6787 www.olympus.co.nz

Committee Chairperson

Contents

Karen Clarke chairofnzgnc@gmail.com

Secretary

NZNO NZGNC Chairperson Report 5

Merilee Williams secretaryofnzgnc@gmail.com

National action plan for Hep C launched

Treasurer

Case Study – Overview of learning achieved through post graduate course: advanced assessment and clinical reasoning

Rachel Cashmore treasurerofnzgnc@gmail.com

6 8-9

Leaders and Managers Day - 12th August 10 Committee Report

Committee Members Marian O’Connor marian.o’connor@tdhb.org.nz Kirsten Rosser kirsten.rosser@cdhb.health.nz Wanda Owen sw.owen@xtra.co.nz Jessica Southall j.jansen013@gmail.com

Report of the NZ IBD Nurses Committee 12 as sub-committee to NZgNC GENCA IBD Nursing Foundation School a hit! 14-15 New Zealand Nurses Organisation 16-17 Gastroenterology Nurses College Tube writing guidelines for authors

Editor

Karen Clarke editorofthetube@gmail.com

Co- Editor

Holly Weale holly.weale@cdhb.health.nz

Website Manager

Jeanette Shaw nzgncwebsitemanager@gmail.com

Life Members Kaye Hay Kate Bydder Barbara Miller Marie Fitzsimons

Advertisers Page(s) Olympus 2, 4, 18, 28 Device Technologies 7 Obex 11 Ecolab 13 Whiteley 22 CRK 23

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NZNO NZGNC Annual Chairperson Report 2020-2021 Committee

those who are in contact with flexible endoscopes. i.e. Nurses, SSD, HCA, Technicians

1. One new face joined the committee for the 2020 - 2021 year. Jessica Southall from Christchurch DHB. Jessica is a Hepatology specialist nurse and is a representative for the Hepatology Specialty Sub group of NZgNC.

3. The annual combined conference in November is to be a hybrid academic programme for both nurses and consultants. This will be beamed out from the Town Hall in Christchurch around the country. Groups are encouraged to register in their home town as well as individuals if you are unable to attend. The conference organisers can provide a group deal if you contact early. If registered, participants can view the meeting a week after the event.

2. Julia Anderson continues on as our NZNO, Professional Nurse Advisor (PNA) and is a valuable resource guiding the committee through the NZNO policies. 3. Committee member and Inflammatory Bowel Disease (IBD) sub-group member Marian O’Connor is on the GENCA Board which means we have presence in Australia. The GENCA board introduced a new membership category last year for nonAustralian residents which has been taken up by many here in New Zealand. The GENCA IBD Foundation school are holding another course in 2022 which is open to the New Zealand IBD nurses or any interested in the specialty. Watch out for the advertisement.

4. With COVID having interrupted our lives in such a dramatic way it was decided to work on a virtual/hybrid meeting once again to bring some normality into our lives. The conference team are working hard to make this another conference to remember. Communication 1. I am still conscious of the work load and stress levels we in our specialty are dealing with on a day to day basis. COVID has once again created a time of uncertainty for our members and their families. Especially in Auckland. I am attempting to continue the line of communication with emails but am conscious of the fact that I may not be reaching everybody. Please be kind to your colleagues and reach out if you need help.

4. COVID managed to stay away until we had our February and August Face to Face meetings. We scraped in with our Leaders and Managers study day in Wellington before complete lockdown. Zoom meetings are still the norm for our committee and I must admit it was great to catch up with everybody in person the two times we were able to.

2. We have a varied communication plan amongst members which may not suit everyone and this includes the NZNO managed webpage, membership email list, college moderated Facebook group page to widen the information sharing and the Tube quarterly journal. The Tube is now delivered electronically.

5. As a committee we have been updating the policies and documents which have been put aside. As they are updated we are placing them on our website. 6. The IBD Nurses sub group is still active in completing submissions to Pharmac on the many medications required for their specialty.

Membership

7. As chair I am on the committee of NZ Society of Gastroenterology (NZSG) and Endoscopy Guidance Group NZ. (EGGNZ) With gastroenterology moving forward at a fast pace it is important that the college has a voice on these committees.

1. Membership continues to increase as persons joining the specialty become aware of our existence. My time as chair of the College ends at conference in November and Merrilee Williams has kindly agreed to take on the role of chair. Forming sub specialties and supporting the Nurse Endoscopists in training has been some of the many milestones that the college can be proud of.

8. The NZSG is active in setting up training for endoscopists providing sponsorship for young investigators and submitting to pharmac on medications required for many gastroenterology conditions. The committee is very supportive of the Nurses College and proof of this is the financial support shown with the annual conference.

I have indicated to my work that I would like to retire end of April 2022 as feel it is now time for me to move aside and let new ideas flourish. I have every confidence that our specialty is in good hands throughout New Zealand.

9. EGGNZ has completed the “Guidelines for Local Credentialing in Adult Endoscopy” and is now working on the PS09 Guideline on procedural sedation.

I look back on my career with fond memories of those who have mentored me and those I have mentored in this ever changing specialty of Gastroenterology. Some sadly have passed away but they left a legacy for many of us. Technology has always fascinated and excited me and I can only envisage many new things happening in the future. Who would have thought 40 years ago that we would be having Artificial Intelligence (AI) in our procedure rooms!!

Education 1. The College is actively seeking to support nurses into specialist practice and has expert contacts for those who wish to progress their career in gastroenterology. There is education funding to encourage growth of gastroenterology knowledge and the grants have been increased to reflect increased costs. March and September are the application dates for those who wish to apply.

Keep safe all of you. Karen Clarke Chairperson NZGNC

2. The College continues to support the Olympus Academy and GENCA fundamentals of Endoscope Reprocessing workshops throughout New Zealand. The College supports attendance by 5

National action plan for Hep C launched Nancy Carey | Midland Region Hep C Nurse Coordinator World Hepatitis day came to Hamilton this year with the Launch of Mahere Mahi mo te Ate Kaka C- The National Hepatitis C Action Plan for Aotearoa New Zealand. The Launch was based at Anglesea Community Pharmacy in central Hamilton with around 60 invited guests and attended by Associate Minister, the Honourable Dr Ayesha Verrall and the Director General of Health Dr Ashley Bloomfield. Also welcoming the new plan was Professor Ed Gane who has been instrumental in fighting the cause for hepatitis C treatment in NZ and Dr Frank Weilert, Hepatologist and clinical advisor for the Te Manawa Taki service.

Professor Ed Gane, welcoming in the new plan

The day was a celebration of the work already started around hep C elimination with enthusiasm for a new structured work plan going forward. A new mobile hep C service will soon be available in the Te Manawa Taki Region. Working in collaboration with other services, the mobile service will provide an opportunity to reach people in the community, especially remote areas. The service will offer basic health checks where necessary and it is hoped a partnership with other health providers will enhance the service to improve access and equity.

Dr Ashley Bloomfield, Nancy Carey (Te Manawa Taki hep C nurse coordinator) Dr Frank Weilert

The focus areas for the new plan are: • Prevention and Harm Reduction, • Awareness and Understanding, • Surveillance and Monitoring, • Testing and Screening • Integration of Services • Access to Care. Work is underway on the implementation of the plan, the first phase covering the next 5 years and then moving forward to reach the elimination timeline goal of 2030.

Dr Ayesha Verrall cutting the celebratory cake

Reference: National Hepatitis C Action Plan for Aotearoa New Zealand Mahere Mahi mot e Ate Kaka C 2020-2030

To eliminate hepatitis C as a public health threat by 2030

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Case Study Overview of learning achieved through postgraduate course: advanced assessment and clinical reasoning Becky KaKei Leong, Bachelor of Nursing, Community Hepatitis Nurse from The Hepatitis Foundation of New Zealand

12C Princess Street, Takanini, Auckland 2112 p: 021 103 7805 e: beckakei@gmail.com Conflict of interest and / or financial disclosure: no conflict of interest or any financial related matter

Introduction

is active and is rapidly replicating, hepatitis B e-antigen (HBeAg) protein is secreted into the bloodstream (Liu et al, 2016). Her HBeAg is positive and she has been in immune-tolerant phase for at least ten years.

Hepatitis B is a silent disease; it often does not present any significant disturbances or disabilities until the condition is advanced; often asymptomatic or mild symptoms.

Physical exam and diagnostics

There is no medical intervention to cure chronic hepatitis B (CHB) (Tu et al, 2018); it increases the risks of developing liver cirrhosis, hepatic failure, and hepatocellular carcinoma (HCC). People living with CHB are recommended to engage in lifelong liver surveillance (bpac, 2018) to monitor disease progression and provide timely treatment to reduce the risk of HCC and the development of cirrhosis (Terrault et al, 2018).

On examination, her vital signs are within normal parameters, minimal voluntary guarding. Normal JACCOL assessment. Reassuring physical examination, negative Murphy’s sign. Yan’s presenting complaints are typical signs of cholelithiasis with biliary colic pain (Tanaja et al, 2020). Yan meets the risk profile of high-risk groups being a female, age between 30 to 75 (bpac, 2014), use of oral contraceptives, her recent dietary alteration (overall reduction of intake and dietary cholesterol), along with chronic liver disease with HBeAg positive could be contributing factors to developing gallstone disease (Li et al, 2016).

The role of community hepatitis nurse is expanding to meet the high demand from higher level of screening for positive CHB and the aging population increasing in the risk of developing hepatitis B related liver complications. Engaging with patients and developing a strong rapport is essential in a service that provides lifelong monitoring, patients are empowered to contact community nurses for advice when experiencing gastro symptoms that maybe related to hepatitis flare.

Her high viremia CHB in the past ten years with her alanine transaminase (ALT) gradually elevated; in the context of her previous blood test pattern in relations to her presenting symptoms, it is a possible indication of hepatitis flare related to HBeAg seroconversion or transitioning from immunetolerance CHB to becoming immune active CHB. Viral flare can be asymptomatic; however, fatigue, loss of appetite, weight loss, nausea and vomiting can be present (Li et al, 2016).

In the postgraduate course advanced assessment and clinical reasoning; I have learnt to utilize various structural frameworks to begin differential diagnostic assessment to explore the cause of presenting complaints. Yan is a pseudonym; she has consented to use her event for the case study with omission or alteration to any specific information that may identify her.

In the context of this case, HBV DNA Quantitation combining liver function test provides a high prediction of viral flare with a “sensitivity and a specificity both of 86%” (Chang & Liaw, 2014).

Case study Health history collection using the OLDCART framework:

CHB is a dynamic disease; as the presentation of the complications of CHB is vastly different from one person to another, additionally the transition between inactive to active phases of the disease can be unpredictable (Terrault et al, 2018).

Yan is a 40-year-old Chinese female, afebrile, she was having moderate intermittent right upper quadrant (RUQ) abdominal pain over the past two months. Pain has worsened over time, aggravates after eating, and resolves spontaneously within 2 hours at its longest duration. Two weeks ago, she began having nausea and vomiting with epigastric pain. She feels fatigued, and her weight is down from 68kg to 65kg. She has also noticed her urine colour darkened but no obvious haematuria and dysuria.

According to the international guidelines for CHB infection, normal ALT for healthy females is ranged between 19-25U/L. This value is lower than the normal enzyme reference range in New Zealand local laboratory for ALT of normal range <40 U/L. The fundamental determinant of the threshold for treatment is based on changes in ALT, with values more or equal to two times upper limit of normal (ULN) (Terrault et al, 2018).

Yan has presented with classic symptoms of gallstone disease; she also is living with CHB infection, which a hepatitis flare could also have similar presentations. When the hepatitis B virus (HBV) 8

If Alanine Aminotransferase (ALT) results, gamma-glutamyl trans peptidase (GGT), aspartate aminotransferase (AST), and HBV DNA are elevated, it could rule in hepatitis flare (ESAL, 2017). However, if the hypothesis of gallstone disease is also present, the ALT and GGT could also be raised. However, in a pure hepatitis flare, alkaline phosphatase (ALP) should not rise, which could rule in cholelithiasis (bpac, 2014).

Bpac. (2018). Hepatitis B: treatments no available for primary care. Best Practice Journal, 1-10. https://bpac.org.nz/2018/docs/hepatitis-b.pdf Chang, M., & Liaw, Y. (2014). Hepatitis B flares in chronic hepatitis B: pathogenesis, natural course, and management. Journal of Hepatology 61, 1407-1417. https://doi.org/10.1016/j.jhep.2014.08.033

The gold standard for diagnosing a liver injury and cholelithiasis is via ultrasound of the abdomen; it is an inexpensive, high specificity, and non-invasive procedure (Tazuma et al, 2016). It can identify any calcification and free-fluid in the abdomen.

European Association for the Study of the Liver. (2017). EASL 2017 clinical practice guidelines on the management of hepatitis B virus infection. Journal of Hepatology, 67, 370-398.

Results

Li, X., Guo, X., Ji, H., Yu, G., & Gao, P. (2016). Gallstones in patients with chronic liver diseases. BioMed Research International. 2017.

The blood test result with elevated ALT more than two times upper limit of normal, elevated AST, GGT and ALP, with high HBV viral load. Ultrasound identified uncomplicated cholelithiasis, partially distended gallbladder. No choledocholithiasis.

https://doi.org/10.18632/oncotarget.15003 Liu, X., Chen, J.M., Lou, J.L., Huang, Y.X., Yan, Y., Sun, G.Z., & Li, N. (2016). Correlation between hepatitis B virus DNA levels and diagnostic tests for HBsAg, HBeAg, and PreS1-Ag in chronic hepatitis B. Genetics and Molecular Research. https://www. geneticsmr.com/articles/6675

The degree of elevated ALT, AST, and GGT with a high level of HBV DNA cannot rule out hepatitis flare. In Yan’s condition, the acute phase of cholelithiasis can obscure the degree of hepatitis flare. A further blood test will be required to evaluate whether hepatitis flare has occurred or is continuing, and whether HBeAg seroconversion has been achieved.

Tanaja, J., Lopez, R., & Meer, J. (2020). Cholelithiasis. https://www.ncbi.nlm.nih.gov/books/NBK470440/ Tazuma, S., Unno, M., Igarashi, Y., Inui, K., Uchiyama, K., Kai, M., Tsuyuguchi, T., Maguchi, H., Mori, T., Yamaguchi, K., Ryozawa, S., Nimura, Y., Fujita, N., Kubota, K., Shoda, J., Tabata, M., Mine, T., sugano, K., Watanabe, M., Shimosegawa. (2016). Evidencebased clinical practice guidelines for cholelithiasis 2016. Journal of Gastroenterol. (2017)52, 276-300

Conclusion Yan’s acute presentation occurred in a close time frame of a likely episode of a hepatitis flare, in which some of the symptoms overlapped, making differential diagnosis more difficult. It highlights the importance of having a good knowledge base of medical understanding, a thorough history taking, and physical examination skills to begin the differentiation process, and bearing in mind that more than one disorder could be happening simultaneously. This case study is not a straightforward investigation but a real-life example of more than one diagnosis co-exists.

https://link.springer.com/article/10.1007/s00535-016-1289-7 Terrault, N., Lok, A., McMahon, B., Chang, K., Hwang, J., Jonas, M., Brown, R., Bzowej, N., & Wong, J. (2018). Update on prevention, diagnosis, and treatment of chronic hepatitis B: AASLD 2018 hepatitis B guidance. Journal of Hepatology 67(4), 1560-1589.

Bpac. (2014). Biliary colic and complications from gallstones. Best Practice Journal, 61, 28-35.

Tu, T., Budzinska, M., Vondran, F., Shackel, N., & Urban, S. (2018). Hepatitis B virus DNA integration occurs early in the viral life cycle in an in vitro infection model via NTCP-dependent uptake of enveloped virus particles. Journal of Virology.

https://bpac.org.nz/BPJ/2014/june/docs/BPJ61-gallstones.pdf

https://www.10.1128/JVI.02007-17

References

Leaders and Managers Day – 12th August Committee Report Our yearly get together at the Leaders and Managers Day this year was focused on wellness and selfcare. It has been a tough year for everyone and the committee wanted to pay particular attention to caring for the leaders so that they in turn can better help and support their teams.

The Rongoa Collective gave us an inspirational talk about Te reo Māori perspective of holistic health and wellbeing, and I certainly learnt a lot about the history of Māori healing and the techniques used. We tried some tea made from Hebe to clear our vessels, as well as a spray aimed to induce a calmer state (a must in any endoscopy department at the moment).

One inspiring talk was given by Karen Kempin, who has moved into a new role as a nurse endoscopist. She showcased her journey in gastroenterology nursing applying the Knowledge and Skills Framework to each step of her career. This tied in nicely with a brain storming session about what education can be provided that is specific to gastroenterology; and whether this takes the shape of postgrad study or a modular format that can be transferred between endoscopy units in NZ (similar to the DOPs). This discussion came about after the overwhelming response from the recent questionnaire asking for education in some format. Thank you to all that completed the questionnaire. For me the most beneficial part of the day were the talks about wellness. Karyn Chalk had been experiencing wakefulness at night and increased anxiety. This meant she found herself unable to focus on her workload, and struggled to prioritise her day: an overwhelming feeling that I am sure most of us have experienced at some point in our lives. Karyn decided to make a change and undertook some research into havening techniques. Havening, is an alternative therapy developed by brothers Ronald and Steve Ruden; it relies on “amygdala depotentiation” that purportedly can help people with psychological problems, particularly those related to phobias, post-traumatic stress and anxiety. Karyn showed us a few techniques, and these certainly made you feel calmer as a result. The other talk by Claire Pearce, who works for RAISE (previously EAP) gave insightful techniques to help reduce stress levels. These included; going for a walk, engaging with friends, and enjoying laughter every day.

The Lifetime team spoke to us about planning for retirement, which for some was a real eye opener! Better start saving! With this in mind the college must mention Karen Clarkes imminent retirement and acknowledge the huge amount of support, time and enthusiasm she has given to the NZgNC over many years. Overall, it was a very interesting day and an excellent opportunity to network with other leaders in gastroenterology; a valued experience for all new leaders coming through.

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Inflammatory Bowel Disease Special Interest Group

Report of the NZ IBD Nurses Committee as sub-committee to NZgNC Committee: Jacqui Stone (chair), Marian O’Connor (co-chair), Karen Murdoch (secretary), Carly Bramley (Education lead) Report Date: August 2021, Prepared By: Marian O’Connor, Reporting Period: Apr 2021 – Aug 2021

NATIONAL NZ & Australian IBD NURSING AUDIT

EDUCATION NZ IBD Nurses Meeting 2022 – Planned for 18th March 2022, Copthorne Hotel, Wellington

The full results which included data from Australia is currently being collated for publication in the GENCA Journal (late 2021). Marian is working with Lydia White, (ex-committee NZIBDNG member) in completing this paper for publication at this present time.

The committee have been working hard on the 2nd NZIBDNG annual meeting which has been booked for 18th March 2022, in the Copthorne hotel in Wellington. This meeting will be limited to the membership of the group, which is specialist of clinical nurse specialists working within inflammatory bowel disease from across the country, which includes 25 nurses. The agenda has been generated with local nursing colleagues, Lisa Griffiths and Megan Mackay, and the committee is grateful to their support and acquisition of local speakers. The committee has been focused also on ensuring that this meeting is fully funded to its membership. To this end, our application for an education grant to NZgNC has been approved which provides funds of $5,000 (July 2021). In addition, we have submitted separate educational grants applications to three pharmaceutical companies which are in process at present. If some of these grant applications are not successful, then the committee may look at a small registration fee per nurse attending to support some of our costs. Membership will be advised of this in due course.

NZ IBD NURSE KSF

We are also grateful to Christine Ho, Sarah Cook and Lucy Mills whom have agreed to review the KSF document which is due for its 2-yearly review. The committee has approached NZgNC and put forward for a proposal to support costs for this small group to meet face-to-face once in order to complete this work. Karen Murdoch is currently linking with this group also.

GENCA IBD Foundation Report

Carly Bramley is an active member of the IBDNA education committee and has completed a TUBE article on the success of the GENCA IBD Foundation School which was attending by 15 nurses from NZ.

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GENCA IBD Nursing Foundation School a hit! Carly Bramley PG Dip Nursing, Designated Nurse Prescriber CNS Gastrointestinal SCDHB

NZ IBD Nurse Committee Education Lead. IBDNA Education Sub-Committee member. Private Bag 911, Timaru, 7940 p: 027 684 0012 e: cbramley@scdhb.health.nz

Within New Zealand there are currently no official nursing Inflammatory Bowel Disease (IBD) education papers or courses. Most of the education for the IBD nurses around the country comes from on the job training either from the consultants they work with, other IBD nurses already in the service or from Pharma sponsored meetings. Whilst this has been acceptable to a point, it does not provide a good foundation for IBD nurses with a basic knowledge of IBD, and what is required for ongoing monitoring, assessment and treatment. An NZ IBD Nursing Audit (pending publication) also confirmed that more than 80% of nurses in New Zealand had no access to specific IBD education. This is despite the continuing increase in the number of people with IBD in New Zealand (BPAC, 2021).

The course was compromised of 9 different modules including: The Role of the IBD nurse, Anatomy, Physiology and Pathophysiology, Assessment Tools in IBD, 5-ASA and Corticosteroids, Immunomodulators in IBD, Biologics in IBD, Preventative Care in IBD, Blood, Stool and Opportunistic Infection Screening and The IBD Helpline. Each module had a small quiz following the module, and at the end of the course each participant was required to complete a case study to obtain their certificate of attendance.

The IBD nurses around the country have wished for a formal IBD course to provide a foundation for their knowledge and to provide a formal certificate to show they are “qualified” to do their role.

I found it was great for consolidating my knowledge and increasing my understanding 2 years into the job. Donna – Northland DHB

The response from NZ nurses was excellent with 15 of the 100 participants hailing from New Zealand. A few people who attended the course were able to provide some feedback, here are a few snippets from their feedback:

The work load was manageable, completing one module a week and then finishing the course with a case study. I would highly recommend it to anyone either starting in the field or wanting to broaden their nursing knowledge base. Lisa – Capital & Coast DHB

The NZ IBD Nurse Committee has made formal links with the Gastroenterological Nurses College of Australia (GENCA) which provides the IBD Nursing Foundation School and IBD Advanced Nursing School courses to Australian nurses, either working within the IBD field or with patients with IBD in a ward or infusion setting. This formal arrangement between both groups has allowed for a reduced fee for non-Australian membership requests, this was negotiated between Marian O’Connor (CNS Crohn’s & Colitis, Taranaki) who sits on the GENCA board since 2019.

I think this course gave us important skills and will help assessing our IBD patients better, using the various scores. It will also help understanding the implications of these scores to their care and monitoring needs. Irit – MacMurray Centre, Auckland As I am part of the IBD Nurses Australia (IBDNA) Education sub-committee I was tasked with teaching and marking the assignments on this course as part of the foundation schools planning. I enjoyed teaching on the course, I presented the section on Biologics in IBD and the monitoring of patients on Biologics. This was great for my knowledge as teaching others consolidates our own knowledge (Jarrett, 2018). As there are only two biologics available in New Zealand, but five in Australia, I had to research the three other biologics in depth, and this was

GENCA have now offered the IBD Nursing Foundation School course in a virtual format, which is an excellent step for New Zealand nurses in accessing some formal education in IBD. The course was subsidised by Abbvie, but there was a fee for each nurse to attend, however this was reduced if you were a GENCA member, which GENCA have made available for those nurses not practicing in Australia, but are interested in the education and resources they provide. 14

useful as I’m hoping these drugs may be available in New Zealand in the near future. I will then have the confidence to educate my patients about these drugs if they do become available, and I will understand what these drugs do in more depth. Australian practice is slightly different to New Zealand practice, so I had to find the right balance in teaching nurses from both countries to ensure both parties understood my presentation, and could infer meaning as required for their own practice. It is great that this opportunity has opened up with GENCA to provide education in IBD to New Zealand nurses, particularly as we have had some new nurse’s start within the IBD group, but it is also great for those who have been in the role for a while and just want a refresher for the fundamentals in IBD. Hopefully there will be further IBD Nurse Foundation Schools as well as the IBD Nurse Advanced School, which I think will provide further education for the more complex situations we often find ourselves in within IBD. The NZIBDNG aim to continue our formal links with GENCA, with both myself and Marian O’Connor, in our current roles focused on maintaining these links, moving forward. I look forward to continuing my time on the IBDNA Education Sub-Committee and the NZ IBD Nurse Committee as the Education Lead and hopefully finding myself part of more great opportunities like these. Jarrett, C. (2018). Learning by teaching others is extremely effective – a new study tested a key reason why. Available at:https://digest.bps.org.uk/2018/05/04/learning-byteaching-others-is-extremely-effective-a-new-study-testeda-key-reason-why/ BPAC. (2021). Inflammatory bowel disease – a focus on Crohn’s disease and ulcerative colitis. Available at: https://bpac.org. nz/2021/ibd.aspx Link to GENCA membership page: : https://www.genca.org/ membership/join-now/ 15

NEW ZEALAND NURSES ORGANISATION GASTROENTEROLOGY NURSES COLLEGE Minutes of the Annual General Meeting of the NZNO Gastroenterology Nurses College to be held at 07:30PM, Cordis Hotel, Auckland, and via Zoom on 11 November 2020 Present: Karen Clarke (Chairperson) Rachel Cashmore (Treasurer) Merrilee Williams (Secretary) Marian O’Connor, Kirsten Rosser, Wanda Owen (committee members), Jacqui Stone, Donna Howe, Joy O’Dwyer, Urmila Kumar, Cindy Mery.

Present via Zoom: Christine Ho, Laura Bane, Carly Bramley, Holly Weale (Committee member) Nancy Carey, Karen Kempin, Jackie Watkins, Eunice Fuchs, Julia Anderson (NZNO PNA) Karen Murdoch, Rosemary. Christchurch contingentHolly to send names.

Apologies: Jeanette Shaw, Maree Russell, Gendy Bradford

1. Welcome and Introduction of Committee Karen Clarke opened the meeting. 1.1 Roll Call 1.2 Confirmation of Quorum 1.3 Apologies: Recorded above 1.4 Confirmation of last Gastroenterology Section meeting Minutes Moved: The minutes of the Gastroenterology meeting held on 28 November 2019 to be confirmed. Moved: Seconded: CARRIED

Marian O’Connor Kirsten Rosser

1.5 Matters Arising from 28 November 2019 minutes- Nil

2. Correspondence 2.1 Inwards: Nominations received for committee positions - Holly Weale and Jessica Southall 2.2 Outwards: Membership communications re AGM, Call for Remits, and correspondence with NZNO in preparation for AGM proceedings Moved: Seconded: CARRIED

Merrilee Williams Wanda Owen

3. Financial for previous financial year 3.1 Move any accounts for payment Moved: Seconded: CARRIED

Rachel Cashmore Joy O’Dwyer

3.2 Present prospective budget for financial year Moved: Seconded: CARRIED

Rachel Cashmore Joy O’Dwyer

4. Report 4.1 Chairperson’s Report: Read aloud by Karen, also uploaded to NZgNC website Moved: Seconded: CARRIED

Karen Clarke Jackie Stone

UNCONFIRMED

4.2 Other Committee Reports: • Editors report (uploaded to NZgNC website) • IBD Specialty nurses section report (in current Tube edition) • Hepatology Specialty nurses’ section: Nancy Carey: Update on the Hepatology Nurses group for AGM NZgNC 2020 • Our plans, like most, were put on hold at the beginning of the year due to COVID. However, we held our first Zoom meeting on 18th May followed by a second meeting on the 11th September. • I have attached the minutes above. • We made our submission for membership to the Gastro College and submitted our TOR. • Our next meeting is a workshop where we plan to look at competency guidelines for liver nursing. We have secured some funding from AbbVie to support this. We have also approached the NZNO Gastroenterology Group to have our group added to their website. Moved: Seconded: CARRIED

Merrilee Williams Kirsten Rosser

5. Remits 5.1 Rule remits: Nil received 5.2 Policy remits: Nil received

6. NZNO Reports 6.1 Item: PNA report read by Julia Anderson (also uploaded to NZgNC website) Moved: Seconded: CARRIED

Jackie Watkins Marian O’Connor

7. General Business 7.1 Item: Karen Clarke passed on her sincere thanks to Lydia White who has moved home to the UK. Her contribution to the NZgNC was very much appreciated.

8. National Committee Election Results Nominations to extend Holly Weale’s position on the committee for a further 3 years. Nominated: Kate Lodge Seconded: Marian O’Connor APPROVED Nomination of Jessica Southall for position as committee member for Hepatology Specialty nurses representative. Nominated: Holly Weale Seconded: Merrilee Williams APPROVED

9. Other Business Nil The meeting concluded at 08:06 pm when Karen Clarke closed. The next meeting will be held on Wednesday 11th November 2020. Chairperson: Date: 17

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18 QR 07.493 V1.0 March 2021

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ANNUAL SCIENTIFIC MEETING 2021 TOWN HALL, CHRISTCHURCH 17-19 NOVEMBER 2021

Join us for this hybrid conference in Christchurch. The theme is:

Restart, Relaunch and Reboot. No conference dinner unfortunately but Nurses’ dinner at Welles Street Bar to relaunch our social lives!

Charity boat race on the Avon.

Registrations open now! 19

TUBE writing guidelines for authors The Tube is the official journal of the NZgNC (New Zealand Gastroenterology Nurses’ College), and is published quarterly. We welcome articles that will be of interest to nurses working in Gastroenterology and related. Our aim is to publish a high quality, professional and educational journal for nurses working within the specialty of Gastroenterology.

Structure of Article for submission

All manuscripts received by the editor will be acknowledged, however, reports, area news or letters to the Editor will not. If you have not received confirmation of receipt within six weeks, please contact the Editor.

• Author(s) name(s) in full

The submission should include the following information: Title Page • Title of the Paper (20 word max)

• Qualifications, current position, details of other relevant achievements, and affiliations of author(s) • Address, contact telephone numbers, email address of the author(s)

Suggestions for articles include: • Recommendations for nursing practice based on current global trends/literature

• Conflict of interest and / or financial disclosure related to the article or related matter

• Overview of learning achieved through post graduate paper, or conference attendance

Body of article • Title at top of first page

• Review of literary article relevant to best practice

• The body of work should be clearly written in an academic style of writing, and organised with headings/sub-headings (where appropriate)

• Case study relevant to specialty • Education for nurses based on sub specialty topic

Editorial review/acceptance

• Pages numbered consecutively

Articles submitted to The Tube are currently reviewed at a minimum by the editor and co-editor. The review will assess the accuracy of fact, clarity of presentation, use of references and relevance to practice of gastroenterology nursing. The editor/coeditor may also request a committee member review any article, particularly if the article is a sub-specialty of gastroenterology nursing and the committee member area of special interest/ work.

• Tables, figures (if applicable) should be referred to in the body of the manuscript • References (APA 6th Edition) • Written authorisation(s) to publish identifiable person(s)/ institutions and copyright materials • Word limit is approximately 1000 words. For the purposes of publication all articles should be formatted in Calibri, font size 10.

All articles which are being considered for publication may be reviewed and returned to the author with suggestions for revisions and improvement. The author will be provided with a deadline in which to provide the revised article in order to comply with publication schedule.

• All work should be saved as MS-Word (.docx) or text only (.txt) files. All articles must be fully referenced where appropriate (APA 6th Ed)

The Editor’s decision to publish or reject an article is final. You are welcome to email or phone the Editor to discuss your article should it not be accepted for publication.

Authors should keep an original copy of their article.

Submission

Case study/clinical practice article:

Articles should be submitted to the editor at editorofthetube@ gmail.com.

• Outline the nature of the treatment/procedure/product that forms the basis of the case study

If submission of your article is as a requirement of a NZgNC Education/Travel Grant, please ensure you submit within the required timeframe of your funding application.

• Provide information on the patient: age, sex, history, any other pertinent clinical/social/cultural aspects. Avoid using information, which would clearly identify the patient.

Request Further Information

• Tell readers what is new, interesting, different, pioneering, about this treatment/procedure/product

For advice or clarification on any of the above matters please contact the editorofthetube@gmail.com

• Outline the actual treatment/procedure or how product works

College committee members’ reports:

• Report on the patient’s/client’s response/recovery/

The aim of such reports is to inform the national College membership of the business and activities of the College during the last quarter.

• Tell readers what you have learnt through your involvement with this

Treatment /procedure/product

These reports should include such activities as: • College meetings/teleconferences (date and venue)

• Outline any implications/meaning gastroenterology nurses’ practice

• Decisions arising from these meetings/teleconferences (can be focused on the minutes of these meetings)

• Provide references to support the article.

may

have

• Plans/development the College is involved in/hopes to develop • Any external meetings committee members have attended relating to the business of the College, e.g. meetings with NZNO professional nursing adviser/professional services manager • Any contributions to national NZNO business, e.g. contribution to any submissions/ national guideline development • These should be a maximum of 600 words and contain people’s correct names and titles.

TO COMPLY WITH THE PRIVACY CODE: ALL INFORMATION REGARDING YOUR APPLICATION WILL BE CONFIDENTIAL TO THE NZNO GASTROENTEROLOGY NURSES’ COLLEGE NATIONAL COMMITTEE AND THE JUDGES.

for

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email: nzmedical@crknz.co.nz

fax: 09 276 9645

GASTROENTEROLOGY UNITS IN NEW ZEALAND ASHBURTON HOSPITAL Operating Theatre Endoscopy Unit Private Bag 801,Ashburton Ph: 03 308 4149

AUCKLAND HOSPITAL Gastroenterology Department Level 6 Private Bag 92024, Grafton, Auckland Ph: 09 307 4949 ext: 125570 CNM: Christina Geraldino christinag@adhb.govt.nz

AUCKLAND SURGICAL CENTRE 9 St Marks Road,Remuera Auckland 1050 Theatre Mgr: Tracy McConnochie

BELVERDALE HOSPITAL Endoscopy 5 Campbell Street Wanganui Ph: 06 348 1182 manager@belverdale.co.nz

BIDWELL HOSPITAL Endoscopy Unit 53 Elizabeth Street Timaru 7910 Ph: 03 687 1230 kay@bidwellhospital.co.nz

BOULCOTT HOSPITAL Boulcott Endoscopy PO Box 31459 Lower Hutt Wellington Ph: 04 569 7555 ext: 612 khall@boulcotthospital.co.nz

BOWEN HOSPITAL Gastroenterology Department 94 Churchill Downs Wellington Ph: 04 479 8261 endoscopy@bowen.co.nz

BRAEMAR HOSPITAL Endoscopy Unit PO Box 972, Hamilton Ph: 07 839 2166 Sheree Smith sherees@braemarhospital.co.nz mereana.laurence@braemarhospital.co.nz

BRIGHTSIDE 3 Brightside Road Epsom Auckland 1023 Ph: 09 925 4200 Theatre Mgr: John Drinkwater

CHELSEA HOSPITAL Endoscopy Unit 189 Cobden Street Gisborne Ph: 06 867 2237 Debbie.gooden@chelseahospital.co.nz

CHARITY HOSPITAL Endoscopy 349 Harewood Road Christchurch Ph: 03 360 2266

CHRISTCHURCH HOSPITAL Gastroenterology Department PO Box 4710, Christchurch Ph: 03 364 0925 Gendy Bradford Gendy.bradford@cdhb.govt.nz holly.weale@cdhb.health.nz

CLUTHA HOSPITAL Endoscopy Unit PO Box 46 Balclutha Ph: 03 418 0500

CREST HOSPITALS Endoscopy Unit 21 Carroll Street, Palmerston North 4410 PO Box 1622, Palmerston North 4440 Ph: 06 356 5180 OT Mgr: Susie Wright Ward Day Stay Mgr: Pete Baur

DUNEDIN HOSPITAL Merrilee Williams – Charge Nurse Manager Gastroenterology Department Dunedin Hospital Southern District Health Board Internal Extn: 59326, DDI: 03 470 9326 merilee.williams@southerndhb.govt.nz

DUNSTAN HOSPITAL Endoscopy Unit Clyde Otago Ph: 03 449 2878 merrilee.williams@southerndhb.govt.nz Margo.Ramage@southerndhb.govt.nz

ENDOSCOPY AUCKLAND Endoscopy Unit 148 Gillies Ave, Epsom, Auckland Ph: 09 623 2020 Sue Valentine sue@endoscopyak.co.nz

GILLIES HOSPITAL 160 Gillies Ave, Epsom Auckland 1023 Ph: 09 925 4000 OR Mgr: Carol Burnside

GISBORNE/ TAIRAWHITI DHB 421 Ormond Road, Gisborne 4010 Endoscopy Clinical Nurse Co-ordinator Sue Egan-Cunningham Ph: 06 869 0500 ext. 8320

GRACE HOSPITAL Endoscopy Room 281 Cheyne Road, Tauranga 3112 PO Box 2320 Tauranga 3140 sarahha@gracehospital.co.nz marie@gracehospital.co.nz

GREENLANE MEDICAL SPECIALISTS Ph: (09) 9306108, F: (09) 9306109 Building A, Ground Floor, 93 Ascot Ave, Greenlane, Auckland 1051 Ph: (09) 9306108, F: (09) 9306109 Micah Rivera micah@glms.co.nz

GREY HOSPITAL Endoscopy PO Box 387, Greymouth 7840 Ph: 03 768 0499 Wendy Stuart w.stuart@westcoastdhb.health.nz

HAWKES BAY REG. HOSPITAL Operating Theatre Endoscopy Unit,Private Bag Hastings Ph: 06 878 8109

HUTT HOSPITAL Endoscopy Unit Private Bag 31 907 Lower Hutt Wellington Ph: 04 566 6999 Marie.press@huttvalleydhb.org.nz

GASTROENTEROLOGY UNITS IN NEW ZEALAND INTUS DIGESTIVE AND COLORECTAL CARE Milford Chambers St Georges Medical Centre 249 Papanui Road Christchurch Ph: 03 977 5977 nurses@intus.co.nz Ginette Campbell ginette.campbell@intus.co.nz

KAITAIA HOSPITAL Operating Theatre Endoscopy Unit Redan Road Kaitaia Ph: 09 408 0010 suzie.walker@northlanddhb.org.nz

KENEPURU HOSPITAL Outpatients Department Endoscopy Unit PO Box 50215 Porirua Wellington Ph: 04 237 0179

KENSINGTON HOSPITAL Endoscopy Unit 12 Kensington Ave Whangarei Ph: 09 437 9080 tshumaemelda@yahoo.com

KEW HOSPITAL Endoscopy Unit Invercargill Ph: 03 218 1949 Mel.kurman@southerndhb.govt.nz Christine.Carroll@southerndhb.govt.nz

LAKES DISTRICT HOSPITAL Endoscopy Unit 20 Douglas Street Frankton Queenstown Ph: 03 441 0015 Lindsay.jackson@sdhb.govt.nz

MANAKAU HEALTH PARK SUPERCLINIC Joanne.pawley@middlemore.co.nz

MANUKA STREET HOSPITAL Operating Theatre Endoscopy Unit 36 Manuka Street Nelson 7010 Ph: 03 548 8566 Karen.tijsen@manukastreet.org.nz

MERCY HOSPITAL Manaaki by Mercy 72 Newington Ave Maori Hill Dunedin Ph: 03 464 0107 Paula.sharp@mercyhospital.org.nz

MERCY ASCOT HOSPITAL Mercy Endoscopy North Shore 46 Taharoto Road Takapuna Auckland Ph: 09 486 4346 Raewyn.paviour@mercyascot.co.nz

MERCY ASCOT HOSPITAL ENDOSCOPY 100 Mountain Road, Epsom PO Box 9911 Newmarket Auckland Ph: 09 623 5725 Raewyn.paviour@mercyascot.co.nz

MIDDLEMORE HOSPITAL Gastroenterology Department Private Bag 93311 Otahuhu Auckland Ph: 09 276 0039 harun.riza@middlemore.co.nz linda.jamieson@middlemore.co.nz

ROTORUA HOSPITAL Operating Theatre Endoscopy Unit Private Bag 3023 Rotorua Ph: 07 349 9860 Chrissy.rees@lakesdhb.govt.nz

ROYSTON HOSPITAL Endoscopy Unit 325 Prospect Road Hastings Ph: 06 873 1111 suzette@royston.co.nz

SHORE SURGERY ENDOSCOPY UNIT 181 Shakespeare Road Milford Auckland Ph: 09 486 0113 office@shoresurgery.co.nz

NELSON HOSPITAL Endoscopy Unit Medical Outpatient Department PO Box 18, Nelson Ph: 03 546 1833 Sophie Thelin sophie.thelin@nmdhb.govt.nz

NORTH HARBOUR CAMPUS 232 Wairau Road Glenfield North Shore 0745 Ph: 09 925 4400 Theatre Mgr: Avril Astrop

NORTH SHORE HOSPITAL Gastroenterology Department Private Bag 93503 Takapuna, Auckland Ph: 09 486 8920 ext: 43648 Kate.Grigg@waitematadhb.govt.nz

ORMISTON HOSPITAL 125 Ormiston Road, Flat Bush, Howick Manakau City 2016 PO Box 38921, Manakau City, Auckland 2145 Ph: 09 250 1157 ext: 5818 suzannec@ormistonhospital.co.nz

PALMERSTON NORTH HOSPITAL (Mid Central Health) Gastroenterology Department PO Box 2056 Palmerston North Ph: 06 350 8665 Ben Duff – Charge Nurse Midcentral Health gastro@midcentral.co.nz

RODNEY SURGICAL CENTRE Ph: 09 425 1190 Shelley Scott – Gen. Mgr gm@rodneysurgicalcentre.co.nz

GASTROENTEROLOGY UNITS IN NEW ZEALAND THE RUTHERFORD CLINIC Level 1, 2 Connolly Street Lower Hutt 04 903 2900 Kate.broome@rutherfordclinic.co.nz

RUTHERFORD HEALTHCARE 132 Collingwood Street, Nelson 7010 03 548 8156 Andrew@rutherfordhealthcare.co.nz Lynda@rutherfordhealthcare.co.nz

SOUTHERN CROSS HOSPITALS Operating Theatre 131 Bealey Ave, Christchurch Ph: 03 379 4433 jerald.ugdoracion@schl.co.nz

SOUTHERN CROSS HOSPITALS Operating Theatre 108 Deveron Street Invercargill Ph: 03 214 4269 Hilda.Toole@southerncrosshospitals.co.nz

SOUTHERN CROSS HOSPITALS Operating Theatre 21 Von Tempsky Street, Hamilton 3216 Ph: 07 838 1059 Susan Lennox susan.lennox@southerncrosshospitals.co.nz

SOUTHERN CROSS HOSPITALS Operating Theatre 58 Otonga Road, Rotorua 3015 Ph: 07 348 8156 Chris.Mott@southerncrossqe.co.nz

SOUTHERN CROSS HOSPITALS Specialist Centre 90 Hanson Street, Newtown, Wellington 6021 Ph: 04 910 2160 Bridget.Leppien@southerncrosshospitals.co.nz

SOUTHERN ENDOSCOPY CENTRE Level 1, 21 Caledonian Road, St Albans, Christchurch 8014 Ph: 03 968 9800 Karen.clarke@southernendoscopy.co.nz

STARSHIP HOSPITAL Operating Theatre Endoscopy Unit Private Bag 92 024 Grafton Auckland Ph: 09 839 0000

St GEORGES HOSPITAL St Georges Day Surgery, Endoscopy 249 Papanui Road Christchurch Ph: 03 355 6563 Sue.Claridge@stgeorges.org.nz

TARANAKI BASE HOSPITAL Endoscopy Unit Private Bag 2016, New Plymouth 7861 Ph: 06 753 7777 Mary-Anne Hemara – Clinical Nurse Manager Mary-Anne.Hemara@tdhb.org.nz

TAUPO HOSPITAL Endoscopy Unit, Lakes DHB PO Box 841, Taupo Ph: 07 376 1000 Belinda Prater Debbie Rakei

TAURANGA HOSPITAL Endoscopy Private Bag 12024, Tauranga Ph: 07 579 8603 Mesha Premiall mesha.premiall@bopdhb.govt.nz

TE KUITI HOSPITAL Day Surgery Endoscopy Unit Alisa Street Te Kuiti Ph: 07 878 7333

THAMES HOSPITAL ENDOSCOPY UNIT Day Stay Unit L3, PO Box 707, Thames 3540 Ph: 07 868 6550 Debbie Roath - Lead Endoscopy Nurse Debbie.roath@waikatodhb.health.nz

THE MACMURRAY CENTRE 5 MacMurray Road Remuera, Auckland 1050 Ph: 09 550 1080

TIMARU HOSPITAL Endoscopy Private Bag 911, Timaru Ph: 03 684 4000 endoscopy@scdhb.health.nz

TOKOROA HOSPITAL Endoscopy Unit Maraetai Road Tokoroa Ph: 07 886 7239

WAIKATO HOSPITAL Gastroenterology Unit PO Box 934, Hamilton Ph: 021 549 675 Helen Goldsmith Helen.goldsmith@waikatodhb.health.nz

WAIRARAPA HOSPITAL Operating Theatre Endoscopy Unit PO Box 96, Masterton Ph. 06 9469800 Janette.sigvertsen@wairarapa.dhb.org

WAIRAU HOSPITAL Endoscopy Suite PO Box 46, Blenheim Ph: 03 578 4099 ext: 8836/8724 Pravidha.david@nmdhb.govt.nz

WAITAKERE HOSPITAL Day Surgery Unit Endoscopy Unit Lincoln Road, Henderson, Auckland Ph: 09 489 2384 Kate.Grigg@waitematadhb.govt.nz

WAITEMATA DHB 124 Shakespeare Road, Takapuna, Auckland 0740 Kate.Grigg@waitematadhb.govt.nz

WAITEMATA ENDOSCOPY 232 Wairau Road Glenfield, Auckland 0627 Ph: 09 925 4449 Sarah.watson@waitemataendoscopy.co.nz

WAKEFIELD HOSPITAL Gastroenterology Department Private Bag 7909 Newtown Wellington Ph: 04 381 8110 ext: 5914 Mariev@wakefield.co.nz

WANGANUI HOSPITAL Outpatients Department Endoscopy Unit Private Bag 3003 Wanganui Ph: 06 348 1235 Dianne Carson endoscopy@wdhb.org.nz

WELLINGTON HOSPITAL Endoscopy Unit Private Bag 7902, Newtown, Wellington Ph: 04 385 5999 natalie.haydock@ccdhb.org.nz Jane Bilik – Nurse Manager Jane.Bilik@ccdhb.org.nz

WHAKATANE HOSPITAL Operating Theatre Endoscopy PO Box 241, Whakatane Ph: 07 307 8999 Irene Whitehead Mary Honan Mary.Honan@bopdhb.govt.nz

WHANGAREI HOSPITAL Operating Theatre Maunu Road Whangarei Ph: 09 430 4101 ext: 8772 chloe.henderson@northlanddhb.org.nz

Wasana.burgess@southerncrosshospitals.co.nz

ADVERTISING RATE CARD THE TUBE is the official journal of the NZNO Gastroenterology Nurses’ College and is published quarterly. It features articles on all aspects of gastroenterological nursing including research, education, new products, new medications and therapies, case studies, infection control in endoscopy and clinical reviews. NZGNC is the national voice for gastroenterology and endoscopy nursing practice in New Zealand. The membership includes nurses from the specialised areas of endoscopy, Hepatology, Surgery, Inflammatory Bowel Disease, Gastronomy tubes / devices, Primary and Community Health and reprocessing technicians.

From feedback we’ve received, we believe it is widely read by Medical, Nursing, Endoscopy assistants and Administrative staff working in these departments.

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NZGNC has a close association with GENCA (Gastroenterological Nurses College of Australia) where ideas, practice and research are shared.

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ADVERTISERS Nurses subscribe to our journal from almost every Endoscopy/ Gastroenterology department in New Zealand.

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Resolution must be at least 300dpi at full size

March................................................ 26 February May............................................................. 6 April

Submit pdf electronically to: editorofthetube@gmail.com

August ........................................................ 6 July November........................................... 12 October

Enquiries to: Karen Clarke 021 409 737 Email: editorofthetube@gmail.com karen.clarke@southernendoscopy.co.nz 27

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