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NEWS MidCentral • Manawatu • Tararua • Horowhenua •

Issue 136

JUNE 2013

We, MidCentral District Health Board, pledge we are open to:

MDHB COMMITS TO ‘OPEN FOR BETTER CARE’ CAMPAIGN

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MidCentral District Health Board executives have signed a certificate on behalf of the DHB pledging their support for a new, highly visible national patient safety campaign.

In front, from left: Chief Medical Officer Dr Kenneth Clark, and Director of Nursing, Primary Healthcare Chiquita Hansen sign the pledge certificate, watched by (standing) MDHB chairman Phil Sunderland and CEO Murray Georgel.

• Working in partnership with patients, consumers, families and whanau • Change, improvement and innovation • Supporting an honest, transparent, and respectful culture • Listening carefully and communicating clearly • Acknowledging mistakes and learning from them • Working as a team and across teams • Working across the primary and secondary sector • Using evidence-based practice, and • Sharing and learning from successes. Refer to the Chairman’s column on page 4 for more information.

Coming up... July 1–7 – Maori Language Week

Inside...

• From the CEO’s Desk • Product & Equipment Evaluation Committee • Positive Feedback Received • Congratulations to MDHB Graduates • From the Chairman • Phil Sunderland Acknowledged in Queen’s Birthday Honours • CEO Good Deeds Award • Did You Know...? • Teaser Time • Master Health Services Plan Development • New Maternity System Coming • MDHB Helps Out Accounting Students • Cathie Boyden Retires • Pasifika Promote Cervical Screening • World Smokefree Day 2013 • Patient Flow Improvement Project • Events In-Focus • Workchoice Day 2013 • ePharmacy Project • Clinical Portal Update • MDHB Success in Rotorua Marathon • Enable New Zealand Prepares to Enable Online with Round Trip Logistics • Professional Development Options for RNs • 2013 Nursing Awards • Janine Ingram Appointed Change Manager • Education Matters • Medical Imaging Capital Purchase Update • Pilates Classes • Midwives Appreciation Day • Risky Business • Rae Le Sueur Farewelled • ED Welcomes Dr David Prisk • Trekking Through Nepal • NESP Programme a Hit • What If...? • Ambulatory Care Facilities Under Review • Centennial Clinical Library • Sue Wood Resigns • District Groups’ Updates


CEO’S DESK from the ceo’s desk The winter season is well underway and the

annual influx of people to

our hospital services has begun. This influx should be of no surprise – it happens at this time each year. This year we have the hospital’s “winter

plan” in place. In addition, our

staffing levels are healthy, and we have achieved record influenza immunisation levels amongst staff. Our community services and primary care counterparts are doing all they can to prevent unnecessary admissions and keep people at home. So, all in all, we are

well placed to cope with the annual

increase in demand. It takes great team work to provide quality services and I encourage you all to

support each other. “Spring, summer, and fall

If you have any suggestions or ideas

fill us with hope; winter

about how we could further improve our

alone reminds us of the

winter response, pass these on through your

human condition.” –

service improvement teams.

Mignon McLaughline

The winter ills, along with the shorter days and inclement weather, can upset people’s equilibrium. So be sure to make a conscious effort to sustain our

customer focus;

take the time to communicate clearly with those you are caring for or working with and ensure their

questions are answered.

As this edition of MidCentral News goes to press, the winter solstice is nearing so spring is around the corner. Murray

Product & Equipment Evaluation Committee

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If staff are bringing something new (a product or piece of equipment) into the hospital, the item needs to be assessed by the Product and Equipment Evaluation Committee to ensure it meets standards.

• The committee has been meeting for over 15 years, ensuring all products and equipment being introduced into the DHB meet the standards and requirements necessary. • The committee is made up of a group from various areas

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of the organisation, and additional members are temporarily involved during project times. • Nothing new is able to be brought into the hospital unless it has been passed by the committee, as well as infection prevention and control, ensuring that it is safe to use. For those who would like more information, or would like to bring a product or equipment idea to the committee, please contact Materials Management receptionist Liz Ellis on extn 8990.


Positive feefdrboamck received and our patientrss visito

Congratulations to Graduates

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MidCentral DHB congratulates all graduates who have recently been capped following the completion of their studies. Staff who have contacted the Communications Unit with details of their successes are listed below.

Muriel Rusike (Public Health) – Certificate of Achievement, National Diploma in Drinking Water, Drinking Water Assessment Level 5 and Certificate of Achievement, nominee for the 2013 Mayoral Award for Outstanding Success Nicole Shearer (Planning and Support) – Bachelor of Accountancy Cha Herewini (Medical Imaging) – Bachelor of Applied Science, Medical Imaging Technology

The nurses and assistant were friendly, helpful and informati ve and always mindful of my comfort and dignity. It was a reall y nice experience. Thank you to wonderful Medical Imaging staff.

staff for their care We, as a family, would like to thank alllythediffi cult and emotional and professionalism during an extremewere wonderful with time with mum’s assessment. The team g in hospital, she had mum and while she did not enjoy bein received. Thank you to nothing but praise for the kind care she so accommodating, and Horowhenua STAR 4 and Jane for being as without your help we also to Supportlinks and the two Lynn’s, and secure home. would not be moving mum into a safe I want to thank staff in MAPU and Ward 26 for their care and lovely natures. From orderlies to the nurses and doctors, nothing was too much trouble. The stroke team was wonder ful, even my daughter, who needed a last-minute motel was provided with numbers of nearby accommodation. This alleviated much stress. , I am very happy with the services of the delivery suitec., NNU had I’ve clini en’s wom and maternity, women’s surgical ward now a rough time with my health and my pregnancy butifeamwas midw My girl. baby on the mend and have a healthy thank absolutely excellent and all I can say to all involved ishave to will I ce. servi great you all so very much. Keep up the one. recommend the hospital to every

Nurses on Ward 24 have been incredibly friendly and attentive. I have been made to feel very important and cared about. The level of professionalism has been excellent. The doctors I dealt with have been friendly and explained things very well. I felt there was genuine concern for my welfare by everyone, right through to those who collected meal plates. Please pass on my immense gratitude to everyone for making my stay so comfortable. Nurses My visit to your Gastro department was a pleasure.mad e quick was ment treat My . htful delig Anne and Janet were on and mati infor lent excel given was I s. and easy with no delay advice, and Dr Hayton was superb.

Dalzell Hamilton (Medical Imaging) – Bachelor of Applied Science, Medical Imaging Technology Diana Pacheco (Medical Imaging) – Bachelor of Applied Science, Medical Imaging Technology Karyn Kou (Medical Imaging) – Bachelor of Applied Science, Medical Imaging Technology Olivia Waldock (Medical Imaging) – Bachelor of Applied Science, Medical Imaging Technology Jason Keall (Communications) – Bachelor of Communications, majoring in Marketing Communication; and Diploma in Business Studies Amanda Swafford (Public Health Service) – Bachelor of Health Science, majoring in Human Health and the Environment Alex Harris (Neonatal Unit) – Bachelor of Nursing Catherine McKnight (Intensive Care Unit) – Bachelor of Nursing Florence Chalabesa Banda (Emergency Department) – Bachelor of Nursing Sarah Tamatea (Mental Health – Oranga Hinengaro) – Bachelor of Nursing Kaye Stickle (Child and Adolescent Oral Health) – Bachelor of Oral Health Alex Atkins (RCTS) – Bachelor of Radiation Therapy Emma Keeling (RCTS) – Bachelor of Radiation Therapy Jayne Queree (RCTS) – Bachelor of Radiation Therapy Rebecca Thyne (RCTS) – Bachelor of Radiation Therapy Samantha Larking (RCTS) – Bachelor of Radiation Therapy Jo Smith (Planning and Support) – Masters of Management with merit in Health Service Management Anne Robertson (Sexual Health/Women’s Health) – Masters of Science in Emerging and Neglected Infectious Diseases Olive Ruby (Infection Prevention and Control) – Graduate Certificate in Infection Prevention and Control Erin Snaith (Regional Cancer Treatment Service) – Post Graduate Certificate in Health Science Ashleigh Schaef (Children’s Ward) – Post Graduate Diploma in Health Science Carla McKenna (STAR) – Post Graduate Diploma in Occupational Therapy Erica Henderson (Professional Advisor Social Work) – Post Graduate Diploma Social Service Supervision Dr. David Michael D’Cruz – Fellowship of the Royal Australian and NewZealand College of Radiologists – Radiation Oncology.

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FROM The CHAIRMAN...

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PATIENT SAFETY

Health Quality & Safety Commission New Zealand is co-ordinating a National Patient Safety Campaign focusing on reducing harm in the areas of falls, surgery, health care associated infections and medication. The campaign called “Open for Better Care” encourages health care workers to be open ‘to achieving sustainable excellence in health care by being open to acknowledging mistakes and learning from them, open to working closely with patients and consumers and open to change, improvement and innovation’. In each of the campaign’s four focus areas the need to make changes to reduce patient harm is compelling: • In the two years from 2010 to 2012, 170 people fell while in public hospital care and broke their hip. Among this group, it is estimated that 22 more people died than we would otherwise expect. • Up to 10% of people admitted to Hospital acquire an infection, and many of these are likely to remain in Hospital longer and have a longer recovery time. • Medication errors made up 5% of serious harm reported by DHB’s in 2011/12. • Between 2005 and 2010 ACC accepted a total of 205 claims for retained instruments for wrong site surgery. Open for Better Care asks health professionals to make a commitment to being open to learning and improving all the time and doing things differently where the evidence supports this. As a reflection of their commitment to support the campaign, DHB’s have been requested to sign a certificate pledge to be open to: • Working in partnership with the patients, consumers, families and whanau • Change, improvement and innovation • Supporting an illness, transparent and respectful culture • Listening carefully and communicating clearly • Acknowledging mistakes and learning from them • Working as a team and across teams • Working across the primary and secondary sector • Using evidence based practices • Sharing and learning from successes. Board Chair Phil Sunderland, CEO Murray Georgel, Chief Medical Officer Ken Clark and Primary Director of Nursing Chiquita Hansen signed the pledge certificate on behalf of the Board on the 6th of June 2013. MidCentral is proud to be one of the early Board’s accepting and completing the pledge.

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Phil Sunderland is acknowledged in Queens Birthday Honours

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While being a member on two health boards and having helped start Arohanui Hospice, MidCentral District Health Board Chairman Phil Sunderland has now been made a Member of the New Zealand Order of Merit. Phil Sunderland feels extremely honoured and humbled being acknowledged in this year’s Queens Birthday Honours and describes his roles as the most challenging but rewarding, that he has ever tackled. Mr Sunderland was appointed to the chair of MidCentral District Health Board in 2010, while also taking up the role of deputy chairman of the Whanganui District Health Board. His introduction to health administration came through the Manawatu Centre of the Cancer Society, which he chaired from 1976 to 1986. He was called on by what was then the Palmerston North Hospital Board to write an independent report on the need for a hospice in Palmerston North which than saw him drawn into the trust working to establish Arohanui Hospice. Mr Sunderland was also a member and Chair of the Central District’s Medical Ethics Committee. Aside from Mr Sunderlands many contributions in health he has also been involved in other community projects, including the International Pacific College and the Palmerston North College of Education Board. He is also a past president of the Manawatu District Law Society and past chairman of the Manawatu Rugby Union. While having an impressive track record of service to health and education, Phil said he could never have achieved what he had without the support of his wife, Stephanie and their family. In accepting the Award, Phil paid tribute to his DHB board members, management and staff and said, “our district is well served by a great health care team. It is an honour to be part of it.”


“FIRE FIGHTERS” EARN GOOD DEEDS AWARD

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Swift actions by six staff in helping control a deliberately lit fire in trees near Information Systems in March earned them the latest afternoon tea with CEO Murray Georgel.

For those of you who do not know about this scheme, Chief Executive Officer, Murray Georgel, has a Good Deeds morning tea award running for all staff who “go that extra mile” to help out clients and colleagues, or make their service a better place in which to work.

The afternoon tea,including cake,was awarded to Mike Tule, Lee Van Der Mescht, Darcy Pexton, Lydia Bell, Ravi Gulasekharam and Jackie Anderson for displaying great team work and swift action to bring the fire under control adjacent to the Information Systems building. On the evening of 12 March 2013 a fire was deliberately set in the trees directly adjacent to the building. In order to contain the fire, which in the very dry conditions spread rapidly, they worked together. Firstly, to contain the fire preventing it from reaching the Community Village building and then secondly, preventing the fire from catching as the wind shifted toward the Information Systems building and its externally mounted hardware. The Fire Service appliance arrived to finally extinguish the blaze to prevent significant damage to MDHB property. A total of four nominations for the CEO’s Good Deeds Award were received for February to March 2013.

Forward your nominations by letter, or email to Jill Matthews, Board Office.

Last month’s CEO Good Deed’s Award recipient Shireen Harold, Occupational Therapy Assistant, STAR Centre (seated third from left) with her fellow team members at her morning tea.

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Chocolates were awarded to:

• Michela Fox,Nurse Educator,Ward 21,assisted when a cyclist was hit by a car by Gate 12. The other nominations were:

• ChristineYeung (Release of Patient Information Coordinator) • Dr Colin Kelley (Consultant Psychiatrist).

U Did YO

KNOW.. .

MidCentral Health’s

CHILDREN’S NOCTURNAL ENURESIS (BEDWETTING) SERVICE is a free service for children aged

8 years and over.

Pictured from left: Darcy Pexton, Jackie Anderson, Wayne Casey (award nominator), Ravi Gulasekharam, Lydia Bell and Lee Van der Mescht. Absent: Mike Tule.

• This is a nurse-led service, run by two nurses (1.2 FTE) and is clinically supported by a paediatrician. • Night-time wetting is a common condition that causes significant distress in children, young people and their families. Children present with low self-esteem, mood swings, embarrassment and social isolation. Parents tell staff of increasing stress levels between family members and the cost of bedwetting to be onerous. • Referrals are received from any health professional with around 120 referrals received annually. • The nurses visit children throughout the MidCentral DHB region at their home. No clinics are held as the children prefer privacy when discussing bedwetting. A comprehensive health assessment is undertaken and any health issues are identified and managed.

• This 12-week alarm-based programme is supported by weekly phone calls, texts or emails and is innovative in its approach to working with children and young people. • The programme has a 90% success rate and 5% relapse rate. Children and teenagers tell staff that the involvement with the nurses on the programme has improved their lives, their quality of sleep, and their relationships with their parents and peers. • For those who wish to contact the service, please phone (06) 350 9164 or email robyn.lane@midcentraldhb.govt.nz

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DOWNTOWN CINEMAS’

“Teaser Time”

unscramble the movies With the winter months here, trade in your outdoor activities and head along with the children, family or friends to Downtown Cinemas and keep up with the latest box office hits. Downtown Cinemas offers a range of movies at varying times in order to suit all audiences, and if you head along on a Tuesday night you can get discounted ticket prices as part of their Super Tuesdays promotion. Unscramble the below anagrams to work out the title’s of several upcoming movies. For hints go to www.dtcinemas.co.nz/index.php?page=coming-soon All correct entries go in the draw to win one of two movie passes courtesy of Downtown Cinemas. Send your entries with your contact details to: Teaser Time, C/ Communications Unit, Board Office by Friday, 26 July 2013. Competition details are also available on our website. From the staff centre page click from the left hand menu “Staff Area” then “Downtown Cinema’s Teaser Time” or use the following link www.midcentraldhb.govt.nz/TeaserTime

TEASER TIME WINNERS Thank you to all of the responses we had to the “Spot the Mistakes” Teaser Time last issue. Below are the winners: Maxine Millar, Horowhenua Community Mental Health Team and Jackie Drew, Women’s Health Unit. Maxine and Jackie earned a movie pass each courtesy of Downtown Cinemas. Name ____________________________________

1. FAME STOLEN

= M_ _ O_ S_ _ _ _

2. AH TEETH

= T_ _ H_ _ _

3. WHENEVER TOIL

= T_ _ W_ _ _ _ _ _ _ _

4. CABLE IMPEDES 2

= D_ _ _ _ _ _ _ _ _ M_

Department/Service ____________________________________ Ext number ________________________

_

5. GOODS OVERFLYING = O_ _ _ G_ _ F_ _ _ _ _ _ _

! T U O T I CHECK

Check out the latest edition of our “Let’s Talk About Health” column – Synthetic Cannabis – that has been publicised in all the local papers. www.midcentraldhb.govt.nz/ltah

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Master Health Services Plan Development

As a result of the seismic assessment carried out last year, several seismic issues that were identified have now been worked into the Palmerston North Hospital site redevelopment project. Several of these issues were found in level 4 buildings (those providing critical services required during any disaster) used for the delivery of hospital services. These include: the Emergency Department, Theatres, Sterile Services Unit, Radiology, Intensive Care Unit, Coronary Care Unit and High Dependency Unit. The assessment found these buildings require strengthening work to meet IL4 standards, and prompted the MDHB to request a strategic

assessment of its health service requirements within an overall master site development plan. This strategic assessment will be predominantly concerned around the seismically challenged services.

financial position today than it was in 2007, and the primary care sector is much better positioned to support improved patient experiences through the system. We therefore believe that the time is ripe to plan out future needs and ensure we follow through the final options to implementation.

Staff will be aware that a significant amount of health service planning has already been undertaken by MCH, the most comprehensive being the 2007 Clinical Services Plan. A number of regional service plans have also been undertaken, with a vision for sub-regional service development across MidCentral, Whanganui and to a lesser extent, Hawke’s Bay district health boards. It is fair to say that many of the aspirations in previous plans have not been met. However, MDHB is in a different

Work on the plan will begin in early July, once MDHB finalises the team that will support its development. Staff, providers and patients will be involved in the design of our future service configurations throughout this process. The development of the plan is supported through Mike Grant as the Project owner; Helene Carbonatto and Dr Ken Clark as the Project sponsors; a Steering Group with membership from MDHB provider and funder management; primary and secondary clinicians; consumers, a Whanganui DHB representative, and a Ministry of Health observer. For further information please contact helene. carbonatto@midcentraldhb.govt.nz

New Maternity System coming to MDHB

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MDHB is set to benefit early from the electronic National Maternity Clinical Information System being implemented across the country’s 20 DHBs, being one of five to register as ‘early adopters’. Named BadgerNet, the system will exchange data with existing community-based maternity systems and general practice management systems to allow health workers caring for a mother and baby access to her

nationally held information. The system will also be an important communication tool for clinicians, particularly when mothers or babies are transferred between DHBs. The platform used will support the entire maternity journey, from confirmation of pregnancy, through to six weeks after the birth of the newborn. Modules include pregnancy, labour/birth, neonatal ICU, neonatal transport and two-year follow-up.

There is a lot of attention being paid to the security of the information and who has access to it. To ensure privacy, anytime anyone logs into the system it is recorded. While sensitive information can be stored at a second level, only those who have approval can gain access. Implementation of the BadgerNet Perinatal Platform within the Regional Woman’s Health Service is planned for quarter four, 2013.

MDHB helping out accounting students

Current accountancy trainee Nicole Shearer.

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In 2004, with the help and support of Massey University professor Fawzi Laswas, Gordon Ngai set up the first MDHB accountancy trainee program with the aim of helping students enhance their practical skills and workplace readiness.

Gordon, MDHB’s Finance Manager noticed that it was becoming more and more difficult for students to gain practical experience before they graduate. He therefore decided to do something to help theses students out, “This is a city where there are a lot of students but not a lot of training opportunities. The programme allows students, while still studying with Massey University, to gain industry experience, helping to better prepare them for graduate employment.” MDHB has taken on 10 trainees since the programme launch and current trainee Nicole Shearer has recently been accepted into the Ernst & Young graduate programme for 2014. Nicole accredits the programme in helping her stand out from other candidates, “I was given the opportunity to build on what I had learned at university, putting the theory into practice.” Past trainees have secured jobs with other prestigious firms such as PricewaterhouseCoopers, KPMG and Westpac Bank.

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Cathie

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r e t f a g in k o o l r e t f a s e ir t e r h t e e t ’s n e r d il h c f o s n io two generat

Long-time dental therapist Cathie Boyden has retired after spending most of her career in Dannevirke looking after youngsters’ teeth.

Cathie was a Public Service Association (PSA) representative for a number of years and provided a lot of support to her colleagues on various matters.

• Cathie commenced her training as a Dental Nurse on 9 September 1970 and graduated to commence her role as Dental Nurse in Waimate in September 1972.

She was involved in a number of committees and groups during her time with the service including: Quality Improvement, Oral Health Promotion Committee, PSA/Management Reference Group, and various working groups with the service reconfiguration.

• She began with MidCentral Health (formerly Palmerston North Hospital Board) in 1973 and was based at Dannevirke South School until taking maternity leave in 1978. • She returned to Dannevirke South in March 1979 and went on maternity leave in September 1979, and resigned September 1980. • She returned to work in Tararua (Dannevirke) in 1984 and was appointed as School Dental Coordinator from 1994 to 2002. From 2002 she was Team Leader/Clinical Coordinator until 2008.

Cathie completed a Short Course in Health Promotion in 2011. She has been very passionate and dedicated to dental therapy and is very well known within the Tararua community having worked with several generations of children throughout her time and she knows the community well. She is also very well respected within the school communities she has worked.

Pasifika promote cervical screening

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A group of Tongan and Samoan women in the Levin community are working closely with MDHB to help promote cervical screening.

An upcoming Levin Pacific Health Day is being held 29 June at the Whanau Pasifika Kindergarten, and will focus largely on the importance of screening. This will allow woman in the Horowhenua community the opportunity to gain further information. As part of the promotion, cer vical screening posters have been translated into Tongan and Samoan, with the help of local Pacific women in order to spread the word. The below statistics, collected by the National Screening Unit (NSU), show there has been a significant improvement in P a c i fi c wo m e n ’ s s c r e e n i n g r a t e s . Approximately 1000 Pacific women in the MidCentral DHB region are eligible for screening, and with the most recent data collection showing 70.6%, there’s still a way to go to reach the target of 80%.

Long-time Dannevirke dental therapist Cathie Boyden sees one of her last patient, before retiring. (Photo courtesy Dannevirke News)

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Pacific September 2010: September 2011: September 2012: December 2012:

55.3% 56.6% 68.5% 70.6%


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World SmokeFree Day

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Every year on May the 31st, New Zealand and many other countries around the world observe “World No Tobacco Day”, which in NZ is known as World Smokefree Day. The day highlights the health risks associated with tobacco use.

The theme in NZ this year was ‘Quit now. It’s about whanau’ and provided an opportunity to encourage and help those who want to quit smoking. In celebration, Palmerston North’s Square played host to an array of performances and speeches while recognising the Palmerston North City Council’s commitment to the proposed Smokefree Outdoors Area Policy and a smokefree 2025. The day kicked off with an address from Palmerston North MP Iain Lees-Galloway and was followed by energetic performances from Tawaroa and JGeeks. Local performers Te Piringa, Cargill Boys, Aklyla Araroa and Monique dance group also took to the stage. To help highlight the health risks associated with smoking, shops in the CBD were asked to go smokefree for the day, with George Street business Love Lost Found wining the prize for best Smokefree-themed promotion. With an estimated attendance of over 500, the event was a massive success. MidCentral Health’s Public Health promoter Julie Beckett said: “We had a great turnout, which shows how much support we have for a smokefree 2025, the crowd was energetic and it was a great family event.”

Patient Flow Improvement project

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MidCentral Health’s new Patient Flow Improvement project will assist with achieving and sustaining the “Shorter Stays in ED” target, set by the Ministry of Health.

The project is supported by project manager Jess Robb, and takes an organisation-wide approach focusing on improving the flow of patients through the hospital. A governance structure is currently being finalised, and a governance group formed. This will include the Clinical Reference Group who regularly report their progress. Three work streams have been proposed with the following objectives: 1. Clinical Care Pathways: Development of clinical care pathways that specify anticipated care, delivered within an appropriate timeframe. This will help patients with specific conditions or set of symptoms move progressively through a clinical experience to positive outcomes. 2. Enhancing the Patient Experience: To understand current areas of delay by measuring clinical processes and identify and eliminate variation. A review of current systems will be undertaken, with a view to identifying future requirements, and to streamline existing pathways. 3. Improved Discharge Planning: To expedite safe and effective patient discharge that meets the needs of patients. This will reduce the likelihood of unplanned readmissions and adverse outcomes by determining the feasibility of nurse led/delegated discharges as well as progress the readmissions project. For more information, contact Jess Robb on extn 9188.

Above: Local lad and NZ’s Got Talent star Tawaroa performing for the crowd.

JGeeks perform at the Smokefree event on “World Smokefree Day.”

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EVENTS MDHB’s team of builders have been working on alterations to the existing viewing room in the mortuary, as well as alterations in the basement of the kitchen block for a waiting and viewing room. This work is currently under reconstruction, and expected to be completed by end of June.

Admin Appreciation Day was celebrated across MDHB on April 17, in recognition of all administrators. This year the day had a black and white theme and prizes. The two major prize winners were Karen Curtis who picked up a Beauty Spot massage voucher, and Steph Franssen who won a Noel Leeming voucher. From left: Roberta Mokai (Manager Clinical Records), Glenda Houston (Administration Human Resources), Karen Curtis (Data Quality Administrator), Steph Franssen (Reception Ward 26) and Lee-Anne Sharp (Administration Coordinator Ambulatory Care).

The carpark outside the Delivery Suite Emergency entrance was upgraded last month.

MCH’s gastroenterology team showed their support for World Inflammatory Bowel Disease Day (19 May), by manning a stand in the hospital foyer and interacting with those who were interested in learning about Inflammatory Bowel Disease. Standing, from left: Donna Surrey, Lauren Faas, Teresa Shailer and Lynley Morton. Seated: Veena Naicker, Hannah Morton and Chris Price.

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IN-FOCUS A breast cancer awareness fundraising lunch was held on May 15 at Health on Main. A large number of staff came dressed in pink to support this worthy cause. The lunch included soup and buns, and the opportunity to enter a raffle was also available. The total amount raised was $513, and the raffle winner was Waimarma Freeman, Public Health. From left: Jo Smith, Pauline Holland, Sue Pinker, Dianne Eade, Sue Hurn, Chris Green, Val Morgan and Katherine El Bayouk.

Jason Tamasese from Cisco showing off the new TelePresence Clinical Assistant machine to MDHB staff.

A 50-year-old Palmerston North Public Hospital nursing blazer has come home after a journey that started in the city, moved south, across to Australia, and returned. Pictured is former dental therapist and museum volunteer Micky Tyler wearing her dental blazer from 1952–54 beside the newly donated nurses blazer from 1956–59.

The local lunchtime entertainment as part of a Maori & Pasifika Forum, hosted by MDHB on 5 April 2013 was a great success with a huge turn-out.

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Workchoice daY 2013

From left Freyberg High School students Emma Mander and Dominique Watts with Massey University trainee nurse Leah Cameron.

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More than 150 students from around the region headed to the Palmerston North Hospital on May 28 to gather first-hand knowledge and experience from people working in their dream career. Workchoice Day, which is held annually at MidCentral DHB, gives students who are interested in a career in health the chance to ask questions and try out the many activities on offer. This gave students the opportunity to interact with health professionals and gain an understanding of what their ideal job may look like. Students were given the unique opportunity to perform many activities ranging from taking blood pressure, to performing an intravenous cannulation. PNGHS student Janelle Wilson performing a perineal suture. Clinical Nurse Specialist Stephen Jenkins commented, “Teenagers need to be motivated, engaged and challenged MDHB’s Workchoice Day allows them to ask questions and get instant responses from professionals that have a real understanding of their discipline.”

This was the eighth year MidCentral District Health Board has been involved in the national event, which aims to educate students about prospective career paths, placing an emphasis on interactive displays and allowing students to undertake hands-on activities. MDHB Human Resources staffer and event organiser, Janeen Batchelor commented on how great it was to see how interested the students were in each of the different areas, “allowing the students to rotate through the different stations meant they could try all of the different activities, some students even changed their minds on their ‘chosen’ career.” Careers that were represented on the day included: nursing, dietetics, medicine (RMOs), pharmacy, occupational therapy, resuscitation, clerical/administration, social work, medical imaging, radiation therapy and physiotherapy.

ePharmacy Project

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The long awaited project to implement a new pharmacy system is finally underway. CSC’s ePharmacy has been selected. It is closely aligned to the national ‘Go for Gold’ medicine management programme and is integrated with MedChart (the ePrescribing and eAdministration application selected by the National Health Board).

ePharmacy will be the foundation for implementing pharmacy’s vision for pharmacy information technology – “The high quality information and ICT required,to ensure sustainable and clinically excellent pharmacy services, is available when and wherever needed.” Nicholas Glubb, Operations Director Specialist Community and Regional Services,

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and Executive Sponsor is pleased,“With this long awaited development pharmacy will join the rest of the country in having the tools to increase clinical safety, improve patient outcomes through pharmacists working to their clinical ceiling, and provide better management of medicine inventory.” The first project deliverables are an implementation planning study and business case. The goal is to Go-Live this year. The implementation planning study and business case approval process will determine whether this is feasible. If you would like to know more about the project please contact, Joanne Wakelin, Project Manager (extn 9187 or 022 174 8674); Ben Hickman, Principal Pharmacist (extn 7918); or Lorraine Welman, Chief Pharmacist and Business Sponsor (extn 8276).

Clinical Portal Update

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The Clinical Portal has now been live for over two months and we are pleased to report that it has been well received with comments such as: • I’m finding it very user friendly during clinics, especially if patients have multiple sets of notes – Nurse Practitioner. • The clinical portal is saving me so much time in my day to day work... I knew it was going to be good, but it’s actually great! I have also found the service desk helpful when I had questions – CNS. Minor fixes are still being made to the system and will be resolved over the coming weeks. These are of low impact and do not affect information/patient security. • Correction of doctor names displayed in the Clinical Portal. • We are aware that some clinic letters are not yet viewable due to a naming format issue; these documents will be uploaded as soon as they are corrected. • Changes to complete blood count layout. Additional functionality will be rolled out prior to the end of the year which will include: • Medical Transcripts completed within the Clinical Portal. • Discharge summaries completed within the Clinical Portal. • Radiology orders. Remember – if for any reason the Clinical Portal is offline, existing systems are still in place. Feedback from users is still very important so please report any issues or feedback to SuperUsers or the service desk extn 8000.


MDHB successes in Rotorua Marathon

Enable New Zealand prepares to enable Online with Round Trip Logistics (RTL)

Several MDHB staff took to the roads around Lake Rotorua, joining thousands of other competitors in the 4 May 2013 Rotorua Marathon Challenge. Those staff we have heard of completing the distance are:

Enable New Zealand is preparing to launch the first release of Enable Online with RTL, as part of the E-Commerce and Digital Communications Project. Enable Online will automate the application and referral process at Enable New Zealand, saving time and improving client outcomes.

S E • Rob Weir, Medical Officer of Health, entered into the Marathon – Competitive Walker section and finished in 13th place with a time of 05:07:31

• Bart Baker, Acting Clinical Director RCTS, ran the course finishing with a time of 04:10:58 • Patricia Stichbury, Geriatric Day Ward, was a pacer who finished with a time of 04:29:16 • Averil Sheehan, Emergency Department, participated in the recreational walk, completing the course in 05:32:13 • Pietro Cariga, Consultant Neurologist, ran the course in 04:39:04, and • Ant Gear, Rheumatologist, ran the course in a total of 04:13:13.

In order to create a comprehensive online application platform, Enable New Zealand worked with B2BE to utilise their RTL tool. Enable Online will greatly improve supply chain visibility, providing Enable New Zealand, ACC and assessors with a real time view of application process. Enable New Zealand will be able to pinpoint areas that require extra support and reduce the multiple handling of applications. Enable New Zealand and ACC Palmerston North branch staff have completed user acceptance testing of the RTL tool to ensure it has been developed as specified to meet requirements. The RTL tool has undergone a thorough external security audit which returned no major issues. The first release of the RTL tool is now in production and it’s expected to roll out to the Palmerston North branch of ACC in early June.

Professional development options for registered nurses

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A Graduate Certificate in Practice Development for Nursing was recently approved by NZQA (New Zealand Qualifications Authority), and UCOL is now accredited to provide it.

The programme provides a variety of practicerelated papers (which may be taken individually) and supports practising registered nurses to develop advanced skills and knowledge in relation to current practice environments. This Level 7 programme is comprised of 60 credits (six 10-credit papers) and will be delivered part-time at UCOL’s Palmerston North campus. The programme will include a mixture of face-toface and online delivery, with one day workshops over a period of four to six weeks. Papers available in the programme at this stage are: Evidence-based Practice, Adult Physical Assessment (core papers); and Nursing the Older Adult, Effective Preceptorship, Nursing the Person with Diabetes, and Pharmacology and Genetics in Nursing Practice (elective papers). Other papers may also be offered according to demand. It’s designed to prepare individuals for Level 8 post-graduate study, and may also be used by individuals to upskill themselves in preparation for returning to nursing practice. It provides professional development opportunities, and evidence can be used for nurses’ Professional Development and Recognition Programmes (PDRP). The completion of any paper in the programme will also fulfil the Nursing Council of New Zealand requirement to complete 60 hours of professional development in a three-year period. This programme is expected to begin in the second semester, so anyone interested in enrolling please contact UCOL for more info.

MDHB Rotorua Marathon participant mid-way through the event is Patricia Stichbury, Geriatric Day Ward, number 566.

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Nursing excellence

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recognised with

MidCentral DHB nurses celebrated excellence and innovation in nursing practice at the district’s Nursing Awards Ceremony on 16 May 2013, as part of International Nurses Day. The theme for nurses around the world this year is: ‘Closing the gap: millennium development goals’. The awards occur biennially and this year’s Supreme Award (the Directors of Nursing Pre-eminent prize) was awarded to Anne Russell,Nurse Co-ordinator,Professional Development and Recognition Programme: (1997–2012),for her commitment and motivation in supporting nurses from all areas of clinical practice. In the late 1990s Anne played a key role in developing the forerunner of the PDRP known as the Clinical Career Pathway. This was initiated into MidCentral Health in recognition of nurses’ clinical practice and commenced in September 1998. In 2003, with the introduction of the Health Practitioners Competence Assurance Act, the programme then became the Professional Development and Recognition Programme (PDRP).

2013 awards

The winners selected by peers were: Primary Health Care Awards • Nursing Research – Debbie Davies • Nursing Leadership – Rachel Utikere & Bridget Marshall • Clinical Excellence (Expert) – Sylvia Meijer & Lois Nikolajenko • Clinical Excellence (Proficient) – Bernadette Donaldson • Clinical Excellence (Competent) – Syliva van Etchen • Service Improvement – Jenni Oliver Acute and Specialty Nursing Awards • Nursing Research – Jean Clark • Nursing Leadership – Erica Calvert & Imogen Watson • Clinical Excellence (Expert) – Dina Whatnell • Clinical Excellence (Proficient) – Linu Varghese & Brenda Meads • Clinical Excellence (Competent) – Rachel Clarke & Margaret McCoy • Clinical Excellence (Enrolled Nurse) – Wendy Spencer • Service Improvement – Tim Richards • Directors of Nursing Pre-eminent Award – Anne Russell • Clinical Excellence (Leadership) – Sue Wood

Other senior nurses acknowledged as making a significant contribution with nursing leadership were: • Nicolene Williams, for addressing cultural, travel and family needs of renal patients by allocating appropriate times for them to dialyse, enhancing access to service issues. • Maria Stapleton, for her involvement in developing the booklet: Bowel Cancer/Bowel Function, Practical Advice which won a best plain English language award. • Stephanie Ash and Diane Boon, for the delivery of an evidencebased palliative care programme across the district. • Julie Berquist, for volunteering her time to run weekend cancer support clinics at the Cosmopolitan Club, and her involvement on a regular basis with child cancer camps. Ward 24 Staff Nurse,Rachel Clarke,and STAR 2 Staff Nurse,Margaret McCoy, jointly won the Tracey McFarlane Clinical Excellence Award which is in honour of Nurse Tracey McFarlane who died in November 2006. Rachel was presented with this award in recognition of her proactive approach to the Releasing Time to Care programme, particularly with volunteering to carry out programme work at a time when the process was new to staff and more difficult to achieve. Margaret was recognised for her role as the Palliative Care Resource Nurse since 2010, which she has performed to an outstanding level. Margaret is a reflective practitioner who has formed strong links with the Hospital Palliative Care Team, and has made an extraordinary effort to advance her palliative care knowledge. MCH Director of Nursing, Sue Wood, and Director of Primary Health Care Nursing, Chiquita Hansen said: “Nurses within the MidCentral DHB area are leading the way not only locally, but nationally. For many of them, their efforts are unrecognised so today allows us the opportunity to highlight some of their many achievements. The nominations received are only a small sample of the difference that nurses are making in our health community. The nursing awards ceremony is a time to appreciate and celebrate the excellence we nurses aspire to, and the difference we make in people lives.”

Acute and speciality award winners (front): Linu Varghese, Margaret McCoy, Erica Calvert, Rachel Clarke, Anne Russell and Sue Wood. (Back): Brenda Meads, Dina Whatnell, Tim Richards, Imogen Watson and Jean Clark.

Primary Health Care award winners (from left): Debbie Davies, Bridget Marshall, Sylvia Meijer, Bernadette Donaldson, Lois Nikolajenko, Delwyn Te Oka (Manager of Te Wakahuia), Sylvia van Echten, Jenni Olivier, Rachel Utikere, and Chiquita Hansen (Primary Health Care Director of Nursing).

Janine INGRAM appointed Change Manager for Regional Women’s Health Service

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Janine Ingram was appointed the Change Manager, Regional Women’s Health Service for MidCentral and Whanganui DHBs in mid-May.

Janine began her career with MidCentral Health in January 1998, and has experience as a Charge Nurse in a variety of areas at MDHB. This includes: the post anaesthetic care unit, day of surgery admissions, the surgical shorter stay unit, pre-admissions, and the women’s surgical unit. Janine formally joined the leadership team for the Regional Women’s Health Service, on 13 May 2013. She was seconded from her charge nurse position to support the implementation of the RWHS Development Plan.

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Janine says: “I am really looking forward to the challenge I will have over the next 12 months. I’m excited about meeting a lot of new people and being able to make positive changes for women between the two regions.”


P

What is Preceptorship? Preceptorship is a clinical teaching experience whereby a student or new graduate (a preceptee) is guided by a preceptor in developing professional, ethical and clinical practice skills and strategies. These contribute to real life quality patient care and health outcomes. Preceptorship may also be regarded as a defined period of assessment that culminates in the development and attainment of clinical, professional and ethical abilities that meet or exceed pre-determined criteria. The overarching theme is the development of competence. Preceptorship provides hands-on clinical experience and is common among pharmacy, medicine and nursing graduates working within a clinical context in New Zealand. The preceptorship model allows for several learningbased processes as well as allowing students to experience and discuss the pressures of day-to-day relationships with patients, other health professionals, organisational logic, bureaucracy, rules and regulations, and the realities of productivity-based practice. Both preceptor and students are guided by predetermined external learning objectives and criteria, and guided by the Health Practitioners Competency Assurance Act. For example, the Pharmacy Council of New Zealand, has a competency standard framework that describes the knowledge, skills and attitudes required of all registered pharmacists in their scopes of practice. The Pharmaceutical Society of New Zealand, through their EVOLVE Intern programme, is the accredited prescribed qualification for entry into the Council’s Pharmacist Scope of Practice. The programme is for nine months and consists of a training-based preceptorship, assignments, exams and interviews. Both preceptor and student are guided by their workplace, departmental and wider organisation standards and expectations located within their respective governance frameworks. It is this proactiveness and clinical closeness with patients within preceptorship that provides its numerous advantages to clinical learning, the achievement of clinical competence and the provision of improved health care and outcomes. For more information on preceptorship, please contact Helen Winter on extn 7486.

Medical Imaging capital purchase update

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As the old medical imaging machines are nearing the end of their time here at MidCentral Health (all being more than eight years old) we are getting ready to introduce a whole new set of machines which will be faster, less invasive and generally more beneficial to both staff and patient.

These include a new Computed Tomography (CT) scanner, Digital-Subtraction Angiography (DSA) machine, Single-photon emission computed tomography (SPECT/CT) machine, five new ultrasound machines and four revamped general x-ray rooms. The new CT and DSA machines are newer technology, meaning a larger range of examinations can be carried out on each. This allows us to spread the workload over two areas – for the patient, this translates to reduced waiting times. Key Dates: • • • • •

New ultrasound machines arrived 29th April. SPECT/CT due to be installed 17th June. General X-ray rooms being replaced from the beginning of July. DSA out of action form 31st May – back 26th August. CT being replaced in September.

Pilates class a favourite

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MidCentral DHB staff will be able to continue their enjoyment of a free weekly pilates class, taken by renowned instructor Leanne Robinson.

The class is held in the Education Centre every Tuesday night from 5–6pm. Run under the MDHB wellness scheme, it offers staff the opportunity to work on posture, breathing, strengthening, muscle tone and stretching, and caters from beginner to advanced levels. Occupational Therapist Kim Findlay says: “I have been attending the class for about a year now, and it is really surprising to see what you can achieve. I have really noticed my strength and positioning has improved,and some poses that I can achieve now I couldn’t do last year.” Leanne’s classes are run on a 10-week cycle, however those interested can start at any time and even attend on a casual basis if it is more suitable. Participants are also welcome to bring their own mat if they have one. For those who are interested, please contact Kim Findlay on extn 8215 for your enrolment.

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Appreciation for all

midwives

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in the region

International Midwives Day, on Sunday 5 May, was celebrated by MDHB recognising all hospital midwives (and their support colleagues), for the work they do in providing safe maternity care. The 2013 theme: “The world needs midwives now more than ever”, emphasised the importance of professional midwifery care, to ensure the reduction of ill health and death of mothers and babies. To show their appreciation every midwife in the MidCentral and Whanganui regions received a letter from CEO’s, Murray Georgel and Julie Patterson, as well as a small gift from the Herb Farm. Midwifery Director Leona Dann said: “International Day of the Midwife is a day when we all recognise the valuable contribution to women-centred care that midwives around the world provide in their belief that every woman has the right to the best possible health care during pregnancy and childbirth. Midwives at MidCentral Health, together with their LMC colleagues, share the vision of providing safe maternity care which is responsive to the needs of women whilst achieving healthy outcomes for mothers and babies.”

y k s i R

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Business

Risk is present in all areas of life whether at work, at home, or at play. Risk management is something that we all do subconsciously and every time we make a decision we create new risk. However, it should be remembered that risk is as much about maximising opportunities (+) as it is protecting against loss (-).

MDHB business is diverse and as to be expected carries a very high risk profile. It therefore makes sound business sense to promote risk awareness throughout the organisation and offer management tools to manage risk to a tolerable level. This structured approach is outlined in MDHB-6417 (Risk Policy) and MDHB-6570 (Risk Procedure) which identifies risk principles and process, accountability and reporting framework, and education requirements. A ‘Managers Guide to Risk – Risk Maker/Risk Taker’ plays an integral part in MDHB’s approach to risk education. This training package, delivered by Kay Cave (Risk Advisor) and Christine Sieverts (Risk Coordinator), is an interactive workshop outlining the main concepts of risk management and the role that leadership plays in the process. Kay Cave said: “The sessions are aimed at those staff accountable for managing risk in their areas. Included in the session is a short DVD, which outlines the consequences of poor risk management strategies, utilising real life examples of major events from a variety of industries.” The first session was delivered in mid-May and participant Gillian Treloar (Charge Nurse – Renal Service) said: “Excellent session. It will help me to manage the risks for my area more effectively.” Managers Guide to Risk – Risk Maker/Risk Taker training sessions are a must for all Managers/Team/Clinical Leaders and are available: • 21 August, 9.30am – 12.15pm • 30 October, 9.30am – 12.15pm. An article by Kay Cave, Risk Advisor

From left: Sandra Turner (WHU Ward Support), Julia Richardson (Community Midwife), Judith Lyon (Midwife), Annette Anderson (Lactation Consultant – in front), Bridgette McGovern (Midwife), Sharon Shannon (Care Assistant) and Linda Bloor (WHU Ward Clerk).

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ED welcomes new addition to the Senior Management Officer team

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Many staff at Horowhenua Health Centre said a special goodbye to fellow colleague Rae Le Sueur, who retired as Clinical Specialty Nurse of Elderhealth Assessment Centre. A morning tea was held to celebrate the 31 years of loyal service, with many past and present colleagues from both Horowhenua Health Centre as well as Palmerston North Hospital in attendance. During her employment, Rae has undertaken a variety of roles which include: • A staff Nurse in Ward 4 at Horowhenua Hospital. • Involvement in national policy changes within the area of health services for older people. • The development of the Dependency Assessment Form used to assess suitable residential care environments for those over 65 years of age, then following this the development of the national SNAF form. • The introduction of the InterRAI competency assessment tool. • Team Leader of STAR 4, before becoming Clinical Specialty Nurse STAR 4. Consultant Geriatrician Dr Fred Hirst says: “Rae has been respected for her ability to get on with whatever job is required, of leading change, and being calm and wise. It has been an absolute pleasure working with her and she will be missed.” Rae leaves MidCentral Health to spend more time with her family, travelling with her husband Brian and enjoying the outdoors. She was presented with flowers and gifts from her colleagues which were much appreciated.

Back Row: David Prisk, Thomas Cheri, Boo Abdelhameed. Front: Helen Cosgrove (Clinical Director). Absent: Chris Underwood.

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The Emergency Department is delighted to welcome Dr David Prisk to a permanent position in the Senior Medical Officer team. David has worked as a locum consultant in ED since June 2012 and has decided to stay on in Palmerston North.

Recruitment efforts have been intensive over the past few years as ED tries to bring the permanent SMO numbers up to the national benchmark. David’s inclusion will bring the permanent number to 5, the highest in the history of the department. Helen Cosgrove (Clinical Director) says that having permanent SMOs gives the department more stability and enables the senior medical team to focus on service development. David is working towards becoming a fellow of the Australasian College of Emergency Medicine (FACEM), following in the footsteps of his UK-trained colleagues Boo Abdelhameed and Thomas Cheri, while joining Chris Underwood who is currently the only NZtrained FACEM in the team.

Nurse Director Medicine, Jan Dewar (left) and Service Manager, Colleen Bary (right) farewell Rae Le Sueur at a special afternoon tea.

TRAINING Looking for education and training information? Visit the education and training calendar on the MDHB website: www.midcentraldhb.govt.nz/training This page has the most up-to-date information including available, cancelled or rescheduled courses. Further help is available by contacting: Raewyn Knight, Education & Development Programme Administrator Human Resources, Education Centre Phone: 350 8205 Fax: 350 8010 Email: raewyn.knight@midcentraldhb.govt.nz

Got feedbac Let us knowk?

MidCentr bi-monthlyal News is the Mi staff news dCentral DHB magazine. It is produc Communicatioed by the ns Unit: Team Leader Co mm unications Dennis Gedd is, Communic Officers Ba ations ylei Hayston, Jason Kealgh Sarah Valent l and ine, and Graphic Desi Co-ordinator gn and Print Jackie Tayl or. You can cont ac t us with an feedback or y story ideas email: comm on un midcentraldh ications@ b.govt.nz

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g n i k k Tre ough thr l Nepa

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Medical Officer of Health Dr Rob Weir, is no stranger to a challenge both in and out of the workplace. Rob’s latest adventure saw him visit Nepal where he completed a 10-day trek to Annapurna Base Camp.

Rob was part of a trekking group which included four clients, two guides and two porters. They began their trek in a small village called Birethanthi (approximately five to six hours drive from the capital Kathmandu), and made their way to the Annapurna Base Camp, affectionately known as the ABC, making their way through the Annapurna Himal area. Dr Weir said: “Making it to ABD was really gratifying as I really struggled trekking at the higher altitudes. There were so many highlights, some of which were the varied countryside, the rhododendron forests at the lower altitudes, and the mountain scenery at the higher altitudes. It was really nice forming friendships with everyone on the trek, and it was a great experience to share.” Since his return, Rob has set himself some new challenges. He achieved his personal best in walking the Rotorua Marathon, and is looking to further this with his walking in half and full marathons.

NESP programme a hit with MDHB staff

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MDHB’s New Entry to Specialist Practice (NESP) programme appears to be a hit with staff, with three graduates, Gina Howorth, Peter Howe and Michelle Dooney, recently completing the course.

The joint programme run by MDHB and Whitireia (community polytechnic), requires registered nurses to study two post-graduate papers over two years,alongside three work placements within mental health. Programme participants spend four one-week blocks at Whitireia during the theoretical part of their course. During their placements, which are on a 12–13 week rotation of Ward 21, Community Mental Health and a specialty area (ie alcohol and other drug or child,adolescent, and family), they are under clinical supervision. NESP Site Coordinator, Michela Fox says: “The placements are a great way to ensure the registered nurses have a broad knowledge of all areas of mental health, and

I think the programme really equips them with the skill base to excel in their desired area of nursing.” Nationally, there is funding for 140 positions on the NESP programme each year, with MDHB allocated a varying portion. Michela says: “There are three permanent FTE set aside for NESP and it would be great to see more staff interested.The NESP programme isn’t just for nursing graduates, it is a programme open to all nursing staff.” Michelle Dooney,Community Mental Health Team says:“While doing the NESP programme last year I found staff in mental health services to be extremely supportive and encouraging. This NESP programme gave me the strength and knowledge to continue my journey within the mental health field. I really have a lot of appreciation for all my colleagues who showed me immense support during my course.” For more information please contact Michela Fox, NESP Site Coordinator on extn 8171.

Rob Weir (left) and fellow trekker Robin Wood.

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What if? An ar ticle by Darren Hor sley, Emergency Manager/Planner

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According to the man from Ministry of Civil Defence and Emergency Management, it is not an option to be unprepared. Disasters will continue to happen,but we can‘make the mess less’ and hasten a return to normalcy through prior planning and committing to mitigation and preparedness activities. Time and effort spent on emergency preparedness is a valid investment for home and business alike; but such planning will only be effective if developed co-operatively. As I near the first anniversary of employment within MDHB, and the impending end of year school report (read performance appraisal), I focus on what, as an organisation, we have achieved. As an o rgani sati on we h a ve experienced a major power outage conducted to measure the ever increasing demand on the hospital’s limited essential power supply. Loss of other essential services have tested our ability to maintain functions but lessons learnt from each event has seen departments develop improved work around’s and greater interdepartmental dependencies. The pièce de résistance, call me bias, must be the completion of the MDHB Strategic Business Continuity Policy and Plan. The project has taken eight months to achieve and has moved the organisation from a siloed, to a shared, understanding of likely impacts and levels of incident management required. The plan clearly identifies the critical functions to be maintained, and just as important,the level of resource available to support those functions.

For my small part I’ve been woken at all hours, by the man from the Ministry, with alert notifications for avalanches, volcanic disturbances and impending tsunami’s. Much to do about nothing you might say,but in the early hours of the morning I sometimes find it difficult to reason the ‘What If’ factor. In the case of the avalanche, what if there were a number of casualties requiring advanced medical aid. How would we as an organisation meet that need? The Mass Casualty Plan alleyed any fears. In the case of the volcanic disturbances, I trawled long distance weather reports to confirm projected wind direction and speed in an effort to identify likely communities that would be affected by ash fall and the resulting respiratory and associated health risks. The early notifications for the likely inundation threat of the tsunami, although alarming, gave me piece of mind knowing that alert notifications for communities under threat would ensure that evacuations, if needed, would be achieved. As I close, my thoughts drift off to Rarotonga, as my wife and I head away to celebrate our first wedding anniversary. But rest assured, I have already committed the tsunami escape routes for the island to memory. A nurse walks by the destruction at a Moore hospital, United States, on May 20.

Ambulatory Care Facilities

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under Review

A project is underway looking at short-term options to improve capacity and demand issues at Palmerston North Hospital’s Ambulatory Care Unit. This project will focus on identifying clinically and financially appropriate options to support current service demands.

The project’s clinical champion is Chief Medical Officer Dr Ken Clark; with project executives: Helene Carbonatto and Lyn Horgan; and project manager John Manderson (with support from Kevin Parker). The project will be supported by an advisory group sourced from clinical and non-clinical staff to provide advice and review proposed options.

The project timeline is June to Sep 2013 and includes engagement sessions with services and staff. Suggestions put forward will be scoped and the outcome feed back to the proposer. A set of options will be presented to SMT for sign-off. Implementation of approved changes will be managed separately. If you have any questions please direct them to John Manderson and/or Kevin Parker.

Centennial Clinical

Library

HOURS:

Mon/Thur/Fri 8.30am – 5pm Tues/Wed 8.30am – 8pm Sat/Sun Closed After-hours access is available by ID swipe card. Goodbye MD Consult: The MD Consult database will be ceasing at the end of this year. We are looking at alternative options, but inevitably there will be some changes to the online books and journals we currently get. The alternative being offered by Elsevier, who own MD Consult, is called Clinical Key. This is a vast database of online books, journals, guidelines, images, videos etc which is made up of subject collection modules. A three-month trial is currently running of Clinical Key, see www.midcentraldhb.govt.nz/Providers/ CentennialClinicalLibrary/Pages/ Databases-Registered.aspx New Books: • Anesthetic pharmacology: basic principles & clinical practice/Evers et al, eds, 2011 • Basic and clinical pharmacology 12th ed/Katzung & Masters, 2012 • Cardiovascular physiology10th ed/ Pappano & Weir, 2013. • Essential neonatal medicine 5th ed/ Sinha et al, 2012 • Essentials of human anatomy and physiology 10th ed/ Marieb, 2012 • Family interventions in mental health/ Withnell & Murphy, 2012. • Focus on adult health medical-surgical nursing/ Pellico, 2013 • Karch’s pharmacology for nursing and midwifery. 1st Aust & NZ ed / Mckenna & Lim, 2012. • Lecture notes in clinical anaesthesia 4th ed/ Gwinnutt & Gwinnutt, 2012 • Microbiology: an introduction 11th ed/ Tortora & Funke, 2013. • Nursing and midwifery research: methods and appraisal for evidencebased practice/Schneider & Whitehead, 2012 • Principles of pathophysiology/Bullock & Hales, 2013. • Textbook of clinical echocardiography 4th ed/Otto, 2009 • The emotionally intelligent nurse leader/Moss, 2005 • Willard & Spackman’s occupational therapy 12th ed/Schell et al, eds, 2013. • Wound care manual 6th ed/Carville, 2012.

If you require further information, please

ASK A LIBRARIAN 19


Director of Nursing

SUE WOOD

RESIGNS after

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14 years of service

As far as tradition goes, those who are married for 14 years may receive a gift made of ivory – a material both precious and rare to acquire. For those who have had the pleasure of working with MDHB’s Director of Nursing Sue Wood in her 14 years of service, it is clear she was our very own gift of ivory.

Sue Wood, originally from the South Island, joined MDHB as the Director of Nursing in 1999 following on from the same role with the Royal Melbourne Hospital. Sue has moved back to the South Island closer to her family, where she will begin the position of Director Quality and Patient Safety with Canterbury DHB.

Sue said: “The 14 years I have spent with MDHB have been a real privilege. I have had the opportunity to work with such great people who really have the will to make a difference.” In her time at MDHB, Sue has seen many organisational changes and restructures, and is most proud of her contribution to a more holistic approach being taken within the field of nursing. Sue says: “The DHB has always adhered to high standards of patient care, and I believe that I have added to this by providing data-driven, evidence-based leadership that has been better measured.” Sue’s colleagues couldn’t agree more, and acknowledged her outstanding leadership at the recent 2013 nursing excellence awards.There,Sue was presented with a special certificate of recognition for her clinical excellence (leadership) locally, regionally and nationally. Nurse Practitioner Pain Management,Judy Leader says: “Sue has been an inspirational and motivational leader.Her commitment to holistic health care delivered by confident and competent health care teams, has led nurses across MidCentral Health to be their best whilst caring for our population. She will be missed as a colleague and a friend.” Nurse Directors, Jan Dewar, John White, Barry Keane, Chris Simpson, and Carrie Naylor-Williams also made comments such as:“Sue has a commitment to the expansion of nursing roles as evidenced by MidCentral Health’s leadership in development of knowledge and skills frameworks adopted nationally, and the advanced nursing practice roles that are now in place”, and “Sue is an idea’s person. She is constantly challenging practice and ways of doing things,however she maintains a compassion and generosity of spirit that is valued.” Her relationship and integration with Primary Health Care nursing was also recognised,when Director of Nursing Primary Health, Chiquita Hansen, spoke kindly of her reputation and presented her with a five-ring

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necklace. Chiquita likened the five-rings to Sue’s job, “In her role Sue is an Olympian who jumps through hoops,” she also joked “other significances between the five rings and Sue are that she is five times smarter than everybody else, and it takes most of us five years to understand her.” Sue came to the DHB with not only practical experience, but a passion for knowledge. This was evident by her own academic qualifications (Bachelor of Applied Science Advanced Nursing (Administration), and Master of Nursing Studies) as well as encouragement of her peers to strive for a higher learning. Sue has been a driving force in the achievement of her fellow colleagues. Nurse Practitioner,Diabetes & Endocrinology Service, Helen Snell says: “I was on Sue’s interview panel and she immediately impressed us. It was evident that she was focused on supporting, actually expecting, nurses to practice to the highest standard and to achieve to their fullest potential in order to ensure positive health outcomes for patients.” Chief Executive Officer, Murray Georgel spoke at Sue’s farewell afternoon tea expressing his gratitude and appreciation of the work she has done at a local, regional and national level. Murray said: “Sue has been an asset to the organisation and has achieved, and helped others to achieve, at all levels. Throughout her time with us, she has been a significant contributor to MDHB and has been a powerful voice for nursing. She will be missed by many and I only wish her and her family the best with her move to Christchurch.”

District Groups’ Updates

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The Palliative Care District Group is in the process of forming, with 18 nominations to join being sought last month. The Older Persons District Group has developed its working, based on input from clinical leaders from primary, secondary and community services, as well as consumer and Maori representation. Open forums held last year provided feedback received from consumers and health and social care professionals, agreed on four priorities:

• The development of a proposal to create a clinical respite case manager role – to ensure caregivers looking after a family member on an ongoing, long term basis can access respite services in a planned way. • Local implementation of the national dementia care framework – will enable MDHB to provide clear, consistent and adequately resourced dementia care in collaboration with primary, secondary and community services. • To improve infor mation about, and access to, health and social care services for older people. • To develop and integrate falls and bone health services. Working parties to progress the priorities have just been formed and updates will be provided. The Urgent Care District Group is now holding open community forums as listed below: • Horowhenua – July 2, 6.30–8.30pm, Te Takere, 10 Bath St, Levin • Palmerston North – July 9, 6.30–8.30pm, Addis House, 135 Ruahine St, Palmerston North For those who are interested in attending, contact Kirsty Dunlop on (06) 353 1754.

Pictured at Sue’s farewell are: from left Kathryn Fraser (Nurse Co-ordinator PDRP), Noeline King (Occupational Health Nurse), Sue Wood and Marina Lambert (Nurse Practitioner, Respiratory).


MidCentral News - Issue 136