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Issue 25 18 Issue 09/09/13 16/12/13 fortnightly fortnightly

Education Feature New Year, New Career Paramedics devastated Making a career change at helicopter rescue death ACT nurses reach pay deal Nursing in the aftermath of a typhoon Australian physiotherapists New nurses’ glasses have anwant eye prescribing on veins rights Tasmanian graduate positions disappointing: ANMF Dietitians want actionnursing on diabetes


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NURSES & ALLIED HEALTH PROFESSIONALS Fantastic Early Childhood Opportunities Do you have a passion for the early years? Do you enjoy working with groups of parents in their local community? Do you enjoy working as part of an interdisciplinary team? Do you like variety in your working week? Ngala is Western Australia’s leading provider of early parenting services and we are about to expand our Community based group programs across a number of sites across the Perth metro area. This expanded program will offer: • a rolling series of groups for parents with babies 0-3 months • Weekly Parenting and Play Time sessions for families with babies 0-18 months • Parent education workshops

We are seeking full time, part time and casuals across a range of positions and are keen to hear from people who have relevant experience and qualifications including: • Child Health Nurses/ Registered Nurses with Midwifery certification • Early Childhood Educators • Social Workers or other Allied Health Professionals to form local interdisciplinary teams to work with groups of new parents.

For further information including dates for information sessions please refer to the Ngala website or to apply, please go to http://applynow.net.au/jobs/Ngala52 and follow the instructions. You will be encouraged to upload a Resume and a document detailing what you are interested in and your area of work addressing selection criteria from the appropriate Position Description. You will also locate the Position Descriptions and the Project Overview through this link.

Closing date for these positions Friday 4th January 2014 Additional Opportunities and supplementary hours are available across different programs within Ngala. For further information please refer to the Ngala website and to place your expressions of interest go to http://applynow.net.au/jobs/Ngala53

Please direct any enquiries concerning the above to Elaine Bennett on ejbennett@ngala.com.au www.ncah.com.au


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www.ncah.com.au www.ncah.com.au Issue 25 17 – 16 26 August 20132013 Issue December Issue 17 – 26 August 2013

We hope you enjoy perusing the range of opportunities We hope you enjoy perusing included in Issue 17, 2013. the range of opportunities 25, 2013. included in Issue 17, If you are interested in pursuing any of these opportunities, Ifplease you are interested in pursuing any ofvia these contact the advertiser directly the opportunities, contact details please contact the advertiser directly via the details provided. If you have any queries about ourcontact publication or provided. If you any queries about ourplease publication if you would likehave to receive our publication, emailor us ifatyou would like to receive our publication, please email us careers@ncah.com.au at careers@ncah.com.au

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The NCAH Magazine is the most widely distributed national The NCAH is the most widely distributed national nursing andMagazine allied health publication in Australia nursing and allied health publication in Australia For all advertising and production enquiries please contact For all advertising and8700, production us on +61 (0) 3 9271 email enquiries please contact us on +61 (0) 3 9271 8700, email careers@ncah.com.au or visit www.ncah.com.au careers@ncah.com.au or visit www.ncah.com.au If you would like to change your mailing address, Iforyou likeon toour change your mailing address, be would included distribution, please email or be included on our distribution, please email careers@ncah.com.au careers@ncah.com.au Published by Seabreeze Communications Pty Ltd Trading as NCAH. Published by 328 Seabreeze ABN 29 071 053. Communications Pty Ltd Trading as NCAH. ABN 29 071 328 053. © 2013 Seabreeze Communications Pty Ltd. © 2013 Seabreeze Communications Pty Ltd. All rights reserved. No part of this publication may be copied or All rights reserved. part of this publication may bepermission copied or of reproduced by anyNo means without the prior written reproduced byCompliance any means without prior written permission the publisher. with thethe Trade Practices Act 1974 ofof the publisher. Compliance thepublication Trade Practices Act 1974 of of advertisements containedwith in this is the responsibility advertisements contained in this publication is the responsibility of those who submit the advertisement for publication. those who submit the advertisement for publication.

Advertiser List AdvertiserList List Advertiser AHNRecruitment Recruitment AHN AHN Recruitment Ausmed Australasian Academy of Cosmetic Ausmed Dermal Science Austra Health Austra Health Australian College of Nursing Australian College of Nursing CCM Recruitment Australian College International of Nursing Australian Volunteers International CPD Education Cruises Australian Volunteers International CCM Recruitment International CQ Nurse CCM Recruitment International CQ Nurse DHHS Tasmania CQ Nurse eNurse CRANAplus CRANAplus Griffith University Employment Office Employment Offi ce Koala Nursing agency eNurse eNurse Australia Medacs Kate Cowhig International Medibank Health Solutions Kate Cowhig International Medacs Australia Ngala Medacs Australia No Roads toNorthern Health NSW Healthto No Roads Health Sydney Local Health District NSW Health - Illawarra Shoalhaven NSW Health - Illawarra Shoalhaven Nursing Allied Health Rural Locum Oceaniaand University of Medicine Scheme Oceania University of Medicine Oxford Aunts Care Oceania University Oxford Aunts Care of Medicine Pulse Staffi ngCare Oxford Aunts Pulse Staffing Queensland Health Pension Transfers Direct Queensland Health Pulse QuickStaffing and Easy Finance Quick and Easy Finance TR7 Health Royal Flying Doctor Service Royal FlyingTransfer Doctor Service UK Pension TR7 Health TR7 Health Unified Healthcare Group UK Pension Transfers University of Transfers Technology Sydney UK Pension Unified Healthcare Group Unified Healthcare Group

Next Publication: New Year, New Career Next Publication: Education feature Next Publication: feature Publication Date: MondayEducation 20th January 2014

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Nursing in the aftermath of a typhoon by Karen Keast The little girl’s outlook was incredibly grim. She had survived Typhoon Haiyan, the November 8 typhoon which decimated much of Philippines, and now she had pneumonia. The girl was receiving antibiotics at the Australian Medical Assistance Team’s (AusMAT) field hospital, known as Camp Kookaburra, established next to Tacloban airport.

“In the time it took to get to medical help these wounds had become infected and required at least one surgical debridement if not more. “Antibiotics were the mainstay of treatment and all patients were on between one to three different types. “As time moved on from the typhoon the ailments became more medically focused as in pneumonia’s and more chronic conditions in which people had run out of medications and were unable to get more.

Senior Physiotherapist – Community Palliative Care

Cath Gaylard, a senior nurse who participated in the National Critical Care and Trauma Response Centre’s (NCCTRC) first “Lots of children were admitted with various Complex Chronic and Community Services South, deployment, labelled Team Alpha, was on conditions such as surgical needs and South bronchiolitis’ and asthma’s.” nightTasmanian duty caring forHealth the girl. Organisation - pneumonia’s, “I went to bed in the morning thinking I wouldn’t see No: her again Vacancy 521584but when I went to check on her later in the day she was sitting Salary: $76,505 - $87,754 p.a. up in bed a whole lot better,” Cath says.

plus superannuation and access to

“Thatsalary childpackaging. would definitely not have made it if we weren’t there so that was a great feeling. I looking thinkWho a lot are of uswe had stories for? like that one.”

Do you have extensive general or specialist

Cath,palliative who has from the Philippines carereturned physiotherapy experience and is now temporarily filling in as the Vascular and enjoy working within a multidisciplinary Access Nurse at the Royal Darwin Hospital team environment? (RDH), has spent 30 years nursing, mainly in Thecare Community Careand teamremote based critical and alsoPalliative in emerging in Hobart, Tasmania, requires a team nursing.

member who enjoys working in urban and Whilerural Cath wasisinvolved theflexible Bali bombing areas, adaptableinand and admissions to RDH, Philippines was her committed to clientthe centred care within first deployment. a primary healthcare framework with a care focus. in NCCTRC courses She palliative had participated

and This wanted to put whatservices she had learnt into vacancy provides to palliative practice helpinthe care to clients theirtyphoon homes, victims. consultation in

relation to palliative care patients within acute

As a senior nurse in the ward area, mainly in the high dependency unit, Cath initially found herself treating wound injuries inflicted during the typhoon.

“Lots of foot injuries from standing on debris, other body and limb injuries from flying debris and falling trees,” she says. Page 8 | www.ncah.com.au

Cath says the hospital, made up of connecting and free-standing tents, comprised and the specialist palliative care unit, as well an air-conditioned wardservices area forofclients fourandhigh as delivering outpatient dependency 20 Tasmania. stretcher beds and an their carers in beds, Southern eight-bed annex paediatric ward, as well as a This is a new position, so the successful two-bed operating theatre and pharmacy.

applicant will be required to work with other

There wasto also separate emergency providers setaup this position within aarea, long not air-conditioned, comprising a triage point, an standing multi-disciplinary team. area forcan assessment, rehydration, dressings and What we offer? vaccinations and an area for pre-admission.

• Flexible work/life balance

A room for emergency births was available, • Attractive Salary Packaging as well as a two bed resuscitation tent, and a • Great team environment portable X-ray machine.

• Commitment to professional

Aside from the patient-focused areas, there development were also sleeping tents for staff, as well as a mess, and about sterilising tents. To findstores out more this exciting

opportunity, please contact Ann Allanby by calling (03) 6233 6763 or email ann.allanby@dhhs.tas.gov.au

That child would definitely

Applications January not close have Friday made6 it if we2014. Apply online at www.jobs.tas.gov.au weren’t there so that was

a great feeling. I think a lot of us had stories like that one. – Cath Gaylard Senior Nurse


325-011 1PG FULL COLOUR CMYK PDF “Working in the hospital was rudimentary but practical,” Cath says. “We were able to provide the basic care the patients required.

A CHANGE is as good as “We all the extra mile for each other. This AwentHOLIDAY camaraderie is something I have experienced “There was a great team mentality of us all being in it together with the aim of helping the victims and each other out,” she says.

before in disaster medicine and it helps everyone get through.”

“The training sets you up well but there is nothing like the real thing,” she says. Almost 80 health professionals and logisticians from every Australian state and territory, and from New Zealand, formed two deployments, Team Alpha and Team Bravo, to provide assistance in the Philippines in the aftermath of the typhoon.

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“We became very adept at inventing and making do, particularly early on in the set up. Our logistics boys were totally awesome in making walking sticks, IV hangers and anything else we asked for.


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Research shows selenium can reduce pre-eclampsia by Karen Keast Midwives and pharmacists should encourage pregnant women to use multivitamins with selenium to reduce the incidence of preeclampsia, according to new research. Griffith Health Institute researchers Dr Jessica Vanderlelie and Professor Tony Perkins have discovered selenium, a mineral naturally found in food, is the key to reducing the risk of the most common pregnancy complication, particularly in overweight women. “Our research has implications for both pregnant women and those responsible for their care,” Dr Vanderlelie said. “For years women have been provided information regarding the importance of folate to healthy fetal development. “This work extends this message to encourage women to obtain their folate and a range of other essential micronutrients through multivitamin supplements, particularly if women are overweight and obese. “By doing so women may be able to reduce their risk of complications such as preeclampsia and also maximise their capacity to nutritionally support their growing baby.” Pre-eclampsia occurs in pregnant women when a lack of antioxidants coupled with damaged trophoblast cells, which are shed naturally during pregnancy, create a reaction in the woman’s immune system, damaging the placenta. The condition affects up to eight per cent of pregnancies in Australia and can impact on both the woman and the fetus, and can result in the premature delivery of the baby. Dr Vanderlelie and Professor Perkins’ research focused on placental trophoblast cells, vital to the creation of the placenta, and which rely on antioxidants. Dr Vanderlelie said she believed less selenium is now making its way into our vegetables because farmers are not using it in their Page 10 | www.ncah.com.au

fertilisers, and she urged women and their health professionals to check their multivitamins contain selenium. “We know selenium plays an important role because we can actually induce PE in pregnant rats by removing selenium from their diet,” she said. “Women who are planning to get pregnant, or find themselves pregnant, need to start using a multivitamin with selenium in it as soon as possible. “The crucial time to prevent PE is at the very start, the first trimester. “Obese and overweight women are also five times more likely to get PE and multivitamin use appears to bring this back to normal risk levels.”

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Making a career change The beginning of a new year is often a good time to reassess your aspirations and career goals. But where do you start? These experts’ tips will set you on the journey to landing your dream job in the health sector, writes Karen Keast. Ivana Williamson was just two years into her nursing career when she realised she needed a career change.

“The help that I got stayed with me and now I help people with their career change because I went through it myself.” A career coach can help you when you’re undecided which career path you want to take or when you need reassurance that you’re heading in the right direction. They can also help you with your resume, job search and interview skills, Williamson says.

Weekend and night shift work, hospital politics, catching viruses from patients, job stress and dealing with death was all taking its toll.

“It could be that you completely want to change your career or it could be you want to move into a different or pays a different > department Education that ward in the hospital,” she says. “I wanted to be athat nurse all of myevery life,” Williamson > True representation We believe each and nurse in Australia says. “Nurses look at other areas in > Membership benefits should have the opportunity to grow their career and should also the health sector and talkyou to grow allied health to help further profession. “I went to our uni and I did the course and I had professionals about what they do. put all this time and effort and energy into becoming a nurse. www.acn.edu.au | freecall 1800 061 660“When you have already got a nursing degree, sometimes to change to allied health it doesn’t “Then I thought – how am I going to get a job in require having to do three or four years, it might a completely different area?” be only a couple of years of study.” Williamson was working as a Registered Nurse at a Melbourne hospital, in the respiratory Once you’ve made your decision on which department, when she tendered her resignation direction you want to move towards, Williamson by Karen Keast and went overseas on a holiday. advises you update your skills if necessary with anknew online course, a recruitment Sarah wondered she could go back to “I I was going register to go intowith hospital within the When Haigh she returned, sheif took up intensive care agency that will help you secure permanent, university for another three years. next six months, and that I am going to be there nursing at a new hospital but was back to casual temporary positions, establish or at a birthorand then I am going to know if it’s what working shifts. At 26, the dance and drama secondary teacher yourto LinkedIn profile and lastly, but Iupdate really want do.” Then she moved the career endoscopy unit wasn’t content in herinto chosen and once most importantly, to get networking. Fast-forward two years, and Sarah has been again contemplated original day career choice of at another hospital,her working shifts from involved births, and attended is “A lot of in the35time it’s who you knowmore, ratherand than midwifery. Monday to Friday, but without the penalty looking forward to finishing the final year of her just going for a job,” she says. rates, her pay was considerably less. “It always interested me but back then, when midwifery program next year. with afirst career “My other piece of advice is if you are a nurse to IDissatisfied, looked into it,Williamson you had tomet do nursing and “It’s really flown by,”up she says. coachwas who her make a fast consider keeping your registration as once there nohelped direct entry program,” shetransition says. into a new career. you lose it it’s very hard it back.” “I can’t wait to finish beingtoaget student midwife and With the emergence of direct-entry midwifery to start being a midwife.” She was so inspired with the experience, Nurses and allied health professionals wanting courses in Australia, Sarah, who was born in Williamson eventually intoCoast career to change careers should also take South Africa and has lived moved on the Gold for Sarah says attending her first birth cementedinto her coaching. account to their personal brand. the past 11 years, investigated Griffith University’s decision change careers. Bachelor Midwifery program.her own venture, Two yearsofago, she launched Personal not just “I walked branding away andis knew that for this business is what Real Life Coaching. level “The main thing is that it’s so practical and that Iowners wantedand to high do for theexecutives, rest of mysays life. Jaclyn It was Bold, a personal branding specialist for medical was something really me,” awesome,” she says. “Hiring a career that coach wasappealed pivotal forto me in and health professionals BoldNCAH.com.au Connections. she says. getting a job so quickly,” she says. For the full articleatvisit

Grow your career by joining ACN!

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Teacher moves into midwifery career

Page 14 | www.ncah.com.au


325-031 1PG FULL COLOUR CMYK PDF community, no matter how small or large, is imperative for allied health professionals.”

“The most successful employees, nurses and health professionals have strong personal brands.”

Start networking with the people in the wards, hospitals and departments you wish to work in, Bold suggests.

Bold says strong and consistent personal branding will help nurses and allied health professionals find employment at a different hospital or clinic, enter private practice, secure promotions and new roles, and will generally fast track their career path.

“Let them be exposed to your personal brand and understand it. That way, when they see your resume and job application in the recruitment pile – you stand out.”

“Often there will be two candidates up for a position – both with the same qualifications and experience,” she says. “The candidate with a strong personal brand will always stand out above the other candidate. “For allied health professionals, a strong personal brand is the number one way to attract clients to your clinic. “People do business with people, not clinics, so getting your personal brand known in your

Job seekers can immediately begin building and improving their personal brand to bolster their career opportunities. Bold advises nurses and allied health professionals to clean up their social media profiles, tidy up their personal appearance, improve their posture and body language, and to be confident and happy. “Personal branding is a long term strategy, not a short term fix,” she says. “By doing the little things consistently well every day, you build a strong personal brand.”

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“Personal branding is all about who you are and what you stand for,” she says.


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Nursing Careers Allied Health - Issue 25 | Page 17


Making a career change The beginning of a new year is often a good time to reassess your aspirations and career goals. But where do you start? These experts’ tips will set you on the journey to landing your dream job in the health sector, writes Karen Keast. Ivana Williamson was just two years into her nursing career when she realised she needed a career change. Weekend and night shift work, hospital politics, catching viruses from patients, job stress and dealing with death was all taking its toll. “I wanted to be a nurse all of my life,” Williamson says. “I went to uni and I did the course and I had put all this time and effort and energy into becoming a nurse. “Then I thought – how am I going to get a job in a completely different area?” Williamson was working as a Registered Nurse at a Melbourne hospital, in the respiratory department, when she tendered her resignation and went overseas on a holiday. When she returned, she took up intensive care nursing at a new hospital but was back to working shifts. Then she moved into the endoscopy unit at another hospital, working day shifts from Monday to Friday, but without the penalty rates, her pay was considerably less.

“The help that I got stayed with me and now I help people with their career change because I went through it myself.” A career coach can help you when you’re undecided which career path you want to take or when you need reassurance that you’re heading in the right direction. They can also help you with your resume, job search and interview skills, Williamson says. “It could be that you completely want to change your career or it could be you want to move into a different department or a different ward in the hospital,” she says. “Nurses should also look at other areas in the health sector and talk to allied health professionals about what they do. “When you have already got a nursing degree, sometimes to change to allied health it doesn’t require having to do three or four years, it might be only a couple of years of study.” Once you’ve made your decision on which direction you want to move towards, Williamson advises you update your skills if necessary with an online course, register with a recruitment agency that will help you secure permanent, casual or temporary positions, establish or update your LinkedIn profile and lastly, but most importantly, to get networking. “A lot of the time it’s who you know rather than just going for a job,” she says.

Dissatisfied, Williamson met with a career coach who helped her make a fast transition into a new career.

“My other piece of advice is if you are a nurse to consider keeping up your registration as once you lose it it’s very hard to get it back.”

She was so inspired with the experience, Williamson eventually moved into career coaching.

Nurses and allied health professionals wanting to change careers should also take into account their personal brand.

Two years ago, she launched her own venture, Real Life Coaching.

Personal branding is not just for business owners and high level executives, says Jaclyn Bold, a personal branding specialist for medical and health professionals at Bold Connections.

“Hiring a career coach was pivotal for me in getting a job so quickly,” she says. Page 18 | www.ncah.com.au


community, no matter how small or large, is imperative for allied health professionals.”

“The most successful employees, nurses and health professionals have strong personal brands.”

Start networking with the people in the wards, hospitals and departments you wish to work in, Bold suggests.

Bold says strong and consistent personal branding will help nurses and allied health professionals find employment at a different hospital or clinic, enter private practice, secure promotions and new roles, and will generally fast track their career path.

“Let them be exposed to your personal brand and understand it. That way, when they see your resume and job application in the recruitment pile – you stand out.”

“Often there will be two candidates up for a position – both with the same qualifications and experience,” she says. “The candidate with a strong personal brand will always stand out above the other candidate. “For allied health professionals, a strong personal brand is the number one way to attract clients to your clinic. “People do business with people, not clinics, so getting your personal brand known in your

Job seekers can immediately begin building and improving their personal brand to bolster their career opportunities. Bold advises nurses and allied health professionals to clean up their social media profiles, tidy up their personal appearance, improve their posture and body language, and to be confident and happy. “Personal branding is a long term strategy, not a short term fix,” she says. “By doing the little things consistently well every day, you build a strong personal brand.”

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“Personal branding is all about who you are and what you stand for,” she says.


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Physiotherapists label program closure a bad move by Karen Keast Physiotherapists are calling on the University of South Australia to reconsider a decision to close its post graduate programs in musculoskeletal and sports physiotherapy. The Australian Physiotherapy Association (APA) fears the move to discontinue the Masters of Musculoskeletal and Sports Physiotherapy course will result in fewer highly trained physiotherapists. “There is already a shortage of sports and musculoskeletal post graduate physiotherapy programs in Australia, particularly so in South Australia, despite there being a significant proportion of physiotherapists practising in those two interest areas,” APA president Marcus Dripps said in a statement. “This will impact the SA community, as highly trained physiotherapists are able to treat patients more effectively in order to improve outcomes such as increased function and reduced health costs.” The program’s qualifications also form a vital second step and a mandatory prerequisite for entry to the Australian College of Physiotherapists’ training program and final examination leading to Fellowship by Specialisation. The University of South Australia says it plans to discontinue the program, which is no longer compliant with the new Australian Qualifications Framework, and will embark on a process to replace it with another physiotherapy post graduate program. Vice Chancellor Professor David Lloyd said the university is not only committed to continuing its long tradition of education for physiotherapy professionals, it is also dedicated to ensuring its degree programs are of the highest standards. “Our decision to change our educational offering in post graduate physiotherapy from the current program has been taken with this in mind,” he said. Page 20 | www.ncah.com.au

“In keeping with our rich history of global leadership in the field of physiotherapy, we are about to begin a broad consultation process involving an advisory group, which includes national and international external stakeholders, to ensure that we can offer an AQF-compliant program that attracts and supports more students and is relevant to the profession.” The university’s Masters of Musculoskeletal and Sports Physiotherapy course was the first post-graduate program developed in Australia by pioneering Adelaide physiotherapists Geoff Maitland and Marie Hammond. “Geoff Maitland’s contribution to the physiotherapy profession in the field of manipulative and musculoskeletal physiotherapy has left an enduring legacy,” Mr Dripps said. “Geoff has been recognised and honoured internationally for his work in this area and Maitland approach courses in manual therapy are currently taught in many parts of Europe.” In other developments, the APA has also announced it has re-joined Allied Health Professions Australia (AHPA), the peak advocacy body for allied health professions in Australia. AHPA represents 21 allied health professions ranging from audiologists and dietitians to occupational therapists and exercise physiologists.


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Nurse graduate crisis continues in New Zealand by Karen Keast Around a third of New Zealand’s graduate nurses are still struggling to find employment.

around the country attending interviews for very few positions.”

The New Zealand Nurses Organisation (NZNO) has attacked the government for failing to address the graduate nursing crisis while accusing it of incentivising district health boards (DHBs) to employ 24 more doctors than they required.

Job turnover and vacancy rates in New Zealand are at low levels with nurses remaining in their roles due to the economic climate.

“Incentivising DHBs to take new graduate doctors is not a sustainable way forward for the health system in New Zealand,” NZNO associate professional services manager Hilary Graham-Smith said.

The job woes come as a recent Nursing Council of New Zealand report revealed New Zealand is expected to experience a nursing shortage of around 15,000 nurses within 22 years.

“We are especially concerned that the problem of graduate support and positions for new nurses has not been resolved either. “Fewer than half of new graduate nurses have got a job, which means that hundreds of graduating nurses have been forced to travel Page 22 | www.ncah.com.au

More than 1230 nurses graduated last year - 57 per cent had a job in December 2012, which increased to 74 per cent in February.

The report revealed more than half of the current nursing workforce is forecast to retire in 20 years – at the same time as a predicted increase in demand for health care due to the nation’s ageing population and lifestyle disease. For the full article visit NCAH.com.au


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Nursing Careers Allied Health - Issue 25 | Page 23

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Nursing in the aftermath of a typhoon by Karen Keast The little girl’s outlook was incredibly grim. She had survived Typhoon Haiyan, the November 8 typhoon which decimated much of Philippines, and now she had pneumonia. The girl was receiving antibiotics at the Australian Medical Assistance Team’s (AusMAT) field hospital, known as Camp Kookaburra, established next to Tacloban airport. Cath Gaylard, a senior nurse who participated in the National Critical Care and Trauma Response Centre’s (NCCTRC) first deployment, labelled Team Alpha, was on night duty caring for the girl. “I went to bed in the morning thinking I wouldn’t see her again but when I went to check on her later in the day she was sitting up in bed a whole lot better,” Cath says. “That child would definitely not have made it if we weren’t there so that was a great feeling. I think a lot of us had stories like that one.” Cath, who has returned from the Philippines and is now temporarily filling in as the Vascular Access Nurse at the Royal Darwin Hospital (RDH), has spent 30 years nursing, mainly in critical care and also in emerging and remote nursing. While Cath was involved in the Bali bombing admissions to RDH, the Philippines was her first deployment. She had participated in NCCTRC courses and wanted to put what she had learnt into practice to help the typhoon victims. As a senior nurse in the ward area, mainly in the high dependency unit, Cath initially found herself treating wound injuries inflicted during the typhoon.

“Lots of foot injuries from standing on debris, other body and limb injuries from flying debris and falling trees,” she says.

Page 24 | www.ncah.com.au

“In the time it took to get to medical help these wounds had become infected and required at least one surgical debridement if not more. “Antibiotics were the mainstay of treatment and all patients were on between one to three different types. “As time moved on from the typhoon the ailments became more medically focused as in pneumonia’s and more chronic conditions in which people had run out of medications and were unable to get more. “Lots of children were admitted with various conditions such as surgical needs and pneumonia’s, bronchiolitis’ and asthma’s.” Cath says the hospital, made up of connecting and free-standing tents, comprised an air-conditioned ward area of four high dependency beds, 20 stretcher beds and an eight-bed annex paediatric ward, as well as a two-bed operating theatre and pharmacy. There was also a separate emergency area, not air-conditioned, comprising a triage point, an area for assessment, rehydration, dressings and vaccinations and an area for pre-admission. A room for emergency births was available, as well as a two bed resuscitation tent, and a portable X-ray machine. Aside from the patient-focused areas, there were also sleeping tents for staff, as well as a mess, stores and sterilising tents.

That child would definitely not have made it if we weren’t there so that was a great feeling. I think a lot of us had stories like that one. – Cath Gaylard Senior Nurse


“Working in the hospital was rudimentary but practical,” Cath says. “We were able to provide the basic care the patients required.

“There was a great team mentality of us all being in it together with the aim of helping the victims and each other out,” she says. “We all went the extra mile for each other. This camaraderie is something I have experienced before in disaster medicine and it helps everyone get through.” Cath says despite living rough, a lack of sleep, working long hours and consuming dehydrated food, the experience was incredibly rewarding.

“The training sets you up well but there is nothing like the real thing,” she says. Almost 80 health professionals and logisticians from every Australian state and territory, and from New Zealand, formed two deployments, Team Alpha and Team Bravo, to provide assistance in the Philippines in the aftermath of the typhoon.

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Mental Health Nursing Opportunities Are you a Registered Nurse interested in a career in Mental Health Nursing? Northern Sydney Local Health District has a range of exciting Mental Health opportunities for Registered Nurses across a number of our Clinical Services and Teams.

These include Acute Inpatient and Psychiatric Emergency services across our range of brilliantly located hospitals and mental health facilities.

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If you have extensive experience in Mental Health and you are an Australian resident or have Australian permanent residency, please email Jenny Neilsen – Jenny.Neilsen@health.nsw.gov.au to apply or enquire.

Nursing Careers Allied Health - Issue 25 | Page 25

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“We became very adept at inventing and making do, particularly early on in the set up. Our logistics boys were totally awesome in making walking sticks, IV hangers and anything else we asked for.


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More nurses and midwives working by Karen Keast The number of working nurses and midwives is on the rise in Australia, with new figures showing an extra 20,000 were employed between 2008 and 2012. The Australian Institute of Health and Welfare (AIHW) report Nursing and Midwifery Workforce 2012 reveals the number of nurses and midwives employed increased 7.5 per cent, from 270,000 to around 290,000.

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The report also shows around 334,000 nurses and midwives were registered in Australia in 2012, or 6.8 per cent more than the 313,000 registered in 2008. AIHW spokesperson Dr Adrian Webster said despite the relatively large increase in numbers, the supply of nurses and midwives rose by just 0.5 per cent from 1,118 to 1,124 full-time equivalent (FTE) nurses and midwives per 100,000 people.

health where they made up 31.5 per cent of Christmas Clips the workforce.

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with 1,303 FTE nurses and midwives per 100,000 people in very remote areas compared with 1,134 in major cities. The report also revealed of those employed in nursing and midwifery, 238,000 were registered nurses, 52,000 were enrolled nurses and almost 31,000 were midwives. Almost two-thirds of clinical nurses and midwives worked in hospitals while the largest clinical area was aged care with 41,300 people working in aged care facilities and hospitals. Overall, average weekly hours remained the same at 33.4 hours, with those working in management working the most hours at 40.2 hours, followed by those in maternity care at 39.7 hours.

Nursing remains a female-dominated profession with men comprising just 10 per cent of nurses and midwives, with the highest proportion of male nurses working in mental Page 26 | www.ncah.com.au

In 2011, 8,154 people completed registered nurse tertiary qualifications and 4,719 completed enrolled nurse vocational education courses in Australia. Last year, an estimated Syringe 43,934 Pens nurses and midwives were not employed with 10,586 not looking for work in the professions and about half revealing they were employed elsewhere. A further 16,667 were on extended leave and 9,932 were overseas while 4,365 stated they were searching for employment in nursing and midwifery. The report uses data from the National Registration and Accreditation Scheme with data collected from an optional survey at the time of annual registration or registration renewal to provide a snapshot of the number, demographic and employment characteristics of nurses and midwives in Australia for workforce and health policy planning.

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Dietitians want action on diabetes by Karen Keast Dietitians are encountering diabetes on a daily basis and symptoms of type 2 diabetes are now appearing in primary school-aged children, according to the Dietitians Association of Australia.

Ms Hewat said the national strategy should include the provision of adequate care, support and assistance in treatment for those with diabetes while more needs to be done to prevent diabetes.

DAA president Claire Hewat said dietitians are increasingly working to tackle the nation’s diabetes epidemic.

“For most of the time, 90 per cent of the money is poured into treatment…we must do everything we can to prevent it,” she said.

“It’s always been something that dietitians have been involved with to a great extent but it’s getting bigger and bigger,” she said.

Obesity rates need to be reduced, and people’s diets and exercise improved to reduce the rates of lifestyle-related type 2 diabetes, Ms Hewat said.

“We are seeing really obese children showing symptoms of type 2 diabetes, which was unheard of when I graduated.” The comments come in the wake of the Federal Government’s announcement it will develop a national diabetes strategy. The government plans to establish an expert advisory group, which will consider evidence and consult with a wide range of stakeholders in a bid to establish where health spending can be better targeted to address diabetes prevention and management. Ms Hewat said it’s vital a workable strategy is developed to stem the tide of diabetes, with input from dietitians. “We certainly intend to be very much involved because nutrition is the cornerstone of treatment and prevention of diabetes,” she said. “If we don’t do something about the rise of diabetes we won’t be able to afford to treat the consequences. “If you get diabetes and it progresses then the risk of complications get higher and higher. “It’s a major contributor to heart disease; the two of them go hand in hand, kidney disease and vascular disease.” Page 28 | www.ncah.com.au

“I think the problem is there’s a lot of awareness and that’s where it stops,” she said. “Lifestyle change is difficult – you actually need support. Just telling people – gee you need to eat better, doesn’t work. People need support.” Ms Hewat said part of the solution includes changing food supply and providing easy, healthy food options. She said Australians also need improved access to dietitians, particularly those living in low socioeconomic areas. “Someone with diabetes needs to be able to get the advice they need when they need it, rather than waiting six months because they have run out of visits to the dietitian,” she said. As part of its announcement, the government pledged $35 million to support the Juvenile Diabetes Research Foundation’s Clinical Research Network in its efforts to find a cure for type 1 diabetes. It will also provide $1.4 million for the diabetes insulin pump program, providing more than 200 children and their families with subsidised access to insulin pumps.


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Seabreeze Communications Pty Ltd (ABN 29 071 328 053) PO Box 6744, St Kilda Central, VIC 3004 CHANGE OF ADDRESS: If the information on this mail label is incorrect, please email careers@ncah.com.au with the address that is currently shown and your correct address.

325-004 323-004 1/2PG FULL COLOUR CMYK PDF What I like about OUM is that I can continue to work part time and continue my studies in medicine. The ability to combine my studies with the cases I was seeing in the hospital really enhanced my education. Vivian Ndukwe, RN from Melbourne, OUM Class of 2012

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