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Canterbury IV Link Staff Study

Day 2013

Learning Objectives

Initial IV Link Study Day

To provide a multidisciplinary

study day which includes

education and resources to

develop and support the role

of IV Link Staff

Recertification IV Link Session

To provide a multidisciplinary

study session which includes

education and resources to

maintain and support the

continued role of IV Link Staff

Canterbury IV Project Group Goals� Provide leadership to the Canterbury region on IV Therapy

� To provide an interface for healthcare providers in the

Canterbury Region who currently certify IV Therapy as a

competency

� To provide support and education to IV Link staff on best

practice across the IV therapy continuum

� Work collaboratively providing expert input and the sharing of

resources allowing IV Therapy practices and process to be

standardised where it is appropriate and safe to do so

� To provide tools/support for managing infusion therapy risks

through Audit activities and Education

Canterbury IV Project Group

Director of Nursing representative

Ashburton Hospital Mary Harvey 03 3084149

Burwood Hospital Rachel Marshall 3839429

Christchurch Hospital Elizabeth Culverwell

Neil Hellewell

3641529

3641576

Christchurch Women’s Hospital

Gynaecology Margaret Burns 3644523

Neonates Edna Byron 3644878

Midwifery Tina Hewitt / Rhonda Ayles 3644730

Paediatrics Becky Conway 3648225

Princess Margaret Hospital Dinesh Lal 337 7899 ext 66151

Specialist Mental Health Ann-marie Wijnveld 026 2586585

Nurse Maude Association Rachael Haldane 027 2491972

24 hour Surgery / Pegasus Joanne Butfield 021 246 0942

Forte Health Jane Barnett

Southern Cross Hospital Julie Hedley 9683108

St. Georges Hospital Cate Fluitsma 3559179 ext 8813

Rural PHO Janetta Skiba 357 4970 ext 206

West Coast DHB Chris Black 03 769 7462

Other Partnering Organisations

Nelson Marlborough

District Health Board

– Nelson Hospital

– Wairau Hospital

InitiativesPortability of IV competencies regionallyDevelopment of on-line learning -MOODLE

• Initial IV therapy• CVAD

Developing initial and recertification educationPermanent competencies

• IV Therapy• Cannulation• Venepuncture

PICC nurse Inserters Competency – CredentialingCVAD Skin reaction Chart (in SLP & on IV Link site)CVAD patient information booklets available on PDU & IV Link IV web site:

• PICC• Hickman• Portacath

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New InitiativesRecognition Prior Learning form

IVT, PIVC, Venepuncture

Child Health now included in CVAD SLP

CPO forms for:CVAD

Cannula

Standardised Patient Information Booklets

PICC, Hickman & Portacaths

Speed up the Process - Recognition of Prior Learning

�Written by patients for

patients

Professional Standards

Professional standards define the professional knowledge,

skills and behaviour expected of health practitioners. The

purpose of the Health Practitioners Competence

Assurance Act 2003 (HPCA Act) is to protect the health and

safety of members of the public by providing mechanisms

to ensure that health practitioners are competent and fit

to practise their professions

Maternity Services Notice pursuant to Section 88 of the New Zealand

Public Health and Disability Act 2000,Medicines Act 1981, Medicines

Regulations 1984, Misuse of Drugs Act 1975, Misuse of Drugs

Regulations 1977 , Privacy Act 1993, Health Information Privacy Code

1994, Code of Health and Disability Services Consumers’

Rights 1996, all other relevant legislation

COMPETENCIESNursing Council of New Zealand

• Competency 1.1 Accepts responsibility for ensuring that his/her

nursing practice and conduct meet the standards of the professional, ethical and

relevant legislated requirements

• Competency 1.4 Promotes an environment that enables client

safety, independence, quality of life, and health.

• Competency 1.5 Practices nursing in a manner that the client

determines as being culturally safe.

• Competency 2.1 Provides planned nursing care to achieve

identified outcomes.

• Competency 2.2 Undertakes a comprehensive and accurate

nursing assessment of clients in a variety of settings.

• Competency 2.3 Ensure documentation is accurate and maintains

confidentiality of information.

• Competency 2.4 Ensures the client has adequate explanation of

the effects, consequences and alternatives of proposed treatment options.

• Competency 2.5 Acts appropriately to protect oneself and others

when faced with unexpected client responses, confrontation, personal threat or

other crisis situations.

• Competency 2.6 Evaluates client’s progress toward expected

outcomes in partnership with clients

• Competency 2.7 Provides health education appropriate to the

needs of the client within a nursing framework

• Competency 2.8 Reflects upon, and evaluates with peers and experienced nurses,

the effectiveness of nursing care

• Competency 2.9 Maintains professional development

• Competency 3.1 Establishes, maintains and concludes

therapeutic interpersonal relationships with client.

• Competency 3.2 Practices nursing in a negotiated partnership

with the client where and when possible

• Competency 3.3 Communicates effectively with clients and

members of the health care team.

• Competency 4.1 Collaborates and participates with colleagues

and members of the health care team to facilitate and coordinate care.

• Competency 4.2 Recognises and values the roles and skills of all

members of the health care team in the delivery of care.

• Competency 4.3 Participates in quality improvement activities to

monitor and improve standards of nursing.

New Zealand Midwifery Council

• Competency One The Midwife works in

partnership with the woman/wahine

throughout the maternity experience

• Competency Two The midwife applies

comprehensive theoretical and scientific

knowledge with the effective and technical skills

needed to provide effective and safe midwifery

care

• Competency Three The midwife promotes

practices that enhance the health of the

woman/wahine and her family/whanau and

which encourage their participation in her

healthcare

• Competency Four The midwife upholds

professional midwifery standards and uses

professional judgment as a reflective and critical

practitioner when providing midwifery care

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Professional AccountabilityNursing Council Code of Conduct 2012

Principle 4 – Standards:

Maintain heath consumer trust by providing safe and

competent care

4.6 – Reflect on own practice & evaluate care

4.7 – Deliver evidence based care

4.8 - Documentation clear accurate records

Importance of working as a team to achieve best patient outcomes

Clinical

Practice

Observations

PlanPlan

DoDo

CheckCheck

ActAct

Assessing Practice

Nursing Council Code of Conduct 4.1 Use appropriate care & skills

when assessing…

�11/28/2013

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PICC DRESSING PACK�Oracle code: 124262

�CONTENT:•Dressing pack•1 x Sorbaveiw dressing securement•1 x Solu-IV stick•1 x Solu-IV wipe•1 x Cavalon skin protectant•1 x MaxPlus PDD

NEW PICC Dressing securement system

NEW CVC Dressing

�Griploc securement device

e-Learning

• Level One

– Initial IV Therapy

• Level Two

– Central Venous Access Devices

– Cannulation – practice video

– Venepuncture – practice video

Added value – measuring success

Ward/department teaching- one on one or at

handover

Results of audits

Identifying gaps and opportunity for

improvement

Acknowledge success when outcomes reflect

best practice

Learning Objectives

Initial IV Link Study Day

To provide a multidisciplinary

study day which includes

education and resources to

develop and support the role

of IV Link Staff

Recertification IV Link Session

To provide a multidisciplinary

study session which includes

education and resources to

maintain and support the

continued role of IV Link Staff

REFLECTION & EVALUATIONS