NCAH Issue 01 2013

www.ncah.com.auNursing Careers Allied Health - Issue 1

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Visited by more nurses, midwives and AHPs than any other health website

New Year, New Career

Nurses demand government action

Nurse aims to improve quality of life for palliative care patients

Pharmacists urged to ignite their leadership potential

Report applauds mental health nurse incentive program

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0 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 3

Page 6 | www.ncah.com.auNursing Careers Allied Health - Issue 1 | Page 27

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Physiotherapy graduate embraces dream jobby Karen Keast

For the past few years, Charlotte has also

been involved in the Australian Physiotherapy

Association as a student member and has held

voluntary positions, including taking on the

roles as the National Student Network chair

and also the Victorian Student Committee chair

last year.

Capping off a busy year, the high achiever

was also recognised for her contribution to the

professional body when she was awarded the

APA’s Board of Directors Student Prize.

“I have always been a big believer in getting

involved as much as you can and taking every

opportunity that’s offered to you,” she said.

Charlotte is not the �rst in her family to venture

into the health sector.

Her mum and two aunts are nurses, her

grandfather was a doctor and her grandmother

was a nurse while another aunt is a medical

scientist.

Charlotte Ganderton was just seven when she �rst dreamed of becoming a physiotherapist.

A tennis injury prompted Charlotte to seek physiotherapy treatment and also helped spark her interest in pursuing a career in the physiotherapy profession.

Next month, the 23-year-old’s aspiration will become a reality, when Charlotte begins work at Melbourne’s Peninsula Health as a grade one rotating physiotherapist.

“I’m looking forward to being able to give back someone’s functional ability and seeing a person return to daily activities that they were unable to do prior to them seeking physiotherapy; that’s probably the most rewarding thing about the profession,” she said.

“I have seen a lot of physiotherapists in my life with various sporting injuries but there was one particular physio who inspired me; Scott Wagstaff at Berwick Physiotherapy.

“I guess he become almost part of my family. He was extremely caring and very professional. He always really cared about his patients.”

Charlotte will complete her four-year Bachelor of Health Science/Master of Physiotherapy Practice (Honours) this month at La Trobe University’s Bundoora campus.

Throughout her studies, Charlotte had six placements, each for �ve weeks in various health facilities, in which she was lucky enough to experience a range of physiotherapy areas such as continence and women’s health, neurological, cardio-respiratory, musculoskeletal, burns and plastics, and paediatrics.

Charlotte said while she enjoyed all aspects of physiotherapy throughout her course and was looking forward to experiencing a variety of areas in her �rst job, she was particularly interested in paediatrics and sports physiotherapy.



| www.ncah.com.au Nursing Careers Allied Health - Issue 1 | Page 29

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A unique project is pioneering the way Queensland’s frontline nurses access and use data to improve patient safety.

The state-wide Nurse Sensitive Indicator (NSI) project, the �rst of its kind in Australia, was recently a �nalist in the IPAA Queensland Public Sector Excellence Awards and has received national and international recognition.

Sandra Moss, Princess Alexandra Hospital nurse and NSI project manager, said the NSI reporting tool produces a range of organisational dashboards and reports, enabling each facility’s nursing leaders to monitor, trend, analyse and benchmark performance for numerous patient safety and nursing workforce indicators.

“In 2009, three discussion papers were tabled at the Director of Nursing and Midwifery Committee that identi�ed the importance of capturing Nurse Sensitive Indicators for patient safety, quality, policy direction, cost ef�ciency, information equity and transparency,” she said.

The Queensland Health project, commissioned by the Nursing and Midwifery Of�ce Queensland in partnership with the hospital, �rst investigated existing NSI reporting practices throughout the state.

Consultation and collaboration was then held with a range of groups, data source teams, universities and QH stakeholders to help develop a process and structure to create the tool.

Ms Moss said two consultants came on board to build the NSI tool, which uses �ve QH systems linked into the one report, with key stakeholders providing data from their systems to populate the tool.

The reporting tool was pilot trialled and evaluated at six QH facilities earlier this year, including Cairns Base Hospital, Gympie

Hospital, Longreach Hospital, Townsville Hospital, Prince Charles Hospital and Princess Alexandra Hospital.

After follow up improvements, QH nursing leaders – now for the �rst time- have the ability to compare and benchmark the nursing performance at 114 hospitals across the state.

Nurses also have equal access to state-wide patient safety data, helping nurses to drive quality and safety improvements for patients, while the reporting tool has also led to improved ef�ciency and savings estimated at up to $45,000 a month.

“The importance of developing a standardised NSI reporting process has wide implications on patient safety, quality, policy direction, cost ef�ciency, information equity, transparency, reporting governance and accountability whilst enabling nursing contributions to be measured, recognised and valued,” Ms Moss said.

“The project has delivered standardised, automated, evidence-based, resource ef�cient management tools and processes with common corporate-based data sources, which strengthened the position of nursing in QH to inform strategic quality decisions.”

Ms Moss said while the feedback has been overwhelmingly positive, there was more work to be done to improve the NSI reporting tool.

“Numerous recommendations were obtained during the project and will inform the future direction of the state-wide NSI reports,” she said.

“Currently planning is underway to enhance, progress and expand the NSI reports.”

Queensland nursing project improves patient safetyby Karen Keast

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We hope you enjoy perusing the range of opportunities included in Issue 01, 2013.

If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]

The NCAH Magazine distribution is independently audited by the Circulations Audit Board.

Total Audited Print and Digital Distribution: 28,090

The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia

For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au

If you would like to change your mailing address, or be included on our distribution, please email [email protected]

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advertisements contained in this publication is the responsibility of

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www.ncah.com.au

Next Publication: Regional & Remote featurePublication Date: Tuesday 29th January 2013

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Page 28 | www.ncah.com.au Nursing Careers Allied Health - Issue 1 |


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Are you keen to utilise ALL your nursing skills? Opportunities exist for casual Flight Nurses to join the Royal Flying Doctor Service at our Adelaide base. Working in a diverse, fulfilling and rewarding environment, RFDS nurses are at the forefront in delivery of aeromedical health services. Qualifications and experience: Must be a registered general nurse with midwifery endorsement. Comprehensive experience and/or post graduate qualifications in a critical care area essential.Features: $60/hour, working shifts of 8 – 12 hour duration on a 7 day roster.

Applicants must be able to commit to at least one shift per week.Also seeking expressions of interest for Flight Nurses at all Bases (Alice Springs, Port

Augusta & Adelaide) for future vacancies – please email your CV as per below.Please direct your confidential enquiries to: Vikki Denny Ph: (08) 8150 1303Applications to: HR Coordinator RFDS Central Operations PO Box 381, Marleston DC SA 5033 Email: [email protected] close: 25 January 2013

SEE WA IN A DAYFlight nurses positions Regional bases Come and enjoy this exciting role with one of the largest areomedical services in Australia, providing a range of emergency services and primary health care to the state of Western Australia. Our operations are ever evolving and we are seeking Expressions of Interest from suitably skilled and motivated Registered Nurse / Midwives wanting to join our dynamic fl ight nurse teams at our regional bases within Western Australia.The role of a Flight Nurse is fun, rewarding and challenging while valuing team work and independent practice. If you are registered with AHPRA as a registered nurse and midwife, have 3-5 years post grad experience in emergency or critical care and great communication skills RFDS Western Operations may have the role for you.A comprehensive 2 week orientation, generous salary and salary packaging benefi ts, assistance with relocation and subsidised rental and utility costs along with district loadings and gratuities are some of the incentives offered to the successful candidates.If you are seeking the opportunity to work in all our locations within WA, Derby, Jandakot, Meekatharra, Kalgoorlie and Port Hedland and would like to know more about being a fl ight nurse contact Gabrielle West, Director of Nursing on (08) 9417 6300. The RFDS are open to a 6 month plus fl ight nurse contract for applicants seeking employment with the RFDS.Information on positions can be obtained from Rosemary Hunt, by phoning (08) 9417 6300 during offi ce hours or send your e-mail request to [email protected] date for applications is Monday 6th February 2012.

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Young Australian women are continuing to turn to fad diets and commercial weight loss programs instead of seeking professional help from dietitians.

And it’s a tactic that doesn’t appear to be working, with a Dietitians Association of Australia survey revealing almost two thirds of 18 to 24-year-olds have yet again resolved to eat healthier this year and almost half want to lose weight.

With weight loss one of the most popular New Year’s resolutions, the DAA’s Young Women’s Nutrition Survey discovered similar results from its survey the previous year, con�rming many young women are continuing to struggle with weight and nutrition.

Accredited Practising Dietitian Melanie McGrice said dietitians assist with a range of food issues, covering food intolerances, diabetes and fertility, but weight loss tends to be just a small part of the job.

“From my experience and what I have heard from other dietitians is it’s only a small part of what dietitians do at the moment, which I think is quite a shame because as we know the survey shows up to 68 per cent of 18 to 24-year-olds are wanting to eat healthier in 2013 and that 42 per cent of those want to lose weight,” she said.

“Instead of going to their health professional they are going to magazines and commercial weight loss programs.”

The latest survey also revealed almost two in three young women tried to lose weight in the year prior to the survey, and just over a quarter reported that trying to lose weight was an ongoing issue.

Ms McGrice recommended women wanting to

lose weight seek tailored nutrition advice from

an APD.

“The biggest difference is when somebody

comes to see a dietitian, the advice is tailored

for the individual and not everybody has the

same problem,” she said.

“Weight loss isn’t always about being put on

kilojoule restriction; people gain weight for a

whole lot of different reasons.

“Dietitians really analyse what the key issues

are for the individual and then they deal with

those key issues…really solving the problem

rather than providing a Band-Aid solution.”

The survey results come as the DAA prepares

to host Australia’s Healthy Weight Week

campaign from January 20-27.

This year’s campaign urges 18 to 25-year-

old women to adopt healthy eating habits to

achieve and maintain a healthy weight, with

rates of weight gain in this group higher than

other Australians, affecting their fertility and

long-term health.

APDs are hosting more than 45 events across

Australia, ranging from supermarket tours to

community presentations, healthy barbecues

and picnics. APDs can still register their event

at www.healthyweightweek.com.au.

Follow AHWW on Twitter @HealthyWtWk and

#AHWW and take part in the AHWW live Twitter

chat, using #AHWW, on January 21 from 8.30-

9.30pm (AEST).

Dietitians urge women to seek weight loss advice from APDsby Karen Keast

problems for the patient and show that you have made a difference.

“We don’t actually do that with delirium. I think there’s a number of reasons why we don’t. I think it’s a gap and I think we need to have a conversation around it.

“If there’s an opportunity to reverse someone’s delirium we should be taking that opportunity.

“A day without delirium is a better day than a day with delirium. You can make a real difference there.”

Ms Hosie said early recognition of a patient’s delirium would help clinicians treat the underlying physical cause and potentially reverse the delirium.

“Even if the delirium cannot be reversed, patients and families will need information and support about what is happening, and there are interventions that may reduce the severity of the symptoms.”

Ms Hosie’s review, titled ‘Delirium prevalence, incidence, and implications for screening in

specialist palliative care inpatient settings: a systematic review’, was conducted under the supervision of Notre Dame’s Professor of Palliative Nursing Jane Phillips and written in collaboration with her co-authors. It was recently published in Palliative Medicine.

Ms Hosie plans to develop and test a pilot intervention in 2014, aimed at improving nursing practice in delirium prevention, recognition and assessment.

As part of her work to develop the pilot, Ms Hosie is now recruiting about 30 palliative care nurses for a study on aspects of practice.

To be eligible to participate in the study, participants must be registered nurses with at least 12 months clinical experience, employed for at least three months by a specialist palliative care inpatient service in Australia, and working in a role which includes clinical responsibilities.

Anyone wanting to participate in the study can email [email protected].

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The Australian College of Mental Health Nurses has called for funding for the Mental Health Nurse Incentive Program (MHNIP) to be uncapped after the program received a glowing report card.

ACMHN CEO Kim Ryan said the program needs to be uncapped to ensure mental health patients don’t miss out on vital services.

“I think it’s good to have it uncapped �nancially,” she said.

“We know how many people have severe and complex mental health conditions.

“If we know those people who have got severe and complex mental health conditions are being kept out of hospital and getting improved quality of life, do we need to cap the program?

“We are talking about a very small portion of the population actually getting the services they require.

“There needs to be more money set aside to enable the program to grow and do what it needs to do.”

The MHNIP received extra funding in last year’s Federal Budget but the ACMHN says the funds are not enough to meet demand and are effectively frozen at 2011-12 levels.

The Department of Health and Ageing’s �nal evaluation of the program, which was publicly released on December 24, 2012, gave it top marks for its appropriateness, effectiveness and ef�ciency but also outlined measures for it to be further improved.

The report found demand for the program exceeded available services while patients are receiving improved levels of care due to greater continuity of care.

It also shows a reduction in mental health

hospital admissions, widespread support for

the model of care and positive �ow on bene�ts

to patients’ carers.

The government has been waiting on the

outcome of the report and will now consider

the program’s long-term future with a meeting

of key stakeholders expected to be held within

the next month.

Ms Ryan labelled the report “very positive”.

“I think that it actually says that the MHNIP

is doing effectively what it was set up to do,

which is help people with severe and complex

mental health conditions,” she said.

“I don’t think there’s any question about the

future of the program. I think it’s going to be

about what the program looks like in the

future.

“I suppose the next step would be how we

move forward in terms of maintaining the

�exibility of the program. That people are seen

when they need to be seen…and where they

need to be seen.”

Launched in 2007, the MHNIP funds

community-based general practices, private

psychiatric practices and other organisations

to engage mental health nurses to assist in the

provision of coordinated clinical care for people

with severe mental health disorders.

Under the program, mental health nurses work

with psychiatrists and GPs to provide services

such as monitoring a patient’s mental state,

medication management and improving links

to other health professionals and clinical service

providers at little or no cost to the patient.

Report applauds mental health nurse incentive programby Karen Keast

CRICOS Provider Codes: QLD-00219C, NSW

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CQUniversity is proud to announce the introduction of our new Graduate Diploma of Midwifery available to study from term 1, 2013*.

Contemporary midwifery educationFlexibility to study by distance educationProfessional practice experience at one primary clinical site while you study

Visit www.cqu.edu.au/midwifery or call 13CQUni 13 27 86 for more information.* Program available in 2013, subject to University and ANMAC approval.

NEW BEGINNINGS FOR MIDWIFERY AT CQUniversity AUSTRALIA

Located at the gateway to the Lakes and Wilderness region, you can enjoy easy access to the

Gippsland lakes and beaches, national parks and snowfields. As the largest healthcare provider

in East Gippsland, the Bairnsdale Regional Health Service (BRHS) provides services to a growing

population of 40,000 people across a land mass of 21,000 square kilometres. BRHS operates

three fixed campuses in conjunction with itinerant healthcare services in remote communities.

Midwives Full time/part time negotiable

Due to internal promotion and staff retirement, we are seeking experienced and enthusiastic

Midwives to join our team. With 350 births per year, our service offers 3 different models of care:

caseload midwifery; shared care; and GP only care. We are interested in discussing

opportunities to suit individual requirements.

Elective Surgical Access Coordinator Grade 4, 0.8 eft/full time negotiable

An exciting vacancy for a Registered Nurse with a strong clinical background to hone existing

skills in management, data analysis and system development. This newly created position will

provide you with an excellent opportunity to develop and lead a team of multidisciplinary health

professionals and create effective systems to manage elective surgery access.

Physiotherapist (Grade 1, full time/part time negotiable)

An enthusiastic physiotherapist is sought to work within our dynamic Allied Health team. The

position offers rotation through our acute inpatient, rehabilitation and outpatient services.

Applicants will benefit from working in a dynamic friendly team where managerial support and

professional development is highly prioritised. Locum placements would also be considered.

All positions offer excellent terms and conditions including salary packaging and initial support

with accommodation.

For further information and a position description please visit our website www.brhs.com.au For information on East Gippsland visit www.discovereastgippsland.com.au

“We offer a lifestyle and environment dreams are made of”

Located at the gateway to the Lakes and Wilderness region and an easy three hour drive from Melbourne, you can enjoy close access to the Gippsland lakes and beaches, national parks and the snowfields. An array of fantastic lifestyle options is available combined with the opportunity to fast track your Nursing career.

EMERGENCY DEPARTMENTASSOCIATE NURSE UNIT MANAGERS

As the largest healthcare provider in East Gippsland, Bairnsdale Regional Health Service (BRHS) provides services to a growing population of 40,000 people.Applications are invited from experienced Registered Nurses interested in joining a high functioning and committed emergency nursing team in these ongoing positions with full/part time hours negotiable. We are seeking applicants who can demonstrate experience in supporting and/or leading a nursing team. Post graduate qualifications in Critical Care or Emergency Nursing will be well regarded.The successful applicants will benefit from:• Access to extensive salary packaging options• Ongoing paid professional development leave• Accommodation and relocation assistanceEnquiries to: Tim Wood, Nurse Unit Manager on 03 5150 3360Please visit www.brhs.com.au for a position description and application details.






















with accommodation.



More than 97 per cent of respondents to an

Australian Nursing Federation survey have called

on Federal Health Minister Tanya Plibersek to

take action on the graduate nursing crisis.

The ANF’s online poll, held in December, found

97.4 per cent of the 680 respondents want Ms

Plibersek to step in and do more to solve the

nation’s growing workforce crisis.

It also found 87 per cent want Prime Minister

Julia Gillard to waive HECS fees for nurse

graduates who accept employment in areas of

need.

The union launched its ‘Stop passing the buck,

Australia’s nursing grads need jobs’ campaign

late last year.

It follows a major drop in the number of public

health sector jobs offered to nursing graduates

across most of Australia, with hundreds of

graduates missing out on nursing jobs.

ANF federal secretary Lee Thomas said the poll

results sent “a very loud” pre-election message

to the Gillard Government that it needs to work

with state and territory governments to �x the

graduate nursing crisis.

“The poll results clearly show that the growing

nursing crisis is set to become a real election

issue for the Gillard Government…and it’s an

issue the government must address and solve,

otherwise safe patient care will be compromised

and unfortunately, it will be the sick and the

vulnerable who will suffer,” she said.

A spokesman for Ms Plibersek said the

government will work “with the Australian

Nursing Federation, the universities and other

key stakeholders to facilitate a sustainable

outcome in coming months”.

He also stated the government was investing

heavily in developing a highly quali�ed and skilled

nursing workforce to meet Australia’s current

and future health needs, including $523 million

outlined in the 2010 budget, over four years,

for training and incentive programs for nurses

and $84.7 million for nursing scholarships.

“HECS-HELP bene�ts also reduce HECS debt

repayments for nurses working in speci�c

locations,” he said.

The ANF is calling on federal and state

governments to support a raft of strategies

in a bid to secure employment for nursing

graduates and for the ongoing promotion of

safe patient care.

Measures include state and federal government

funding for 24-hour daily clinical supervision

and mentoring, rotation through non-traditional

graduate areas such as primary care and aged

care, and joint state and federal funding for

graduate positions.

The ANF campaign has resulted in more than

2650 emails to politicians, including 800 emails

sent to Ms Plibersek, while almost 10,000

people signed up to show their support for the

campaign.

Nurses demand government actionby Karen Keast

Issue Colour deadline Mono deadline Publication date Special features

1 7 Jan 9 Jan 14 Jan New Year, New Career

2 21 Jan 23 Jan 29 Jan (Tues) Regional & Remote Health

3 4 Feb 6 Feb 11 Feb Mental Health

4 18 Feb 20 Feb 25 Feb Theatre & Critical Care

5 4 Mar 6 Mar 12 Mar (Tues) Working Abroad

6 18 Mar 20 Mar 25 Mar Midwifery & Maternal

7 2 Apr (Tues) 3 Apr 8 Apr Agencies

8 15 Apr 17 Apr 22 Apr Aged Care

9 29 Apr 1 May 6 May Nurse Leaders

10 13 May 15 May 20 May Education

11 27 May 29 May 3 Jun Theatre & Critical Care

12 11 Jun (Tues) 12 Jun 17 Jun Mental Health

13 24 Jun 29 Jun 1 Jul Midwifery & Maternal

14 8 Jul 12 Jul 15 Jul Nurse Leaders

15 22 Jul 26 Jul 29 Jul Regional & Remote Health

16 5 Aug 7 Aug 12 Aug Agencies

17 19 Aug 21 Aug 26 Aug Working Abroad

18 2 Sep 4 Sep 9 Sep Education

19 16 Sep 18 Sep 23 Sep Theatre & Critical Care

20 30 Sep 2 Oct 7 Oct Mental Health

21 14 Oct 16 Oct 21 Oct Midwifery & Maternal

22 28 Oct 30 Oct 4 Nov Aged Care

23 11 Nov 13 Nov 18 Nov Education

24 25 Nov 27 Nov 2 Dec Nurse Leaders

25 9 Dec 11 Dec 16 Dec New Year, New Career

PUBLICATION & DEADLINE DATES - 2013For advertising bookings or enquiries call +61 (03) 9271 8700




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with accommodation.














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late last year.




































safe patient care.






graduate positions.





campaign.


IssueColour deadlineMono deadlinePublication dateSpecial features

17 Jan9 Jan14 JanNew Year, New Career

221 Jan23 Jan29 Jan (Tues)Regional & Remote Health

34 Feb6 Feb11 FebMental Health

418 Feb20 Feb25 FebTheatre & Critical Care

54 Mar6 Mar12 Mar (Tues)Working Abroad

618 Mar20 Mar25 MarMidwifery & Maternal

72 Apr (Tues)3 Apr8 AprAgencies

815 Apr17 Apr22 AprAged Care

929 Apr1 May6 MayNurse Leaders

1013 May15 May20 MayEducation

1127 May29 May3 JunTheatre & Critical Care

1211 Jun (Tues)12 Jun17 JunMental Health

1324 Jun29 Jun1 JulMidwifery & Maternal

148 Jul12 Jul15 JulNurse Leaders

1522 Jul26 Jul29 JulRegional & Remote Health

165 Aug7 Aug12 AugAgencies

1719 Aug21 Aug26 AugWorking Abroad

182 Sep4 Sep9 SepEducation

1916 Sep18 Sep23 SepTheatre & Critical Care

2030 Sep2 Oct7 OctMental Health

2114 Oct16 Oct21 OctMidwifery & Maternal

2228 Oct30 Oct4 NovAged Care

2311 Nov13 Nov18 NovEducation

2425 Nov27 Nov2 DecNurse Leaders

259 Dec11 Dec16 DecNew Year, New Career





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9.30pm (AEST).














AgencyOf�ce

locations

States

serviced

# Nurses

Years


Key


CQ Nurse Mackay,

QLD

ACT, NSW,

NT, QLD,

TAS, WA

4009 General Medical,

Midwifery,

Regional & Remote

Regional and

Remote

Facilities

www.cqnurse.com.au

07 4998 5550

WorkPac Melbourne,

Brisbane

VIC, QLD4 Aged Care, Cardiac,



Emergency,

General Medical,


Theatre / Periop


Epworth;

QLD - Mater, RSL,

Qld Baptist Care,

Blue Care

www.workpac.com

1300 724 216

First Choice

Care

Brisbane,

Melbourne

QLD, VIC2,500 8 Aged Care, Cardiac,



Emergency,

General Medical,


Midwifery,

Paediatric / PICU,

Regional & Remote,


Queensland Health

preferred supplier,

Mater Health,

Uniting Care


1300 307 241





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For the full article visit NCAH.com.au

A new leadership program is encouraging pharmacists to spark innovation and in�uence the future of the profession.

The Pharmaceutical Society of Australia has launched ‘ignite’; a program for outstanding early career pharmacists who want to develop their leadership skills and bolster their career opportunities.

The new program hopes to create future leaders who will drive strategy, change and innovation in the profession.

PSA national president Grant Kardachi said the program offers a unique leadership development experience that will broaden pharmacists’ career horizons.

“Whether you wish to advance your career within a hospital, community, industry,

government, non-government or academic setting, the ignite program will give you the platform you need to succeed,” he said.

The six-month program features interactive workshops, experiential learning, distance learning, inspirational speakers, personal mentoring, networking opportunities and a practical workplace project.

The program offers a wide range of bene�ts designed to provide participants with a platform for career success, from professional networking opportunities to gaining CPD credits, developing leadership and management qualities and skills along with coaching skills.For more information or to apply visit www.psa.org.au/education.

Pharmacists urged to ignite their leadership potentialby Karen Keast

A Sydney palliative care nurse hopes her research into delirium will improve nursing care for palliative care patients.

Annmarie Hosie, a nurse at Calvary Health Care Sydney and PhD student at The University of Notre Dame Australia, is researching palliative care inpatients’ prevalence of delirium and how palliative care nurses can better recognise and respond to symptoms of delirium.

Ms Hosie, a nurse for more than 20 years who has worked in palliative care and in aged care settings for the past 12 years, said research shows nurses often fail to recognise delirium but delirium can have a major impact on quality of life for patients and their families.

“There are quite a number of studies, particularly around nursing recognition, that show that across the board, nurses don’t recognise delirium. It’s a real issue in nursing,” she said.

“If you don’t recognise it, you don’t put in the following steps that are necessary but if you recognise it, you can then think more critically about what’s going on for the person.”

Ms Hosie said hypoactive delirium, where patients are often withdrawn, quiet and vague, was the least recognised subtype.

Delirium is an acute neuropsychiatric syndrome related to a physical cause, with �uctuating changes to levels of consciousness or alertness, cognition and often perception.

Patients can experience a wide range of symptoms such as inattention, altered alertness, impaired memory, language, behaviour changes, hallucinations, illusions or delusions, mood changes and altered sleep cycles.

Ms Hosie said patients who experience delirium report it as being frightening, humiliating and distressing.

“Older, hospitalised patients who experience delirium are more likely to fall, stay in hospital longer and be discharged to a nursing home,” she said.

“These patients also have increased mortality compared to those patients who did not experience delirium.”

Ms Hosie said research indicates between a third and a half of palliative care patients’ delirium was reversible.

And she said the introduction of a comprehensive screening process for delirium would improve its recognition.

“In palliative care inpatient settings, patients are screened every day for their level of pain, nausea, appetite, their bowels, breathing and their levels of energy,” she said.

“Part of the reason for screening is to be able to address what are the most signi�cant

Nurse aims to improve quality of life for palliative care patientsby Karen Keast




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Fourteen New Zealand pharmacists will undertake training this year to become the �rst pharmacists in the country to prescribe medication.

The group of clinical pharmacists will complete the new postgraduate certi�cate in pharmacist prescribing early this year, enabling them to prescribe medicines to patients in a collaborative healthcare environment.

The development is the latest in the changing landscape of the country’s pharmacy profession, after pharmacists last year embraced the new Pharmacy Services Agreement, where pharmacists are paid to manage patients on chronic therapies but lose their dispensing fee, while pharmacists are also forging ahead in the provision of in-pharmacy immunisations.

The New Zealand Government recently announced its plans to enable clinical pharmacists to undergo special training and competency assessments to register in the new advanced scope of practice, which was developed by the Pharmacy Council of New Zealand with the support of Health Workforce New Zealand.

The �rst group of pharmacists includes seven who are hospital-based, who will work with specialist medical teams, and seven primary care pharmacists, who will work with primary care teams.

Following on from similar moves in Britain, the United States and Canada, the progression to pharmacist prescribers is the latest addition to the country’s growing list of non-medical prescribers, which includes nurse practitioners, midwives, diabetes nurse specialists, dentists and optometrists.

“This is a natural extension of the experienced clinical pharmacist’s role, making the best use of their training and knowledge of medicines and how to manage them,” Associate Health Minister Peter Dunne said in a statement.

“But this is also about ease of access to service for patients. The positioning of this role, as a key member of the health team, means patients get access to all the care they need, faster, and in one place.”

The initiative comes after the Pharmacy Council developed the new scope of practice, with consultation showing widespread support.

New Zealand pharmacists training to prescribe medicinesby Karen Keast

ASSOCIATE NUM MIDWIFERY UNIT(Minimum .8 FTE)

REGISTERED NURSE/MIDWIFE (Full/Part-time)

The Midwifery Unit has the above positions for suitably experienced Registered Nurses/Midwives. The Midwifery Unit offers maternity care for low risk pregnancies and there are appox. 280 births per year. Low acuity general med/surg. patients are sometimes cared for in the Unit also.

Enquiries can be directed to Ms. Thami Sikwebu, NUM on 0350339302 or email [email protected]

Applications including the names of two (2) professional referees should be forwarded to: Human Resources Manager, Swan Hill District Health, PO Box 483, Swan Hill 3585, Victoria or email [email protected] by Monday 21 January 2013.

Respect – Professionalism – Caring – Committed – Collaboration

Bupa has become Australia’s largest private

aged care provider after it purchased

10 residential aged care homes across

Queensland, New South Wales and Victoria.

The health insurer’s aged care arm, Bupa

Care Services Australia, recently acquired

Innovative Care’s aged care operations, run by

Victoria’s Croft family, which includes director

and operations manager Sandi Croft, who �rst

began work in aged care as a registered nurse

more than 20 years ago.

The sale includes 10 homes with 1114 beds

and features plans for acquiring further land

and the addition of more beds.

In a statement, Bupa announced it will make

job offers to Innovative Care’s entire aged care

home staff.

The deal takes Bupa’s aged care portfolio to

60 homes, which offer respite, low, high and

dementia care, comprising a total of 5616

beds, and comes after the insurer recently

purchased Bupa South Hobart in Tasmania,

Bupa Glenvale in Queensland and opened

Bupa Bankstown in New South Wales.

Its acquisition of Innovative Care remains

subject to regulatory approvals, which are

expected to be obtained in the next month.

Bupa Care Services Australia general manager

Paul Gregersen said the Innovative Care homes

are a “great �t for Bupa”.

“This is the most signi�cant acquisition in the

Australian aged care market for several years

and underlines Bupa’s investment in the aged

care industry and Australian health care more

broadly,” he said in a statement.

“The high quality of Innovative Care’s homes and

their industry leading practices will strengthen

Bupa’s aged care offering in Australia.

“We will be working with Innovative Care

management to carefully transition operations

as smoothly as possible to ensure continuity of

care for all residents.”

Bupa’s Australian and New Zealand businesses

are part of the international Bupa Group, which

cares for more than 30 million people in over

190 countries.

Bupa becomes Australia’s largest private aged care providerby Karen Keast

18–23

HAVE YOU SAVED THE DATE?18–23 MAY 2013

Equity and Access to Health Care

Australian College of Nursing

Australian member of ICN

Leading nursing expertise and care through access, learning and advocacyRCNA TCoN&

AUSTRALIAN COLLEGE OF NURSING

www.icn2013.ch

REGISTERED NURSE LEVEL 4.3 -

ASSISTANT DIRECTOR OF NURSING AND

MIDWIFERYJob No: 009UP www.jobs.act.gov.au Annual Salary $115,948 +

An exciting opportunity exists for an Assistant Director of Nursing and Midwifery (ADON and M) to work with the Director of Nursing and Midwifery for the Division of Women Youth and Children.

This role will provide leadership in the day-to-day operational management of the Women and Babies Department in the Centenary Hospital for Women and Children.

For a full position description, please visit www.jobs.act.gov.au or contact Elizabeth Chatham on (02) 6174 5803, or by email - [email protected] for more information.




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home staff.





























190 countries.


18–23





Leading nursing expertise and care through access, learning and advocacy RCNA TCoN &


www.icn2013.ch










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1301-027 1PG FULL COLOUR CMYK (typeset)

W: www.ahnr.com.au E: [email protected] T: 1300 981 509www.ahnr.com.au

If you are looking to make a fresh start to your career or would like to register your interest in future job opportunities go to

LOOKING FOR SOMETHING NEW IN 2013?

If you are looking to make a fresh start to your career in 2013 or

would like to register your interest in future job opportunities go to

www.ahnr.com.au

Some of our current vacancies include:

Nurse Unit Manager (Acute) Portland, Victoria

Applicants must hold current AHPRA registration with an eligible work

permit for Australia

Nurse Unit Manager (Medical Unit) Hamilton, Victoria

The Nurse Unit Manager provides leadership to our medical unit/

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Physiotherapist Warrnambool, Victoria

This is an exciting opportunity for a physiotherapist to join a

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Why not consider an exciting new career with Mercy Health & Aged Care? Mercy Health & Aged Care Central Queensland Ltd has 5 Mater Hospitals which are located in Mackay, Yeppoon, Gladstone, Rockhampton & Bundaberg. We also have Aged Care facilities in Rockhampton.

We are one of Queensland’s highest paying private health and aged care employers;

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Find out more or search for vacancies at: www.mercycq.com or call our recruitment team on (07) 4931 7478 today!

Looking fora change?

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W: www.ahnr.com.au E: [email protected] T: 1300 981 509www.ahnr.com.au





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Leading nursing expertise and care through access, learning and advocacy RCNA TCoN &


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190 countries.


18–23





Leading nursing expertise and care through access, learning and advocacyRCNA TCoN&


www.icn2013.ch










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an APD.




















long-term health.









9.30pm (AEST).














AgencyOf�ce

locations

States

serviced

# Nurses

Years


Key


CQ Nurse Mackay,

QLD

ACT, NSW,

NT, QLD,

TAS, WA

4009 General Medical,

Midwifery,

Regional & Remote

Regional and

Remote

Facilities

www.cqnurse.com.au

07 4998 5550

WorkPac Melbourne,

Brisbane

VIC, QLD4 Aged Care, Cardiac,



Emergency,

General Medical,


Theatre / Periop


Epworth;

QLD - Mater, RSL,

Qld Baptist Care,

Blue Care

www.workpac.com

1300 724 216

First Choice

Care

Brisbane,

Melbourne

QLD, VIC2,500 8 Aged Care, Cardiac,



Emergency,

General Medical,


Midwifery,

Paediatric / PICU,

Regional & Remote,


Queensland Health

preferred supplier,

Mater Health,

Uniting Care


1300 307 241





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the next month.









future.





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CRIC

OS P

rovi

der C

odes

: QLD

-002

19C,

NSW

-013

15F,

VIC-

0162

4D

CO1

3721


























with accommodation.



























with accommodation.














need.



late last year.




































safe patient care.






graduate positions.





campaign.


IssueColour deadlineMono deadlinePublication dateSpecial features

17 Jan9 Jan14 JanNew Year, New Career

221 Jan23 Jan29 Jan (Tues)Regional & Remote Health

34 Feb6 Feb11 FebMental Health

418 Feb20 Feb25 FebTheatre & Critical Care

54 Mar6 Mar12 Mar (Tues)Working Abroad

618 Mar20 Mar25 MarMidwifery & Maternal

72 Apr (Tues)3 Apr8 AprAgencies

815 Apr17 Apr22 AprAged Care

929 Apr1 May6 MayNurse Leaders

1013 May15 May20 MayEducation

1127 May29 May3 JunTheatre & Critical Care

1211 Jun (Tues)12 Jun17 JunMental Health

1324 Jun29 Jun1 JulMidwifery & Maternal

148 Jul12 Jul15 JulNurse Leaders

1522 Jul26 Jul29 JulRegional & Remote Health

165 Aug7 Aug12 AugAgencies

1719 Aug21 Aug26 AugWorking Abroad

182 Sep4 Sep9 SepEducation

1916 Sep18 Sep23 SepTheatre & Critical Care

2030 Sep2 Oct7 OctMental Health

2114 Oct16 Oct21 OctMidwifery & Maternal

2228 Oct30 Oct4 NovAged Care

2311 Nov13 Nov18 NovEducation

2425 Nov27 Nov2 DecNurse Leaders

259 Dec11 Dec16 DecNew Year, New Career





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the next month.









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CRICOS Provider Codes: QLD-00219C, NSW

-01315F, VIC-01624D CO13721


























with accommodation.



























with accommodation.














need.



late last year.




































safe patient care.






graduate positions.





campaign.


Issue Colour deadline Mono deadline Publication date Special features

1 7 Jan 9 Jan 14 Jan New Year, New Career

2 21 Jan 23 Jan 29 Jan (Tues) Regional & Remote Health

3 4 Feb 6 Feb 11 Feb Mental Health

4 18 Feb 20 Feb 25 Feb Theatre & Critical Care

5 4 Mar 6 Mar 12 Mar (Tues) Working Abroad

6 18 Mar 20 Mar 25 Mar Midwifery & Maternal

7 2 Apr (Tues) 3 Apr 8 Apr Agencies

8 15 Apr 17 Apr 22 Apr Aged Care

9 29 Apr 1 May 6 May Nurse Leaders

10 13 May 15 May 20 May Education

11 27 May 29 May 3 Jun Theatre & Critical Care

12 11 Jun (Tues) 12 Jun 17 Jun Mental Health

13 24 Jun 29 Jun 1 Jul Midwifery & Maternal

14 8 Jul 12 Jul 15 Jul Nurse Leaders

15 22 Jul 26 Jul 29 Jul Regional & Remote Health

16 5 Aug 7 Aug 12 Aug Agencies

17 19 Aug 21 Aug 26 Aug Working Abroad

18 2 Sep 4 Sep 9 Sep Education

19 16 Sep 18 Sep 23 Sep Theatre & Critical Care

20 30 Sep 2 Oct 7 Oct Mental Health

21 14 Oct 16 Oct 21 Oct Midwifery & Maternal

22 28 Oct 30 Oct 4 Nov Aged Care

23 11 Nov 13 Nov 18 Nov Education

24 25 Nov 27 Nov 2 Dec Nurse Leaders

25 9 Dec 11 Dec 16 Dec New Year, New Career





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CQ NurseMackay,

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4009General Medical,

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Regional & Remote

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www.cqnurse.com.au

07 4998 5550

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Brisbane

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Epworth;

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www.workpac.com

1300 724 216

First Choice

Care

Brisbane,

Melbourne

QLD, VIC2,5008Aged Care, Cardiac,



Emergency,

General Medical,


Midwifery,

Paediatric / PICU,

Regional & Remote,


Queensland Health

preferred supplier,

Mater Health,

Uniting Care


1300 307 241





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www.ncah.com.au Nursing Careers Allied Health - Issue 1



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