Contact any of the following
for Further Jen Udy Judy
Harris Margaret Hearn Rachael Sullivan Merryll Frear Cherry Waldron Chris Tipa Julie Palmer
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Page 1 Nursing Group contact details
Quote
Page 2 Minutes of the Nurse Project Meeting held on July 7th 2004
Page 3 August Meeting Agenda
Julie’s Column
For Your Diaries
“Four Scopes of Practice for Nursing” article
Page 4 “Four Scopes of Practice for Nursing” continued
Reports by the two new CNE’s
Karen Franklin
&
June Henwood
JULY 2004 MINUTES
MINUTES OF THE NURSE PROJECT MEETING HELD ON WEDNESDAY, 7th July 2004
AT 12.15
CONFERENCE ROOM, COMMUNITY HEALTH, DARGAVILLE HOSPITAL
Present: Glenis Turner, Merryl Frear, Rachael Sullivan, Viv Andrew, Sandra Thompson & Kelly Gibson, Marion McCahon, Pam Baldwin, Rhona Zeilinksi, Jen Udy, Judy Harris, Allison Freemantle, Julie Palmer, Celeste Sherman, Margaret Hearn, Raewyn Fowlie, Trish Crompton & Chris Tipa
Blessing of the kai: Julie
Welcome & Introductions: by Julie Palmer of Sandra & Kelly, Nursing Innovations Evaluation Team members from Waikato. Group members introduced themselves.
Apologies: Fran Glamuzina, Janine Hansen, Julie Robertson, Ward Nurses (busy), Cherry Waldron (Annual Leave), Kath Bowmar. Pam and Jen have to leave early.
Report by Nurse Rep on KCI Board: Jen has been on annual leave so was unable to attend the last meeting. Hopes to provide a monthly written report to the forum from now on. KCI AGM will come up in Sept/Oct, so nominations for Nurse Rep will be called for mid/late Aug. Jen has quite a few commitments and is not sure if she is standing again, so please think about other candidate possibilities. As Julie is an employee of KCI, she cannot fill the role, which will be explained in Jen’s next report and process outlined in the August korero. Discussion followed around the importance of the role and how fortunate it is to have a Nurse Representative (and other Nurses filling other roles) on the KCI Board.
Matters Arising from June Meeting: Poor turnout of Kaipara Nurses vs Whangarei Team Leaders at June meeting was a combination of people away, work commitments and forgetfulness. Good to see a good turnout today - may have been the reminders sent out on Monday! Meetings will continue.
Business:
Presentation of Progress on the Orientation Program by Julie (Powerpoint)
Nurse Leaders had also discussed the fact that if orientation between services was done effectively, Nurses may (temporarily or on part time basis) be shared between one service to another without it being too much of a culture shock. In the case of sharing nursing resources in an emergency situation, the main employer would pay for the nurse to go to the other service and then invoice that provider, meaning secondary tax etc does not have to be paid by the nurse. Advantages are also apparent for nurses who work part-time and wish to increase their hours by working for another service.
Details still to be finalised, but it is proposed that the orientation process would be prescriptive, to be completed within a 3 month time frame with the issue being assessed at a 3 month evaluation. Once successful, the concept could be shared with Allied Providers.
KCI - Chris – Careplus (Ministry PHO funding stream – not HHS Careplus ) to commence in Kaipara soon and will see a 1.0 FTE nursing position become available, working out of either DMC or Te Ha or both.
Ward/OP: - New CNE, Karen Franklin. Congrats to Karen Katipa on birth of her baby boy on 23/6.
More Kaipara patients now being seen on the surgical bus. Celeste is part of a group attending a conference in Wellington in Aug where they will be giving a presentation on (historical) Services at Darg Hosp. Looking for stories, old photos, equipment etc.
DMC: Immunisation stats for July 04- June 04 show that approx 800 were completed by DMC and 180 by Te Ha.
Re MenzB roll out stats – there will be 946 to immunise in the 6-5yr age group,
approx 73 in the up to 6 months,
2540 in schools
and 217 x 18yr olds in the community.
Kaipara have the worst MenzB stats in Northland over the past 3 years.
A successful first Plunket Immunisation Clinic held yesterday – 7 children immunised.
Te Ha: June Henwood replaces Lou Jurlina as Clinical Nurse Educator.
2 new staff should be starting soon (trial new Orientation process?)
Rhonda is leaving to work as Nursing Integration Leader for Tamaki PHO. Powhiri around 31st August.
Te Ha have a copy of Jonathon Jarman’s presentation on Chlamydia, using Kaipara stats.
Community Nursing: Undertaking a project with Manaia PHO on treating cellulitis in the community. If successful, may take it to other districts.
Jo Brown is now a member of the Nursing Leadership Council.
ECLIPS – 2 x DN’s presenting at the DN Conference in July and at another forum in Wellington.
A presentation on ECLIPS will also be coming to Dargaville – on August 11th.
Meeting Closed: 1.40
Next Meeting: Wednesday 4th August 2004 – 12.15 – 1.30 - Lunch Provided.
AUGUST 2004 MEETING AGENDA
Nurse Meeting Agenda
Wednesday 4th August 2004
Business Meeting 12.30—1.30pm
LUNCH (CHINESE) AVAILABLE FROM 12.15
Blessing/Welcome
Apologies
Previous Minutes
Matters Arising
General Business
Nurse Rep (KCI Board) Report by Jen Udy
Update on MeNZB by Trish Crompton
NIL Report by Julie Palmer
Nominations—Local Body & Nurse Rep (KCI Board)
Other
Dept/Service News/Panui
June Henwood on her new role (time permitting)
Next Meeting (September 1st)
JULIE'S COLUMN
Tena kotou katoa
In place of my normal column this month, I have inserted a copy of the “Four Scopes of Practice for Nursing” released by the Nursing Council to the media on July 21st.
Thanks to June Henwood and Karen Franklin, new CNE’s for Te Ha and NH respectively, for sharing their thoughts and pathways with us that have lead to their current roles. Congratulations to you both. Acknowledgement also of Deborah Ashley-Smith who is going for a scholarship towards Nurse Practitioner and Sue Harris being awarded Diabetes Nurse Specialist. We appreciate the hard work and dedication is takes to achieve goals and be successful in these positions.
We bid farewell to Rhonda Zeilinski, who leaves to take up a similar NIL role to mine with Tamaki PHO at the end of August. Your valuable input into nursing in the Kaipara will be missed, Rhonda, but we wish you all the best in the “Big Smoke”.
Julie
FOR YOUR DIARIES
ECLIPSE Information
Session by the
Innovators
Wednesday, 11th August, 12.30—1.30
Conf Room, Comm Hth
Lunch Provided
Next Lunchtime Shared Learning
Session
Michelle Wise, Obs & Gaeno
Abnormal Uterine
Bleeding
Thursday, 19th August
12.00—1.00pm at DMC
Lunch Provided
FOUR SCOPES OF PRACTICE FOR NURSING
News Release
21 July 2004
Four Scopes of Practice for Nursing
At its meeting on July 15 the Nursing Council finalised its decisions on the scopes of practice and qualifications for nursing.
“The Nursing Council of New Zealand is pleased to announce there will be four scopes of practice for nursing under the Health Practitioners Competence Assurance Act 2003. The four scopes of practice are Nurse Practitioner, Registered Nurse, Enrolled Nurse, and Nurse Assistant. The Enrolled Nurse scope will be closed.” says Marion Clark, the Chief Executive.
Since March of this year, the Council has worked with nurses and the sector to develop scopes of practice that will take nursing forward into the future. Scopes have been developed to describe the profession for the public so they have a clearer understanding of the skills and qualifications of nurses, and of the health services they provide. They come into effect on the 18 September 2004 with the implementation of the new Act. Council believes that there will be smooth transition. These scopes should not cause any changes to the employment of most nurses.
“Nurses who are practising legally under the Nurses Act 1977 will continue to be practising legally under this new Act” says Marion Clark.
The four new scopes of practice are:
1. Registered Nurse
Registered Nurses utilise nursing knowledge and complex nursing judgement to assess health needs and provide care, and to advise and support people to manage their health. They practise independently and in collaboration with other health professionals, perform general nursing functions and delegate to and direct enrolled nurses and nurse assistants. They provide comprehensive nursing assessments to develop, implement, and evaluate an integrated plan of health care, and provide nursing interventions that require substantial scientific and professional knowledge and skills. This occurs in a range of settings in partnership with individuals, families, whanau and communities. Registered Nurses may practise in a variety of clinical contexts depending on their educational preparation and practice experience.
Registered Nurses may also use this expertise to manage, teach, evaluate and research nursing practice. There will be conditions placed on the scope of practice of some Registered Nurses limiting them to a specific area of practice according to their qualifications or experience .
The qualification for new entrants into this scope is an approved undergraduate nursing degree or equivalent. Current registered nurses and registered obstetric nurses will be registered in this scope under the HPCA Act.
2. Nurse Practitioner
Nurse Practitioners are expert nurses who work within a specific area of practice incorporating advanced knowledge and skills. They practise both independently and in collaboration with other health care professionals to promote health, prevent disease and to diagnose, assess and manage people’s health needs. They provide a wide range of assessment and treatment interventions, including differential diagnoses, ordering, conducting and interpreting diagnostic and laboratory tests and administering therapies for the management of potential or actual health needs. They work in partnership with individuals, families, whanau and communities across a range of settings. Nurse Practitioners may choose to prescribe medicines within their specific area of practice. Nurse Practitioners also demonstrate leadership as consultants, educators, managers and researchers and actively participate in professional activities, and in local and national policy development. The Nursing Council competencies for Nurse Practitioners describe the skills, knowledge and activities of Nurse Practitioners.
To qualify for this scope nurses need a minimum of four years experience in their specific area of practice and a clinically focused masters degree.
There are currently eleven nurse practitioners who will be registered in this scope with conditions to reflect their areas of practice.
3. Enrolled Nurse
Enrolled nurses practise under the direction of a registered nurse or midwife to implement nursing care for people who have stable and predictable health outcomes in situations that do not call for complex nursing judgement. The responsibilities of enrolled nurses include assisting clients with the activities of daily living, recognising the changing needs of clients and performing delegated interventions from the nursing or midwifery care plan.
To qualify for this scope nurses must have completed their enrolled nursing programme prior to 2000.
4. Nurse Assistant
Nurse assistants assist registered nurses to deliver nursing care to individuals in community, residential and hospital settings. They perform delegated interventions from the nursing care plan to provide care and comfort for individuals and groups, assist and support clients with activities of daily living, observe and report changes in individual/group conditions and behaviours, safeguard dignity and promote independence and health and safety. The nurse assistant does not undertake independent nursing assessments or plan and evaluate nursing interventions. Nurse assistants are required to practise in a specific area based on the area of focus in their education programme and designated on their practising certificate.
To qualify for this scope nurses will need to complete an approved certificate programme. Nurses who have graduated from the new enrolled nurse programmes in Northland and Christchurch will be registered in this scope which will replace the current roll for nurses.
Further information available on Council’s website www.nursingcouncil.org.nz.
Contact Marion Clark, Chief Executive
Nursing Council of New Zealand
04) 802 0232 / 021 650 869.
KAREN FRANKLIN, CNE ROLE, NH, KAIPARA
CNE Role for 2/7 over 6/12
Karen graduated from Northland Polytechnic in 1988 and headed for the big smoke – 2 ½ years in acute orthopedics at Middlemore, specialising in spinal injuries. For a change, she tried being office manager and theatre nurse for a dental surgeon, but longed to return to the acute setting.
In 1991, Karen returned to Dargaville and had her son, Michael. She was employed in Ward 1 for a short term before the restructuring took place and then became a relief nurse for Valda Ewington at CARES and Laura Ambury Lodge. In 1992, and after having baby no. 2 – Kelsey, she took up a District Nurse position where she happily spent the next 7 years. During this time, Karen became the first regional Diabetic Nurse, and had the chance to work in the sexual health clinic.
Time for a change arose when a position for Quality Facilitator at Kaipara became available, and being already on the Quality Committee, Karen thought she would give it a go!. Karen got used to having morning and afternoon tea and worked with Jo Herbert and the team across all the Kaipara Services during the previous accreditation which provided a positive result. Other roles for Karen during this time included infection control nurse and occupational health & safety co-ordinator for the site.
In 2000, the need for study and some trained stimulation arose. Together with Karen Katipa (nee White) and Pauline Brennan, Karen completed a post graduate certificate in Primary Rural Health Care. Learning physical assessment skills on real patients & PRIME was a steep learning curve for someone who had sat behind a desk for 12 months, apart from the fact that she had to be coaxed (intoxication & blindfolded– joking, sort of!), onto the plane to give their presentations. All 3 graduated in 2003 with results in the top of the class.
Time for a change was upon Karen yet again, as she wanted to extend her new skills and give something back to the community. She returned to the General Ward just over 12 months ago and enjoys the team environment where everyone must pull together to provide quality care. When Karen Katipa took maternity leave from her Clinical Nurse Educator Position, Karen believed she could carry on the great work.
To be prepared for whatever turns up on the ward’s doorstep, Karen believes that nurses should continue to learn from each other, their potential must be unlocked, strengths identified, and access to Best Practice information must be available. She believes that there is a huge skill base within the team that needs to be recognised. Together, nurses can move forward so that Kaipara continues to be acknowledged as a great place to work and care for the community.
JUNE HENWOOD, CNE ROLE, TE HA O TE ORANGA
As the waves continue to ebb and flow,
As the life force is nurtured,
So Wellness continues in the turning world.
August 2004 is a time for change for me at Te Ha. I am privileged to take up the role of Clinical Nurse educator which involves walking along side Community Health Workers and Nurses in Te Ha, supporting and developing their clinical skills and practice.
My experience that led me into this role has been developing since I first ventured out from the safety of the Bay of Islands Hospital into the Moerewa, Matawaia, Pakaraka & Orauta area as a Public Health Nurse for Northland Health in 1987.
The learning curve was extremely challenging for me, working in a predominantly Maori area with no real support systems in place and an attitude of sink or swim. Very early in this new direction I learnt the importance of identifying key community people, good communication skills, developing a network of people who recognised health needs and were proactive in supporting change.
Five years later I accepted a very unique position of community development nurse for Northland Health working closely with Ringa Atawhai Community Health workers and Public Health Nurses supporting developing communities throughout Northland. I especially want to thank Ringa Atawhai members who molded and supported me to develop a true bicultural partnership with Maori.
My passion over the last 17 years is based on empowerment of people enabling them towards self determination for themselves and the whanau. My role has been to support that process with information, opportunities for upskilling and resources to ensure lasting health outcomes are achieved.
For five months I was involved in the development of the Northern Rural Nursing and Allied Health professional consortium, when my mother fell ill in Australia and my whanau relocated to care for her.
I returned to New Zealand in 2001 and joined the motivated and creative clinical team at Te Ha in Dargaville as a Whanau Ora Nurse.
My aspirations for the future include,
· Create Professional Development Opportunities for Te Ha staff
· Link in with other Clinical Nurse Educators in the area and work together to enhance learning opportunities for all Kaipara staff.
· Develop e-mail links with all Te Ha clinical staff encouraging chat room type supervision that allows staff, who may be isolated by distance, a chance to share casework.
· Develop Orientation packages for staff.
I want to take this opportunity to thank all those who have been part of my nursing pathway without your encouragement, guidance and support , I would be nothing.