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
Agenda
Quote
Page 2
Minutes of the Nurse Project Meeting held 1st June 2005
Page 3
Minutes continued
Article by Frances Hughes on
“Nurse Managed Health Centres Key Primary Health Tool”
Page 4
NIL Report
Agenda
Blessing/Welcome
Apologies
Previous Minutes
Matters Arising
General Business
Report and discussion with the
Nursing Innovation Researchers
Other (time allowing)
Facilitation of next meeting
3rd August 05
Minutes of the June 2005 Meeting
MINUTES OF THE NURSE PROJECT MEETING HELD ON WEDNESDAY, 1st JUNE 2005
AT 12.15, CONFERENCE ROOM, COMMUNITY HEALTH, DARGAVILLE HOSPITAL
Present: Julie Palmer, Julie Robertson, Margaret Hearn, Judy Harris, Jen Udy, Marion McCahon, Cherry Waldron, Chris Tipa , Celeste Sherman, and Raewyn Fowlie.
Apologies: June Henwood and other Te Ha nurses, Rachael Sullivan, Glenis Turner, Margaret Hearn, PHN’s, Susan Harris.
Previous Minutes:
April mins, as the May meeting was replaced by the International Nurses Day breakfast - accepted as true and correct.
Matters Arising:
A reminder from the Cancer Society that their nurse, information & handouts are a resource for Nurses in Kaipara, the community and other health providers .
Maternal Mental Health – staff shortages both here and at base, plus the fact that Liz Humm (GP with an interest in maternity services and mental health) is away for 6 months has seen this project put on hold.
Electronic discharge – discussion between Julie, Jen & Julie R revealed that Kaipara children are reasonably covered by this process between NH hospitals. The main problem is with kids discharged from Starship.
Discharged patients from the ward at Dargaville Hospital receive a followup ph call from Jen. This is a quality activity and works very well.
A recent Peads clinic had a 100% attendance rate due to parents being contacted via ph as a reminder.
Business:
Recruitment and Retention
A meeting was going to follow on this subject, but it is timely to discuss now.
New students will be graduating in July and at the end of the year. There will be 3-4 Kaipara students amongst them and it would be great to have positions for them to come back to. The average age of nursing grads is 42. NDHB has a very good new grad programme.
Sponsorship of students, in return for a contracted employment period, appears to have legal problems (as advised by HR dept, NH)
Recruitment and Retention of nurses is not a current problem for NH, but is for DMC and Te Ha and Plunket.
Salary parity is an issue.
Northland has the highest rates of recruitment turnaround and there is an aging nursing workforce in Kaipara.
Plunket is advertising for a .8 position in Kaipara, plus Alison Ansley, their manager, is also leaving shortly.
There is a shortage of midwifery cover.
Make sure that the Nurse page on the KCI website encourages nurses to come/return to the area (appropriate information links with NDHB, KDC, info on how nurses are supported etc)
DMC currently needs a casual nurse and there will be 2 other FTE positions by the end of the month and in Aug (nurses leaving to have families). Judy has some nurses interested in returning to work, but under the current system, they have to complete a Return to Work programme.
Auckland DHB have a programme, approved by the nursing council, that they are willing to share.
NDHB have advised that a programme, in conjunction with the Polytech, will be available at the end of the year – too far away for DMC’s requirements.
Polytech has been contacted, but a programme put together by them would be over a longer period and a lot more expensive.
An option of sending nurses down to Auckland for the theory and having their practical overseen on the job was not favourably received. (costs, time involved etc).
Discussion took place on what it would take (resources etc) to have Kaipara’s or Northland’s own return to work programme.
Discussion took place around attempting to recruit local students into Nursing, visiting local secondary schools etc.
Casual pool of nurses – upon discussion, it was decided to concentrate on the immediate recruitment and training issues before looking at this.
Julie agreed to take this issue to the Regional Nurse Leadership Group for their consideration and action.
Report from Chris Tipa:
The PHO Board will be discussing DMC’s plan to raise their co-payment rate from $15.00 to $20.00. This will need to be justified to the NDHB and supported by the PHO. The prospect of wage parity for their Practice Nurses is one factor.
PHO’s that participate in a quality programme that support they are improving the health of their population will be given an incentive for achieving 100% of the measures in things like Imms, Cx etc.
DMC by Judy Harris
Some changes happening within DMC include:
Efficiencies and “thinking smarter” are on the agenda. Patients have enjoyed an excellent service from DMC for many years that they may have to now start paying for.
Nursing consultations will be charged at $5.00 – Some flexibility allowable. (Nurse consultations have been free - this recognises that nursing time is valued)
Regular dressings etc to be directed towards District Nursing.
Presentation of CarePlus by Cherry:
Running out of time for this. Cherry is available to make her presentation to individual depts if desired.
Liaise with HOD’s/Managers.
Other:
Time does not permit other agenda items to be covered.
Meeting Closed: at 1.45pm
Next Meeting: Wednesday 6th July, Community Health
Action List
Jen—To take the idea of Kaipara’s/Northland own return to work programme to the Nursing & Midwifery Leadership Group
Julie—Take the idea to the Regional Nursing Leadership Group
Contact local secondary schools and discuss the possibility of being involved in Career choice programs.
Chris—Take the idea to Northland PHO’s (NPHO’s) meeting
Julie/Raewyn—Website
Julie & Kaipara Nurse Leaders—To look at the possibility of being able to offer positions to new grads from Kaipara.
Cherry—Careplus presentation to Depts.
Article by Frances Hughes
This article links in with the visit to Northland by Tine Hansen-Turton, CEO & Director, National Nurse Managed Health Centre, USA
15 June 2005
Nurse Managed Health Centres Key Primary Health Tool—by Frances Hughes
Nurse managed health centres, staffed by qualified nurse practitioners, could form a key part of, and improve equality of access to primary health care services in New Zealand, says University of Auckland School of Nursing academic Professor Frances Hughes.
Dr Hughes says that while there are still only a few nurse practitioners in New Zealand, the United States has had them for decades, and they play a key role there in community based health services.
"Their nurse managed centres provide an incredible array of essential health care services to people in their communities, including disease prevention, primary health care and health promotion."
This week three leading American proponents of nurse practitioners will visit the Auckland's School of Nursing to exchange information about their role in community based settings.
The visitors, Tine Hansen-Turton, Director of the National Nurse Managed Health Centre, Donna Torrisi, Director of the Falls Family Practice and Counselling Network, and Professor E Sullivan-Marks from the University of Pennsylvania have received Eisenhower and Robert Wood Johnson Foundation fellowships to come to New Zealand to further the work of the International Nurse Practitioner Consortium.
They will be in New Zealand for one month visiting other centres around the country.
Dr Hughes says nurse managed health centres in the United States have played a key role in reducing inequalities in health care and are regarded as essential safety net providers.
"These centres provide accessible high quality and comprehensive health care to people who have trouble accessing care, particularly rural, low income, minority, homeless and migrant populations."
Julie's Column
KCI WEBSITE
I am preparing a Nursing page for the KCI web site. This will provide another networking and communication opportunity for accessing information about Nursing in Kaipara. If you have any suggestions or ideas about what you would like to have included please contact me, I welcome your input.
PRIMARY HEALTH CARE REGIONAL NURSE LEADERSHIP GROUP
The Regional Nurse Leadership Group meets every six weeks. Copies of the minutes from these meetings are available at the Project Nurse Meeting or from me, (in time they will go on the Web site nursing page, along with other relevant information about the group and its activities.)
PRIMARY HEALTH CARE NURSING WORKSHOP—July 1st
A Primary Health Care workshop is planned for Friday 1st July on the topic of Nurse led Community Health Centers. Key note speaker is the Executive Director and CEO of the National Nursing Centers Consortium in the US, Tine Hansen Turton. All Primary Health Care Nurses (PHCN), Funders, and planners will find this a valuable opportunity to learn about the opportunities for Primary Health Care Nursing and the integration of Nurse Practitioners into the Primary Health Care setting. For those unable to attend a comprehensive report will be collated.
PAIN MANAGEMENT BASICS—August 3rd
Three sessions will be held by NH, Pain Management Nurse, Jan Haroldsson, for all Nurses and GPs in Kaipara, from 9.am -11am, 11.30 – 1.30 2pm – 4.30pm. Topics to include: Pain pathways, WHO analgesic ladder, Drugs used in pain management, Neuropathic Pain.
RSVP Karen Katipa X 6876 by July 8th
DERMATOLOGY CLINICAL UPDATE—August 13th
A clinical update session has been planned for Kaipara Health Providers by specialist Dermatologist Dr David Scollay. The session will be held on a Saturday evening and dinner will be provided. Registration forms will be sent out in the near future with the final program. Please RSVP if you would like attend.
CAREPLUS WORKSHOP—August 27th 2005
A date has been set for a workshop to meet the needs of Nurses who are working on CarePlus. Please contact me if you would like further information about this.
NZNO PRIMARY HEALTH CARE NURSES CONFERENCE
“Community: the Pulse of the Future” Te ihi, te wehi, te wana mo apopo Friday 5th and Saturday 6th August 2005 Waipuna Conference Centre, Auckland
The purpose of this conference is to draw together all nurses working in the community to discuss the innovations and challenges two years into the implementation of the Primary Health Care Strategy. Day 1 will focus on the MoH Nursing innovation pilots and day 2 will present clinical practice updates and future perspectives. Registration forms available from the NZNO Website. www.NZNO.org.nz
NURSING INNOVATIONS RESEARCHERS VISIT, KAIPARA, July 6TH & 7TH
On the 6th and 7th July the Nursing Innovations researchers will be in Kaipara to talk with nurses and others who have had any dealings with the NIL and/or the Northland Nursing Innovation Pilot. If you haven’t already indicated you would like to give some feedback about this pilot, you are very welcome. You could do this by meeting with them individually, attending the next Project Nurse meeting or sending them your thoughts on paper.
I will absent myself from the project Nurse Meeting after the initial introduction and welcome to allow Nurses to talk freely and frankly with the researchers. Your feedback and perspective is valued.
Keep warm and keep well,
Julie Palmer
Nursing Integration Leader
Kaipara Care Inc.PHO.
Quotation
“To do what nobody else will do, in a way that nobody else can do, in spite of all we go through, that is to be a nurse”
Rawsi Williams, RN, BSN, CQRMS-LTC