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 6th April 2005
Page 3
Profile/Photo—Judy Harris
NIL Report by Julie Palmer
Page 4
NIL Report continued
Agenda
Blessing/Welcome
Apologies
Previous Minutes
Matters Arising
Patient Discharge
Recruitment and Retention of Kaipara Nurses
Other
General Business
KCI Nurse Rep Report – Cherry Waldron
KCI Board Meeting Feedback
Written report on the Primary Health Care Conference—available
Powerpoint Presentation on CarePlus
NIL Report – Julie Palmer
Kaipara Nurses contribution to the principles of the Primary Health Care Strategy.
Feedback on:
International Nurses Day Breakfast
Wound Care Workshop
Other
Open Forum—Dept/Service News/Panui
Facilitation of next meeting—6th July 05
Minutes of the May 2005 Meeting
MINUTES OF THE NURSE PROJECT MEETING HELD ON WEDNESDAY, 6th APRIL 2005
AT 12.15, CONFERENCE ROOM, COMMUNITY HEALTH, DARGAVILLE HOSPITAL
Present: Rachael Sullivan, Julie Palmer, Alison Freemantle-Pilkington, Julie Robertson, Pam Baldwin, Margaret Hearn, Judy Harris, Jen Udy, Marion McCahon, Cherry Waldron, Marilyn Archibald, Shannon Price, Margaret Curry, Adrienne Taylor, Laurene Tahu, Barbara Newlove, Judy Mardon, Veronica Polkinghorne and Raewyn Fowlie.
Karakia/Blessing of Kai: Judy Harris Welcome/Greeting: by Julie Palmer
Apologies: June Henwood, Chris Tipa, Celeste Sherman, Deborah Ashley-Smith, Glenis Turner.
Previous Minutes:
Accepted as true and correct with the amendments that Rachael Sullivan was omitted from the list of Apologies and that “Nursing Integration Dinner: should read “Nursing Innovation Meeting” (NIL Report).
Matters Arising:
ESIF - Funding for Elective Services Applications – 73 applications were received by the MOH, of which 20 were approved. Kaipara’s 2 submissions (re proposal to reduce OP DNA rate and Scott Davidson’s proposal to assess opthamology patients here) were amongst those rejected. However, good feedback was received from the Ministry on why they were rejected and on clarification of criteria. Work will still be done on revamping the OP letter and telephone calls/texts will be made to patients to remind them of their appointment.
Maternal Mental Health Meeting Feedback – a constructive meeting was held on March 8th. It is hoped that midwives from maternity will be able to attend the next meeting.
Business:
Presentation by the Northland Cancer Society:
Margaret Curry (Manager) introduced Adrienne Taylor (Cancer Society Nurse) who spoke to the forum about her and the Society’s role in the community – support and information for newly diagnosed cancer patients and/or their families. Referrals accepted from all sources. Brochure available. Cancer and Breast Cancer support groups are run in Kaipara. Motel Villa Del Rio in Whangarei is used by the Society as accommodation for patients and a support person who have to travel for treatment. A charge may be applicable. Domain Lodge in Auckland has a similar set up. The Lodge can be booked as an ordinary 4 star accommodation for paying guests. This assists in subsidising the facility. Contact the Northland Cancer Society for further information. The Cancer Society is happy to receive any ideas on ways to improve delivery of their service.
Report from Nurse Rep on KCI Board:
Nothing to report from KCI Board – next meeting schedules for April 20th.
Attended CarePlus workshops at the Primary Focus 2 Conference as the PHO is to provide this service for approximately 380 local enrolees – with an aim to meet 50% by June. Nurses able to refer patients to the scheme. For further details, contact: Steve Main, Deborah Ashley-Smith and Susan Harris at DMC or Cherry Waldron and Marilyn Archibald at Te Ha. A report on IT issues will be delivered at the next meeting.
Other:
Discussion on the sometimes lack of information distributed upon patient discharge from secondary to primary care. Whangarei Hospital is not yet using the electronic discharge system that is used in the ward at Dargaville – notes go directly to the patient’s GP but not to other services. This can impact on the care a patient receives. Julie to investigate further.
Dept/Service News/Panui:
Congratulations from Rachael on the conference reports from Pam and Julie.
Submissions for PHC Scholarships of $2000.00 each close at the end of the week.
Meeting Closed: at 1.45pm
Next Meeting: Wednesday 4th May 05 – changed to Breakfast meeting on:
Thur 12th May 2005, 7.30am Nurses Lounge, Community Health
Profile - Judy Harris, Nurse Manager, Dargaville Hospital
Judy has recently been appointed the Nurse Manager for Dargaville Medical Centre.
She has worked in nursing for 20 years, starting at Dargaville Hospital as a tea lady, then working her way up to nursing assistant, enrolled nurse and then went on to do her training as a Registered Nurse. She gained surgical, medical and theatre skills along the way.
After 13yrs at Dargaville Hospital, she had 2 yrs at Te Ha O Te Oranga and then 5yrs as Manager at Kauri Coast Hospital and Rest Home. During her time at Kauri Coast, Judy also worked part-time at DMC to keep her clinical skills up to date.
Judy enjoys nursing and sees that it is going to provide an important role in the future strategies that Government have initiated. Dargaville has had many new initiatives and she is looking forward to being part of the team that takes on challenges and adapts these to make them work in Kaipara. Judy feels this will be achieved by all health professionals working together with the community, through Kaipara Care Inc.
Julie's Column
The Primary Health Care
Strategy and the
Contribution of Primary Health Care Nurses in Kaipara
It’s common for nurses to beaver away at their work and not be aware that they are contributing in a very positive way to a bigger picture where the goal is to prevent, promote, treat and care for the whole community we are working in. That ‘umbrella’ comes as the Primary Health Care strategy, which states:
People will be part of local primary health care services that improve their health, keep them well, are easy to get to, and coordinate their ongoing care.
Primary health care services will focus on better health for a population, and actively work to reduce health inequalities between different groups.
It is intended that this will be achieved by:
Working with local communities and enrolled populations
Identifying and removing health inequalities
Offering access to comprehensive services to improve, maintain and restore peoples health
Coordinating care across service areas
Developing the primary health care workforce
Continuously improving quality, using good information
In response to the Primary Health Care Strategy, Nursing Leaders then developed a framework to define how Nurses will contribute to that goal. The title of that document is:
Investing in Health:
Whakatohutia te Oranga Tangata:
The framework for activating primary health care nursing in New Zealand.
The Vision for Primary Health Care Nursing
To create the environment that enables nurses to provide integrated comprehensive nursing care to individuals and population groups in New Zealand primary health care settings, and that strengthens the primary health care team towards improving health for all. The way to achieve this will be through:
Aligning Nursing practice with community need
Innovative models of nursing practice
Governance
Leadership
Education and career development
It is helpful to sometimes take a look at the bigger picture, and be reminded that what was going on 5 years ago is different to what is happening now and no doubt will look different again in another 5 years. I’m always amazed at the way change takes place in both our communities and in health and how the nursing contribution evolves and responds to those changes. Despite being a relatively small workforce the following is a ‘snippet’ of some of the Nursing initiatives which are happening here, and demonstrate the way Nurses in Kaipara are working to make a difference and working in partnership for the health gain of Northlanders.
Primary Health Care Nursing In Kaipara
This month, we celebrated International Nurses Day by having a shared breakfast in the Midwives lovely lounge. Many Nurses managed to drop in and enjoyed bacon and smoked salmon croissants, blackberry pancakes, muesli or some good strong coffee to start the day. Thanks to Kim Morris for superb catering, apart from the delicious breakfast, I know the Nurses enjoyed the opportunity to get together and have a catch-up with colleagues, most of whom are too busy working to get together very often.
5 Nurses sit on the KCI Board. – (Governance and Nursing leadership within the PHO. Probably the only PHO Board in New Zealand with such a broad range of nursing influence.)
A recruitment and Retention of Nurses program is being worked on by Nursing Leaders in Kaipara.(Leadership and innovation)
Nurses are networking with other health care providers to ensure the community contributes to the development of effective health services. (Leadership)
At least 5 nurses from Te Ha and DMC attended a symposium in Whangarei to learn more about Care Plus and how it can work in Kaipara. (Education and career development)
With Care Plus being ‘rolled out’ in DMC & Te Ha, this is a great opportunity for nurses to practice the ‘art of nursing’. (Collaboration, integration and innovation with Te Ha & DMC.)
Te Ha Nurses attended a SKIP (strategies for kids; information for parents) workshop last week in Paparoa. They learned and gave support to a community initiative which aims to enhance parenting and child health in Kaipara. (Aligning Nursing Practice with Community need).
Te Ha Nurses are visiting whanau in their homes delivering Nursing care which includes Education, Health Promotion, and Immunization.(Aligning nursing practice with community need)
PHN’s are getting up at the crack of dawn, zooming across the Tangihua’s to administer the MENZB immunisations in schools around Northland (Innovative Models of Nursing Practice)
Nurses are attending Dementia workshops next month set up by the Alzheimer’s Society and Northland Health. (Not for their Dementia! Education and career development)
Nurses are requesting and attending clinical updates here in Kaipara e.g.: Wound Care (Education and career development, meeting the needs of rural nurses)
The Mental Health Nursing Team is attending meetings, sometimes out of ‘normal’ working hours, to help implement a Pilot Mental Health Project for Primary Care in Kaipara.( Aligning nursing practice with community need)
At least 4 Nurses in Kaipara are undertaking Post Graduate studies which are strengthening their knowledge and skills to meet the needs of this community. (career development and education)
One Nurse in Kaipara will be able to apply for Nurse Practitioner Status next year.(career development and education/ nursing leadership)
DMC are running nurse led clinics in Ruawai, TeKopuru, and Kaihu, (aligning nursing practice with community need).
It is sometimes thought that development of the Primary Health Care Nursing role will be most evident in urban areas. It is obvious from this snapshot; the rural setting has enormous potential for Nurses to experience rewarding and diverse careers. Additionally, that the Nurses in Kaipara are innovative and extremely hard working for the community they work in.
Congratulations to all of you!
Julie Palmer
Nursing Integration Leader
Kaipara Care Inc PHO
Quotation
Unless we are making progress in our nursing every year, every month, every week, take my word for it we are going back."
Florence Nightingale, 1914