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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IN THIS MONTH’S NEWSLETTER:
Nursing Group contact details
Minutes of the Nurse Project Meeting held on May 5th, 2004
Nurse Meeting Agenda—2nd June
Thank you to Alison Blakeborough & Shannon Price
Rural Primary Health Care Practitioner Scholarships for 2005
Julie’s Column
Chlamydia Roadshow 22nd June
“A Day in the Life of” by Kate McLaren RCN
NZNO Seminar for Nurses (Gerontology) 23rd June
Minutes of Nurse Project Meeting held on 5th May 2004
Minutes
Present: Julie Palmer, Deborah Ashley-Smith, Cherry Waldron, Celeste Sherman, Dawn Miller, Kath Bowmar, June Hendwood, Julie Robertson, Alison Anslie, Shannon Price, Chris Tipa, Trish Crompton, Pam Baldwin, Glenis Turner, Rachael Sullivan and Raewyn Fowlie
Apologies: Jacqui Whippy, Rhonda Zeilinksi, Jen Udy & Marion McMahon
Blessing of the kai: Raewyn
Welcome & Introductions of Tahi Morton and Ernest by Julie. The group introduced themselves.
Presentation byTahi Morton:
Community Development and HP specialist for Maori at NH. Tahi is leading a Disease Surveillance program on gastrointestinal disease. It has been found that although common, there is a lack of data and the diseases are often under reported for various reasons, especially in Maori and Pacifica Peoples. Those present suggested data might be retrieved via Healthline and Plunket 0800 records, although pakeha predominantly use these services.
The pilot will focus on Moerewa, which has an un-reticulated sewerage system, with Kaikohe (reticulated sewerage) being the control. The aim is to inform both communities that gastrointestinal illness is not “normal” and to report it to their GP’s Maori Health Trusts, PHO’s, Public Health Unit, Kohanga Reo etc. The project will run for a year. Julie has further information for those interested – would be good to have Tahi back to present some of the outcomes.
Minutes of the March 04 Meeting: M/S Rachael / Pam that they are correct. Carried
Matters Arising:
· Surgical Bus – Feedback from Celeste & Chris who spoke to the GM of the Service and GM of NH Surgery. The bus is an important asset to rural communities as it cannot be sited anywhere that offers surgery. Waiting lists are prioritised and people given a choice of using the bus. Not a lot of Kaipara patients are on the priority list. Jen has been to DMC to ask GP’s to send copies of their referrals through to Celeste at OP so collaborative collation can take place. Information on the referrals needs to be as detailed as possible to obtain a fair priority listing. Bus will not visit Kaipara this time round as Kaikohe’s need is greater.
· Workshop – Julie meeting with Leonie Gallaher next week to debrief. A report will be circulated in due course. There were four main themes to the Merlin part of the workshop, IT, PD, Nurse led services & PHC Nursing Organisation (See May Korero for more detail – apologies for not mentioning Independent Nurses). Chris reminded everyone that the KCI Board need to be consulted on any potential developments. The evaluation forms were read on the day, so it is known generally what went well and what could have been improved. They have since gone MIA.
Business:
Dept/Services Updates:
Te Ha – Well Child Week 10 –16th May – theme healthy eating and exercise. Shannon, Tamariki Ora nurse has the following planned: 1. Baby photo competition (of eating or exercising) 2. Those registered with Te Ha who have their child immunised go in for a basket/s of goodies. 3. School poster competition.
All 3 initiatives run for a month to June 10th. Photos & Posters will be displayed and voted publicly.
District Nursing – 4 x DN’s in Whangarei involved in a month long trial of handheld devices. Takes photos, downloads info i.e. drugs/side effects, collects stats, eliminates paperwork. Glenis to inform the group of the outcome.
Homeopath: - Marion running a First Aid Homeopathic course on Tuesday nights (4 nights $30.00) Contact Marion for further details.
Health Options: - Pam running a massage course last two Sundays of May. $39.00 p/p. Contact Pam for details.
Meningococcal (MENZB) Vaccination:-
Northland wide roll out for 6m – 5yrs planned for November 04 (DMC have approx 950, with 60 under 6 m) 4 – 17yrs olds from April 05. Vaccinations x 3 - up to 8 weeks apart. Will be difficult to work around the xmas period.
Vaccinator Training:
Vaccinators will be sought, so would be timely to do this training. Subsidised at only $50.00 or $20.00 for an update. See May Korero for details.
Immunisation Outreach:
Recent meeting held between, Plunket, Te Ha & DMC with agreement that immunisation clinics will be trialled at Plunket rooms. Great opportunity for integration. May use venue for some MENZB if successful.
International Nurses Day – Wednesday May 12th:-
Julie suggested that a morning tea be arranged in the staff dining room – 9.45 – 11.00am to cover all shifts. Photo competition – Guess Who? – send in your graduation or first day in uniform photo. Prizes.
Meeting Closed: 1.30
Next Meeting: Wednesday 2nd June 2004 – 12.00 – 1.30 - Lunch Provided.
Agenda For June 04 Meeting
Wednesday 2nd June 2004
Noon—1.30pm
LUNCH
Presentation by Te Roopu Kimiora
Child & Youth Mental Health
BUSINESS
Apologies
Previous Minutes
Matters Arising
General Business
NIL Report
Other
Dept/Service News/Panui
Next Meeting (July 7th)
Thank You
Thank you to
Alison Blakeborough
&
Shannon Price
for both taking time out of your busy day to talk about your nursing experiences on Big River FM, onInternational Nurses Day!
PHC Scholarship
$280,000 towards Primary Health Care Nurse Practitioner (Rural) Scholarships for 2005
This funding is specifically targeted at nurses who only require one more year of study to complete Nursing Council requirements for approval as nurse practitioners. The funding is to support the nurse while released on study leave for one year’s full time study in 2005.
Forms and necessary documentation attached and returned by 9 July 2004.
Contact Julie for more info, or Stephanie Calder, Analyst, Clinical Services Directorate, Ministry of Health, phone 04 496 2556 or email
stephanie_calder@moh.govt.nz.
Julie's Column
Tena kotou katoa
PRMARY HEALTH CARE INNOVATIONS
One of the interesting events to take place for me this month has been attendance at the Evaluation Workshop held by the ‘Innovations Evaluation Team’ at Waikato Institute of Technology (WINT)
They successfully tendered with the MOH to evaluate the 11 Innovation Pilots implementing the Primary Health Care (PHC) Strategy.
The research team consists of researchers from WINT, Otago Polytechnic, Victoria University, and Plunket. Collectively, they share a wealth of Primary Health Care Nursing and research expertise.
The purpose of the workshop was:
· to establish and maintain support for project development and to understand change and barriers to change.
· to collect evaluation data from each innovation project and the whole initiative
· to promote organizational learning within and across innovation project teams, and between the innovation project personnel and the stakeholders.
Initially the MOH received 165 submissions for the Innovations funding and after a rigorous selection process, 11 were chosen. All are Innovative and share key directions from the PHC strategy
· identifying and removing health inequalities,
· improving access to services,
· working with local communities,
· coordinating of care across services,
· continuously improving quality using good information
· developing the Primary Health care workforce
· offering access to comprehensive services to improve, maintain, and restore peoples health
· leadership and governance
Links were made which I think we in Te Tai Tokerau will benefit from. In addition I would like to say that the Northland Innovation Project differs from the others in that it is broader, many were topic specific i.e. Youth Health, Occupational Health, or consisting of a collaboration between providers to improve health outcomes. eg.Plunket and the local DHB.
IMPROVED INFORMATION SHARING IN KAIPARA
A presentation to be held in Kaipara is being planned to learn from the experience of the Whangarei District Nursing Team using the Electronic Community Liaison Information Portal System (ECLI PS) pocket PC. In a nutshell it enables community based staff with a tool for referrals, accessing client records, scheduling visits, taking photos of wounds and sending them to the wound nurse, reduction in use of paper, and much more. It is a possible strategy which can be considered for use in Kaipara. Further Information to follow…Watch this space..
SHARED ORIENTATION PROGRAM
The Nursing Managers at Kaipara Health site have started to work on a shared Orientation program for all nurses who work at this Health site. This will enable consistency and sharing of information, a strengthened sense of ‘community’ or ‘team’ among Kaipara Nurses and improved understanding of each others roles. In the longer term there will be other ‘spin off’s’ from this in relation to shared working.
NURSING COUNCIL CONSULTATION
The Nursing Council has invited consultation on a number of documents related to competencies and educational standards for Registered and Enrolled Nurses. The
Te Tai Tokerau PHCN Leadership group will be responding to these draft documents. However If you would like to make a contribution, I have copies of the documents to loan, or you could go to the Nursing Council website www.nursingcouncil.org.nz NZNO have made their response available on their web site for your information, www.nzno.org.nz Closing date for responses is Friday 11th June 2004
All the very best, keep well.
Julie
A Day in the Life of Kate McLaren RCN
I’ve been asked to share with you a day in my life. This may or may not be interesting to you, but I’ll try not to bore your socks off.
I find myself in the unique position of being a relatively new graduate (July 2003) in a community nursing organization, Te Ha O Te Oranga O Ngati Whatua. Usually nursing in this situation comes after at least a couple of years in a clinical setting like the hospital. Luckily for me our General Manager, John Marsden, must have seen a potential in me to make him think I could make my way without this. Indeed he commented on my “wealth of life experience being an asset” at my Powhiri. I’m still not sure if it was just a polite way of saying I’m older.
My days usually start with an early morning walk around 5:15 am then a 1 hour drive after getting ready for the day. The drive is so long because I travel from Waipu where I live with my husband and 3 of my 4 children.
Once at work my days contain a variety of duties. As the organisations practice nurse I facilitate 4 GP clinics a week which generates a certain amount of follow up work such as referrals to different organisations and specialists, taking and delivering samples to the lab and the all important documentation! There are also a lot of routine tasks that are universal to just about any medical organisation such as auditing drugs and equipment regularly for expiry dates and maintenance purposes, dealing with clients concerns effectively, and the all important documentation!!
Added to these are the meetings that need to be attended. These have been held in a variety of places. Some have been amazing like the last Nurse Capacity Hui held at Te Hiku O Te Ika (The Tail Of the Fish) in Kaitaia where I had the privilege of listening to Janet Molony-Moni the first Maori Nurse Practitioner in Aotearoa. I also had the joy of attending the PHCN Workshop in Omapere where I got to meet and get to know better some amazing nurses whom I am in awe of. To be in such accomplished company, with their wealth of knowledge and experience, can sometimes be a bit daunting to a new grad who is painfully aware of the mountain of stuff she doesn’t know. There are routine meetings such as clinical team and site meetings, asthma project, Nurse Project,etc.
Training is a big feature of our organisation as we strive for quality care for our clients. I have received training in such varied areas as smear taking, venipuncture, vaccination, standing orders, nocturnal enuresis, renal problems and the Treaty of Waitangi. I appreciate that Te Ha O Te Oranga have enabled me to attend these education sessions with as much support as is needed to enhance health outcomes for our Maori population.
There have been times when I have been asked to take clinics in other places for nurses who are absent. This has been a welcome change of scenery and a chance to take a look at the bigger picture of who we are serving as consumers. This has included trips to Wellsford, Kaiwaka, Tinopai, and Naumai. We service lots of other areas as well and I look forward to perhaps visiting one day.
This is a very quick overview of what may happen in my day. As you can see there can be great variation and many challenges which all serve to mould the shape of my career pathway. I have seen astounding changes in my life over the last few years as I’ve persevered through my training and become employed. Most of the people I meet would not recognize me if they could be transported in a second back to meet me as the person I used to be 4 years ago. My employer/family of Te Ha O Te Oranga O Ngati Whatua have played a HUGE part in this development, for which I will be forever grateful.
Chlamydia Roadshow
With Dr Jonathan Jarman, Northland Medical Officer of Health & Dr Rick Franklin, Sexual Health Physician, Auckland DHB.
The roadshow will be in
Dargaville on Tuesday, 22nd June 2004, Community Services Lounge, Dargaville Hospital.
6.00pm Nibbles
6.30—7.30 Epidemiology in Northland & Diagnosis & Treatment
7.30-8.30 Discussion