1. careers
2. nursing

OCTOBER 2014
World class experience
for surgical patients
Two new facilities, designed to
offer the best possible patient
journey for people facing surgery,
opened on Friday 26 September.
Kaumatua Owen Lloyd and John
Pomana blessed the facilities
before they were opened by TDH
Board Chair David Scott with the
help of Project Manager Dawn
Tucker. The new Day of Surgery
Unit and
Endoscopy Suite have
been several years in development.
The large number of staff, Board
members, media and Mayor Meng
Foon, who attended the opening,
could see that the wait has been
worth it. The Mayor even took the
opportunity
to
try
out
the
Endoscopy Suite facilities for the Mayor Meng Foon is happy to pose as patient at the Day of Surgery Unit and Enbenefit of the Gisborne Herald doscopy Suite opening. Standing by are Clinical Nurse Coordinator Sue EganCunningham, HOD surgery Rick Cirolli, TDH Board Chair David Scott and Clinical
photographer.
Director of Medicine Richard Moore. Thanks Gisborne Herald for the photo.
Chief Executive Jim Green said we
are continually reducing the time people wait between their surgeon saying they need surgery and it actually
happening. “More capacity and a more efficient way to provide surgery for people mean we can provide more
care, sooner.”
“The new Endoscopy Suite means theatres will be kept for operations not investigations. All surgery patients will
come straight into the new Day of Surgery Unit at the rear of the hospital. This is important for those that are
mobility impaired. After surgery whanau can pick patients up at the door. The unit is much closer to theatre.
This means surgeons can see patients throughout the day. Patients who are having surgery at 11.30am won’t
need to come in at 7am to see the surgeon before they start in theatre as they do now. Patients will spend less
time waiting around (worrying), less time in total spent at the hospital.”
Mr Peter Stiven, who led the endoscopy working group, has only been in Gisborne one year but has found TDH
a fantastic place to work. He was part of a group that visited Christchurch to source ideas for the project. “The
result is a world class facility from which we can offer a world class service. We have set up better protocols,
better policies and a better patient selection process.”
Dawn Tucker is pleased with the light, bright relaxing environment. “It will encourage relaxed, happy staff
working at their best for the benefit of our patients.”
Tairāwhiti District Health Staff Newsletter
The Nerve
Page 2
Growing our own
A message from Jim Green, TDH Chief Executive
This is a theme that is increasingly being taken up across the country, and here in
Tairāwhiti as we look to secure the health workforce for now and into the future. With
the talent we have coming through our secondary education system here in Tairāwhiti
we have a ready supply of people who can train either here or out of the district to then
re-join our workforce.
Already we train people locally across a wide range of disciplines including nursing,
midwifery, ultrasonography and anaesthetic technicians. In the future we are looking to
train an echosonographer to support our new service developments.
Growing our staff and those of the wider providers here is also important. In this edition of the Nerve you can
read of the success of our staff as well as those who have trained to take on new opportunities in the community
where services are developing to more effectively meet the needs of our unique populations.
The Interprofessional Education Programme continues to deliver success with the extension now including
Occupational Therapy as another discipline alongside Physiotherapy, Pharmacy, Dietetics, Dentistry, Nursing
and Medicine.
There are plans to introduce specialist medical training at Gisborne Hospital with areas such as General Surgery, Medicine and Psychiatry looking like the first areas to start in, in conjunction with the Midland Region
Training Network. The excellent training environment we can provide and the depth in specialist staff we have to
support the trainees have caught the attention of both the Network and Health Workforce New Zealand.
IN THIS ISSUE
These are all important developments in ensuring we have the right staff to meet
the needs of people here, not just now but into the future. We build on the
excellent base of the people we have here now and move forward.
Jim’s message
p2
Thanks again.
Marathon student
p3,4
Jim
Whanau choose
p4
On the move
p5
Paving the way
p6
In the news
p7
What is capex
p10
Nurses graduate
p11
All about ears
p12
Trauma Service
p13
Tr a i n i n g o p p o r t u n i t i e s
Ap p l y n o w f o r
Post Graduate Nursing Scholarships
Applications for funding from Health Workforce NZ (HWNZ) for the 2015
academic year are now open. Get your application in by 4pm Friday 31
October.
The application form and supporting information can be found our website.
As in previous years, this is an electronic application, sent as an attachment in
at email to [email protected] .
HWNZ require a career plan to be submitted; all the documents relating to
career plans are also on our website. Please discuss your career plan and your
choice of post graduate paper(s) for your study in 2015 with your Clinical
Nurse Manager.
Career plans will be accepted in either electronic format and emailed or as a
hard copy and sent to Robyn Dymock, Nursing & Quality Services. extn 8220.
The Nerve
What’s coming up? p14
Happening at TDH p15
In the library
p16
Comings and goings p17
ENJOY!
Tairāwhiti District Health Staff Newsletter
Page 3
Marathon student Dr Heather Robertson
crosses the line
A self-proclaimed non-academic person who trained as a nurse
at Gisborne Hospital in the 1970’s completed her Doctor of
Philosophy (Nursing) last month; the first Gisborne based nurse
to do so.
Dr Heather Robinson has worked in public health for much of her
career and that is where her passion lies. Her doctorate thesis
looks at how implementing the government’s Primary Health
Care Strategy impacted on the primary health care nurses in
Tairawhiti. A copy of the thesis is now available in the TDH
Library (Robertson, Heather Ruth WA 540 ROB2014).
Heather has taken a long, lonely, determined route to gaining her
doctorate. Twenty seven years of study, very little contact with
university academics and a daily 5.30am alarm has seen her
prove detractors wrong. “More than one of my supervisors
advised me to give up as I wasn’t academic enough. That was
the wrong thing to say. It just made me more determined,” says
Heather.
“I trained in the Gisborne Hospital after leaving high school at the
end of sixth form (year 12). Hospital training suited me as I am a
hands-on person.
Heather with a copy of her Doctorate Thesis
“In 1987 I found myself a solo mum with two children to care for.
I needed an 8 - 5 job with no shift work. So I packed up the kids and moved to Auckland for 10 months to do my
Plunket training. While I was there I heard people talking about a relatively new Bachelor of Arts with a major in
nursing. I came back to Gisborne, got work as a Plunket, then Public Health, Nurse and enrolled in extramural
papers with Massey.
“At that time there were no computers, no internet, no cross-credits to
previous study and no funding. To get my degree I had to do 17 papers all
on a manual typewriter. If you made a mistake you had to tear up the page
and start again. I could manage one paper a year and then two a year when
Massey introduced semesters. All up it took me 12 years to complete my
bachelors degree. Just before I finished Massey bought in a degree that
would have cross credited to what I had already done and that I could have completed in six papers!”
“To get my degree I had
to do 17 papers all on a
manual typewriter.”
“I have no regrets though. I think I needed to do all that study to develop critical thinking and an academic style
of writing. When Massey started talking about post-graduate studies I signed up to do a Master of Arts majoring
in nursing. One thing changed though. I bought a computer; a $4,500 beast. Because I was working in public
health there were no scholarships. They were all earmarked for hospital based nursing. The masters degree
involved doing 8 papers or 4 papers and a thesis. The thesis option was cheaper and I didn’t have to go to
Auckland so it was an obvious choice.
“My masters thesis involved a research based evaluation of a health promotion calendar. In the Public Health
Unit we noticed anecdotally that the calendar we had been producing for a few years was working. People were
ringing in to make appointments for ear checks advertised on the calendar; but we had no hard evidence.
“I really enjoyed the research process which was a surprise. I also started to notice that all the learning I was
doing was changing my world view. I certainly wasn’t doing the same old thing day after day. I was continually
challenging what was I was doing, why I was doing it and asking is there a better way. (continued on page 4…)
Tairāwhiti District Health Staff Newsletter
The Nerve
Page 4
Whanau choose colour scheme
In the homes of Gisborne
Hospital
theatre
staff,
whanau regularly wake to
find mummy or daddy missing. Call outs at odd hours
to assist with an emergency
operation is part of the job.
This doesn’t make it any
easier for those left at
home.
To help family members
understand where their
Left to right; Niki Atwood with children Liam and Ryley. Mr Greg Alexander’s boys,
loved one disappears to, an
Luca and Cameron making their inspections.
open day was held late last
year. Friends and family of theatre staff spent Saturday morning having a look around theatre. The oldest visitor
was in their 70s and the youngest was just two years old but they all looked the part dressed in surgical gowns,
head and shoe coverings.
Once they had a tour of the area and had tried out some of the equipment they were given the important job of
helping to choose the colour scheme for the new Day of Surgery Unit and the Endoscopy Suite.
“We wanted to do all we could to make sure that the new areas were as welcoming as possible, says Project Manager Dawn Tucker. “With such a broad cross-section of visitors on the open day, it was a good opportunity to get
feedback on what would make them feel comfortable.”
“We set up large boards with a range of wall colours, flooring options, curtains and counter tops. Everyone was
given two stickers to put against what they liked best. The results were surprising. Blue and green were the clear
winners. We have made every effort to stick as close as possible to the colours and materials chosen. The group
chose well. Feedback from all on the light, bright colour scheme has been 100 percent favourable.”
Marathon student Dr Heather Robertson crosses the line (continued from page 1)
“The masters took me four years. It was my supervisor at the time who suggested I should do a PhD. He said it
is similar to doing masters. Yeah right! I also found out I was eligible for a Primary Healthcare Nurses Scholarship. That paid for $6k fees for the first year.
“I was criticised for not using the
right language but am proud I
stayed grounded and still speak
the language of the people I
work with.“
“There is no Doctor of Nursing at Massey so I had to do a Doctor of
Philosophy. It really was a completely different level of thinking. Living in
Gisborne, I was far removed from the academic world and the language
they speak. At times I found it very hard to understand what my
supervisors were talking about and often had to read other people’s
thesis with a dictionary close by.
I was criticised for not using the right language but am proud I stayed grounded and still speak the language of
the people I work with. “I was officially awarded my PhD last month – you can now call me doctor if you really
want to – and I will attend my first ever graduation ceremony in October.”
“I think it is fantastic that there are so many study options available for nurses now. If the Nurse Practitioner
option was around when I was studying my masters, I would have probably gone down that route. I will keep
learning and have two academic articles to write on my thesis this year but I have no plans to enrol in formal
study at the moment. The 5.30 alarm that was originally set to fit in around family commitments is now turned
off. The body clock however has yet to adjust.”
The Nerve
Tairāwhiti District Health Staff Newsletter
Page 5
Nurses on the Move
Hospitals are unpredictable places and the best laid plans and rosters may need to change when staff are
sick or some wards are very quiet or very busy. Plan B is a variance response management plan. It is used
to match resources, including staff, to the varying demands in our wards at any one time. One of the
strategies used is to redeploy nurses to other departments for
either a whole shift or part of a shift. Redeployment of nursing
staff is not a new idea, it has been happening for many years. In
the good old days nurses used to act as runners to the wards
providing extra help at busy times and relieving staff for meal
breaks .
Familiar face on the wards - Annie Foley
One of the champions of redeployment is Annie Foley, an
enrolled nurse in Planet Sunshine. Annie is one of the most
frequently redeployed nurses at Gisborne Hospital. She is well
known for her ability to easily fit into other wards and
departments. Annie enjoys spending time in other parts of the
hospital, learning new skills and seeing how different
departments work.
Annie feels that redeployment has improved her nursing skills
and she has a greater appreciation of the work done by other
nurses. “I always get a warm welcome when I arrive on the ward
that needs me. It is helpful though if you have had an
introduction to the new area before you start a shift. This makes
Annie Foley - Redeployment saviour
it less intimidating and you get to know the staff. Wards do need to
have realistic expectations of relieving nurses. Redeployment can be a great opportunity but it needs to be
fair and all nurses should put their hand up to give it a
go.”
Good on you Annie. Your willingness to support your
nursing colleagues is appreciated.
Three days of paid orientation
To help nurses feel better equipped and safer to work
on other wards, three days of paid orientation is now
offered. Nurses can apply to their managers. Simply
choose an area you would like to be orientated to and
this will be arranged to fit in the roster. Complete the
orientation checklist so there is a record of your
orientation experience.
Smart Five
Smart five cards are used or are being developed for
most wards and departments. The card highlights the
top five activities redeployed staff on the ward they
can help with. The card has useful information such
as a map of the ward and room codes.
Tairāwhiti District Health Staff Newsletter
The Nerve
Page 6
Nurses paving the way
Two new appointments are paving the way for better healthcare for elderly people in Tairawhiti.
Laura Pepere is a Clinical Nurse Specialist employed to prevent falls in the community under a two year
ACC pilot project. She is the only nurse on the ACC pilot to be based in primary health. Laura’s role allows
her to work alongside all the General Practices within the Tairawhiti district to help prevent falls in the
community.
“Having a fall can be devastating, not only to the person who falls but also for the whanau/ family who care
for the person and for the healthcare system. One out of three older people has a fall and the likelihood
increases with age. Falls often result in a loss of independence and the associated loss of confidence and
social isolation. That is why preventing falls is a high priority for the government.”
“My role is to support the prevention of falls particularly for those leaving hospital after surgery or who are
identified as high risk for having a fall. I can visit people in their homes and do a thorough falls assessment,
which involves looking at the individual’s medication, strength, mobility, home environment and family
support. I will then make sure the appropriate
support systems are in place. This may be
Physiotherapist visits, Occupational Therapy,
home help or a NASC assessment.
From left; Laura Pepere and Kylie Morrissey, offering a new
service for elderly health care.
Kylie Morrissey is a Nurse Practitioner intern
working with rest homes throughout the district. Kylie does all the urgent rest home referrals coming into the medical centres that
have signed up for the service; currently 3
Rivers, Puhi Kaiti and Desmond Road. This
means rest home patients will get a much
faster service and more contact with their
medical professionals. Kylie will also be
conducting the three-monthly medication reviews for rest home patients and is currently
holding regular clinics at Beetham and Kiri
Te Kanawa Rest Homes.
There is also the opportunity to work closer with nursing staff at the rest homes on education and patient
management. In the long term this could mean less end-of-life admissions to TDH‘s Emergency Department.
These roles are only becoming a possibility thanks to the continuing education that many nurses are
committing to. Kylie is in the last stage of becoming a Nurse Practitioner in Primary Health Care across the
lifespan. Kylie will be one of two Nurse Pactitioners to work within the Tairawhiti district. Kylie studied for five
years to obtain the masters level qualification. Once qualified she will be able to prescribe medications.
Laura is due to finish her post graduate diploma at the end of the year. After being inspired by Kylie, she is
keen to also complete the Nurse Practitioner qualification. Both started their nursing journey at EIT Tairawhiti
“Study opens up doors and helps you keep up with the ever changing world of health care, says Laura.
Laura and Kylie are no strangers to primary health. They both worked together at Turanga Health and Waikohu Health Centre at Te Karaka. Primary Health is what they are passionate about. We had some good
success stories at Waikohu, says Laura. “We were mobile and flexible. Going into peoples homes can be
quite humbling. You share both the good and the bad with the patients. When people are in their own environment you get to see the big picture; how they live and the challenges they face.”
The Nerve
Tairāwhiti District Health Staff Newsletter
Page 7
In the News
From left to right; Sue Bull, Natasha Ashworth, Dr Richard Moore, TDH Chair David Scott, Tori-iti
Schwass, Karen Hollamby, and the Cancer Society’s Nona Aston and Judy Livingston watch on while East
Coast MP Anne Tolley turns the first sod on the development.
New Medical Day Ward to improve cancer treatment is announced
A new Medical Day Ward, used for cancer treatment, will be built at Gisborne Hospital next year. The
announcement signals a new era of treatment for cancer and other medical conditions for Tairawhiti
people. The focus will be on building a facility that is more comfortable for patients, easier to access
and better for doctors and nurses to work in.
While the unit will be primarily used for cancer treatment, it will also be a base for other medical day
treatments like blood transfusions or drug infusions. Currently the Day Ward is used for a variety of
surgical and medical procedures most of which people do not have to be admitted to hospital for. This
means people having minor surgery, like a lump being removed to test, or looking down into their
stomach to find out if they have cancer, could be sitting next to people who are having chemotherapy
as part of their treatment for cancer. The new unit is expected to cost $850,000.
Patients surveyed on their time in Gisborne Hospital
People who spent at least one night as a patient at Gisborne Hospital between 4 and 17 August have
been asked to fill in a questionnaire. It is part of a nationwide survey on patient experiences and will
help to improve the quality of hospital care for patients and their families. Patients are able to fill in the
survey online using a computer, tablet or smartphone.
This will be the first time hospital patients’ feedback has been collected and measured in the same way
across New Zealand. Surveys will be sent every three months.
Tairāwhiti District Health Staff Newsletter
The Nerve
Page 8
Emergency department is the next step for Telehealth
Telehealth is a way to
connect people living on
the East Coast to health
professionals based in
Gisborne, bringing care
closer to home in a costeffective way.
Webcams and software
have been installed on
computers
used
at
medical clinics throughout the East Coast as
well as in Gisborne
Hospital’s
Emergency
Department and Community Mental Health
Mr Steve Hudson shows MP Anne Tolley the new Telemed Conferencing Room in Tui te
Ora. It is being used to discuss patient’s treatment plans with specialists in Waikato.
While the conference takes place, a second screen can be used to look at patient’s scans/
xrays.
Emergency Department
doctor
Johan Peters
has been testing the
technology to connect
with doctors based in Te
Puia.
“There is the potential to work with staff based in Te Puia on treatment or stabilisation options and in some
cases avoid transporting people with injuries or illnesses to Gisborne.
The technology is all ready to go. We are now training staff and setting up our protocols. The opportunity
to diagnose remotely and provide support for other clinical staff working on the Coast will be a significant
step forward.”
Webcams have also been installed on computers in Tairawhiti District Health’s Community Mental Health
Team’s offices where Psychiatrist Dr Sumita Prabhakaran has been the first to start using the system and
see the benefits. “This is already making a real difference for our patients on the Coast. The obvious benefit is avoiding up to six hours and lots of petrol money travelling to an appointment. It also means patients
are more likely to attend their appointment.”
Loud Shirt Day
Thanks to all that turned up in their loud
shirts on Friday 17 September and made a
donation towards cochlear implants for
children.
We raised $124.80.
The Nerve
Tairāwhiti District Health Staff Newsletter
Page 9
In the News continued...
Endoscopy Suite & Day of Surgery Unit Opening, Friday 25 September
Tairāwhiti District Health Staff Newsletter
The Nerve
Page 10
What is Capex and how to get it approved?
Capex is short for Capital Expenditure. That is all the money TDH invests to buy or upgrade fixed, physical,
non-consumable assets, such as buildings and equipment.
Every year a capex budget is prepared and a list of projects is approved. Contact your Clinical Care Manager,
Clinical Director, Group Manager or Tony Little in Finance to see what is on the 2014/15 list.
If you want to get a Capex project on the list for 2015/16:
1.
Complete the “Capex Budget Proposal’ form– it’s on the Intranet. The request should outline a good
reason, related to what we are funded for, why this equipment is required.
2.
Speak to Logistics manager Scott Saunders early as he can advise you about purchasing policies,
getting the best price any relevant infection control requirements.
3.
For any IT hardware or software or clinical equipment that needs direct connectivity to the IT network,
speak with Max Ponomarev or Hugh Stuart early on.
4.
Send the request form to your Clinical Director/ Clinical Care Manager/ Group Manager before 30
January 2015 for you request to be considered in the approval process for 2015/16.
How is it approved?
Early in the new year Leadership Team will review all the requests on the wish list and whittle them down if
necessary so that the level of expenditure can be accommodated within our budget. This list is sent to the
Finance, Audit and IT Committee and Hospital Advisory Committee where appropriate, for approval. The final
capital expenditure list is sent to the Board for approval.
How do I make my approved purchase?
1.
If your request is approved and makes it to the Pre-approved Capex list it will not automatically be
purchased. All capital expenditure is staggered over 12 months.
2.
When you are ready to purchase, complete the ‘Release of Pre-approved Capex’ form (available on the
intranet).
3.
Get approval from Scott (and Max if it is IT related) that the purchase price has been checked with
healthAlliance (our new procurement agency) or you won’t get the purchase approved.
4.
Your Clinical Director/ Clinical Care Manager/ Group Manager must sign the completed form and then
Jim Green.
5.
Forward the completed and approved form to Management Accountant Tony Little who will allocate a
capex number, check that all the sign offs have been done & complete the requisition. If something is
missing there may be delays.
6.
The requisition will be forwarded to
Finance Manager Mike Costello for
approval.
It’s urgent
If there is an urgent or overriding requirement for
non-budgeted capex expenditure, then you
should complete the form for “Discretionary
Capex” and first seek approval through your
Clinical Director/ Clinical Care Manager/ Group
Manager.
The Nerve
Waiata Group
Thursdays — 8.45am — 9.45am
In the Chapel
An open invitation to all staff,
visitors, patients and whanau
to join TDH’s Waiata Group
Tairāwhiti District Health Staff Newsletter
Page 11
Midwifery Practice Day
Midland Region Midwife educators worked together to produce a midwifery practice workshop which has been
approved by the NZ Midwifery Council. This workshop replaces one of the previous technical skills workshops. All
midwives are required to attend this training once every three years as part of recertification for their annual practising certificate. New graduates in the Midwifery First Year of Practice Programme and internationally qualified
midwives also need to attend the workshop.
Ten midwives attended the workshop held on 7 September. Midwifery issues relating to mental health, abnormal
labour and the new opiate prescribing rights for midwives were covered. The day focused on putting together a
clinical picture through self-reflection and decision-making to recognise normal to abnormal events during pregnancy, birth and the postnatal period.
Feedback was excellent with comments such as ‘great group work, easy to communicate & discuss ideas,
a great role play by the educators’. The midwives who attended are now required to complete self-directed online
learning on opiate use and prescribing, to complete the requirements of the Practice Day objectives.
The midland educators, Lee Taylor from TDH and Tracey Wood (BOP), worked together to facilitate this training.
This has strengthened the links between the educators and enhances the education provided for all midwives
practising in the Midland region.
Nurses graduate with Masters degree
Four nurses working in areas across TDH have all completed their Masters degrees this year. Ka mau te wehi to
these women for all their hard work and additional skills and knowledge they bring to the organisation. We profile
two of these nurses this month. Next month we will profile Tiziana Manea and Kellie Deans.
Lynne Gray is an Oncology Breastcare Clinical Nurse Specialist working in Tui te Ora.
Lynne has graduated with her Master of Nursing (with distinction) “The
study has been absolutely relevant to my current role and clinical practice.
The highlight for me is that my thesis has been accepted for publication by
Australasian Emergency Nurses
Journal.”
Lynne
is
now
looking
forward to a break. “I started
post grad papers in 2005. My
thesis was underway through
the transition of Oncology
services from Palmerston
North to Waikato in 2012-13
Lynne Gray, Oncology Nurse Special- and both came to crisis point
ist has completed her masters degree.
at the same time mid 2013! I
am still catching my breath!”
Theatre nurse Kate Middleton, graduated with her Master of
Nursing Science. “The highlight for me was focusing some of my
studies on my Post Anaesthetic Care Unit (PACU) specific issues.
Other papers assisted with and increased my knowledge of patient
assessment skills. These are really important in the after hours period especially when working in PACU. I am not sure where this
study will lead me, but I may study again in 2015.”
Tairāwhiti District Health Staff Newsletter
Kate Middleton, Theatre Nurse is another
of our Masters graduates
The Nerve
Page 12
Its all about ears - Otology Study Day
Attendees at the Otology Study Day, “It’s All About Ears”, were ALL EARS as they listened intently to our three
specialist presenters in Mr Joe Diver and Mr Julian Avisenis – TDH ORL/ENT consultants and Bridget Hagar –
Audiologist
Providing a seamless service between primary and secondary health sectors makes a difference to the ear health
of Tairawhiti clients. Integrating services actioned by a multidisciplinary team will help us achieve that.
Forty nurses from across TDH, Gisborne medical practices, Ngati Porou Hauora and Turanga Health attended
after practice nurses requested an opportunity to be upskilled in the “ear” health department. Questionnaires were
sent out to urban and East Coast medical practices to capture the education needs and gauge the level of interest
from our nursing colleagues. This information was used to put the presentations together.
After those working in the wider TDH Otology/Ear Health team at the hospital and in the community were
introduced, attendee’s ability to hear was tested with the pitch and repetition of the unexpected fire alarm warning.
Comments from participants indicate the day was a great success.
Left; Mr Joe Diver. Middle: Bridget Hagar, Audiologist. Right: Mr Julian Avisenis.
P a e d i a t r i c E m e r g e n c y Tr a i n i n g
The
paediatric
triage
and
assessment
training
was
organised for the Emergency
Department as a part of their
ongoing education programme.
Sharon Payne, an experienced
Nurse Practitioner [Paediatrics]
from the Emergency Department
at Hawkes Bay DHB, delivered
three sessions with the focus on
triage
and
assessment
of
paediatric patients.
These education sessions were
intended for hospital staff. However, due to interest the sessions
were opened up to nurses from
primary care. This included community based nurses including
some from the East Coast and ambulance officers from St John Gisborne.
The Nerve
Left to right: Kat Ngatai RN, ED; Sarah Belton RN, ED; Shannon Muir
3rd year EIT nursing student; Matthew Daniel 3 rd year EIT nursing student; Kellie
Deans Paediatric Outreach Nurses - Planet Sunshine.
Tairāwhiti District Health Staff Newsletter
Page 13
N e w Tr a u m a S e r v i c e
Trauma injuries are the leading cause of death for
people aged under 50. For every trauma fatality,
there are two survivors with serious permanent injury. Trauma is not only a leading cause of death but
it is also a
major socio-economic burden.
If you have been involved in a major trauma you will
need fast, specialised and coordinated care to
maximise your chance of survival. Trauma patients
often have multiple injuries requiring care from
different hospital specialities.
Gisborne Hospital joined the Midland Regional Trauma System (MRTS), and setup a Trauma Service in
July. The roles of the Trauma Service aim to
coordinate, facilitate and standardise treatment
across the five Midland DHBs while improving the
quality of care trauma patients receive.
Left to right; Mr Ric Cirolli and Sue Pulman.
Ric Cirolli and Steve Hudson are the Trauma Orientated Consultants. Their role is to oversee the management
of trauma and to support Susan Pulman the Trauma Nurse. They will be working together to support and advise staff to ensure all the trauma patients needs are met. The aim is to deliver optimum care to those patients
and families.
Sue’s role is to round daily, collect trauma data, liaise between specialities, DHBs and allied services, and other agencies such as ACC. Sue supports patients, family and staff, providing assistance, education on patient
care, processes, pathways and procedures.
Since the Midland Regional Trauma System (MRTS) was set up in 2009, they have been collecting data on
trauma patients admitted to Midland hospitals. This information has been used to put systems in place, and
optimise treatment and patient survival. TDH joined the MRTS on 1 July, and since then over 100 patients
have been admitted to this hospital with minor to moderate injuries, of whom nine major trauma patients were
initially treated locally then transferred to the tertiary centre.
Being part of MRTS allow us to set up a robust trauma management system with the implementation of regional guidelines, mandatory criteria for trauma calls, a local matrix to expedite and improve the treatment and journey of our patients. Our goal is to ensure best practise in trauma care to patients and support families along the
journey from the point of injury to optimal function.
W h a t i s AC C ?
Accident Compensation Corporation provide 24 hour, no fault cover and entitlements for all New Zealand
citizens, residents and visitors who sustain certain types of personal injuries in New Zealand; generally from
accidents. Treatment may be covered for physical or mental injuries caused by sexual assault or abuse.
Injuries caused by treatment such as post op wound dehiscence/infection are also considered. New
Zealanders, ordinarily resident in NZ, who have an accident overseas, may be covered as long as they intend to return
to NZ. To register a claim an ACC 46 Claim Form should be completed and lodged by the treatment provider on
behalf of the patient, informing ACC of the accident and injury details.
Who do I contact if I have a question regarding ACC?
 ACC Provider Helpline 0800 222 070 are available 8am to 6pm Monday to Friday or Gisborne 869 0118
 TDH ACC Co-ordinator Claire Johansen x 8427, [email protected] or TDH ACC Administrator
Jess Bradley x8457, [email protected] or visit www.acc.co.nz.
Tairāwhiti District Health Staff Newsletter
The Nerve
Page 14
W h a t ’s c o m i n g u p ?
Cardiology study day
This is the first time a cardiology study day has been held. The day is being organised by the clinical nurse
specialists in the cardiology service—Tracy Low, Ondrea Gooch and Kristen Willock. All nurses are invited
to take up the opportunity to learn more about caring for people with cardiac disease. The following topics
will be covered:
 acute coronary syndrome
 heart failure
 cardiac medications
 echocardiography
 cardiac rehabilitation
When: Friday 31 October
Where : Poutama Room, Ko Matakerepo Learning Centre.
Time: 8.30-4.30
All TDH nurses are welcome. Places are limited to the first 25 registrations.
Register your interest with Candy Hauiti.
Ti p s o n C h i p s
A free workshop for people who cook and sell
chips was held this week. Participants learned
how to cook the best chips and therefore have
satisfied customers.
All participants get a certificate to hang in their
store. Next time look to see if the chips you are
buying have been cooked using the best possible
methods.
The training is bought to Gisborne by The Chip
Group, The Heart Foundation and the Ministry of
H o w t o r e a d yo u r p a ys l i p
Do you sometimes find it a bit tricky to read your payslip?
Come along to a 20 minute basic explanation on how to read your fortnightly pay information.
When: Thursday, 9 October 2014
Where: Corporate Board Room
Time: 9am
Facilitator: Payroll Manager, Tracey Marino,
To register your interest contact Maria Wikstrom by Monday, 6 October 2014.
The Nerve
Tairāwhiti District Health Staff Newsletter
Page 15
T h e r e ’s a l o t h a p p e n i n g a t T D H
Ta l e o r e f r e s h e r
4 w a ys o f b e i n g w e l l
Come and learn more about Taleo, the Cloud
based talent management software.
The next interesting session on Positive Lifestyle;
Back to Basics
Register by replying to this email by Monday 6
October 2014.
Facilitator: Gemma Hogg, Recruitment Advisor
When: 9 October 2014
When: 16 October 2014
Where: Poutama Room, Ko Matakerepo Learning Centre.
Time: 9 am-12.30pm
Facilitator: Registered Psychologist Amberley
Meredith M.Sc.
Where: Mauri Hiko Room
Time: 9 am – 11 am
To register your interest contact Maria Wikstrom
by Monday, 6 October 2014.
To register your interest contact Maria Wikstrom
by Tuesday 7 October 2014.
Relay for Life 2015
When: 14- March 2015
Where: Gisborne Showgrounds, Main Road Makaraka,
Time: 12noon to 12noon.
Team registrations are now open. Registration is $20 per team member and for
that each member will receive a RFL T-Shirt and be entitled to breakfast
(if registered for it).
Register your team here or talk to Judy Livingston at the Cancer Society Room.
We i g h t Wa t c h e r s a t w o r k
Weight Watchers is a LIVEABLE, FLEXIBLE
AND SENSIBLE PROGRAM about food
education...so no meal replacements and no food
or drink is ‘off limits’. The programme runs for 13
weeks.
When: From Wednesday 22 October
Time: 12-1pm
Facilitator: Carmel Kendrick, who has been a
successful Weight Watchers member. She will
motivate and support you to achieve your health
and wellness goals, leading up to summer, the
festive season, and beyond.
Here is more information.
To register to attend contact
Cathy Brown 06 8690500 ext 8073
email: [email protected].
Tairāwhiti District Health Staff Newsletter
C h r i s t m a s H o l i d a ys
Looking for affordable, family
accommodation over the Christmas period?
Bay Of Plenty Polytechnic has 11 student
houses available in Tauranga over the
Christmas holidays.
They are fully-furnished and linen is provided.
They are in Windermere Drive and Lagoon
Place, a five minute walk from the BoPP
Aquatics & Fitness Centre where guests will
have free access.
For more information on the student houses,
view Summer Holiday Houses.
Contact us on [email protected]
to make a booking.
The Nerve
Page 16
New books in the Library
We are now able to purchase more books so let Trish (ext 8228) know if there’s anything in particular
you’d like ordered for the library. To view the books click on the links below, visit the library, email
[email protected] or look up via the Library catalogue.
Title
100 cases in paediatrics
Classification
WS 100 RAI
Date
2009
Essential revision notes in paediatrics for the MRCPCH
Author
Raine, Joseph E, Cunnington, A. J,
Walker, J. M
Beattie, R. M, Champion, M. P
WS 39 BEA
2012
Explain pain
Butler, David S, Moseley, G. Lorimer
WL 704 BUT
2013
WA 300 KOR
2014
Craig, Elizabeth
WA 325 HEA
2013
The improvement guide : a practical approach to enhancing organizational performance
Indicators of Inequality for Māori and Pacific People
Langley, Gerald J
HD 58.9 IMP
2009
Marriott, Lisa, Sim, Dalice
WA 900 MAR
2014
The Midlands Prostate Cancer Study [electronic text] :
understanding the pathways of care for men with localised prostate cancer
Lawrenson, Ross
Online
2014
The new leaders : transforming the art of leadership
into the science of results
New Zealand framework for dementia care.
New Zealand health system review [electronic text]
Goleman, Daniel, Boyatzis, Richard E,
McKee, Annie
HD 57.7 GOL
2002
WT 155 NEW
2013
2014
QZ 4 COP
2013
WM 274 PLE
2013
Grossman, Sheila, Porth, Carol
QZ 4 POR
2014
Covey, Stephen M. R, Merrill, Rebecca
Moorfield, John C
HF 5387 COV
2006
PHARMAC
Craig, Elizabeth, McDonald, Gabrielle, Adams, Judith, Reddington, Anne,
Oben, Glenda
Beckford, Nigel, Fitzsimons, Michael
DU 412 ARA
WA 325 OHO
2009
2012
WZ 150 PAR
2013
Ministry of Health
WB 925 TIK
2014
The guide to He Korowai Oranga, Māori Health Strategy, 2014.
The health of children and young people with chronic
conditions and disabilities in the Midland region
Pathophysiology
Pleasure, profit and pain : alcohol in New Zealand and
the contemporary culture of intoxication
Porth's pathophysiology : concepts of altered health
states
The speed of trust : the one thing that changes everything
Te aka : Māori-English, English-Māori dictionary and
index
Te ara poutama : reference book
Te ohonga ake : the health of Māori children and
young people with chronic conditions and disabilities
in New Zealand
Te paruhi a ngā tākuta
Tikanga ā-Rongoā : ko tēnei te tuhinga reo Māori /
Tikanga ā-Rongoā : this is the English version
The Nerve
Cumming, Jaquiline, McDonald, Janet, Barr, Colin
Copstead, Lee Ellen, Banasik, Jacquelyn L
McEwan, Brett, Campbell, Maxine,
Lyons, Antonia C, Swain, David A
2011
Tairāwhiti District Health Staff Newsletter
Page 17
Comings and goings
Nau mai haere mai
Antonios Chasouris - Clinical Psychologist, CAMHS effective 8 September.
Raewyn Gingles - commences as a Registered Nurse, Casual Nursing Pool effective 8 September.
Alicia Benson - Oral Health Promoter, School Dental effective 8 September .
Amy Carroll - commences as a Registered Nurse, Casual Nursing Pool effective 8 September.
Iris Timpany - commenced as a Casual Home Care Worker, District Nursing effective 8 September.
Jessica Purcell - commenced as a Registered Nurse, Planet Sunshine effective 1 September.
Michelle Murphy - commenced as a Clinical Pharmacist, Pharmacy effective 15 September.
Maraea Ngarimu - commenced as a Health Care Assistant, effective 8 September .
Susan Klavs - commenced as a Registered Nurse, Casual Nursing Pool effective 26 September.
Haere rā
Kiri Collier - Casual Clerical, Ambulatory Clerical effective 4 September.
Brenda Noble - Casual Outpatients Clerk, Ambulatory Clerical effective 4 September.
Jocelyn Curtis - Casual Outpatients, Ambulatory Clerical effective 4 September.
Gail Kirkland - Casual Administrator, Community Mental Health effective 5 September.
Brendon Gerrard - Health Protection officer effective 9 September.
Ben Bowen - IT Support Officer, Information Services effective 11 September.
Jenny Hampshire - Dental Therapist, School Dental effective 12 September.
Eden Spedding - Casual Dental Assistant, School Dental effective 18 September.
Anna Meuli - Project Co-ordinator, Tairawhiti Integration Committee, effective 26 September.
Alex Clark - Psychotherapist, effective 30 September.
Movers
Rachel Compton - transfers to Registered Nurse, Combined Ward effective 22 September.
Raewyn Gingles - commences as a Registered Nurse, Casual Nursing Pool effective 8 September.
Rebecca Searle - transfers to Nurse Co-ordinator, Nurse Entry to Practice effective 15 September.
Locums
Oscar Lyons - Paediatric Trainee Intern, here from 6 October to 7 November.
Tairāwhiti District Health Staff Newsletter
The Nerve