1100% recycled paper

Bay of Plenty District Health Board staff newsCheckup

page 12page 3 page 6

designed and printed by the BOPDHB’s Design and Print team

July 2013

Students take part in a simulation car crash exercise - see page 7 for more details.

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Overview

By Helen Mason, Acting CEO

It’s great to have the opportunity to be Acting CEO and interact with people I don’t always have the opportunity to meet in my usual role as General Manager of Planning and Funding.

What has struck me is the changing mindset to ‘whole of system’ approaches. This is reflected in a number of articles in this edition of Checkup. The Health Passport is intended to ensure good communication and transfer of information for patients as they move through the system. The Rural Health Interprofessional Immersion Programme brings a wide range of professions together, and supports their understanding of the part each plays in the system. The recent submission on the Smartgrowth Strategy is focused on thinking about and improving health within the broader social and economic system.

BOPDHB is developing a five year Integrated Healthcare Strategy in partnership with the three Bay of Plenty Primary Health Organisations (PHOs), in order to improve the way the broader system delivers care to our people.

Integrated Healthcare is seen as essential to ensuring the sector as a whole can effectively respond to the pressures of increasing service demand, aiming to improve the health of the population and the patient experience whilst making the most of a limited funding environment. For example: better co-ordination of care between primary and secondary services and effective co-ordination for people with multiple chronic conditions; multi-disciplinary team work in primary care for chronic care management and access to specialist advice; providing support across health and social services; ensuring information technology supports communication between health professionals, environments and patient self-management.

Sarah Davey from Planning and Funding is managing this work. A project group has been established and will be seeking input from key stakeholders within the DHB and throughout the BOP health system from July to October. For further information or to find out how you can input, contact Sarah: sarah.davey@bopdhb.govt. We look forward to your contributions.

Guest Columnist By Debbie Brown, Quality and Patient Safety Manager

As Quality and Patient Safety Manager my days are full, varied and extremely interesting. I have thought long and hard about what to tell you and it’s come down to two things which are shaping the work my team and I do.

Firstly Patient and family Centred Care (PFCC). “Patient and family centred care redefines relationships in healthcare placing an emphasis on collaborating with patients and families of all ages, at all levels of care, and in all health care settings. Further, it acknowledges that families, however they are defined, are essential to patients’ health and well-being and are crucial allies for quality and safety within the health care system.” Partnering with Patients and Families, 2006.

The Quality and Patient Safety team receives feedback on a daily basis from patients and/or their family regarding their experience with services across the DHB. Much of this feedback is positive and supportive of the care delivered across our hospitals. However, we also hear some tragic stories which assist us to learn and prevent others from

experiencing similar situations. More and more these stories are being shared with Board members, including patients and family members presenting at our DHB Board meetings.

The true value is allowing those who deliver the care to hear the stories first-hand and acknowledge the effect these incidents have had on both individual patients and/or their family members. I

recall one complaint where a doctor agreed to a family meeting. The outcome was an apology to the patient that their experience had been sub optimal and several areas for improvement were identified which he had control over and could change.

Open for better care is a national patient safety campaign co-ordinated by the Health Quality & Safety Commission (HQSC). The campaign was launched on May 17 by the Associate Minister of Health, Hon Jo Goodhew. The aim of the campaign is to enable the health and disability sector to ensure everyone is doing the right thing, and doing it right, first time. The campaign focuses on reducing harm in the areas of: falls, surgery, healthcare associated infections and medication. The campaign aligns and works with existing patient safety initiatives we have been doing at a local level.

DHBs, CEOs and Chairs were asked by HQSC to sign a pledge in support of the campaign. Phil Cammish and Sally Webb recently signed this on behalf of BOPDHB.

Debbie Brown

Health PassportBy Gail Bingham, General Manager Governance and Quality

A new Health Passport is set to help patients communicate better with their healthcare providers.

Patients will carry the booklet with them when attending hospital or other providers of health and disability services. The passport contains information about how they want people to communicate with them and support them during their visit.

BOPDHB has worked in collaboration with its community providers to provide the Health and Disability Commission’s Health Passport and health professionals should find it of great assistance when providing health care services. It will be particularly helpful for those individuals who have difficulty communicating as it will tell you how they communicate and wish to be cared for when their families are absent.

If you have any regular patients that have difficulty communicating with you I recommend you discuss the Health Passport with their family and encourage them to complete one.

A copy of the passport and a guide on how to complete it can be found on the Health and Disability Commission website: www.hdc.org.nz.

Please contact Gail Bingham on ext 8990 if you have any questions in relation to the Health Passport.

The front cover of the new Health Passport is purple and patients are encouraged to print it out in colour to alert staff to the document.

PassportHealth

First name:

Last name:

I like to be known as:

Please return this Passport to me when I leave.

Occupational Health Nurse Lucy Cairns was rushed off her feet when called to give out the flu jab at Tauranga ED. Pictured with SMO Emergency Medicine Alastair Maclean.

The Employee Health and Safety Nurses have been run off their feet over the last few months giving over 1700 DHB staff the seasonal influenza vaccination.

This means 57% of BOPDHB staff are protecting themselves, their families, colleagues and very importantly patients against the flu, which can be deadly for those most at risk.

For many of those who chose to take up the free flu jab, the decision was easy. SMO Emergency Medicine Suzanne Moran says she’s seen healthy people die from something that is preventable.

“I’ve seen people die from the flu – it’s a real wake-up call.”

SMO Emergency Medicine Alastair Maclean says he hates getting the flu.

“I have the flu jab every year, I hate getting the flu and I don’t want to pass it on to my patients. I also saw my son suffer with swine flu a few years ago.”

ED Admin Team Leader Norma Wallace gets the flu jab for family reasons.

“I’m carer for my granddaughter and when you work in this environment, you don’t want to take anything nasty home.”

Influenza is more than just a bad cold. It can kill. Influenza is highly contagious and severe for those most at risk such as the elderly and young children. Free influenza vaccination is still available for staff. If you missed the recent clinics and trolley rounds, call or text one of the helpline numbers to arrange a vaccination – Liz Necklen in Tauranga on 027 7059 353, or Janine Barr in Whakatane on 021 471 576. For more information follow the link from the homepage of Pacentral.

Who won the battle against the flu?This year we kept track of which area across the DHB had the most staff members take up the free flu jab. Staff were split into four areas: doctors, nurses and midwives, allied health and HCAs, and admin and management. In Whakatane there was a clear winner with 70% of the doctors having the vaccination. Congratulations to ED House Surgeon Terry Fesaitu who was drawn from this group and has won a $200 restaurant voucher to spend at Roquette restaurant. In Tauranga it was a closer battle with the admin and management area just beating the doctors with 75% of staff having the vaccination. Congratulations to Payroll Administration Support Bridget Hutchinson who has won $200 to spend at Harbourside restaurant.

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Vaccine Numbers

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Bay of Plenty District Health Board Influenza Vaccine Distribution

2009 to 2013 Comparison

to 31st July

to 07th June

to 31st Aug to 30th Sept

to 30th Sept

Public flock for flu jab

Be in to win

Everyone in the winning area will go into a draw to win

dinner at Harbourside restaurant

worth $200!

Who’s winning the fight against the flu…

Let the

commencebattle

Doctors

Nurses &

midwives

Allied H

ealth

& HCAs

Administrat

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Tauranga

68% 52% 45% 71%

68% 52% 45% 71%

Tauranga

Be in to win

Everyone in the winning area will go into a draw to win

dinner at Roquette restaurant

worth $200!

Who’s winning the fight against the flu…

Let the

commencebattle

Doctors

Nurses &

midwives

Allied H

ealth

& HCAs

Administrat

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& man

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Whakatane

70%35%

37% 53%

WhakataneThe increase in numbers of flu vaccinations is being reflected in this year’s public figures with almost 60,000 Bay of Plenty residents getting the flu jab.

Record number of staff have flu vaccination

Payroll Administration Support Bridget Hutchinson

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Introducing CIRCABy Phillip Balmer, Chief Operating Officer

Chief Operating Officer Phillip Balmer says the most important thing happening in the Provider Arm at the moment is CIRCA – so what’s it all about?

CIRCA, Latin for quality is a DHB wide quality improvement programme aimed at improving the patient experience and achieving greater efficiency and value from health delivery systems by improving the design and coordination of care for all. This integration aims to address fragmentation in patient services, and enable better coordinated and more continuous care, frequently for an ageing population which has an increasing incidence of chronic disease. The goals described align with the Institute for Improvement (IHI) Triple Aim.

Healthcare services in New Zealand and internationally face an unprecedented challenge to meet the increasing demand for services, as well as the increasing costs associated with care delivery. In responding to these challenges, healthcare providers are faced with two equally unpalatable options: rationing services, or reducing staff costs such as reducing training etc. As we each care about our community, our patients and the professional competence of our staff, leaders across the organisation agreed these two

options were unacceptable. We decided instead on a third way to meet this challenge through redesign of care delivery.

The CIRCA programme started in June 2012, when over 200 staff attended workshops over four days to answer the question: How can individuals and teams more effectively undertake new ways of delivering services that will result in a better patient experience, improved clinical outcomes and improved return on investment?

The workshops looked at what innovative practices were already in place within the DHB, nationally and internationally and whether these practices could be applied more widely across a range of services. Collectively capturing and sharing these key learnings from healthcare leaders and practitioners directly involved in care delivery greatly advanced our organisational knowledge of what works and doesn’t work and prevented the missed opportunities for a broader spread of proven methods and innovative solutions. From these workshops, a rich mosaic of voices were collated to stimulate broader and ongoing conversations between clinical teams, researchers, managers and patients to improve care delivery systems. The innovative ideas were collated into various categories that aligned with the patient journey.

The goal therefore is to ask each clinical team to evaluate these ideas for their merit in application within their service and where relevant to support their implementation. Rather than attempt to do this all at once, each clinical team are being asked to evaluate whether they can meet the CIRCA criteria sequentially focusing on one category at a time. Implementation is supported through a dedicated support team. It is hoped that this approach will speed up and improve the process of implementation whilst reducing the demand

on health professionals in meeting multiple agendas simultaneously. However this will only work if multiple teams pull in the same direction at the same time.

CIRCA in essence therefore provides an organising framework for evaluating care delivery in order to improve patient care and experience through improved coordination.

CIRCA 1 Strengthen continuity of care and coordination between primary and secondary services to improve the patients experience and clinical outcomes and increase coherence and synergy between care providers.

CIRCA 2 Promote greater reliance on patient and community self-management through more effective support and education.

CIRCA 3 Strengthen service and clinical integration within hospital services to ensure the patient receives the right care at the right time each and every time.

CIRCA 4 Strengthen service and clinical integration between hospital systems both secondary and tertiary to ensure there is connectivity, alignment and collaboration between care providers.

CIRCA 5 Goal to strengthen individual and service specific improvement capabilities as it is recognised that there is no ‘one size fits all’ or magic bullet approach to improving care delivery.

To find out what the programme has achieved to date, visit the new CIRCA intranet site on Pacentral: http://intranet/CorporateServices/Communications/CIRCA/default.aspx. If you have any questions or want any further information on how to get involved with the programme, contact Peter Bassett on ext 5355 or Suzanne Round on ext 8246

Survive or thrive – our future’s in your handsDHB staff have the opportunity to hone improvement skills by accessing an internationally recognised and renowned framework for quality improvement training and education, the Institute for Healthcare Improvement (IHI) Open School.

High quality patient care is a shared responsibility for all staff and we can all take a leading role in improving the patient experience through quality improvement activity.

Under CIRCA 5, individuals and services will identify an area for improvement as they pursue the quality agenda to make improvements within their service.

Online courses will be available through e-moodle and complemented by on-going support from within the organisation, so staff can apply what they learn through practical improvement projects.

Do you recognise areas where we could improve the service we provide to our patients and have the desire to help make it happen?

To sign up, go to the CIRCA intranet site: http://intranet/CorporateServices/Communications/CIRCA/default.aspx to complete the online booking form. Applications close July 26.

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Internal auditors Sanjay Lal and Andrea Davis welcome contact from staff who might need help to improve or make changes within their department.

Here to support staffBy Sanjay Lal, Internal Audit Team Leader and Andrea Davis, Clinical Auditor

Successful audits don’t just happen by chance; they are the result of careful planning, implementation, and follow up.

That’s where we come in. We are a little known team, hidden away on the 3rd floor in Tauranga Hospital, monitoring whether processes in the DHB are running effectively and safely. Sanjay is a Corporate Auditor and a Chartered Accountant and Andrea has a background in nursing.

Our purpose is to monitor the organisation’s risk management, internal control and governance processes. We do not audit specific individuals or become involved with Human Resource issues. Our service is independent and this enables reviews to be carried out freely and objectively. All information given to Internal Audit personnel is treated with the strictest confidence.

Recently, you may have been asked to complete an online survey about fraud to enhance awareness of fraud risks within the DHB. You may receive a phone call from Sanjay in the future as he’s currently working on various payroll audits and may need your assistance.

Andrea has recently worked with Wound Care Nurse Specialist Di Hishon to conduct a wound care survey. Nurses across the organisation were asked to complete the online survey to determine wound care knowledge and establish learning needs.

We also offer support to staff by facilitating departmental audits, assisting with databases for clinical specialities and assisting with investigations into serious events such as fraud and misconduct.

Quality controls are everybody’s business. This means we are all mutually accountable. If you are aware of a process that’s not working, let’s put our heads together and come up with a way to make it better. Read about us on Pacentral under ‘Governance & Quality’ or contact us directly on ext 5179 with any concerns or queries. Remember: we’re by your side, at your service, in your best interests.

One of the ways to help prevent SUDI is to use a wahakura - a woven baby bed made from harakeke (flax). The Pepi-Pod is another similar safe sleeping option for those who want baby to sleep in bed with them.

To receive a Pepi-Pod, parents agree to be part of a programme where they receive safe sleep information, monitoring and support as they leave hospital and return home. Well Child and Tamariki Ora providers provide safe sleep support when the midwife has completed her care.

Deaths from SUDI are largely preventable and it is important that all health professionals routinely provide consistent safe infant sleep messages to all parents. SUDI can be a frightening topic for new parents, however it is important to understand the facts and the things they can do to help reduce the risks. Change for Our Children is a government funded organisation that informs, educates and promotes safe sleeping for all infants.

Tauranga and Whakatane Maternity Units both have Safe Sleeping Champions that attend national meetings for updates and provide education for staff and parents. Staff also provide breastfeeding education and support,

and smokefree screening with support offered for smoking cessation.

The Bay of Plenty DHB Safety of Children Policy and the Safe Infant (birth to one year) Protocol are soon to be released. For further information please contact Sue Gulliver- Birkett, Whakatane Maternity, Natasha Rawiri, Tauranga Maternity or our programme coordinator Raewyn Lucas.

The Pepi-Pod is a general purpose storage box that converts to a baby-sized bed with the addition of a cover, fitting mattress and bedding, to help reduce the risk of SUDI.

By Marg Norris, Midwife Leader

The BOPDHB is launching a Pepi-Pod Safe Sleeping Programme for babies who are identified as being vulnerable to Sudden Unexpected Death In Infancy (SUDI).

Babies are more vulnerable to SUDI when exposed to smoking during pregnancy, when their birth weight is less than 2500gms and when co-sleeping with adults, especially those who smoke and/or use alcohol or drugs. Other risks include unsafe infant sleep positions and unsafe placement of pillows or loose covers.

Pepi-Pod programme launch

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By Monique Keys and Shona Ramea, Regional Maori Health Services

During May the Whakatane Clinical School hosted our annual Treaty of Waitangi Training facilitated by Roy Hoerara, Director Tu Maia Ltd.

Being staff of Regional Maori Health Services, we asked the question, “What is it that we could gain from this training? We are already employed within our BOPDHB regional cultural service, we are proficient in Te Ao Maori or the Maori world, we feel we are already well versed with things relating to Treaty and health.” We were wrong!

Not only did this course provide understanding on interpreting the Articles that make the Treaty, but we were also able to gain a better understanding of the Treaty document as a whole, and as such, now view the Treaty

Treaty of Waitangi Training an eye opener

document in a new light. For us, as Maori, the Treaty always held a sense of mamae or wrongdoing – this is, to a degree still a reality, however with better education and understanding we can now see what a beautiful document it really is.

Reflecting on the course content, we have certainly gained a better understanding of the Treaty and its purpose. There are various reasons why at the time a Treaty was necessary: colonisation; the need to co-exist peacefully; British Crown protection from countries of threat ie France etc. Many of these if not all, are still applicable reasons to maintain the Treaty agreement, today, however with New Zealand being such a diverse country ethnically, the ethos/values of the Treaty apply to all.

Very few organisations within New Zealand provide such education/courses of this standard, and we would sincerely encourage all staff to undertake this training as well as the Cultural Awareness Training. Not just to enhance your knowledge and history of New Zealand but also to enhance how we all deal with patients/clients/any persons who are different from yourself and being aware that they may have differing needs and expectations. We left the training with a renewed sense of pride in our Maoridom/Maori Culture but also an empowered pride in our nationality and being New Zealanders.

The BOPDHB Treaty of Waitangi training is hosted by Roy Hoerara, the company director of Tu Maia Ltd which specialises in Treaty of Waitangi facilitation, training, strategy, policy and settlements.

General Radiography Team Leader Pete Seager was one of 10 Tauranga search and rescue volunteers who went down to Christchurch to help in the aftermath of the February 2011 earthquake. He and Christchurch author Deb Donnell have put together Responders, a book of the photos and experiences of search and rescue volunteers from around the country.

Pete says it is not the destruction as much as the silence that he remembers most vividly about the days after the devastating earthquake.

“It was the emptiness. Standing in what was a busy street and there’s not a soul there. The memory I have is of it being completely silent. This is a main street in a New Zealand town on a Saturday afternoon and there’s not a sound,” he says.

Pete was one of 10 members of NZ-RT16 Tauranga Search and Rescue who headed to Christchurch the day following the earthquake. The Tauranga team arrived in Christchurch at about 5am Thursday February 24. They were initially tasked with door knocking houses in the suburbs to check on residents and mark the properties as clear if empty. As the days rolled by the team found themselves searching

Sound of silence still resonates

through industrial buildings in the city centre.

“Sometimes buildings outside would look very normal but when you got inside the shelves and stock would be all over the place. All the piles needed to be checked to ensure no-one was trapped.”

Responders is available online at www.responders.co.nz, or it can be bought at Books A Plenty in Grey Street, Tauranga.

Search and Rescue Volunteer and General Radiography Team Leader Pete Seager wrote the book Responders as a way to tell the stories of the people they encountered in the aftermath of the February 2011 Christchurch earthquake, and to give the volunteers the recognition they deserved. Pictured here a tilt slab had crushed a car in a light industrial block within the red zone. Liquefaction silt had risen up to bury the car to its axles.

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By Brian Pointon, Planning and Funding and Rebecca Culliford, Health Improvement Advisor

The BOPDHB has made a submission to the draft SmartGrowth Strategy 2013. This 50-year strategy will be the basis for healthy living in the Western Bay of Plenty.

The key message that the BOPDHB has sent to the SmartGrowth partners (TCC, WBOPDC, BOP Regional Council and Tangata Whenua collective) is that in order for the Western BOP to be a great place to ‘live, learn, work and play’, there needs to a compact urban form for Tauranga City and an improved transport system.

By Sarah Strong, Clinical School Manager

Four groups of students have completed the Rural Health Interprofessional Immersion Programme (RHIIP) in Whakatane. We are one of two pilot sites in New Zealand, along with Gisbourne, Tairawhiti DHB.

Each programme runs for a six week block and has seven or eight students working together from a number of professions: medical, nursing, occupational therapy, physio and pharmacy.

Students explore each other’s roles and responsibilities, shadow each other for a day, and develop an interprofessional care plan for a primary care patient. These care plans are presented to the GP team. They also spend time with patients in the community exploring Maori health perspectives, complete specific workshops on interprofessional working, the rural health context, Maori health needs and models of care and teamwork. Extended activities have included workshops and mock primary care assessment with St Johns and emergency services.

The programme is facilitated by an interprofessional team comprised of Dr Jo Scott Jones from the Opotiki Church Street Surgery and Registered Nurse Carley Jones of the Mental Health and Addictions Service. In addition Maori academic support will form an integral part of the programme

RHIIP into it!

with this position currently being recruited by the University of Auckland.

Living together during the programme is encouraged by offering free accommodation in two student houses in Whakatane. Specific comments from students have focussed on the benefits gained from living and working together, with an increased understanding of each other’s roles.

“It was great to see the depth of knowledge in different areas and the learning approach means that the patients care was more holistic.”

“Great for breaking stereotypical ideas and seeing strengths of other healthcare workers.”

Students commented on an increased awareness of the benefits and challenges of working rurally and more willingness to work in a rural area.

“I have a greater appreciation for the lack of resources and opportunities the people of rural communities have and how much they need.”

“The best experience to actually be able to go out into the community in rural areas and see the inequalities compared to the environment I have been brought up in in an urban area. The inequality is overwhelming.”

Support from Whakatane Hospital staff has been much appreciated and integral to the success of this programme.

A simulation exercise with St Johns and the fire brigade took place during the pilot RHIIP programme last year. Nursing Student Leonie Wakefield fits a neck brace to one of the two St Johns volunteers who were car crash victims in the simulation.

DHB input to SmartGrowth StrategyGrowth in the Western BOP needs to be managed so that it supports and enhances the health of residents and ensures no harmful effects on the natural environment.

As a health agency, the BOPDHB recognises that the foundations for good health are the social determinants including safe employment, quality and affordable housing, education opportunities, physical activity opportunities, social connectedness, personal safety, clean air, water and soil and effective waste disposal and easily accessible health services.

A compact urban form and improved transport system can enhance these foundations by stimulating improvements to the provision, quality and desirability of public space, the provision of walking and cycling infrastructure, increased public transport and increased access to all community facilities and services. This approach also reduces the need for expensive investment in

new outer city infrastructure and the associated heavy reliance on motor vehicles. The Western BOP growth pattern in the recent past has been a contributor to our increase in diabetes, cardio-vascular disease and some cancers.

The BOPDHB has congratulated SmartGrowth on its four well-beings approach (economic, environmental, social and cultural) and the involvement of many organisations other than local government in developing the strategy and solutions for future growth management.

The written submission was prepared by Toi Te Ora Public Health Services staff in conjunction with Planning and Funding, and approved by the DHB Chair. There will be opportunity to present an oral submission in mid-June.

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Celebrating long service with staffBy Maxine Griffiths, Staff Engagement Leader

We know that health professionals choose the vocation they do mostly because of their passion and dedication, so it is important that BOPDHB continues to support and develop opportunities, to be an employer of choice and exhibit the value it has for its employees.

The organisation has recently adopted a new set of values identified by the acronym CARE - Compassion, Attitude, Responsiveness and

Tauranga

Community Mental Health Team

Board Chair Sally Webb and cake cutter SCBU Registered Nurse Beth French.

Community Mental Health Registered Nurse Dave McLean and Emergency Department Nurse Practitioner Ali McLean (15 yrs).

Clinical Physiology Team, Joelene Walker (10 yrs), Michelle Bayles and Sheryl Tait (20 yrs).

Anaesthesia & Surgical Services Nurse Leader Ros Jackson (10 yrs).

Nurse Leader Clinical Support Maurice Chamberlain (15 yrs).

Dental Therapist Michelle Grierson (20 yrs).

Nurse Educator Fiona Williams (25 yrs).

Ward 3A Enrolled Nurse Carolyn Booker (30 years).

Te Whare Maiangiangi Registered Nurse Jane Robertson (35 yrs).

Elective Services Manager Kathie Sale and partner Chris Rutherford (10 yrs).

Maternity Unit and Special Care Baby Unit Team.

Excellence. Aligning the values of an organisation with the aspirations of its staff and expectations of those it serves, is key to sustaining a high quality, motivated and engaged workforce.

Our Staff Service Recognition celebrations are the epitome of such values. Undertaken on an annual basis, they have gone from strength to strength not only in the number of employees accepting invitation for recognition, but also in the attendance of their family members, colleagues and managers in support of the contribution made and the loyalty shown by these longer serving employees. Whilst acknowledging the importance of the occasion, the celebrations have assumed a relaxed, informal atmosphere, with the opportunity for recipients and their families to mix and mingle with other recipients and colleagues away from the workplace.

The photos below are a snapshot of this year’s celebrations in Whakatane on May 1 and Tauranga on May 16.40

yearsservice

Whakatane

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Celebrating long service with staff

Toi Te Ora Public Health Development Advisor Sharon Kennedy Muru (10 yrs).

Health Records Administration Support Lesley Anderson (15 yrs).

Orderly Ted Large (20 yrs).

Medical Records Clinical Coder Nikki Schwass (25 yrs).

Non Clinical Support Administration Support Elaine Secker (30 Yrs).

Te Pou Kokiri Te Koru Therapy & Rehabilitation Riripeti Rio (37 yrs).

Te Koru Therapy & Rehabilitation Team.

Registered Nurse Patient Transfer Debra Middleton (10 yrs) with daughter Hope and son Sam.

Tait Kora from maintenance (35 yrs) with son Stuart and grandson Tane.

Registered Nurse, ICU/CCU Jill Bradley (25 yrs) with Mum Louie.

Surgical Team members Viv Murfitt (15 yrs), Desiree Kelly (25 yrs) and Trudy Howard (25 yrs).

Maurice Chamberlain and Paediatric Team ladies Colleen Clulow (30 yrs), Lydia Snell (15 yrs) and Carol Murphy (25 yrs).

“I have been employed with the BOPDHB since 1997. In that time I have seen many changes and met many committed and passionate people.”

“Positive experiences include the support I was given while doing post graduate study, the implementation of the Releasing Time to Care programme along with Team Nursing.”

“I would like to thank the BOPDHB for the opportunity to work in an organisation with some of the friendliest, outgoing and loveliest people you could meet.”

“Over the past years, BOPDHD has cultivated an innovative organisation/culture. It has given staff the freedom to think outside the ‘square’ and join all those dots that others cannot see.”

Board Chair Sally Webb and cake cutters, Kitchen Assistants Iris Pooley and Dorothy Thrupp (35 yrs).

35years

service

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Lippincott nursing manual for another 3 years

To enable private access to all eligible nurses in the region, including BOPDHB nurses who wish to use the manual from home, a Moodle site was set up at http://bestpractise.elearning.ac.nz. Anyone who is a registered nurse working for any organisation that receives at least partial DHB funding is eligible. To set up a login, go to the website, sign up and follow the instructions for your access to the product. An email is then sent to the DHB library closest to you, your credentials are checked and you are notified that your access has been enabled. When that process is complete, you can then

use the product any time and from any computer.

An early part of this project also included a subscription to Ebsco’s Nursing Reference Center. This was a point of care tool for nurses but we were unable to continue the subscription and access to this product is no longer available in the BOPDHB area. Please see library staff if you have any questions or call the Tauranga Library on ext 5687 or 8687, or the Whakatane Library on ext 4819.

Welcome to the Transit Loungedressings; liaising with MDT when needed; and continuing education.

The area is equipped with Lazyboy chairs, two beds, and a wound dressing area. Hot and cold drinks are offered regularly as well as a light lunch, and reading material is available if desired. An up-to-date information board displays community groups and topical subjects. Currently, we are displaying information on influenza and over the last weeks have promoted Asthma Week and World Smokefree Day. We attempt to be educative and innovative and not merely a waiting room.

At the Transit Lounge we value the support of the wider hospital community and we’re always open for you to come and check it out. The current policy is under review and it is hoped that once this is completed we will have an update of the services available. Registered Nurse Keri Henderson helps patient

Patricia Barton in the Tauranga Hospital Transit Lounge.

By Raewyn Adams, Librarian

Lippincott’s Nursing Procedures and Skills manual will be available for DHB staff for another three years. Off-site uptake has mainly been from hospice and aged-care nurses, with a good number of keen DHB nurses also signing up to access it from home.

Back in 2011 the Midland Directors of Nursing ran a pilot process and resource evaluation which resulted in this product being chosen for the region. The project was called ‘Improving Nursing and Midwifery Utilisation of Evidence to Inform Clinical Practice’. The point of it was to provide a robust resource for all nurses in the Midland region to enable consistent application of nursing procedures across the region.

The implementation of the project included an assessment of every procedure in the manual to ensure its suitability for New Zealand conditions. This was done by experienced nurses across the Midland region and those procedures that were not appropriate were either edited or discarded. The final step was for the DHBs to incorporate the resource into their formal policies. Bay of Plenty DHB nurses who check the CPM protocols will find that many now link to the Lippincott manual. The whole manual can also be accessed via the Nursing menu on the library page.

By Keri Henderson, Registered Nurse

The Transit Lounge at Tauranga Hospital reopened late last year and is proving to be a comfortable place for patients to wait prior to discharge.

Open Monday to Friday 9.00am to 5:30pm, the lounge is staffed by a qualified, experienced team of nurses, who work towards continuing and completing the discharge process for the patient. The aim is to support patient flow in to, out of and around the hospital.

The team in the Transit Lounge provide services such as: completing/sending district nursing referrals; completing ACC referrals; wound

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Photos of people, events and buildings dating back to 1900 are being gathered to be part of the Whakatane Hospital History Wall.

“Building the new hospital gave us the idea to gather history of the area and what’s been happening in health over the last century,” says DHB Board member Yvonne Boyes.

Located by the staff cafeteria, the 12 panels will depict a timeline of health-related memories from 1900 through to 2012.

Yvonne says the wall is a culmination of many months of team work.

“Many people have been involved in the project: Carol Charters, Nancy Nielsen, Ian Shearer, Jane Haultain, Gay Turner, Rona Stanley, Ron McMullen and representation from Maori Health.”

World Smokefree DayBy Sue Freeman, Smokefree Coordinator

Thank you for supporting this year’s World Smokefree Day on May 31.

At the Tauranga Hospital stand on May 31 eight QuitCards and three referrals for support were written for people both wanting to quit completely or to cut down until they are ready to stop. Information packs were requested by another 16 families. We also had Hypnotist James Marks available for support and he made 20 contacts.

The cost of smoking is too high with most smokers telling us they wish they had never started. Smokers regard doctors and nurses as reliable and knowledgeable sources of knowledge about quitting, and are likely to accept your advice when they feel physically vulnerable due to a health problem especially if it is related to smoking. A 30 second to three minute intervention which includes the benefits of quitting has been shown as cost effective for the hospital service and trebles the chance of the patient making a quit attempt.

Recommend nicotine lozenges to all hospitalised smokers to help them quit or replace their smokes while they are in hospital to manage nicotine withdrawal and allow them to stay safely within hospital buildings especially after hours. The World Smokefree Day survey showed 5% of visitors did not know our grounds are smokefree (note: all smokers were aware). Pictorial signage will be placed at front entrances of hospitals to overcome language barriers.

For staff who would like to wear the green smokefree t-shirts ‘You can quit – ask me how’, they are available at a small cost through IPROC and can be worn to work on any day of the week. Whakatane Hospital staff wear theirs every Wednesday.

For some information or to book in an in-house training session, please contact me on ext 8476.

By Penny Horton, Clinical School Education Manager

Showcasing Health Occupations and Experiences (SHOES) is a series of seminars relating to health careers targeting students from local secondary schools.

Facilitated by BOPDHB Career and Development Advisor Jude Ebbett, the seminars are designed to enable young people to investigate health career opportunities and assist them to make informed decisions about subject options which will prepare them to achieve their study goals.

The focus of the first seminar in April was ‘Medicine as a Career’. Approximately 60 young people, and some parents, from local secondary schools attended the event. Doctors Clarence Kerrison, Theresa Mittermeier, Bonnie Leung and Wing Mu discussed: how they had made their choice of medicine as a career; how they met the challenge of competitive entry into training; experiences of their career so far; and advice from their experiences.

Their relaxed and informative presentation held the attention of the audience and prompted a number of questions. Consultants Neil Graham and Mark Lawrence described aspects of their own career pathway and specialties. Sarah Strong provided information regarding UMAT as part of entry criteria and provided the audience with information about the course offered by the Clinical School at the end of each year which helps prepare students for UMAT.

History in the making

In your SHOES

Approximately 20 students and parents attended the second seminar in May which focused on careers in Nursing and Midwifery. Presentations from Student Nurse Coordinator Cindy Harper, Bachelor of Nursing students Georgia Lee Park and Mark Travers; graduate nurses Min Wang, Kirsty Blenkiron and Abbey Rickard; midwives Leigh Robertson and Noeleen Morely provided a comprehensive overview of the benefits and challenges of choosing a career in nursing or midwifery. Head of Department for the Bachelor of Nursing Programme at Waiariki Polytechnic Brighid McPherson, gave a broad outline of the programme including entry criteria, costs, course requirements and professional standards. Following the presentations Clinical Nurse Educator Louise Fowler provided the audience with an opportunity for hands-on experience at taking blood pressure, checking blood glucose levels and handling IV equipment.

A sincere thank you to all of those mentioned above who willingly gave their own time to show-case their occupations with such professionalism and enthusiasm.

Graduate Registered Nurse from the Perioperative Department Abby Rickard (centre), shows students how to take blood pressure readings.

The DHB’s Multi-Media Designer Sally Llewellyn is designing the new history wall set to go up in Whakatane Hospital in July.

The content is currently being reviewed decade by decade by the team to ensure all history is correct. The plan is for it the wall to be completed during July.

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By Philippa Edwards, Systems and Data Analyst, HealthShare Ltd

You may have heard of work being done by HealthShare and wondered who they are and what involvement the BOPDHB has. HealthShare provides shared services to the five DHBs in the Midland region (Bay of Plenty, Lakes, Waikato, Tairawhiti and Taranaki) to support the DHBs working regionally.

The Clinical Work Programme arm is tasked with providing project management and systems/data analysis resource to regional action groups made up of SMOs, GPs, CNS, Business Leaders, Chief Operating Officer, Planning and Funding, Maori Health and Communications from across the five DHBs.

Meetings are held quarterly for each work programme primarily with a clinical focus on how to improve service delivery, equity and future capacity. Attendees remove their individual DHB hats and work within the group for patients across the Midland region by working towards equity of access, developing regional clinical pathways, identifying workforce and IT issues and solutions, and sharing clinical knowledge.

Currently the groups are Rural, Stroke, Elective Services (Opthalmology, Orthopaedics, and Chronic Pain), Maternity Action Groups, EDs, Trauma, Health of Older People, Renal, Cardiac and Radiology Networks. These have been selected as are either vulnerable services or services with a Ministry of Health focus. Working together across the region allows for innovation and sharing of a nature that has not been as feasible under individual DHBs.

The Regional Services Plan (RSP) describes a vision for the future of health services in the Midland region and provides a framework for the five Midland DHBs to continue to plan and work cooperatively. The RSP has been developed across the five DHBs.

The delivery of SimNewbie on May 28 completes our Sim Family of SimJunior and SimMan. Thanks to generous funding from TECT (Tauranga Energy Consumer Trust) we now have a new-born baby manikin which will enhance the way clinical training scenarios are undertaken to make them more realistic.

Resuscitation Coordinator Andy Davies says the arrival of SimNewbie means we will be able to enhance our training by adding a higher degree of realism to the education process.

What is HealthShare?

Introducing SimNewbieBy Sarah Strong, Clinical School Manager

“Midwives, doctors and nurses will be able to engage with SimNewbie as if it is a real sick baby,” he says. “The manikin has realistic functionalities such as: chest rise and fall for breathing; the lips change to blue/white; to illustrate when oxygen levels are low, the umbilicus can be cannulated to give fluids; and IO drills can be used to gain practice in this technique. To have a manikin that moves its arms and legs, makes it look alive, along with life-like crying, all add to realism for the training, which in turn makes the clinician observe more carefully rather than being given a vocal prompt by the instructor.”

Training for the educators will start in September. Clinicians will learn all the functionalities including how to programme and customise training scenarios.

Paediatrician Jeremy Armishaw (left) and Resuscitation Coordinator Andy Davies with the newest member of the Sim Family - SimNewbie.

Want a healthier lifestyle? Let us know how we can help by completing the BOPDHB’s 2013 Healthy Living Survey. See back page for more details.

healthylivingBay of Plenty District Health Board

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At the end of June staff gathered in the Mental Health Services for Older People (MHSOP) garden to celebrate the completion of the Mauao Mosaic project. The mosaic designed collaboratively by OTs and consumers of the service stretches along an inner wall of the sensory garden adding brightness and colour to the garden.

OT Coordinator for MHSOP Cilla Kuzmanov spoke at the function thanking all those people who had been involved in fundraising for the project, management for their support, those involved in developing the sensory garden and the designers and assemblers of the Mauao Mosaic.

The project began in December 2011 when the first garden party was held. At that time plans for the garden included a mosaic mural, raised beds, a water feature, privacy area, and a Zen garden.

The sensory garden has been developed in partnership with the sensory modulation room based in Tauranga Hospital’s adult inpatient mental health unit – Te Whare Maiangiangi. The sensory room, like the sensory garden is a place where patients can relax, refocus and better cope with their illness.

The MHSOP garden parties have been extremely successful since they began, selling homemade food and produce, Bric a Brac and Christmassy things and will continue as funds are needed for another mosaic for another part of the MHSOP gardens.

BOPDHB would like to thank hospital staff, the community and Bayfair for their support with various fundraisers for the project.

MHSOP Mauao Mosaic project completion celebration garden party

The mosaic was created by Community Outreach Service clients, under Mental Health Services for Older People and took 18 months to complete.

By Penny Sanderson, Regional Manager, Clinical Support Services

Many patients and staff will have noticed the new staff members of the Health Records Department. John Blakeman and his guide dog, Brady, recently joined the team and have not only positively contributed by assisting with the workload, there have been other noticeable benefits as well.

It’s been interesting to have a male working in what has been a traditionally female work environment but the biggest change has been having Brady in the department. Watching the faces of staff who are under pressure with heavy workloads as they interact with Brady has been amazing. Staff taking the time to have a quick chat and give Brady a quick pat seem to remove their stress and

John and his side-kick Bradyinvariably puts a beaming smile on their face.

John and Brady not only work within Health Records, but also go to each ward once a day selling the daily newspaper. Again the reaction from patients, visitors and staff has been extremely positive. Patients, particularly the elderly, respond very warmly to both John and Brady and John is always willing to let Brady spend some time with patients who wish to meet and interact with him.

John says he is really enjoying his new role at the DHB and working with awesome colleagues.

“It’s great that Penny and the team have faith in me that I can do the job and are willing to have me on board – Brady and I are both really enjoying it,” he says.

As John and Brady continue to settle into work here at Tauranga Hospital, further tasks are being added to their daily routine which means they are spending more time out of the department. Brady has proven that he only has to be taken on one of these new routes once and he knows how to get John and himself there and back the next time he’s needed to.

Health symposium popular with Bay students

The symposium provided networking and leadership activities designed to expose students to current Maori health issues as well as create links with health professionals.

“We have learnt so much from this experience and it has been so awesome to meet students from other schools. I came away knowing a lot more about what I need to do to get ready for Uni,” said Tiriana Anderson, a student from Nga Taiatea Wharekura in Hamilton.

John and four year old Brady are making their mark as members of the Health Records Team.

Future Maori health professionals from colleges across the Bay gather in Tauranga for an educational insight into working in health.

By Chae Simpson, Kia Ora Hauora Midland Programme Coordinator

During April the Kia Ora Hauora team took 13 Bay of Plenty students to the Te Rau Matatini Rangatahi Symposium in Tauranga. The students from Bethlehem College, Otumoetai College, Edgecumbe College and Tauranga Girls College were part of a group of 40 Year 12 and 13 students from across the Midland region.

All Midland students that attended the event were able to complete health career plans with Kia Ora Hauora. The plans are a new initiative to help students address any gaps in their learning and experience before they apply for tertiary study.

For more information please contact Chae Simpson via email chae.simpson@lakesdhb.govt.nz or phone 027 432 9059.

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PuzzleTime!We received a few less articles for this month's Checkup so had a page to fill. We thought it would be fun for you to have some puzzles to complete - good luck and enjoy!

Check Up Cross Word

Check Up Cross Word

Checkup Word Search

Checkup Crossword

Actual quotes from medical records By the time he was admitted, his rapid heart had stopped, and he was feeling better.

Patient has chest pain if she lies on her left side for over a year.

On the second day the knee was better and on the third day it had completely disappeared.

Patient was released to outpatient department without dressing.

The patient is tearful and crying constantly. She also appears to be depressed.

The patient refused an autopsy.

The patient has no past history of suicides.

Patient has left his white blood cells at another hospital.

The patient's past medical history has been remarkably insignificant with only a 40 pound weight gain in the past three days.

She slipped on the ice and apparently her legs went in separate directions in early December.

The patient had waffles for breakfast and anorexia for lunch.

Between you and me, we ought to be able to get this lady pregnant.

The patient was in his usual state of good health until his airplane ran out of gas and crashed.

She is numb from her toes down.

Patient was alert and unresponsive.

When she fainted, her eyes rolled around the room.

"It's simple. The nurse blindfolds me, I spin around a few times, and then I try to

reattach your tail."

AUDIT

CHECKUP

CHRISTCHURCH

CIRCA

GARDEN

HEALTHSHARE

HEALTHY

HISTORY

IMMERSION

INFLUENZA

LIPPINCOTT

LIVING

LOUNGE

PARTY

PASSPORT

PEPIPOD

RURAL

SHOES

SIDEKICK

SIMNEWBIE

SMARTGROWTH

SMOKEFREE

SYMPOSIUM

TRANSIT

WAITANGI

WALL

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Contribute to CheckupIf you would like to contribute articles to Checkup, or want to suggest a story, email Communications Advisor Rebecca Silvester via rebecca.silvester@bopdhb.govt.nz

Want a healthier lifestyle?

healthylivingBay of Plenty District Health Board

Let us know how we can help by completing the BOPDHB’s 2013

Healthy Living Survey.

BOPDHB Healthy Living initiatives to date have included: Employee Health Clinics. SWEAT gym and exercise classes. Information sessions on heart

health, nutrition, and other health-related topics.

Financial support workshops. Review and development of

supportive workplace policy. Employee Assistance Programme

(EAP) services.… what else would you like to see?

How to complete the Healthy Living Survey

• Gotothehomepage of Pacentral and click on the Healthy Living icon.

• Forthosewithoutcomputeraccess a printed hard copy can be emailed to your manager or sent to you via the internal mail. Please contact Ted Harper via email ted.harper@bopdhb.govt.nz or call ext 8374. Printed copies should be sent back to Ted through the internal mail system:

Ted Harper Manager - Employee Health

and Safety Service Room 152, Level 2

Pohutukawa House Tauranga Hospital

healthylivingBay of Plenty District Health Board