NSLHD’s Safety and Quality Newsletter provides information on new and upcoming activities, programs and initiatives within the district that aim to improve the safety of our patients and the quality of our care.
Message from Executive
2023 Issue 8
It is wonderful to be back at Ryde, and a big thank you to Jenny McConnell for an outstanding job of acting in GM role for the past 6 months. August was another busy month that started with the visit from the NSLHD new Chief Executive Anthony Schembri who recorded his welcome video at Ryde. The redevelopment is progressing and no doubt you have all noticed the fencing around the Chattery for the demolition work. It is all starting to feel very real. It has been a month to celebrate as well with the Matil- das in the semi - final of the Women's World Cup and Wear it Purple Day. As always Ryde dressed up and celebrated in style. I would also like to thank the North Foundation Grants and Humpty Dumpty Foundation for their generous donations which are much appreciated at Ryde.
August 2023
Heather Gough, General Manager
New Chief Executive
Anthony Schembri, started this month as the new Chief Executive for Northern Syd- ney Local Health District. He visited Ryde Hospital to meet with the teams working on the redevelopment, and film his first video update as the new Chief Executive of Northern Sydney Local Health District. Anthony thanked everyone across the District for their warm welcome, and ls look- ing forward to working and meeting staff at Ryde Hospital and across the District.
Redevelopment at Ryde NORTH Foundation Grants Inside this issue:
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Upcoming Events
Elevating the Human Experience through disability
3 Sept - Father ’ s Day
National Stroke Week at Ryde
A New Addition to Ryde Speech Pathology
5 Sept - Comprehensive Care Plan Go Live
Red & Blue Placemats
Welcome to Ryde Wear it Purple Library Update
5 Sept - National Child Protection Week
8 Sept - World Physiotherapy Day
Nursing News
8 Sept - R U OK? Day
Allied Health Students Start at Ryde
PMES 2023 Green & Gold
13 Sept - World Sepsis Day
24 - 25 Sept - Yom Kippur
Preventing Skin Tears & Injuries
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Just for Fun
All month - Steptember Challenge
Staff Spotlight
Humpty Dumpty Donates Equipment for Paediatric ED
Spring Into Action To Prevent Falls
Newsletter is for Ryde by Ryde. Please email items of interest to: Catherine.jones3@health.nsw.gov.au
Salary Packaging
WHS Committee Poster
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Photo Gallery
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Redevelopment at Ryde
Temporary fencing and hoarding have been set up on the Ryde Hospital campus in preparation for clearing the site to make way for the demolition of the CAReS, Chattery and environment services and wards person ’ s buildings. Historical items, including plaques, room numbers and The Chattery ’ s nurse board, have been kept for public display in the future.
Once the site has been cleared of trees, demolition of the buildings will commence in preparation for buildings as part of the new Ryde Hospital. The use of heavy machinery will be used as part of the demolition, which may be noisy at times. Vehicles will enter and exit via Ryedale Road and Den- istone Road with traffic controllers onsite where needed. The works will be conducted during weekdays and dis- ruption notices will be sent to staff with further infor- mation regarding the works. It is important for staff to be aware the emergency as- sembly area (AA3) that was previously in The Chattery lawn area has now moved to the front of Graythwaite Rehabilitation Centre.
Graythwaite Rehabilitation Centre
Clearance of this part of the site includes the safe removal of trees and shrubbery with a professional onsite to ensure the safe relocation of any wildlife. Licensed specialists have developed in - depth plans to remove hazardous material safely.
Fencing and hoarding – CAReS & The Chattery
Fencing & Hoarding – Building 11 – Environmental Ser- vices/Wardspersons
Fencing & hoarding The Chattery
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North Foundation Grants
Congratulations to the Rehabilitation Physiotherapy and Occupational Therapy teams, who were successful in obtaining North Foundation grants to enhance therapy provision at Graythwaite. The funds will be put towards creating an outdoor therapy garden that allows patients to re - learn important daily skills such as walking on a variety of uneven, different surfaces or transferring into a car.
Elevating the Human Experience through Disability Inclusion
understanding. By embracing this ethos, we demonstrate the true test of our humanity, as highlighted by Mahatma Gandhi: "The measure of a civilization is how it treats its weakest members."
Message from Anne Marie Hadley, Chief Experience Officer .
As consumers and staff of NSW Health, we must recognise that disability is not a limitation but a diverse aspect of human experi- ence. By creating an inclusive environment that values and cele- brates every individual's unique contribution, we foster a sense of belonging that enriches us all. That ’ s why embracing diversity and inclusion is an essential step towards elevating the human experience. The journey towards disability inclusion is also a journey of em- powerment and advocacy. Inclusion goes beyond rhetoric; it requires action and structural change. We must work together to break down society ’ s barriers and create spaces that are accessi- ble and accommodating to all. It is our responsibility to ensure that all individuals, irrespective of their abilities, can participate in every aspect of life. An inclusive world is a richer world, one that recognizes the beauty of differences and the strength of unity. Disability inclu- sion is not about changing individuals to fit into society; it's about transforming society to be more accepting, accessible, and
"Inclusion is not a privilege; it is a human right." Ban Ki - moon, former UN Secretary - General
Disability inclusion is an ongoing journey towards creat- ing a harmonious society that celebrates diversity and empowers every individual. Let ’ s embrace this journey with kindness, compassion and determination, because when we elevate the experiences of people with disabili- ties, we elevate the human experience for all. As we take these strides, we enrich our communities, foster innova- tion, and create a brighter future that is inclusive and equi- table for everyone. Please get in touch with the Ministry of Health Experience Team if you would like to share your thoughts on how we can collectively improve the experiences of all people who come in contact with NSW Health.
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National Stroke week at Ryde
In the recent report the frequency of strokes in Australia is alarmingly high, with one per- son experiencing a stroke every 19 minutes in 2020. Without prompt intervention, this sta- tistic is projected to worsen, resulting in a new stroke occurring every 10 minutes by the year 2050. Additionally, the number of Aus- tralians living with the debilitating conse- quences of stroke is predicted to rise from 445,087 in 2020 to a staggering 819,900 by 2050. Stroke continues to be a leading cause of dis- ability worldwide, severely impacting indi- viduals' quality of life and creating a heavy burden on families, relationships, and society as a whole. Stroke consequences include de- pendence on others, diminished well - being, economic strain, and increased mortality and morbidity rates. Nevertheless, early detection of strokes can significantly improve patient outcomes, mini- mize disability, and enhance post - stroke re- covery. Most strokes manifest at least one of the F.A.S.T (Face, Arm, Speech, and Time) warning signs, making early recognition cru- cial for timely medical intervention. Furthermore, the risk of recurrent strokes al- ways looms, emphasizing the importance of preventive measures. Astonishingly, approxi- mately 80% of strokes are preventable through heightened awareness of personal risk factors, appropriate medication, and life- style adjustments.
Ryde celebrated National Stroke Week on 11 August. The event aimed to educate attendees about stroke risk factors, raise awareness about the signs of stroke, and empower indi- viduals to become stroke heroes.
No postcode untouched, 2020, available here
From L to R - Dr Miller (Neurologist), Simpy Arora (Stroke Coordintaor) Melissa Fa (Stroke Speech pathologist), Sakthi Satkumaran (Physiotherapist)
More images in photo gallery
A New Addition to Ryde Speech Pathology
Introducing Xena the Xion - Speech Pathology ’ s newest piece of equipment used for specialised swallow assessments called FEES (Flexible Endo- scopic Evaluation of Swallowing). FEES involves passing a scope through the nose to assess the swal- lowing from inside the throat. The new Xion naso - laryngoscope and monitor was purchased via capital funding. It is state of the art equipment for FEES, and Ryde is the first public hospital in NSW to be the lucky owners of this new technology. The Xion allows for sound recording, immediate playback and has a large screen monitor which ena- bles more accurate and timely analysis of complex dysphagia. A big win for our small hospital!
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Red & Blue Placemats
Many patients require some form of assistance with eating and drinking while in hospital. This ranges from assis- tance with opening packages to fully assisted feeding. If assistance with eating and drinking is not provided when required, patients ’ nutritional status may be compromised. Independence with eating and drinking should be promoted in a safe and supportive way. Wards should be ade- quately staffed at mealtimes and the importance of providing timely and individualised assistance with eating and drinking should be recognised in work allocations At Ryde we have embedded the practice of 3x coloured tray placemats as below to flag patients who require feeding assistance . These can be requested via eMR while placing a patient ’ s diet order. For more information refer to the NSW Health Nutrition Care policy or contact radha.murthi@health.nsw.gov.au
Welcome to Ryde
Ryde Hospital also welcomed the following staff this month:
Katie Mellor
Occupational Therapist
Grace Morris
Clinical Psychologist
Shristi Hingman
Enrolled Nurse
Atha Nasralla
Pharmacist
Larissa Yang
Registered Nurse
Carmen Lo
Registered Nurse
Kiah Flemming
Nurse Manager
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Wear it Purple
On Friday 25 August, Ryde Hospital joined NSLHD and Australia to celebrate Wear it Purple Day . Staff donned purple to show that Ryde Hospital is a supportive, safe, and inclusive environment for gay, lesbian, bisexual, transgender, intersex and queer (LGBTIQ+) young people. Participating in Wear it Purple gives us opportunity to help address health concerns highlighted by the NSW LGBTIQ+ Health strat- egy 2022 - 2027. Visible support and active inclusion help mitigate the impacts of bullying, family rejection and social exclusion that can detrimentally impact young LGBTIQ+ people ’ s health and wellbeing, contributing to higher rates of psychological distress. This year ’ s theme “ Our Story ” was designed to highlight the importance of personal expression and individuality.
Volunteers from the NSLHD Pride+ Employee Network held a foyer display and visited the Wards with some purple treats, stickers and colouring in! Find out more about our Wear It Purple via this link.
The NSLHD Pride+ Employee Network, a group for LGBTIQ+ staff and allies, meets quarterly to discuss practical ways of creating a workplace culture that respects all diversity and is equally inclusive of LGBTIQ+ people. If you would like to get involved, please contact NSLHD - PridePlusEmployeeNetwork@health.nsw.gov.au
Library Spotlight: LGBTQ+ Support and Care
In support of Wear it Purple Day, which strives to foster supportive, empowered and inclusive environments for rainbow youth, NSLHD Libraries encourages you to check out our Diversity Library Guide, which provides key books and journals on LGBTQI+ health in addition to other areas of diversity such as disability, neurodiversity, and cultural & linguistic diversity. Paediatricians play a critical role in the health of LGBTQ+ youths. Although most lesbian, gay, bisexual, transgender, and ques- tioning youths are quite resilient and emerge from adolescence as healthy adults, the effects of homophobia and heterosexism can contribute to health disparities including depression, suicidality, substance abuse, social anxiety, altered body image.
This first - of - its - kind 3 - part series includes information on all aspects of LGBTQ+ support and care. • Part 1 - combatting homophobia & discrimination • Part 2 - health concerns and disparities • Part 3 - caring for transgender children With appropriate care, sexual - minority youths should live healthy, productive lives while transitioning through ado- lescence and young adulthood. This series will help guide and contribute positively toward that transition.
Browse NSLHD Library ’ s collection of books and e - books on LGBTQIA+ health.
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Nursing News
Ryde Nursing has recently welcome several new senior nursing staff. They bring a wealth of experience and nursing expertise to critical care, ward 3 and workforce at Ryde Hospital. Congratulations to you all on your new positions.
Marina Strelkoff, A/Nurse Unit Man- ager, CRCU. My background is in inten- sive care nursing, and recently in a pro- jects and safety culture role at NSLHD Nursing & Midwifery Directorate. I have always been interested in the complexity that the ICU brings and I am excited to be able to be back in a differ- ent capacity. I am a big foodie and, as a hobby, I have been learning Spanish. Time has flown by quickly since com- mencing in the acting NUM role, and I have learnt so much from the team at Ryde. I am excited and looking forward to seeing what the next 12 months bring.
Linta Manuvel, CNE, Ward 3. I have worked in NSLHD for the last 9 years and am experienced in medical and surgical nursing. I gained my initial nursing qualifi- cations overseas and post - graduate qualifications from UTAS. I am excited to be a part of the Ryde and ward 3 teams. I enjoy sharing my clinical knowledge and skills and I am excited about this opportunity as a CNE. Apart from work, I enjoy cooking, decorating cakes and spending time with my lovely family.
(Xue) Teresa Zhang, Nurse Manager Workforce. I have previously worked at Ryde Hospital for several years and it is where I completed my New Graduate Program, so it has always had a special place in my heart. My experience includes; CNE in the acute ward and hospital wide setting, and as a NUM in the Rehabilitation, Palliative Care and Outpatient settings, as well as AHNM and A/Nurse Manager. In my spare time I enjoy scenic steep free walks and watching Netflix. I look forward to meeting and working with you!
Allied Health Students Start at Ryde
This month Allied Health wel- comed students from physio- therapy, occupational therapy, pharmacy and speech patholo- gy. They students are on place- ments at Ryde Hospital for 2 to 7 weeks depending on the discipline. They are from Australian Catholic University (ACU), Charles Sturt University and the University of Sydney.
People Matter Employee Survey (PMES) 2023
To assist with completing the survey, there will be three short messaging service (SMS) sent out over the time of the survey with a direct link to the survey to simplify the process. You can access the survey: NSW People Matter Employee Survey 2023 (nswemployeesurvey.com). Promotions will be held throughout the survey period with lots of great prizes to be won. To be eligible to go into the prize draw, ensure you take a photo of the completed screen at the end of the survey to submit as proof you have completed the survey. To find out more click: Staff Engagement
NSLHD in conjunction with the Public Service Commission is conducting the People Matter Employee Survey 2023 (PMES) from 21 Aug to 15 Sept 2023. Survey is a confidential, safe and anonymous way for you to have your say about the workplace. You will be asked how you experience different aspects of your workplace, including job satisfaction, performance and devel- opment, culture and behaviour, diversity, equity and inclusion, and work related stress. The survey is relevant to all employees regardless of whether you are working on the frontline, working remotely, working in a hybrid approach, or have fully returned to the workplace.
Any questions email NSLHD - ODTeam@health.nsw.gov.au
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Green & Gold
All staff at Ryde were invited to show our support for the Matildas in the Women's World Cup and invit- ed to kindly consider incorporating touches of green and gold into your uniform within the guidelines of our uniform standards.
The Hospital turned green and gold the day they faced England in the Semi - Finals.
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Preventing Skin Tears & Injuries
Strategies to prevent MARSI Identify patients at elevated risk and implement interventions before MARSI occurs Using paper or soft cloth tape instead of nylon tape Using adhesive remover wipes and sprays to remove tapes, securement devices, ostomy pouches Keeping skin well moisturised Changing devices adhered to the skin on a rou- tine bases Removing tape and/or devices in the direction
Many patients treated at Ryde Hospital are elderly and have fragile skin which makes them vulnerable to medical adhesive - related skin injury (MARSI). MARSI is caused by trauma to the skin from medi- cal adhesives and typically manifests as a skin tear, blistering, maceration, or skin stripping. Patients on medications such as blood thinners, steroids, and those with neuropathy or impaired sensory perception are also at increased risk of MARSI. Over the past year, 47 patients have had skin tears reported in IMS+ several of which are the result of tears sustained when removing tapes used to se- cure cannulas, catheters and dressings.
Use Micropore and Hypafix/Mefix on patient ’ s skin
Limit the use of heavy adhesive tapes like Transpore and Leukoplast
Just for Fun
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Staff Spotlight
A recent addition to the volunteers is Jack Leighton. Jack has completed a certificate in Library Studies at TAFE and is looking increase his skills and employment prospects. Jack joined the Library team at RNSH working on preserving and making widely available information about the community involvement in building and support of the original Ryde District Soldiers' Memorial Hospital. He is digitising a book of fragile newspaper clippings and creating an online searchable database of the early history of Ryde Hospital that start in the 1920s and go through to the 1990s. Jack is the 6 th volunteer to work on this project and has started his work on newspapers from October 1939. You can explore his work on this link
Photo courtesy of Jack Leighton
T he original newspaper clipping are crumbling and most cannot be found in libraries or on Trove – the Australian Digital Newspaper Repository If the clippings are not digitised, this record of our community involvement will be lost forever. Next year is the 90 th anniversary of Ryde Hospital. The original Ryde District Soldiers' Memorial Hospital opened its doors to the public on May 12, 1934. The clipping are a fascinating insight into this community activity in building and supporting the hospital. The new fit for purpose 21 st century Ryde Hospital will open on the same site in 2026. https://rydehospitalredevelopment.health.nsw.gov.au/
Humpty Dumpty Donates Equipment for Paediatric ED
Ryde ED received a generous donation form the Humpty Dumpty Foundation this month. A vital signs observa- tion machine specially for the paediatric area in the emergen- cy department. For more than 30 years, the Humpty Dumpty Foundation and its supporters have provid- ed lifesaving medical equip- ment and healthcare initiatives for sick children in around 500 hospitals and health services across Australia. To date, Humpty has raised more than $90 million, provided thou- sands of pieces of medical equipment and funded many healthcare initiatives and ser- vices to Paediatric Wards, Ne- onatal Units, Maternity and Emergency Departments across the country.
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Spring Into Action to Prevent Falls
Spring is a great time to get active and take action against falls. The warmer weather and longer days make it easier to get outside and move around. Did you know being active can reduce falls risk. In fact, research has shown doing exercise, of any type, can reduce falls risk in older adults by 23%?
This September, NSLHD Health Promotion and the Falls Prevention Committees are encouraging everyone to ‘ Spring into Action ’.
Access a range of resources to get your patients and clients moving and engaging in activity to stay strong and prevent falls:
• Take the Spring into Action Quiz (and test your colleagues)
• Find local exercise programs suitable for older adults, such as Healthy Lifestyle, Healthy & Active for Life and Stepping On
• Access the Sydney North Health Network ’ s Health Pathways to find local clinics and services to help with falls prevention
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Access falls prevention information sheets
Find the Spring Into Action resources at nshp.com.au/SpringIntoAction
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Salary Packaging
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Photo Gallery
Stroke Week
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Photo Gallery
Wear It Purple Day
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