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.
OCT 2022
VOL. 11, ISSUE 1 MESSAGE FROM THE DONM NURSING AND MIDWIFERY MATTERS RNSH Nursing and Midwifery Newsletter
IN THIS ISSUE
Unexpected results from a phase 3 trial exploring the effect of multivitamins and cognition have now been published. Findings from a phase 3 study show daily multivitamin use, but not cocoa, is linked to a significantly slower rate of age- related cognitive decline. Originally presented last November at the 14th Clinical Trials on Alzheimer's Disease (CTAD) conference and reported by Medscape Medical News at that time, this is the first large-scale, long-term randomized controlled trial to examine the effects of cocoa extract and multivitamins on global cognition. The trial's primary focus was on cocoa extract, which earlier studies suggest may preserve cognitive function. Analyzing the effect of multivitamins was a secondary outcome. Further research is now being conducted to further verify findings, however, before you ditch the multivitamin due to previous suggestions they are a waste of money, it may be advisable to wait until the results of further studies are published. Vitamins or Cocoa: Which preserves cognition?
FROM MY DESK
HELLO AND GOODBYE
THE ART OF NURSING AND MIDWIFERY
WHAT'S HAPPENING
QUALITY IMPROVEMENT
RESEARCH THE MINISTRY OF HEALTH NURSING & MIDWIFERY OFFICE SPOTLIGHT ON THE TRANSIT LOUNGE
OCT 2022
VOL. 11, ISSUE 1, PAGE 2
FROM MY DESK TRACEY GRAY, DIRECTOR NURSING AND MIDWIFERY, RNSH
Welcome to the first edition of our refreshed newsletter. We have been in hiatus for several months due to the pandemic providing limited time for the creation of a regular publication. During this time we have taken the opportunity to review and revise the format of the newsletter with the help of our first guest editorial board. Thank you to Selina Hole, CNE ICU; Phillippa Weaver, Blood CNC; Allyson Waird, Aged Care CNC; Cheryl Finch, CNE 9A; Mary Cameron, NUM Maternity; Tracy Morton, NUM 7B who have all helped to shape the first edition. Feedback on the newsletter is welcome and if you feel strongly enough you can be prioritised for the next guest editorial board as we will rotate this responsibility to add a different flavour to the content each month. As you know we have been working through the COVID pandemic since I first accepted the role of Director Nursing and Midwifery, RNSH in January 2021. My overarching concern since then has been that I may not know what it is like to be a DONM outside of a pandemic with the associated challenges that face nursing and midwifery and all of health as a consequence. When I heard recently from Dr Tedros Adhanom Ghebreyesus, General Director of the World Health Organisation that COVID deaths have reached an all time low since March 2020 and that this signals the potential end of the pandemic I breathed a sigh of relief. I am sure you feel the same. COVID numbers at RNSH have similarly decreased and whilst we still face staffing shortfalls due to vacancy, the number of days each week and the degree to which we are short staff seems to be easing somewhat. These are good positive signs. I attended the 6th Women in Healthcare Leadership Summit recently. This was the first one since COVID started. All attendees relished being able to meet in person and re-establish connections whilst making new ones. The prevailing thread through all of the leadership talks was how do we lead the system out of a pandemic into a new normal, recognising that there has been some damage done during the last couple of years. Surgery wait times have blown out, people have neglected their health needs, mortality associated with chronic illness has increased and staff are tired and many have decided to reduce their hours of work or opt for less stressful jobs. Some have taken early retirement. The other prevailing thought was that there is an emerging understanding of the need to promote health and wellbeing in everyone – patients and staff. Health and wellbeing must start with health professionals because we are important to the future of the health system. Self-care must be promoted like never before whilst also emphasising the need for leaders to remain positive. You can only do that if you look after yourselves first. As nurses and midwives we should recognise that many of us have a tendency to put others first. We are carers but ironically often not of ourselves. Please reflect on this and take action if necessary so you have the energy to help others, whether that be your family, your staff or your patients. It was also my great pleasure to recently attend what was once an annual event impacted by the pandemic. The Graduate Nurses of RNSH (the last graduates were in 1987), hold a luncheon and invite all past graduates and ex nursing and midwifery staff of RNSH to attend. They have a Facebook page for anyone who is interested. I was surprised to see so many people there – over 100 current and past employees, including the oldest graduate in the room who was 100 years old. All of these women (and the one man present) have a strong affinity for the hospital and for nursing and midwifery in general. I reminisced with nurses I worked with during my career who are retired now and relived some of the wonderful memories I have of the interesting, sometimes challenging and often fun times I have had during my career. Despite the challenges I have not regretted a minute and now have the absolute pleasure of being the DONM at such a great hospital serving all of you. We will get through the rebuilding of the health system together. Thank you for your continued commitment to leadership. Just remember to put your own oxygen mask on first before you help others.
OCT 2022
VOL. 11, ISSUE 1, PAGE 3
HELLO AND GOODBYE
Jane completed her nursing training in Australia in 2007, finishing her TRN Program at RNSH and commencing work in 11D, the Acute Aged Care ward the following year. Over the next 4 years Jane completed her post graduate certificate in Aged Care and then stepped into the CNE role - starting on ward 11D, and then 9E. Jane has spent the last 14 years working at RNSH, and has covered in the CNC Aged Care Rapid Response Team and as the A/NUM on 9E. Jane Jiang - NUM 9E Aged Care
Jane loves our elder clients (with multiple co-morbidities including Alzheimer’s and Dementia, Delirium, BPSD) even
though it can be challenging at times. She loves the Aged Care Team, and their values of helpfulness, empathy, openness, respect. Jane is proud to lead the 9E team to create a better future.
Renee Peard - NM Trauma Service
Renee has been a registered nurse for approximately 21 years, and nursing was a career path she had always wanted to pursue. After completing her new graduate program at RNSH, Renee found that her passion was ICU. During her career she has been fortunate enough to take time off and travel the world, have three children and completed post graduate studies in Critical Care. Renee has had management experience in ICU, Patient Flow, Cardiothoracics, Endoscopy, COVID response and Stroke/ Rehabilitation. Renee is delighted to be back at RNSH, and has been welcomed into a fantastic dynamic team - Trauma Service. She is looking forward to seeing and meeting everyone again around the organisation.
THANK YOU DOMINO'S PIZZA ST LEONARDS FOR SPONSORING RNSH INTERNATIONAL NURSING AND MIDWIFERY WEEK 2022
OCT 2022
VOL. 11, ISSUE 1, PAGE 4
HELLO AND GOODBYE
Having grown up in rural NSW it was a common practise to manage minor health issues at home. As a young girl, Nikita always wanted to help her Grandmother change her dressings and that is where her passion for nursing began. Following the completion of high school she moved to Canberra to complete a Bachelor in Nursing at the University of Canberra and begin her career at The Canberra Hospital. Nikita specialised in Plastics/ ENT and Orthopaedics but always wanted to be a Cardiothoracic Nikita Shean - NUM Ward 6B
Nurse. She was successful in obtaining a RN position on Ward 6B at RNSH in 2017. Since starting at RNSH she has successfully completed a postgraduate degree with honours in Cardiovascular Nursing as well as, a Masters in Applied (Nursing) Management. Nikita worked as a CNS on 6B whilst developing her leadership and management skills. Nikita is delighted to be the successful candidate for the 6B Cardiothoracic NUM position and looks forward to working in the role for many years to come. Leanne Colwell - NUM Ward 8B Leanne has been a registered nurse for 13 years with most of this time spent at RNSH. She started her career as a New Grad in 2010 working in Orthopaedics and Neurology. During this time Leanne had the opportunity to gain management experience both at RNSH and Ryde Hospital in Orthopaedics, Gastroenterology/ Colorectal/ Upper GI, General Medicine, Rehabili-
tabilitation and Staffing. Leanne completed her Bachelor of Nursing at UNE, Graduate Certificate in Acute Care Nursing - Orthopaedics and Masters in Health Service Management at UTS. She is excited to take on the permanent role as 8B NUM Mon-Wed whilst also being able to continue working as a CNS on 5 East as part of two fantastic teams, the best of both worlds.
THANK YOU TARONGA ZOO SYDNEY FOR SPONSORING RNSH INTERNATIONAL NURSING AND MIDWIFERY WEEK 2022
OCT 2022
VOL. 11, ISSUE 1, PAGE 5
HELLO AND GOODBYE
Bre Kehoe - NUM Ward 6B
Bre was born in southern Ireland the youngest of 6 children. She commenced her nursing training in Essex UK studying Midwifery, but then transferred to CCU at Royal Free Hospital in London. In 1986 Australia was changing from hospital based training to university based, so there was a shortage of nurses to work on the wards. Bre took advantage of this and accepted a position on a cardiology ward at The Alfred Hospital in Melbourne. After moving to Sydney, Bre worked as an Occupational Nurse during the construction of Darling Harbour, and as a Community Nurse mainly visiting war veterans. Missing more acute nursing, Bre took on a position at Longueville Hospital working as a Registered Nurse. In 2001 Bre completed a refresher course for Acute Care Nursing at RNSH and then commenced on Ward 6B in the brown building. Over the next 6 years she completed a post grad certificate in Acute Care Nursing & gained CNS status, completed a
Masters of Nursing in Advanced care at Newcastle University, and acted in the NUM role on 6B. In 2007 Bre transferred to Ward 8C, the cardiothoracic ward. Moving from medicine to surgery was a big change, but she had great support from the senior nursing staff and was soon appointed as the Nursing Unit Manager. Bre has spent the last 21 years working at RNSH, and has worked with many amazing people from all different areas of health. From Bre: “Your helpfulness, kindness empathy and friendship I will treasure always and will miss each and every one of you. The 6B team – I miss you all the most! Good Bye and thanks for the good times.” A favourite quote of Bre’s: “People will forget what you said. People will forget what you did. But people will never forget how you made them feel” (By Maya Angelou)
Tracy Morton - NUM Ward 7B
Tracy started her Nursing career at RNSH after moving to Sydney from Lismore at the age of 17. She started as a new graduate in the peri-op program, but after completing a year in theatres decided she was missing the patient interaction and took on an extra new graduate rotation in SSSU. Tracy found her passion in 12D in the Brown Building working in renal and haematology. After 2 years she moved to the UK for 2 years and worked on the renal transplant unit at Guys Hospital. After returning to Sydney Tracy commenced working on 8E and continued her career in haematology over the following 8 years. Tracy has also worked in IPAC, patient flow and was acting NUM on 6 different wards until 2020 when she was appointed as the NUM of Ward 7B.
Tracy is making a tree change and moving to Canberra.
OCT 2022
VOL. 11, ISSUE 1, PAGE 6
THE ART OF NURSING AND MIDWIFERY Intensive Care Nurse Practitioner (NP) Observational Tour - United States (US) NP Fellowship Programs ICU NPS - the Current State of Play Implementing the NP role in adult ICUs represents an innovative, cost-effective solution to meet the rapidly increasing service demands of ICUs throughout Australia. Currently there are less than 10 (adult) ICU NPs working in Australia, four of which work at RNSH ICU. The NP role is difficult to implement without scope of practice and educational frameworks such as fellowship programs and credentialing pathways. The RNSH ICU NPs are developing the first Australian ICU NP fellowship program. The aim is to support the implementation of the role throughout Australia by facilitating training, education, and credentialing of ICU NPs in metropolitan, regional and remote communities.
Benchmark the Australian ICU NP role against US NP roles U.S Observational Tour The U.S has the world's largest number of ICU NPs, more than 29 critical care NP fellowship programs and four accreditation agencies! In late August, RNSH ICU NPs Sarah Webb and Jess Butler completed a two- week observational study tour. They visited five Magnet hospitals with world leading ICU NP fellowship programs. The key aims of the tour were to:
Learn how established, successful fellowship programs are planned,
implemented, evaluated, and accredited Learn how successful fellowship programs structure the ICU NP curriculum including content selection, formative and summative assessments Establish professional relationships with nurse practitioners in the U.S enabling future collaboration to continue building and advancing the ICU NP role in Australia
OCT 2022
VOL. 11, ISSUE 1, PAGE 7
THE ART OF NURSING AND MIDWIFERY
Vanderbilt University Medical Center (Nashville, Tennessee) Emory Critical Care Center (Atlanta, Georgia) Duke University Hospital (Durham, North Carolina) Shock Trauma/University of Maryland Medical Center (Baltimore, Marylands) The Johns Hopkins Hospital (Baltimore, Marylands) The Magnet hospitals observed included:
The observational tour exceeded our expectations of what we were hoping to learn and see. The ICU NPs are well utilized within the US healthcare system, with benefits to the patient, staff and organization clearly demonstrated. The fellowship programs we saw were well structured and created an environment of support for those training to be an ICU NP. The tour has given us inspiration for how to move forward with developing the first ICU NP Fellowship Program in Australia as well as created many opportunities for collaboration with our US counterparts. We are extremely grateful for the support of our managers and colleagues, the NorthCare Foundation, and the North Foundation in facilitating this tour. We would like to give special mention to Graham and Meri Easton who provided most of the funding for this project. If you’d like to see what we got up to on tour, we created an Instagram account you can check out via the QR code or @AUSSIE_ICU_NPs_ON_TOUR
OCT 2022
VOL. 11, ISSUE 1, PAGE 8
WHAT'S HAPPENING
“We have better visibility of what is happening with our patients and feel at ease knowing Teams is approved for sharing sensitive health data” is how Microsoft Teams and MedSync have been described. Microsoft Teams provides clinicians with a simple, convenient and efficient way of securely sharing clinical information and collaborating ‘on the go’. MedSync is a new function within Teams that allows clinicians to upload images to a state-wide system. These tools are easy to use and can be used from your personal phone or NSW Health device. Clinicians and clinical support teams will download the Microsoft Teams App to use Microsoft Teams and the new MedSync feature. Mobile Clinical Communications: Tools for clinician communication and collaboration on the go Microsoft Teams and the new MedSync application within Teams provide clinicians with a simple, convenient, efficient and consistent way of securely sharing clinical information, uploading images and collaborating ‘on the go'.
Intuitive, easy to use apps that can also be accessed Microsoft Teams and MedSync are easy to use and the following features will help us meet patients’ needs:
via desktop/web
Supports instant messaging and chat between
clinicians across the state
Reduces time for clinical decisions Ensures a secure, stable and consistent platform
across the state
Enhances clinical networks and professional collaboration Improves clinical workflows by saving time and reducing the number of clicks
Microsoft Teams and MedSync are available now. For more information watch the following video and read this factsheet. The Mobile Clinical Communications project will be launched across NSLHD from the 24 October 2022. All clinical staff are encouraged to participate in the self-directed training (Course code: 427504323), or register for virtual classroom training (Course code: 382715198) available via My Health Learning. There are also quick reference guides and videos available here.
THANK YOU TONE ATHLETICA FOR SPONSORING RNSH INTERNATIONAL NURSING AND MIDWIFERY WEEK 2022
OCT 2022
VOL. 11, ISSUE 1, PAGE 9
WHAT'S HAPPENING
Remember September
Do you recall "Matching March"? Now, get ready for "Remember September"!
The Patient ID Taskforce is back and we want to congratulate you on your hard work. Reported patient ID incidences have decreased in the last two months! But we're not done.. Now, we are calling out to you. It's time to educate our patients on the importance of check the 3 points of identification (Name, DOB, and MRN). We're looking for team submissions for a poster aimed at empowering patients to remind us to check their ID bands. Prizes will be awarded for the most inventive and creative posters. Submissions are due by 30th September and to be emailed to Sophie.Lange@health.nsw.gov.au.
Remember... check those ID's in September!
Periop Nurses Week 4 - 8 October
We are preparing to celebrate Perioperative Nurses Week with lots of positivity this year! In 2022, this national week to recognise the work of theatre nurses will have a focus on Wellness & Self Care. In keeping with this theme, we will be holding Pilates, Stretching & Core Strength classes before work. We will also be practicing a Mindfulness session one afternoon. It can’t all be relaxing though – we will also cater to the competitive streak of perioperative nurses by running a number of competitions. These include “Match the Theatre Shoes with the Wearer” and “Can You Guess How Many Sutures are in the Bag?” The appearance of the Locker Fairy with treats for all will elevate our spirits and help to further build our positive team culture. We can’t wait!
Competition Match the shoes with the nurse!
OCT 2022
VOL. 11, ISSUE 1, PAGE 10
WHAT'S HAPPENING
Clinical Supervision
Are you feeling stressed or burnt out? Would you like some extra professional support and learning? Do you want to discover new skills or tools to assist you to resolve future issues? Clinical Supervision could be for you!
What is Clinical Supervision I hear you ask?
Clinical Supervision is a safe, confidential, and structured space for discussion and reflection on work issues offering professional support and learning. It is a protected time, usually an hour a month to explore with a trained supervisor, any situations that may present themselves in your work environment. What can you bring to Clinical Supervision? Any moments at work that you just can’t stop thinking about interactions with patients/clients, communications with other health professionals, traumatic events
events, difficult relationships with colleagues or assisting with career development. ‘Through actively participating I have also seen how it helps with my practice and allows me to resolve issues that we are faced with in this complex, challenging environment’ Clinical Supervisee. For more information including available supervisors check out the “Clinical Supervision” page under Nursing and Midwifery on the NSLHD intranet.
Introduction of New Model Of Care - MAPS within RNSH Maternity Services
Royal North Shore Maternity Services Implemented of a new model of care on the 22nd August 2022. Maternity Antenatal Postnatal Service (MAPS) is a model of care where women are allocated a named midwife to provide their pregnancy and postnatal care. A named midwife provides coordinated care during pregnancy in the midwifery clinics at RNSH. During the birth process and in the immediate postnatal period women and their neonate are looked after by the birth unit and maternity staff. When women and neonates go home, the MAPS midwife visits the women and her family in their own home known as - Midwifery in The Home (MiTH) Having a
Left Eugenie De Souza Middle Alyssa Rainier Right Anna Bragg
named midwife can be very beneficial as this provides a greater opportunity to build a relationship with women, improve birth outcomes and is reported to increase midwives satisfaction in providing continuity of care to their known women.
OCT 2022
VOL. 11, ISSUE 1, PAGE 11
WHAT'S HAPPENING
RNSH recently partnered with a landscaping firm Arcadia Landscapes to refresh the gardens of the hospital and in particular the area outside the front door of the ASB. The gardens that ere originally installed at the opening of the new ASB had become tired and overgrown. As part of our staff wellbeing initiatives the hospital has also purchased some much needed outdoor seating for staff, patients and visitors to enjoy. All of the picnic tables are wheelchair friendly and have been greatly appreciated by all. These picnic tables have been particularly important to staff during these times of COVID, enabling an outdoor option for meal breaks. As the weather warms up umbrellas will also be installed and should be available by mid to late October. A new fence will be erected around the green space at the front of the hospital over the coming weeks replacing the tired green painted boards. The RNSH Multifaith Chapel has received some much needed refurbishments also. The Chapel itself has been painted inside and outside, the public toilets refurbishment is nearing completion which will be followed by renovations of the male and female prayer rooms. The Chapel has had new lighting installed that enhances the beautiful stained glass motif on the south side of the chapel at night. Garden lights are being installed that will light up the causurina trees as well as lighting in the square about gardens at the drop of zone in front of the hospital. Additional works to tidy up the southern campus has occurred, improving the general appearance and amenities for staff on the campus. There are shady spots and picnic tables also in this area for staff to enjoy. RNSH Garden and Communal Sitting Area Upgrade
THANK YOU GREEN MOUSTACHE ROOFTOP GARDEN BAR & RESTAURANT FOR SPONSORING RNSH INTERNATIONAL NURSING AND MIDWIFERY WEEK 2022
OCT 2022
VOL. 11, ISSUE 1, PAGE 12
WHAT'S HAPPENING
Carers Week 16 - 22 Oct: Millions of reasons to care Did you know there are 2.65 million carers currently caring for a family member or friend in Australia? There are 130,000+ carers in our local health district alone. Carers make an enormous contribution to our community.
Carers Week is a way for us to acknowledge the role carers play in helping us deliver good, patient-centred care.
Coming to hospital can be a daunting experience for patients and their carers. They may be stressed about coming into an unfamiliar environment and may not feel confident about the hospitalisation. We should never underestimate the contribution of a carer’s knowledge and
understanding of the person they care for. Recognising, respecting, and valuing carers is key to achieving positive health outcomes for our patients. This Carers Week, Carer Support Service staff will be handing out badges to health care staff to demonstrate support for carers. We’d like to see as many staff getting involved and wearing an ‘We Love Carers’ badge with pride. We’d also like to ask you
to take the time to thank a carer and acknowledge their contribution to working with us in managing patient care.
Contact Carer Support Service for more information on how you can get involved and support carers. P: 9462 9488, E: NSLHD-Carers@health.nsw.gov.au or visit our website and Facebook page for resources and events happening during Carers Week.
THANK YOU DE'NELLE SALON FOR SPONSORING RNSH INTERNATIONAL NURSING AND MIDWIFERY WEEK 2022
OCT 2022
VOL. 11, ISSUE 1, PAGE 13
QUALITY IMPROVEMENT
Patient Led Handover
Patient Led Handover can improve health outcomes while delivering safe, quality care. Enabling patients to lead their daily handover can increase their engagement and enhance their understanding of treatment, “Safety Fundamentals for Person Centred Communication”, Clinical Excellence Commission, 1 Oct 2020. In April 2022 a steering committee was formed to guide the implementation of Patient Led Handover in two wards - 8D: ENT, Gynae Oncology, Endocrine Surgery and Gastrointestinal Surgery and the Maternity Unit. Each unit developed their own working groups and designed a framework based upon the Clinical Excellence Commission’s Patient Delivered Handover principles.
Ward 8D designed an acronym using the word HELLO to describe the process.
"Prior to starting PLH we surveyed our patients on their involvement in bedside handover. Despite having relatively good feedback we realised there was still room for improvement to involve the consumer with their care. With this information we commenced PLH and resurveyed. There was overwhelming positive feedback from both patients and staff. Patient felt heard and part of the team. Staff felt they had a better understanding of the patients needs and goals for the day. In total is was seen as being a great success." Jacqueline Hextall - NUM Ward 8D
OCT 2022
VOL. 11, ISSUE 1, PAGE 14
QUALITY IMPROVEMENT
The Maternity Unit have taken a slightly different approach, designing patient prompts and implementing communication boards. Women and support persons are encouraged to use the communication boards as an additional tool to write down any questions, comments or plans that they may have. Uptake of being actively involved with handover in the afternoons & using the communication boards has been variable. However, positive feedback has been given by women & their support persons who have engaged in one or both of these initiatives. Eg “I felt involved and considered in my care planning and delivery”; “Fabulous idea”; “ A good way to stay involved and be across the plan and care”; “Good - I got to tell my story, ask questions and felt reassured that there was continuity of care”. Both units have seen a shift in culture resulting in better patient engagement during the handover process. The approach has been modified over time so as to ensure the process is less structured and thereby as relaxed as possible for patients.
Over the next few months a plan will be developed to implement Patient Delivered Handover in all wards. Some have already volunteered to be next in line for training. Stay tuned for more information.
THANK YOU KFC ST LEONARDS FOR SPONSORING RNSH INTERNATIONAL NURSING AND MIDWIFERY WEEK 2022
OCT 2022
VOL. 11, ISSUE 1, PAGE 15
RESEARCH
This important publication was authored by a number of nurses based at and nurse affiliates of the Royal North Shore Hospital. Remote-delivered cardiac rehabilitation during COVID- 19: a prospective cohort comparison of health-related quality of life outcomes and patient experiences D. Candelaria, A. Kirkness, M. Farrell, K. Roach, L. Gooley, A. Fletcher, S. Ashcroft, H. Glinatsis, C. Bruntsch, J. Roberts, S. Randall, J. Gullick, L. Akbar Ladak, K. Soady, R. Gallagher, Remote-delivered cardiac rehabilitation during COVID-19: a prospective cohort comparison of health-related quality of life outcomes and patient experiences, European Journal of Cardiovascular Nursing, 2022;, zvac006, https://doi.org/10.1093/eurjcn/zvac006 The paper reports an observational study in which the health related quality of life (HRQoL) and experiences of people who received remotely or in-person delivered cardiac rehabilitation was compared. The study included people who attended four publically funded cardiac rehabilitation centres. Over 450 people were screened for inclusion with a sample size of 194 patients. 134 patients completed the study (in-person delivery: 69/91; 76% and remote delivery: 65/103; 63%) Patients completed the 12-item Short Form Health Survey (SF-12) before and after completing the cardiac rehabilitation program. This is a validated instrument designed to capture eight domains of HRQoL. It is widely used in health settings including cardiac rehabilitation.
Semi-structured interviews were also conducted with patients. The interview schedule included items designed to elicit responses related to the experience of the cardiac rehabilitation delivery mode.
The results revealed improvements in both groups for HRQoL over time and some statistically significant differences in mean SF-12 scores between groups although the differences were probably not clinically important. However when the analyses were adjusted for confounders that is factors other than the mode of cardiac rehabilitation that may have affected the results such as age, gender and ethnicity, there were statistically and clinically important differences in several domains and overall SF-12 physical functioning. Qualitative analysis revealed benefits and disadvantages for the two delivery modes. Patients valued the opportunity to interact with other patients and direct contact with experts during in-person rehabilitation. In contrast the remote delivery enabled patients to attend more easily but they expressed a desire for more guidance during some of the more complex exercises. The research suggests that remote delivery cardiac is a viable alternative which may allow more people to receive rehabilitation. However further investigation is required to test the efficacy and effectiveness of different delivery modes.
Maura Farrell, Nurse Manager
Ann Kirkness, CNC
Helen Glinatsis, CNS2
Kellie Roach, CNC
Jayne Roberts and Christine Bruntsch, Exercise Physiologists
Ashlee Fletcher, Exercise Physiologist
OCT 2022
VOL. 11, ISSUE 1, PAGE 16
THE MINISTRY OF HEALTH NURSING AND MIDWIFERY OFFICE
Many of you may know our Chief Nurse, Jacqui Cross whose picture appears on this page. Some of you won’t know Jacqui or specifically what her role entails. The Chief Nurse reports to the Deputy Secretary, People, Culture and Governance, Mr Phil Minns. Jacqui is responsible for providing advice to the Minister for Health, Mr Brad Hazzard through the Deputy Secretary, Mr Minns and the Secretary Ms Susan Pearce. Some of you may also know Susan Pearce who was once the Director of Operations for the NSLHD.
The link below provides you with an organisation chart for the NSW Ministry of Health. Ministry of Health organisation chart - Ministry of Health
The Chief Nurse provides advice on professional nursing and midwifery issues, policy development and implementation and manages state-wide nursing and midwifery initiatives and the associated funding. A second link to the Ministry of Health Nursing and Midwifery landing page is below. Nursing and Midwifery - Ministry of Health
Much of the focus for the last 2 years has been related to managing nursing resources, modification of models of care and pandemic associated service expansion.
THANK YOU RNSH GRADUATE NURSES ASSOCIATION FOR SPONSORING RNSH INTERNATIONAL NURSING AND MIDWIFERY WEEK 2022
OCT 2022
VOL. 11, ISSUE 1, PAGE 17
SPOTLIGHT
The Transit Lounge
The Transit Lounge is located in the Acute Services Building on level 2, and is open from 0800 - 1830hrs, Monday to Friday. With dedicated parking just outside the door, the Transit Lounge offers a convenient collection area for families, carers and transport services.
There are many benefits to using the Transit Lounge for your patients:
Continued nursing care including assistance with toileting and medication administration Tea, coffee and hot meals are available Lazy-boy chairs, beds and a television to make your patients comfortable whilst they wait to be discharged The Transit Lounge is staffed with experienced friendly nurses, and a SSO to assist with transfers and the collection of patients. The nursing staff will arrange discharge medications, discharge letters, liaise with relatives and patient transport regarding pick up times, and complete any final clinical tasks such as medication administration.
The only patients that cannot be sent to the Transit Lounge are those with gastro, respiratory symptoms and/or droplet and airborne precautions. All other patients are welcome!
THANK YOU NSW ART GALLERY FOR SPONSORING RNSH INTERNATIONAL NURSING AND MIDWIFERY WEEK 2022
OCT 2022
VOL. 11, ISSUE 1, PAGE 18
RNSH NURSING AND MIDWIFERY EXECUTIVE TEAM
Tracey Gray Director of Nursing and Midwifery Ph: 9463 1901 (EA: Cindy Boonyong)
Fiona Carmichael Deputy Director of Nursing and Midwifery Ph: 9463 1901 (EA: Cindy Boonyong)
Margie Webster Divisional Nurse Manager Division of Medicine Ph: 9463 1906 (EA: Surekha De Silva)
Sophie Lange Divisional Nurse Manager Division of Surgery and Anaesthetics Ph: 9463 1905 (EA: Michelle Harding)
Laura Dangerfield Divisional Nurse Manager Division of Women's, Children's and Family Health
Ph: 9463 9692 (EA: Insu Lobo)
Rowena Broadbent Divisional Nurse Manager Division of Cancer Haematology & Palliative Care Ph: 9463 1200 (EA: Sarah Hockey)
Deb Mayall Nurse Manager Patient Flow Ph: 9463 2260 (CSO: Jo Ann Cuneo)
Larissa Monney Nurse Manager Workforce Ph: 9463 1583 (CSO: Jennifer Waters)
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