September 2024
Wear It Purple Day
Your Passion. Your Pride On Friday, 30 August, Ryde joined NSLHD and people around the world to celebrate Wear it Purple Day. The day strives to foster supportive, safe, empowering and inclusive environments for rainbow young people. This year's theme “Your Passion, Your Pride” encourages our rainbow youth to chase their dreams while being able to express their true selves to the world. Staff were encouraged to join in by “going purple”; using the Wear it Purple Teams backgrounds, updating theirr signature text to purple, introducin themselves using pronouns and, wearing something purple to demonstrate their unity and commitment to inclusivity and diversity. LGBTIQ+ Awareness and Inclusivity Education • The Pride+ Network runs monthly Respecting Diversity: LGBTIQ+ Awareness workshops that can be booked via HETI (course code 415054660). Next training at Ryde is 17 October 12 to 2pm.
• HETI has a new LGBTIQ+ inclusivity in healthcare e-learning module (Course Code: 223561775)
We invite staff to join the NSLHD Pride+ Network, a group of dedicated LGBTIQ+ staff and allies who work to foster a culture of inclusion and respect across our organisation. To become a member or for more information, please contact NSLHD-PridePlusEmployeeNetwork@health.nsw.gov.au
General Manager’s Message It is with some sadness that I write my final update as General Manager. Ryde Hospital is truly special in the way that staff care for each other, and in doing that, care for our patients. Over the last 18 months I have learned so much from working with you all. Heather Gough is returning to her substantive role of General Manager from Tuesday 8 October. Bronwyn Nolan is acting GM in the interim period. As you move forward into accreditation and the redevelopment, the skills and passion of the staff will put you in an excellent place to meet these challenges.
Accreditation Countdown Ryde is expecting SNAP accreditation to happen sometime in the coming weeks. Thank you for all your effort preparing for this. Ryde provides an excellent service and now is the time to reflect and recognise the hard work, dedication, commitment and passion that makes this happen. Remember: • Highlight your achievements, big and small - be proud of your successes. • Be confident in your knowledge • Talk about your role, what you do and how you do it • Clarify what you are being asked if you are unsure, • If you are asked about something you don’t know about - talk about how you would find out the information Good luck with your assessor visits , and if you have any questions or concerns either before or during the visit please speak with your manager, quality and risk manager and executive team. Contents Wear It Purple Day 1 World Physio Day 10 General Manager’s Message 2 Chaplaincy Update 11 Accreditation Countdown 2 THRIVE Program 11 Redevelopment News 3 Volunteer Mealtime Assistance Education 12 Quality & Safety Reflection Corner 4 Loud Shirt Day 12 Multicultural Health Week 5 STEPtember 13 Between The Flags 6 Welcome to Ryde 14 Nursing News 7 Library Update 15 Information Stalls 7 Just for Fun 15 Consumer Participation Commitee 8 Photo Gallery 16 Community Talks 8 Noticeboard 17 Thank You Letters 9
Newsletter is for Ryde Hospital Staff by Ryde Hospital Staff. Please email items of interest to: Catherine.jones3@health.nsw.gov.au
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Redevelopment News
Staff will have noticed much more activity across the campus this past month as the builders, AW Edwards, continue to prepare the campus for the construction of the temporary buildings. The concrete slab has been poured for the temporary intensive care unit (ICU/CCU) and building works are underway as construction progresses on the redevelopment. A crane was also on site for the work on Level 3 Graythwaite Centre for the temporary kitchen. Ryde Hospital Redevelopment A/Redevelopment Manager Allana Thompson praised staff for their patience through this critical phase. “Staff have been very tolerant and are continuing to look after their patients as well as assist the redevelopment team in planning for the new hospital,” she said. “There has been a lot of activity, and we will see more as we move into some busier months towards the end of the year.” Staff are reminded to use the church car park, 800m walk from the hospital where there is ample parking.
VIDEO SERIES: This month we spoke to Dr Peter Roberts, Director of Emergency, about the Ryde Hospital Redevelopment and the benefits for the emergency department and staff. One thing Dr Roberts is most looking forward to is working in a purpose-built space. Click here to watch the full video.
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Quality & Safety Refection Corner Pressure Injuries
An 85 year old female patient developed a stage 4 pressure injury during a recent three month admission at Ryde Hospital. The incident was notified in the ims+ incident management system and a specialised Pressure Injury Incident Investigation was undertaken. During the review it was found that the patient had risk factors for developing a pressure injury at the time of her admission. This was further complicated by the development of additional risks during the course of the inpatient admission including incontinence and reduced mobility. Documentation of both the pressure injury and the management plan were poor and led to complications in the patient’s care. The patient underwent surgical management of the resultant wound with a vac dressing placed post-surgery. The effect this treatment had on the patient was significant. The injury sustained by the patient had ongoing complications for her and, at the time of discharge, it was determined the wound may never full heal. This patient’s experience reminds all clinical staff of the importance of pressure area care from risk assessment to management, especially for long stay patients. To learn more pressure injuries from a patient’s perspective please view the CEC Excellent Patient Story resource available here. Patient’s Own Medication Each month we have at least 1-2 medication related incidents where patients or their family member administer the patient’s “own medication”. Please remember when admitting patients to the ward to advise the patient and their family they are not to take their own medication while in hospital as:
• The medical team may change medications while in hospital
• Nursing staff may have already administered the medication, and they could be at risk of overdosing • All medications taken need to be formally recorded. Patient’s own medication must not remain with the patient, with the exception of adrenaline/epinephrine autoinjectors. Patient’s own medications must be placed into the green patient’s own medication bags and stored securely in the clean utility rooms. If the patient or family is of a CALD background, please ensure this is communicated via an interpreter
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Multicultural Health Week
Multicultural Lunch Day Multicultural Health Week (MHW) celebrations continued throughout September, with staff coming together to celebrate our cultural and linguistic diversity. Ryde hospital celebrated with a multicultural lunch day on Friday 27 September. All staff were encouraged to bring in food to share in their wards and departments. Feasts of international cuisine were enjoyed across the hospital campus. Remember to send a photo of your team's celebration to receive your MWH Champion Certificate for display in your service: NSLHD-MulticulturalHealth@health.nsw.gov.au MasterCook Do you have a favourite recipe for a lunchbox inspired by your cultural or family traditions?
Enter the 2024 NSLHD MasterCook Multicultural Lunchbox Recipe Competition and be in the running to become the inaugural NSLHD MasterCook! Recipes may also be included in the NSLHD Multicultural Lunchbox Cookbook. Competition closes at 5 pm, Friday, 4 October. See the Submission Guidelines for entry details. Recipes to be submitted on the competition entry form. For inspiration - see recipes from celebrity chef Adam Liaw MHW 2024 Resources - MHCS (nsw.gov.au)
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Between The Flags Between the Flags (BTF) provides the foundation for the NSW Deteriorating Patient Safety Net System. It is a 'safety net' for patients built on the principle of early recognition of clinical deterioration based on symptoms and vital sign measurement; standardised systems then ensure any deteriorating patient receives appropriate escalation and care 1 . There are several elements to the Clinical Emergency Response System (CERS) system, which all need to be in place and functioning to provide the best possible outcomes for our patients. 1. We need to have governance - policies and guidelines for how the system must be staffed across the 24 hours and administered, how it should be led, and how it can be improved. This requires ongoing support - all the way to the top of the organisation. At Ryde we have a CERS team rostered every day and night from across the hospital, who join together to bring the equipment and expertise that a patient experiencing an emergency might need. 2. NSW has developed standard calling out criteria and facilities across the state work to promote a shared understanding across all staff as to what each category of call out means. Between the flags’ is a common way of understanding safety at the beach in Australia: and just as you should swim between the yellow and red flags – so we have electronic observation charts labelled in yellow and red to signal the safety zone for each patient. 3. CERS is a local system for escalation of care – open to staff, patients, carers, and importantly, families. In addition there is a REACH system, a specific phone number that allows anyone with concerns to secure senior help at any time that they feel things are not going well. 4. We have education for all members of staff in how this system works and their roles in it, and we monitor who is up to date in their skills to perform the necessary roles in the team. 5. Such a complex system generates a lot of data, and the Deteriorating Patient Committee is responsible for evaluating the processes and
outcomes, so we can improve and manage as the system evolves. Each year more than 84,000 Rapid Response calls alert health workers across NSW to patients who need urgent attention. As the number of Rapid responses have risen, the number of Cardiac Arrests has fallen significantly. 2 By working together, we have shown we can make a difference in the outcomes for some of our most vulnerable patients.
1. Hughes, C, Pain, C, Braithwaite, J et al., 2014, 'Between the flags: implementing a rapid response system at scale', BMJ Quality & Safety , 23(9), 714–717. 2. Ou, L, Chen, J, Hillman, K, et al., 2020, 'The effectiveness of a standardised rapid response system on the reduction of cardiopulmonary arrests and other adverse events among emergency surgical admissions', Resuscitation , 150, 162 – 169
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Nursing News Senior Nursing
Barbara Scott (left) is now the permanent Palliative Care CNC at Ryde Hospital. Many of you know Barb who has been working a Ryde as the Paliatuve care CNC for Hammond Care. Bar has 40 years experience as an RN and almost 20 years experience in palliative care, being a welth of knowledge, experience and passion to the role. Kathryn Kenney (right) has commenced permanently as the Discharge Liaison CNS for Ryde. Kathryn has previously been an RN at Westmead Hospital and has extensive experince in cardiology, critical care and rehabilitation.
Information Stalls
Nursing has provided several stalls with information for staff, patients and vistors including Sepsis and Dementia Awareness. These stalls are an excelant way to share information and new resources including resources in different languages or revised best practice guidelines. Staff are encourage to make time to visit these and other stalls when they are in the foyer.
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Consumer Participation Committee Partnering with Consumers – Getting to know your Consumer Participation Committee Ryde Hospital is fortunate to have a number of dedicated Consumers who work with us in a many different ways. This work is an important component of how we address aspects of ACHS Accreditation Standard 2 – Partnering with Consumers. Standard 2 aims to ensure consumers are partners in the design, delivery and evaluation of healthcare systems and services, and that patients are given the opportunity to partner in their own care. One group of dedicated Consumers is the Ryde Hospital Consumer Participation Committee (CPC). Our longest serving member has been working on the Committee since 2015, with a number of other members having more than 5 years of contribution on the Committee. The CPC meets every two months and members are engaged in a number of activities from reviewing high-level documents such as draft Clinical Service Plans, to local Ryde Hospital resources. They also participate in other patient and community engagement activities such as surveying patients and manning information stalls in the hospital. They oversaw the development of the Patient Welcome Pack, selecting which information was crucial for admitted patients to receive. The next exciting evolution of this will be an on-line edition of this resource so stay tuned for that.
If you are planning or undertaking a quality improvement project at Ryde the Committee can also assist you by providing consumer feedback on your initiative. Similarly, they are also engaged in a number of local committees to ensure the consumer voice is always present,and are available to assist your committee if needed. Pictured here are four of our CPC members. Next time you see them in the hospital make sure you say hello, and thank them for their continued efforts volunteering their time to help improve services at Ryde Hospital for staff and patients alike.
Community Talks Ruby Wong from the Occupational Therapy Deprtament at ryde Hospital, recently provided a community talk called "Energy conservation and making every day tasks easier to manage ", to the Cantonese speaking aged care community group in Eastwood yesterday. Ruby provided the education fully in Cantonese including a PowerPoint presentation and answeried many questions from the audience. The CCAS audience were very appreciative of the talk and particuarly liked the breathing exercises They are conducting another talk in October.
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Thank You Letters Ward 8
If you have a perfect score you might stop trying! All the staff are wonderful and all doing their very best in a very serious occupation and environment where people’s lives are often at risk. You are faced with difficult diagnoses although there is excellent science for support and many varied personalities and intellects being admitted to hospital to be dealt with in dissemination of information. It was really lovely to meet so many wonderful, caring staff who, although super busy, managed to make time for everyone. I feel that a difficult diagnosis was correctly made for me and I was appropriately treated with kindness and medical expertise. It was really encouraging to see the patience of experienced staff explaining procedures and protocols to trainees and overseeing them patiently with kind guidance so that no errors were made. I particularly liked Dr Ip’s bedside manner. He is such a knowledgeable professional and chats away like an old friend with interest and passion discussing supportive and comforting information. A big hurrah for Ward 8 and all the staff too in emergency which unfortunately I remember little about!! I hope you enjoy your new hospital when it is constructed - although your facilities at the moment seem excellent. Thank you to everyone - an absolutely enormous number of people up front and behind scenes - for looking after me so well. Day Surgery I am writing to express my sincere gratitude to the entire staff of the Day Surgery Unit at Ryde Hospital for the exceptional care I received during my recent visit. From the moment I arrived, I felt genuinely cared for, and this made a significant difference in my experience. I would like to extend a special thank you to Nurse Lam, who went above and beyond in looking after me before and after my surgery. Her kindness, professionalism, and attentiveness were truly remarkable. Nurse Lam made sure I was comfortable and well-informed throughout the entire process, and her reassuring presence was immensely comforting during what could have been a very stressful time. The care and dedication of the entire team did not go unnoticed, and I am deeply appreciative of the work you all do. Thank you once again for providing such outstanding care. Ryde Hospital I am writing to express my deepest gratitude to the staff at Ryde Hospital who looked after my dad-in-law during his stay in Ryde Hospital 12-13/6/2024. He enjoyed his family time with us in April and May in QLD, however, when he started his trip to Sydney, he was so unwell that needed to be admitted to Ryde Hospital on 12/6/2024. And unfortunately, we were not with him. Being an elderly, admitting to a hospital with language barrier (and hearing impairment) is always challenging. But the professional team in Ryde Hospital made a different. All the staff from ED to surgical ward were patient and caring. They found staff from different units who could speak in Cantonese to be a translator for a better communication. It did comfort him a lot. The surgical team, Dr Stephen Pillinger and his team, Dr Divyansh Sharma and their intern, offered her best care to Mr Lau and kept me in the loop timely. Thank you to all the nursing staff and health assistants for looking after him during his stay at the surgical unit, and the community nurse to support him for the catheter care after discharged. Last but not the least, I would like to show my big big sincere thanks to the admin staff. They guided me through the admin process including the admission, the payment (remotely), and discharge documents. Their professionalism is always the backbone of a good hospital. I wish you all would have a lovely spring and continue the fabulous care to your community .
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World Physio Day
This month we celebrated World Physio Day 2024 here at Ryde Hospital. The theme this year is Low Back Pain. There was a promotional stand in the Main Entrance foyer providing information and fun about physiotherpay and low back pain. There was:
• A posture check station where people can have a quick physio posture check and test of a lumbar roll • A quiz with physio/low back pain themed questions • A chocolate for anyone who completes the Quiz • A TheraBand / exercise band for anyone that gets full marks on the Quiz ( 8/8 responses) • Lumbar rolls and Theraband for sale for any staff or visitors wanting to purchase.
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Chaplaincy
Local faith leaders from various traditions gathered for a consultation with hospital staff and the Chaplaincy Working Group. They were delighted to meet the new Chaplaincy Coordinator, Christopher Isika, and to find out how he is raising the profile of spiritual care at Ryde. They expressed a desire to strengthen chaplaincy long term. Faith leaders were also keen to support staff and patients, especially during the stress of the redevelopment. Spiritual care is an important part of pateint centred, holistic care for our patients. Ryde is dedicated to providing friendly, caring support to patients and their families throughout their stay in hospital. On request, a Minister, Priest, Rabbi, Muslim pastoral visitor or a representative of a patient's faith can be contacted. The clergy contact list is available on the intranet. THRIVE Program Leadership Development Congratulation to James Wighton, Andrew Wong and Harpreet Maggo Kapoor who successfully completed the THRIVE Leadership Program and received their certificates. James and Andrew were recent Physiotherapy Team Leaders at Ryde Hospital, who commenced the THRIVE Program while at Ryde. Harpreet is the Site Operations Manager at Ryde Hospital. They were all part of THRIVE Cohort 8 who completed the program and presented their wonderful leadership journeys to the Board For more information about the THRIVE program and other NSLHD leadership opportunities click here.
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Volunteer Mealtime Assistance Education The Ryde Hospital Dietetics and Speech Pathology teams in collaboration with the Ryde Hospital Volunteer Coordinators, have re-commenced the Volunteer Mealtime Assistance (VMA) education program that temporarily ceased due to COVID-19 pandemic. The program aims to assist patients with eating and drinking, maintain safe swallowing and feeding, maximise nutritional intake, reduce weight loss, reduce dehydration, reduce pressure on nursing staff during peak periods, and increase patients’ pleasure and satisfaction at mealtimes. Around half of local hospital patients are malnourished. Malnutrition often worsens during hospitalisation, increases medical complications and delays recovery, resulting in longer hospital stays, and increased potential for hospital re-admission. Almost a third of patients eat less than half their meal at each mealtime. Reduced consumption at mealtimes may be due to difficulty with self-feeding and lack of energy or motivation. Many patients need assistance at mealtimes, including those with swallowing impairments and Speech Pathology recommendations for modified diet and fluid consistencies, and staff often don’t have capacity to provide the level of assistance required. Previous VMA programs have demonstrated positive outcomes from theses include increased energy intake, increased number of patients consuming their entire meal, decreased waiting times for mealtime assistance, and reduced pressure on nursing staff. Three volunteers attended the first training session and subsequently passed the competency assessment. This will allow them to assist patients at mealtimes by opening packages, cutting up food and placing straws in drinks to help improve oral intake; provide support and encouragement to patients who need extended time to eat their meals; be a friendly face, have a conversation over a meal, and encourage oral intake. Patients, their families, and staff greatly appreciate volunteer assistance at mealtimes. Anyone interested in joining the Volunteer Mealtime Assistance program can contact the Volunteer Office: NSLHD-Volunteers@health.nsw.gov.au or (02) 9462 9936.
Loud Shirt Day
Ryde Hospital will be celebrating Loud Shirt Day on Friday 18 October. Wear your brightest, loudest shirt or scrubs, have fun and help raise awareness for those with hearing loss.
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STEPtember STEPtember is a chance to boost your well-being, and fitness and connect with your team; reduce stress, feel more energized, and have fun together! Walk, roll, push, swim, or ride your way to 10,000 steps a day in September and help CPARF fund life-changing scientific advances for people with cerebral palsy. With over 80 ways to get moving in September, you can make it your own as you move for CP research and disability innovation. Fundraising efforts support babies, children, and adults with cerebral palsy to thrive. The Health and Wellbeing Team held a STEPtember promotional roadshow in preparation for the start of STEPtember 2024. The team was fortunate to be able to visit each of the sites and was thrilled with the engagement of staff turning up to sign up for STEPtember 2024.
As of the 3rd week of STEPtember, NSLHD raised $29,268 and had taken 81,188,798 steps, making a real difference for babies, children, and adults with cerebral palsy. 💚 Shout out to our Ryde top performers (* as at 29.05.24)
o Top stepping team: Let's Get Fizzical 1,455,092
Top stepper: Kasia Rigley 488,418
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o Top fundraising team: Pill Pushers 2024 $2,425.22
o Top fundraiser: Bhuvaneswari Lakshminarayanan $676.18
Your efforts have boosted your well-being, strengthened our team, and made a huge impact! The funds raised will power the Cerebral Palsy Alliance’s programs, working towards reducing the rate and severity of cerebral palsy. Donations remain open until 31 October 2024, so we would love you to share your STEPtember achievements with friends and family. Remind them to donate and encourage them to embrace diversity and support a more accessible future for everyone. Thank you again for your incredible efforts and hope you had lots of fun.
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Welcome to Ryde New Staff Ryde Hospital welcomed the following new staff in July and August to join our wonderful teams. Welcome to you all.
Name
Position
Hamim Muntkamin
ED Registrations/Admissions ED Registrations/Admissions
Prajina Greene Mary Milne Fatima Hilali
Registered Nurse
Administration Officer Administration Officer
James Henderson Shobana Babu Amy Berkahn Gloria Wong Kathryn Kennedy
Registered Nurse Registered Nurse Registered Nurse
Clinical Nurse Specialist
Lily Cole
Registered Nurse
Barbara Scott
Clinical Nurse Consultant
Lexie Plant Neha Patel Jenny Choi
Registered Nurse
Patient Liaison Officer Patient Liaison Officer
Please welcome Neha Patel and Jenny Choi as the new Patient Liaison Officers (PLO) for Ryde Hospital. Many of you may recognise Neha and Jenny from their previous roles with Ryde ED Admissions and Outpatients clinics. We thank Bethania Duarte Vitt for her support and service as PLO and wish her well in her new position as JMO Coordinator. Please do not hesitate to contact Jenny and Neha on 02 9858 7328 or by email NSLHD- RydePLO@health.nsw.gov.au for any queries relating to private health insurance use or international patients.
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Library Update Following R U OK Day and ahead of the upcoming Mental Health Month in October, NSLHD Libraries would like to spotlight a few key resources. Our Health and Wellbeing Subject Guide includes: • Live feeds of some latest articles covering the areas of burnout, compassion fatigue, resilience, and wellbeing. • Databases, books and ebooks. • Additional resources and library services to support your information needs.
Featured book: The Thriving Doctor : how to be more balanced and fulfilled, working in medicine by Sharee Johnson How can you protect your right to a balanced life in a profession that demands perfection? Medical life is challenging. The culture is competitive, the environment intense, the machinery complex and unwieldy, and the expectations high. Under such constant stress, many doctors sacrifice their own wellbeing to try and provide the best possible care for their patients. Research has clearly shown that patient experience and patient health outcomes are better when doctors are compassionate and well themselves. Thriving doctors have better rapport with others, make less errors and feel more satisfied and engaged in their work. You are a whole human, and it's time to treat yourself like it
Request this book, or register to borrow. We are here to help. Contact your NSLHD Libraries
Just For Fun
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Photo Gallery Spring Into Action
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Noticeboard
Respecting the Difference: Be the Difference face-to-face training 2024 Hornsby
Program Overview Respecting the Difference – Aboriginal and Torres Strait Islander Cultural awareness training enhances our organisation’s capacity to provide respectful, responsive, and culturally safe services. It is designed to build upon staff knowledge and skills. The face-to-face session is presented in a relaxed interactive workshop style, where conversations and questions about Aboriginality, culture, urban myths, and beliefs can be openly discussed. The session follows on from the Respecting the Difference e-learning module.
Royal North Shore Hospital Auditorium and Wallace Freeborn - level 5 Kolling Building • Thurs 10 Oct: Auditorium – 9am to 1pm
• Thurs 17 Oct: Auditorium – 9am to 1pm
• Thurs 31 Oct: Auditorium – 9am to 1pm
• Thurs 28 Nov: Auditorium – 9am to 1pm
• Thurs 5 Dec: Wallace Freeborn – 9am to 1pm
• Thurs 12 Dec: Wallace Freeborn – 9am to 1pm
Target Audience: Mandatory for all NSLHD Employees Duration of Program: 4 hours
• Thurs 19 Dec: Wallace Freeborn – 9am to 1pm
Ryde Hospital Dates – ELCA Training Room • Tue 29 Oct: 9 to 1pm
Enrol via My Health Learning
• Tue 19 Nov: 12 to 4pm
ENQUIRIES: NSLHD-DACinfo@health.nsw.gov.au
• Wed 11 Dec: 9am to 1pm
Hornsby-Ku-ring-gai Hospital - Level 5 - Meeting room 1 • Wed 25 Sep: 9am to 1pm
Macquarie Hospital – Emily’s Cottage on Manning R • Thurs 7 Nov: 9am to 1pm
• Wed 30 Oct : 12 pm to 4pm
Enrolments via My Health Learning
For information on other available courses, visit the Intranet and the NSLHD Course Calendar Cost: NSLHD employees Nil
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Bouncing Forward: Strong Minds for a Healthier Workplace
The Bouncing Forward: Strong Minds for a Healthier Workplace program is running another
course for NSLHD staff in September 2024. Delivered in partnership with Macquarie University
Psychology Masters students, this program highlights the holistic support offered to our front-
line staff.
The workshop includes topics such as stress management, resilience, self-awareness and
promoting a balanced approach to work and personal life. You will gain a toolbox of coping
strategies, establish healthy boundaries around self-care and engage in positive communication
contributing to a constructive, uplifting work environment.
Come and join this fantastic opportunity to learn more about how we can all bounce forward.
Places are limited so enrol now via My Health Learning
Dates: (24 places left)
• Session 1: Thurs 5 th September 2024, 12-2pm
• Session 2: Thurs 12 th September 2024, 12-2pm
• Session 3: Thurs 19 th September 2024, 12-2pm
• Session 4: Thurs 26 th September 2024, 12-2pm
Any further questions, contact NSLHD-ODACinfo@health.nsw.gov.au
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