RNSH Nursing and Midwifery Newsletter - AprilandMay

RNSH Nursing and Midwifery Newsletter - AprilandMay

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Volume 10, Issue 4

Royal North Shore Hospital Nursing and Midwifery NEWSLETTER

April/May 2021

Inside this issue:

Pages 13-15: INMW 2021

Message from the DoNM

2

RNSH N&M Workforce Updates 3

Infection Prevention and Control 4-5

6

NSLHD Libraries Update

Fire Training Update

7

Muesli Bar Challenge

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8

EAP

CNC Bio — Emily Macnaught, CNC 9

Team Spotlight — 8D

10-12

International Nursing and Midwifery Week 2021

13-23

Staff Profile — Helen Walker, NUM 24

Page 6: Three new Journals added

Waste Committee

25

Carer Advice

26

Nurses Midwives Health

27

RNSH Nursing and Midwifery Executive Team

28

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Royal North Shore Hospital Nursing and Midwifery

Message from the DONM Tracey Gray, Director of Nursing and Midwifery, RNSH

and you would like to be please call our booking centre promptly to ensure you secure an appointment. For staff in the 1b group the program will continue for some weeks yet . We think we have contact details for most staff now but if you haven’t heard from us and would like an appointment please call the RNSH CoVID Booking Team on 99264299. The bookings team led by Rhi Campton and Anna Linfield-Kent have been doing an amazing job fielding and making a huge volume of calls. They have remained calm, kind and professional throughout a number of challenging interactions for which I thank them enormously. Some very good news is that we are recruiting strongly at the moment and our nursing vacancies have fallen for the third month in a row. It has been a tough month with patient acuity high and sick leave up relating to post vaccination malaise. At least we can say that as our vacancies reduce and the vaccination program winds up you may all finally get a breather. Thank you all once again for the significant contribution you make to the health of our community. It is very much appreciated.

April is the month we turn our attention to all things falls prevention. “Safe activity for everyone” is the theme for 2021 following a year that saw many people decrease their physical activity due to the need to maintain a safe distance from others to protect themselves from CoVID-19. Remaining physically active is an important part of recovery from illness and something nurses can and should promote to ensure your patients have the best chance of achieving wellness. In so doing we are always mindful of ensuring patients can do so safely by completing a falls risk assessment no matter at what point they enter the health system and then provided with advice and support to mobilise safely. On April 1 it was great to see so many orange t-shirts being worn by our nurses to fly the flag of falls prevention . When my husband wears mine in the garden it always makes me smile. Most units have now received their Performance Boards to display clinical audit results in a standardised way. They look great and summarise the results of audits under each accreditation standard. In line with this the new audit schedule has been released and should also be on display in your clinical areas. Every month we will produce reports that summarise the results across the organization and as any areas for focus emerge you may be engaged in projects to improve our performance. The CoVID-19 vaccination program is now well underway with most staff who have been categorized in the 1a group having already been vaccinated. The number of appointments that Westmead will offer for 1a staff will reduce over the next 2 weeks so if you are yet to be vaccinated

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Royal North Shore Hospital Nursing and Midwifery

RNSH Nursing and Midwifery Workforce Updates

New Appointments / Secondments  Alexis Fox — NUM3 to Nurse Manager 3 NICU

Madeline Hughes — A/CNE 8D

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Kirsty Brown — NUM Patient Flow / Bed Manager

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Giecy Sharma — A/CNE 9E

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Boh Yong Chun (Hanna Chun) - A/CNE 8B

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John Won — ED CNE Rotational

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Adrienne Ling — ED CNE Rotational

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Benjamin Emerson-Parker — NICU CNE

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Sarah Bowes A/CNC Diabetes Educator

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Johanna Guest — CNC2 Bone Marrow Transplant Coordinator

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Erin Mewton — TNP Derm

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Allison McGrath — CNS2 Lactation Consultant

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Melissa Picton — CNS2 Lactation Consultant

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Sophie Ord — NM Workforce

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Successful CNS Applications  Ada Hua — Operating Theatres

Carmen Puckeridge — Child and Adolescent Unit

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Hannah Bisset — PACU

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Emma Cardwell — 6H

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Rebecca Whitaker — 8D

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Stephanie Donoghoe — 6G

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Akriti Koirala — 5 West

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Alyssa Silcock

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Congratulations!

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Royal North Shore Hospital Nursing and Midwifery

Infection Prevention and Control (April Update)

Reprocessing of reusable medical devices (Standard 3: Action 3.14)

The intent of this Standard 3 action is to minimise infection risks to patients and the workforce by having assurance that all reusable equipment, instruments and devices are appropriately reprocessed.

Terminology:

Reprocessing

Activity required to ensure the RMD is safe for its intended use

RMDs

Reusable medical devices

Single Use Items

Symbol found on all single use items Only be used once on one patient

Single Patient Use items

Can be used multiple times on ONLY one patient and then discarded when visibly soiled/ when patient is discharged

Cleaning

Removal of contamination for an item to be used again

Disinfection

Reduction of viable microorganisms to a level to be used again

Sterilisation

A validated process to render a product free from viable microorganisms

Critical Item

A medical item that comes into contact with the vascular system or sterile tissue (eg) Surgical instruments, diagnostic or interventional radiology catheters A medical device that comes into contact with mucous membranes or non-intact skin (eg) mouth shutters, vaginal ultrasound transducers A medical device that only comes into contact with intact skin and not mucous membranes (eg) BP cuffs, thermometers, bedpans Single use sterile or non-sterile material that covers the RMD. Even if the cover/sheath is used the RMD still require reprocessing.

Semi-Critical Item

Non-Critical Item

Covers and Sheaths

What equipment, instruments and devices re- quire reprocessing? All medical equipment, devices and instruments require reprocessing. Some are only single use OR single patient use. The level of reprocessing is depended on the equipment, devices or instru- ment being used. Most ward based RMD are non-critical and require a clean and disinfection before and after use (ie) with a 2 in 1 wipe – Steri7, Clinell. Devices and instruments that need

to be sent to Sterilising Services (SS) should be rinsed after use to ensure any contaminants are removed, or sent immediately following use to SS. This minimises the risk of drying of contami- nants. Storage areas should store clean items (ie) IV poles, pumps, wheelchairs, bed slings, emesis bags, unused sharps bins, incontinence pads.

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Royal North Shore Hospital Nursing and Midwifery

Ultrasound Probes

All wards that have an ultrasound probes must ensure that the device is registered. If any of these devices have visible body fluids/ blood they must be sent to SSD with the manufacturer’s recommendations for appropriate reprocessing. A cover or sheath is recommended to re- duce the contamination risk. There is a QARS audit for the registration of all ultrasounds that needs to be re- viewed on an annual basis Register your ultrasound probes with SS, to ensure there is a record if the probes requires reprocessing by SS.

with non-sterile items. Sterile items that have been opened and not used must be discarded. Dirty utility rooms should only store bedpans & urinals, wash bowls, urine testing, linen skips, pan covers, rubbish bags and PPE – for use in the dirty utility only. Storage areas should store clean items (ie) IV poles, pumps, wheelchairs, bed slings, emesis bags, unused sharps bins, incontinence pads. For any further information on Standard 3, 3.14 please speak to Sterilising Services or IPAC.

Storage of Stock

Sterile stock must be stored out of direct sunlight, in dedicated sterile storage areas that are clean daily and are free from dust, insects and vermin, and not mixed

Infection Prevention and Control (May Update)

Hand Hygiene (Standard 3: Action 3.8)

The intent of this Standard 3 action is to ensure that RNSH supports the National Hand Hygiene Initiative (NHHI) and addresses non-compliance. Wednesday 5 th May is World Hand Hygiene Day: 'Seconds save lives – clean your hands!' Hand hygiene is the single most important procedure for preventing of Healthcare Associated Infections (HAIs) and is recognised as the cornerstone of Infection Prevention and Control. Staff must adhere to the ‘5 Moment for hand hygiene’. Effective hand hygiene should be done at the point of care – whenever treatment involving contact with the patient or surrounding occurs. When performing hand hygiene alcohol based hand rub (ABHR) is recommend unless hands are visibly soiled or specific surgical/procedural work is anticipated then hand washing is required.

After visiting the toilet

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After coughing or sneezing and disposing of tissues

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Important Points to know for accreditation:

Know what are the 5 moments are.

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Your ward/department hand hygiene

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compliance?

Location of the hand hygiene compliance dial?

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Is it current?

Education patient on hand hygiene

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Alcohol Based Hand Rub is available at point of

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care (ie) at the end of all patient beds

Moisturising cream is available and where is it

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Hand hygiene should also be performed:

located?

At the commencement and the end of the working day

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Have you completed and up to date with the

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Hand Hygiene Training on ‘My Health Learning’.

Before eating

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Royal North Shore Hospital Nursing and Midwifery

NSLHD Libraries Update

NSLHD Libraries have three new journal subscrip- tions:

Contact NSLHD Libraries for an in service for online medication resources.

1.

European Heart Journal — Acute cardiovascu- lar Care

Email: [email protected]

2.

European Journal of Cardiovascular Nursing

Or contact your Library- nslhd.libguides.com/contact

3.

European Journal of Preventive Cardiology

Are you updating a clinical guideline, procedure or Quality improvement project?

 NSLHD Libraries have updated the Clinical Guidelines, policies and procedures Library guide: https://nslhd.libguides.com/clinicalguidelines

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Royal North Shore Hospital Nursing and Midwifery

Fire Training

Practical Fire Training

Sessions

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Fire Training are being conducted four days a week and four sessions are provided:

Days

Session Times

Mondays, Tuesdays, Thursdays and Fridays

8:30am, 11:00am, 11:45am, 2:30pm.

Location

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Practical Training will be conducted on the Kolling Building Forecourt.

Wet weather days: practical fire training will be held under the Kolling Building Awning which is located on Westbourne Street.

To Register

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Fire Safety and Evacuation - Practical Classrooms My Health Learning

Attendance

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There are a significant number of people to train so please ensure you attend the training that you register for. Ensure you have your attendance recorded while at the training.

Muesli bar Challenge for NICU

Kimberley McDonald and the amazing Coivd-19 Response team were collect- ing muesli bars for the month of May.

105 boxes were donated to the NICU Food Bar. They will be so gratefully used by the new Mum’s and Dad’s in our hospital.

Fantastic job Team!

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Royal North Shore Hospital Nursing and Midwifery

When it hits home – helpful resources Working in Health over the past 14 months has for many of us been a buffer against the pandemic with a minimal impact on daily lives and our regular routines. We have had to make many small adjustments such as our daily scans, wearing masks and remembering to social distance, but on the whole we seem able to go back to work and life with little or no lasting impact. However we may be aware of more far reaching impacts that we, our colleagues, family and friends are dealing with as a result of the pandemic. Financial challenges, loss or changes to employment, not having contact with family and loved ones who live in other states or overseas, and for many unexpected mental health concerns including anxiety, depression, grief, loneliness, distress following isolation and unexpected fear or panic. Knowing where to find help and resources can make a difference. At RNSH the RNSH COVID-19 Staff Wellbeing Working Party developed a resources flyer to help. Copies for your ward or department can be collected from the Executive suite or ordered online from Design and Print using code SO 52943-3.

A few resources to consider are:

Mental Health: Healthcare worker wellbeing: https://coronavirus.beyondblue.org.au/impacts-on-my- work/essential-services/protecting-your-mental-health-and-wellbeing-healthcare-worker.html Mood: https://www.mycompass.org.au https://moodgym.anu.edu.au/welcome https://www.beyondblue.org.au/the-facts/anxiety/anxiety-checklist http://understandinganxiety.wayahead.org.au/support/support-groups/support-group-locations/ Stress: http://www.stresslesstips.org.au/take-regular-breaks Financial: Free financial counselling Catholic Care financial counselling on 8425 8700; National Debt helpline - 1800 007 007 or http://ndh.org.au/about-national-debt-helpline/ Domestic and family violence: www.dvnsw.org.au/where-to-get-help-in-new-south-wales Legal: https://www.legalaid.nsw.gov.au/ Tenancy assistance: Call 1800 251 101. https://www.tenants.org.au/all/taas The Employee Assistance Program is one resource to consider and often a good first step to take. EAP is able to refer you to community resources that could provide meaningful support and also offers counselling support to all NSLHD employees and their immediate household family members. Having the opportunity to sit in a safe and confidential environment with no interruptions is a good investment in your self-care. As you discuss your concerns with the EAP counsellor you may feel some relief or gain insights into your strengths. From the discussion the EAP counsellor can identify new approaches or share different strategies to try out as you manage the issues that concern you. To arrange a time to meet face to face, via telephone or Skype please call 9462 9299 or refer to the colourful contact flag above for all the EAP contact numbers so that you can choose the most convenient option.

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Royal North Shore Hospital Nursing and Midwifery

Clinical Nurse/Midwife Consultant Biography

Name:

Emily Macnaught

Role Title:

Clinical Nurse Consultant Grade 3 (CNC3)

Specialty:

Neonatal Intensive Care Unit

Location:

Level , Clinical Services Building, RNSH

Contact Numbers: Ext. No.: 32273. Pager No.: 41871

Email Address:

[email protected]

Past Experience:

~ 7 years at Royal North Shore Hospital in Neonatal Intensive Care Unit (NICU)

The evolving intricate care of the “Mirco - Prem” born at 22 -23 weeks gestation Digitisation of the NICU — member of NSW Neonatal Working Group for design & build of eRIC (electronic Record for Intensive Care) for NICU/PICU Nurse-led neonatal research and clinical practice improvement

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11 months as acting Clinical Nurse Consultant 2

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Commenced as Clinical Nurse Consultant 3 in March 2021

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~ 2 years at Gosford Hospital as Neonatal Clinical Nurse Educator for CCLHD

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~ 8 years with Sydney Children’s Hospitals Network

6 years in Grace Centre for Newborn Intensive Care at The Children’s Hospital at Westmead (CNS, a/CNE, a/NUM1, TNP — Cardiac Acute Care) 1.5 years as Retrieval Nurse with NSW Newborn and Paediatric Emergency Transport Service

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Available for mentoring staff across the hospital:

Not yet as new to the role

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List below the CNC/CMC’s you have connected with both within RNSH and externally on various projects:

Postgraduate Studies:

NSW Neonatal CNC Network — POKES Study and various CPI activities e.g. unplanned extubaions, ePrem skin integr ity, sepsis/CLABSI prevention Julia & Chris from IPAC re infection prevention & control strategies Selina & Bron re: code blue — newborn & CERS Lauren & Emma re: collaborations between NICU/Paediatrics Rachel, Kate, Erin & Matt re: skin integrity & new skin care products for neonates

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Health Informatics Mentorship Program through NSLHD Nursing & Midwifery Research Centre Principal Investigator at RNSH for the “POKES Study” - Neonatal skin breaks, are they causing more than just pain? Completed Masters of Nursing (Advanced Nursing Practice; sub major Neonatal Nursing) with Australian General Hospital Association Prize for Academic Excellence

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Main Interests:

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Neonatal skin Integrity and preventative management Holistic care of the “ePrem” (extremely premature infant born Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Page 14 Page 15 Page 16 Page 17 Page 18 Page 19 Page 20 Page 21 Page 22 Page 23 Page 24 Page 25 Page 26 Page 27 Page 28

www.nslhd.health.nsw.gov.au

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