RNSH Nursing and Midwifery Newsletter - February

RNSH Nursing and Midwifery Newsletter - February

Volume 10, Issue 2

Royal North Shore Hospital Nursing and Midwifery NEWSLETTER

February 2021

Inside this issue:

Message from the DoNM

2

IPAC Update

3

The Wellness Channel

4-5

The Corner Shop

6

NSLHD Libraries Update

6

Practice Inquiry Online Drop In Sessions

7

Pages 4-5: Read about the Wellness Channel—the new and extended (90min) version and how it came about

Origami Hearts for Valentine’s Day

8

Fire Training Update

9

Staff Profile of the Month— Sophie Lange—DNM DOSA CNC Bio— Vicki Evan, CNC Neuroscience Team Spotlight—Ward 7F, Neurology/Stroke Unit

10

11

12-15

RNSH N&M Workforce Updates 16

Carers Support Service Update

16

Nurses and Midwives Health

17

Page 8: Happy Valentine’s Day!

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Royal North Shore Hospital Nursing and Midwifery

Message from the DONM

Tracey Gray, Director of Nursing and Midwifery, RNSH

Making, however there is one specific to vaccination hesitancy on the Australian Commission on Safety and Quality in Healthcare website, presented by Julie Leask. Link below. https://www.safetyandquality.gov.au/our-work/shared -decision-making/shared-decision-making-symposium Shared decision making is a concept that is gaining greater prominence since it was introduced as a component of the National Safety and Quality Health Service Standards. Whilst it is an expectation that we will incorporate this into practice across all of the accreditation standards it is a significant component of Standard 5, Comprehensive Care. Please have a look at the videos as an introduction to the concept and start a conversation with your colleagues in relation to how this applies to you and your practice. I met with the Nursing and Midwifery Education Group last week and asked them to review the videos and to think about how we might use them to begin up- skilling our nurses. Our medical and allied health colleagues will be doing the same. Over time it would be appropriate to also think about how we might introduce some interdisciplinary learning to better understand the role of the MDT in shared decision making with every member of the team having a different but related role. Finally, I have been touring the hospital and meeting staff from many of our wards and departments. I am always impressed by the attention given to improving the standard of care provided to our patients. The enthusiasm and professionalism I have witnessed is testimony to you all and certainly points to a very bright future for RNSH.

Many of you will have seen the photo of Abi Pidgeon, the first Emergency Department nurse to receive the CoVID-19 vaccination at Westmead Hospital. Over 300 staff from our Emergency Department have received their first immunisation which has been a lesson in logistics of the highest order. We were given a very short lead time to ensure that all appointment slots were filled, whilst also ensuring that the ED is staffed for business as usual. It has also been instructive for considering how we might manage immunisations for the rest of the hospital. In order to ensure no appointment times are left unfilled a standby list of staff was created to backfill slots made available when staff who are sick on the day of their appointment cannot attend. This sometimes needs to happen at short notice, however, we haven’t missed an appointment yet. Margie Webster, DNM Division of Medicine, is the RNSH Executive contact person for staff of the Emergency Department and liaison with the NSLHD Executive team. Margie has been working around the clock with ED management to coordinate this exercise and I would like to take this opportunity to thank her and the ED management and senior clinical team for the time and effort they have put into this to make it happen. The NSLHD vaccination hub will be located at Hornsby Hospital. Details regarding the opening date will be made available soon. On the subject of vaccinations, some of you will be fielding questions from patients in relation to whether or not they should be vaccinated. It can be a tricky conversation to navigate in that we have an obligation to provide patients with accurate information that is not coloured by our own biases and guide their decision making rather than overtly influence same. There are a number of video clips on Shared Decision

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Royal North Shore Hospital Nursing and Midwifery

Infection Prevention and Control

Invasive Devices (Standard 3; Action 3.10)

Patients with invasive devices are at risk of developing an infection. With the identified risk there is a requirement to ensure that staff are appropriately trained in the insertion, maintenance and removal of these devices. During accreditation we must show evidence of this. The Australian Commission on Safety and Quality in HealthCare Standards state that our staff must be appropriately trained in the below invasive devices:

Top 4 Invasive Devices:

Indwelling urinary devices

Intravascular access devices (Includes: PIVC, CVC, PICC, midline catheters, umbilical catheters, peripheral & pulmonary artery catheters, haemodialysis catheters

Ventilation

Enteral feeding tubes

In addition to the above specialty wards/departments should have:

Top 3 Invasive Devices - specialty areas (examples only)

Chest Drain

Wound Drain

VP shunt

Do you know?

If there is a pathway in your ward/department for training in use of these invasive devices?

If your recent competency for these invasive devices is in date?

If the guidelines/procedures in relation to these invasive devices up to date and where you can find them?

For any further information on Standard 3, 3.10 please speak to IPAC.

Volume 10, Issue 2

Page 4

TV Wellness Channel – newly updated and extended version (90mins)

Pictured above (left to right): Suzy Russell, Vanya Ripley, Caryl Barnes

The role of Consultation Liaison (CL) Psychiatry CNC was introduced at RNSH in 2016. The newly appointed CNC (Suzy Russell) observed that a general hospital admission in itself may cause or exacerbate stress and anxiety for many reasons such as, an unfamiliar physical environment, lack of privacy, lack of sleep and loss of autonomy and independence. Additionally, acute care settings are time pressure environments in which clinicians must find innovative ways to complement their own therapeutic efforts. It was for these reasons, a mindfulness focused TV Wellness Channel was conceptualised as a means of providing stress reduction techniques and relaxation strategies which could be freely accessed by all patients with an overall aim of improving their hospital experience. Initially, encouragement came from CL Psychiatrist Dr Jeff Streimer, the previous NSLHD DONM (Anthony Dombkins) and the RNSH DONM (Claire Harris). A research mentor program scholarship, supervised by

Marg Fry and Roz Elliott supported the CL CNC to transform the project into research. Results from an ethics approved feasibility study demonstrated overwhelmingly positive feedback from staff and patients. Specifically, patients reported lower states of anxiety and a mitigation of the adverse effects associated with physical distancing and isolation in an acute care general hospital setting. The project team included Suzy Russell (Project Lead), A/Prof Caryl Barnes (CL Psychiatrist), Vanya Ripley (General Medicine CNC), and Rosalind Elliott (CNC- Translational Research Co-ordinator). Since conception of the TV Wellness Channel the RNSH CL Psychiatry Team and the Department of General Medicine have been successful in obtaining a NSLHD Innovation Program Grant which funded the initial project. The project was then expanded across RNSH funded by the 2019-2020 Ministry of Health Nursing Innovation Scholarship and donated funds

Volume 10, Issue 2

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Images from TV Wellness Channel

from the RNSH Corner Shop (see page 6 of this newsletter for more information on the RNSH Corner Shop). The project also attracted the 2019 NSLHD MHDA Quality Improvement and Innovation Award. Most recently a research article about the project has been accepted for publication in British Medical Journal Innovations- : https:// innovations.bmj.com/content/7/1/87 (Russell S, Ripley V, Elliott R, et al Patient and nurse perceptions of an innovative TV wellness channel in an acute medical ward: a feasibility study BMJ Innovations 2021;7:87-94). You can find the free to air TV Wellness Channel on all RNSH bedside and patient lounge televisions on channel no. 304. The subtitled content runs for 90- minutes and includes local calming nature scenes, indigenous mindfulness (Dadirri), clinician wellness tips, mental health animations, wellbeing exercises aimed at reducing stress and anxiety. Nurses are urged to encourage all patients to access this

unique and free resource to improve their hospital stay. Published in the latest BMJ Innovations Journal Russell S, Ripley V, Elliott R, et al Patient and nurse perceptions of an innovative TV wellness channel in an acute medical ward: a feasibility study BMJ Innovations 2021;7:87-94.

Link to above paper: https://innovations.bmj.com/ content/7/1/87

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Royal North Shore Hospital Nursing and Midwifery

The Corner Shop RNSH

The volunteers from The Corner Shop have been supporting RNSH for over 50 years by raising money through shop sales and monthly stalls. Each year we support many departments by funding much needed equipment as well as assisting many Occupational Therapy and Physiotherapy Departments. Last year we also contributed to the cost of producing the video for the Wellness Channel. The dedication of our volunteers, the support of patients and visitors, and staff patronage and loyalty have all contributed to our fundraising. We also provide ‘a shoulder to cry on’ for those who are in need of a kind and caring listener. We are very proud to say that we have donated just over $5 million to RNSH.

The Corner Shop at RNSH made a generous donation that helped enable the extension of the Wellness Channel. Pictured above (Left to right): Anne Green (Shop Manager), Denise Flannigan (Vice President) and Anne Connon.

NSLHD Libraries Update

NSLHD Libraries has thousands of new eBooks. They can be read online or downloaded to your portable device. Check out - Oxford Handbook of Adult Nursing, Emergencies in Adult nursing and Oxford Handbook of Midwifery

NSLHD staff can enrol in Master Classes via My Health Learning, or request a training session with a librarian

Searching the Nursing and Allied Health Literature Searching the Medical Literature Referencing using EndNote Return to Study How to Perform a Systematic Review

Volume 10, Issue 2

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Royal North Shore Hospital Nursing and Midwifery

Origami Hearts for Valentine’s Day

Pymble Ladies’ College students delivered 100 origami hearts with messages of thanks and hope to RNSH. They were distributed to staff on February 12 as a Valentine’s Day thank you for the hard work and dedication of hospital workers. Below are photos of 6B and 6D staff receiving their hearts. Thank you to the students at Pymble Ladies’ College.

Pictured left: Staff members from Ward 6B

Pictured right: staff members from Ward 6D

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Royal North Shore Hospital Nursing and Midwifery

Fire Training

Practical Fire Training has now recommenced

Sessions



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



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



Fire Safety and Evacuation - Practical Classrooms My Health Learning

Attendance



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.

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Staff Profile of the Month! - Sophie Lange—Divisional Nurse Manager, DOSA

5. Best travel destination you have visited and why?

1. How long have you been in the nursing profession?

The Maldives—absolutely stunning, exotic, picturesque, relaxing..



Since 1999



2. What are three things that you are most proud of about your profession?

6. If you were to invite five people to dinner, who would you choose?

The impact we have on the lives of others



Barack Obama



The way we work together and support each other

Jamie Oliver (who will be doing the cooking)





That we are well respected by those in the community



Robin Williams



Jacinda Ardern



3. What would you have been if you had not done nursing?

Oprah



Nothing—I have wanted to be a nurse since I was 7 years old



4. What is your best nursing story?

There are a lot (and many that are inappropriate) but one of my most memorable stories was when a patient turned 101 years old on the ward I was working in and the ward threw a surprise party for him at his bedside. The social worker brought champagne and the ward clerk brought his favourite—fruit cake.



Volume 10, Issue 2

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Clinical Nurse/Midwife Consultant Biography

Name: Vicki Evans Role Title: Clinical Nurse Consultant Grade 3 (CNC3)

Specialty: Neuroscience Location: RNSH + LHD

Contact Numbers: Ext. No.: 32745. Pager No.: 41593 Email Address: [email protected]

Past Experience: 30 years at Royal North Shore Hospital

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

16yrs as CNC Neuroscience (job-share with Jeanne Barr) 7yrs as NUM Neurosurgery (old hospital 7B)



RNSH: Paediatrics, Neuro ICU



Australia: Nepean, Liverpool, Westmead, NSP, Macquarie Private International: Barrow Neurological Institute; UC Davis Neurosurgery; NYU Medical Center Neurosurgery; Toronto Western.







4yrs as NUM Neurology (old hospital 8B)



Other Experience—USA:

3.5yrs as Senior Nurse Clinician (Neurosurgery & Neuro ICU) - New York University Medical Center, NY NY, USA.



Additional Information:

Editor of professional journal for 7yrs (Australasian Journal of Neuroscience) Reviewer for World Neurosurgery (online journal medical/nursing); Polish Neuroscience Nursing Journal.



Studies currently being undertaken:



Research studies



Main Interests:

World Federation of Neuroscience Nurses – Executive Committee



Concussion research & education



Neuro trauma



Available for mentoring staff across the hospital:

Yes



Volume 10, Issue 2

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Team Spotlight of the Month

Theatres

What are some things that your ward does differently to other wards/units?

We wear our name and role on our hat so we can easily identify each other, especially in emergency situations



 We encourage a positive culture by doing Team Huddles before each operating list

What does your team do for team building?

To encourage Team Building, we celebrate Perioperative Nurses Week in October each year, including a bake-off competition and awards for Nurses and Operational Assistants (OAs)

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We also hold afternoon-teas in PACU often as a baby shower (in a COVID-safe manner, of course!)

Has your ward completed any fundraising or have you received donations that have been used towards helping improve your area?

 The operating theatre has received generous donations to purchase equipment including the ROTEM machine for blood analysis and a Heart/Lung machine

How many staff do you have that are completing further studies?

 Steven (EN) is completing his RN training. Lots of nurses are working hard on their post grad studies

Emma Z (Module 1) is currently enrolled in a pHD



 Steph has recently joined the Army Reserve and is about to go and do intense training

Has your ward or any staff members received any recent awards?

 Theatres are going to submit the results from our Culture and Communication project for a Quality Improvement Award

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Team Spotlight of the Month

Theatres

What projects are your team currently working on?

 Our team are working on the National Surgical Quality Improvement Project (NSQIP) to reduce post-op surgical site infections in a few surgical specialties  We are also planning for Interventional Neuro-Radiology (INR) to be incorporated into our department in the near future

Does your ward/unit have any specialty area educational courses?

 We have a Clinical Practice Development (CPD) day once a month, where staff are able to complete the majority of their yearly mandatory competencies. We also support and mentor a number of New Graduate Registered Nurses each year, using a structured induction and clinical rotation program to 3 different specialties. We are also organising a Spinal Surgery Study day on Saturday 20th March.

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Getting to know the team:

Who in your team would be most likely to…

Win an Olympic gold medal? In what event?



Marg (NUM) – rowing



Luke (OA) – table tennis



Become famous? What for?



Cezanne (Anaesthetics) is an expert at jumping around on a pogo stick!



Save the planet? Erin (Anaesthetic CNE)



Who is the team’s:

Head chef:



Kristine, Taj & Jenny B



Cake Bakers:



Emily, Pauline & Melissa .



Animal whisperer:



Sofia (CNS) and Michael (Chief OA)

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Volume 10, Issue 2

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RNSH Nursing and Midwifery Workforce Updates

New Appointments / Secondments

Michelle Keith—A/NUM PACU

Alice Robinson—A/NUM ICU 6G

Rebecca Riva—CNC ED Mental Health

Congratulations!

NSLHD Carers Support Service Update

Volume 10, Issue 2

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RNSH Nursing and Midwifery Executive Team

Tracey Gray Director of Nursing and Midwifery Ph: 9463 1901 (EA: Hayley Johnson)

Fiona Carmichael Deputy Director of Nursing and Midwifery Ph: 9463 1901 (EA: Hayley Johnson)

Margie Webster Divisional Nurse Manager Division of Medicine Ph: 9463 1906 (EA: Rhiannon Campton)

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 Nurse Manager Cancer and Palliative Care Ph: 9463 1200 (EA: Sarah Hockey)

Deb Mayall Nurse Manager Patient Flow Ph: 9463 2260 (CSO: Jennifer Waters)

Larissa Monney Nurse Manager Workforce Ph: 9463 1583