NOVA Dec cvr.fh9 - Auckland District Health Board

December/January 2009/2010
Merry Christmas
Inside this issue
Celebration Week
Te Whetu Tawera goes
Smokefree
New developments
for ACH and GCC
Comment from the chief executive
RECOGNISING ADHB STAFF
Rebecca Nicholls
Festive cheer and celebrations for a year
well done
It’s hard to believe that Christmas is nearly here
already – another year has gone so quickly.
As we head towards the festive season there
is much for the organisation to be proud of
and last month’s Celebration Week was an
opportunity to recognise the wonderful work
of our ADHB team.
I never fail to be amazed at the level of commitment that staff and
volunteers give to our organisation in so many different ways. I am
proud to work in an organisation with so many talented, caring
individuals who really do go the extra mile. Thank you for the
contribution that each of you make to our organisation, it makes
a big difference to the lives of our patients and their families. Photos
of some of the Celebration Week events are featured on pages
6 and 7.
Reflecting back over the year, 2009 has certainly not been without
challenges. We were barely into the second quarter of the year when
we were the first DHB to be affected by Influenza A H1N1. Our staff
immediately responded with effectiveness and professionalism
and over the ensuing months worked hard to keep our community
healthy.
This year has also been challenging in an economic sense. In saying
that though, we also celebrated the success earlier this year of living
within our means for the second year running. This is a huge
achievement and one that you will all have contributed towards.
Over the past few months you will likely have heard about the creation
of a new national health board, established as a result of the Meeting
the Challenge Report conducted by the Ministerial Review Group
(MRG). As part of a 21 DHB coordinated response ADHB reviewed
and provided feedback on the recommendations contained
in the report.
There was strong support among the 21 DHBs that the overall
direction of the report attended to issues we wanted to see addressed
to improve the performance of the health sector and ADHB believes
the report’s recommendations offer sharper attention to national
issues that will help deliver health gains for DHB populations.
Over the next year we will see changes within the health sector and
at DHB level designed to enhance our continued focus on quality,
performance improvement and standards.
Greater collaboration with our regional colleagues, particularly around
regional planning, as well as a focus on reducing performance variation
and the streamlining of shared back-office functions will take place.
As we move through the practicalities of these changes it will be a
priority of ours to ensure that you all know and understand how this
will affect the DHB and our patient population.
With the Christmas and New Year break coming up I hope that you
all get the chance to spend time with loved ones and the opportunity
to rest and recharge. For all those working throughout the holiday
season I would sincerely like to thank you for the care that you are
providing during this time.
This just leaves me to wish you and your families a safe and merry
Christmas and a healthy and happy 2010.
ISSN 1178-5373 (print)
ISSN 1178-5381 (online)
Died in service
Rebecca Nicholls, a staff nurse with the cardiovascular
intensive care unit, had only been with us a short time
when she unexpectedly passed away on 5 October
2009.
Rebecca was regarded by staff and patients as a kind
and compassionate nurse who was never without a
smile on her face. She was a great friend and role
model who was always willing to help out and share
her knowledge with others.
Rebecca was extremely dedicated to patient care and
aspired to further her university studies and unit
progressive competencies. She was fulfilling her
dreams in coming to New Zealand to work and her
family were extremely proud of her. Rebecca will be
remembered for her fun-loving nature, adventurous
soul and cheerful demeanour. The CVICU has truly lost
one of its gems.
Mary Sharp
Retired after 27 years of service
Mary Sharp, a senior staff nurse within the neurosurgical
ward, retired on 16 October after 27 years of service.
Mary has been a highly respected member of staff and
is referred to by colleagues as a positive, dedicated
and caring individual with a great passion for work
within the often challenging neurological sector.
Over the years Mary’s nurturing and non-judgemental
nature has meant she has been a wonderful role model
and mentor to junior staff members. We wish her the
very best and thank her for all her hard work and
commitment over the years, she will be greatly missed
by all.
Rajpal Gooneratne
Retired after 34 years of service
Rajpal Gooneratne, a specialist Anaesthetist at Starship,
has retired after 34 years of service at the ADHB.
Rajpal began at the ADHB in 1974 as a registrar and
spent time working as a consultant in the hospital
before moving to Starship. During his time at the
ADHB Rajpal has also served as Deputy Head of the
Anaesthetist Department.
Rajpal was a valued member of the Starship team and
was known for his friendly and approachable manner.
He was a pragmatic and practical anaesthetist with
great expertise in his field. We would like to thank
Rajpal for his contribution during his time at the ADHB
and wish him all the best for the future.
Wilma Scott
Retired after 32 years of service
Staff nurse Wilma Scott, from Ward 72 Respiratory
Services, has retired after 32 years of loyal service to
the ADHB.
Wilma was extremely knowledgeable in her field of
professional practice and was always willing to share
her experience with others. She was amazing with the
new nurses and always ensured there was a supportive
and positive environment for the night staff.
Wilma will be sorely missed by the staff and long term
patients of Ward 72. We all wish Wilma the best in
her recovery from illness and send her our love and
support.
Innovative support at Starship
The northern region Child
and Adolescent Inpatient
Unit (CFU) is celebrating
the introduction of a
project aimed at helping
young people manage
their distress and agitation
through use of sensory
techniques.
The research project,
which is a collaborative
venture with the Auckland
University of Technology
(School of Occupational
Science and Therapy) and
Te Pou ( The National
Centre for Mental Health
Research, Information
and Workplace Development), was launched
with a blessing as well as
musical performances on
28 October.
Colette Adrian, Nurse
Educator, said the project Staff member Reuben Bailey (on the left) and Dean Crozier (on the right) try out the new facility.
involves the opening of a
regulate or manage their agitation or distress, offering them a
dedicated sensory room within the CFU’s High Dependency
sense of safety while helping them to engage with other
Unit which will be a test site for youth inpatient mental health
treatments such as counselling, cognitive or medical therapies,”
in New Zealand.
says Michael.
“The purpose of the sensory room is to teach young people
“It is intended that inpatients who leave our care will take with
who are inpatients how to calm themselves when they feel
them a set of tools and skills for managing distress which are
agitated and avoid expressing themselves through aggressive
easily applied in everyday life,” he says.
behaviour,” explains Colette.
Researcher, Michael Wilson from Te Pou, who along with
Dr. Kirsten van Kessel of the CFU is leading the research, says
part of the intervention involved a controlled study to research
the impact a sensory approach to behaviour management
had on reducing rates of practices such as restraint or seclusion.
A key objective for the service is to minimise the use of these
practices.
“The sensory room has a range of tools which help patients to
The sensory room includes coloured dimmed lighting, a
massage chair, a rocking chair, music, images and aromas known
to induce a calm state. Weighted blankets are also used to
provide a grounding experience for a distressed person.
The outcomes of the research project will be published to
ensure learning is shared, and in the interim ADHB welcomes
the improvements to the environment and increased
therapeutic opportunities the sensory room provides.
Mobile phones bring clinical monitoring home
Auckland District Health Board is launching New Zealand’s first
trial of remote patient monitoring (RPM) using mobile phones
to monitor and manage chronic illness in the home. Working
with trial partners, Telecom and Alcatel-Lucent, the three-month
trial focuses on 20 heart disease patients.
Trial participants are provided with easy-to-use equipment
to take measurements, such as blood pressure, that are
automatically transmitted via mobile phone to a secure online
database monitored by the ADHB cardiac team. Daily readings
mean quicker medical intervention when necessary and also
allow for more productive use of face-to-face appointments.
Dr Denis Jury, Auckland District Health Board Chief Planning
and Funding Officer, says the innovative monitoring system
could improve health outcomes and enhance patients’ quality
of life, while reducing costs and increasing clinical efficiencies
for health providers.
“The technology is emerging as a cost and time effective tool
worldwide to help keep people with long term conditions well
and out of hospital.”
“The system allows patients to provide health data using devices
they’re already familiar with - mobile phones. The arrangement
is secure which is extremely important and it also allows us to
provide reminders, alerts and online reports to help patients
and their healthcare professionals better understand and
manage their conditions,” says Denis.
Patient feedback to date indicates patients enjoy being able
to spend more time at home and less time in hospital waiting
rooms.
“There are also benefits for the ADHB team. With our aging
population and increasing numbers of patients with chronic
illnesses, we are looking for ways to consolidate practitioners’
time,” says Denis.
If the trial is successful ADHB hopes to extend the programme
to patients with other chronic illnesses like diabetes.
TWT goes Smokefree
Celebrations, a barbeque and music marked Te Whetu Tawera’s
move to become Smokefree. The event, on 2 November, was
attended by Te Whetu Tawera staff, service users and ADHB CE
Garry Smith.
“I’m thrilled to be attending this event today. It’s great to see
Te Whetu Tawera making this decision. ADHB supports any
programme that makes our workplaces healthier for service
users and staff alike,’ says Garry.
The decision to go Smokefree took six months of extensive
planning. Over this time the Smokefree steering group has
developed tools to guide the service delivery and ensure the
transition goes smoothly.
“The steering group has shown huge commitment to this
process. The way the work has been planned and staged
means the change has occurred in a consistent and organised
way,” says Kaaren Beverley, former ADHB smokefree MH
coordinator and Smokefree lead.
“Programmes have needed to be revised to ensure that service
users could occupy their time differently when not smoking.”
The work has been extensive with resources being developed
for service users, families and staff. Training has also been
provided for staff to ensure that they were confident in delivery
of nicotine replacement therapy for service users. Key staff
have also been trained in smoking cessation to ensure they
could assist those service users who decided to stop smoking
whilst in the inpatient unit.
Members of Te Whetu Tawera smokefree steering group. Back row from left: Simon Stebbings,
Anne Frew, Emily Owen, Danae Bratty, Lorraine Lagor, Clintin Patterson, Kevin Pengelly.
Front row from left: Glenys Biggs, Kaaren Beverley, Leigh Murray, Gaynor Salie.
Not in the photo: John Bingham, Corina Young, Jason Haitana, Allan Franks, Al Wadsworth,
Jeanna Saldhana.
As well as work within Te Whetu Tawera, meetings and training
were held with Community Mental Health Services to ensure
that community teams could provide quit advice and support
for service users who wanted assistance with their smoking.
Since the going Smokefree Te Whetu Tawera staff have
commented their working environment is much cleaner and
healthier. Staff have also noticed that service users are
interacting more and there has been an increase in
participation in the groups which are part of the recovery
programme.
An added bonus is some service users and staff have taken
this opportunity to stop smoking.
The future will mean big bold change
Creating deep, sustainable change is not just about creating an excellent strategy or
about redesigning delivery systems and processes. It is also about changing the mindsets
which underlie behaviours and outcomes.
McKinsey and Co (2009).
2009 has been the year of the recession and the Ministry of
Health has been clear that funding for the health sector will
reflect this tight fiscal environment. Decreased funding,
increasing demand, and resource constraint is a fact. The need
for big bold change is another. Clinicians leading this change
and being part of the hard decisions needs to be a reality.
More than 80% of our ability to save costs depends on clinical decision making
Brent James, Institute for Healthcare Delivery Research, Intermountain
Healthcare.
As professional leaders in the ADHB, we have spent a lot of
time trying to work out how to retain service quality while
being challenged to be more efficient and effective.
There are a few ways to respond to the task. There is the ‘salami
slicing’ or ‘trimming a bit off at a time’ approach; the ‘slash and
burn’ approach or the ‘tighter control’ approach. These may
help (or not) the bottom line in the short term, but more radical
and larger scale system change and redesign is needed.
Large scale change is the process of moving a large collection of individuals, groups,
and organisations toward a vision of a fundamentally new future state, by means of
distributed leadership, massive and active engagement of stakeholders, and mutually
reinforcing changes in multiple systems and processes leading to deep changes in
attitudes, beliefs and behaviours.
Academy for Large Scale Change, NHS Institute of Innovation and
Improvement (2009).
So what do we need to do? We prepare clinical
staff to deliver clinical care, but we don’t invest
in supporting clinicians to lead change and
quality improvement. This needs to change.
Some work is starting in the form of a
partnership programme between the Ministry Director of Nursing,
of Health and the NHS Institute for Innovation Taima Campbell
and Improvement to roll out programmes for
clinicians and health leaders. This doesn’t mean importing
NHS methods and tactics, but it does mean having an approach
to improvement and sticking with it.
ADHB has started some improvement projects including the
recently launched Productive Ward or Releasing Time to Care
programme; the Cardiac Surgery Project; the Acute Flow
Project and Project CONCORD. All these projects are using
lean improvement methods and approaches and include
experienced practitioners to coach the teams.
These projects will result in improvement, but if we are to have
a fighting chance we will need radical culture change. Cultural
change is not a rational or technical process; it is an emotional
journey that fosters understanding, commitment and action.
It is about changing attitudes, beliefs and behaviours, making
time to walk in other people’s shoes and having courage to
shift our organisation forward. This will take time, energy,
access to tools and resources and investment in relationships.
All of us have compelling stories to tell; we just need to spend
time listening and talking to each other to find ways to make
change that works.
Resources to get started: www.institute.nhs.uk/alert
Nova Awards
Winners were:
With more than 10,000 staff at ADHB,
being singled out as a “shining star”
among your peers is recognition
deserving of special attention and fuss.
Each year ADHB calls for staff to
nominate their outstanding colleagues
for a Nova Award. These organisationwide awards acknowledge those within
our team who live the ADHB values
of integrity, respect, innovation and
effectiveness everyday. They are a
recognition of staff who go above and
beyond what is expected. The awards
have been running since 2005 and in
that time less that 100 people have
received this special honour.
The second awards ceremony for 2009
was held annually during Celebration
Week, and was hosted by CE Garry Smith
together with members of the Board and
senior leadership team.
“This is always a tremendous event for
me,” says Garry.
“I feel very inspired by the winners and
really enjoy the opportunity to thank
them for the significant difference they
make within the ADHB. I hope it provides
encouragement for other staff to stand
up and make a difference.”
This time three members of staff were
selected from nominations to receive
the prestigious award and they
were joined by family members and
colleagues at the ceremony followed by
afternoon tea.
“One thing that makes these awards very
special is the fact that the nominations
come from their peers,” says Garry.
“In our increasingly busy world, the
fact that their colleagues have taken
the time to recognise these wonderful
endeavours, write them down and
then submit a nomination makes this
especially meaningful. I encourage
others within the organisation to think
if there is someone they would like to
nominate.”
Managers of each of the award winners
spoke to the gathering of the difference
the staff members have made to their
teams and departments. There was noisy
support from the crowd and, in the case
of one winner, her team sang a waiata.
“We had great support from colleagues
and whanau and it was especially
meaningful to have four of our Board
members present – I think this shows
the esteem these awards are held in. The
ceremony was a heartfelt and emotional
event and I’m already looking forward
to our next one,” says Garry.
Lillian Lakeman from Rehab Plus
Lillian was nominated for living the values of
respect, integrity and effectiveness. She works
as the receptionist at Rehab Plus, and has been
there and previously the Sutherland Unit for
more than 20 years.
Lillian is described by her workmates as
“extremely hard working, caring, and unfailingly
courteous”. Her willingness and flexibility to
assist when needed, her attention to detail and
understanding of systems and processes, her
proactive approach, her dedication to the service
and service users, and her support for both
colleagues and patients alike was also noted by
her colleagues.
Rachel Auty of Ward 78
Rachel Auty, a nurse on ward 78 was nominated
for the value of innovation.
Rachel decided to tackle the common issue of
identifying staff on the ward. Visitors to the ward
– staff and families – often found it difficult to
know which nurse was which and so Rachel
came up with the simple but elegant solution
of head and shoulders photos of the ward
staff on the whiteboard. This clever idea has
created efficiencies for orderlies, medical staff,
allied health staff and families as they quickly
identify the person they need to talk to about
patient care.
Terrina Ihaia of Adult Emergency Department
Terrina Ihaia, Equipment, Facility, Product Coordinator in ED was nominated for
demonstrating effectiveness and innovation.
Terrina has worked to maximise effectiveness in
AED. Her many innovations have helped to
improve patient care, assisted her department
to live within its budget and made learning a
breeze. Her attention to detail, ability to develop
processes, can-do attitude and enthusiasm has,
for example resulted in a well run, efficient
stockroom which has avoided overstocking and
overspending. She also created a quiet resource
room away from busy clinical computers so that
nurses have a separate space for eMoodle
learning, and made learning fun with educative
competitions.
6
Christmas is a time for giving
As you rush around putting up the Christmas tree, doing
last minute shopping and baking delicious goodies for your
family, spare a thought for those who may be less fortunate.
This year, as in past years, we’re supporting the Auckland
City Mission who need our help to make Christmas brighter
for families in need. Whether you donate a tin of peaches
and other non-perishable goods or a small gift for
children or teenagers, anything is greatly appreciated.
The mission gives out thousands of food parcels
each year, last year it totalled $1.8 million! They also
‘played Santa’ and distributed 25,000 gifts. Each
year the mission also puts on a Christmas lunch,
so families who don’t typically get to enjoy a
Christmas roast can come together for a day of
celebration.
This year, the lunch is to be held at Vector Arena
with 2,000 people expected to attend the
festivities. Before lunch is served, our very own
hospital staff will be performing, which includes
singing, dancing and even break dancing!
Well known New Zealand singer, Annie Crummer will also
be performing.
Joe McDermott, the Technical Head of Anatomical Pathology,
has organised the day’s entertainment for the past four years.
“I am delighted to help out once again at the Christmas
lunch for the City Mission. Staff really get into the
Christmas spirit by both donating goods or performing.
Their kindness is truly astounding,” says Joe.
So please if you are able to donate to this worthy
cause, even if it is just a small contribution, every
little bit helps. Gifts and non-perishable items can
be donated from 9-18th December via ACH
Reception (level 5) or GCC Information Booth,
Building 4 (ground floor). Thank you for your
generosity.
We wish you a Merry Christmas and
Happy New Year!
Meri Kirihimete me te harihari o te tau
hou kia koutou katoa
Good news on ACH carpark
The development of a new 407-space, six-storey carpark is
moving closer to reality.
Subject to the Ministry of Health’s approval, the Auckland City
Hospital Carpark is to be located on the vacant site left by the
old Wallace block next to the Domain.
Resource consent for the project has been granted by the
Auckland City Council, and has passed through various groups
including the Grafton Residents Association, a council urban
design panel and parks department.
The carpark, as part of a multi-million dollar investment in new
facilities for the ACH, has been designed to improve access for
the public. Currently, patients, families and disabled people
have to navigate complex corridors and routes to reach the
main hospital. Pedestrian access to the hospital will be
significantly improved by the proposed development.
If approved by the Ministry, construction is expected to start
around the middle of next year.
Greenlane Surgical Centre Update
The first phase of the Greenlane Surgical Centre (GSC)
development project totalling $9.7 million was given the green
light at last month’s Board meeting. This phase consists of:
developing two new theatres on level two of building four
on the Greenlane site
expanding current theatre 7
creating an additional theatre shell to be fitted out in phase 2
relocating and expanding the current sterile supply service
from level 2 to the basement level of building 4
developing the overnight bed capacity
Design plans are being prepared for building consent
submission to Auckland City Council.
This project is part of meeting ADHB’s objectives to increase
elective rates for the ADHB population. The Greenlane Surgical
Centre is being designed as a high throughput elective service
that focuses on the patient from the point of GP referral to
Page 8
diagnostics and clinics, through the pre, peri and post-operative
phases and back to primary care.
The development will take theatre capacity from five to seven
theatres in phase one and to nine theatres in phase two. There
will be a significant shift of elective discharges from ACH and
Starship to the GSC. This will enable good throughput of
patients at the GSC while at the same time assisting the flow
of patients through ACH and Starship for the acute and more
complex electives.
Work is currently under way with a number of services looking
at existing patient flows from primary care to clinics and
through the theatre and post operative phases. This will identify
steps that add value to patients and opportunities for
improving the patient experience while at the same time
highlighting barriers that need to be addressed.
ADHB is working towards an April 2010 opening date for the
new theatres. Staff will be advised about the timetable
surrounding the construction process once finalised.
f o cus
Tamaki Ward
NOVA magazine speaks to Betty Wilkins, charge midwife about life on Tamaki Ward.
Back Left to Right - Lorraine Rodda, Susila Morgan, Joan Edwards, Sarai Wilson, Tofa Samau, Sally Taamo, Jean Liu, Paula Ryan, Uma Singh, Paddy Bilkey, Amit Kumari, Tilly Porter.
Seated - Left to Right - Christine Manning, Betty Wilkings, Ruby Eti.
Describe Tamaki Ward?
Tamaki Ward specialises in caring for women and babies who
are vulnerable and need extra antenatal or postnatal support.
We treat women who are pregnant, in early labour, those who
have had their babies, women who are re-admitted and babies
that require care six weeks after delivery.
The team of 50 staff comprises midwife specialists, midwives,
registered nurses, registered obstetric nurses, enrolled nurses,
health care assistants and ward clerks. It is a 39 bed ward split
into three pods. Many of the staff members have been involved
in maternity for over 30 years.
We work alongside a number of groups including Maori advisors,
independent midwives, Birthcare, lactation consultants, private
obstetricians, diabetic services, physiotherapists, dietitians and
social workers to name just a few!
What is a typical day on the ward?
We admit day and night, receiving women and babies with any
antenatal and postnatal conditions requiring input from the
team. Our patients can come from the delivery suite, the
women’s assessment unit, the neonatal unit, the community,
Birthcare or from other hospitals.
We have patients who require acute and elective caesarean
sections, as well as women who are readmitted for paediatric
care, wound care, breast infection or mastitis care or
breastfeeding support.
What makes the ward special?
I am always amazed by how fantastic my members of staff are
and how caring and patient they are, no matter what the
circumstances. It is wonderful to see that the team is always
there for each other and there is a true sense of camaraderie
to ensure that the patients receive the best care possible.
It is also wonderful to be part of such a special time. Watching
new mothers learn how to care for their new babies and helping
these mothers by teaching them life skills and mother craft is
a really lovely part of the job.
Why do you work on this ward?
I love to make a difference for women who need help at a
challenging time. It is fantastic to see a woman blossom and
gain self-esteem after successfully giving birth, and then learn
how to care for and breastfeed her new baby, leaving Tamaki
Ward a confident new mother. It is so rewarding and a privilege
to be part of that.
What are the challenges on the ward?
There are many challenges that vary in their complexity. These
range from teaching a patient how to successfully breastfeed
her new baby to managing problems that occur when a patient
is in a difficult relationship.
Are there any new developments on the ward?
We have two new wonderful midwife specialists who have
recently joined us. We are also hoping to develop and refurbish
Pod D (adjacent to Tamaki Ward) into a midwife-led delivery
suite for women who are having an intervention-free delivery.
Why would you recommend working on this ward to a
colleague?
Tamaki is a happy place where you work alongside amazing
staff that support and care for each other. Tamaki Ward is both
a challenging and interesting place to work, with each day
offering a new experience.
The ward also provides a great place to learn the full spectrum
of maternity care as well as many other study opportunities.
We have a strong learning emphasis and staff members are
encouraged to further develop their skills and knowledge base.
Page 9
N O VA H E A LT H Y L I F E S T Y L E D I R E C T O RY
December Events
Volunteering
World AIDS Day
1 December
December 5th is International Volunteer Day. There are many benefits for the
community in volunteering, as well as for the individuals devoting their time
and effort. Here are some compelling reasons to get involved in volunteering:
International Day of Persons with
Disabilities
3 December
Developing new skills and interests – such as planning and organising,
supervising, goal setting, team building, working with children or the elderly.
You might learn a new handicraft or find a hidden talent.
International Volunteer Day
5 December
Forging new friendships and networks – it can be as casual as having
someone to spend leisure time with, making life-long friends, or result in
more formal social networking. Volunteering can be of benefit if you are
job searching or changing careers, giving you additional skills and references
to include on your CV.
Wonderland: The Magic of the Rose
This is the story of flowers, told through
two of our most beloved blooms - the
orchid and the rose. Auckland Museum
explores their magical attractions in a
two-part wonderland of storytelling and
sensory experience.
From 3 December 2009
Auckland Museum
Sense of self worth and accomplishment - it is gratifying to be part of a
team devoted to assisting others. There are bound to be ‘feel good’ factors
when you go out of your way to make a positive difference to your
community or the wider environment.
Starting a tradition – people are more likely to do good deeds if they have
a role model to follow. Your decision to help others sends a positive message
to your spouse, children, friends and co-workers about participating in
volunteer activities. Let your dedication and initiative inspire others to join
in a worthwhile effort.
Savour the Flavour - without salt
Since the very earliest days of humankind the addition of salt to food has
been popular but now we know the downside of its use, the sodium in salt
increases our risk of cardiovascular disease. By gradually reducing the amount
of salty foods that we eat our palates will adjust and food will take on new
subtler flavours. This takes about three weeks.
Instead of salt add flavour with herbs, spices, curry powder and aromatic
ingredients such as lemon and orange rind and juice, mustard powder, wine
and balsamic vinegar. Use onion and garlic in cooking.
Aunty Jo's Kids Day Out
A fun day for the kids
- free barbecue and give aways
5 December 2009
Memorial Park, Mt Roskill
Film Archives present...
The Film Archive presents a screening
of a compilation of historical and
humorous archival footage that reminds
us how New Zealanders have engaged
with food over the past 60 years.
20 December 2009
12 noon & 3pm
Auckland Art Gallery, Art Lounge,
Cnr Wellesley and Lorne Streets, City
Page 10
Condiments and sauces are often a key source of salt in our diets. Below are
two recipes that will add zing without adding lots of salt.
Basil, Balsamic Vinegar and Pine Nut Dressing
2 Tbsp balsamic vinegar
5 Tbsp extra virgin olive
1 handful chopped fresh basil
1 handful of pine nuts toasted and chopped
Put ingredients in a jar, close the lid tightly and shake
Herbed Vinegar
Bring 500 ml of white wine vinegar to the boil.
Pour vinegar over 4 handfuls of fresh herbs
such as thyme and/or rosemary placed in a
jar. Seal and leave to infuse for 2 weeks, shaking
the jar occasionally. To store, strain the vinegar
into a clean jar or bottle and seal with a lid.
You CANN do it!
Cannulation skills for all registered nurses
A new online learning package that will help all registered
nurses working within adult services to perform cannulation
and phlebotomy is now available via MOODLE, ADHB’s online
training programme.
“The online training course is a great opportunity for
registered nurses to improve the timeliness of care to their
patients”, says nurse director, Margaret Dotchin.
“Usually they would have to wait for a doctor or a clinical
nurse advisor to cannulate the patient, but by taking the
online course it means that they can perform the cannulation
themselves and help to reduce delays for patients.”
by building their skills levels through courses such as this.
I would definitely recommend this course to anyone who
was thinking about taking it,” adds Courtney.
From now on all new graduate nurses will undertake
cannulation training at the end of their Nursing Entry To
Practice (NETP) course. This will provide an important section
of the nursing workforce with a valuable skill right from the
beginning of their working careers.
The training process
Enrol in the online course through MOODLE
Complete learning and assessment
Practice on a training aid
Ask a tutor to assess your skill
Then upload your audit form and you will receive your
certificate
Courtney Evans, a staff nurse on ward 62,has recently
completed the course and is now able to perform cannulation
procedures on her patients.
“I decided to take the course as it was always difficult to track
down a doctor whenever one of my patients needed an IV
and I really felt that it would be better for the patients and
my colleagues if I could perform a cannulation,” says Courtney.
If you are interested in taking the MOODLE cannulation
course speak to your charge nurse manager or nurse
educator, who will coordinate it for you.
“I was surprised at how quickly I completed the course. It only
takes a few hours over a couple of days from start to finish
and it is already saving me time as I can perform a cannulation
as soon as it is needed.
The clinical nurse advisors and some nurse educators have
been running afternoon training sessions for staff and are
happy to provide extra support if you need it.
“I also feel that nurses can gain a greater level of independence
Waiheke Island
Just 35 minutes from Auckland by ferry,
situated in the Hauraki Gulf, Waiheke
possesses a subtropical climate and a
beautiful 100km coastline. Waiheke Island
is a picturesque blend of farmland, forest,
beaches, vineyards and olive groves.
There is a great range of activities on the
island including sightseeing, swimming,
mountain biking, sea kayaking, vineyard
tours and much more.
A must see of Waiheke Island is Stony Batter, a historic WWII
defence complex that is accessible by walking
through countryside, with striking views of
the Hauraki Gulf and Coromandel Peninsula.
Stony Batter is open to visitors to walk through
the network of underground tunnels and
chambers that link to gun emplacements.
Pack a picnic and make a day of it.
With so much to do and easy access (ferries
run regularly from downtown Auckland)
Waiheke Island is the perfect weekend
getaway over the festive season.
The prize for this month will be one night’s accommodation at
any Scenic Circle Hotel.
Scenic Hotel Group is New Zealand’s largest independently
owned and operated hotel group, offering true Kiwi hospitality
at 17 hotels throughout the country. Heartland Hotels and Scenic
Hotels, offer distinct levels of value, comfort, quality and luxury.
While offering consistent quality and standards, each hotel
presents its own style and personality, and reflects its unique
location.
What date did Te Whetu Tawera go Smokefree?
To enter, simply answer this month’s question and send
your entry to [email protected], subject line
‘monthly competition’, or mail to the Communications
department, Level 1, Building 10, Greenlane Clinical
Centre. Entries must be received by 31 December 2009.
One entry per person.
The Grand Prize competition for 2009 has closed. The winning phrase was Orbit Online.
The winner will be drawn at the Christmas Event on 9 December at ACH. The winner will be contacted
if they are not present at the event.
Thank you to all who entered and many thanks to Air New Zealand for their
generous prize.
Page 11
Inaugural Haemophilia
Interdisciplinary
Meeting
An ADHB-led initiative to raise the quality
and effec tiveness of haemophilia
physiotherapy management in Auckland
and throughout New Zealand has seen
a host of events planned for 2010.
Last month an inaugural Haemophilia
Interdisciplinary Meeting was held in
Auckland, bringing together physiotherapists, social and community outreach
workers, haematologists, occupational
therapists and representatives from patient
advocacy groups such as the Haemophilia
Foundation of New Zealand.
It included lectures on musculoskeletal/
orthopaedic management, women’s health
issues in bleeding disorders, the Hepatitis
C virus in the haemophilia population and
presentations from the Haemophilia
Foundation.
The meeting was so successful that future
meetings have been planned throughout
New Zealand next year.
Glen Innes Healthy Kai
From left: Ofa Soakimi, Keziah Tito-Hopa, Christine Wakefield, Tevita Uilou, Lika Pahulu and Chris Cook.
Local children from Tamaki Primary School took part in a Glen Innes Healthy Kai
(GIHK) event to promote the healthy, tasty food choices now available in the town’s
centre. ADHB’s Community Liaison Dietitian, Chris Cook (far right) worked with the
children and GIHK chair Christine Wakefield (third from left) to create a delicious
leek risotto. The community-led initiative has been running for three years and
now has 10 retailers signed up. GIHK receives funding from the ADHB.
Photo courtesy of East & Bay Courier,
Sarah Moyes
Breastfeeding programme
achieves milestone
An ADHB funded course designed to allow mothers to teach and support other
mothers with regards to breastfeeding has achieved a milestone, with the first
two Somali participants in New Zealand training with La Leche League NZ (LLLNZ).
Other graduates of the recent course include people of Maori, Samoan, Tongan,
Cook Island and Chinese descent.
All participants are now qualified peer counsellors who identify, train and support
breastfeeding mothers from within their own communities.
The programme has a number of benefits. As well as providing peer support to
mothers, the community support means medical professionals have more time
to deal with other, more complex parenting issues.
Healthcare
embraces new
technology
ADHB is working with health information
supplier Healthpoint to use new technology
to bring vital information to the public.
Five touch screen information kiosks have
been commissioned to be placed at various
locations in the ADHB area. Three kiosks are
already up and running in Grey Lynn, Three
Kings and Glen Innes. One is planned for
Onehunga and the location of the final kiosk
is yet to be decided.
The information can be provided in ten
languages and the intention is the kiosks will
help those who might not otherwise get
easy access to healthcare information.
“It’s about engaging with the community
to help them make informed choices
about their health and our healthcare
system. Overall, it’s about knowledge and
empowerment,” says Kate Rhind, Managing
Director of Healthpoint .
As an Auckland-only project, the kiosks have
been designed to target a population with
high healthcare needs.
Back row: Robyn Watkins,Lucy Liu, Anne Devereux (PCPA trainer), Tui Makoare, Alice Misa, Lilly Leuluai, Dahaba Hagi, Janine
Pinkham (PCPA Trainer), Teeikura Marsters.
Front row: Barbara Fletcher, Rachel Nelson, Sharleen Houghton, Karen Nathan, Pele Afemui, Ifrah Sahal, Ulufafo Samau.
The kiosks provide thorough and specific
information on primary care, maternity care
and midwives, as well referring users to both
public and private hospitals and specialists.