October 2015
Transcription
October 2015
OCTOBER 2015 NEWS FOR SCDHB STAFF & PROVIDERS Infection control and hand washing week SDHB falls success story delivers benefits for all 7 8 Timaru Hospital upgrade confirmed Evening of recognition and celebration 11 New shared patient record system UNMASKING OUR SUPERHEROES 13 Occupational Therapy Week IT tips and tricks 12 15 14 17 ED Project: Moving 3s and 4s through the doors Since the start of July the ED team have been working on a project "Moving 3's and 4's through the doors." The aim of the project is to analyse triage 4 patients to identify and streamline workflows for future facility design by optimizing provision and delivery of care for patients and staff. To achieve this we have been analyzing the current state of practice (medical, allied health and nursing), measuring performance daily, capturing issues and ideas daily, capturing staff and patient’s stories. Currently, we are in the "trial phase" post data collection, feedback from the ED team, external stakeholders and workshops – facilitated by Michael Blatchford, Health Round Table. One of our trials is the new ED Coordinator vest to allow easy identification of coordinating nurse in the department by ambulance staff, reception team, ED SMOs and nursing staff between 07302300. The ambulance staff and ED Drs have mentioned that it is much easier to locate the coordinator now that he/she is wearing the vest. The nurses think the purpose of the vest is appropriate ABOVE > Olivia Foster ED RN, ED Project Support and meeting the needs of the department however they feel that the colour and style may not suit all needs, this is a work in progress. We look forward to updating you as more changes occur in the Emergency Department. Project Team: ? Donna Addidle ? Maria Parish ? Rene Templeton ? Jenny Ryan – Quality ? Vince Lambourne – CD ED ? Rachel Mills – CNM ED ? Olivia Foster – Project Support Safe sharps disposal in the community Primary and Community Services have been working with our Community Pharmacies on an agreed quality initiative. This is the result of some additional funding agreed within the national contract to work on local initiatives. We are aware that for many people using insulin, they are not sure how to safely dispose of their sharps containers, with a number of people saying they put them in a jar or old milk bottle and put it out with their rubbish. What we are trying to educate people about is that they should use an approved sharps container and when full, they can return it to their Pharmacy and purchase a replacement sharps container. ABOVE > Anne Steele returns a full sharps container to receive a replacement from John Kennedy, Pharmacist at Moyles Pharmacy. This initiative commences on November 1st and runs for three months. During this time, when a person with diabetes that uses insulin collects their next prescription, they will be provided with a free sharps container and be given education about how to safely dispose of sharps. Community pharmacies will be live on this system by November 9th. The key messages we are communicating to the public are: ? to return the sharps container to pharmacy when full ? not to dispose of sharps in landfill or rubbish ? information is to be noted on a label attached to the bin ? replacement sharps containers can be purchased from the Pharmacy. Please recycle 2 On the Monday of South Canterbury Anniversary weekend I had a firsthand experience with our local health system – I was impressed. Unfortunately I had a significant chest pain which meant I spent some time in ED. Fortunately, the professionalism, care and team work shown from all areas meant the visit enabled me to have some positive insight into the workings of our hospital. Following some chest pain I rung my GP which was automatically and quickly picked up by HML triage telephone system. They were prompt, friendly but assertive, asked the right questions and advised I go to ED by Ambulance, I chose to go by car as I had someone to drive me. On Arrival to ED, their reception promptly moved me to ED triage, I was triaged by a student nurse (being observed by an RN) and I must say this nurse was diligent and did an excellent job. If the triage indicated a cardiac issue, the triage nurse advised I would have gone straight to ICU!!! Through to ED, where testing was completed, bloods taken in a caring manner and the MRT completed a chest x-ray. I was kept informed as to what was going on and as the triaging had been comprehensive, the RNs had enough information to know what it may and may not be. I do wonder that if some people complain of wait times they understand that some of this wait is for results from diagnostics, as at times of emergency explanations are not always heard. • Friend of St John Volunteer in ED wait room is worth her weight in gold, as she provided people with comfort, conversation, reassurance, refreshments and an ear. • Medical staff were excellent, kept me informed of what was going on especially as things got busy. • A Laundry staff member, obviously on her day off came in with her daughter in tow to fill the linen. • Nicola Rowbottom, who was at Timaru Hospital but not on duty dropped in and helped with some Pharmaceutical needs. Overall it was a great display of how people work together to make the system work from start to finish, everyone has their role to play and take responsibility for that. Thank you. Although we are always looking for continuous improvement we should be proud of the health care we have available here in South Canterbury. Staff that were on that shift in ED were: ? ED Receptionist: Robyn Senecal ? Registered Nurses: Donna Schrader Heather Evans Chris Gloag Sue McLarnon ? Student Nurse: Abbey Chamberlain ? Regular Locum ED Dr: Natalia Zuleta You all did a great job and keep up the good work!!! My care was respectful and appropriate and as I was there under observation I viewed some great actions of our staff that I wanted to note: • As ED got busier the ED coordinator did a great job of prioritising and organising ED and the hand over at lunch time was seamless • I watched Kees Bakker the orderly teach someone how to use the crutches they were being issued with great explanations, patience and care. Nigel Trainor CHIEF EXECUTIVE [email protected] 3 District Nursing Medical Ward “To all the wonderful nurses who have worked your magic again with my leg a big thank you! Especially Jess and Catherine.” – P&J Bain “The nurse explained everything we needed to know All staff took the time to listen.” “We were fully informed about medication and treatment.” All staff that were involved communicated their decisions well. “I was very well looked after and felt everything was done to make me feel comfortable in a quick efficient manner.” “I have always been treated with respect at Timaru Hospital and cannot fault it.” Talbot Park “Heartfelt thanks to everyone at Talbot Park who has looked after my mother Pamela with such love for three and a half years. Very best wishes to you all.” – Anne “I just want to thank everyone from the bottom of my heart for the support you gave me during my postings at Talbot Park.” – CAP student “Thank you to the nurses, office staff and cleaners for your thoughtfulness and caring of Eddie last month.” – From the family “To all staff at Talbot Park. There are no words to express our gratitude for all you’ve done. Thank you so much.” AT&R “John in AT&R is a wonderful nurse, dedicated to working with the patients, encouraging them towards rehabilitation. As a family member of a patient, they really appreciate the positivity he uses when interacting with them. As their confidence has often taken a bit of a beating, his attitude picks them up no end. Thanks for being so passionate about caring for your patients. Very happy with the lovely staff. They are very busy and sometimes waited long time on things. Doctors were great. Everyone was so caring.” “Staff always kind and considerate.” “Excellent, they were very busy but they, the staff, always had time for the patient.” General “Very pleased with everything. Staff very good, meals great. A&E very good. Overall a wonderful hospital.” ICU/CCU “Staff took time and were very patient when I asked questions.” “Were willing to discuss different medication options. “Staff were well informed of previous medication and discussions.” “I have nothing but respect for the work done by all staff.” Maternity “The nurses and midwifes were always really helpful and explained in an easy way what was discussed with the doctors.” “Jean Todd staff was always really helpful, caring and quick to reply to the bell. I got very attached to them, they made me feel "at home". That was a bit sad to leave.” “Thank you to Everyone at Jean Todd, couldn't have expected a better experience.” Surgical Ward “The Doctors were very thorough and had a great bedside manor.” “Doctors and Nurses went out of their way to explain anything being done. Never left worried or anxious.” “Nurses listened, two in particular, and even down to the happy cleaning staff and tea ladies.” “If I had any questions that I was unsure about, the doctors, nurses and surgeon didn't hesitate to answer it and try to explain it in the most simple ways.” “Both nurses and doctors were very good in relating information.” “The nurses and Drs told me what to expect and what not to do at home during my recovery.” “Seems all staff were on the same page regarding my care.” “Nurses were very caring and went out of their way to look after me.” “The staff were so kind and caring. They always helped if I needed any and were so cheerful even though they were very busy.” “The staff were amazing and I take my hat off to them even though the ward was full and they were super busy they were always smiling and happy to help.” “The staff are very good at their jobs and relate to people very well at all times.” “This was my first experience of a hospital stay apart from giving birth. All the staff I had contact with were so kind and caring, they were wonderful. We are lucky to have such great people in our area to care for us.” “I returned home after surgery at Christchurch Hospital. I was feeling very unwell. Thank goodness for everything about Timaru Hospital and staff. Thank you all.” send your feedback Above are some quotes from thank you notes and survey feedback received recently by Timaru Hospital. If you receive a thank you and would like to see it published (without naming the patient) send it to: The Communications Manager [email protected] 44 Clinical board update (August 2015 meeting) Primary Care National Enrolment Service Ruth Kibble, General Manager Primary and Community, presented on the new enrolment service that is being implemented in General Practice. This service includes: ? Centralised register of patient enrolment data ? Validated NHI and up to date patient demographics ? Amended enrolment business rules ? Improvement eligibility assessment guidance support for practices ? Web service integration of Patient Management Systems to create seamless interaction with national services Identify learning opportunities Jane also demonstrated the Health Quality and Safety Commission (HQSC) Atlas on falls data, where South Canterbury is performing well, and where it could improve. South Canterbury Falls Prevention Steering Group Jane Brosnahan, Director of Nursing and Midwifery, updated the Clinical Board on the activities of the South Canterbury Falls Prevention Steering Group (made up of representatives from the DHB, aged residential care, home based care, ACC, Timaru District Council and Sports South Canterbury). The group works together across South Canterbury, to: ? Contribute to an overall reduction in preventable falls. ? Support the implementation of best practice. ? Advise on policy development, planning and implementation of community-wide initiatives, and monitoring progress of the same ? Support for strengthening infrastructure across South Canterbury. ? Improve information flow and dissemination between local, regional and national bodies. ? The PSSI committee brings together the previous Clinical Committee Chair reports The new section for reporting committee chair reports was started with Chris Eccleston, General Manager, Clinical Governance, giving an overview of the activities of the Patient Safety and System Improvement (PSSI) Committee, and the Medicines and Therapeutics (M&T) Committee. Risk and Consumer Feedback committees, and continues to have representation from staff groups across the DHB, including Primary and Community and Consumer representation. ? PSSI is developing processes to best use incident, complaint, consumer feedback and risk information to improve processes and support staff. ? The M&T committee is an expansion of the former Drugs and Therapeutics Committee, which now includes membership from Primary and Secondary care. ? The Clinical Board also received the Primary Care update from Ruth Kibble and the usual Quality reports. My Payroll Kiosk As many of you are aware, we are moving to an electronic payroll system and beginning with phasing out of the use of paper pay slips at SCDHB. Many of you have already taken part in the training of how to use kiosk and setup your passwords to access the system. If you have not, please contact Meron from Staff Development to schedule a time [email protected]. A reminder of how to access kiosk, frequently asked questions and other payroll information is available under Payroll on iHub, either search for it the search box at the top of the screen or go to Knowledge Base > Payroll. If you have done the training but you’re having difficulty with your password, please contact IT. If you would like further training, feel free to contact Meron to book in a time for further training. contact Meron Bowman Staff Development [email protected] Knowledge Base > Payroll 5 Bowel Health Awareness Brought to you by Arowhenua Whanau Services When: Where: DON’T BE SHY BRING YOUR MATES, ATTEND AS A GROUP GUEST SPEAKERS TO ANSWER YOUR HEALTH QUESTIONS 2PM-4PM Friday 06 November 2015 Arowhenua Marae - 38 Huirapa Street, Temuka EVERYBODY WELCOME, YOU’LL BE GLAD YOU ATTENDED (off state highway 1 between the 2 bridges) RSVP: WHY IS BOWEL HEALTH IMPORTANT? Diane by 6 Nov 2015 03 615 7452 / 0274076114 or 03 615 5180 [email protected] MISS IT, MISS OUT!!! All genders and ages, inviting all whânau members, mums, dads, brothers, sisters, uncles, aunts, nieces, nephews and friends. A range of speakers will discuss this topic that is important to you. An awareness of early signs could save your life. Do it for yourself and your whânau! contact AROWHENUA WHANAU SERVICES Arowhenua Marae 38 Huirapa Street, Temuka 03 615 7452 [email protected] What's happening with health careers? It has been a busy year with Programme Incubator, work experience for year 13 students, Aoraki Polytechnic Careers Expo and Work. Inspiration Pilot. Our main careers activity is Programme Incubator where we introduce a variety of health careers to year 12 and 13 high school students. The programme has grown from four schools in 2012 to nine schools this year with around 170 students involved. It is a big team effort to deliver the programme with 35 health professionals from both within the DHB and the private sector presenting to the students at the schools and a further 17 staff providing tours of their departments. Work experience is offered to selected year 13 students to help them make their final career decisions. This year 28 students have received work experience range from a couple of hours to a complete day. Students from Opihi College have been placed at Timaru District Council, Hilton Haulage, Fonterra and SCDHB for about half a day in various departments. Youth Alley and Careers New Zealand are the driving force behind Work Inspiration. By the end of this year we will have hosted 35 students in 12 departments. The SCDHB participated in the Aoraki Polytechnic Careers Expo held on 17 and 18 May. It was an action packed day with more than a thousand visitors. Our stand was well placed and packed with keen health professionals who did a great job of engaging with the students, parents and teachers. I would like to thank all those involved in all our career activities. There are too many to name in this article. Your enthusiasm and ABOVE LEFT > Phil Winter, Audiologist, demonstrating making ear moulds with students from Mckenzie College. TOP RIGHT > Richard Whitticase, CNM ICU, demonstrates ultrasound heart monitor to students from Timaru Boys’ High. BOTTOM RIGHT > Christin Horne from St John with students from Mountainview High and Waimate High positioning a “patient” onto a stretcher. Many more photos can be seen on Ihub / Knowledge Base / Human resources / Programme Incubator willingness to give your time is greatly appreciated by me, the schools, parents and especially the students. Many hands make light work. If you would like to be involved in promoting health careers next year please contact me. contact Dave Moore Extn 2950 [email protected] 6 Shared Learning provides tips and reminders for better care at SCDHB Tyred... (no, it’s not a typo – read on!) I’ve talked to you a lot over the last few months about my Project Bonobo activities. About how Coach Simon has changed up the things that I do, and challenged me to push myself outside of my comfort zone (if you can have a comfort zone in a gym?!). #BONOBO What Simon has also done is listened, and taken the time to find out what motivates me, or gives me the best challenge. To that end, last week, he took me to a dark and dingy back room (think Fight Club) that looked like it had last seen the light of day just after the bomb dropped. Scattered around the bare wooden floor were tractor tyres, Herculean hawsers, weight vests (for me? Why? Do I not carry enough of my own??) and various other unidentifiable instruments of torture. Suspended from the ceiling, boxing bags of infinite variety, and resting nonchalantly against the bare brick wall a large crash mat (as it turns out, very useful for preventing me from running headlong into said brickwork!). The dust air filled with the plangent harmonies of 1990s post punk wannabes. Intranet/Noticeboard... ABOVE > Chris Eccleston, with his training partners, George (9) and Hugh (7). Then for the next hour he made me flip, carry, thump, battle (wag thick ropes in funny directions), run, lunge, squat and many other things. Picture one of those “funny animal” programmes so beloved of TV channels the world over. Gibbons, baboons and gorillas frolicking in their man made gyms; all ropes and tyres, grinning like, well, monkeys. And that was me – frolicking may be pushing it, but enjoying it I definitely was. Simon had listened. And he’d observed (ok, not great skill there – I am a short, squat gentleman with calves that only a nascent prop forward could love (and which now appear to have their own fan club at the gym). He had taken what he had learnt and put together my utopia of an exercise environment. And it’s amazing how much harder that makes you work – and how much more fun it all is. So, I want to listen to; your ideas about what I could try, or things I could do in my Project Bonobo. But also around what you have been doing here at work. Things that you, your team, whoever, have done to make things better. Or maybe it’s something you have seen someone else do. It does not matter how big, or how small, I’d really like to know about all of those very many things that we do, day in and day out, to improve our services, our care and our environment for each other. Please drop me an email, give me a ring, stop me in the corridor, or I’ll come to find you. I’d love to listen to your stories. contact Chris Eccleston, General Manager 8213 / 03 687 2112 [email protected] 7 Infection control and international hand washing week The first thing I wanted to do when starting this new role as infection control nurse is to get out there with staff and have a bit of fun while learning. Partially so people can get to know me, but also so they can feel I am an approachable resource for questions/concerns they have re infection control. Well, as it happens, this week was international hand washing week, and what better way to celebrate than to go around the wards with some “glitter bug” hand potion and check for great handwashing – then give out prizes for the best results. The lotion is first applied to hands, then washed off normally and hands inspected under a black light. Any missed areas turned up as fluorescent. A point of interest is that despite the fact that (I’m positive) staff were washing their hands longer than usual, knowing I would be really checking, many still managed to have areas that were missed after washing. At left is a picture of commonly missed areas after hand washing, taken from the last “The Infection Controlla”, a newsletter that circulates with the college of infection control nurses. This was a fantastic representation of areas that our staff were missing too. This is a really fun way to show staff that tricky areas, such as dry patches, need more care. Its also a good reminder to use lotion often, to prevent dryness. ABOVE > Staff with some goodies they have won for exceptional handwashing. I hope to see you all when I make my way around the wards, and you will continue to approach me with any questions about infection control. - Article supplied by Angie Foster contact Angie Foster Infection Prevention and Control Nurse DD: 03 687 2255 Email [email protected] Shake Out – Thursday 15 October Everyone, everywhere should know the right action to take before, during and after an earthquake. Thursday 15 October is the International ShakeOut Day of Action. New Zealand will be the first country to participate this year, at 9:15am! We’re aiming to get 1.5 million New Zealanders to sign up to take part, which should also make ours the biggest (per capita) ShakeOut drill in the world! Once you’ve signed up we’ll keep you up to date with all the information you need to take part in the Drop, Cover and Hold drill. www.shakeout.govt.nz send us your photos Send us your photos from the exercise and be in to win. Send to [email protected] 8 One DHB’s Falls Success Story delivers benefits for all “One of the real benefits of being a part of the South Island Alliance is that it provides a regular opportunity for members to share experiences, innovations and learnings with other senior staff members from South Island DHBs, and to deliver those messages back to the frontline,” says Mary Gordon, Chair of the South Island Alliance’s Quality and Safety Group. A clear example of this is the recent celebration by South Canterbury DHB’s Assessment, Treatment and Rehabilitation (AT&R) team, which received the attention of the Q&SSLA. Since a Falls Reduction Project was undertaken in 2013 staff at Timaru Hospital’s Assessment, Treatment and Rehabilitation (AT&R) ward have celebrated over two years without a serious harm fall in the ward. Their story is one of many being shared with other DHBs through the Quality and Safety group, to help other teams learn from their project and encourage others to participate in similar projects. Staff at the AT&R department at Timaru Hospital have experienced a major culture shift regarding falls management over the last two years. Prior to implementation of a falls reduction project in 2013, staff at the ward had limited engagement with falls prevention strategies, assessments lacked a multi-disciplinary team collaboration, there was limited family engagement and education and there was an attitude that falls were inevitable in the patient group that used the service. Despite these initial barriers and skepticism expressed by staff, the falls prevention project was implemented, working from the “bottom up” with ward staff members making up the core project team. The team used the “Model for Improvement” approach to implement changes to the ward, which saw all staff involved in trialing interventions and equipment using plan-do-study-act (PDSA) cycles. Using the PDSA cycles gave the staff the opportunity to feedback and make changes to their plans prior to implementation. A bundle of care was introduced as part of the project, and now two years on ABOVE > Staff from AT&R enjoy morning tea to celebrate two years without a serious fall. Congratulations to the team for their hard work and commitment. the transformations have been notable. As well as having zero serious falls, AT&R staff report that there has been: ? Routine identification of patients at higher risk of falls and those who are at higher risk of harm from falls. ? Direction of resources to those who have the highest need ? No evidence of increased use of safety watches (the constant presence of a staff member to ensure the wellbeing of the patient). ? An intentional rounding plan (Care Calling) which is well utilised. ? A heightened awareness of falls risk and interventions and good collaboration as a team to develop individualised. patient care plans. ? Improved patient and family engagement. AT&R staff, SCDHB and the Board are reportedly very proud of what they have achieved. They see improved team collaboration, with all team members aware of falls risk and collaboration where ‘falls are everybody’s responsibility’. “The success achieved by South Canterbury’s AT&R team as a result of implementing its falls reduction project is a great model for other DHBs to learn from and build on. Through the alliance structure we work to enable the success of one DHB to be shared across the region so that we can all deliver the best outcomes for patients and for the system,” said Mary Gordon. Sea2Sea Challenge 2015 This year there are 2,690 South Cantabrians registered for the annual 6 week challenge. They come from 138 workplace teams. Here at the SCDHB we have 12 great teams doing the 30-60 minutes a day. They are Secondary Services, Occ. Therapists, Gardens Block, Physio, Outpatients, Kensington Community, MRI, HR / Finance, Jean Todd, Radiology, Surgical Stars and Medlab. SCDHB helps fund the annual Sea2Sea Challenge, which has encouraged workplaces, schools and community groups to get out and exercise every day. By doing at least 30 minutes of physical activity each day, participants complete the virtual 240km challenge over 40 days, from the Tasman Sea to the shores of Caroline Bay. Although participants do not actually make the trip, the amount of physical activity they do over the 40 days should equal a distance of 240km. 9 Health quality and safety continue to improve Hand hygiene National compliance with the five moments for hand hygiene continues to increase, to 80 percent, meeting an increased national target. SCDHB has continued to see very good improvement here, at 84 percent compliance. Thirteen DHBs met or exceeded the target while 19 achieved the previous target of 75 percent. Latest data shows Posted 30th Sep 2015 in Health Quality Evaluation. The Health Quality & Safety Commission’s latest quality and safety marker (QSM) quarterly data shows falls assessment rates are continuing to improve, to 93 percent of patients assessed. The update covers QSM data from April to June 2015. Falls One more district health board (DHB) achieved the target of 90 percent for falls assessments of patients aged 75 and older (55+ for Mâori and Pacific patients) this quarter. Fourteen DHBs now sit at 90 percent or higher (SCDBH reported 97 percent). Nationally, 90 percent of patients at risk of a fall also had an individualised care plan developed (83 percent reported by SCDHB this quarter), an improvement on the baseline level of 80 percent. Surgical site infection The national average for administering an antibiotic in the hour before ‘knife to skin’ rose two percentage points from the last quarter to 96 percent. SCDHB once again reported a rate of 100 percent compliance with this measure. The use of 2g or more of cefazolin continues to increase. In the most recent quarter, the national average reached 95 percent, the first time the national average has achieved the target. SCDHB reported at 95 percent compliance. Sixteen DHBs reached the threshold level compared with only three in the baseline quarter. Appropriate skin antisepsis is now routine across DHBs, as the national compliance rate of 99 percent attests, an increase from 87 percent at baseline. Here too SCDHB reported 100 percent compliance. Safe surgery The recorded use of the surgical safety checklist rose by a further four percentage points to a 97 percent national average this quarter. Almost all DHBs showed an improvement in this measurement since the last quarter. SCDHB results were 96 percent for all three parts of the checklist being used. Compared with the baseline year of 2012, there were an estimated 81 fewer postoperative cases of deep vein thrombosis/pulmonary embolism, but an increase of 225 postoperative sepsis cases. 10 ABOVE LEFT > Registered Nurse Penny Fuller demonstrates the equipment in the Emergency Department Resuscitation room to Geraldine High School Incubator students. ABOVE RIGHT > Operating Theatre Manager Brad Hale, shows Timaru Girls’ High Incubator students the intricacies of the Operating Theatre. ABOVE > Sea2Sea Fruit Basket Winner. Sea2Sea Coordinator Zoe Wills presenting the Outpatient Department at Timaru Hospital with their fruit basket generously donated by the South Canterbury Cancer Society. send your snaps The Communications Manager [email protected] RIGHT > A Timaru Boys’ High Incubator student tries out the treadmill in AT&R with Sonya Vale, Physiotherapist. ABOVE & LEFT > Rugby Fever rife on level 4 of the Gardens Block with the Quality departments fan zone for the rugby world cup!! Left to Right: Kaye Cameron, Jenny Ryan, Karen Foster, Lily McCoy, Ann Shaw and Simeng Lee. 11 Timaru Hospital upgrade confirmed Health Minister Jonathan Coleman welcomes South Canterbury DHB's decision to approve an upgrade to the front of Timaru Hospital. The Government is committed to the delivery of high quality health services," says Dr Coleman. "It is important for DHBs to future proof their facilities and services to ensure they continue to meet the needs of their local community. "South Canterbury DHB has undertaken a work programme which looks at future demands and the models of care needed for the next 10 to 15 years. "The DHB is committed to continuing to maintain and improve quality healthcare for the population of South Canterbury whilst being financially responsible. "The significant refurbishments approved to the front of Timaru Hospital will see improvements to the Emergency Department and ambulance bay, Out Patient Department, Medical Day Stay and the hospital café." The Timaru front of hospital upgrade is expected to be completed within three years. Early planning is currently underway. The refurbishment plan follows on from the recently refurbished Gardens Block. On behalf of Nigel Trainor, SCDHB CEO: We have undertaken intensive work to understand the likely future demands, the consequent models of care, and the likely pattern of movement within the hospital to develop site master plan of 10- 15 years. These approved refurbishments are continued developments toward the site master plan following on from the recently refurbished Gardens Block. We are ‘chipping away’ at the developments required, whilst keeping the big picture plan in sight as we go. The focus of the refurbishments will be on the front of hospital as it is currently a key issue. These refurbishments will see improvements to Emergency Department and ambulance bay, Out ABOVE: An architect’s interpretation of the front of hospital refurbishment. Patient Department, Medical Day Stay and the hospital café and is expected to be completed within two to three years. This DHB has led a carefully considered journey to prepare a plan that is both affordable and has longevity to future proof our services as much as possible. Ultimately, it is about continuing to maintain and improve quality health care for the population of South Canterbury whilst being financially responsible. The scope of this refurbishment is: ? A new IL2* and IL4* building that accommodates: Services Emergency Department clinical floor space with new isolation facility and new ambulance bay – IL4 Outpatient Department – emergency operating theatre capability – IL2 Redevelopment of the front of hospital services: Services X-ray room between ED and outpatients Medical day stay - including chemotherapy in existing cafeteria Cafeteria in front foyer Emergency Department Consultation on changing cervical screening test Health Minister Jonathan Coleman says the Ministry of Health is seeking views from the sector and the public on changing the cervical cancer screening test. “New Zealand has one of the most successful cervical screening programmes in the world,” says Dr Coleman. “Over 73 per cent of women aged between 20 and 69 have regular smear tests. Around 160 New Zealand women develop cervical cancer each year. There is always scope to further improve screening. The Ministry is seeking views from the public and the health sector on making the HPV test the first test for women being screened for cervical cancer.” Currently cervical screening involves analysing cells from the cervix to detect changes that could indicate an increased risk of developing cervical cancer. The HPV test detects over 90 per cent of the human papillomavirus which is the major cause of cervical cancers. HPV screening is a different way of testing the cell sample. What happens at a woman’s cervical smear appointment would not change. As HPV is a more effective test the average of 18 screening visits in a woman's lifetime would drop to ten with screening every five years instead of every three years. “The HPV test is a better way to identify women at higher risk of developing cervical cancer than the current test. The proposed changes would make the screening programme even more effective,” says Dr Coleman.“HPV is accepted internationally as a better primary test, and a number of countries are implementing HPV screening including Australia, the UK and the Netherlands. ”The protection offered by the HPV vaccination programme and the HPV test would ensure screening can provide a greater level of reassurance of finding cancer early, resulting in better health outcomes for New Zealand women.”If the HPV test is adopted, the Ministry of Health will work with the sector to ensure a smooth transition and manage any potential workforce changes. Cytology will continue to have an important place in cervical screening. The consultation period on the proposed changes to the cervical cancer screening test closes on 23 October 2015. 12 Evening of recognition and celebration ABOVE > Back row Maxine Gallagher, Michelle Taylor, Lisa Coyle, Dianne Lilley, Ellen Dael, Katrina Sorenson, Trish Nailer, Bernie Paisley. Middle row: Stan Morales, Reshma Kumar, Francie Dennison, Clare Ruffle, Teresa Ellis. Front Row: Rose Slater, Saleshni Burke, Pam Mains, Nicki Gudsell, Amanda List. A fabulous evening was held on Thursday 24 September. 30 staff at Talbot Park received certificates of achievement. All had been enrolled with Careerforce to gain NZQA qualifications at level 3 or 4. The trainees have all demonstrated commitment and dedication to achieve. The desire to complete the qualifications has been contagious and the buzz around Talbot Park has been wonderful. As staff finished the qualifications their name was added to the wall of fame that was located in the staffroom. It was fabulous to see so many names appearing on the board. The trainees were very well supported by the 2 workplace assessors, Dianne Lilley and Nicki Gudsell who achieved assessor status in March of this year. They have both been amazing. The Qualifications that have been achieved: • • • • ABOVE > Presentation of certificates BELOW > Relaxing over supper Health and Well Being Core Competencies (Version 6) Level 3. Residential Limited Credit Programme (Dementia) (Version 3) Level 4. Additional Unit Standards (Dementia) Level 4. Diversional Therapy (Level 4). The evening recognised SCDHB staff for their effort and achievement and so they could celebrate their success. Staff were invited to bring their family to the celebration. It was wonderful to see parents, spouses, partners, children, grandchildren and supportive colleagues as part of the group. The room was alive with expectation as the evening begun. Following a short introduction to the evening staff were presented with their certificates. It was a proud moment as each and every person came forward to collect their certificate. People had their cameras ready to capture the events of the evening. The applause was genuine and passionate and there were smiles everywhere. The evening concluded with a very beautifully presented supper. The atmosphere was relaxed and joyous as staff mingled with each other. Nobody was in a hurry for the evening to come to an end. Thank you to Nigel Trainor, Margaret Hill, Jane Brosnahan and Maree Steel who responded to the invitation to join us. It added to the celebration to have them as part of the evening. contact Kathryn Robinson Facility and Service Manager Talbot Park DDI 03 6879061 13 New shared patient record system The South Canterbury District Health Board has started to introduce HealthOne, a new shared patient record system that allows clinicians roleappropriate access to patient information at the point of care. HealthOne provides general practice and community pharmacy clinical staff access to view information currently held on Health Connect South, in addition to hospital clinicians being able to see limited primary care information. Health Connect South collects Secondary Care Clinical Information across the Canterbury, West Coast and South Canterbury Health Care Regions with a view to integrating with other South Island DHB’s in the near future. HealthOne captures patient clinical information sourced from different Primary Care systems and displays this information in Health Connect South (HCS), allowing safe, timely, and effective care of the patient, at point of care. general practice or community pharmacy will need to complete an access deed that outlines their responsibilities and attend training prior to being given a log on. A number of opt off options exist which include: • Global Opt Off. This is where a patient chooses not to share health information between primary/secondary care providers. As such Primary Care clinicians will be unable to access Health Connect South/HealthOne for the patient concerned, and Secondary Care clinicians will be unable to access patient data through the HealthOne views. Patients can Globally Opt Off by calling 0508 837 872. ? Pharmacy level Opt Off. If a person does not wish for their community pharmacy information to be shared then the Community Pharmacy can opt off from sending their information through. ? At a General Practice level, the clinician can, following discussion with the person, opt them off from sharing of all information from the practice, or selected information such as diagnoses, screening measurements, contact dates, medication, or clinical warnings. The Health Information Privacy Code requires health agencies to ensure that information is protected against inappropriate access and misuse. As such, all accesses are audited proactively to ensure there is a patient encounter (proximity) associated to each access. Proximity varies across integrated organisations. An example of this is for general practice, enrolled patients can be accessed at any time, and casual patients - access is permitted 48 hours before a patient encounter and up to 2 weeks after a patient encounter. Electronic patient records available through HealthOne are held in a secure database that can only be accessed by authorised clinicians on health system equipment that has been enabled for the purpose. It gathers data from primary and community based care such as pharmacies and general practice where those health providers have agreed to provide that information. A clinician can mark specific information as confidential at the request of the patient, so that it isn’t shared, or the patient can opt off from HealthOne altogether. They can do so by calling: 0508 837 872 or you can initiate this request on their behalf. When a clinician from either a general practice or community pharmacy wishes to access a person’s file in HealthOne, they will be asked to ‘break a seal’. This requires them to note that they have the person’s consent, and if permission is not obtainable, then a comment should be included. This also applies to hospital clinicians with Health Connect South access, when they try to open the HealthOne tab; they will also be required to ‘break the seal’. The benefits of HealthOne is that it will collate information from a single consistent source so that nurses, GPs, pharmacists and hospital staff can make quicker, better informed and therefore safer decisions about a person’s care. HealthOne also saves both patient and clinicians’ time by removing the need for repeat laboratory or radiology tests, and ensures patients need only provide each piece of information once. All access is monitored through the Security Officer who will escalate appropriately any access of concerns. All clinicians in It is expected that participating general practices and community pharmacies will be live on this system by November 9th. 14 Business Support Manager appointed It is with pleasure that I announce the appointment of Sam Callander to the role of Business Support Manager – Primary Care. This role replaces the previous Service Manager Primary Care role. Sam comes to us from the Aoraki Business Development & Tourism Trust where he has worked for five years as Business Services Manager. Sam commenced with us on October 12th and I trust you join me in welcoming him to the SCDHB team. RIGHT > Newly appointed Business Support Manager, Business Support Manager – Primary Care. New Family Violence Intervention Coordinator It is with pleasure I announce the appointment of Simeng Lee to the role of Family Violence Intervention Programme Coordinator. Simeng is new to SCDHB having worked most recently with CYF. She takes over the role previously held by Carrie Houlahan and Trish Dovestone. Simeng will be contactable on 03 687 2294 and extension 8294 (Family Violence Coordinator) She commenced her role on 7th September. Please join me in welcoming her to the organisation. RIGHT > Newly appointed Family Violence Intervention Coordinator Simeng Lee. Rehabilitation assistant training Three staff members, Kathleen Hollands, Robyn Corry and Pam Puller completed Rehabilitation Assistant training. They were amongst the first group of trainees to complete the Health Assistants strand of the new NZ Certificate in Health and Wellbeing Level 3 qualification in the South Island. The knowledge that they have gained through completing the workbooks and carrying out work based activities will enable them to work with a number of Allied Health Professionals across Secondary and Primary and Community Services. SCDHB is in the process of implementing the Calderdale Framework which will enable the Rehabilitation Assistants to work at the top end of their scope of practice. RIGHT > South Island Workforce Development Hub representative Catherine Coups, Rehabilitation Assistants Kathleen Hollands, Robyn Corry, Pam Puller and Director of Allied Health Rene Templeton. 15 IT tips and tricks Intranet Tip Don't change your files without considering the consequences! On an intranet it is highly likely that if you have created useful content it will be linked to by other staff, and from other intranet pages and documents. If you rename or move your documents then all the existing links to them will be broken. This can lead to frustrated colleagues and headaches for IT support and staff in general. Simply put, it affects our productivity, especially if it happens often. When naming files on the intranet, try to use a descriptive and consistent file name for the life of your document rather than appending it with dates e.g. File-name-advice.doc and NOT FileName-Advice-010915.doc. You can add version dates and other information into the document or document metadata (properties) instead of the file name, and in most cases you can edit your hyperlink text to describe file changes without changing your file name. If files and page names need changing Sometimes you need to legitimately remove files or change document, webpage and website names, for reasons such as new branding or file name standards. Get into the habit of communicating changes to your known stakeholders who link to your files, and watch out for situations where you will need to update your own links to webpages and documents, such as organisational name changes, and new websites and intranets, so that your links are not broken. Compiling distribution lists for email If you find you need to send regular emails to the same groups of people, you can save time by creating a distribution list. This reduces the amount of time you have to spend inputting email addresses for each message. Set up a Distribution List » From the Inbox, press Ctrl+Shift+L or select File\New\Distribution List. » Give the Distribution List a unique name, i.e. one that has not already been used in the Global Address book. » Click Add Members for names available from existing Address and Contacts books, or new entries. » Double click the names from existing Address or Contact books or type in the relevant information for new entries. » Click OK. » Click Save and Close. The Distribution list will appear in your Contacts. New prostate cancer referral guidance released Health Minister Jonathan Coleman says new guidance will help primary care practitioners provide men and their families with consistent and culturally appropriate information on prostate cancer testing and treatment. been developed by the Prostate Cancer Working Group, with input from the wider health sector. The guidance is part of a suite of resources being developed under the Prostate Cancer Awareness and Quality Improvement Programme. New guidance was released in July on the use of active surveillance to manage men with low-risk prostate cancer. “Prostate cancer is one of the most common cancers affecting men in New Zealand. Around 3,000 men are diagnosed with prostate cancer each year and 600 die from the disease,” says Dr Coleman. “Men currently receive variable advice about prostate cancer testing and treatment. This new guidance will help primary care practitioners have an informed discussion with patients who have prostate related concerns. The new resources will include an electronic support tool to further help men’s decision-making around testing and treatment, improved patient information for men and their families, guidance on the diagnosis and staging of prostate cancer, as well as guidance on managing advanced prostate cancer. “The guidance is a useful tool to ensure that information is consistent and culturally appropriate across the country. It will enable men to make informed decisions about whether they should be tested.” The Prostate Cancer Management and Referral Guidance has The Prostate Cancer Management and Referral Guidance can be found at: www.health.govt.nz. www.health.govt.nz 16 South Island Alliance News Calderdale framework: questions and answers What are the key features of the Calderdale Framework? The Calderdale Framework is a clinically-led workforce development tool to facilitate a 'best for patient, best for system' approach. It provides opportunities to standardise patient care and achieve service efficiencies. The 7-step process of the Calderdale Framework is led locally by trained facilitators, with planned initiatives identified by staff through service analysis. Key aspects of the approach in the Allied Health context are more effective use of the allied health assistant workforce to support patient-centred care and appropriate allied health professional skill-sharing. Where did the Calderdale Framework come from? It was developed in the NHS and has been applied widely in the UK. It has since been adopted by Queensland Health, particularly to address the needs of health services in cities and towns outside Brisbane. There is now a range of projects using the Calderdale Framework completed or underway in Australia. The clinical and research experience from implementation of the Calderdale Framework in UK and Australian settings is a rich source of material to help support implementation here. The South Island Directors of Allied Health support the implementation of the Calderdale Framework as a means of developing a more flexible and competent allied health workforce for the South Island health system – in primary care, secondary care and community health care. What is currently happening with the Calderdale Framework in our DHB? There is a trained Calderdale Framework Facilitator working in Allied Health in each South Island DHB. These Facilitators undertake awareness raising sessions and also Foundation Day training to develop Calderdale Framework 'champions'. Each DHB has one or more pilot projects in planning for completion in the coming year. Projects are tailored to specific services and primarily involve delegation to allied health assistants and delegation/professional skill-sharing between allied health practitioners. Use of the Calderdale Framework can increase health service capacity and allow Allied Health Professionals (AHPs) to work at the top of their scope: Stella Ward Executive Director of Allied Health Canterbury and West Coast DHBs. Chair of the South Island Directors of Allied Health. Executive Sponsor. LEFT > With training and support from AHPs, assistants have the potential to increase capacity for service provision by enabling the limited AHP resource to concentrate on complex assessment and intervention, for example. Why implement the Calderdale Framework to Allied Health Services in the South Island? There are lots of challenges to health service provision in the South Island. This includes the needs of an ageing and geographically spread population, an ageing workforce and limited health funding. South Island Workforce Development Hub (SIWDH) is an innovative health network coordinating training and education for health professionals, and developing the health workforce across the South Island. contact Anne Buckley Allied Health Facilitator [email protected] Catherine Coups Allied Health Facilitator [email protected] www.sialliance.health.nz 17 UNMASKING OUR LOCAL SUPERHEROES Occupational Therapy Week Batman, Superman and Spiderman…move over! For occupational therapy week we are unmasking your local superhero – the occupational therapist. Every day occupational therapists are achieving extraordinary feats. They use their unique skill set and expertise to do what no one else can do.* Occupational therapy week is the annual week-long celebration of occupational therapy in Aotearoa. This year is themed around celebrating occupational therapists as New Zealand’s local superhero. We aim to use this week to remove the mystique of occupational therapy, and promote what it is that occupational therapists do. So what do occupational therapists do? Imagine being defeated by an everyday task like putting your clothes on, catching a bus, spending time with your friends or taking care of yourself? Your health and wellbeing will be affected if you are unable to do the things you want and need to do, to live and enjoy your life. Occupational therapy is here to help! An occupational therapist’s “superpowers” can help someone to learn new ways of doing things following an illness or injury (e.g. dressing or cooking); to thrive in their senior years; to develop ways to manage pain; to access support available in the community; or to adapt material or equipment (e.g. wheelchairs or provide a special bath or toilet seat). These “superpowers” enable individuals to live a more enjoyable life and achieve what is meaningful to them. Celebrations will be held by occupational therapists across the country as they promote their profession to both their colleagues and the general public. Keep a look out for presentations, public displays and our promotional campaign #YourLocalSuperHero throughout OT Week. Join in our campaign and celebrate your occupational therapy colleagues by using #YourLocalSuperHero on social media. For more information about OT Week visit http://www.otnz.co.nz/public/events-and-cpd/occupational-therapyweek/ * One definition describes a superpower as an ability "uncommon to the average human" (ComicVine.com, 2015). About OTNZ-WNA: OTNZ-WNA is the only professional Association for occupational therapists in New Zealand. OTNZ-WNA is the touchstone* for occupational therapy in Aotearoa: empowering individuals, whânau, organisations and communities to achieve health and well being through occupation. www.otnz.co.nz 18 Tekapo Huts – Tekapo Springs corporate deal The Tekapo Huts committee is pleased to announce that we have signed up for the Tekapo Springs Corporate deal. When you stay at our Units, you will have 2 FREE passes for unlimited access to Tekapo Springs combo deal, plus a 20% discount on all Glacial Spa bookings. To utilize this offer you need to make a booking at Tekapo Springs and show both your SCDHB ID card (by the ID card owner) and key ring pass on arrival. Any queries please contact Penny Dewar 8297 or Donna Addidle 8218 General FAQs About Booking Tekapo Huts: As a SCDHB staff member you have access to two Huts in Tekapo that are able to be booked. To ensure the units are kept in good condition for all guests, we ask you to follow these simple requests: ? No smoking is allowed inside the units. ? You are responsible for ensuring the unit is cleaned prior to your departure and all rubbish is removed. ? Please report any damage or concerns you have about the units on the Keys envelope. What are the rules or conditions about booking a Tekapo Hut? ? The SCDHB staff member that has made the booking must be in attendance throughout the period of their stay. This person must be currently employed by the SCDHB at the time of stay. ? Only 1 unit may be booked per staff member at one time. ? No further bookings can be made until the current booking has been used. ? Public holidays and Christmas/New Year weeks are allocated by ballot. These are separate from other bookings. ? Units may be booked a maximum of 6 months in advance. How much is it? ? The cost is $50.00 per unit per night. Payment is required before you are issued the keys. ? Cancellation of booking must be made at least one week prior to booking date. If we are not notified in the timeframe above, you will be charge the full occupancy rate for this period (unless the unit can be re-let within the time frame). Can I bring my Dog? ? Sorry, animals and/or any household pets are not permitted on or within the premises at any time. How do I book a hut? ? Find the brochure form and details on iHub, just search “Tekapo Huts” or if you have access to public folders on Outlook the information and availability calendar is also there. reservations Find the form and details on iHub and email to: [email protected] Do you need to communicate something to staff? You can book a space on iHub (our intranet), include items in the next Pulse or book the foyer display board in Timaru Hospital. Just email Communications Manager Nicola Prue [email protected]. 19 2015 public health events next staff forum OCTOBER 2015 books wanted Due to the popularity of the Recreational Reading section in the Staff Library at Timaru Hospital, our shelves are looking a bit bare. If you have any fiction or non fiction books you would like to donate, please drop them into the Timaru Hospital Library. If you are looking for a good book to read, come in and have a browse at our selection. As they are donations, you don't need to sign them out. save the date SCDHB Staff Christmas event will be on Friday 11 December 2015 this year – save the date. More information to come. Check out iHub events for updates. 1 – 31 Health Literacy Month www.healthliteracymonth.org www.healthliteracy.com 1 – 31 Breast Cancer Awareness Month / Street appeal days on 9 &10 October www.nzbcf.org.nz 1 International Day of Older Persons www.ageconcern.org.nz 3 Blood Pressure Day www.stroke.org.nz/stroke-bloodpressure-campaign 5 World Teachers Day www.5oct.org 5 – 11 Mental Health Awareness Week World Mental Health Day on 10 October www.mentalhealth.org.nz 9-10 Breast Cancer “Pink Ribbon Day” www.nzbcf.org.nz 11 International Day of the Girl Child www.un.org/en/events/girlchild/ 12 Term 4 begins – Primary, Intermediate and Secondary School www.minedu.govt.nz 12 – 18 Get Ready Week / Shake Out Day on15 October www.civildefence.govt.nz 16 World Food Day www.fao.org/world-foodday/home/en/ 20 World Osteoporosis Day www.bones.org.nz 24 United Nations Day www.un.org 27 Oct – 2 Nov Blind Appeal Week www.rnzfb.org.nz NOVEMBER 2015 1–7 1–8 Conservation Week www.doc.govt.nz 1 – 30 5+ A Day Primary & Intermediate school challenge www.5aday.co.nz/5plus-aday/the-5plus-a-dayschoolchallenge.aspxhttp://www.5aday.co.nz/5plus-aday/the-5plus-a-dayschool-challenge.aspx PROFESSIONAL FORUM for nursing and allied health staff Light lunch provided, or bring your own. Tea and coffee also available. October - Women’s Health Friday 23rd October, 2015 Two sessions: ? 11:45am–12:15pm ? or 12:30pm–1:00pm Level 2 Multipurpose Room Presented by Trish Farr, Breastcare Nurse. See the nurse educator in your area for articles and activities to enhance your learning. For more information, phone Barbara on #8384. All welcome! This issue of Pulse has been printed on 100% recycled paper Parkinson's Society Awareness and Appeal Week www.parkinsons.org.nz 1 – 30 “Movember” Men’s Health Month www.nz.movember.com 1 – 30 Epilepsy New Zealand “Talk about it” Month www.epilepsy.org.nz 12 World Pneumonia Day http://worldpneumoniaday.org/ 13 Buddy Day http://buddyday.org.nz/ 10 - 16 Diabetes New Zealand Awareness and Appeal Week / World Diabetes Day on 14 November www.diabetes.org.nz 19 World Day for the prevention of abuse and violence against children www.woman.ch/index.php?page=children_19nov 20 World COPD Day www.asthmafoundation.org.nz/news-and-events/worldcopd-day 25 “White Ribbon Day” for the Elimination of Violence against Women www.whiteribbon.org.nz FSC® certified, process chlorine free, de-inked pulp from genuine 100% post consumer waste. FSC® certified, process chlorine free, de-inked pulp from genuine 100% post consumer waste. 20 welcome to our new staff: SCDHB employs between 950 and 1000 staff at any given time, including part-timers, casuals and contractors. If you know of any colleagues who may be looking for a change of scene, please feel free to pass on our contact details, or if you are contemplating a change of role then please consider the following: Stanley Smith Geriatrician Jennifer Johnson CSU Assistant Casual Tania Crowe GP Support Coordinator Casual Judith Redwood Registered Nurse Pool Telaid Alaw Continuity of Care Midwife Anne Mackay Health Care Assistant Part-time Human Resources Department Kay Beatson Clinical Secretary Casual Sarah Smith Registered Nurse Pool Office: 03 687 2230 Address: Private Bag 911, Timaru 7910 Email: https://scdhb.careercentre.net.nz Rosemary Watts Coordinator Elective Services Deborah Gough Registered Nurse Pool Shirley Wall Practice Support Coordinator P/T Jeanne Hamilton Health Care Assistant Part-time Rohnell Zwiegelaa Surgical Audit Secretary Karen Angelo Registered Nurse Part-time Niamh Williamson Phlh Immunisation Coordinator Parttime Annaleah Alburo Registered Nurse Part-time Andrew Barron Registered Nurse Part-time Olene Anderson Health Care Assistant Casual Louise Kiddey Health Care Assistant Casual Nurses/Midwives ? RN – Mental Health Inpatient Services (0.94FTE) MORE INFORMATION: www.nursingstaff.co.nz We are currently in process of offering positions to General Physician, Urologist and Ophthalmologist. Senior Medical Officers farewell & good luck to: Age Care Physician (Full-time) ? Urologist (Full-time) ? Simeng Lee Family Violence Intervention Programme Coordinator Marion Crawford Health Care Assistant Casual Sally Booker Registered Nurse Pool Abby Mcilroy Health Care Assistant Casual Jennifer Davison Registered Nurse Pool Pauline Blackley Pharmacy Technician Part-time Nicole Mcleod Registered Nurse Part-time Jessie Chapman Registered Nurse Part-time Angela Foster CMH Registered Nurse Jennifer Crooks Midwife Part-time Shelley Ackland Registered Nurse Part-time Michael Foster CMH Key Worker Irene Hare Midwife Part-time Taia-Jan Marsters Health Care Assistant Part-time Kay Gaby Health Care Assistant Part-time Ophthalmologist (Part-time) ? Allied Health Professionals ? Staff Physiotherapist/Manual Handling Advisor (Full-time) ? Suicide Prevention Coordinator Mental Health Services (Part-time) ? Occupational Therapist Surgical (Full-time) Support Services ? Healthcare Assistants – Talbot Park (Casual) ? Laundry Worker (Casual) ? Maintenance Fitter (Full-time) Carmelita Patton Confirmation Clerk Part-time Administration Marie Symonds Diversional Therapist Part-time ? General Manager Maori Health / Maori Advisor (Part-time) Peter Mckenzie IT Project Manager Part-time ? MRI Receptionist (Full-time) ? Senior Store Purchasing Officer (Full-time) MORE INFORMATION: Pulse is a snapshot of activity within the hospital and wider community. It is sent to SCDHB staff and providers including GPs, dentists, pharmacies and the health sector. All written contributions are welcome and can be emailed to: www.medicalstaff.co.nz Office: 03 687 2100 Address: Private Bag 911, High Street, Timaru The Communications Manager Location: High Street, Timaru [email protected] Website: www.scdhb.health.nz