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Checkup Bay of Plenty District Health Board staff news
July 2014
Going Going GoneDemolition of Jacaranda Housepages 22-23
Health Minister Tony Ryall officially opens Whakatāne Hospital– page 3
Trauma expertise on show– page 4
Wellness programme highly acclaimed – page 9
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By Janet McLean, General Manager Māori Health Planning and Funding
It is great to see that our Annual Plan has been approved by the Minister of Health. In developing this year’s plan, we have worked extensively with our primary care partners to provide a seamless pathway across the health system. Key highlights of this year’s plan include:• theIntegratedHealthcareStrategy2020• greateralignmentbetweentheMāoriHealthPlanandthe
Annual Plan• meetingtheMinister’sprioritiesandbalancingthebooks• continuingtomeettheneedsandaspirationsofour
community.
The Annual Plan is an enabler for our Board as it brings focus onreducinghealthinequalitiesbetweenMāoriandnon-Māori,addressing child and youth health, reducing the impact of long term conditions and improving the health of our aging population.
To better join up the health system, we needed to improve the way we work internally across the organisation. Through the planning process, we have engaged extensively with key stakeholders to align planning with service delivery within both hospital and community settings.
Ifourtamarikiaretoenjoygoodoralhealth,wemustfirstlyimprove access to oral health services. Access starts with our preschoolenrolmentratesforchildrenaged0-4years.ThismeasureisoneofourMāoriHealthPlanprioritiesandoneof27indicatorsofchildhealthdevelopedbytheMinistryofHealth as part of the Well Child/Tamariki Ora (WCTO) Quality Improvement Framework (QIF). Each DHB has been asked to selectthreeofthese27measurestofocusonfor2014–oralhealth enrolment is one of the three we have selected.
AsatDecember2012,ourenrolmentrateswere66%non-Māoriand44%Māori,comparedwitha(then)targetof70%.Asat4June2014,ouroralhealthenrolmentshaveincreasedsignificantly,climbingto84.9%forthetotalpopulationand62.1%forMāori.WhilejustshyoftheDecember2014QIFtargetof86%,theseresultsrepresentasignificantimprovement.Theseresultsreflectworkundertakenbythe Oral Health Promotion Team in partnership with early childhood centres, Kohanga Reo and well child providers.
Overview
The waka arrives at its destinationBy Fiona Burns, Programme Manager, Service Improvement Unit
Paddling with regard to watercraft is the act of manually propelling a boat using a paddle, the paddle is also used to steer the vessel.
Many people paddled hard over thepastfiveyearstocompleteProject Waka (the redevelopment ofWhakatāneHospital)andthelastmarkerbuoy–migration–was successfully steered around overthefirstweekofMay.
Hundredsofhourswentintothefinalstagesoftheproject.Activitiesincludedcleaning8000sqmetresofnewbuilding,stocking of the Lamson bins by pharmacy and stores and the installation and reassembly by IT of the many PCs each department owns.
Awesome teamwork was required to coordinate all of this, withthenumerousindividualwakafinallycomingtogetherasafleettodeliveranincrediblyintenseorientationandtrainingpackageandweek-longmigrationofallservicesintothenewbuilding.
The clinical nurse managers, duty managers and team leaders conjured up magic in their rosters to get staff to the training of the new equipment and processes in the new facility and to keep patients safe over the move days. The collective pride in this building was demonstrated by our tour guides with their enthusiasmindeliveringtourstoover800staffoverafourweek period.
We also know what this means to the community, through reports to our community health providers of the improvement a visit to the hospital now entails.
Wearenowimplementingtheoriginalgoalsfortheproject-integratedinpatientwards,theabilitytousebedsflexiblyandsharestaffacrosswards,co-locationofintensivecarebedswith ED, and the radiology and perioperative departments havingtheirservicesco-locatedtogether.
New Models of Care are now occuring in the new environment, where we have the opportunity to bring the best from our existing ways of working and deliver this care to patients in a modern,stateoftheartandpatient-centredspace.
Guest Columnist
The collective pride in this building was demonstrated by our tour guides.
Contribute to CheckupIf you would like to contribute articles to Checkup, or want to suggest a story, email Communications Advisor Rebecca Silvester via [email protected]
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page 15page 11
designed and printed by the BOPDHB’s Design and Print team
Bay of Plenty District Health Board staff newsCheckuppage 7
Apple tree gown
made from sterilising
equipment wins prize
– more on page 4
December 2013
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By Kerrin Burns, Communications Advisor
OnThursday12June,MinisterTonyRyallofficiallyopened the new WhakatāneHospitalbuilding.Hewasjoinedby Minister Anne Tolley in congratulating and acknowledging BOPDHB staff in their delivery of the new building.
ThetwoMinisterstogetherwithsupportfromRegionalMāoriHealthServices,unveiledaplaquewhichnowsitsatthefrontentrance of the new building.
Minister Ryall says that it was “one of the best days in my time as Minister of Health and MP for the Bay of Plenty.” Both of his childrenwerebornatWhakatāneHospitalandinhisspeechhe said he has heard the new hospital building has the tick of approval from the community.
Health Minister Tony Ryall officially opensWhakatāneHospital
There were also speeches by CEO Phil Cammish, Project Waka ProgrammeManagerFionaBurns,WhakatāneMayorTonyBonneandBrendanJelleyasarepresentativeoftheEasternBayofPlenty youth.
Attheendofthespeeches,BOPDHBChairwomanSallyWebbpresented Tony Ryall with a gift to thank him for his time and efforts as Minister of Health.
Minister of Health Hon Tony Ryall, MP for East Coast Hon Anne Tolley and BOPDHBChairwomanSallyWebbattheofficialopeningofWhakatāneHospital.
One of the best days in my time as Minister of Health.
An assisted winch rescue is demonstrated at the recent Trauma Forum. ParamedicBillMcNeilly(intheblueoutfit)isoperatingthewinch.ParamedicReubenMerrett(inthegreenoutfit)isdoingtheassistedrescue.TraumaServiceClinicalNurseSpecialistKatrinaO’Learyisthevictimbeingrescued.
Another successful trauma forum was held in June.StJohnsAmbulanceServicehostedtheforumwithPhilipsTrust(JeremyGoodersandLiamBrett-Kelly)tohighlightthetechniquesand challenges of extraction from the site of the accident.
Notallincidentsoccuronflatground,indaylightorincalmconditions and the men and women from these two services are highlyskilledinnegotiatingunexpectedchallenges.Alargeturn-out was rewarded with a live action winching demonstration and inspection of the equipment used.
The assisted winch rescue showed how the victim is supported by the paramedic out of the situation. In this instance, the paramedic who was on the outside of the helicopter was in charge of the situation and the helicopter. He stands here in order to direct the pilot where to hover/move and eyeballs the paramedic performing the rescue to ensure the paramedic and victim are being winched up safely.
Patient transfer is also an important part of modern hospital medicine.Thehelicopterandambulancehavetheirownbenefitsand drawbacks in the successful transport of acutely injured patients. The forum highlighted this and gave insight into how the transportteamcanbenefitfromimprovedhospital‘packaging’ofthe patient before embarking.
Trauma expertise on showBy Barnaby Smith, Trauma Orientated Consultant
By Carol Charters, Librarian
Twenty two health librarians from around New Zealand descended upon the Bay of Plenty in May and were engaged by some excellent presentations and discussion.
KickingoffinTaurangatheLIANZAHealth-SIGstudydayssawthehealthlibrarianschallengedbyanopeningandthought-provokingaddress by CEO Phil Cammish. Following on from this, the group waswhiskedawaytoWhakatānewhere,overlunch,therewasopportunity to view a part of the new hospital and the history wall.
The afternoon programme involved the long arm of Paediatrics (MarieHaywardandLydiaSnell),theOtagoCommunityPaediatricPlacementProgramme(JohnMalcolm),avividaccountofthe
Many times when the patients are delivered to the Emergency Departmentweoftenforgetaboutthechallengesthatthepre-hospital team encountered. The trauma forum highlighted the danger and risks they take every day to improve patient outcomes.
BOPDHB hosts national health librarians’ forumestablishment and current programmes of the HepatitisFoundationinWhakatāne(JohnHornell)andanintroductiontotheRuralHealthInter-professionalImmersionProgramme-RHIIP(CarleyJonesandYvonneBoyes).
All the presentations gave illumination to the challenge of working within complex health environments. The group returned to Tauranga where the following day was spent in discussions covering the Health Alliance and HBL, forthcoming conferences and database selection. This kind of forum gives a unique opportunity for networking.
Towards the close of the study days, each represented library gave a summary of what was happening in their libraries and the challenges which confront them.
The Library Team would like to thank Penny Horton, Lyndell Jones,HelenDudleyandallthepresenterswhocontributedtothesuccessoftheHealth-SIGmeeting.
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This kind of forum gives a unique opportunity for networking.
Not all incidents occur on flat ground, in daylight or in calm conditions.
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Follow the pukeko to Midland Learning By Helen Dudley, Online Learning Team
Emergency planningSofarthisyear,nearly500peoplehavesuccessfullycompletedthe Emergency Planning online course. Emergency Planning is a mandatory course for new staff and covers everything from what to do in a tsunami to the wider organisation’s preparedness torespondtoanemergencyorsignificantevent,suchasthestranding of the Rena.
As we live in an area with the highest hazard scape this course will give you the information on the hazards and how to deal with them, both at work and at home. For further information and guidanceaboutemergencymanagement,contactStuartTayloronext8086orJocelynStowersonext8068.
Health and safety refresherOur online health and safety refresher was rewritten earlier this year to make it easier to get around and read. One of the things wechangedwasthetest.Soinsteadofthepreviousthreetests,we combined them into one and turned them into adaptive questions. This means that when you do the test, you can check each answer as you go, if you got it wrong, you can change it until you get it right! Then when you submit the test, you know you’ve got100%.
The 5 most commonly asked questionsNo.4 How do I check that I have passed a test?
Soyou’vedonethetestandwanttocheckthatyouhavepassed.Allittakesisthreeeasysteps-seebelow.Ifyouhaven’tpassed,you can click on the quiz in the grade report and it will take you straight to your test.
Te Koru leadership changes By Eilidh McGillivray, Te Koru Rehab Therapy Team Coordinator
It has been a big couple of months in the Te Koru Rehabilitation and Therapy Unit at WhakatāneHospital.
Department Manager Pip Percival has hit the open road, quite literally, taking a six month sabbatical during which she will try to completethe800kmCaminoDeSantiagoand see the rugby at the Commonwealth Games in Glasgow.
As a result Te Koru has been fortunate enough to have two new managerstofillthepositioninherabsence:JudiRiddell(TeamLeader of Occupational Therapy at Tauranga Hospital) and Brent
Gilbert-DeRios(TeamLeaderofSocialWorkatTaurangaHospital).Te Koru is thrilled to welcome them into our department and is looking forward to working with them over the next few months.
Anne-MarieHendersonhasalsobeenappointed as the Community Therapy Team Coordinator.Anne-Marieisanexperiencedoccupational therapist with a specialty interest in burns management.
Eilidh McGillivray has been appointed as the Rehabilitation Therapy Team Coordinator which covers theRehabTherapyTeamandtheacutein-patientOTs.Eilidhis an experienced physiotherapist with a specialty interest in neurological rehab.
Te Koru is thrilled to welcome them into our department.
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HealthandSafetySpecialtyNurseColleenMeadtakestheopportunitytovaccinate the group at the daily operations meeting in Tauranga. Record number
of staff get flu jabBy Brian Pointon, Planning and Funding
Over2,000DHBstaffhaventakenthepositive step to protect themselves and theirpatientsthiswinterbyhavingthefluvaccination.
With70percentofstaffvaccinated,thisisthehighestnumberof staff vaccinations recorded and there has been an excellent uptake across all occupational groups. In particular it was pleasing to see large increases amongst nurses, healthcare assistants and midwives.
Registered Doctors ................................................79%Registered and Enrolled Nurses............................66%Midwives ................................................................52%AlliedStaff ............................................................59%Other Employees ...................................................79%Health Care Assistants ..........................................83%
It appears that across the total population of New Zealand, there may have been a small drop in the number vaccinated from about1.25millionin2013.Butourstaffvaccinationlevelshaveincreasedconsiderably.ParticularthanksgototheStaffWellnessTeam of vaccinators who visited wards and departments at night and on weekends to make it easier for staff to be vaccinated during their busy workdays.
It’s not too late for staff who still want to get the vaccination. PhoneortextthehelplineeitherinTauranga:0277059353,orWhakatāne:021471576tomakeanappointment.
Particular thanks go to the Staff Wellness Team of vaccinators who visited wards and departments at night and on weekends
Percentage of staff vaccinated against flu in 2014
By Lucy Cairns, Healthy Living Group Chair and Employee Health and Safety Specialty Nurse
The Bay of Plenty District Health Board’s Healthy Living Programme has been up and running for a number of years but a new group has formed to fully support the programme and ensure it continues to meet the needs of BOPDHB employees.
Over recent years, healthy living activities have been offered to staff through the programme including: free EmployeeHealthClinics;financialsupportandlegaladviceworkshops;careeradvice;SWEATgymandexercise classes; EAP services; information sessions onhearthealth,nutrition,andvariousotherhealth-related topics; and the review and development of our supportive workplace policy.
At BOPDHB, we know that having happy and healthy staff who enjoy their work is critical to delivering the best possible healthcare
The DHB’s Healthy Living Group has been formed to contribute to and support continuous improvement in health, wellbeing and safety management for the BOPDHB. Fromleft:HealthyLivingClinicsSpecialtyNurseKathyHaxell,EmployeeHealthandSafetyManagerTedHarper,EmployeeHealthandSafetySpecialtyNurseLucyCairns,SweatGymManagerMarcusVercoe,Career&DevelopmentAdvisorJudeEbbett,CommunicationsAdvisorRebeccaSilvesterandLactationConsultantKarenPalmer (not present for photo).
services to the people of the Bay of Plenty. Available to all BOPDHB employees, Healthy Living is the organisation’s way of supporting optimal physical, mental, cultural and family wellbeing for our employees.
TheHealthyLivingGroup’sfirsttaskistodevelopanannualHealthy Living Action Plan based on feedback from the Healthy Living survey late last year for the BOPDHB employees. This can be viewed under What’s New on the homepage of Pacentral.
The group includes a range of staff including Employee HealthandSafety,Sweatgym, career development, communications and a breastfeeding specialist, and is supported by Toi Te Ora Public Health WorkWell
advisor.Theywillprovideexpertadviceonspecificandnewhealthand wellbeing issues as they arise.
Introducing your Healthy Living Group
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healthyliving
Having happy and healthy staff who enjoy their work is critical to delivering the best possible healthcare services.
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People who do not take annual leave often display higher levels of depression or anxiety.
Research proves that people who do not take annual leave often display higher levels of depression or anxiety, become more stressed in high pressure situations and are far more likely to burn-out.Notsurprisingly,well-restedpeoplearemoreproductivein their jobs and achieve better results professionally and personally.
Then why is the organisation’s level of accrued annual leave climbing?Interestingly,accordingtotheliterature,44percentofyoubelievethat the organisation would not support your application for leave as you have valuable work that needs to be completed. This is not the case, yes your work is very valuable to us but the world will not
come to an end if you take some time off. The work will go on in your absence and you will return more able to complete your assigned tasks.
It’snottoolateforaNewYears’Resolution.Discuss your leave with your Manager and planthat‘BigTrip’orsimplyvegoutonthe
couch at home and catch up on a few of those jobs that are cluttering up your home life. By this time next year, you will be thankfulwhenyouareswitched-onandfiringinsteadofconstantlygazing out the window.
Take your annual leave – you’ve earned itBy Gail Bingham, General Manager Governance and Quality
At this time of year, as the winter weather starts to set in, many of us are dreaming of lying on a quiet beach under a palm tree and maybe sipping on a Pina Colada (or a beer!). Instead, we are more likely to be staring obsessively at our computer screens and becoming consumed by our overflowinginboxes.
All you annual leave hoarders, you know who you are, know the valueofannualleave.Youknowitisessentialaspartofworklife balance, it allows you to recharge your batteries and face the everyday stressors of life.
New procedure benefits cardiology patientsBy Tracey Cumming, Devices Physiologist and Michelle Bayles, Team Leader Clinical Physiology & Echocardiography
CardiologistDrJonathanTischperformedthefirstprocedureinTaurangaofthesmallestimplantable loop recorder in a patient with intermittent palpitations.
The procedure took seven minutes from making the incision in the patient’s skin to getting them off the bed. The implanted device is a third the size of an AAA battery and is injected just under the skin on the left side of the chest.
TeamLeaderClinicalPhysiology&EchocardiographyMichelleBayles(left)and Devices Physiologist Tracey Cumming demonstrate the size of the new implantable loop recorder which is smaller than an AAA battery.
Implantable loop recorders are used to monitor for heart rhythm disorders causing patient symptoms such as palpitations or loss of consciousness.
These devices record in two ways: they are able to record automatically when slow or fast heart rates occur; they can also be triggered to record by the patient by using a small activator.
The Reveal LINQ battery will last for three years of continuous monitoring. The information from the device is downloaded into a special programmer for viewing or can be sent wirelessly using a home monitor.
Implantable loop recorders are used to monitor for heart rhythm disorders.
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The award acknowledged the success of the BOPDHB Healthy Living Programme in supporting and improving the health of its employees via the free Healthy Living Clinics, vaccination programme, counselling service seminars on budgeting and legal advice, career counselling, along with the Gym at Tauranga.
Alltheseprogrammeshavedirectlyinfluencedtheimprovementsindicated in the following graphs:
MembersoftheEmployeeHealthandSafetyServiceTeamattendedtheNewZealandWorkplaceHealthandSafetyAwardsdinneralongwiththeirmanagerGM Governance and Quality Gail Bingham and Karen Cruikshank from Toi Te Ora who assistsed in the development and monitoring of the BOPDHB annual HealthyLivingPlan.Fromleft:HealthandSafetyManagerTedHarper,KarenCruikshank(ToiTeOra),HealthandSafetySpecialtyNursesLucyCairnsandColleenMead,AdministrationSupportRhondaHunterandGMGovernanceandQuality Gail Bingham.
6%
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Staff TurnoverSource: BOPDHB Human Resources Statistics
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Accident Rate
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2001 2003 2005 2007 2009 2010 2013
Staff engagementSource: BOPDHB 'Pulse Survey' Results
2.6%
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Sick LeaveSource: BOPDHB Human Resources Statistics
Wellness programme highly acclaimed By Ted Harper, Health and Safety Manager
TheBOPDHBwasnominatedasafinalistin the New Zealand Workplace Health and SafetyAwards2014–bestinitiativetoimproveemployee wellness.
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By Katrina O’Leary, Trauma Service Clinical Nurse Specialist
Tauranga Hospital’s Trauma Team hosted the seventh annual Blue Light Anti Drink and Drug DriveExpolastmonth.Around2,500WesternBay of Plenty students heard the message that mixing drink and drugs with driving can have fatal consequences.
TraumaOrientatedConsultantBarnabySmithsaidtheteamfittedin well with the other emergency services and event format.
“It’s important to take proactive steps like this, attending public events, to help decrease the number of trauma incidents in the community,” he said. “Anything that can help do that has to be worthwhile.”
ED Trauma Lead Cris Porter said the event was being well received by all the schools involved.
“There have been some very powerful talks given, especially from relatives of young people killed in car crashes, and from Tamati Paul, who suffered a brain injury after being involved in a crash withadrink-driver,”hesaid.
As well as the week of educational talks, students had the opportunity to circulate
the exhibitor’s stands. The BOPDHB stand displayed TECT simulation equipment such as a Tension Pneumothorax Training MannequinandaSimMan(SimulationMannequin)patient,aswellas ventilator and monitoring equipment.
“One perception we’ve been trying to dispel is that it’s not Grey’s AnatomyorShortlandStreet,therealityisfarlessglamorous,”said Mr Porter.
He said students were being given the chance to see the devastating repercussions of bad choices being made, before they go on to get their own driving licences.
“Once you’re injured you’re injured,” said Mr Porter. “There is a limit to what can be done medically sometimes. It’s far better to preventtheinjuryinthefirstplace.”
Statisticallythehighestriskagegroupfordeathcausedbymotorvehicleaccidentsis15-19.FromJanuary2013todate,therehavebeen12fatalcrashesonWesternBayofPlentyroads.Twoofthedeceasedwereagedunder20.
Fromleft:EDTraumaLeadCrisPorter,TraumaServiceClinicalNurseSpecialistKatrinaO’Leary,EDStaffNurseChoninneachMacDonaldandTraumaOrientatedConsultantBarnabySmithareallhelping spread the safe driving message across the Western Bay
It’s not Grey’s Anatomy or Shortland Street.
Trauma Team highlight dangers of drink/drug driving
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Overwhelming response from staff By Paul Ratcliffe, Voyagers Case Manager/Registered Mental Health Nurse/Crisis Worker
Thanks to the generosity and advice from staff I managed to get a brand new bike for my patient,10yearoldAshton.
Ashton suffers from congenital corrected transposition of great vessels which in layman’s terms (as I understand it) means he was born with his heart the wrong way round. He had surgery last year that didn’t work and is due to have another surgery later this year. His parents advised me that his Cardiologist advocated for Ashton to get a bike with gears, which wouldbethemostefficientwaytostrengthenhisheart,togethimready for his next surgery planned for later this year.
Unfortunately his parents were not in a position to get him a bike. It was the advice and support from staff that led me to contact Physiotherapist and World Cup mountain bike champion Karen HanlenwhoputmeintouchwithKawerauGravitySports.
10yearoldKawerauboyAshtonVanGulick-Smithiscyclingeverydaywithhisnew bike set in a high gear to get his heart working harder to strengthen it.
ThebikeandhelmetwerefundedbyKawerauGravitySportsandwhen Ashton was presented with the bike at his school, he simply said “wow”. His parents were overwhelmed.
Thankyouagaintostaffwhorespondedtomyplea–theresponse I got was beyond belief with offers of second hand bikes, money and advice.
The response I got was beyond belief.
We can do this ourselves.
By Carley Jones, Registered Nurse
Supervisionisoneworkforcedevelopmentstrategy that can support the mental health and addiction workforce to achieve the goals outlined in Rising to the Challenge.
Justacoupleofyearsago,abaselineauditshowedonly30-40percentoftheworkforceinBOPDHB were actively accessing andusingsupervisionwithmentalhealthnurses,alsosignificantlyunderutilising Professional supervision training opportunities.
The regional Midlands Mental Health and Addictions Nurse Educator Group began to consider how foundation training could beprovidedintheregion–andeventuallythought“wecandothisourselves”.
WaikatoDHBNurseEducatorMoiraO’SheateamedupwithBOPDHBNurseEducatorCarleyJonestodrivethisproposedproject. Working together, a proposal was put to the Midlands Mental Health Nursing Clinical Leads.
Supportcamefromnursingclinicalleadsforregional,inhouse,supervisor training that is cost effective, potentially involves all
competent practitioners and allows every supervisor to support at least one other person after training, thus contributing to the development of a sustainable supervision framework with adequate capacity. This innovation involves Bay of Plenty, Waikato, Lakes, Taranaki and Tairawhiti district health boards.
Eachcoursecanhaveupto16participantswith14mentalhealthandaddictionsnursesparticipatinginthepilotinlate2013andafurther15inthefirstcourseheldin2014–thishadamore‘interprofessional’attendancewithalliedhealthcolleaguesandsome who are alcohol and other drug clinicians. The course is recognisedbydapaanzgivingsomeofficialaccreditation.Twomorecoursesareplannedfor2014withtheaimofhavingatleast45newlytrainedsupervisorsacrosstheMidlandsregion.
Feedback has been very positive and the next step is evaluation of the program to date, support and development for new supervisors and embedding a sustainable supervision process across the Midlands region. The support from senior clinical leads and Te Pou has been much appreciated. Further information from Te Pou canbeaccessedat:http://www.tepou.co.nz/supporting-workforce/professional-supervisionandhttp://www.tepou.co.nz/supporting-workforce/nursing/handover. BOPDHB has a Professional SupervisionpageonPacCentralandrunsregularupdatesforsupervisors. Te Pou is acknowledged for the original article publishedin“Handover”June2014.
Midland supervision workforce innovation
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Celebrating long service with staff
Tauranga
Ward4BTeam,DanielTustin(10yrs)ManagerRossTurner,JudyPullar(35yrs).
BoardChairSallyWebbandCakeCutter,JoyMacMillan,RegisteredObstetricNurse,SCBU(42yrs).
BrettTurnwald,EDNursePractitioner(15yrs)andthreeyearoldsonMahē.
ToiTeOraTeamwithLynnetteBorissenko(10yrs),AnnelieseLuthard(20yrs),DawnMeertens(15yrs).
Gary Cunliffe, Mental Health SocialWorker(10yrs).
Dawn Meertens, Technical Officer,ToiTeOra,Rotorua(15yrs).
JaneWilson,TeamLeader, Community AlliedHealth(20yrs).
ShirleyRobb,Scheduler,Orthopaedics(25yrs).
DrJohnFleming,Chair,Credentialling Committee (30yrs).
JudyPullar,RegisteredNurse,Ward4B(35yrs).
DistrictNursingTeam-PrueDavis(10yrs)MaxineMartin(15yrs),Mary-JaneTeArihi(10yrs),IreneMumby(15yrs).
HelenMason,ChiefOperatingOfficer(15yrs)andhusband Max.
that our employees enjoy working with their colleagues and in their teams. I’m sure there’s no doubt of the part our longer serving employees play in that. Welcoming, mentoring and passing on their wealth of experience and knowledge to those beginning or wanting to advance their journey.
The DHB takes pleasure in being able to thank and acknowledge these employees through itsStaffServiceRecognitionProgramme,inclusive of the celebratory afternoons. The success of an organisation depends on strong leadership and the dedication and loyalty of its employees on a daily basis. BOPDHB is fortunate it abounds on all fronts.
To all those recipients who participated this year, a huge thank you. The snapshots here arefromourTaurangacelebrationonMay7andWhakatāneonMay21.42
yearsservice
By Maxine Griffiths, Staff Engagement Leader
It is with pleasure and pride that IlookforwardtoourannualStaffServiceRecognitioncelebrationseach year and once completed, savour the successful, entertaining afternoons.
It never ceases to amaze me the vast range of vocations over a long period of time that come forward, the dedication and compassion that has not waned over the years and the enthusiasm and collegiality that is evident at both the TaurangaandWhakatānecelebrations.One of the strongest comments that came throughourPulseSurveyrecurrentlyis
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Whakatāne
Celebrating long service with staff
Guy Rosset, Consultant OrthopaedicSurgeon (10yrs)
Bella Mark, Clinical NurseManager,SurgicalWard(15yrs).
KarenSmith,BusinessLeader, Regional CommunityServicesandWomen,Child&FamilyServices(20yrs).
Maureen Newton, AdministrationSupport,Opotiki Community Health Centre(25yrs).
Lyn Meadows, Dental Therapist(35yrs).
Linley Brown, Dental Therapist(40yrs).
Opotiki Dental colleagues, Lynette McKain, Lyn Meadows(35yrs),RobinRewharewha.
SurgicalAdmissionUnitTeam,LauraAustin(10yrs),GuyRosset(10yrs),RoseHawkes(20yrs).
RadiologyTeam-CarolineShortt(10yrs)JillWright(15yrs),GailPaskin(10yrs),MoniqueDavis(10yrs).
MarieHayward,SocialWorker,Paediatrics(15yrs)anddaughter Anna.
TeKoruTherapy&RehabilitationTeamwithLindaWatson(37yrs)andManagementTeamMembersPamelaBarke,BrentGilbertdeRiosandJudiRiddell.
BoardChairSallyWebbandCakeCutter,RonaStanley,PurchasingOfficer(55yrs).
55years
service
Staff highlights”The constant search for improvement for our patients journey of care from every aspect and witnessing the improvements and patient satisfaction about this.”
“Work colleagues make my day dynamic and interesting. Every day is a learning experience and with progressive changes in medicine, this keeps me focussed.”
”Highlights – hundreds of them - but getting improved buildings and equipment.”
”I have been impressed over the past few years of the ways BOPDHB has focussed on staff wellness and development, e.g. SWEAT and the Recognition Programme. Staff seem to be happier, healthier and feel more positive to working long term for BOPDHB. Morale seems high.”
“Lots of local people have been cared for locally by really good carers. Our hospital has done more than survive – it has thrived.”
“Watching the build of the new hospital, ensuring ongoing healthcare to the Eastern Bay of Plenty.”
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The Rheumatic Fever Sector Group is committed to reducing rates of Rheumatic Fever.
United to stop sore throats hurting hearts
TheBayofPlentyandLakesRheumaticFeverSectorGroup
By Lindsay Lowe, Communicable Disease Nurse, Toi Te Ora - Public Health Service
Acute Rheumatic Fever is an avoidable cause of illness and premature death in New ZealandwithhighratesinMāoriandPacificchildren.TheRheumaticFeverSectorGroupis committed to reducing rates of Rheumatic Fever in the Bay of Plenty district.
The sector group consists of community health workers and nurses from: • EasternBayPrimaryHealthAlliance(Kawerau)• KorowaiAroha(Rotorua)• HinepukohurangiTrust(Ruatahuna/Minginui)• NgatiAwaSocialandHealthServices(Whakatāne)• TeIkaWhenuaHauora(Murupara)• TeKaokaooTakapau(Tuhoerohe)• TeManuToroa(Tauranga)• ToiTeOra-PublicHealthService(BayofPlentyandLakes)• WhakatoheaIwiSocialandHealthServices(Opotiki)
Mostofthesectorteamsleadschool-basedsorethroatswabbingprogrammes and meet together once per term to share information, ideas and resources. The quarterly meetings are fun and help to ensure the Rheumatic Fever programmes are consistent and of high quality. Collaborative partnerships, community and kanohi ki te kanohi (face to face) engagement are crucial elements of these programmes. The approaches, messages and resources have been shared both regionally and nationally. Working in partnership to address Acute Rheumatic Fever will contribute to achieving equity forMāoriandPacificchildren.
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The Samoan health service is growing.
Community Dental Clinic opensBy Bev McVicar, Child and Youth Health Services
A new Community Dental Clinic has opened in Tauranga with Kaumatua Tawharangi Nuku blessingthebuildingonJune16.
TaurangaIntermediateSchoolPrincipalBrianDivercommented:“The establishment of the Tauranga Dental facility on the Tauranga IntermediateSchoolsiteisanexcellentexampleofcollaborationbetween the health and education sectors. Congratulations to all involved for bringing this exemplary, state of the art facility to fruition, on time.”
The new clinic has two dental chairs with capacity for a third chair. While we look to this new facility for our present and future need, we also note that the school/community dental service has beenapartoftheNewZealandlandscapeforalmost100years.
Goodoralhealth,forall,forlifeisouraimandpre-schoolchildrenare where we start. Our priority is to provide all children, their familiesandwhānauwithaccessibleandneedsresponsive,oralhealth services.
Pacific Island health manager visits DHB By Stuart Taylor, Operations Coordinator
DuringAprilMrFaleataSavea,representingtheNationalHealthServiceofSamoa,visitedBOPDHB to investigate all of the many and varied aspects of Allied Health and Hospital SupportServices.
TheSamoanhealthserviceisgrowing.ItdoesnothavethefundingorcapabilitythatNewZealanddoes.MrSaveawashereto investigate all aspects of Allied Health and Non Clinical Hospital Supporttoseewhatitlookslikeinalarger,betterfundedservice.His visit will assist in creating part of a vision for the future forSamoanhealthservices.
InTaurangaMrSaveavisited the Tauranga kitchen, daily Operations Centre, Outpatients, Occupational Therapy and Rehab Equipment Stores,Physiotherapy,Spotless/Biomedstaff,PropertyServices,engineeringstaffandOrtholab–includingindividualmeetingswitheach of the department managers.
InWhakatāneMrSaveawasagainintroducedtokeyAlliedHealthandHospitalSupportDepartmentsandthevariouspeopleresponsibleforthem–includingaparticularfocusonthecapabilityof the onsite laundry operations.
ThefinalportofcallwastheBOPDHBEmergencyOperationsCentre (EOC) which included a presentation on BOPDHB EmergencyManagementandpreparedness.MrSaveaisnostranger to Emergency Management having been involved in the 2009SamoaTsunamiresponseandrecoveryeffort.
MrSaveasaidhewasimpressedwiththecapabilityoftheEOCincluding the various communication tools and the portable generator. His tour of the EOC concluded with the presentation of a‘Grab‘n’Go’emergencykittoreturntoSamoawith.
A look back at the School/Community Dental Service 1913–aproposalismadebyDrNormanCoxthatoralhygienistsbetrainedtotreatchildrenaged6-14.
1921–ColonelThomasHuntersuccessfullyadvocatedtheestablishmentoftheSchoolDentalServicetotreatPrimaryschool children.
1923–thefirstdentalnursesgraduatefromtheWellingtonSchool.
1958–theTaurangaIntermediateSchoolopensincludingadental clinic.
2014 onwards–peryear,attendingtheclinicwillbeapproximately2,500fromTaurangaIntermediate,TaurangaPrimary,KakaStreetSpecialSchoolandTaurangaWaldorfSchool(RudolfSteiner),andlocalpre-schoolchildren.
SamoanNationalHealthServicerepresentativeMrFaleataSavea(right)withJocelynStowersandStuartTaylorintheEmergencyOperationsCentre.
WaiataprovidedbychildrenfromTaurangaIntermediateSchoolensured a peaceful and harmonious beginning for the new CommunityDentalClinicwhichopenedonJune16.
Good oral health, for all, for life is our aim and pre-school children are where we start.
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By Penny Horton, Education Manager
Health Careers ExposWeheldtwocareerexposrecentlyinTaurangaandWhakatāneandtheywerebothagreatsuccess.Wehadaround100peopleattheTaurangaeventand60atWhakatānewith30membersofstafftalking to students and parents about a career in health. Thank you to everyone who attended. We had lots of positive feedback…
Tauranga Health Careers Expo“The Health Expo at the Bay of Plenty Clinical School on Wednesday was great. It was very informative. I left understanding so much more about health related jobs and what I need to do to get into them, for example, what subjects are necessary.
All up it was a very good experience and I’m happy with the information I now know.”ParisHeslop,Year10,TaurangaGirlsCollege
“It was good to see so much interest from the schools.”PeterSeager,GeneralRadiographyTeamLeader
“It was an enjoyable night seeing a lot of enthusiastic students wanting to work in the health workforce.” Talia Theobold, Physiotherapist
“It was Fun. I love talking about Occupational Therapy!” Darnell Mercer, Occupational Therapist
“I have spoken to several students who were there and they enjoyed that format as it allowed them to look at several options. Thanks for your teams efforts.”Hans Meys, Careers Advisor, Tauranga Boys’ College
“What I appreciated was the opportunity for young people to see that there are so many different opportunities within the health service. If you don’t succeed in your preferred option there are alternatives to develop a career in health.”RichardBrown,RegisteredSocialWorker
News from the Clinical School
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Whakatāne Health Careers Expo“Insightful. I want to look at a career in health and didn’t know there were so many different jobs so this expo was very helpful.”KerryNikau,student,WhakatāneHighSchool
“Great to see the students interacting with the young health professionals and getting a real idea of what the jobs are really like. Very valuable for our students who are thinking of a career in health to see all the options and to talk to the people doing the work.”AmyWildash,CareersAdviser,TridentHighSchool
“I was excited to be able to showcase and promote my profession – the students asked lots of great questions. I enjoyed interacting with the students and was glad to be able to help them understand what my job entails.”Anna Townsend, Medical Radiation Technologist, Radiology
“It was great to see such a good turnout. As a health professional and parent I really value the opportunity to expose our Eastern Bay communities to the variety of exciting careers the health sector offers. The expo provided an opportunity to speak directly with a range of professionals and get to hear what’s great about their job.”SharonMuru,HealthImprovementManager,ToiTeOra–PublicHealthService.
Researchers - are you ready?TheBOPClinicalSchoolClinicalResearchAwardswillbeheldonThursday23October2014.Applicantsfromacrossall services and disciplines are invited to apply. The event provides an opportunity to showcase excellence in clinical researchcompletedwithinthetwoyears2012-2014.
TheClinicalSchoolEducationTeamwillbecallingforapplicationsattheendofJuly.
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I was a member of a New Zealand Medical Assistance Team (NZMAT) mission to Honiara afterseverefloodingthereatthestartofApril.About10,000peoplelosttheirhomesinthefloodsandtherewere22confirmeddeaths.Severalthousandpeoplewereaccommodatedin evacuation centres, some of which used existing school facilities.
TheSolomons’Governmenthad approached the NZ Government for a medical team to assist in the National Referral Hospital in Honiara
for four weeks. The team I was in covered the last two weeks of that period. Our essential task was to relieve and supplement the local staff, particularly in the Emergency Department (ED). ManypatientspresentedinEDwithlife-threateningconditions,often made worse by their underlying poor state of general health.ChildhoodmalnutritionisarealproblemintheSolomons,apparently due more to a lack of knowledge about what constitutes good nutrition rather than issues with food security.
As the sole public health practitioner in the eleven person team, I had a broader brief than those staff who were in the ED seeing patients ten hours a day. I prepared a daily statistical analysis oftheapproximately100-150patientspresentingeach24hourperiod to the ED, in particular monitoring trends in the number of patients with diarrhoea, fever, and childhood malnutrition. During the two week deployment I met with the head of each clinical department in the hospital providing advice and assistance as appropriate regarding the laboratory, pharmacy, medical and general stores, infection control, occupational health, and infrastructure services such as the water supply, sewerage, and waste disposal.
IalsoliaisedwiththeWaterSanitationandHealthTeamoftheSolomonIslandsHealthMinistrytolearnwhatstepstheyweretakingtorestoreflood-damagedinfrastructureandtoensuretheevacuation centres had an adequate supply of potable water and safe waste disposal, including toilet facilities. I worked with WHO staff, including their epidemiologist who was responsible for the systemofpost-disasterdiseasesurveillance.
The NZMAT team had excellent support to get smoothly to and from Honiara, and to ensure our personal safety while there. What contributed most to the whole experience was the camaraderie within the team and the appreciation shown for our work by the localpeopleoftheSolomons.
TofindoutmoreabouttheNewZealandMedicalAssistanceTeamgo to www.health.govt.nz/nzmat
Deployment to the SolomonIslandsBy Phil Shoemack, Medical Officer of Health
Theriverflatsdevastatedbythefloods.
Billboard at the front entrance to the National Referral Hospital, Honiara
National Referral Hospital veranda with diarrhoea clinic desk in the foreground.
Localswalkingtoouterislandferrieswiththeirsupplies–riceisastaple.
About 10,000 people lost their homes in the floods.
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By Ted Harper, Employee Health and Safety Manager
DuringrecentEmployeeHealthandSafetyRep training sessions the COO, other senior managers and the Board presented the2013EmployeeHealthandSafetyRepsoftheYearAwards.Thiswasanopportunity for them to personally thank the reps and show appreciation for all the hard work they do.
The reps carry out a number of duties to assist in the BOPDHD providing a healthy and safe workplace: • Fosterandpromotehealthandsafetymanagement
practices in the workplace.• Identifyandbringtotheemployer’sattentionhazardsin
the workplace, and discuss with the employer ways that hazards may be dealt with
• Canassistintheinvestigationofaccidents• Conducthousekeepinginspectionwithstaffof
department• Assistinthepreparation,conductingandrecordingof
monthlymeetingsthatincludeEHSinformation.
The reps that completed all their tasks last year for each monthwerenominatedEmployeeHealthandSafetyRepoftheYear.Theyallwentintoadrawforsixprizesof$50pressie cards.
2013 Employee Health and Safety Reps of the Year TaurangaHelen Parsons Maternity WINNERAngela Greetham Practice Development Team WINNERRosina Potiki Physiotherapy WINNERCathyAnderson Quality&PatientDianna Keys ICU/CCU FayeHick SupportNetGary Cunliffe CMH Gillian Wooller Oncology JenniferThompson Surgical3BLiz Riepen WCF MargaretMoon Ward2CMichelle Watson Outpatients RobynLuscombe Ward4BWanda Owen Daystay Cathie Kennedy Medical Information ChevonStrawbridge PharmacyChris Angus Mental Health Advisory Harleigh Mortleman Periop Dept HeatherRoberts Ward3CJulieHolder Ward4AKate Price Maternity Leanne Day Dental Therapy NickWhite CADSZoe Wathy Emergency
WhakatāneHelenDudley ClinicalSchool WINNERKaren Hanlen Te Koru Physio WINNERRobyn Karkkainen Outpatients WINNERAlice Biju Paediatric Ward Bernadine Bryant Community Mental Health Erica Lee Emergency MoniqueKeys MāoriHealthSarahSim KitchenSusanJones ICU/CCUTracie Mackey Occupational Therapy Faith Lemalie Laundry Hannelie Albertyn Pharmacy Heather Thomas District Nursing Team JillVanderWouden SurgicalWardLoisAustin Quality&SafetyNeilMower PropertyServicesLorraine Howarth Toi Te Ora (Rotorua) Nina Maxwell Community Health Centre (Opotiki)
Employee Health and Safety Reps of the Year
Employee Health and Safetyrepsreceiveletters of thanks from the CEOandcertificatesofrecognition. They were joined by two board members Matua Parkinson and Marion Guy and the acting COO Helen Mason.
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By Gail Morley, Occupational Therapist and Certified Equine Assisted Therapy Practitioner
Following a successful training session last year, the Equine Assisted Growth and Learning Association (EAGALA) returned to Tauranga RidingforDisabledduringJune.
The event was attended by participants from New Zealand and Australia and this year Brenda Hunter from Wisconsin, USAandSharonBoycefromJohannesburg,SouthAfricafacilitated the training.
The EAGALA model is an experiential based therapy which is gaining momentum worldwide with clients who don’t necessarily respondtotraditionaloffice-basedtherapymethods.Itgivesclients the opportunity to explore their issues in an arena with the horses which is proving to be really successful in allowing them to come to their own conclusions and solutions.
The American developed therapy uses horses for emotional growth and learning. Participants learn about themselves and others by participating in activities with the horses and then processing thoughts, beliefs, behaviours and patterns.
Each session is facilitated by a mental health professional and equinespecialist.Clientswhohavebenefitedfromthistreatmentinclude those with anxiety, depression, grief, behavioural issues, eating disorders, substance abuse and social/personal interaction difficulties.
More staff trained in therapy with horses
Participants learn about themselves and others by participating in activities with the horses.
EAGALA trainer Brenda Hunter says the Tauranga RDA Centre is optimal for an EAGALA training venue.
“It has fantastic views. The facility is well set up and can accommodate a large number of people. The horses are healthy and well cared for with good temperaments and a variety of personalities which lend themselves well to this therapy. This is my third time visiting New Zealand and New Zealanders are so welcoming and genuine. I really enjoy the way they have such pride in their country and love to share information about their culture.”
ThelatestEAGALAgroupbeingruninTaurangaisaSelf-AwarenessGroupattendedbyseven10-15yearolds.Wehopeto run our next groups later in the year for teenagers with eating disorders, and for younger children and their parents for family therapy.
Occupational Therapist and CertifiedEquineAssisted Therapy Practitioner Gail Morley.
By Cynthia Tūruwhenua, He Ritenga Project Manager
To fully understand the He Ritenga audit framework takes time which is something that we don’tnormallyhaveinthehospital.Sohereisanother descriptive vignette about He Ritenga tofillthegaps.
In the previous article the framework was described as a combination of standards and criteria. The standards are based on the three Treaty of Waitangi principles which we should all know now: partnership, participation and protection. The criteria arebasedonfivekeyaspectsofhealthcare:servicedelivery;planning; workforce development; governance and intersectoral initiatives. The partnership standard was introduced and this time
it is the turn of the participation standard.
The standard of participation is stated in the frameworkas:InvolvingMāoriatalllevelsofthe organisation in planning, development and delivery of health and disability services –verystraightforwardreally.
If your service, unit, department or the organisation as a whole canshowthatMāoristafforstakeholdersareinvolvedintheseparticular health services activities then they are demonstrating the participation standard. Participation in the delivery of healthcare is often shaped by activities associated with workforce development, governance and intersectoral initiatives.
HeRitengaauditswithinBOPDHBareconductedbyMāoriHealth Planning and Funding. For more information about He Ritenga,contactCynthiaTūruwhenuaonext.8555.
He Ritenga audits The standards are based on the three Treaty of Waitangi principles: partnership, participation and protection.
Patient flow project underwayBy Michelle Merrick, Decision Support Analyst
National Patient Flow is a new national data collection process to be implemented by DHBs for the weekly reporting of referral episodes of care to the Ministry of Health. This project will take three years to complete.
Phase One – by 1 July 2014ThisphasecoversreferralforFirstSpecialistAssessment(FSA)receipt through to assessment of clinical outcome decisions.
Phases Two and Three – by July 2015 and July 2016These phases will expand the initial scope to include:• referralstoalliedandnursinghealthpractitionersand
Radiology• additionaldataelementssuchaspresentingconditionsor
diagnoses, and referring entities.
The national data collection will eventually include entire episodes of care including internal or generated referrals that are associated to the initial patient presentation reason ie linking of referrals.
What does it mean for staff?• Staffwillbekeptinformedofanyrequiredchanges.• Trainingwillbemadeavailableforalldataentrystaff.• Processeswillbedocumentedandavailabletoprovide
guidance.• Dataintegrityreportswillassistwithensuringdataisaccurate
prior to leaving the DHB.• WebPASwillbemodifiedsothatallrequiredinformationisable
to be recorded.
For more information on this project please contact IT Project ManagerCorinneGoweronext8437.
We would particularly like to thank the following doctors and their teams for their ongoing support to the Clinical Trials Unit, taking on the role of investigator or assisting with the completion of feasibility questionnaires: Neil Graham, Richard North, Michelle Head, Adrian Claydon,RobCunliffe,TroyBrowne,PhilGarden,MichaelJohn,StuartTie,DeanBoddington,TraceyKain,TimSole,KingsleyNirmalaraj,KateGrimwade,andDianeHanfelt-Goade.
Ourresearchstaffcanbecontactedonext8565orbyemailingustolinda.pattison@bopdhb.govt.nz.TheusualofficehoursareMonday-Friday8am-4pm.
ResearchNurseWendyArnoldreviewsapotentialflupatientaspartofaclinicaltrial.
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Clinical Trials Unit overviewBy Rana Reuther, Clinical School Research Manager
TheClinicalTrialsUnitwasestablishedin2009andisaself-fundingunitwithintheBayofPlentyClinicalSchoolCharitableTrust.
The unit undertakes clinical trials and research for pharmaceutical and medical device companies and is also involved in local research projects. The majority of the trials are multi-centre,international,pharmaceuticalstudiesincluding:Oncology, Rheumatology, Gastroenterology, Respiratory, Cardiac and original research. We are very excited to add Radiation Oncology trials to our repertoire with Dr Leanne Tyrie, from the Kathleen Kilgour Centre, bringing her experience and research contacts to the unit.
Each trial has a principal investigator (PI) who is usually a specialistinthatfieldandaresearchnurse.Althoughgrowthoftheunit has been fairly steady since its establishment, support is still required from doctors within the DHB to undertake the role of PI or sub-investigator.Thisistoensurewecancontinuetoconducttrialsin our existing areas and hopefully branch out into new ones. The team of experienced research nurses ensure that minimal input is required by the PI.
We are very excited to add Radiation Oncology trials to our repertoire.
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By James Fuller, Communications Advisor
Fifty years of Tauranga Hospital history has been razed to the ground with the demolition ofJacarandaHouse.
Jacarandawasbuiltintheearly1960sand,ata time when all nursing staff had to live onsite, was originally used for nurses’ accommodation.
However,itwasidentifiedasanearthquakepronebuildinginearly2013andvacatedasaresult.
DirectorofNursingJulieRobinsonsaidalotofnursesemployed at Tauranga Hospital and in the community rememberedthedaysoflive-innursingandwouldhavepassedthroughJacarandaHouse.Shewasoneofthem.
“It was a very strict, almost military style of life,” she said. “We werewatchedoverbytheHomeSisterwhotendedtobeamarried woman of more advanced years.
“They were on duty and would check on you, it was all very controlled.Youhadtimesyouhadtobeinandsoon,11pmwas the latest but you could get overnight leave as well.
“Living and working together so closely meant a special camaraderieandlong-termfriendshipsdevelopedinawaywhichisperhapsmoredifficultthesedays.
“There will be a lot of people with a lot of memories of the place.”
Waikato Demolition carried out the demolition work. Project Manager Andrew Proudlock said they undertook “a soft strip to remove all the construction and demolition material” before thestructuraldemolitionbeganonJune4.ItwascompletedbyJune30.
Andrew said many people had stopped and shared their memoriesofJacarandaHousewithhim.
“I think this building has a lot of history for people in Tauranga,” he said.
Going,Going Gone
Long-term friendships developed in a way which is perhaps more difficult these days.
Waikato Demolition Project Manager Andrew Proudlock.
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Going,Going Gone
24
TOUGH
6 WEEK CHALLENGE
GUY andGAL
Challenge yourself with friends and colleagues of all ages and abilities in this fun and exhilarating experience.
Registrations close Friday 11th July 6 Week Challenge starts Monday 14th July Final event Saturday 23rd August
