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Nursing Jobs. Your guide to the best in careers and training in nursing and allied health.
Citation preview
www.ncah.com.auNursing Careers Allied Health - Issue 16
Prin
ted
by B
MP
- Fr
eeca
ll 18
00 6
23 9
02
POSTAGEPAID
AUSTRALIA
PRINTPOST100015906
Seabreeze Communications Pty Ltd (ABN 29 071 328 053)PO Box 6744, Melbourne, VIC 3004
CHANGE OF ADDRESS: If the information on this mail label is incorrect, please email [email protected] with the address that is currently shown and your correct address.
Issue 1618/08/14
fortnightly
Working Abroad Feature
More graduate nursing training places needed
Tasmanian nurses and midwives plan industrial action
New camera technology for Victorian ambulances
The colour of wounds and implications for healing
416-008 1PG FULL COLOUR CMYK PDF
Call 1300 221 971 | www.smartnurses.com.au
DISCLAIMER: For full terms and conditions please visit our website.
One call and we’ll find, insure and salary package your ideal car. It’s that easy.
One call does it all.
2013
State
Leasing ads_NCAH-125 x 180_July 2014.indd 115/07/2014 10:58:53 AM
416-018 1PG FULL COLOUR CMYK PDF 415-032 1PG FULL COLOUR CMYK PDF 414-029 1PG FULL COLOUR CMYK PDF
EARNSOMEEXTRA$$$Nursing and MidwiferyEducators and Clinical SpecialistsNCAH is looking to hire expert nurses and midwives towrite nurse practice related articles on a freelance basis.
If you are an experienced Australian nurse educator or nurse specialist, and you are interested in writing to complement your income on a very �exible basis we would love to hear from you.
Nursing and Midwifery experts are sought to write articles covering one or more clinical areas including but not limited to:
• Accident & Emergency • Critical Care • Aged Care • Cardiac Care • Paediatric Nursing • Continence • Healthcare IT & Information • Neurology • Midwifery & Neonatal nursing • Practice nursing • Nurse Leadership and Management
Please send expressions of interest to [email protected] must include a CV and covering letter detailing your professional experience.
416-009 1/2PG FULL COLOUR CMYK PDF415-012 1/2PG FULL COLOUR CMYK PDF414-011 1/2PG FULL COLOUR CMYK PDF413-035 1/2PG FULL COLOUR CMYK PDF412-027 1/2PG FULL COLOUR CMYK PDF
Apply online www.acn.edu.au | [email protected] | 1800 117 262
An Australian Government Department of Health initiative supporting nurses and midwives. Australian College of Nursing is proud to be the fund administrator for this program.
NURSING & MIDWIFERY SCHOLARSHIPS
Scholarships are available for nurses & midwives in the following areas: > undergraduate
> postgraduate
> continuing professional development
> nurse re-entry
> midwifery prescribing
> nurse practitioner
> emergency department clinical and non-clinical continuing professional development.
Open 21 July 2014 – Close 15 September 2014
www.ncah.com.au Nursing Careers Allied Health - Issue 16
Printed by BM
P - Freecall 1800 623 902
POSTAGEPAID
AUSTRALIA
PRINTPOST100015906
Seabreeze Communications Pty Ltd (ABN 29 071 328 053)PO Box 6744, Melbourne, VIC 3004
CHANGE OF ADDRESS: If the information on this mail label is incorrect, please email [email protected] with the address that is currently shown and your correct address.
Issue 1618/08/14
fortnightly
Working Abroad Feature
More graduate nursing training places needed
Tasmanian nurses and midwives plan industrial action
New camera technology for Victorian ambulances
The colour of wounds and implications for healing
416-008 1PG FULL COLOUR CMYK PDF
Call 1300 221 971 | www.smartnurses.com.au
DISCLAIMER: For full terms and conditions please visit our website.
One call and we’ll find, insure and salary package your ideal car. It’s that easy.
One call does it all.
2013
State
Leasing ads_NCAH-125 x 180_July 2014.indd 1 15/07/2014 10:58:53 AM
416-018 1PG FULL COLOUR CMYK PDF415-032 1PG FULL COLOUR CMYK PDF414-029 1PG FULL COLOUR CMYK PDF
EARNSOMEEXTRA$$$Nursing and MidwiferyEducators and Clinical SpecialistsNCAH is looking to hire expert nurses and midwives towrite nurse practice related articles on a freelance basis.
If you are an experienced Australian nurse educator or nurse specialist, and you are interested in writing to complement your income on a very �exible basis we would love to hear from you.
Nursing and Midwifery experts are sought to write articles covering one or more clinical areas including but not limited to:
• Accident & Emergency • Critical Care • Aged Care • Cardiac Care • Paediatric Nursing • Continence • Healthcare IT & Information • Neurology • Midwifery & Neonatal nursing • Practice nursing • Nurse Leadership and Management
Please send expressions of interest to [email protected] must include a CV and covering letter detailing your professional experience.
416-009 1/2PG FULL COLOUR CMYK PDF 415-012 1/2PG FULL COLOUR CMYK PDF 414-011 1/2PG FULL COLOUR CMYK PDF 413-035 1/2PG FULL COLOUR CMYK PDF 412-027 1/2PG FULL COLOUR CMYK PDF
Apply online www.acn.edu.au | [email protected] | 1800 117 262
An Australian Government Department of Health initiative supporting nurses and midwives. Australian College of Nursing is proud to be the fund administrator for this program.
NURSING & MIDWIFERY SCHOLARSHIPS
Scholarships are available for nurses & midwives in the following areas: > undergraduate
> postgraduate
> continuing professional development
> nurse re-entry
> midwifery prescribing
> nurse practitioner
> emergency department clinical and non-clinical continuing professional development.
Open 21 July 2014 – Close 15 September 2014
CYAN MAGENTA YELLOW BLACKCYAN MAGENTA YELLOW BLACK
Page 30 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 3
Page 6 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 27
416-011 1PG FULL COLOUR CMYK PDF414-008 1PG FULL COLOUR CMYK PDF412-008 1PG FULL COLOUR CMYK PDF411-039 1PG FULL COLOUR CMYK PDF410-012 1PG FULL COLOUR CMYK PDF410-012 1PG FULL COLOUR CMYK PDF410-012 1PG FULL COLOUR CMYK PDF408-032 1PG FULL COLOUR CMYK PDF407-010 1PG FULL COLOUR CMYK PDF404-010 1PG FULL COLOUR CMYK PDF403-039 1PG FULL COLOUR CMYK PDF402-038 1PG FULL COLOUR CMYK PDF401-016 1PG FULL COLOUR CMYK PDF325-021 1PG FULL COLOUR CMYK PDF323-037 1PG FULL COLOUR CMYK PDF
• Solid nursing background for health check services (min 2yrs post grad) • Solid venepuncture experience for blood screening services (min 2yrs exp)• Excellent general medical knowledge and terminology• Professional presentation and communication, along with impress ive time management skills• Current CPR Certification• National Police Check• ABN• Nurse Immunisation certificate for all nurse immunisers
Danielle Le Fevre
Looking for Nurses, Paramedics and Pathology Collectors
Tasmanian nurses and midwives plan industrial action
Tasmania’s nurses and midwives will remove
goodwill in their planned industrial action as the
state government considers introducing a public
sector wage freeze.
The move comes after the Australian Nursing
and Midwifery Federation’s (ANMF) Tasmanian
branch recently met with members across the
state to endorse a log of claims, as it prepares
to negotiate a new EBA for public sector nurses
and midwives.
The ANMF is also joining forces with other
unions to hold ‘bust the budget’ rallies on August
28 at Parliament House in Hobart and on Sep-
tember 4 at both Devonport and Launceston.
ANMF branch secretary Neroli Ellis said
members will put a halt to unpaid administra-
tion work in hospitals from August 25, in a move
designed to put pressure on the system without
impacting on patients.
“If you take the goodwill of nurses and mid-
wives out of the system, it will put a lot of pres-
sure on the system, particularly around the ad-
min - computer entries, computerised admission
systems, etcetera, so potentially they may have
to employ more admin staff after hours,” she told
abc.net.au.
Ms Ellis was unavailable for comment at
the time of publication but the branch’s website
states the government’s proposed wage freeze
amounts to a “real wage cut” for nurses and mid-
wives.
“Inflation and the price of goods and services
continues to rise and your salary buys less over
time - the value of what you earn is cut,” it states.
The government has proposed a one-year
wage freeze for all public servants, followed by a
move to two per cent increases, in a bid to save
$50 million a year and safeguard around 500 jobs.
The freeze will take affect when the legisla-
tion passes both houses of the Tasmanian parlia-
ment, which the union fears could occur as soon
as October.
“The government has the constitutional pow-
er to rip up contracts with its public sector work-
ers through legislation,” the ANMF branch states.
“It’s a radical unprecedented action but if
they can get special legislation through both
houses of state parliament, then they have the
ultimate power over your wages and conditions.”
The branch is also fighting legislation, which
has already passed the Lower House, that aims
to outlaw reasonable protest action.
The union states the new legislation includes
penalties such as $10,000 on-the-spot fines and
three-month mandatory jail terms for disrupting
workplaces.
“We’re seeking legal advice about the impli-
cations of this legislation and what it could mean
for ANMF (Tas branch) members and activities in
education and training workplaces.”416-006 1/4PG PDF 414-007 1/4PG PDF 412-007 1/4PG PDF 411-036 1/4PG PDF 410-015 1/4PG PDF 408-011 1/4PG PDF
CPD Nurses Phone APP!Log diary to record
your educationwww.cpdnursing.com.au
416-026 1PG FULL COLOUR CMYK PDF 415- 028 1PG FULL COLOUR CMYK PDF 414-031 1PG FULL COLOUR CMYK PDF
Is patient safetyyour passion?Improve the quality of care and safety of patients in your organisation with the Master of Quality Services (Health and Safety) at the University of Tasmania. Available fully online, this is a unique new degree developed in response to industry demands - a course that will open up a world of opportunities to experienced clinicians and health professionals like you.
For more information, email: [email protected] or phone 13UTAS
Applications now open.
utas.edu.au/2014 | 13UTAS
USRM12684rj CRICOS Provider Code: 00586B *Academic Ranking of World Universities 2013
Tomorrow starts today.
More graduate nursing training places needed
The New Zealand government’s move to
fund an extra 200 places in the nurse entry
to practice program will still leave hundreds of
trained nurses without work, according to nurses.
The New Zealand Nurses Organisation
(NZNO) is calling for the government to fund a
one-year Nurse Entry to Practice (NEtP) program
for all new graduate nurses, and has launched a
petition which has received more than 7000 sig-
natures.
NZNO acting professional services man-
ager Hilary Graham-Smith said while an extra
200 graduates will receive essential support and
mentorship, others will miss out on the vital train-
ing.
“Two hundred new NEtP positions still leaves
too many nurse graduates without support,” she
said.
“These new positions do not start until 2015
by which time there will be another cohort of
graduates, meaning more new grads in the mar-
ket for places and a talent pool currently sitting
at around more than 400 trained nurses without
work.”
The petition was launched after concerns
that large numbers of graduate nurses are failing
to secure work in a clinical setting due to a limited
number of NEtP program places while employers
are also seeking candidates with experience.
Health Minister Tony Ryall said up to 200 ad-
ditional places will be created in the program,
taking the total number of places to 1300, and
comes at a cost of $2.8 million.
Mr Ryall said 160 of the places will be created
at public hospitals and district health board-funded
community health services while 40 places will be
based at aged care facilities across the country.
“Nurses are at the frontline of care providing
r o u n d -
the-clock
care and sup-
port to patients
and their families,” he
said in a statement.
“As our ageing population grows and de-
mand on health services increases, we need even
more nurses working in our communities.”
Mr Ryall also recently announced $1.5 million
to fund an extra 25 scholarships for nurse gradu-
ates to work in general practices in some of the
country’s high needs communities next year.
Under the scholarships, 48 graduate nurses
are this year working in Very Low Cost Access
(VLCA) practices.
“This was the first time scholarships like this
has ever been offered,” he said.
“The feedback from general practices and
graduate nurses has been so positive we are in-
vesting extra money to offer scholarships again
next year.”
The recruitment process for the 12-month
scholarships begins this month.
Leave a comment on this and other articles by visiting the ‘news’ section
of our website: www.ncah.com.au
To go to the article “More graduate nursing training places needed”
directly, visit: http://bit.ly/1A92cq1
CYAN MAGENTA YELLOW BLACK CYAN MAGENTA YELLOW BLACK
Page 28 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 5
Page 4 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 29
401-029 1PG FULL COLOUR CMYK PDF1317-005 1PG FULL COLOUR CMYK (typeset)
Advertiser List
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
Issue 17 – 26 August 2013
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
1317-005 1PG FULL COLOUR CMYK (typeset)
Advertiser List
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
Issue 17 – 26 August 2013
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
Issue 1 – 20 January 2014
Advertiser ListCare Flight
CCM Recruitment International
CQ Nurse
Education Cruises
Employment Office
Geneva Health
Griffith University
Health and Fitness Recruitment
Koala Nursing Agency
Lifescreen
Medacs Australia
Medibank Health Solutions
Northern Sydney Local Health District
Nursing and Allied Health Rural Locum Scheme
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffing
Quick and Easy Finance
TR7 Health
UK Pensions
Unified Healthcare Group
UK Pensions Wimmera Healthcare Group
Next Publication: Regional & Remote featurePublication Date: Monday 3rd February 2013
Colour Artwork Deadline: Tuesday 28th January 2013
Mono Artwork Deadline: Wednesday 29th January 2013
We hope you enjoy perusing the range of opportunities included in Issue 1, 2014.
© 2014 Seabreeze Communications Pty Ltd.
401-029 1PG FULL COLOUR CMYK PDF1317-005 1PG FULL COLOUR CMYK (typeset)
Advertiser List
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
Issue 17 – 26 August 2013
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
1317-005 1PG FULL COLOUR CMYK (typeset)
Advertiser List
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
Issue 17 – 26 August 2013
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
Issue 1 – 20 January 2014
Advertiser ListCare Flight
CCM Recruitment International
CQ Nurse
Education Cruises
Employment Office
Geneva Health
Griffith University
Health and Fitness Recruitment
Koala Nursing Agency
Lifescreen
Medacs Australia
Medibank Health Solutions
Northern Sydney Local Health District
Nursing and Allied Health Rural Locum Scheme
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffing
Quick and Easy Finance
TR7 Health
UK Pensions
Unified Healthcare Group
UK Pensions Wimmera Healthcare Group
Next Publication: Regional & Remote featurePublication Date: Monday 3rd February 2013
Colour Artwork Deadline: Tuesday 28th January 2013
Mono Artwork Deadline: Wednesday 29th January 2013
We hope you enjoy perusing the range of opportunities included in Issue 1, 2014.
© 2014 Seabreeze Communications Pty Ltd.
413-006 1PG FULL COLOUR CMYK PDF
Next Publication: Education featurePublication Date: Monday 1st September 2014
Colour Artwork Deadline: Monday 25th August 2014
Mono Artwork Deadline: Wednesday 27th August 2014
Issue 16–18 August 2014
We hope you enjoy perusing the range of opportunities included in Issue 16, 2014.
Advertiser List
Australian College of Nursing
Australian Red Cross
CPD Nursing
Education at Sea
Employment Office
Geneva Health
Health Super
Ingrid Pryde
NSW Health - Mid North Coast
Oceania University of Medicine
Oxford Aunts Care
Queensland Health
Quick and Easy Finance
Smart Salary
UK Pension Transfer
Unified Healthcare Group
University of New England
University of Tasmania
1300 306 582
416-004 1PG FULL COLOUR CMYK PDF 415-007 1PG FULL COLOUR CMYK PDF 414-005 1PG FULL COLOUR CMYK PDF 413-010 1PG FULL COLOUR CMYK PDF 412-005 1PG FULL COLOUR CMYK PDF 411-011 1PG FULL COLOUR CMYK PDF 409-012 1PG FULL COLOUR CMYK PDF 408-007 1PG FULL COLOUR CMYK PDF 407-013 1PG FULL COLOUR CMYK PDF 406-010 1PG FULL COLOUR CMYK PDF 405-013 1PG FULL COLOUR CMYK PDF 404-011 1PG FULL COLOUR CMYK PDF 403-015 1PG FULL COLOUR CMYK PDF 402-036 1PG FULL COLOUR CMYK PDF 401-003 1PG FULL COLOUR CMYK PDF 324-020 1PG FULL COLOUR CMYK PDF 323-022 1PG FULL COLOUR CMYK PDF 322-035 1PG FULL COLOUR CMYK PDF 321-014 1PG FULL COLOUR CMYK PDF 1320-006 1PG FULL COLOUR CMYK PDF (RPT)
Alcohol Detoxification and Rehabilitation: challenges for health professionalsBy Glynis Thorp
As health professionals we must never under-
estimate the dangers of alcohol withdrawal.
Alcohol is a central nervous system depressant
and abrupt cessation can overstimulate the auto-
nomic nervous system.
A respected doctor I had the pleasure of
learning from once told me a story which high-
lights the importance of recognizing and treating
alcohol withdrawal:
Imagine putting four people in a glass room
that you can see and hear through and sit back
and observe. One of these people is addicted
to opiates, the second is addicted to ampheta-
mines, the third is addicted to benzodiazepines
and the fourth is an alcoholic. Over a period of
time if deprived of their drug of choice they will
experience withdrawal. The person who is ad-
dicted to opiates will sweat profusely, have se-
vere stomach cramps and desperately beg you
to help them with pain relief so that they can start
to feel normal again. This is an important point
that we must remember: it is not to get high any-
more, it is to feel normal. The amphetamine ad-
dict will be very angry, probably hitting the walls
and demanding medication while they scratch at
their skin, causing abrasions. The person with a
benzodiazepine addiction will be very frightened,
shake, twitch and not be able to sleep. The alco-
holic will probably sit in a corner, terrified and su-
per sensitive to noise; have visual hallucinations;
feel like things are crawling over them; slump
over; and possibly have a fit and die.
It is important to remember that patients that
go through alcohol withdrawal under our care will
likely not have been admitted specifically for al-
cohol detoxification. Withdrawal is more likely to
be inadvertent due to illness and lack of access
to alcohol.
Withdrawal symptoms usually occur 6–24
hours after the last alcoholic drink (however this
can vary depending on the patient and the nature
and extent of their alcoholism). The signs of alco-
hol withdrawal include anxiety, agitation, sweat-
ing, tremor, nausea, vomiting, abdominal cramps,
diarrhea, craving, insomnia, elevated blood pres-
sure, elevated pulse and elevated temperature,
headaches, seizures, confusion, perceptual dis-
tortions, disorientation, hallucinations, delirium
tremens, arrhythmias and Wernicke’s Encepha-
lopathy (WE). WE symptoms include: opthalmo-
plegia, ataxia and confusion.
The scales used to monitor withdrawal in
Australia include:
•AWS,AlcoholWithdrawalScale
•CIWAAR-ClinicalInstituteWithdrawal
AssessmentofAlcoholScale(Ensureyou
use the scale that is recommended by your
employer in their guidelines and policies and
procedures.)
Medications that may be prescribed to as-
sist patients suffering from alcohol detoxification
symptoms include:
•Anti-anxietymedicines(benzodiazepines
such as diazepam) which treat withdrawal
symptoms such as delirium tremens (DTs).
•Seizuremedicinestoreduceorstopsevere
withdrawal symptoms during detoxification.
•MedicinesforrecoveryincludeDisulfiram
(Antabuse), which makes the person sick
(vomit) if they consume alcohol.
•Naltrexone(ReVia,Vivitrol),whichinterferes
with the pleasure one gets from alcohol.
•Acamprosate(Campral),whichmayreduce
cravings for alcohol.
•Thiaminesupplementsarerecommended.
Alcohol abuse can cause the body to be-
come low in certain vitamins and minerals
especially Thiamine (vitamin B1). Thiamine
helps prevent Wernicke-Korsa koff syndrome
which causes brain damage. (WE was first
identified in 1881 by the German neurologist
CarlWernicke,althoughthelinktoThiamine
wasnotdiscovereduntilthe1930s.Russian
psychiatristSergiKorsakoffdescribedasimi-
lar presentation in 1887-1891).
Patients and health professionals dealing
with alcohol detoxification will also face systemic
challenges, such as:
•Limitedaccesstorehabilitationcentres
•Significantdistancebetweentreatmentand
rehabilitation centres, particularly in regional
and remote areas
•Navigatingtherulesandrequirementsthat
rehabilitation centres impose prior to admis-
sion (which ensure a patient’s level of readi-
ness for change)
•Limitedaccesstofamilysupport,asmany
patients suffering from severe alcoholism
andrequiringrehabilitationhaveoftenlost
contact with friends and family.
The prevalence of alcohol abuse and de-
pendence in our society means that as health
professionals many of us will be confronted with
alcohol withdrawal symptoms. It is vital that we
are familiar with the warning signs and symptoms
of alcohol withdrawal as mismanagement or the
absence of appropriate care can have severe
consequences.
References
SydneyAlcoholTreatmentGroup-http://
www.alcpharm.med.usyd.edu.au/accessed
20102/8/2014.
Alcohol Detoxification and Rehabilitation: challenges for health professionalsBy Glynis Thorp
A s health professionals we must never under-
estimate the dangers of alcohol withdrawal.
Alcohol is a central nervous system depressant
and abrupt cessation can overstimulate the auto-
nomic nervous system.
A respected doctor I had the pleasure of
learning from once told me a story which high-
lights the importance of recognizing and treating
alcohol withdrawal:
Imagine putting four people in a glass room
that you can see and hear through and sit back
and observe. One of these people is addicted
to opiates, the second is addicted to ampheta-
mines, the third is addicted to benzodiazepines
and the fourth is an alcoholic. Over a period of
time if deprived of their drug of choice they will
experience withdrawal. The person who is ad-
dicted to opiates will sweat profusely, have se-
vere stomach cramps and desperately beg you
to help them with pain relief so that they can start
to feel normal again. This is an important point
that we must remember: it is not to get high any-
more, it is to feel normal. The amphetamine ad-
dict will be very angry, probably hitting the walls
and demanding medication while they scratch at
their skin, causing abrasions. The person with a
benzodiazepine addiction will be very frightened,
shake, twitch and not be able to sleep. The alco-
holic will probably sit in a corner, terrified and su-
per sensitive to noise; have visual hallucinations;
feel like things are crawling over them; slump
over; and possibly have a fit and die.
It is important to remember that patients that
go through alcohol withdrawal under our care will
likely not have been admitted specifically for al-
cohol detoxification. Withdrawal is more likely to
be inadvertent due to illness and lack of access
to alcohol.
Withdrawal symptoms usually occur 6–24
hours after the last alcoholic drink (however this
can vary depending on the patient and the nature
and extent of their alcoholism). The signs of alco-
hol withdrawal include anxiety, agitation, sweat-
ing, tremor, nausea, vomiting, abdominal cramps,
diarrhea, craving, insomnia, elevated blood pres-
sure, elevated pulse and elevated temperature,
headaches, seizures, confusion, perceptual dis-
tortions, disorientation, hallucinations, delirium
tremens, arrhythmias and Wernicke’s Encepha-
lopathy (WE). WE symptoms include: opthalmo-
plegia, ataxia and confusion.
The scales used to monitor withdrawal in
Australia include:
• AWS,AlcoholWithdrawalScale
• CIWAAR-ClinicalInstituteWithdrawal
Assessment of Alcohol Scale (Ensure you
use the scale that is recommended by your
employer in their guidelines and policies and
procedures.)
Medications that may be prescribed to as-
sist patients suffering from alcohol detoxification
symptoms include:
• Anti-anxiety medicines (benzodiazepines
such as diazepam) which treat withdrawal
symptoms such as delirium tremens (DTs).
• Seizuremedicines to reduceorstopsevere
withdrawal symptoms during detoxification.
• Medicines for recovery include Disulfiram
(Antabuse), which makes the person sick
(vomit) if they consume alcohol.
• Naltrexone (ReVia, Vivitrol),which interferes
with the pleasure one gets from alcohol.
• Acamprosate (Campral), whichmay reduce
cravings for alcohol.
• Thiamine supplements are recommended.
Alcohol abuse can cause the body to be-
come low in certain vitamins and minerals
especially Thiamine (vitamin B1). Thiamine
helps prevent Wernicke-Korsa koff syndrome
which causes brain damage. (WE was first
identified in 1881 by the German neurologist
CarlWernicke,although the link toThiamine
wasnotdiscovereduntilthe1930s.Russian
psychiatristSergiKorsakoffdescribedasimi-
lar presentation in 1887-1891).
Patients and health professionals dealing
with alcohol detoxification will also face systemic
challenges, such as:
• Limitedaccesstorehabilitationcentres
• Significant distancebetween treatment and
rehabilitation centres, particularly in regional
and remote areas
• Navigating the rules and requirements that
rehabilitation centres impose prior to admis-
sion (which ensure a patient’s level of readi-
ness for change)
• Limited access to family support, as many
patients suffering from severe alcoholism
and requiring rehabilitation have often lost
contact with friends and family.
The prevalence of alcohol abuse and de-
pendence in our society means that as health
professionals many of us will be confronted with
alcohol withdrawal symptoms. It is vital that we
are familiar with the warning signs and symptoms
of alcohol withdrawal as mismanagement or the
absence of appropriate care can have severe
consequences.
References
Sydney Alcohol Treatment Group-http://
www.alcpharm.med.usyd.edu.au/ accessed
20102/8/2014.
416-033 1/2PG FULL COLOUR CMYK PDF
News in brief:Clotting drug may aid hip patientsGiving hip or knee replacement patients
a clotting drug may reduce the need for a
blood transfusion during surgery, experts
say. - tinyurl.com/kygr88q
Psychology leader develops app for headachesAn international authority on the treatment
of headache pain is leading the research into
the use of the app, which acts as an elec-
tronic diary to record ratings of headache
pain. - tinyurl.com/nr37unp
Swine flu cases rising in AustraliaNearly 21,000 cases of flu have been con-
firmed in Australia so far this year, double
the number of cases at this time last year.
- tinyurl.com/ltqf4pz
Healthy ways of coping with night workNight workers who have trouble sleeping
after their shifts shouldn’t rely on sleeping
pills, a German psychologist warns.
- tinyurl.com/oy4b6l7
Cancer survivors face challengesWhen GP Elysia Thornton-Benko suspected
something wasn’t quite right with her body
she did everything she tells her patients not
to - ignored the symptoms and carried on.
- tinyurl.com/m7roz7y
__________________________________
For more news and articles on nursing and allied health visit our website:
www.ncah.com.au
CYAN MAGENTA YELLOW BLACKCYAN MAGENTA YELLOW BLACK
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If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
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For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
Issue 17 – 26 August 2013
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
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Austra Health
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CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
Issue 17 – 26 August 2013
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
Issue 1 – 20 January 2014
Advertiser ListCare Flight
CCM Recruitment International
CQ Nurse
Education Cruises
Employment Office
Geneva Health
Griffith University
Health and Fitness Recruitment
Koala Nursing Agency
Lifescreen
Medacs Australia
Medibank Health Solutions
Northern Sydney Local Health District
Nursing and Allied Health Rural Locum Scheme
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Oxford Aunts Care
Pulse Staffing
Quick and Easy Finance
TR7 Health
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Next Publication: Regional & Remote featurePublication Date: Monday 3rd February 2013
Colour Artwork Deadline: Tuesday 28th January 2013
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Advertiser List
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
Issue 17 – 26 August 2013
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
1317-005 1PG FULL COLOUR CMYK (typeset)
Advertiser List
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
Issue 17 – 26 August 2013
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
Issue 1 – 20 January 2014
Advertiser ListCare Flight
CCM Recruitment International
CQ Nurse
Education Cruises
Employment Office
Geneva Health
Griffith University
Health and Fitness Recruitment
Koala Nursing Agency
Lifescreen
Medacs Australia
Medibank Health Solutions
Northern Sydney Local Health District
Nursing and Allied Health Rural Locum Scheme
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffing
Quick and Easy Finance
TR7 Health
UK Pensions
Unified Healthcare Group
UK Pensions Wimmera Healthcare Group
Next Publication: Regional & Remote featurePublication Date: Monday 3rd February 2013
Colour Artwork Deadline: Tuesday 28th January 2013
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Issue 16–18 August 2014
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Advertiser List
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Alcohol Detoxification and Rehabilitation: challenges for health professionalsBy Glynis Thorp
A s health professionals we must never under-
estimate the dangers of alcohol withdrawal.
Alcohol is a central nervous system depressant
and abrupt cessation can overstimulate the auto-
nomic nervous system.
A respected doctor I had the pleasure of
learning from once told me a story which high-
lights the importance of recognizing and treating
alcohol withdrawal:
Imagine putting four people in a glass room
that you can see and hear through and sit back
and observe. One of these people is addicted
to opiates, the second is addicted to ampheta-
mines, the third is addicted to benzodiazepines
and the fourth is an alcoholic. Over a period of
time if deprived of their drug of choice they will
experience withdrawal. The person who is ad-
dicted to opiates will sweat profusely, have se-
vere stomach cramps and desperately beg you
to help them with pain relief so that they can start
to feel normal again. This is an important point
that we must remember: it is not to get high any-
more, it is to feel normal. The amphetamine ad-
dict will be very angry, probably hitting the walls
and demanding medication while they scratch at
their skin, causing abrasions. The person with a
benzodiazepine addiction will be very frightened,
shake, twitch and not be able to sleep. The alco-
holic will probably sit in a corner, terrified and su-
per sensitive to noise; have visual hallucinations;
feel like things are crawling over them; slump
over; and possibly have a fit and die.
It is important to remember that patients that
go through alcohol withdrawal under our care will
likely not have been admitted specifically for al-
cohol detoxification. Withdrawal is more likely to
be inadvertent due to illness and lack of access
to alcohol.
Withdrawal symptoms usually occur 6–24
hours after the last alcoholic drink (however this
can vary depending on the patient and the nature
and extent of their alcoholism). The signs of alco-
hol withdrawal include anxiety, agitation, sweat-
ing, tremor, nausea, vomiting, abdominal cramps,
diarrhea, craving, insomnia, elevated blood pres-
sure, elevated pulse and elevated temperature,
headaches, seizures, confusion, perceptual dis-
tortions, disorientation, hallucinations, delirium
tremens, arrhythmias and Wernicke’s Encepha-
lopathy (WE). WE symptoms include: opthalmo-
plegia, ataxia and confusion.
The scales used to monitor withdrawal in
Australia include:
• AWS,AlcoholWithdrawalScale
• CIWAAR-ClinicalInstituteWithdrawal
Assessment of Alcohol Scale (Ensure you
use the scale that is recommended by your
employer in their guidelines and policies and
procedures.)
Medications that may be prescribed to as-
sist patients suffering from alcohol detoxification
symptoms include:
• Anti-anxiety medicines (benzodiazepines
such as diazepam) which treat withdrawal
symptoms such as delirium tremens (DTs).
• Seizuremedicines to reduceorstopsevere
withdrawal symptoms during detoxification.
• Medicines for recovery include Disulfiram
(Antabuse), which makes the person sick
(vomit) if they consume alcohol.
• Naltrexone (ReVia, Vivitrol),which interferes
with the pleasure one gets from alcohol.
• Acamprosate (Campral), whichmay reduce
cravings for alcohol.
• Thiamine supplements are recommended.
Alcohol abuse can cause the body to be-
come low in certain vitamins and minerals
especially Thiamine (vitamin B1). Thiamine
helps prevent Wernicke-Korsa koff syndrome
which causes brain damage. (WE was first
identified in 1881 by the German neurologist
CarlWernicke,although the link toThiamine
wasnotdiscovereduntilthe1930s.Russian
psychiatristSergiKorsakoffdescribedasimi-
lar presentation in 1887-1891).
Patients and health professionals dealing
with alcohol detoxification will also face systemic
challenges, such as:
• Limitedaccesstorehabilitationcentres
• Significant distancebetween treatment and
rehabilitation centres, particularly in regional
and remote areas
• Navigating the rules and requirements that
rehabilitation centres impose prior to admis-
sion (which ensure a patient’s level of readi-
ness for change)
• Limited access to family support, as many
patients suffering from severe alcoholism
and requiring rehabilitation have often lost
contact with friends and family.
The prevalence of alcohol abuse and de-
pendence in our society means that as health
professionals many of us will be confronted with
alcohol withdrawal symptoms. It is vital that we
are familiar with the warning signs and symptoms
of alcohol withdrawal as mismanagement or the
absence of appropriate care can have severe
consequences.
References
Sydney Alcohol Treatment Group-http://
www.alcpharm.med.usyd.edu.au/ accessed
20102/8/2014.
Alcohol Detoxification and Rehabilitation: challenges for health professionalsBy Glynis Thorp
As health professionals we must never under-
estimate the dangers of alcohol withdrawal.
Alcohol is a central nervous system depressant
and abrupt cessation can overstimulate the auto-
nomic nervous system.
A respected doctor I had the pleasure of
learning from once told me a story which high-
lights the importance of recognizing and treating
alcohol withdrawal:
Imagine putting four people in a glass room
that you can see and hear through and sit back
and observe. One of these people is addicted
to opiates, the second is addicted to ampheta-
mines, the third is addicted to benzodiazepines
and the fourth is an alcoholic. Over a period of
time if deprived of their drug of choice they will
experience withdrawal. The person who is ad-
dicted to opiates will sweat profusely, have se-
vere stomach cramps and desperately beg you
to help them with pain relief so that they can start
to feel normal again. This is an important point
that we must remember: it is not to get high any-
more, it is to feel normal. The amphetamine ad-
dict will be very angry, probably hitting the walls
and demanding medication while they scratch at
their skin, causing abrasions. The person with a
benzodiazepine addiction will be very frightened,
shake, twitch and not be able to sleep. The alco-
holic will probably sit in a corner, terrified and su-
per sensitive to noise; have visual hallucinations;
feel like things are crawling over them; slump
over; and possibly have a fit and die.
It is important to remember that patients that
go through alcohol withdrawal under our care will
likely not have been admitted specifically for al-
cohol detoxification. Withdrawal is more likely to
be inadvertent due to illness and lack of access
to alcohol.
Withdrawal symptoms usually occur 6–24
hours after the last alcoholic drink (however this
can vary depending on the patient and the nature
and extent of their alcoholism). The signs of alco-
hol withdrawal include anxiety, agitation, sweat-
ing, tremor, nausea, vomiting, abdominal cramps,
diarrhea, craving, insomnia, elevated blood pres-
sure, elevated pulse and elevated temperature,
headaches, seizures, confusion, perceptual dis-
tortions, disorientation, hallucinations, delirium
tremens, arrhythmias and Wernicke’s Encepha-
lopathy (WE). WE symptoms include: opthalmo-
plegia, ataxia and confusion.
The scales used to monitor withdrawal in
Australia include:
•AWS,AlcoholWithdrawalScale
•CIWAAR-ClinicalInstituteWithdrawal
AssessmentofAlcoholScale(Ensureyou
use the scale that is recommended by your
employer in their guidelines and policies and
procedures.)
Medications that may be prescribed to as-
sist patients suffering from alcohol detoxification
symptoms include:
•Anti-anxietymedicines(benzodiazepines
such as diazepam) which treat withdrawal
symptoms such as delirium tremens (DTs).
•Seizuremedicinestoreduceorstopsevere
withdrawal symptoms during detoxification.
•MedicinesforrecoveryincludeDisulfiram
(Antabuse), which makes the person sick
(vomit) if they consume alcohol.
•Naltrexone(ReVia,Vivitrol),whichinterferes
with the pleasure one gets from alcohol.
•Acamprosate(Campral),whichmayreduce
cravings for alcohol.
•Thiaminesupplementsarerecommended.
Alcohol abuse can cause the body to be-
come low in certain vitamins and minerals
especially Thiamine (vitamin B1). Thiamine
helps prevent Wernicke-Korsa koff syndrome
which causes brain damage. (WE was first
identified in 1881 by the German neurologist
CarlWernicke,althoughthelinktoThiamine
wasnotdiscovereduntilthe1930s.Russian
psychiatristSergiKorsakoffdescribedasimi-
lar presentation in 1887-1891).
Patients and health professionals dealing
with alcohol detoxification will also face systemic
challenges, such as:
•Limitedaccesstorehabilitationcentres
•Significantdistancebetweentreatmentand
rehabilitation centres, particularly in regional
and remote areas
•Navigatingtherulesandrequirementsthat
rehabilitation centres impose prior to admis-
sion (which ensure a patient’s level of readi-
ness for change)
•Limitedaccesstofamilysupport,asmany
patients suffering from severe alcoholism
andrequiringrehabilitationhaveoftenlost
contact with friends and family.
The prevalence of alcohol abuse and de-
pendence in our society means that as health
professionals many of us will be confronted with
alcohol withdrawal symptoms. It is vital that we
are familiar with the warning signs and symptoms
of alcohol withdrawal as mismanagement or the
absence of appropriate care can have severe
consequences.
References
SydneyAlcoholTreatmentGroup-http://
www.alcpharm.med.usyd.edu.au/accessed
20102/8/2014.
416-033 1/2PG FULL COLOUR CMYK PDF
News in brief:Clotting drug may aid hip patientsGiving hip or knee replacement patients
a clotting drug may reduce the need for a
blood transfusion during surgery, experts
say. - tinyurl.com/kygr88q
Psychology leader develops app for headachesAn international authority on the treatment
of headache pain is leading the research into
the use of the app, which acts as an elec-
tronic diary to record ratings of headache
pain. - tinyurl.com/nr37unp
Swine flu cases rising in AustraliaNearly 21,000 cases of flu have been con-
firmed in Australia so far this year, double
the number of cases at this time last year.
- tinyurl.com/ltqf4pz
Healthy ways of coping with night workNight workers who have trouble sleeping
after their shifts shouldn’t rely on sleeping
pills, a German psychologist warns.
- tinyurl.com/oy4b6l7
Cancer survivors face challengesWhen GP Elysia Thornton-Benko suspected
something wasn’t quite right with her body
she did everything she tells her patients not
to - ignored the symptoms and carried on.
- tinyurl.com/m7roz7y
__________________________________
For more news and articles on nursing and allied health visit our website:
www.ncah.com.au
CYAN MAGENTA YELLOW BLACK CYAN MAGENTA YELLOW BLACK
Page 30 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 3
Page 6 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 27
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• Solid nursing background for health check services (min 2yrs post grad) • Solid venepuncture experience for blood screening services (min 2yrs exp)• Excellent general medical knowledge and terminology• Professional presentation and communication, along with impressive time management skills• Current CPR Certification• National Police Check• ABN• Nurse Immunisation certificate for all nurse immunisers
Danielle Le Fevre
Looking for Nurses, Paramedics and Pathology Collectors
Tasmanian nurses and midwives plan industrial action
Tasmania’s nurses and midwives will remove
goodwill in their planned industrial action as the
state government considers introducing a public
sector wage freeze.
The move comes after the Australian Nursing
and Midwifery Federation’s (ANMF) Tasmanian
branch recently met with members across the
state to endorse a log of claims, as it prepares
to negotiate a new EBA for public sector nurses
and midwives.
The ANMF is also joining forces with other
unions to hold ‘bust the budget’ rallies on August
28 at Parliament House in Hobart and on Sep-
tember 4 at both Devonport and Launceston.
ANMF branch secretary Neroli Ellis said
members will put a halt to unpaid administra-
tion work in hospitals from August 25, in a move
designed to put pressure on the system without
impacting on patients.
“If you take the goodwill of nurses and mid-
wives out of the system, it will put a lot of pres-
sure on the system, particularly around the ad-
min - computer entries, computerised admission
systems, etcetera, so potentially they may have
to employ more admin staff after hours,” she told
abc.net.au.
Ms Ellis was unavailable for comment at
the time of publication but the branch’s website
states the government’s proposed wage freeze
amounts to a “real wage cut” for nurses and mid-
wives.
“Inflation and the price of goods and services
continues to rise and your salary buys less over
time - the value of what you earn is cut,” it states.
The government has proposed a one-year
wage freeze for all public servants, followed by a
move to two per cent increases, in a bid to save
$50 million a year and safeguard around 500 jobs.
The freeze will take affect when the legisla-
tion passes both houses of the Tasmanian parlia-
ment, which the union fears could occur as soon
as October.
“The government has the constitutional pow-
er to rip up contracts with its public sector work-
ers through legislation,” the ANMF branch states.
“It’s a radical unprecedented action but if
they can get special legislation through both
houses of state parliament, then they have the
ultimate power over your wages and conditions.”
The branch is also fighting legislation, which
has already passed the Lower House, that aims
to outlaw reasonable protest action.
The union states the new legislation includes
penalties such as $10,000 on-the-spot fines and
three-month mandatory jail terms for disrupting
workplaces.
“We’re seeking legal advice about the impli-
cations of this legislation and what it could mean
for ANMF (Tas branch) members and activities in
education and training workplaces.”416-006 1/4PG PDF414-007 1/4PG PDF412-007 1/4PG PDF411-036 1/4PG PDF410-015 1/4PG PDF408-011 1/4PG PDF
CPD Nurses Phone APP!Log diary to record
your educationwww.cpdnursing.com.au
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Is patient safetyyour passion?Improve the quality of care and safety of patients in your organisation with the Master of Quality Services (Health and Safety) at the University of Tasmania. Available fully online, this is a unique new degree developed in response to industry demands - a course that will open up a world of opportunities to experienced clinicians and health professionals like you.
For more information, email: [email protected] or phone 13UTAS
Applications now open.
utas.edu.au/2014 | 13UTAS
USRM12684rj CRICOS Provider Code: 00586B *Academic Ranking of World Universities 2013
Tomorrow starts today.
More graduate nursing training places needed
The New Zealand government’s move to
fund an extra 200 places in the nurse entry
to practice program will still leave hundreds of
trained nurses without work, according to nurses.
The New Zealand Nurses Organisation
(NZNO) is calling for the government to fund a
one-year Nurse Entry to Practice (NEtP) program
for all new graduate nurses, and has launched a
petition which has received more than 7000 sig-
natures.
NZNO acting professional services man-
ager Hilary Graham-Smith said while an extra
200 graduates will receive essential support and
mentorship, others will miss out on the vital train-
ing.
“Two hundred new NEtP positions still leaves
too many nurse graduates without support,” she
said.
“These new positions do not start until 2015
by which time there will be another cohort of
graduates, meaning more new grads in the mar-
ket for places and a talent pool currently sitting
at around more than 400 trained nurses without
work.”
The petition was launched after concerns
that large numbers of graduate nurses are failing
to secure work in a clinical setting due to a limited
number of NEtP program places while employers
are also seeking candidates with experience.
Health Minister Tony Ryall said up to 200 ad-
ditional places will be created in the program,
taking the total number of places to 1300, and
comes at a cost of $2.8 million.
Mr Ryall said 160 of the places will be created
at public hospitals and district health board-funded
community health services while 40 places will be
based at aged care facilities across the country.
“Nurses are at the frontline of care providing
round-
the-clock
care and sup-
port to patients
and their families,” he
said in a statement.
“As our ageing population grows and de-
mand on health services increases, we need even
more nurses working in our communities.”
Mr Ryall also recently announced $1.5 million
to fund an extra 25 scholarships for nurse gradu-
ates to work in general practices in some of the
country’s high needs communities next year.
Under the scholarships, 48 graduate nurses
are this year working in Very Low Cost Access
(VLCA) practices.
“This was the first time scholarships like this
has ever been offered,” he said.
“The feedback from general practices and
graduate nurses has been so positive we are in-
vesting extra money to offer scholarships again
next year.”
The recruitment process for the 12-month
scholarships begins this month.
Leave a comment on this and other articles by visiting the ‘news’ section
of our website: www.ncah.com.au
To go to the article “More graduate nursing training places needed”
directly, visit: http://bit.ly/1A92cq1
CYAN MAGENTA YELLOW BLACKCYAN MAGENTA YELLOW BLACK
Page 26 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 7
Page 10 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 23
416-007 1PG FULL COLOUR CMYK PDF415-011 1PG FULL COLOUR CMYK PDF414-009 1PG FULL COLOUR CMYK PDF413-013 1PG FULL COLOUR CMYK PDF412-010 1PG FULL COLOUR CMYK PDF411-017 1PG FULL COLOUR CMYK PDF409-036 1PG FULL COLOUR CMYK PDF408-012 1PG FULL COLOUR CMYK PDF407-034 1PG FULL COLOUR CMYK PDF
Act now!
2015 deadline
announced
The UK Government has announced new restrictions from next April on civil servants (NHS, Police etc.) being able to transfer their pensions to Australia. This may also be expanded to the private sector.
It is now still possible to transfer for more detail contact UKPTA
CALL US TODAY ON (08) 9309 [email protected]
416- 034 1PG FULL COLOUR CMYK PDF
Adelaide’s city centre is surrounded by parklands and is a blend of historic buildings, wide streets, parklands, cafes and restaurants. Adelaide is easy to get around with rolling hills to the east and beaches to the west. With a population of slightly more than one million, Adelaide is the “20 minute city”. The airport is only seven kilometres from Adelaide city. The Adelaide Hills and major beaches are less than half an hour away by car. That’s what we call liveable! So what’s stopping you – apply today?
Registered Nurse - Theatre Scrub/Scout and Anaesthetics
Are you looking for a new challenge? Calvary Wakefield Hospital needs you! Calvary Wakefield Hospital is an extremely busy eight theatre suite with increasing utilisation. We have vacancies in Cardiac, Neuro and Orthopaedic and General surgery. We are looking to recruit registered Nurses with a minimum of two years experience in Scrub/Scout or Anaesthetics.
Successful applicants will possess:• Registration with AHPRA to practice as a Registered Nurse in Australia• A minimum of two years' experience as a Scrub/Scout or Anaesthetics• Strong interpersonal and communication skills • Proven ability to work effectively both in a team and autonomously • Intermediate computer skills • Full rights to work in Australia
Bene�ts include:• An attractive salary with on-call component • Salary packaging
Further information please contact:Kay McDonald, Peri-operative & Angio Service Manager Tel (08) 8412 2045 or Email: [email protected]
Applications close: 30th September 2014
In the Tradition of the Sisters of the Little Company of Mary with values of hospitality healing, stewardship and respect
www.calvarysa.com.au 300 Wake�eld Street , Adelaide SA 5000
416-035 1PG FULL COLOUR CMYK PDF 415-026 1PG FULL COLOUR CMYK PDF
For more information and to apply, please visit careers.mercy.com.au
• Perioperative Services / Mercy Hospital for Women • Full time 76 hours/fortnight (Part time negotiable)
Mercy Health is a Catholic organisation employing over 5,000 people who provide compassionate and holistic care through our acute hospitals, aged care facilities, mental health programs, palliative and respite services, maternity and women’s health services, early parenting services and home care services.
An opportunity exists for a motivated and experienced Registered Nurse with Post Graduate qualifications in Perioperative nursing, to become part of our leadership team.
Our unit caters for women who require specialist surgical care in Obstetrics, Urogynaecology, Reproductive Medicine, Gynaecological Oncology, Endosurgery and General Gynaecology.
As a highly organised and motivated team member, you will possess excellent clinical and interpersonal skills coupled with a strong customer care focus.
This is a fantastic opportunity to join an award winning organisation and take the next step in your career. Attractive salary packaging benefits and a wide range of health and wellbeing initiatives are available.
Enquires to: Louise Alexander, Nurse Unit Manager, Perioperative Services on 8458 4108Quote Ref No: MHW 04Applications Close: Friday 15 August 2014
Associate Nurse Unit Manager Operating Suite (Grade 3B)
Health services
MERCY HEALTH: CARING FOR A LIVING
New camera technology for Victorian ambulances
Innovative reversing camera technology is
being rolled out in new ambulances across Vic-
toria.
The technology, designed to provide para-
medics driving ambulances with a clearer view
of the rear cabin, is already installed in about 50
new ambulances across the state.
Paramedics driving ambulances already view
reversing camera vision directly on the rear vision
mirror instead of on the dashboard.
Under the new system, the images on the
rear vision mirror will automatically switch from
reversing vision to the interior view of the rear
compartment when the ambulance is moved
from reverse into drive.
Ambulance Victoria says there is no camera
located in the back of the cabin, instead a cam-
era in the front of the vehicle provides the driver
with a view that’s the same perspective as the
rear vision mirror - albeit an improved view.
The camera does not record any images but
instead displays real-time images to the ambu-
lance driver.
The technology is being rolled out only in new
ambulances as they enter the fleet after a suc-
cessful trial of the technology in five ambulances
last September.
The Victorian initiative is possibly the first
time reverse camera technology has been used
to provide ambulance drivers with vision of the
rear ambulance compartment.
For the full article visit NCAH.com.au416-021 1/2PG FULL COLOUR CMYK PDF
CYAN MAGENTA YELLOW BLACK CYAN MAGENTA YELLOW BLACK
Page 24 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 9
Page 8 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 25
416-022 1PG FULL COLOUR CMYK PDF415-010 1PG FULL COLOUR CMYK PDF
Apply now to start study in 20141800 818 865une.edu.au/healthmanagement
Become a leader in health with UNEUNE prepares future health service managers, leaders and health policy makers to learn
and work within increasingly integrated, health care delivery systems. Our Master of Health
Management is a highly regarded program which provides the qualification necessary for
individual membership with the Australasian College of Health Services Management (ACHSM).
It is designed to give you the skills to innovate, lead and manage in complex regulatory
environments.
The Master of Health Management can be studied online, giving you the opportunity to obtain a
world-class qualification and the flexibility to balance study with your commitments.
Whether you are an allied health professional, nurse, medical practitioner, researcher
or policy analyst, UNE’s Health Management program will develop your knowledge and
skills to progress your professional career in health management.
416-015 1PG FULL COLOUR CMYK PDF
Apply online at:nswhealth.erecruit.com.au
N43668
Coffs Harbour is located on the North Coast of New South Wales, midway between Sydney and Brisbane with multiple daily fl ights to both capital cities. The area boasts superb beaches, mountain scenery, heritage listed rainforests, fi ne restaurants and a near idyllic climate. It is a family friendly area with outstanding schools and recreational facilities.
The Coffs Harbour Health Campus is a modern 208 bed facility which provides a broad range of specialty health care services. These include emergency medicine, intensive care, coronary care, general medicine, general surgery and orthopaedics, obstetrics/gynaecology, paediatrics, stroke and rehabilitation, renal and mental health and a wide range of clinical support services and community based services. Recent additions to the facility include the Coronary Angiography Unit and the North Coast Cancer Institute (NCCI) which provides oncology services, radiotherapy and breast screening. Come and enjoy the rewards of working as part of a highly dedicated team committed to the provision of world class health services.
Midwifery Unit Manager – Maternity ServicesLocation: Coffs Harbour Health Campus
• Provide management, clinical leadership and coordination of care within the Maternity Services• Promote the CORE values of MNCLHD and NSW Health, leading in a manner which encourages
the adoption of these standards in all staff• In consultation with midwifery and medical staff within the Maternity Services, develop the strategic
direction for the Maternity Services and inspire a shared sense of purpose amongst all staff
Enquiries: Joanne Uttley, (02) 6656 7024 or email [email protected]
Reference number: 201904
Closing date: 1 September 2014
The colour of wounds and its implication for healingBy Bonnie Fraser RN BSc, BNURS
Wounds are very common across the spec-
trum of health care settings, with a range of pres-
entations including traumatic or surgical wounds
and chronic wounds such as diabetic foot ulcers
and leg wounds (in particular venous stasis ulcers
and arterial ulcers), ischemic wounds (gangrene)
and pressure injuries. Less common wounds
may include vasculitic ulcers, necrotising fas-
ciitis, pyoderma gangrenosum and calciphylaxis.
With any wound it is important to understand
the aetiology in order to develop an appropriate
management plan, but also to properly manage
any comorbidities that may be associated with
the development of the wound or limit the healing
potential.Locally, the type of tissue in the wound
bed may give important clues about the stage of
healing or whether the wound will heal. Wound
assessment must therefore be holistic and incor-
porate key aspects of both the patient and the
wound to ensure the best possible outcome for
the individual. While holistic assessment is the
foundation for thorough wound assessment, this
article will focus on wound characteristics, in par-
ticular tissue types and the condition of the sur-
rounding skin.
Healthy SkinAs the outer layer of the body, skin provides a
protective barrier to environmental influences al-
lowing us to respond to a myriad of environmen-
tal stimuli. Skin forms an impervious barrier to
changing weather conditions as well as chemical
and bacterial assault. Skin contains thousands
of sensory nerve endings that detect changes
in temperature, pain and pressure, and facilitate
thermoregulation. Skin has metabolic functions
producing vitamin D in response to sunlight and
secreting salts through sweating. Skin plays
an important cosmetic role,influencing how we
view ourselves and communicate with others.
Any failure in skin integrity results in a wound.
All wounds, regardless of their cause and heal-
ing intention (discussed in a future article), must
progress through the stages of healing in order
to close and restore skin integrity. The following
provides a guide to understanding various tissue
types associated with wounds.
Tissue types and wound healingManagement of a patient’s wound will be de-
termined by the wound tissue present and exu-
dates. The different types of tissue can easily be
remembered by colour. Necrotic tissue, termed
eschar, is easily identified as black or dark brown
in colour. Eschar may be dry or moist and pre-
sents as thick and sometimes leathery necrotic
tissue cast off from the surface of the wound.
Eschar inhibits the proliferative and maturation
phases of wound healing by preventing the for-
mation of healthy granulation tissue and inhibit-
ing wound contraction and epithelialisation (new
skin growth).
Moist eschar supports bacterial growth in-
creasing the risk of infection and ideally should
be debrided. Dry eschar, on the other hand,
forms an impervious barrier to external micro-
bial contamination. In patients with compromised
circulation, for example patients with peripheral
arterial disease or diabetes, it is best to leave
the eschar in place until investigations can de-
termine the degree of arterial disease. Wounds
with a poor blood supply have minimal oxygen
and nutrients being delivered to the wound bed
and surrounding tissues, limiting wound healing
potential and removal of a dry eschar may cause
further deterioration of the wound and increase
the risk of infection.
Slough (also necrotic tissue) is a non-viable
fibrous yellow tissue(which may be pale,greenish
in colouror have a washed out appearance)
formed as a result of infection or damaged tis-
sue in the wound. The presence of slough may
indicate the wound is stuck in the inflammatory
phase (chronic wounds) or the body is attempting
to cleanthe wound bed in preparation for healing.
Slough is usually a combination of leucocytes,
bacteria, devitalised tissue or debris and usually
has a moist, shiny stringy appearance or may be
firmly attached to the wound bed.
Granulation tissue is a collagen rich
tissue forming at the site of an
injury during the proliferative
phase. As the wound heals
this tissue fills in the
wound deficit replacing
the blood clot formed
during haemosta-
sis and eventually
forming scar tissue.
Healthy granulation
tissue is bright red
with a grainy appear-
ance, due to the budding
or growth of new blood
vessels into the tissue. This
tissue is firm to touch and has a
shiny appearance. It is essential to pro-
tect the granulation tissue to allow the epitheliali-
sation process to proceed in order to close the
wound. Granulating wounds require adequate
tissue perfusion; a slightly acidic environment;
a stable wound temperature; good bioburden
control; moisture balance; a reduction of factors
which may prevent healing (e.g. the underlying
cause of the wound);and protection from physi-
cal trauma.
Hyper-granulation tissue (often called over-
granulation) is an excess of granulation tissue
over and above that required to fill the wound
cavity. Hyper-granulation tissue may appear dark
red and devitalised (due to poor oxygenation) or
pale due to lack of oxygen. Hyper-granulation tis-
sue inhibits the migration of epithelial cells across
the wound surface and increases the risk of scar
tissue formation by preventing the wound edges
from closing. Hyper-granulation tissue may be
the result of prolonged inflammation due to infec-
tion or the presence of an irritant or foreign body;
overuse of occlusive dressings; constant rubbing
of dressings or tubes against the skin causing an
inflammatory response (e.g. a peg tube or supra
pubic catheter); allergy to dressings; or imbal-
ance of cellular activities that regulate the pro-
duction of healthy tissue.
With any hyper-granulation
tissue it is important to iden-
tify and treat the cause and
to eliminate malignancy.
If occlusive dress-
ings have been used
change to a vapour
permeable dress-
ing. The application
of light pressure to
the wound bed using
a foam dressing with
tubigrip compression
may reduce the overgrowth
of tissue. Additionally, hyper-
tonic dressing (e.g. Mesalt) may
dehydrate the overgranulation. In case
of infection, antimicrobial dressings such as sil-
ver, iodosorb or medical honey may also help to
dehydrate the wound. Apply light pressure to the
wound bed. It is important to swab the wound
to determine bacterial burden and to eliminate
infection as a causative agent.
Epithelialisation is the regeneration of new
skin (epithelium) over a wound and signifies
the final stage of healing. Epithelial tissue, light
pink in colour, usually migrates inwards from the
wound margins or may appear as small islands of
tissue over the surface of the wound.
For the full article visit NCAH.com.au
The colour of wounds and its implication for healingBy Bonnie Fraser RN BSc, BNURS
Wounds are very common across the spec-
trum of health care settings, with a range of pres-
entations including traumatic or surgical wounds
and chronic wounds such as diabetic foot ulcers
and leg wounds (in particular venous stasis ulcers
and arterial ulcers), ischemic wounds (gangrene)
and pressure injuries. Less common wounds
may include vasculitic ulcers, necrotising fas-
ciitis, pyoderma gangrenosum and calciphylaxis.
With any wound it is important to understand
the aetiology in order to develop an appropriate
management plan, but also to properly manage
any comorbidities that may be associated with
the development of the wound or limit the healing
potential.Locally, the type of tissue in the wound
bed may give important clues about the stage of
healing or whether the wound will heal. Wound
assessment must therefore be holistic and incor-
porate key aspects of both the patient and the
wound to ensure the best possible outcome for
the individual. While holistic assessment is the
foundation for thorough wound assessment, this
article will focus on wound characteristics, in par-
ticular tissue types and the condition of the sur-
rounding skin.
Healthy SkinAs the outer layer of the body, skin provides a
protective barrier to environmental influences al-
lowing us to respond to a myriad of environmen-
tal stimuli. Skin forms an impervious barrier to
changing weather conditions as well as chemical
and bacterial assault. Skin contains thousands
of sensory nerve endings that detect changes
in temperature, pain and pressure, and facilitate
thermoregulation. Skin has metabolic functions
producing vitamin D in response to sunlight and
secreting salts through sweating. Skin plays
an important cosmetic role,influencing how we
view ourselves and communicate with others.
Any failure in skin integrity results in a wound.
All wounds, regardless of their cause and heal-
ing intention (discussed in a future article), must
progress through the stages of healing in order
to close and restore skin integrity. The following
provides a guide to understanding various tissue
types associated with wounds.
Tissue types and wound healingManagement of a patient’s wound will be de-
termined by the wound tissue present and exu-
dates. The different types of tissue can easily be
remembered by colour. Necrotic tissue, termed
eschar, is easily identified as black or dark brown
in colour. Eschar may be dry or moist and pre-
sents as thick and sometimes leathery necrotic
tissue cast off from the surface of the wound.
Eschar inhibits the proliferative and maturation
phases of wound healing by preventing the for-
mation of healthy granulation tissue and inhibit-
ing wound contraction and epithelialisation (new
skin growth).
Moist eschar supports bacterial growth in-
creasing the risk of infection and ideally should
be debrided. Dry eschar, on the other hand,
forms an impervious barrier to external micro-
bial contamination. In patients with compromised
circulation, for example patients with peripheral
arterial disease or diabetes, it is best to leave
the eschar in place until investigations can de-
termine the degree of arterial disease. Wounds
with a poor blood supply have minimal oxygen
and nutrients being delivered to the wound bed
and surrounding tissues, limiting wound healing
potential and removal of a dry eschar may cause
further deterioration of the wound and increase
the risk of infection.
Slough (also necrotic tissue) is a non-viable
fibrous yellow tissue(which may be pale,greenish
in colouror have a washed out appearance)
formed as a result of infection or damaged tis-
sue in the wound. The presence of slough may
indicate the wound is stuck in the inflammatory
phase (chronic wounds) or the body is attempting
to cleanthe wound bed in preparation for healing.
Slough is usually a combination of leucocytes,
bacteria, devitalised tissue or debris and usually
has a moist, shiny stringy appearance or may be
firmly attached to the wound bed.
Granulation tissue is a collagen rich
tissue forming at the site of an
injury during the proliferative
phase. As the wound heals
this tissue fills in the
wound deficit replacing
the blood clot formed
during haemosta-
sis and eventually
forming scar tissue.
Healthy granulation
tissue is bright red
with a grainy appear-
ance, due to the budding
or growth of new blood
vessels into the tissue. This
tissue is firm to touch and has a
shiny appearance. It is essential to pro-
tect the granulation tissue to allow the epitheliali-
sation process to proceed in order to close the
wound. Granulating wounds require adequate
tissue perfusion; a slightly acidic environment;
a stable wound temperature; good bioburden
control; moisture balance; a reduction of factors
which may prevent healing (e.g. the underlying
cause of the wound);and protection from physi-
cal trauma.
Hyper-granulation tissue (often called over-
granulation) is an excess of granulation tissue
over and above that required to fill the wound
cavity. Hyper-granulation tissue may appear dark
red and devitalised (due to poor oxygenation) or
pale due to lack of oxygen. Hyper-granulation tis-
sue inhibits the migration of epithelial cells across
the wound surface and increases the risk of scar
tissue formation by preventing the wound edges
from closing. Hyper-granulation tissue may be
the result of prolonged inflammation due to infec-
tion or the presence of an irritant or foreign body;
overuse of occlusive dressings; constant rubbing
of dressings or tubes against the skin causing an
inflammatory response (e.g. a peg tube or supra
pubic catheter); allergy to dressings; or imbal-
ance of cellular activities that regulate the pro-
duction of healthy tissue.
With any hyper-granulation
tissue it is important to iden-
tify and treat the cause and
to eliminate malignancy.
If occlusive dress-
ings have been used
change to a vapour
permeable dress-
ing. The application
of light pressure to
the wound bed using
a foam dressing with
tubigrip compression
may reduce the overgrowth
of tissue. Additionally, hyper-
tonic dressing (e.g. Mesalt) may
dehydrate the overgranulation. In case
of infection, antimicrobial dressings such as sil-
ver, iodosorb or medical honey may also help to
dehydrate the wound. Apply light pressure to the
wound bed. It is important to swab the wound
to determine bacterial burden and to eliminate
infection as a causative agent.
Epithelialisation is the regeneration of new
skin (epithelium) over a wound and signifies
the final stage of healing. Epithelial tissue, light
pink in colour, usually migrates inwards from the
wound margins or may appear as small islands of
tissue over the surface of the wound.
For the full article visit NCAH.com.au
CYAN MAGENTA YELLOW BLACKCYAN MAGENTA YELLOW BLACK
Page 24 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 9
Page 8 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 25
416-022 1PG FULL COLOUR CMYK PDF 415-010 1PG FULL COLOUR CMYK PDF
Apply now to start study in 20141800 818 865une.edu.au/healthmanagement
Become a leader in health with UNEUNE prepares future health service managers, leaders and health policy makers to learn
and work within increasingly integrated, health care delivery systems. Our Master of Health
Management is a highly regarded program which provides the qualification necessary for
individual membership with the Australasian College of Health Services Management (ACHSM).
It is designed to give you the skills to innovate, lead and manage in complex regulatory
environments.
The Master of Health Management can be studied online, giving you the opportunity to obtain a
world-class qualification and the flexibility to balance study with your commitments.
Whether you are an allied health professional, nurse, medical practitioner, researcher
or policy analyst, UNE’s Health Management program will develop your knowledge and
skills to progress your professional career in health management.
416-015 1PG FULL COLOUR CMYK PDF
Apply online at:nswhealth.erecruit.com.au
N43
668
Coffs Harbour is located on the North Coast of New South Wales, midway between Sydney and Brisbane with multiple daily fl ights to both capital cities. The area boasts superb beaches, mountain scenery, heritage listed rainforests, fi ne restaurants and a near idyllic climate. It is a family friendly area with outstanding schools and recreational facilities.
The Coffs Harbour Health Campus is a modern 208 bed facility which provides a broad range of specialty health care services. These include emergency medicine, intensive care, coronary care, general medicine, general surgery and orthopaedics, obstetrics/gynaecology, paediatrics, stroke and rehabilitation, renal and mental health and a wide range of clinical support services and community based services. Recent additions to the facility include the Coronary Angiography Unit and the North Coast Cancer Institute (NCCI) which provides oncology services, radiotherapy and breast screening. Come and enjoy the rewards of working as part of a highly dedicated team committed to the provision of world class health services.
Midwifery Unit Manager – Maternity ServicesLocation: Coffs Harbour Health Campus
• Provide management, clinical leadership and coordination of care within the Maternity Services• Promote the CORE values of MNCLHD and NSW Health, leading in a manner which encourages
the adoption of these standards in all staff• In consultation with midwifery and medical staff within the Maternity Services, develop the strategic
direction for the Maternity Services and inspire a shared sense of purpose amongst all staff
Enquiries: Joanne Uttley, (02) 6656 7024 or email [email protected]
Reference number: 201904
Closing date: 1 September 2014
The colour of wounds and its implication for healingBy Bonnie Fraser RN BSc, BNURS
Wounds are very common across the spec-
trum of health care settings, with a range of pres-
entations including traumatic or surgical wounds
and chronic wounds such as diabetic foot ulcers
and leg wounds (in particular venous stasis ulcers
and arterial ulcers), ischemic wounds (gangrene)
and pressure injuries. Less common wounds
may include vasculitic ulcers, necrotising fas-
ciitis, pyoderma gangrenosum and calciphylaxis.
With any wound it is important to understand
the aetiology in order to develop an appropriate
management plan, but also to properly manage
any comorbidities that may be associated with
the development of the wound or limit the healing
potential.Locally, the type of tissue in the wound
bed may give important clues about the stage of
healing or whether the wound will heal. Wound
assessment must therefore be holistic and incor-
porate key aspects of both the patient and the
wound to ensure the best possible outcome for
the individual. While holistic assessment is the
foundation for thorough wound assessment, this
article will focus on wound characteristics, in par-
ticular tissue types and the condition of the sur-
rounding skin.
Healthy SkinAs the outer layer of the body, skin provides a
protective barrier to environmental influences al-
lowing us to respond to a myriad of environmen-
tal stimuli. Skin forms an impervious barrier to
changing weather conditions as well as chemical
and bacterial assault. Skin contains thousands
of sensory nerve endings that detect changes
in temperature, pain and pressure, and facilitate
thermoregulation. Skin has metabolic functions
producing vitamin D in response to sunlight and
secreting salts through sweating. Skin plays
an important cosmetic role,influencing how we
view ourselves and communicate with others.
Any failure in skin integrity results in a wound.
All wounds, regardless of their cause and heal-
ing intention (discussed in a future article), must
progress through the stages of healing in order
to close and restore skin integrity. The following
provides a guide to understanding various tissue
types associated with wounds.
Tissue types and wound healingManagement of a patient’s wound will be de-
termined by the wound tissue present and exu-
dates. The different types of tissue can easily be
remembered by colour. Necrotic tissue, termed
eschar, is easily identified as black or dark brown
in colour. Eschar may be dry or moist and pre-
sents as thick and sometimes leathery necrotic
tissue cast off from the surface of the wound.
Eschar inhibits the proliferative and maturation
phases of wound healing by preventing the for-
mation of healthy granulation tissue and inhibit-
ing wound contraction and epithelialisation (new
skin growth).
Moist eschar supports bacterial growth in-
creasing the risk of infection and ideally should
be debrided. Dry eschar, on the other hand,
forms an impervious barrier to external micro-
bial contamination. In patients with compromised
circulation, for example patients with peripheral
arterial disease or diabetes, it is best to leave
the eschar in place until investigations can de-
termine the degree of arterial disease. Wounds
with a poor blood supply have minimal oxygen
and nutrients being delivered to the wound bed
and surrounding tissues, limiting wound healing
potential and removal of a dry eschar may cause
further deterioration of the wound and increase
the risk of infection.
Slough (also necrotic tissue) is a non-viable
fibrous yellow tissue(which may be pale,greenish
in colouror have a washed out appearance)
formed as a result of infection or damaged tis-
sue in the wound. The presence of slough may
indicate the wound is stuck in the inflammatory
phase (chronic wounds) or the body is attempting
to cleanthe wound bed in preparation for healing.
Slough is usually a combination of leucocytes,
bacteria, devitalised tissue or debris and usually
has a moist, shiny stringy appearance or may be
firmly attached to the wound bed.
Granulation tissue is a collagen rich
tissue forming at the site of an
injury during the proliferative
phase. As the wound heals
this tissue fills in the
wound deficit replacing
the blood clot formed
during haemosta-
sis and eventually
forming scar tissue.
Healthy granulation
tissue is bright red
with a grainy appear-
ance, due to the budding
or growth of new blood
vessels into the tissue. This
tissue is firm to touch and has a
shiny appearance. It is essential to pro-
tect the granulation tissue to allow the epitheliali-
sation process to proceed in order to close the
wound. Granulating wounds require adequate
tissue perfusion; a slightly acidic environment;
a stable wound temperature; good bioburden
control; moisture balance; a reduction of factors
which may prevent healing (e.g. the underlying
cause of the wound);and protection from physi-
cal trauma.
Hyper-granulation tissue (often called over-
granulation) is an excess of granulation tissue
over and above that required to fill the wound
cavity. Hyper-granulation tissue may appear dark
red and devitalised (due to poor oxygenation) or
pale due to lack of oxygen. Hyper-granulation tis-
sue inhibits the migration of epithelial cells across
the wound surface and increases the risk of scar
tissue formation by preventing the wound edges
from closing. Hyper-granulation tissue may be
the result of prolonged inflammation due to infec-
tion or the presence of an irritant or foreign body;
overuse of occlusive dressings; constant rubbing
of dressings or tubes against the skin causing an
inflammatory response (e.g. a peg tube or supra
pubic catheter); allergy to dressings; or imbal-
ance of cellular activities that regulate the pro-
duction of healthy tissue.
With any hyper-granulation
tissue it is important to iden-
tify and treat the cause and
to eliminate malignancy.
If occlusive dress-
ings have been used
change to a vapour
permeable dress-
ing. The application
of light pressure to
the wound bed using
a foam dressing with
tubigrip compression
may reduce the overgrowth
of tissue. Additionally, hyper-
tonic dressing (e.g. Mesalt) may
dehydrate the overgranulation. In case
of infection, antimicrobial dressings such as sil-
ver, iodosorb or medical honey may also help to
dehydrate the wound. Apply light pressure to the
wound bed. It is important to swab the wound
to determine bacterial burden and to eliminate
infection as a causative agent.
Epithelialisation is the regeneration of new
skin (epithelium) over a wound and signifies
the final stage of healing. Epithelial tissue, light
pink in colour, usually migrates inwards from the
wound margins or may appear as small islands of
tissue over the surface of the wound.
For the full article visit NCAH.com.au
The colour of wounds and its implication for healingBy Bonnie Fraser RN BSc, BNURS
Wounds are very common across the spec-
trum of health care settings, with a range of pres-
entations including traumatic or surgical wounds
and chronic wounds such as diabetic foot ulcers
and leg wounds (in particular venous stasis ulcers
and arterial ulcers), ischemic wounds (gangrene)
and pressure injuries. Less common wounds
may include vasculitic ulcers, necrotising fas-
ciitis, pyoderma gangrenosum and calciphylaxis.
With any wound it is important to understand
the aetiology in order to develop an appropriate
management plan, but also to properly manage
any comorbidities that may be associated with
the development of the wound or limit the healing
potential.Locally, the type of tissue in the wound
bed may give important clues about the stage of
healing or whether the wound will heal. Wound
assessment must therefore be holistic and incor-
porate key aspects of both the patient and the
wound to ensure the best possible outcome for
the individual. While holistic assessment is the
foundation for thorough wound assessment, this
article will focus on wound characteristics, in par-
ticular tissue types and the condition of the sur-
rounding skin.
Healthy SkinAs the outer layer of the body, skin provides a
protective barrier to environmental influences al-
lowing us to respond to a myriad of environmen-
tal stimuli. Skin forms an impervious barrier to
changing weather conditions as well as chemical
and bacterial assault. Skin contains thousands
of sensory nerve endings that detect changes
in temperature, pain and pressure, and facilitate
thermoregulation. Skin has metabolic functions
producing vitamin D in response to sunlight and
secreting salts through sweating. Skin plays
an important cosmetic role,influencing how we
view ourselves and communicate with others.
Any failure in skin integrity results in a wound.
All wounds, regardless of their cause and heal-
ing intention (discussed in a future article), must
progress through the stages of healing in order
to close and restore skin integrity. The following
provides a guide to understanding various tissue
types associated with wounds.
Tissue types and wound healingManagement of a patient’s wound will be de-
termined by the wound tissue present and exu-
dates. The different types of tissue can easily be
remembered by colour. Necrotic tissue, termed
eschar, is easily identified as black or dark brown
in colour. Eschar may be dry or moist and pre-
sents as thick and sometimes leathery necrotic
tissue cast off from the surface of the wound.
Eschar inhibits the proliferative and maturation
phases of wound healing by preventing the for-
mation of healthy granulation tissue and inhibit-
ing wound contraction and epithelialisation (new
skin growth).
Moist eschar supports bacterial growth in-
creasing the risk of infection and ideally should
be debrided. Dry eschar, on the other hand,
forms an impervious barrier to external micro-
bial contamination. In patients with compromised
circulation, for example patients with peripheral
arterial disease or diabetes, it is best to leave
the eschar in place until investigations can de-
termine the degree of arterial disease. Wounds
with a poor blood supply have minimal oxygen
and nutrients being delivered to the wound bed
and surrounding tissues, limiting wound healing
potential and removal of a dry eschar may cause
further deterioration of the wound and increase
the risk of infection.
Slough (also necrotic tissue) is a non-viable
fibrous yellow tissue(which may be pale,greenish
in colouror have a washed out appearance)
formed as a result of infection or damaged tis-
sue in the wound. The presence of slough may
indicate the wound is stuck in the inflammatory
phase (chronic wounds) or the body is attempting
to cleanthe wound bed in preparation for healing.
Slough is usually a combination of leucocytes,
bacteria, devitalised tissue or debris and usually
has a moist, shiny stringy appearance or may be
firmly attached to the wound bed.
Granulation tissue is a collagen rich
tissue forming at the site of an
injury during the proliferative
phase. As the wound heals
this tissue fills in the
wound deficit replacing
the blood clot formed
during haemosta-
sis and eventually
forming scar tissue.
Healthy granulation
tissue is bright red
with a grainy appear-
ance, due to the budding
or growth of new blood
vessels into the tissue. This
tissue is firm to touch and has a
shiny appearance. It is essential to pro-
tect the granulation tissue to allow the epitheliali-
sation process to proceed in order to close the
wound. Granulating wounds require adequate
tissue perfusion; a slightly acidic environment;
a stable wound temperature; good bioburden
control; moisture balance; a reduction of factors
which may prevent healing (e.g. the underlying
cause of the wound);and protection from physi-
cal trauma.
Hyper-granulation tissue (often called over-
granulation) is an excess of granulation tissue
over and above that required to fill the wound
cavity. Hyper-granulation tissue may appear dark
red and devitalised (due to poor oxygenation) or
pale due to lack of oxygen. Hyper-granulation tis-
sue inhibits the migration of epithelial cells across
the wound surface and increases the risk of scar
tissue formation by preventing the wound edges
from closing. Hyper-granulation tissue may be
the result of prolonged inflammation due to infec-
tion or the presence of an irritant or foreign body;
overuse of occlusive dressings; constant rubbing
of dressings or tubes against the skin causing an
inflammatory response (e.g. a peg tube or supra
pubic catheter); allergy to dressings; or imbal-
ance of cellular activities that regulate the pro-
duction of healthy tissue.
With any hyper-granulation
tissue it is important to iden-
tify and treat the cause and
to eliminate malignancy.
If occlusive dress-
ings have been used
change to a vapour
permeable dress-
ing. The application
of light pressure to
the wound bed using
a foam dressing with
tubigrip compression
may reduce the overgrowth
of tissue. Additionally, hyper-
tonic dressing (e.g. Mesalt) may
dehydrate the overgranulation. In case
of infection, antimicrobial dressings such as sil-
ver, iodosorb or medical honey may also help to
dehydrate the wound. Apply light pressure to the
wound bed. It is important to swab the wound
to determine bacterial burden and to eliminate
infection as a causative agent.
Epithelialisation is the regeneration of new
skin (epithelium) over a wound and signifies
the final stage of healing. Epithelial tissue, light
pink in colour, usually migrates inwards from the
wound margins or may appear as small islands of
tissue over the surface of the wound.
For the full article visit NCAH.com.au
CYAN MAGENTA YELLOW BLACK CYAN MAGENTA YELLOW BLACK
Page 26 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 7
Page 10 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 23
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Act now!
2015 deadline
announced
The UK Government has announced new restrictions from next April on civil servants (NHS, Police etc.) being able to transfer their pensions to Australia. This may also be expanded to the private sector.
It is now still possible to transfer for more detail contact UKPTA
CALL US TODAY ON (08) 9309 [email protected]
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Adelaide’s city centre is surrounded by parklands and is a blend of historic buildings, wide streets, parklands, cafes and restaurants. Adelaide is easy to get around with rolling hills to the east and beaches to the west. With a population of slightly more than one million, Adelaide is the “20 minute city”. The airport is only seven kilometres from Adelaide city. The Adelaide Hills and major beaches are less than half an hour away by car. That’s what we call liveable! So what’s stopping you – apply today?
Registered Nurse - Theatre Scrub/Scout and Anaesthetics
Are you looking for a new challenge? Calvary Wakefield Hospital needs you! Calvary Wakefield Hospital is an extremely busy eight theatre suite with increasing utilisation. We have vacancies in Cardiac, Neuro and Orthopaedic and General surgery. We are looking to recruit registered Nurses with a minimum of two years experience in Scrub/Scout or Anaesthetics.
Successful applicants will possess:• Registration with AHPRA to practice as a Registered Nurse in Australia• A minimum of two years' experience as a Scrub/Scout or Anaesthetics• Strong interpersonal and communication skills • Proven ability to work effectively both in a team and autonomously • Intermediate computer skills • Full rights to work in Australia
Bene�ts include:• An attractive salary with on-call component • Salary packaging
Further information please contact:Kay McDonald, Peri-operative & Angio Service Manager Tel (08) 8412 2045 or Email: [email protected]
Applications close: 30th September 2014
In the Tradition of the Sisters of the Little Company of Mary with values of hospitality healing, stewardship and respect
www.calvarysa.com.au 300 Wake�eld Street , Adelaide SA 5000
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For more information and to apply, please visit careers.mercy.com.au
• Perioperative Services / Mercy Hospital for Women • Full time 76 hours/fortnight (Part time negotiable)
Mercy Health is a Catholic organisation employing over 5,000 people who provide compassionate and holistic care through our acute hospitals, aged care facilities, mental health programs, palliative and respite services, maternity and women’s health services, early parenting services and home care services.
An opportunity exists for a motivated and experienced Registered Nurse with Post Graduate qualifications in Perioperative nursing, to become part of our leadership team.
Our unit caters for women who require specialist surgical care in Obstetrics, Urogynaecology, Reproductive Medicine, Gynaecological Oncology, Endosurgery and General Gynaecology.
As a highly organised and motivated team member, you will possess excellent clinical and interpersonal skills coupled with a strong customer care focus.
This is a fantastic opportunity to join an award winning organisation and take the next step in your career. Attractive salary packaging benefits and a wide range of health and wellbeing initiatives are available.
Enquires to: Louise Alexander, Nurse Unit Manager, Perioperative Services on 8458 4108Quote Ref No: MHW 04Applications Close: Friday 15 August 2014
Associate Nurse Unit Manager Operating Suite (Grade 3B)
Health services
MERCY HEALTH: CARING FOR A LIVING
New camera technology for Victorian ambulances
Innovative reversing camera technology is
being rolled out in new ambulances across Vic-
toria.
The technology, designed to provide para-
medics driving ambulances with a clearer view
of the rear cabin, is already installed in about 50
new ambulances across the state.
Paramedics driving ambulances already view
reversing camera vision directly on the rear vision
mirror instead of on the dashboard.
Under the new system, the images on the
rear vision mirror will automatically switch from
reversing vision to the interior view of the rear
compartment when the ambulance is moved
from reverse into drive.
Ambulance Victoria says there is no camera
located in the back of the cabin, instead a cam-
era in the front of the vehicle provides the driver
with a view that’s the same perspective as the
rear vision mirror - albeit an improved view.
The camera does not record any images but
instead displays real-time images to the ambu-
lance driver.
The technology is being rolled out only in new
ambulances as they enter the fleet after a suc-
cessful trial of the technology in five ambulances
last September.
The Victorian initiative is possibly the first
time reverse camera technology has been used
to provide ambulance drivers with vision of the
rear ambulance compartment.
For the full article visit NCAH.com.au 416-021 1/2PG FULL COLOUR CMYK PDF
CYAN MAGENTA YELLOW BLACKCYAN MAGENTA YELLOW BLACK
Page 22 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 11
Page 14 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 19
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Salt injection ‘kills cancer cells’Scientists have created a molecule that can
cause cancer cells to die by carrying sodium and
chloride ions into the cells.
Scientists have created a technique which
can cause cancer cells to self-destruct by inject-
ing them with salt.
Researchers from the University of South-
ampton are part of an international team that has
helped to create a molecule that can cause can-
cer cells to die by carrying sodium and chloride
ions into the cells.
Synthetic ion transporters have been created
before but this is the first time researchers have
demonstrated how an influx of salt into a cell trig-
gers cell death.
These synthetic ion transporters, described
this week in the journal Nature Chemistry, could
point the way to new anti-cancer drugs while also
benefiting patients with cystic fibrosis.
“This work shows how chloride transport-
ers can work with sodium channels in cell mem-
branes to cause an influx of salt into a cell. We
found we can trigger cell death with salt,” said
study co-author Professor Philip Gale, of the Uni-
versity of Southampton.
Cells in the human body work hard to main-
tain a stable concentration of ions inside their
cell membranes. Disruption of this delicate bal-
ance can trigger cells to go through apoptosis,
known as programmed cell death, a mechanism
the body uses to rid itself of damaged or danger-
ous cells.
One way of destroying cancer cells is to trig-
ger this self-destruct sequence by changing the
ion balance in cells.
For the full article visit NCAH.com.au 416-001 1/2PG FULL COLOUR CMYK PDF
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London - no ordinary challenge for paramedicsIt’s one of the world’s most famous cities with landmarks such as Tower Bridge, Big Ben, Buckingham Palace and The Shard. It’s also home to one of the busiest ambulance services in the world - and it wants our paramedics. By Karen Keast
London has always been a working destina-
tion for Australians and New Zealanders.
While the London Ambulance Service has
long attracted Aussie and Kiwi paramedics
searching for a career change, now,
for the first time, the organisa-
tion is actively recruiting
paramedics from either
side of the Tasman
divide.
The service
will send a team
to interview
and assess
paramedics in
Australia and
New Zealand
next month as it
works to bridge
its paramedic short-
age.
London Ambulance
Service operations director
Jason Killens says the organisa-
tion hasn’t recruited from overseas before.
“This is an unique opportunity for Australian
paramedics,” he says.
“There is a national shortage of paramedics
in the UK and therefore we are looking to recruit
paramedics from Australia and New Zealand as
their skills and training closely match those in the
UK.
“I’d urge them to apply now for a chance to
work for the world’s busiest ambulance service in
one of the most famous cities in the world.”
The London Ambulance Service is home to
4,500 employees, with 3,300 frontline staff work-
ing across 70 ambulance stations spanning 620
square miles, from Heathrow in the west to Up-
minster in the east, and from Enfield in the north
to Purley in the south.
It receives around 4,000 calls a day, and
almost a quarter of those are immediately life-
threatening.
The organisation this year launched its re-
cruitment campaign, ‘London - no ordinary chal-
lenge’, as it works to fill about 250 vacancies for
registered paramedics.
Its recruitment website reveals London par-
amedics face unique challenges ranging from
open chest surgery at the side of the road to tak-
ing patients to hospital by boat.
Paramedics have the opportunity to work
amid all walks of London life via the service’s fast
response cars, as a flight paramedic and in its
cycle response unit.
“We respond to emergencies as quickly as
possible and deliver the highest level of care…in
the air, on the road, by foot,” it states.
Mr Killens says the London Ambulance Ser-
vice has changed a lot since he started.
“There’s now a clear career development
structure in place,” he says.
“But the qualities needed to succeed are the
same - persistence, personal resilience and the
ability to seize every opportunity you can.”
Those wanting to apply for the positions
must be at a paramedic level.
“We accept applications if they are current-
ly completing a paramedic science degree or
equivalent,” Mr Killens says.
“All applicants will need to obtain UK para-
medic registration before joining – but they can
still apply while their registration is in process.”
During assessments, candidates will need
to demonstrate their knowledge and decision-
making ability.
Mr Killens says candidates are first required
to take a multiple choice clinical assessment pa-
per on areas ranging from anatomy to advanced
life support and trauma.
“This is followed by a lifting assessment and,
finally, they will do a practical assessment on ad-
vanced life support,” he says.
“Candidates will be observed on how safe,
effective and logical their decision-making is
while working in a team.
“They will also be interviewed by someone
from human resources along with an operational
team member.”
Mr Killens says the service has so far re-
ceived about 100 applications from across Aus-
tralia and New Zealand and he expects all suit-
able candidates will receive a job offer.
“We expect to be able to offer a job to eve-
ryone who is successful at the interview and as-
sessment,” he says.
“A team from the service will be in Australia and New Zealand in September for interviews and assessments and by the end of the day paramedics could walk away with a job in London.
“We expect to complete the process of re-
ceiving their references, pre-employment checks
and their UK registration by December, with their
start date in January after been granted a visa.”
The service is offering candidates support
with their application, visa and relocation costs,
while it will also cover the Health and Care Pro-
fessions Council paramedic registration fee.
Paramedics who secure jobs will be required
to complete a short conversion course enabling
them to treat patients in the UK.
Mr Killens says the full training package will
enable paramedics to operate as registered para-
medics in London.
“This will include a conversion course, blue
light driving, responding to incidents on the Lon-
don Underground and an operational placement
as a third person with an ambulance crew.”
The London Ambulance Service will attend
the PAIC conference on the Gold Coast, from
September 18-20 September, running interviews
and assessments, and answering questions.
The service will also visit Sydney from Sep-
tember 8-9, Adelaide from 12-13, Melbourne
from 15-16, and Auckland from September 12-
13.
Paramedics wanting to apply can visit www.
noordinarychallenge.com, and for more informa-
tion can visit the London Ambulance Service’s
Facebook at www.facebook.com/noordinary-
challenge or speak to a member of the recruit-
ment team by emailing recruitment@londonam-
bulance.nhs.uk.
Doctors urged to spot rheumatic fever
Indigenous people are at increased risk of
contracting acute rheumatic fever, which is pre-
ventable but leads to deadly heart disease if un-
detected.
When Kenya McAdam’s joints started hurting
when she was 15, she thought it was due to a
recent soccer game, or growing pains.
But within a week she had been rushed from
Kununurra in the Kimberley to a Darwin hospital,
where she suffered a cardiac arrest.
She was diagnosed with rheumatic heart dis-
ease (RHD) and underwent heart surgery, which
she may need every decade for the rest of her life.
Australia has one of the highest rates of RHD
in the world, with indigenous people 64 times
more likely to contract it as a result of weakened
immune systems due to poverty and deprivation.
A seminar being held in Darwin this week is
training health workers to be on the lookout for
the preventable illness.
Acute rheumatic fever is caused by a reaction to a streptococcus bacteria, in-flaming the heart, joints, brain and skin, and if untreated it can cause RHD, where the heart valves are stretched or scarred, interrupting blood flow.
“I didn’t realise how sick I was at first, and
then when I was told, I went `wow’. All of that
inside of me and I didn’t even know,” Kenya, now
18, told AAP on Tuesday.
Her mother Cherie says she had persistent
sore throats as a child, which are a symptom of
the disease that doctors failed to diagnose.
Kenya’s brother Luke has rheumatic fever
and her youngest sister Mercii has a congenital
heart condition.
Many Australian medical professionals have
never seen a case of acute rheumatic fever because
it has largely been eradicated in urban settings,
said Professor Bart Currie, director of RHD Aus-
tralia.
Almost half a million new cases are identified
each year around the world, especially in the Pa-
cific region, and it kills 230,000 people annually.
Cherie and Kenya are urging health profes-
sionals to be more aware.
“Women, we share the same heartbeat as our
kid,” Cherie said.
“We know when something is up ... If she
keeps coming back (to the doctor) you listen to
her, and dig deeper.”
An earlier diagnosis might have prevented
Kenya’s condition becoming the disease, which
will limit her in terms of employment and physical
activity, Cherie said.
Experts are also converging in Darwin for the
largest study on RHD and pregnancy conducted
across Australia and New Zealand.
The disease is often undiagnosed but is un-
masked by pregnancy when women’s hearts are
under stress, and can make them very unwell.
The study is ongoing, but preliminary results
show that a limited access to specialist health
care in remote communities, a high turnover of
staff and multiple layers of health records are
preventing pregnant women from getting the care
they need.
But in Kununurra now when children present
with sore throats, they immediately receive in-
jections to battle possible rheumatic fever, said
Cherie.
“We’ve been instigators of change for the
better so other families don’t have to go through
what we’ve been through,” she said.
Copyright AAP 2014
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INGRID TERESA PRYDE
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CYAN MAGENTA YELLOW BLACK CYAN MAGENTA YELLOW BLACK
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• Up to 12 week assignments (or longer).• Living & caring for people in their homes.• Board & lodgings on assignment.• Dormitory accommodation provided whilst undertaking your initial UK training• Professional and friendly support.
In you are interested in this exciting opportunity and you are eligable to work in the UK, email
START YOUR OE EXPERIENCE
OXFORD AUNTS CAN HELP YOU WORK AND TRAVELIN THE UK AND BEYOND!
Caregivers
Website: www.oxfordaunts.co.ukPhone: +44 1865 791017
Do you want to work and travel?Pay plus holiday pay based on your experienceHave care-giving experience or have trained as a nurse?Are you eligible to work in the UK by virtue of youth mobility, ancestry Visa or EU Passport?
OxfordAunts Care
Support for Noarlunga Hospital nurses
Nurses working at an Adelaide hospital have
been offered counselling and support after a
patient was charged with the murder of another
patient.
South Australia Police have arrested and
charged a 23-year-old Woodcroft man with mur-
der after the death of a man, aged in his 40s, at
the Noarlunga Hospital.
A nurse doing her rounds at the Morier Ward
of the hospital found a man collapsed around
1am on August 12.
He was unable to be revived and was pro-
nounced dead.
Australian Nursing and Midwifery Federa-
tion South Australian branch secretary Adj Assoc
Professor Elizabeth Dabars AM said nurses who
work at the ward are receiving support.
“Our understanding is the nurses, whilst of
course it’s been quite a shocking experience,
have at least been getting some appropriate sup-
port from their managers,” she said.
“That includes some appropriate offers of
counselling, and also getting people home in an
appropriate way rather than expecting them to
drive in a state of shock.
“The support that’s been offered by manage-
ment has been positive and one that we’ve wel-
comed.
“Obviously our hearts and minds also go out
to those who are affected and have been involved
in this situation.”
In a statement, Southern Adelaide Local
Health Network chief executive officer Belinda
Moyes said the incident took place in a contained
area of the health service.
For the full article visit NCAH.com.au
416-032 1PG FULL COLOUR CMYK PDF
Opportunity.Experience.Lifestyle. Nursing Director / Program Manager Location: Rehabilitation Mental Health Services,Mental Health Service Group, Townsville,Townsville Hospital and Health Service. Salary Details: Remuneration value up to $149 668 p.a., comprising salary of $131 177 p.a., employer contribution to superannuation (up to 12.75%) and annual leave loading (17.5%) (Nurse Grade 9 [2]). Duties/Abilities: Accountable for leadership, innovation and excellence in the continuum of care for Rehabilitation Mental Health Services across multiple sites. Manage the operational delivery of clinical services in partnership with the relevant Clinical Medical Director. Be accountable for the administration, direction and control of the asset management and fi nancial management of one or more of the relevant cost centres in the program stream. Assist the Nursing Director (Grade 9 [3]) in the provision of leadership of professional nursing services within the Mental Health Service Group.Enquiries: Michael Catt (07) 4433 3088.Job Ad Reference: TV138793.Application Kit: www.smartjobs.qld.gov.au or (07) 4750 6771 Closing Date: Sunday, 24 August 2014 (applications will remain current for 12 months).
health • care • people
Blaze44879
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Expand your professional skills and knowledge with the exciting concept of Education at Sea.
For full conference information and details please visit www.educationatsea.com.au
Cardiology Care in the 21st CenturySouth Pacific Cruise: Oct 26th - 3rd Nov 2014
Mothers, Babies and the Health Care Professional "Child Health Nurses and Midwives - Where do we fit in"
South Pacific Cruise: Nov 8th - 15th 2014
Midwives On Board! 2015 Contemporary Issues In Maternity CareSouth Pacific Cruise: Feb 8th - 18th 2015
Dual Diagnosis: the complexity and importance of careThailand & Vietnam Cruise: Feb 11th - 18th 2015
Diabetes and Nutrition within the Ageing Population: Personalising your approach to Prevention, Treatment and Care
South Pacific Cruise: Mar 14th - 22nd 2015
The Australian College of Emergency Nursing: TNCC Trauma Nursing Core Course Seventh Edition
South Pacific Cruise: Mar 14th - 22nd 2015
Perioperative NursingSouth Pacific Cruise: June 8th - 18th 2015
Nurses for Nurses Network 2015 Annual Conference Western Caribbean Cruise: July 12th - 19th 2015
For conference information and bookings please visit www.educationatsea.com.au
CYAN MAGENTA YELLOW BLACKCYAN MAGENTA YELLOW BLACK
Page 20 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 13
Page 12 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 21
416-024 1PG FULL COLOUR CMYK PDF 415-014 1PG FULL COLOUR CMYK PDF
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• Up to 12 week assignments (or longer).• Living & caring for people in their homes.• Board & lodgings on assignment.• Dormitory accommodation provided whilst undertaking your initial UK training• Professional and friendly support.
In you are interested in this exciting opportunity and you are eligable to work in the UK, email
START YOUR OE EXPERIENCE
OXFORD AUNTS CAN HELP YOU WORK AND TRAVELIN THE UK AND BEYOND!
Caregivers
Website: www.oxfordaunts.co.ukPhone: +44 1865 791017
Do you want to work and travel?Pay plus holiday pay based on your experienceHave care-giving experience or have trained as a nurse?Are you eligible to work in the UK by virtue of youth mobility, ancestry Visa or EU Passport?
OxfordAunts Care
Support for Noarlunga Hospital nurses
Nurses working at an Adelaide hospital have
been offered counselling and support after a
patient was charged with the murder of another
patient.
South Australia Police have arrested and
charged a 23-year-old Woodcroft man with mur-
der after the death of a man, aged in his 40s, at
the Noarlunga Hospital.
A nurse doing her rounds at the Morier Ward
of the hospital found a man collapsed around
1am on August 12.
He was unable to be revived and was pro-
nounced dead.
Australian Nursing and Midwifery Federa-
tion South Australian branch secretary Adj Assoc
Professor Elizabeth Dabars AM said nurses who
work at the ward are receiving support.
“Our understanding is the nurses, whilst of
course it’s been quite a shocking experience,
have at least been getting some appropriate sup-
port from their managers,” she said.
“That includes some appropriate offers of
counselling, and also getting people home in an
appropriate way rather than expecting them to
drive in a state of shock.
“The support that’s been offered by manage-
ment has been positive and one that we’ve wel-
comed.
“Obviously our hearts and minds also go out
to those who are affected and have been involved
in this situation.”
In a statement, Southern Adelaide Local
Health Network chief executive officer Belinda
Moyes said the incident took place in a contained
area of the health service.
For the full article visit NCAH.com.au
416-032 1PG FULL COLOUR CMYK PDF
Opportunity.Experience.Lifestyle. Nursing Director / Program Manager Location: Rehabilitation Mental Health Services,Mental Health Service Group, Townsville,Townsville Hospital and Health Service. Salary Details: Remuneration value up to $149 668 p.a., comprising salary of $131 177 p.a., employer contribution to superannuation (up to 12.75%) and annual leave loading (17.5%) (Nurse Grade 9 [2]). Duties/Abilities: Accountable for leadership, innovation and excellence in the continuum of care for Rehabilitation Mental Health Services across multiple sites. Manage the operational delivery of clinical services in partnership with the relevant Clinical Medical Director. Be accountable for the administration, direction and control of the asset management and fi nancial management of one or more of the relevant cost centres in the program stream. Assist the Nursing Director (Grade 9 [3]) in the provision of leadership of professional nursing services within the Mental Health Service Group.Enquiries: Michael Catt (07) 4433 3088.Job Ad Reference: TV138793.Application Kit: www.smartjobs.qld.gov.au or (07) 4750 6771 Closing Date: Sunday, 24 August 2014 (applications will remain current for 12 months).
health • care • people
Blaze44
879
416-023 1PG FULL COLOUR CMYK PDF 415-013 1PG FULL COLOUR CMYK PDF
Expand your professional skills and knowledge with the exciting concept of Education at Sea.
For full conference information and details please visit www.educationatsea.com.au
Cardiology Care in the 21st CenturySouth Pacific Cruise: Oct 26th - 3rd Nov 2014
Mothers, Babies and the Health Care Professional "Child Health Nurses and Midwives - Where do we fit in"
South Pacific Cruise: Nov 8th - 15th 2014
Midwives On Board! 2015 Contemporary Issues In Maternity CareSouth Pacific Cruise: Feb 8th - 18th 2015
DualDiagnosis: the complexity and importance of careThailand & Vietnam Cruise: Feb 11th - 18th 2015
Diabetes and Nutrition within the Ageing Population: Personalising your approach to Prevention,Treatment and Care
South Pacific Cruise: Mar 14th - 22nd 2015
The Australian College of Emergency Nursing: TNCC Trauma Nursing Core Course Seventh Edition
South Pacific Cruise: Mar 14th - 22nd 2015
Perioperative NursingSouth Pacific Cruise: June 8th - 18th 2015
Nurses for Nurses Network 2015 AnnualConference Western Caribbean Cruise: July 12th - 19th 2015
For conference information and bookings please visit www.educationatsea.com.au
CYAN MAGENTA YELLOW BLACK CYAN MAGENTA YELLOW BLACK
Page 22 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 11
Page 14 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 19
416-005 1PG FULL COLOUR CMYK PDF 415-006 1PG FULL COLOUR CMYK PDF 414-006 1PG FULL COLOUR CMYK PDF 413-009 1PG FULL COLOUR CMYK PDF 412-006 1PG FULL COLOUR CMYK PDF 411-010 1PG FULL COLOUR CMYK PDF 409-011 1PG FULL COLOUR CMYK PDF 407-012 1PG FULL COLOUR CMYK PDF
Salt injection ‘kills cancer cells’Scientists have created a molecule that can
cause cancer cells to die by carrying sodium and
chloride ions into the cells.
Scientists have created a technique which
can cause cancer cells to self-destruct by inject-
ing them with salt.
Researchers from the University of South-
ampton are part of an international team that has
helped to create a molecule that can cause can-
cer cells to die by carrying sodium and chloride
ions into the cells.
Synthetic ion transporters have been created
before but this is the first time researchers have
demonstrated how an influx of salt into a cell trig-
gers cell death.
These synthetic ion transporters, described
this week in the journal Nature Chemistry, could
point the way to new anti-cancer drugs while also
benefiting patients with cystic fibrosis.
“This work shows how chloride transport-
ers can work with sodium channels in cell mem-
branes to cause an influx of salt into a cell. We
found we can trigger cell death with salt,” said
study co-author Professor Philip Gale, of the Uni-
versity of Southampton.
Cells in the human body work hard to main-
tain a stable concentration of ions inside their
cell membranes. Disruption of this delicate bal-
ance can trigger cells to go through apoptosis,
known as programmed cell death, a mechanism
the body uses to rid itself of damaged or danger-
ous cells.
One way of destroying cancer cells is to trig-
ger this self-destruct sequence by changing the
ion balance in cells.
For the full article visit NCAH.com.au416-001 1/2PG FULL COLOUR CMYK PDF
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London - no ordinary challenge for paramedicsIt’s one of the world’s most famous cities with landmarks such as Tower Bridge, Big Ben, Buckingham Palace and The Shard. It’s also home to one of the busiest ambulance services in the world - and it wants our paramedics. By Karen Keast
London has always been a working destina-
tion for Australians and New Zealanders.
While the London Ambulance Service has
long attracted Aussie and Kiwi paramedics
searching for a career change, now,
for the first time, the organisa-
tion is actively recruiting
paramedics from either
side of the Tasman
divide.
The service
will send a team
to interview
and assess
paramedics in
Australia and
New Zealand
next month as it
works to bridge
its paramedic short-
age.
London Ambulance
Service operations director
Jason Killens says the organisa-
tion hasn’t recruited from overseas before.
“This is an unique opportunity for Australian
paramedics,” he says.
“There is a national shortage of paramedics
in the UK and therefore we are looking to recruit
paramedics from Australia and New Zealand as
their skills and training closely match those in the
UK.
“I’d urge them to apply now for a chance to
work for the world’s busiest ambulance service in
one of the most famous cities in the world.”
The London Ambulance Service is home to
4,500 employees, with 3,300 frontline staff work-
ing across 70 ambulance stations spanning 620
square miles, from Heathrow in the west to Up-
minster in the east, and from Enfield in the north
to Purley in the south.
It receives around 4,000 calls a day, and
almost a quarter of those are immediately life-
threatening.
The organisation this year launched its re-
cruitment campaign, ‘London - no ordinary chal-
lenge’, as it works to fill about 250 vacancies for
registered paramedics.
Its recruitment website reveals London par-
amedics face unique challenges ranging from
open chest surgery at the side of the road to tak-
ing patients to hospital by boat.
Paramedics have the opportunity to work
amid all walks of London life via the service’s fast
response cars, as a flight paramedic and in its
cycle response unit.
“We respond to emergencies as quickly as
possible and deliver the highest level of care…in
the air, on the road, by foot,” it states.
Mr Killens says the London Ambulance Ser-
vice has changed a lot since he started.
“There’s now a clear career development
structure in place,” he says.
“But the qualities needed to succeed are the
same - persistence, personal resilience and the
ability to seize every opportunity you can.”
Those wanting to apply for the positions
must be at a paramedic level.
“We accept applications if they are current-
ly completing a paramedic science degree or
equivalent,” Mr Killens says.
“All applicants will need to obtain UK para-
medic registration before joining – but they can
still apply while their registration is in process.”
During assessments, candidates will need
to demonstrate their knowledge and decision-
making ability.
Mr Killens says candidates are first required
to take a multiple choice clinical assessment pa-
per on areas ranging from anatomy to advanced
life support and trauma.
“This is followed by a lifting assessment and,
finally, they will do a practical assessment on ad-
vanced life support,” he says.
“Candidates will be observed on how safe,
effective and logical their decision-making is
while working in a team.
“They will also be interviewed by someone
from human resources along with an operational
team member.”
Mr Killens says the service has so far re-
ceived about 100 applications from across Aus-
tralia and New Zealand and he expects all suit-
able candidates will receive a job offer.
“We expect to be able to offer a job to eve-
ryone who is successful at the interview and as-
sessment,” he says.
“A team from the service will be in Australia and New Zealand in September for interviews and assessments and by the end of the day paramedics could walk away with a job in London.
“We expect to complete the process of re-
ceiving their references, pre-employment checks
and their UK registration by December, with their
start date in January after been granted a visa.”
The service is offering candidates support
with their application, visa and relocation costs,
while it will also cover the Health and Care Pro-
fessions Council paramedic registration fee.
Paramedics who secure jobs will be required
to complete a short conversion course enabling
them to treat patients in the UK.
Mr Killens says the full training package will
enable paramedics to operate as registered para-
medics in London.
“This will include a conversion course, blue
light driving, responding to incidents on the Lon-
don Underground and an operational placement
as a third person with an ambulance crew.”
The London Ambulance Service will attend
the PAIC conference on the Gold Coast, from
September 18-20 September, running interviews
and assessments, and answering questions.
The service will also visit Sydney from Sep-
tember 8-9, Adelaide from 12-13, Melbourne
from 15-16, and Auckland from September 12-
13.
Paramedics wanting to apply can visit www.
noordinarychallenge.com, and for more informa-
tion can visit the London Ambulance Service’s
Facebook at www.facebook.com/noordinary-
challenge or speak to a member of the recruit-
ment team by emailing recruitment@londonam-
bulance.nhs.uk.
Doctors urged to spot rheumatic fever
Indigenous people are at increased risk of
contracting acute rheumatic fever, which is pre-
ventable but leads to deadly heart disease if un-
detected.
When Kenya McAdam’s joints started hurting
when she was 15, she thought it was due to a
recent soccer game, or growing pains.
But within a week she had been rushed from
Kununurra in the Kimberley to a Darwin hospital,
where she suffered a cardiac arrest.
She was diagnosed with rheumatic heart dis-
ease (RHD) and underwent heart surgery, which
she may need every decade for the rest of her life.
Australia has one of the highest rates of RHD
in the world, with indigenous people 64 times
more likely to contract it as a result of weakened
immune systems due to poverty and deprivation.
A seminar being held in Darwin this week is
training health workers to be on the lookout for
the preventable illness.
Acute rheumatic fever is caused by a reaction to a streptococcus bacteria, in-flaming the heart, joints, brain and skin, and if untreated it can cause RHD, where the heart valves are stretched or scarred, interrupting blood flow.
“I didn’t realise how sick I was at first, and
then when I was told, I went `wow’. All of that
inside of me and I didn’t even know,” Kenya, now
18, told AAP on Tuesday.
Her mother Cherie says she had persistent
sore throats as a child, which are a symptom of
the disease that doctors failed to diagnose.
Kenya’s brother Luke has rheumatic fever
and her youngest sister Mercii has a congenital
heart condition.
Many Australian medical professionals have
never seen a case of acute rheumatic fever because
it has largely been eradicated in urban settings,
said Professor Bart Currie, director of RHD Aus-
tralia.
Almost half a million new cases are identified
each year around the world, especially in the Pa-
cific region, and it kills 230,000 people annually.
Cherie and Kenya are urging health profes-
sionals to be more aware.
“Women, we share the same heartbeat as our
kid,” Cherie said.
“We know when something is up ... If she
keeps coming back (to the doctor) you listen to
her, and dig deeper.”
An earlier diagnosis might have prevented
Kenya’s condition becoming the disease, which
will limit her in terms of employment and physical
activity, Cherie said.
Experts are also converging in Darwin for the
largest study on RHD and pregnancy conducted
across Australia and New Zealand.
The disease is often undiagnosed but is un-
masked by pregnancy when women’s hearts are
under stress, and can make them very unwell.
The study is ongoing, but preliminary results
show that a limited access to specialist health
care in remote communities, a high turnover of
staff and multiple layers of health records are
preventing pregnant women from getting the care
they need.
But in Kununurra now when children present
with sore throats, they immediately receive in-
jections to battle possible rheumatic fever, said
Cherie.
“We’ve been instigators of change for the
better so other families don’t have to go through
what we’ve been through,” she said.
Copyright AAP 2014
416-031 1/4PG PDF415-018 1/4PG PDF
I N G R I D T E R E S A P R Y D E
of
NURSING
DARKThe
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ingridpryde.wix.com/darksideofnursing
of
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DARKThe
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A confronting memoir academic based book on bullying in nursing. Available at Amazon, Balboa press, request at local book store.RRP $29.95.
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CYAN MAGENTA YELLOW BLACKCYAN MAGENTA YELLOW BLACK
Page 18 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 15
Page 16 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 17
416-014 1PG FULL COLOUR CMYK PDF
GenevaHealthcare
Australian nurses in Ebola response
Australian nurses are on the frontline in the
health response to the Ebola epidemic sweeping
West Africa.
As the death toll from the virus continues to
climb, Australian Red Cross aid worker and nurse
Amanda McClelland is on the ground in Sierra
Leone, heading up the international Red Cross
response.
Ms McClelland is one of a small team of
Australian Red Cross health professionals sent
to West Africa, including nurse and epidemiolo-
gist Marshall Tuck, while an anaesthetist is also
on the way.
An International Federation of Red Cross
(IFRC) emergency health senior officer, Ms Mc-
Clelland is working to set up the first Red Cross
isolation unit.
Ms McClelland said nurses are wearing full
personal protection equipment (PPE) from over-
alls and goggles to two pairs of gloves and apron
gumboots while they work, and using social dis-
tancing and good hand washing practices in the
community.
Nurses receive specialised training on arrival,
including use and removal of PPE, and are then
supervised in the isolation unit for up to two days.
“The ideas may be frightening, and the con-
sequences of a mistake can be high, but the care
of Ebola patients comes down to the basics that
all nurses should have,” she said.
“Many of our African colleagues have died
- 21 so far in the hospital that we are about to
support.
“This is because of lack of quality educa-
tion, quality equipment and extremely long hours
causing fatigue and possible errors.
“Many
of the nurses
were actually in-
fected from friends and
family at home rather than at
work where they had access to the right protec-
tion equipment.”
The organisation has deployed a full field
hospital and will open a 60-bed unit in Kenema,
Sierra Leone’s third largest city.
Ms McClelland said patients are presenting
with fever, malaise, vomiting and diarrhoea.
“Haemorrhagic symptoms are surprisingly
rare and only come late in the condition but they
can be confronting,” she said.
“We haven’t started clinical care yet, as the
hospital is being built and the focus has been on
breaking community transmission through good
public health practices.”
Ms McClelland, who oversees safety, policy
procedures and guidelines and manages the rela-
tionship with partners including the World Health
Organisation and the Sierra Leone Ministry of
Health, said the Red Cross has been involved
since the first cases appeared in Gueckadou, in
Guinea, in March, sending specialist aid work-
ers from across the globe to the three affected
countries.
She said the Ebola response comes down to
basic public health.
“It is good hygiene, burial practices and a
simple transmission cycle that can be broken
through early case indication and treatment,” she
said.
By Karen Keast
“We utilise public health nurses with good
community experience to assist the national Red
Cross society in working with a large network of
volunteers in communities, personal and psycho-
logical support and contact tracing activities.
“It helps if these community nurses have a
good understanding of infection control, and epi-
demiology.
“In terms of clinical care, the nursing proce-
dures are basic skills - good interpersonal com-
munication, use of personal protective equip-
ment and supportive care that includes treatment
of sepsis and shock.”
Ms McClelland said a lack of understanding
about the disease has led to rumours and misin-
formation in the population, making clinical care
difficult.
“There have even been cases of civil unrest
or the population attacking a vehicle or hospital,”
she said.
“This fear and lack of understanding makes
bringing the outbreak under control very difficult.For the full article visit NCAH.com.au
“In terms of clinical care, the high case fa-
tality rate is difficult and working in the personal
protection equipment in hot conditions is a big
challenge.
“Nurses are losing up to two litres of fluid
in one set of rounds, so keeping hydrated and
avoiding heat stress is extremely important.”
Regardless of the hurdles, Ms McClelland
said it’s rewarding to work alongside Red Cross
volunteers in the midst of the epidemic.
“Despite the fear and stigma they turn up to
work every day and do what they can to help their
communities - they are amazing and an inspira-
tion,” she said.
The other highlights are the survivors.
“There are big celebrations when someone
survives,” she said.
“The counters take them back to their village
and assure everyone they are now safe and not
infectious.”
416- 012 1/2PG FULL COLOUR CMYK PDF
Time for a humanitarian career move?Want to kick-start your career in international development? Gain invaluable field experience by volunteering in Asia, Africa or the Pacific.
Assignments in nursing, midwifery, public health and allied health are regularly available. You can enrich your career with new skills, learn to manage with limited resources, and build invaluable relationships. We’ll support you all the way with airfares, accommodation and allowances.
Visit redcross.org.au/aidwork or call 03 9345 1834 to explore your options.Australian Volunteers is an Australian Government initiative
australianaidvolunteers.gov.au
London - no ordinary challenge for paramedicsIt’s one of the world’s most famous cities with landmarks such as Tower Bridge, Big Ben, Buckingham Palace and The Shard. It’s also home to one of the busiest ambulance services in the world - and it wants our paramedics. By Karen Keast
London has always been a working destina-
tion for Australians and New Zealanders.
While the London Ambulance Service has
long attracted Aussie and Kiwi paramedics
searching for a career change, now,
for the first time, the organisa-
tion is actively recruiting
paramedics from either
side of the Tasman
divide.
The service
will send a team
to interview
and assess
paramedics in
Australia and
New Zealand
next month as it
works to bridge
its paramedic short-
age.
London Ambulance
Service operations director
Jason Killens says the organisa-
tion hasn’t recruited from overseas before.
“This is an unique opportunity for Australian
paramedics,” he says.
“There is a national shortage of paramedics
in the UK and therefore we are looking to recruit
paramedics from Australia and New Zealand as
their skills and training closely match those in the
UK.
“I’d urge them to apply now for a chance to
work for the world’s busiest ambulance service in
one of the most famous cities in the world.”
The London Ambulance Service is home to
4,500 employees, with 3,300 frontline staff work-
ing across 70 ambulance stations spanning 620
square miles, from Heathrow in the west to Up-
minster in the east, and from Enfield in the north
to Purley in the south.
It receives around 4,000 calls a day, and
almost a quarter of those are immediately life-
threatening.
The organisation this year launched its re-
cruitment campaign, ‘London - no ordinary chal-
lenge’, as it works to fill about 250 vacancies for
registered paramedics.
Its recruitment website reveals London par-
amedics face unique challenges ranging from
open chest surgery at the side of the road to tak-
ing patients to hospital by boat.
Paramedics have the opportunity to work
amid all walks of London life via the service’s fast
response cars, as a flight paramedic and in its
cycle response unit.
“We respond to emergencies as quickly as
possible and deliver the highest level of care…in
the air, on the road, by foot,” it states.
Mr Killens says the London Ambulance Ser-
vice has changed a lot since he started.
“There’s now a clear career development
structure in place,” he says.
“But the qualities needed to succeed are the
same - persistence, personal resilience and the
ability to seize every opportunity you can.”
Those wanting to apply for the positions
must be at a paramedic level.
“We accept applications if they are current-
ly completing a paramedic science degree or
equivalent,” Mr Killens says.
“All applicants will need to obtain UK para-
medic registration before joining – but they can
still apply while their registration is in process.”
During assessments, candidates will need
to demonstrate their knowledge and decision-
making ability.
Mr Killens says candidates are first required
to take a multiple choice clinical assessment pa-
per on areas ranging from anatomy to advanced
life support and trauma.
“This is followed by a lifting assessment and,
finally, they will do a practical assessment on ad-
vanced life support,” he says.
“Candidates will be observed on how safe,
effective and logical their decision-making is
while working in a team.
“They will also be interviewed by someone
from human resources along with an operational
team member.”
Mr Killens says the service has so far re-
ceived about 100 applications from across Aus-
tralia and New Zealand and he expects all suit-
able candidates will receive a job offer.
“We expect to be able to offer a job to eve-
ryone who is successful at the interview and as-
sessment,” he says.
“A team from the service will be in Australia and New Zealand in September for interviews and assessments and by the end of the day paramedics could walk away with a job in London.
“We expect to complete the process of re-
ceiving their references, pre-employment checks
and their UK registration by December, with their
start date in January after been granted a visa.”
The service is offering candidates support
with their application, visa and relocation costs,
while it will also cover the Health and Care Pro-
fessions Council paramedic registration fee.
Paramedics who secure jobs will be required
to complete a short conversion course enabling
them to treat patients in the UK.
Mr Killens says the full training package will
enable paramedics to operate as registered para-
medics in London.
“This will include a conversion course, blue
light driving, responding to incidents on the Lon-
don Underground and an operational placement
as a third person with an ambulance crew.”
The London Ambulance Service will attend
the PAIC conference on the Gold Coast, from
September 18-20 September, running interviews
and assessments, and answering questions.
The service will also visit Sydney from Sep-
tember 8-9, Adelaide from 12-13, Melbourne
from 15-16, and Auckland from September 12-
13.
Paramedics wanting to apply can visit www.
noordinarychallenge.com, and for more informa-
tion can visit the London Ambulance Service’s
Facebook at www.facebook.com/noordinary-
challenge or speak to a member of the recruit-
ment team by emailing recruitment@londonam-
bulance.nhs.uk.
CYAN MAGENTA YELLOW BLACK CYAN MAGENTA YELLOW BLACK
Page 18 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 15
Page 16 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 17
416-014 1PG FULL COLOUR CMYK PDF
Geneva Healthcare
Australian nurses in Ebola response
Australian nurses are on the frontline in the
health response to the Ebola epidemic sweeping
West Africa.
As the death toll from the virus continues to
climb, Australian Red Cross aid worker and nurse
Amanda McClelland is on the ground in Sierra
Leone, heading up the international Red Cross
response.
Ms McClelland is one of a small team of
Australian Red Cross health professionals sent
to West Africa, including nurse and epidemiolo-
gist Marshall Tuck, while an anaesthetist is also
on the way.
An International Federation of Red Cross
(IFRC) emergency health senior officer, Ms Mc-
Clelland is working to set up the first Red Cross
isolation unit.
Ms McClelland said nurses are wearing full
personal protection equipment (PPE) from over-
alls and goggles to two pairs of gloves and apron
gumboots while they work, and using social dis-
tancing and good hand washing practices in the
community.
Nurses receive specialised training on arrival,
including use and removal of PPE, and are then
supervised in the isolation unit for up to two days.
“The ideas may be frightening, and the con-
sequences of a mistake can be high, but the care
of Ebola patients comes down to the basics that
all nurses should have,” she said.
“Many of our African colleagues have died
- 21 so far in the hospital that we are about to
support.
“This is because of lack of quality educa-
tion, quality equipment and extremely long hours
causing fatigue and possible errors.
“ M a n y
of the nurses
were actually in-
fected from friends and
family at home rather than at
work where they had access to the right protec-
tion equipment.”
The organisation has deployed a full field
hospital and will open a 60-bed unit in Kenema,
Sierra Leone’s third largest city.
Ms McClelland said patients are presenting
with fever, malaise, vomiting and diarrhoea.
“Haemorrhagic symptoms are surprisingly
rare and only come late in the condition but they
can be confronting,” she said.
“We haven’t started clinical care yet, as the
hospital is being built and the focus has been on
breaking community transmission through good
public health practices.”
Ms McClelland, who oversees safety, policy
procedures and guidelines and manages the rela-
tionship with partners including the World Health
Organisation and the Sierra Leone Ministry of
Health, said the Red Cross has been involved
since the first cases appeared in Gueckadou, in
Guinea, in March, sending specialist aid work-
ers from across the globe to the three affected
countries.
She said the Ebola response comes down to
basic public health.
“It is good hygiene, burial practices and a
simple transmission cycle that can be broken
through early case indication and treatment,” she
said.
By Karen Keast
“We utilise public health nurses with good
community experience to assist the national Red
Cross society in working with a large network of
volunteers in communities, personal and psycho-
logical support and contact tracing activities.
“It helps if these community nurses have a
good understanding of infection control, and epi-
demiology.
“In terms of clinical care, the nursing proce-
dures are basic skills - good interpersonal com-
munication, use of personal protective equip-
ment and supportive care that includes treatment
of sepsis and shock.”
Ms McClelland said a lack of understanding
about the disease has led to rumours and misin-
formation in the population, making clinical care
difficult.
“There have even been cases of civil unrest
or the population attacking a vehicle or hospital,”
she said.
“This fear and lack of understanding makes
bringing the outbreak under control very difficult. For the full article visit NCAH.com.au
“In terms of clinical care, the high case fa-
tality rate is difficult and working in the personal
protection equipment in hot conditions is a big
challenge.
“Nurses are losing up to two litres of fluid
in one set of rounds, so keeping hydrated and
avoiding heat stress is extremely important.”
Regardless of the hurdles, Ms McClelland
said it’s rewarding to work alongside Red Cross
volunteers in the midst of the epidemic.
“Despite the fear and stigma they turn up to
work every day and do what they can to help their
communities - they are amazing and an inspira-
tion,” she said.
The other highlights are the survivors.
“There are big celebrations when someone
survives,” she said.
“The counters take them back to their village
and assure everyone they are now safe and not
infectious.”
416- 012 1/2PG FULL COLOUR CMYK PDF
Time for a humanitarian career move?Want to kick-start your career in international development? Gain invaluable field experience by volunteering in Asia, Africa or the Pacific.
Assignments in nursing, midwifery, public health and allied health are regularly available. You can enrich your career with new skills, learn to manage with limited resources, and build invaluable relationships. We’ll support you all the way with airfares, accommodation and allowances.
Visit redcross.org.au/aidwork or call 03 9345 1834 to explore your options.Australian Volunteers is an Australian Government initiative
australianaidvolunteers.gov.au
London - no ordinary challenge for paramedicsIt’s one of the world’s most famous cities with landmarks such as Tower Bridge, Big Ben, Buckingham Palace and The Shard. It’s also home to one of the busiest ambulance services in the world - and it wants our paramedics. By Karen Keast
London has always been a working destina-
tion for Australians and New Zealanders.
While the London Ambulance Service has
long attracted Aussie and Kiwi paramedics
searching for a career change, now,
for the first time, the organisa-
tion is actively recruiting
paramedics from either
side of the Tasman
divide.
The service
will send a team
to interview
and assess
paramedics in
Australia and
New Zealand
next month as it
works to bridge
its paramedic short-
age.
London Ambulance
Service operations director
Jason Killens says the organisa-
tion hasn’t recruited from overseas before.
“This is an unique opportunity for Australian
paramedics,” he says.
“There is a national shortage of paramedics
in the UK and therefore we are looking to recruit
paramedics from Australia and New Zealand as
their skills and training closely match those in the
UK.
“I’d urge them to apply now for a chance to
work for the world’s busiest ambulance service in
one of the most famous cities in the world.”
The London Ambulance Service is home to
4,500 employees, with 3,300 frontline staff work-
ing across 70 ambulance stations spanning 620
square miles, from Heathrow in the west to Up-
minster in the east, and from Enfield in the north
to Purley in the south.
It receives around 4,000 calls a day, and
almost a quarter of those are immediately life-
threatening.
The organisation this year launched its re-
cruitment campaign, ‘London - no ordinary chal-
lenge’, as it works to fill about 250 vacancies for
registered paramedics.
Its recruitment website reveals London par-
amedics face unique challenges ranging from
open chest surgery at the side of the road to tak-
ing patients to hospital by boat.
Paramedics have the opportunity to work
amid all walks of London life via the service’s fast
response cars, as a flight paramedic and in its
cycle response unit.
“We respond to emergencies as quickly as
possible and deliver the highest level of care…in
the air, on the road, by foot,” it states.
Mr Killens says the London Ambulance Ser-
vice has changed a lot since he started.
“There’s now a clear career development
structure in place,” he says.
“But the qualities needed to succeed are the
same - persistence, personal resilience and the
ability to seize every opportunity you can.”
Those wanting to apply for the positions
must be at a paramedic level.
“We accept applications if they are current-
ly completing a paramedic science degree or
equivalent,” Mr Killens says.
“All applicants will need to obtain UK para-
medic registration before joining – but they can
still apply while their registration is in process.”
During assessments, candidates will need
to demonstrate their knowledge and decision-
making ability.
Mr Killens says candidates are first required
to take a multiple choice clinical assessment pa-
per on areas ranging from anatomy to advanced
life support and trauma.
“This is followed by a lifting assessment and,
finally, they will do a practical assessment on ad-
vanced life support,” he says.
“Candidates will be observed on how safe,
effective and logical their decision-making is
while working in a team.
“They will also be interviewed by someone
from human resources along with an operational
team member.”
Mr Killens says the service has so far re-
ceived about 100 applications from across Aus-
tralia and New Zealand and he expects all suit-
able candidates will receive a job offer.
“We expect to be able to offer a job to eve-
ryone who is successful at the interview and as-
sessment,” he says.
“A team from the service will be in Australia and New Zealand in September for interviews and assessments and by the end of the day paramedics could walk away with a job in London.
“We expect to complete the process of re-
ceiving their references, pre-employment checks
and their UK registration by December, with their
start date in January after been granted a visa.”
The service is offering candidates support
with their application, visa and relocation costs,
while it will also cover the Health and Care Pro-
fessions Council paramedic registration fee.
Paramedics who secure jobs will be required
to complete a short conversion course enabling
them to treat patients in the UK.
Mr Killens says the full training package will
enable paramedics to operate as registered para-
medics in London.
“This will include a conversion course, blue
light driving, responding to incidents on the Lon-
don Underground and an operational placement
as a third person with an ambulance crew.”
The London Ambulance Service will attend
the PAIC conference on the Gold Coast, from
September 18-20 September, running interviews
and assessments, and answering questions.
The service will also visit Sydney from Sep-
tember 8-9, Adelaide from 12-13, Melbourne
from 15-16, and Auckland from September 12-
13.
Paramedics wanting to apply can visit www.
noordinarychallenge.com, and for more informa-
tion can visit the London Ambulance Service’s
Facebook at www.facebook.com/noordinary-
challenge or speak to a member of the recruit-
ment team by emailing recruitment@londonam-
bulance.nhs.uk.
CYAN MAGENTA YELLOW BLACK CYAN MAGENTA YELLOW BLACK
Page 18 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 15
Page 16 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 17
416-014 1PG FULL COLOUR CMYK PDF
Geneva Healthcare
Australian nurses in Ebola response
Australian nurses are on the frontline in the
health response to the Ebola epidemic sweeping
West Africa.
As the death toll from the virus continues to
climb, Australian Red Cross aid worker and nurse
Amanda McClelland is on the ground in Sierra
Leone, heading up the international Red Cross
response.
Ms McClelland is one of a small team of
Australian Red Cross health professionals sent
to West Africa, including nurse and epidemiolo-
gist Marshall Tuck, while an anaesthetist is also
on the way.
An International Federation of Red Cross
(IFRC) emergency health senior officer, Ms Mc-
Clelland is working to set up the first Red Cross
isolation unit.
Ms McClelland said nurses are wearing full
personal protection equipment (PPE) from over-
alls and goggles to two pairs of gloves and apron
gumboots while they work, and using social dis-
tancing and good hand washing practices in the
community.
Nurses receive specialised training on arrival,
including use and removal of PPE, and are then
supervised in the isolation unit for up to two days.
“The ideas may be frightening, and the con-
sequences of a mistake can be high, but the care
of Ebola patients comes down to the basics that
all nurses should have,” she said.
“Many of our African colleagues have died
- 21 so far in the hospital that we are about to
support.
“This is because of lack of quality educa-
tion, quality equipment and extremely long hours
causing fatigue and possible errors.
“ M a n y
of the nurses
were actually in-
fected from friends and
family at home rather than at
work where they had access to the right protec-
tion equipment.”
The organisation has deployed a full field
hospital and will open a 60-bed unit in Kenema,
Sierra Leone’s third largest city.
Ms McClelland said patients are presenting
with fever, malaise, vomiting and diarrhoea.
“Haemorrhagic symptoms are surprisingly
rare and only come late in the condition but they
can be confronting,” she said.
“We haven’t started clinical care yet, as the
hospital is being built and the focus has been on
breaking community transmission through good
public health practices.”
Ms McClelland, who oversees safety, policy
procedures and guidelines and manages the rela-
tionship with partners including the World Health
Organisation and the Sierra Leone Ministry of
Health, said the Red Cross has been involved
since the first cases appeared in Gueckadou, in
Guinea, in March, sending specialist aid work-
ers from across the globe to the three affected
countries.
She said the Ebola response comes down to
basic public health.
“It is good hygiene, burial practices and a
simple transmission cycle that can be broken
through early case indication and treatment,” she
said.
By Karen Keast
“We utilise public health nurses with good
community experience to assist the national Red
Cross society in working with a large network of
volunteers in communities, personal and psycho-
logical support and contact tracing activities.
“It helps if these community nurses have a
good understanding of infection control, and epi-
demiology.
“In terms of clinical care, the nursing proce-
dures are basic skills - good interpersonal com-
munication, use of personal protective equip-
ment and supportive care that includes treatment
of sepsis and shock.”
Ms McClelland said a lack of understanding
about the disease has led to rumours and misin-
formation in the population, making clinical care
difficult.
“There have even been cases of civil unrest
or the population attacking a vehicle or hospital,”
she said.
“This fear and lack of understanding makes
bringing the outbreak under control very difficult. For the full article visit NCAH.com.au
“In terms of clinical care, the high case fa-
tality rate is difficult and working in the personal
protection equipment in hot conditions is a big
challenge.
“Nurses are losing up to two litres of fluid
in one set of rounds, so keeping hydrated and
avoiding heat stress is extremely important.”
Regardless of the hurdles, Ms McClelland
said it’s rewarding to work alongside Red Cross
volunteers in the midst of the epidemic.
“Despite the fear and stigma they turn up to
work every day and do what they can to help their
communities - they are amazing and an inspira-
tion,” she said.
The other highlights are the survivors.
“There are big celebrations when someone
survives,” she said.
“The counters take them back to their village
and assure everyone they are now safe and not
infectious.”
416- 012 1/2PG FULL COLOUR CMYK PDF
Time for a humanitarian career move?Want to kick-start your career in international development? Gain invaluable field experience by volunteering in Asia, Africa or the Pacific.
Assignments in nursing, midwifery, public health and allied health are regularly available. You can enrich your career with new skills, learn to manage with limited resources, and build invaluable relationships. We’ll support you all the way with airfares, accommodation and allowances.
Visit redcross.org.au/aidwork or call 03 9345 1834 to explore your options.Australian Volunteers is an Australian Government initiative
australianaidvolunteers.gov.au
London - no ordinary challenge for paramedicsIt’s one of the world’s most famous cities with landmarks such as Tower Bridge, Big Ben, Buckingham Palace and The Shard. It’s also home to one of the busiest ambulance services in the world - and it wants our paramedics. By Karen Keast
London has always been a working destina-
tion for Australians and New Zealanders.
While the London Ambulance Service has
long attracted Aussie and Kiwi paramedics
searching for a career change, now,
for the first time, the organisa-
tion is actively recruiting
paramedics from either
side of the Tasman
divide.
The service
will send a team
to interview
and assess
paramedics in
Australia and
New Zealand
next month as it
works to bridge
its paramedic short-
age.
London Ambulance
Service operations director
Jason Killens says the organisa-
tion hasn’t recruited from overseas before.
“This is an unique opportunity for Australian
paramedics,” he says.
“There is a national shortage of paramedics
in the UK and therefore we are looking to recruit
paramedics from Australia and New Zealand as
their skills and training closely match those in the
UK.
“I’d urge them to apply now for a chance to
work for the world’s busiest ambulance service in
one of the most famous cities in the world.”
The London Ambulance Service is home to
4,500 employees, with 3,300 frontline staff work-
ing across 70 ambulance stations spanning 620
square miles, from Heathrow in the west to Up-
minster in the east, and from Enfield in the north
to Purley in the south.
It receives around 4,000 calls a day, and
almost a quarter of those are immediately life-
threatening.
The organisation this year launched its re-
cruitment campaign, ‘London - no ordinary chal-
lenge’, as it works to fill about 250 vacancies for
registered paramedics.
Its recruitment website reveals London par-
amedics face unique challenges ranging from
open chest surgery at the side of the road to tak-
ing patients to hospital by boat.
Paramedics have the opportunity to work
amid all walks of London life via the service’s fast
response cars, as a flight paramedic and in its
cycle response unit.
“We respond to emergencies as quickly as
possible and deliver the highest level of care…in
the air, on the road, by foot,” it states.
Mr Killens says the London Ambulance Ser-
vice has changed a lot since he started.
“There’s now a clear career development
structure in place,” he says.
“But the qualities needed to succeed are the
same - persistence, personal resilience and the
ability to seize every opportunity you can.”
Those wanting to apply for the positions
must be at a paramedic level.
“We accept applications if they are current-
ly completing a paramedic science degree or
equivalent,” Mr Killens says.
“All applicants will need to obtain UK para-
medic registration before joining – but they can
still apply while their registration is in process.”
During assessments, candidates will need
to demonstrate their knowledge and decision-
making ability.
Mr Killens says candidates are first required
to take a multiple choice clinical assessment pa-
per on areas ranging from anatomy to advanced
life support and trauma.
“This is followed by a lifting assessment and,
finally, they will do a practical assessment on ad-
vanced life support,” he says.
“Candidates will be observed on how safe,
effective and logical their decision-making is
while working in a team.
“They will also be interviewed by someone
from human resources along with an operational
team member.”
Mr Killens says the service has so far re-
ceived about 100 applications from across Aus-
tralia and New Zealand and he expects all suit-
able candidates will receive a job offer.
“We expect to be able to offer a job to eve-
ryone who is successful at the interview and as-
sessment,” he says.
“A team from the service will be in Australia and New Zealand in September for interviews and assessments and by the end of the day paramedics could walk away with a job in London.
“We expect to complete the process of re-
ceiving their references, pre-employment checks
and their UK registration by December, with their
start date in January after been granted a visa.”
The service is offering candidates support
with their application, visa and relocation costs,
while it will also cover the Health and Care Pro-
fessions Council paramedic registration fee.
Paramedics who secure jobs will be required
to complete a short conversion course enabling
them to treat patients in the UK.
Mr Killens says the full training package will
enable paramedics to operate as registered para-
medics in London.
“This will include a conversion course, blue
light driving, responding to incidents on the Lon-
don Underground and an operational placement
as a third person with an ambulance crew.”
The London Ambulance Service will attend
the PAIC conference on the Gold Coast, from
September 18-20 September, running interviews
and assessments, and answering questions.
The service will also visit Sydney from Sep-
tember 8-9, Adelaide from 12-13, Melbourne
from 15-16, and Auckland from September 12-
13.
Paramedics wanting to apply can visit www.
noordinarychallenge.com, and for more informa-
tion can visit the London Ambulance Service’s
Facebook at www.facebook.com/noordinary-
challenge or speak to a member of the recruit-
ment team by emailing recruitment@londonam-
bulance.nhs.uk.
CYAN MAGENTA YELLOW BLACKCYAN MAGENTA YELLOW BLACK
Page 18 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 15
Page 16 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 17
416-014 1PG FULL COLOUR CMYK PDF
GenevaHealthcare
Australian nurses in Ebola response
Australian nurses are on the frontline in the
health response to the Ebola epidemic sweeping
West Africa.
As the death toll from the virus continues to
climb, Australian Red Cross aid worker and nurse
Amanda McClelland is on the ground in Sierra
Leone, heading up the international Red Cross
response.
Ms McClelland is one of a small team of
Australian Red Cross health professionals sent
to West Africa, including nurse and epidemiolo-
gist Marshall Tuck, while an anaesthetist is also
on the way.
An International Federation of Red Cross
(IFRC) emergency health senior officer, Ms Mc-
Clelland is working to set up the first Red Cross
isolation unit.
Ms McClelland said nurses are wearing full
personal protection equipment (PPE) from over-
alls and goggles to two pairs of gloves and apron
gumboots while they work, and using social dis-
tancing and good hand washing practices in the
community.
Nurses receive specialised training on arrival,
including use and removal of PPE, and are then
supervised in the isolation unit for up to two days.
“The ideas may be frightening, and the con-
sequences of a mistake can be high, but the care
of Ebola patients comes down to the basics that
all nurses should have,” she said.
“Many of our African colleagues have died
- 21 so far in the hospital that we are about to
support.
“This is because of lack of quality educa-
tion, quality equipment and extremely long hours
causing fatigue and possible errors.
“Many
of the nurses
were actually in-
fected from friends and
family at home rather than at
work where they had access to the right protec-
tion equipment.”
The organisation has deployed a full field
hospital and will open a 60-bed unit in Kenema,
Sierra Leone’s third largest city.
Ms McClelland said patients are presenting
with fever, malaise, vomiting and diarrhoea.
“Haemorrhagic symptoms are surprisingly
rare and only come late in the condition but they
can be confronting,” she said.
“We haven’t started clinical care yet, as the
hospital is being built and the focus has been on
breaking community transmission through good
public health practices.”
Ms McClelland, who oversees safety, policy
procedures and guidelines and manages the rela-
tionship with partners including the World Health
Organisation and the Sierra Leone Ministry of
Health, said the Red Cross has been involved
since the first cases appeared in Gueckadou, in
Guinea, in March, sending specialist aid work-
ers from across the globe to the three affected
countries.
She said the Ebola response comes down to
basic public health.
“It is good hygiene, burial practices and a
simple transmission cycle that can be broken
through early case indication and treatment,” she
said.
By Karen Keast
“We utilise public health nurses with good
community experience to assist the national Red
Cross society in working with a large network of
volunteers in communities, personal and psycho-
logical support and contact tracing activities.
“It helps if these community nurses have a
good understanding of infection control, and epi-
demiology.
“In terms of clinical care, the nursing proce-
dures are basic skills - good interpersonal com-
munication, use of personal protective equip-
ment and supportive care that includes treatment
of sepsis and shock.”
Ms McClelland said a lack of understanding
about the disease has led to rumours and misin-
formation in the population, making clinical care
difficult.
“There have even been cases of civil unrest
or the population attacking a vehicle or hospital,”
she said.
“This fear and lack of understanding makes
bringing the outbreak under control very difficult.For the full article visit NCAH.com.au
“In terms of clinical care, the high case fa-
tality rate is difficult and working in the personal
protection equipment in hot conditions is a big
challenge.
“Nurses are losing up to two litres of fluid
in one set of rounds, so keeping hydrated and
avoiding heat stress is extremely important.”
Regardless of the hurdles, Ms McClelland
said it’s rewarding to work alongside Red Cross
volunteers in the midst of the epidemic.
“Despite the fear and stigma they turn up to
work every day and do what they can to help their
communities - they are amazing and an inspira-
tion,” she said.
The other highlights are the survivors.
“There are big celebrations when someone
survives,” she said.
“The counters take them back to their village
and assure everyone they are now safe and not
infectious.”
416- 012 1/2PG FULL COLOUR CMYK PDF
Time for a humanitarian career move?Want to kick-start your career in international development? Gain invaluable field experience by volunteering in Asia, Africa or the Pacific.
Assignments in nursing, midwifery, public health and allied health are regularly available. You can enrich your career with new skills, learn to manage with limited resources, and build invaluable relationships. We’ll support you all the way with airfares, accommodation and allowances.
Visit redcross.org.au/aidwork or call 03 9345 1834 to explore your options.Australian Volunteers is an Australian Government initiative
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London - no ordinary challenge for paramedicsIt’s one of the world’s most famous cities with landmarks such as Tower Bridge, Big Ben, Buckingham Palace and The Shard. It’s also home to one of the busiest ambulance services in the world - and it wants our paramedics. By Karen Keast
London has always been a working destina-
tion for Australians and New Zealanders.
While the London Ambulance Service has
long attracted Aussie and Kiwi paramedics
searching for a career change, now,
for the first time, the organisa-
tion is actively recruiting
paramedics from either
side of the Tasman
divide.
The service
will send a team
to interview
and assess
paramedics in
Australia and
New Zealand
next month as it
works to bridge
its paramedic short-
age.
London Ambulance
Service operations director
Jason Killens says the organisa-
tion hasn’t recruited from overseas before.
“This is an unique opportunity for Australian
paramedics,” he says.
“There is a national shortage of paramedics
in the UK and therefore we are looking to recruit
paramedics from Australia and New Zealand as
their skills and training closely match those in the
UK.
“I’d urge them to apply now for a chance to
work for the world’s busiest ambulance service in
one of the most famous cities in the world.”
The London Ambulance Service is home to
4,500 employees, with 3,300 frontline staff work-
ing across 70 ambulance stations spanning 620
square miles, from Heathrow in the west to Up-
minster in the east, and from Enfield in the north
to Purley in the south.
It receives around 4,000 calls a day, and
almost a quarter of those are immediately life-
threatening.
The organisation this year launched its re-
cruitment campaign, ‘London - no ordinary chal-
lenge’, as it works to fill about 250 vacancies for
registered paramedics.
Its recruitment website reveals London par-
amedics face unique challenges ranging from
open chest surgery at the side of the road to tak-
ing patients to hospital by boat.
Paramedics have the opportunity to work
amid all walks of London life via the service’s fast
response cars, as a flight paramedic and in its
cycle response unit.
“We respond to emergencies as quickly as
possible and deliver the highest level of care…in
the air, on the road, by foot,” it states.
Mr Killens says the London Ambulance Ser-
vice has changed a lot since he started.
“There’s now a clear career development
structure in place,” he says.
“But the qualities needed to succeed are the
same - persistence, personal resilience and the
ability to seize every opportunity you can.”
Those wanting to apply for the positions
must be at a paramedic level.
“We accept applications if they are current-
ly completing a paramedic science degree or
equivalent,” Mr Killens says.
“All applicants will need to obtain UK para-
medic registration before joining – but they can
still apply while their registration is in process.”
During assessments, candidates will need
to demonstrate their knowledge and decision-
making ability.
Mr Killens says candidates are first required
to take a multiple choice clinical assessment pa-
per on areas ranging from anatomy to advanced
life support and trauma.
“This is followed by a lifting assessment and,
finally, they will do a practical assessment on ad-
vanced life support,” he says.
“Candidates will be observed on how safe,
effective and logical their decision-making is
while working in a team.
“They will also be interviewed by someone
from human resources along with an operational
team member.”
Mr Killens says the service has so far re-
ceived about 100 applications from across Aus-
tralia and New Zealand and he expects all suit-
able candidates will receive a job offer.
“We expect to be able to offer a job to eve-
ryone who is successful at the interview and as-
sessment,” he says.
“A team from the service will be in Australia and New Zealand in September for interviews and assessments and by the end of the day paramedics could walk away with a job in London.
“We expect to complete the process of re-
ceiving their references, pre-employment checks
and their UK registration by December, with their
start date in January after been granted a visa.”
The service is offering candidates support
with their application, visa and relocation costs,
while it will also cover the Health and Care Pro-
fessions Council paramedic registration fee.
Paramedics who secure jobs will be required
to complete a short conversion course enabling
them to treat patients in the UK.
Mr Killens says the full training package will
enable paramedics to operate as registered para-
medics in London.
“This will include a conversion course, blue
light driving, responding to incidents on the Lon-
don Underground and an operational placement
as a third person with an ambulance crew.”
The London Ambulance Service will attend
the PAIC conference on the Gold Coast, from
September 18-20 September, running interviews
and assessments, and answering questions.
The service will also visit Sydney from Sep-
tember 8-9, Adelaide from 12-13, Melbourne
from 15-16, and Auckland from September 12-
13.
Paramedics wanting to apply can visit www.
noordinarychallenge.com, and for more informa-
tion can visit the London Ambulance Service’s
Facebook at www.facebook.com/noordinary-
challenge or speak to a member of the recruit-
ment team by emailing recruitment@londonam-
bulance.nhs.uk.
CYAN MAGENTA YELLOW BLACK CYAN MAGENTA YELLOW BLACK
Page 22 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 11
Page 14 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 19
416-005 1PG FULL COLOUR CMYK PDF 415-006 1PG FULL COLOUR CMYK PDF 414-006 1PG FULL COLOUR CMYK PDF 413-009 1PG FULL COLOUR CMYK PDF 412-006 1PG FULL COLOUR CMYK PDF 411-010 1PG FULL COLOUR CMYK PDF 409-011 1PG FULL COLOUR CMYK PDF 407-012 1PG FULL COLOUR CMYK PDF
Salt injection ‘kills cancer cells’Scientists have created a molecule that can
cause cancer cells to die by carrying sodium and
chloride ions into the cells.
Scientists have created a technique which
can cause cancer cells to self-destruct by inject-
ing them with salt.
Researchers from the University of South-
ampton are part of an international team that has
helped to create a molecule that can cause can-
cer cells to die by carrying sodium and chloride
ions into the cells.
Synthetic ion transporters have been created
before but this is the first time researchers have
demonstrated how an influx of salt into a cell trig-
gers cell death.
These synthetic ion transporters, described
this week in the journal Nature Chemistry, could
point the way to new anti-cancer drugs while also
benefiting patients with cystic fibrosis.
“This work shows how chloride transport-
ers can work with sodium channels in cell mem-
branes to cause an influx of salt into a cell. We
found we can trigger cell death with salt,” said
study co-author Professor Philip Gale, of the Uni-
versity of Southampton.
Cells in the human body work hard to main-
tain a stable concentration of ions inside their
cell membranes. Disruption of this delicate bal-
ance can trigger cells to go through apoptosis,
known as programmed cell death, a mechanism
the body uses to rid itself of damaged or danger-
ous cells.
One way of destroying cancer cells is to trig-
ger this self-destruct sequence by changing the
ion balance in cells.
For the full article visit NCAH.com.au416-001 1/2PG FULL COLOUR CMYK PDF
Make the dream of becoming a doctor a reality,earn your MD at Oceania University of Medicine.
n Attractive fee structure for our Graduate Entry Program.n Over 150 students currently enrolled and over 50 graduates
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n Receive personalised attention from an Academic Advisor.n OUM Graduates are eligible to sit the AMC exam or NZREX.
OCEANIA UNIVERSITY OF MEDICINEINTERNATIONALLY ACCREDITED For information visit www.RN2MD.org or 1300 665 343
Applications are now open for courses starting in January and July - No age restrictions
RN to MDOUM’s innovativeteaching style is
fantastic and exciting.Truly foreword thinking,OUM allows the student
to benefit from both local and international
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London - no ordinary challenge for paramedicsIt’s one of the world’s most famous cities with landmarks such as Tower Bridge, Big Ben, Buckingham Palace and The Shard. It’s also home to one of the busiest ambulance services in the world - and it wants our paramedics. By Karen Keast
London has always been a working destina-
tion for Australians and New Zealanders.
While the London Ambulance Service has
long attracted Aussie and Kiwi paramedics
searching for a career change, now,
for the first time, the organisa-
tion is actively recruiting
paramedics from either
side of the Tasman
divide.
The service
will send a team
to interview
and assess
paramedics in
Australia and
New Zealand
next month as it
works to bridge
its paramedic short-
age.
London Ambulance
Service operations director
Jason Killens says the organisa-
tion hasn’t recruited from overseas before.
“This is an unique opportunity for Australian
paramedics,” he says.
“There is a national shortage of paramedics
in the UK and therefore we are looking to recruit
paramedics from Australia and New Zealand as
their skills and training closely match those in the
UK.
“I’d urge them to apply now for a chance to
work for the world’s busiest ambulance service in
one of the most famous cities in the world.”
The London Ambulance Service is home to
4,500 employees, with 3,300 frontline staff work-
ing across 70 ambulance stations spanning 620
square miles, from Heathrow in the west to Up-
minster in the east, and from Enfield in the north
to Purley in the south.
It receives around 4,000 calls a day, and
almost a quarter of those are immediately life-
threatening.
The organisation this year launched its re-
cruitment campaign, ‘London - no ordinary chal-
lenge’, as it works to fill about 250 vacancies for
registered paramedics.
Its recruitment website reveals London par-
amedics face unique challenges ranging from
open chest surgery at the side of the road to tak-
ing patients to hospital by boat.
Paramedics have the opportunity to work
amid all walks of London life via the service’s fast
response cars, as a flight paramedic and in its
cycle response unit.
“We respond to emergencies as quickly as
possible and deliver the highest level of care…in
the air, on the road, by foot,” it states.
Mr Killens says the London Ambulance Ser-
vice has changed a lot since he started.
“There’s now a clear career development
structure in place,” he says.
“But the qualities needed to succeed are the
same - persistence, personal resilience and the
ability to seize every opportunity you can.”
Those wanting to apply for the positions
must be at a paramedic level.
“We accept applications if they are current-
ly completing a paramedic science degree or
equivalent,” Mr Killens says.
“All applicants will need to obtain UK para-
medic registration before joining – but they can
still apply while their registration is in process.”
During assessments, candidates will need
to demonstrate their knowledge and decision-
making ability.
Mr Killens says candidates are first required
to take a multiple choice clinical assessment pa-
per on areas ranging from anatomy to advanced
life support and trauma.
“This is followed by a lifting assessment and,
finally, they will do a practical assessment on ad-
vanced life support,” he says.
“Candidates will be observed on how safe,
effective and logical their decision-making is
while working in a team.
“They will also be interviewed by someone
from human resources along with an operational
team member.”
Mr Killens says the service has so far re-
ceived about 100 applications from across Aus-
tralia and New Zealand and he expects all suit-
able candidates will receive a job offer.
“We expect to be able to offer a job to eve-
ryone who is successful at the interview and as-
sessment,” he says.
“A team from the service will be in Australia and New Zealand in September for interviews and assessments and by the end of the day paramedics could walk away with a job in London.
“We expect to complete the process of re-
ceiving their references, pre-employment checks
and their UK registration by December, with their
start date in January after been granted a visa.”
The service is offering candidates support
with their application, visa and relocation costs,
while it will also cover the Health and Care Pro-
fessions Council paramedic registration fee.
Paramedics who secure jobs will be required
to complete a short conversion course enabling
them to treat patients in the UK.
Mr Killens says the full training package will
enable paramedics to operate as registered para-
medics in London.
“This will include a conversion course, blue
light driving, responding to incidents on the Lon-
don Underground and an operational placement
as a third person with an ambulance crew.”
The London Ambulance Service will attend
the PAIC conference on the Gold Coast, from
September 18-20 September, running interviews
and assessments, and answering questions.
The service will also visit Sydney from Sep-
tember 8-9, Adelaide from 12-13, Melbourne
from 15-16, and Auckland from September 12-
13.
Paramedics wanting to apply can visit www.
noordinarychallenge.com, and for more informa-
tion can visit the London Ambulance Service’s
Facebook at www.facebook.com/noordinary-
challenge or speak to a member of the recruit-
ment team by emailing recruitment@londonam-
bulance.nhs.uk.
Doctors urged to spot rheumatic fever
Indigenous people are at increased risk of
contracting acute rheumatic fever, which is pre-
ventable but leads to deadly heart disease if un-
detected.
When Kenya McAdam’s joints started hurting
when she was 15, she thought it was due to a
recent soccer game, or growing pains.
But within a week she had been rushed from
Kununurra in the Kimberley to a Darwin hospital,
where she suffered a cardiac arrest.
She was diagnosed with rheumatic heart dis-
ease (RHD) and underwent heart surgery, which
she may need every decade for the rest of her life.
Australia has one of the highest rates of RHD
in the world, with indigenous people 64 times
more likely to contract it as a result of weakened
immune systems due to poverty and deprivation.
A seminar being held in Darwin this week is
training health workers to be on the lookout for
the preventable illness.
Acute rheumatic fever is caused by a reaction to a streptococcus bacteria, in-flaming the heart, joints, brain and skin, and if untreated it can cause RHD, where the heart valves are stretched or scarred, interrupting blood flow.
“I didn’t realise how sick I was at first, and
then when I was told, I went `wow’. All of that
inside of me and I didn’t even know,” Kenya, now
18, told AAP on Tuesday.
Her mother Cherie says she had persistent
sore throats as a child, which are a symptom of
the disease that doctors failed to diagnose.
Kenya’s brother Luke has rheumatic fever
and her youngest sister Mercii has a congenital
heart condition.
Many Australian medical professionals have
never seen a case of acute rheumatic fever because
it has largely been eradicated in urban settings,
said Professor Bart Currie, director of RHD Aus-
tralia.
Almost half a million new cases are identified
each year around the world, especially in the Pa-
cific region, and it kills 230,000 people annually.
Cherie and Kenya are urging health profes-
sionals to be more aware.
“Women, we share the same heartbeat as our
kid,” Cherie said.
“We know when something is up ... If she
keeps coming back (to the doctor) you listen to
her, and dig deeper.”
An earlier diagnosis might have prevented
Kenya’s condition becoming the disease, which
will limit her in terms of employment and physical
activity, Cherie said.
Experts are also converging in Darwin for the
largest study on RHD and pregnancy conducted
across Australia and New Zealand.
The disease is often undiagnosed but is un-
masked by pregnancy when women’s hearts are
under stress, and can make them very unwell.
The study is ongoing, but preliminary results
show that a limited access to specialist health
care in remote communities, a high turnover of
staff and multiple layers of health records are
preventing pregnant women from getting the care
they need.
But in Kununurra now when children present
with sore throats, they immediately receive in-
jections to battle possible rheumatic fever, said
Cherie.
“We’ve been instigators of change for the
better so other families don’t have to go through
what we’ve been through,” she said.
Copyright AAP 2014
416-031 1/4PG PDF415-018 1/4PG PDF
I N G R I D T E R E S A P R Y D E
of
NURSING
DARKThe
SIDE
ingridpryde.wix.com/darksideofnursing
of
NURSING
DARKThe
SIDE of
NURSING
DARKThe
SIDE of
NURSING
DARKThe
SIDE
A confronting memoir academic based book on bullying in nursing. Available at Amazon, Balboa press, request at local book store.RRP $29.95.
ISBN:- 978-1-4525-1239-6
A confronting memoir academic based book on bullying in nursing. Available at Amazon, Balboa press, request at local book store.RRP $29.95.
A confronting memoir academic based book on bullying in nursing. Available at Amazon, Balboa press, request at local book store.RRP $29.95.
A confronting memoir academic based book on bullying in nursing. Available at Amazon, Balboa press, request at local book store.RRP $29.95.
A confronting memoir academic based book on bullying in nursing. Available at Amazon, Balboa press, request at local book store.RRP $29.95.
A confronting memoir academic based book on bullying in nursing. Available at Amazon, Balboa press, request at local book store.RRP $29.95.
A confronting memoir academic based book on bullying in nursing. Available at Amazon, Balboa press, request at local book store.RRP $29.95.
CYAN MAGENTA YELLOW BLACKCYAN MAGENTA YELLOW BLACK
Page 20 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 13
Page 12 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 21
416-024 1PG FULL COLOUR CMYK PDF 415-014 1PG FULL COLOUR CMYK PDF
fi rst & foremost for you
First State Super works as hard as you do
We believe Australians who choose careers looking after others deserve a comfortable retirement.
Join the super fund that puts members fi rst.
Call us on 1300 650 873 or visit fi rststatesuper.com.au
Consider our product disclosure statement before making a decision about First State Super. Call us or visit our website for a copy. FSS Trustee Corporation ABN 11 118 202 672 AFSL 293340 is the trustee of the First State Superannuation Scheme ABN 53 226 460 365N
CA_WorksH
ard_180x120P_0714
416-002 1/2PG FULL COLOUR CMYK PDF415-004 1/2PG FULL COLOUR CMYK PDF414-002 1/2PG FULL COLOUR CMYK PDF413-005 1/2PG FULL COLOUR CMYK PDF412-002 1/2PG FULL COLOUR CMYK PDF411-006 1/2PG FULL COLOUR CMYK PDF410-003 1/2PG FULL COLOUR CMYK PDF409-008 1/2PG FULL COLOUR CMYK PDF408-00 1/2PG FULL COLOUR CMYK PDF407-008 1/2PG FULL COLOUR CMYK PDF405-011 1/2PG FULL COLOUR CMYK PDF404-007 1/2PG FULL COLOUR CMYK PDF403-013 1/2PG FULL COLOUR CMYK PDF402-013 1/2PG FULL COLOUR CMYK PDF401-039 1/2PG FULL COLOUR CMYK PDF
• Up to 12 week assignments (or longer).• Living & caring for people in their homes.• Board & lodgings on assignment.• Dormitory accommodation provided whilst undertaking your initial UK training• Professional and friendly support.
In you are interested in this exciting opportunity and you are eligable to work in the UK, email
START YOUR OE EXPERIENCE
OXFORD AUNTS CAN HELP YOU WORK AND TRAVELIN THE UK AND BEYOND!
Caregivers
Website: www.oxfordaunts.co.ukPhone: +44 1865 791017
Do you want to work and travel?Pay plus holiday pay based on your experienceHave care-giving experience or have trained as a nurse?Are you eligible to work in the UK by virtue of youth mobility, ancestry Visa or EU Passport?
OxfordAunts Care
Support for Noarlunga Hospital nurses
Nurses working at an Adelaide hospital have
been offered counselling and support after a
patient was charged with the murder of another
patient.
South Australia Police have arrested and
charged a 23-year-old Woodcroft man with mur-
der after the death of a man, aged in his 40s, at
the Noarlunga Hospital.
A nurse doing her rounds at the Morier Ward
of the hospital found a man collapsed around
1am on August 12.
He was unable to be revived and was pro-
nounced dead.
Australian Nursing and Midwifery Federa-
tion South Australian branch secretary Adj Assoc
Professor Elizabeth Dabars AM said nurses who
work at the ward are receiving support.
“Our understanding is the nurses, whilst of
course it’s been quite a shocking experience,
have at least been getting some appropriate sup-
port from their managers,” she said.
“That includes some appropriate offers of
counselling, and also getting people home in an
appropriate way rather than expecting them to
drive in a state of shock.
“The support that’s been offered by manage-
ment has been positive and one that we’ve wel-
comed.
“Obviously our hearts and minds also go out
to those who are affected and have been involved
in this situation.”
In a statement, Southern Adelaide Local
Health Network chief executive officer Belinda
Moyes said the incident took place in a contained
area of the health service.
For the full article visit NCAH.com.au
416-032 1PG FULL COLOUR CMYK PDF
Opportunity.Experience.Lifestyle. Nursing Director / Program Manager Location: Rehabilitation Mental Health Services,Mental Health Service Group, Townsville,Townsville Hospital and Health Service. Salary Details: Remuneration value up to $149 668 p.a., comprising salary of $131 177 p.a., employer contribution to superannuation (up to 12.75%) and annual leave loading (17.5%) (Nurse Grade 9 [2]). Duties/Abilities: Accountable for leadership, innovation and excellence in the continuum of care for Rehabilitation Mental Health Services across multiple sites. Manage the operational delivery of clinical services in partnership with the relevant Clinical Medical Director. Be accountable for the administration, direction and control of the asset management and fi nancial management of one or more of the relevant cost centres in the program stream. Assist the Nursing Director (Grade 9 [3]) in the provision of leadership of professional nursing services within the Mental Health Service Group.Enquiries: Michael Catt (07) 4433 3088.Job Ad Reference: TV138793.Application Kit: www.smartjobs.qld.gov.au or (07) 4750 6771 Closing Date: Sunday, 24 August 2014 (applications will remain current for 12 months).
health • care • people
Blaze44
879
416-023 1PG FULL COLOUR CMYK PDF 415-013 1PG FULL COLOUR CMYK PDF
Expand your professional skills and knowledge with the exciting concept of Education at Sea.
For full conference information and details please visit www.educationatsea.com.au
Cardiology Care in the 21st CenturySouth Pacific Cruise: Oct 26th - 3rd Nov 2014
Mothers, Babies and the Health Care Professional "Child Health Nurses and Midwives - Where do we fit in"
South Pacific Cruise: Nov 8th - 15th 2014
Midwives On Board! 2015 Contemporary Issues In Maternity CareSouth Pacific Cruise: Feb 8th - 18th 2015
DualDiagnosis: the complexity and importance of careThailand & Vietnam Cruise: Feb 11th - 18th 2015
Diabetes and Nutrition within the Ageing Population: Personalising your approach to Prevention,Treatment and Care
South Pacific Cruise: Mar 14th - 22nd 2015
The Australian College of Emergency Nursing: TNCC Trauma Nursing Core Course Seventh Edition
South Pacific Cruise: Mar 14th - 22nd 2015
Perioperative NursingSouth Pacific Cruise: June 8th - 18th 2015
Nurses for Nurses Network 2015 AnnualConference Western Caribbean Cruise: July 12th - 19th 2015
For conference information and bookings please visit www.educationatsea.com.au
CYAN MAGENTA YELLOW BLACK CYAN MAGENTA YELLOW BLACK
Page 20 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 13
Page 12 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 21
416-024 1PG FULL COLOUR CMYK PDF415-014 1PG FULL COLOUR CMYK PDF
fi rst & foremost for you
First State Super works as hard as you do
We believe Australians who choose careers looking after others deserve a comfortable retirement.
Join the super fund that puts members fi rst.
Call us on 1300 650 873 or visit fi rststatesuper.com.au
Consider our product disclosure statement before making a decision about First State Super. Call us or visit our website for a copy. FSS Trustee Corporation ABN 11 118 202 672 AFSL 293340 is the trustee of the First State Superannuation Scheme ABN 53 226 460 365 N
CA_W
orks
Har
d_18
0x12
0P_0
714
416-002 1/2PG FULL COLOUR CMYK PDF 415-004 1/2PG FULL COLOUR CMYK PDF 414-002 1/2PG FULL COLOUR CMYK PDF 413-005 1/2PG FULL COLOUR CMYK PDF 412-002 1/2PG FULL COLOUR CMYK PDF 411-006 1/2PG FULL COLOUR CMYK PDF 410-003 1/2PG FULL COLOUR CMYK PDF 409-008 1/2PG FULL COLOUR CMYK PDF 408-00 1/2PG FULL COLOUR CMYK PDF 407-008 1/2PG FULL COLOUR CMYK PDF 405-011 1/2PG FULL COLOUR CMYK PDF 404-007 1/2PG FULL COLOUR CMYK PDF 403-013 1/2PG FULL COLOUR CMYK PDF 402-013 1/2PG FULL COLOUR CMYK PDF 401-039 1/2PG FULL COLOUR CMYK PDF
• Up to 12 week assignments (or longer).• Living & caring for people in their homes.• Board & lodgings on assignment.• Dormitory accommodation provided whilst undertaking your initial UK training• Professional and friendly support.
In you are interested in this exciting opportunity and you are eligable to work in the UK, email
START YOUR OE EXPERIENCE
OXFORD AUNTS CAN HELP YOU WORK AND TRAVELIN THE UK AND BEYOND!
Caregivers
Website: www.oxfordaunts.co.ukPhone: +44 1865 791017
Do you want to work and travel?Pay plus holiday pay based on your experienceHave care-giving experience or have trained as a nurse?Are you eligible to work in the UK by virtue of youth mobility, ancestry Visa or EU Passport?
OxfordAunts Care
Support for Noarlunga Hospital nurses
Nurses working at an Adelaide hospital have
been offered counselling and support after a
patient was charged with the murder of another
patient.
South Australia Police have arrested and
charged a 23-year-old Woodcroft man with mur-
der after the death of a man, aged in his 40s, at
the Noarlunga Hospital.
A nurse doing her rounds at the Morier Ward
of the hospital found a man collapsed around
1am on August 12.
He was unable to be revived and was pro-
nounced dead.
Australian Nursing and Midwifery Federa-
tion South Australian branch secretary Adj Assoc
Professor Elizabeth Dabars AM said nurses who
work at the ward are receiving support.
“Our understanding is the nurses, whilst of
course it’s been quite a shocking experience,
have at least been getting some appropriate sup-
port from their managers,” she said.
“That includes some appropriate offers of
counselling, and also getting people home in an
appropriate way rather than expecting them to
drive in a state of shock.
“The support that’s been offered by manage-
ment has been positive and one that we’ve wel-
comed.
“Obviously our hearts and minds also go out
to those who are affected and have been involved
in this situation.”
In a statement, Southern Adelaide Local
Health Network chief executive officer Belinda
Moyes said the incident took place in a contained
area of the health service.
For the full article visit NCAH.com.au
416-032 1PG FULL COLOUR CMYK PDF
Opportunity.Experience.Lifestyle. Nursing Director / Program Manager Location: Rehabilitation Mental Health Services,Mental Health Service Group, Townsville,Townsville Hospital and Health Service. Salary Details: Remuneration value up to $149 668 p.a., comprising salary of $131 177 p.a., employer contribution to superannuation (up to 12.75%) and annual leave loading (17.5%) (Nurse Grade 9 [2]). Duties/Abilities: Accountable for leadership, innovation and excellence in the continuum of care for Rehabilitation Mental Health Services across multiple sites. Manage the operational delivery of clinical services in partnership with the relevant Clinical Medical Director. Be accountable for the administration, direction and control of the asset management and fi nancial management of one or more of the relevant cost centres in the program stream. Assist the Nursing Director (Grade 9 [3]) in the provision of leadership of professional nursing services within the Mental Health Service Group.Enquiries: Michael Catt (07) 4433 3088.Job Ad Reference: TV138793.Application Kit: www.smartjobs.qld.gov.au or (07) 4750 6771 Closing Date: Sunday, 24 August 2014 (applications will remain current for 12 months).
health • care • people
Blaze44879
416-023 1PG FULL COLOUR CMYK PDF415-013 1PG FULL COLOUR CMYK PDF
Expand your professional skills and knowledge with the exciting concept of Education at Sea.
For full conference information and details please visit www.educationatsea.com.au
Cardiology Care in the 21st CenturySouth Pacific Cruise: Oct 26th - 3rd Nov 2014
Mothers, Babies and the Health Care Professional "Child Health Nurses and Midwives - Where do we fit in"
South Pacific Cruise: Nov 8th - 15th 2014
Midwives On Board! 2015 Contemporary Issues In Maternity CareSouth Pacific Cruise: Feb 8th - 18th 2015
Dual Diagnosis: the complexity and importance of careThailand & Vietnam Cruise: Feb 11th - 18th 2015
Diabetes and Nutrition within the Ageing Population: Personalising your approach to Prevention, Treatment and Care
South Pacific Cruise: Mar 14th - 22nd 2015
The Australian College of Emergency Nursing: TNCC Trauma Nursing Core Course Seventh Edition
South Pacific Cruise: Mar 14th - 22nd 2015
Perioperative NursingSouth Pacific Cruise: June 8th - 18th 2015
Nurses for Nurses Network 2015 Annual Conference Western Caribbean Cruise: July 12th - 19th 2015
For conference information and bookings please visit www.educationatsea.com.au
CYAN MAGENTA YELLOW BLACKCYAN MAGENTA YELLOW BLACK
Page 22 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 11
Page 14 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 19
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Salt injection ‘kills cancer cells’Scientists have created a molecule that can
cause cancer cells to die by carrying sodium and
chloride ions into the cells.
Scientists have created a technique which
can cause cancer cells to self-destruct by inject-
ing them with salt.
Researchers from the University of South-
ampton are part of an international team that has
helped to create a molecule that can cause can-
cer cells to die by carrying sodium and chloride
ions into the cells.
Synthetic ion transporters have been created
before but this is the first time researchers have
demonstrated how an influx of salt into a cell trig-
gers cell death.
These synthetic ion transporters, described
this week in the journal Nature Chemistry, could
point the way to new anti-cancer drugs while also
benefiting patients with cystic fibrosis.
“This work shows how chloride transport-
ers can work with sodium channels in cell mem-
branes to cause an influx of salt into a cell. We
found we can trigger cell death with salt,” said
study co-author Professor Philip Gale, of the Uni-
versity of Southampton.
Cells in the human body work hard to main-
tain a stable concentration of ions inside their
cell membranes. Disruption of this delicate bal-
ance can trigger cells to go through apoptosis,
known as programmed cell death, a mechanism
the body uses to rid itself of damaged or danger-
ous cells.
One way of destroying cancer cells is to trig-
ger this self-destruct sequence by changing the
ion balance in cells.
For the full article visit NCAH.com.au 416-001 1/2PG FULL COLOUR CMYK PDF
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London - no ordinary challenge for paramedicsIt’s one of the world’s most famous cities with landmarks such as Tower Bridge, Big Ben, Buckingham Palace and The Shard. It’s also home to one of the busiest ambulance services in the world - and it wants our paramedics. By Karen Keast
London has always been a working destina-
tion for Australians and New Zealanders.
While the London Ambulance Service has
long attracted Aussie and Kiwi paramedics
searching for a career change, now,
for the first time, the organisa-
tion is actively recruiting
paramedics from either
side of the Tasman
divide.
The service
will send a team
to interview
and assess
paramedics in
Australia and
New Zealand
next month as it
works to bridge
its paramedic short-
age.
London Ambulance
Service operations director
Jason Killens says the organisa-
tion hasn’t recruited from overseas before.
“This is an unique opportunity for Australian
paramedics,” he says.
“There is a national shortage of paramedics
in the UK and therefore we are looking to recruit
paramedics from Australia and New Zealand as
their skills and training closely match those in the
UK.
“I’d urge them to apply now for a chance to
work for the world’s busiest ambulance service in
one of the most famous cities in the world.”
The London Ambulance Service is home to
4,500 employees, with 3,300 frontline staff work-
ing across 70 ambulance stations spanning 620
square miles, from Heathrow in the west to Up-
minster in the east, and from Enfield in the north
to Purley in the south.
It receives around 4,000 calls a day, and
almost a quarter of those are immediately life-
threatening.
The organisation this year launched its re-
cruitment campaign, ‘London - no ordinary chal-
lenge’, as it works to fill about 250 vacancies for
registered paramedics.
Its recruitment website reveals London par-
amedics face unique challenges ranging from
open chest surgery at the side of the road to tak-
ing patients to hospital by boat.
Paramedics have the opportunity to work
amid all walks of London life via the service’s fast
response cars, as a flight paramedic and in its
cycle response unit.
“We respond to emergencies as quickly as
possible and deliver the highest level of care…in
the air, on the road, by foot,” it states.
Mr Killens says the London Ambulance Ser-
vice has changed a lot since he started.
“There’s now a clear career development
structure in place,” he says.
“But the qualities needed to succeed are the
same - persistence, personal resilience and the
ability to seize every opportunity you can.”
Those wanting to apply for the positions
must be at a paramedic level.
“We accept applications if they are current-
ly completing a paramedic science degree or
equivalent,” Mr Killens says.
“All applicants will need to obtain UK para-
medic registration before joining – but they can
still apply while their registration is in process.”
During assessments, candidates will need
to demonstrate their knowledge and decision-
making ability.
Mr Killens says candidates are first required
to take a multiple choice clinical assessment pa-
per on areas ranging from anatomy to advanced
life support and trauma.
“This is followed by a lifting assessment and,
finally, they will do a practical assessment on ad-
vanced life support,” he says.
“Candidates will be observed on how safe,
effective and logical their decision-making is
while working in a team.
“They will also be interviewed by someone
from human resources along with an operational
team member.”
Mr Killens says the service has so far re-
ceived about 100 applications from across Aus-
tralia and New Zealand and he expects all suit-
able candidates will receive a job offer.
“We expect to be able to offer a job to eve-
ryone who is successful at the interview and as-
sessment,” he says.
“A team from the service will be in Australia and New Zealand in September for interviews and assessments and by the end of the day paramedics could walk away with a job in London.
“We expect to complete the process of re-
ceiving their references, pre-employment checks
and their UK registration by December, with their
start date in January after been granted a visa.”
The service is offering candidates support
with their application, visa and relocation costs,
while it will also cover the Health and Care Pro-
fessions Council paramedic registration fee.
Paramedics who secure jobs will be required
to complete a short conversion course enabling
them to treat patients in the UK.
Mr Killens says the full training package will
enable paramedics to operate as registered para-
medics in London.
“This will include a conversion course, blue
light driving, responding to incidents on the Lon-
don Underground and an operational placement
as a third person with an ambulance crew.”
The London Ambulance Service will attend
the PAIC conference on the Gold Coast, from
September 18-20 September, running interviews
and assessments, and answering questions.
The service will also visit Sydney from Sep-
tember 8-9, Adelaide from 12-13, Melbourne
from 15-16, and Auckland from September 12-
13.
Paramedics wanting to apply can visit www.
noordinarychallenge.com, and for more informa-
tion can visit the London Ambulance Service’s
Facebook at www.facebook.com/noordinary-
challenge or speak to a member of the recruit-
ment team by emailing recruitment@londonam-
bulance.nhs.uk.
Doctors urged to spot rheumatic fever
Indigenous people are at increased risk of
contracting acute rheumatic fever, which is pre-
ventable but leads to deadly heart disease if un-
detected.
When Kenya McAdam’s joints started hurting
when she was 15, she thought it was due to a
recent soccer game, or growing pains.
But within a week she had been rushed from
Kununurra in the Kimberley to a Darwin hospital,
where she suffered a cardiac arrest.
She was diagnosed with rheumatic heart dis-
ease (RHD) and underwent heart surgery, which
she may need every decade for the rest of her life.
Australia has one of the highest rates of RHD
in the world, with indigenous people 64 times
more likely to contract it as a result of weakened
immune systems due to poverty and deprivation.
A seminar being held in Darwin this week is
training health workers to be on the lookout for
the preventable illness.
Acute rheumatic fever is caused by a reaction to a streptococcus bacteria, in-flaming the heart, joints, brain and skin, and if untreated it can cause RHD, where the heart valves are stretched or scarred, interrupting blood flow.
“I didn’t realise how sick I was at first, and
then when I was told, I went `wow’. All of that
inside of me and I didn’t even know,” Kenya, now
18, told AAP on Tuesday.
Her mother Cherie says she had persistent
sore throats as a child, which are a symptom of
the disease that doctors failed to diagnose.
Kenya’s brother Luke has rheumatic fever
and her youngest sister Mercii has a congenital
heart condition.
Many Australian medical professionals have
never seen a case of acute rheumatic fever because
it has largely been eradicated in urban settings,
said Professor Bart Currie, director of RHD Aus-
tralia.
Almost half a million new cases are identified
each year around the world, especially in the Pa-
cific region, and it kills 230,000 people annually.
Cherie and Kenya are urging health profes-
sionals to be more aware.
“Women, we share the same heartbeat as our
kid,” Cherie said.
“We know when something is up ... If she
keeps coming back (to the doctor) you listen to
her, and dig deeper.”
An earlier diagnosis might have prevented
Kenya’s condition becoming the disease, which
will limit her in terms of employment and physical
activity, Cherie said.
Experts are also converging in Darwin for the
largest study on RHD and pregnancy conducted
across Australia and New Zealand.
The disease is often undiagnosed but is un-
masked by pregnancy when women’s hearts are
under stress, and can make them very unwell.
The study is ongoing, but preliminary results
show that a limited access to specialist health
care in remote communities, a high turnover of
staff and multiple layers of health records are
preventing pregnant women from getting the care
they need.
But in Kununurra now when children present
with sore throats, they immediately receive in-
jections to battle possible rheumatic fever, said
Cherie.
“We’ve been instigators of change for the
better so other families don’t have to go through
what we’ve been through,” she said.
Copyright AAP 2014
416-031 1/4PG PDF 415-018 1/4PG PDF
INGRID TERESA PRYDE
of
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ingridpryde.wix.com/darksideofnursing
of
NURSING
DARKThe
SIDEof
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A confronting memoir academic based book on bullying in nursing. Available at Amazon, Balboa press, request at local book store.RRP $29.95.
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CYAN MAGENTA YELLOW BLACK CYAN MAGENTA YELLOW BLACK
Page 26 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 7
Page 10 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 23
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Act now!
2015 deadline
announced
The UK Government has announced new restrictions from next April on civil servants (NHS, Police etc.) being able to transfer their pensions to Australia. This may also be expanded to the private sector.
It is now still possible to transfer for more detail contact UKPTA
CALL US TODAY ON (08) 9309 [email protected]
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Adelaide’s city centre is surrounded by parklands and is a blend of historic buildings, wide streets, parklands, cafes and restaurants. Adelaide is easy to get around with rolling hills to the east and beaches to the west. With a population of slightly more than one million, Adelaide is the “20 minute city”. The airport is only seven kilometres from Adelaide city. The Adelaide Hills and major beaches are less than half an hour away by car. That’s what we call liveable! So what’s stopping you – apply today?
Registered Nurse - Theatre Scrub/Scout and Anaesthetics
Are you looking for a new challenge? Calvary Wakefield Hospital needs you! Calvary Wakefield Hospital is an extremely busy eight theatre suite with increasing utilisation. We have vacancies in Cardiac, Neuro and Orthopaedic and General surgery. We are looking to recruit registered Nurses with a minimum of two years experience in Scrub/Scout or Anaesthetics.
Successful applicants will possess:• Registration with AHPRA to practice as a Registered Nurse in Australia• A minimum of two years' experience as a Scrub/Scout or Anaesthetics• Strong interpersonal and communication skills • Proven ability to work effectively both in a team and autonomously • Intermediate computer skills • Full rights to work in Australia
Bene�ts include:• An attractive salary with on-call component • Salary packaging
Further information please contact:Kay McDonald, Peri-operative & Angio Service Manager Tel (08) 8412 2045 or Email: [email protected]
Applications close: 30th September 2014
In the Tradition of the Sisters of the Little Company of Mary with values of hospitality healing, stewardship and respect
www.calvarysa.com.au 300 Wake�eld Street , Adelaide SA 5000
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For more information and to apply, please visit careers.mercy.com.au
• Perioperative Services / Mercy Hospital for Women • Full time 76 hours/fortnight (Part time negotiable)
Mercy Health is a Catholic organisation employing over 5,000 people who provide compassionate and holistic care through our acute hospitals, aged care facilities, mental health programs, palliative and respite services, maternity and women’s health services, early parenting services and home care services.
An opportunity exists for a motivated and experienced Registered Nurse with Post Graduate qualifications in Perioperative nursing, to become part of our leadership team.
Our unit caters for women who require specialist surgical care in Obstetrics, Urogynaecology, Reproductive Medicine, Gynaecological Oncology, Endosurgery and General Gynaecology.
As a highly organised and motivated team member, you will possess excellent clinical and interpersonal skills coupled with a strong customer care focus.
This is a fantastic opportunity to join an award winning organisation and take the next step in your career. Attractive salary packaging benefits and a wide range of health and wellbeing initiatives are available.
Enquires to: Louise Alexander, Nurse Unit Manager, Perioperative Services on 8458 4108Quote Ref No: MHW 04Applications Close: Friday 15 August 2014
Associate Nurse Unit Manager Operating Suite (Grade 3B)
Health services
MERCY HEALTH: CARING FOR A LIVING
New camera technology for Victorian ambulances
Innovative reversing camera technology is
being rolled out in new ambulances across Vic-
toria.
The technology, designed to provide para-
medics driving ambulances with a clearer view
of the rear cabin, is already installed in about 50
new ambulances across the state.
Paramedics driving ambulances already view
reversing camera vision directly on the rear vision
mirror instead of on the dashboard.
Under the new system, the images on the
rear vision mirror will automatically switch from
reversing vision to the interior view of the rear
compartment when the ambulance is moved
from reverse into drive.
Ambulance Victoria says there is no camera
located in the back of the cabin, instead a cam-
era in the front of the vehicle provides the driver
with a view that’s the same perspective as the
rear vision mirror - albeit an improved view.
The camera does not record any images but
instead displays real-time images to the ambu-
lance driver.
The technology is being rolled out only in new
ambulances as they enter the fleet after a suc-
cessful trial of the technology in five ambulances
last September.
The Victorian initiative is possibly the first
time reverse camera technology has been used
to provide ambulance drivers with vision of the
rear ambulance compartment.
For the full article visit NCAH.com.au 416-021 1/2PG FULL COLOUR CMYK PDF
CYAN MAGENTA YELLOW BLACKCYAN MAGENTA YELLOW BLACK
Page 24 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 9
Page 8 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 25
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Apply now to start study in 20141800 818 865une.edu.au/healthmanagement
Become a leader in health with UNEUNE prepares future health service managers, leaders and health policy makers to learn
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Coffs Harbour is located on the North Coast of New South Wales, midway between Sydney and Brisbane with multiple daily fl ights to both capital cities. The area boasts superb beaches, mountain scenery, heritage listed rainforests, fi ne restaurants and a near idyllic climate. It is a family friendly area with outstanding schools and recreational facilities.
The Coffs Harbour Health Campus is a modern 208 bed facility which provides a broad range of specialty health care services. These include emergency medicine, intensive care, coronary care, general medicine, general surgery and orthopaedics, obstetrics/gynaecology, paediatrics, stroke and rehabilitation, renal and mental health and a wide range of clinical support services and community based services. Recent additions to the facility include the Coronary Angiography Unit and the North Coast Cancer Institute (NCCI) which provides oncology services, radiotherapy and breast screening. Come and enjoy the rewards of working as part of a highly dedicated team committed to the provision of world class health services.
Midwifery Unit Manager – Maternity ServicesLocation: Coffs Harbour Health Campus
• Provide management, clinical leadership and coordination of care within the Maternity Services• Promote the CORE values of MNCLHD and NSW Health, leading in a manner which encourages
the adoption of these standards in all staff• In consultation with midwifery and medical staff within the Maternity Services, develop the strategic
direction for the Maternity Services and inspire a shared sense of purpose amongst all staff
Enquiries: Joanne Uttley, (02) 6656 7024 or email [email protected]
Reference number: 201904
Closing date: 1 September 2014
The colour of wounds and its implication for healingBy Bonnie Fraser RN BSc, BNURS
Wounds are very common across the spec-
trum of health care settings, with a range of pres-
entations including traumatic or surgical wounds
and chronic wounds such as diabetic foot ulcers
and leg wounds (in particular venous stasis ulcers
and arterial ulcers), ischemic wounds (gangrene)
and pressure injuries. Less common wounds
may include vasculitic ulcers, necrotising fas-
ciitis, pyoderma gangrenosum and calciphylaxis.
With any wound it is important to understand
the aetiology in order to develop an appropriate
management plan, but also to properly manage
any comorbidities that may be associated with
the development of the wound or limit the healing
potential.Locally, the type of tissue in the wound
bed may give important clues about the stage of
healing or whether the wound will heal. Wound
assessment must therefore be holistic and incor-
porate key aspects of both the patient and the
wound to ensure the best possible outcome for
the individual. While holistic assessment is the
foundation for thorough wound assessment, this
article will focus on wound characteristics, in par-
ticular tissue types and the condition of the sur-
rounding skin.
Healthy SkinAs the outer layer of the body, skin provides a
protective barrier to environmental influences al-
lowing us to respond to a myriad of environmen-
tal stimuli. Skin forms an impervious barrier to
changing weather conditions as well as chemical
and bacterial assault. Skin contains thousands
of sensory nerve endings that detect changes
in temperature, pain and pressure, and facilitate
thermoregulation. Skin has metabolic functions
producing vitamin D in response to sunlight and
secreting salts through sweating. Skin plays
an important cosmetic role,influencing how we
view ourselves and communicate with others.
Any failure in skin integrity results in a wound.
All wounds, regardless of their cause and heal-
ing intention (discussed in a future article), must
progress through the stages of healing in order
to close and restore skin integrity. The following
provides a guide to understanding various tissue
types associated with wounds.
Tissue types and wound healingManagement of a patient’s wound will be de-
termined by the wound tissue present and exu-
dates. The different types of tissue can easily be
remembered by colour. Necrotic tissue, termed
eschar, is easily identified as black or dark brown
in colour. Eschar may be dry or moist and pre-
sents as thick and sometimes leathery necrotic
tissue cast off from the surface of the wound.
Eschar inhibits the proliferative and maturation
phases of wound healing by preventing the for-
mation of healthy granulation tissue and inhibit-
ing wound contraction and epithelialisation (new
skin growth).
Moist eschar supports bacterial growth in-
creasing the risk of infection and ideally should
be debrided. Dry eschar, on the other hand,
forms an impervious barrier to external micro-
bial contamination. In patients with compromised
circulation, for example patients with peripheral
arterial disease or diabetes, it is best to leave
the eschar in place until investigations can de-
termine the degree of arterial disease. Wounds
with a poor blood supply have minimal oxygen
and nutrients being delivered to the wound bed
and surrounding tissues, limiting wound healing
potential and removal of a dry eschar may cause
further deterioration of the wound and increase
the risk of infection.
Slough (also necrotic tissue) is a non-viable
fibrous yellow tissue(which may be pale,greenish
in colouror have a washed out appearance)
formed as a result of infection or damaged tis-
sue in the wound. The presence of slough may
indicate the wound is stuck in the inflammatory
phase (chronic wounds) or the body is attempting
to cleanthe wound bed in preparation for healing.
Slough is usually a combination of leucocytes,
bacteria, devitalised tissue or debris and usually
has a moist, shiny stringy appearance or may be
firmly attached to the wound bed.
Granulation tissue is a collagen rich
tissue forming at the site of an
injury during the proliferative
phase. As the wound heals
this tissue fills in the
wound deficit replacing
the blood clot formed
during haemosta-
sis and eventually
forming scar tissue.
Healthy granulation
tissue is bright red
with a grainy appear-
ance, due to the budding
or growth of new blood
vessels into the tissue. This
tissue is firm to touch and has a
shiny appearance. It is essential to pro-
tect the granulation tissue to allow the epitheliali-
sation process to proceed in order to close the
wound. Granulating wounds require adequate
tissue perfusion; a slightly acidic environment;
a stable wound temperature; good bioburden
control; moisture balance; a reduction of factors
which may prevent healing (e.g. the underlying
cause of the wound);and protection from physi-
cal trauma.
Hyper-granulation tissue (often called over-
granulation) is an excess of granulation tissue
over and above that required to fill the wound
cavity. Hyper-granulation tissue may appear dark
red and devitalised (due to poor oxygenation) or
pale due to lack of oxygen. Hyper-granulation tis-
sue inhibits the migration of epithelial cells across
the wound surface and increases the risk of scar
tissue formation by preventing the wound edges
from closing. Hyper-granulation tissue may be
the result of prolonged inflammation due to infec-
tion or the presence of an irritant or foreign body;
overuse of occlusive dressings; constant rubbing
of dressings or tubes against the skin causing an
inflammatory response (e.g. a peg tube or supra
pubic catheter); allergy to dressings; or imbal-
ance of cellular activities that regulate the pro-
duction of healthy tissue.
With any hyper-granulation
tissue it is important to iden-
tify and treat the cause and
to eliminate malignancy.
If occlusive dress-
ings have been used
change to a vapour
permeable dress-
ing. The application
of light pressure to
the wound bed using
a foam dressing with
tubigrip compression
may reduce the overgrowth
of tissue. Additionally, hyper-
tonic dressing (e.g. Mesalt) may
dehydrate the overgranulation. In case
of infection, antimicrobial dressings such as sil-
ver, iodosorb or medical honey may also help to
dehydrate the wound. Apply light pressure to the
wound bed. It is important to swab the wound
to determine bacterial burden and to eliminate
infection as a causative agent.
Epithelialisation is the regeneration of new
skin (epithelium) over a wound and signifies
the final stage of healing. Epithelial tissue, light
pink in colour, usually migrates inwards from the
wound margins or may appear as small islands of
tissue over the surface of the wound.
For the full article visit NCAH.com.au
The colour of wounds and its implication for healingBy Bonnie Fraser RN BSc, BNURS
Wounds are very common across the spec-
trum of health care settings, with a range of pres-
entations including traumatic or surgical wounds
and chronic wounds such as diabetic foot ulcers
and leg wounds (in particular venous stasis ulcers
and arterial ulcers), ischemic wounds (gangrene)
and pressure injuries. Less common wounds
may include vasculitic ulcers, necrotising fas-
ciitis, pyoderma gangrenosum and calciphylaxis.
With any wound it is important to understand
the aetiology in order to develop an appropriate
management plan, but also to properly manage
any comorbidities that may be associated with
the development of the wound or limit the healing
potential.Locally, the type of tissue in the wound
bed may give important clues about the stage of
healing or whether the wound will heal. Wound
assessment must therefore be holistic and incor-
porate key aspects of both the patient and the
wound to ensure the best possible outcome for
the individual. While holistic assessment is the
foundation for thorough wound assessment, this
article will focus on wound characteristics, in par-
ticular tissue types and the condition of the sur-
rounding skin.
Healthy SkinAs the outer layer of the body, skin provides a
protective barrier to environmental influences al-
lowing us to respond to a myriad of environmen-
tal stimuli. Skin forms an impervious barrier to
changing weather conditions as well as chemical
and bacterial assault. Skin contains thousands
of sensory nerve endings that detect changes
in temperature, pain and pressure, and facilitate
thermoregulation. Skin has metabolic functions
producing vitamin D in response to sunlight and
secreting salts through sweating. Skin plays
an important cosmetic role,influencing how we
view ourselves and communicate with others.
Any failure in skin integrity results in a wound.
All wounds, regardless of their cause and heal-
ing intention (discussed in a future article), must
progress through the stages of healing in order
to close and restore skin integrity. The following
provides a guide to understanding various tissue
types associated with wounds.
Tissue types and wound healingManagement of a patient’s wound will be de-
termined by the wound tissue present and exu-
dates. The different types of tissue can easily be
remembered by colour. Necrotic tissue, termed
eschar, is easily identified as black or dark brown
in colour. Eschar may be dry or moist and pre-
sents as thick and sometimes leathery necrotic
tissue cast off from the surface of the wound.
Eschar inhibits the proliferative and maturation
phases of wound healing by preventing the for-
mation of healthy granulation tissue and inhibit-
ing wound contraction and epithelialisation (new
skin growth).
Moist eschar supports bacterial growth in-
creasing the risk of infection and ideally should
be debrided. Dry eschar, on the other hand,
forms an impervious barrier to external micro-
bial contamination. In patients with compromised
circulation, for example patients with peripheral
arterial disease or diabetes, it is best to leave
the eschar in place until investigations can de-
termine the degree of arterial disease. Wounds
with a poor blood supply have minimal oxygen
and nutrients being delivered to the wound bed
and surrounding tissues, limiting wound healing
potential and removal of a dry eschar may cause
further deterioration of the wound and increase
the risk of infection.
Slough (also necrotic tissue) is a non-viable
fibrous yellow tissue(which may be pale,greenish
in colouror have a washed out appearance)
formed as a result of infection or damaged tis-
sue in the wound. The presence of slough may
indicate the wound is stuck in the inflammatory
phase (chronic wounds) or the body is attempting
to cleanthe wound bed in preparation for healing.
Slough is usually a combination of leucocytes,
bacteria, devitalised tissue or debris and usually
has a moist, shiny stringy appearance or may be
firmly attached to the wound bed.
Granulation tissue is a collagen rich
tissue forming at the site of an
injury during the proliferative
phase. As the wound heals
this tissue fills in the
wound deficit replacing
the blood clot formed
during haemosta-
sis and eventually
forming scar tissue.
Healthy granulation
tissue is bright red
with a grainy appear-
ance, due to the budding
or growth of new blood
vessels into the tissue. This
tissue is firm to touch and has a
shiny appearance. It is essential to pro-
tect the granulation tissue to allow the epitheliali-
sation process to proceed in order to close the
wound. Granulating wounds require adequate
tissue perfusion; a slightly acidic environment;
a stable wound temperature; good bioburden
control; moisture balance; a reduction of factors
which may prevent healing (e.g. the underlying
cause of the wound);and protection from physi-
cal trauma.
Hyper-granulation tissue (often called over-
granulation) is an excess of granulation tissue
over and above that required to fill the wound
cavity. Hyper-granulation tissue may appear dark
red and devitalised (due to poor oxygenation) or
pale due to lack of oxygen. Hyper-granulation tis-
sue inhibits the migration of epithelial cells across
the wound surface and increases the risk of scar
tissue formation by preventing the wound edges
from closing. Hyper-granulation tissue may be
the result of prolonged inflammation due to infec-
tion or the presence of an irritant or foreign body;
overuse of occlusive dressings; constant rubbing
of dressings or tubes against the skin causing an
inflammatory response (e.g. a peg tube or supra
pubic catheter); allergy to dressings; or imbal-
ance of cellular activities that regulate the pro-
duction of healthy tissue.
With any hyper-granulation
tissue it is important to iden-
tify and treat the cause and
to eliminate malignancy.
If occlusive dress-
ings have been used
change to a vapour
permeable dress-
ing. The application
of light pressure to
the wound bed using
a foam dressing with
tubigrip compression
may reduce the overgrowth
of tissue. Additionally, hyper-
tonic dressing (e.g. Mesalt) may
dehydrate the overgranulation. In case
of infection, antimicrobial dressings such as sil-
ver, iodosorb or medical honey may also help to
dehydrate the wound. Apply light pressure to the
wound bed. It is important to swab the wound
to determine bacterial burden and to eliminate
infection as a causative agent.
Epithelialisation is the regeneration of new
skin (epithelium) over a wound and signifies
the final stage of healing. Epithelial tissue, light
pink in colour, usually migrates inwards from the
wound margins or may appear as small islands of
tissue over the surface of the wound.
For the full article visit NCAH.com.au
CYAN MAGENTA YELLOW BLACK CYAN MAGENTA YELLOW BLACK
Page 24 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 9
Page 8 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 25
416-022 1PG FULL COLOUR CMYK PDF415-010 1PG FULL COLOUR CMYK PDF
Apply now to start study in 20141800 818 865une.edu.au/healthmanagement
Become a leader in health with UNEUNE prepares future health service managers, leaders and health policy makers to learn
and work within increasingly integrated, health care delivery systems. Our Master of Health
Management is a highly regarded program which provides the qualification necessary for
individual membership with the Australasian College of Health Services Management (ACHSM).
It is designed to give you the skills to innovate, lead and manage in complex regulatory
environments.
The Master of Health Management can be studied online, giving you the opportunity to obtain a
world-class qualification and the flexibility to balance study with your commitments.
Whether you are an allied health professional, nurse, medical practitioner, researcher
or policy analyst, UNE’s Health Management program will develop your knowledge and
skills to progress your professional career in health management.
416-015 1PG FULL COLOUR CMYK PDF
Apply online at:nswhealth.erecruit.com.au
N43668
Coffs Harbour is located on the North Coast of New South Wales, midway between Sydney and Brisbane with multiple daily fl ights to both capital cities. The area boasts superb beaches, mountain scenery, heritage listed rainforests, fi ne restaurants and a near idyllic climate. It is a family friendly area with outstanding schools and recreational facilities.
The Coffs Harbour Health Campus is a modern 208 bed facility which provides a broad range of specialty health care services. These include emergency medicine, intensive care, coronary care, general medicine, general surgery and orthopaedics, obstetrics/gynaecology, paediatrics, stroke and rehabilitation, renal and mental health and a wide range of clinical support services and community based services. Recent additions to the facility include the Coronary Angiography Unit and the North Coast Cancer Institute (NCCI) which provides oncology services, radiotherapy and breast screening. Come and enjoy the rewards of working as part of a highly dedicated team committed to the provision of world class health services.
Midwifery Unit Manager – Maternity ServicesLocation: Coffs Harbour Health Campus
• Provide management, clinical leadership and coordination of care within the Maternity Services• Promote the CORE values of MNCLHD and NSW Health, leading in a manner which encourages
the adoption of these standards in all staff• In consultation with midwifery and medical staff within the Maternity Services, develop the strategic
direction for the Maternity Services and inspire a shared sense of purpose amongst all staff
Enquiries: Joanne Uttley, (02) 6656 7024 or email [email protected]
Reference number: 201904
Closing date: 1 September 2014
The colour of wounds and its implication for healingBy Bonnie Fraser RN BSc, BNURS
Wounds are very common across the spec-
trum of health care settings, with a range of pres-
entations including traumatic or surgical wounds
and chronic wounds such as diabetic foot ulcers
and leg wounds (in particular venous stasis ulcers
and arterial ulcers), ischemic wounds (gangrene)
and pressure injuries. Less common wounds
may include vasculitic ulcers, necrotising fas-
ciitis, pyoderma gangrenosum and calciphylaxis.
With any wound it is important to understand
the aetiology in order to develop an appropriate
management plan, but also to properly manage
any comorbidities that may be associated with
the development of the wound or limit the healing
potential.Locally, the type of tissue in the wound
bed may give important clues about the stage of
healing or whether the wound will heal. Wound
assessment must therefore be holistic and incor-
porate key aspects of both the patient and the
wound to ensure the best possible outcome for
the individual. While holistic assessment is the
foundation for thorough wound assessment, this
article will focus on wound characteristics, in par-
ticular tissue types and the condition of the sur-
rounding skin.
Healthy SkinAs the outer layer of the body, skin provides a
protective barrier to environmental influences al-
lowing us to respond to a myriad of environmen-
tal stimuli. Skin forms an impervious barrier to
changing weather conditions as well as chemical
and bacterial assault. Skin contains thousands
of sensory nerve endings that detect changes
in temperature, pain and pressure, and facilitate
thermoregulation. Skin has metabolic functions
producing vitamin D in response to sunlight and
secreting salts through sweating. Skin plays
an important cosmetic role,influencing how we
view ourselves and communicate with others.
Any failure in skin integrity results in a wound.
All wounds, regardless of their cause and heal-
ing intention (discussed in a future article), must
progress through the stages of healing in order
to close and restore skin integrity. The following
provides a guide to understanding various tissue
types associated with wounds.
Tissue types and wound healingManagement of a patient’s wound will be de-
termined by the wound tissue present and exu-
dates. The different types of tissue can easily be
remembered by colour. Necrotic tissue, termed
eschar, is easily identified as black or dark brown
in colour. Eschar may be dry or moist and pre-
sents as thick and sometimes leathery necrotic
tissue cast off from the surface of the wound.
Eschar inhibits the proliferative and maturation
phases of wound healing by preventing the for-
mation of healthy granulation tissue and inhibit-
ing wound contraction and epithelialisation (new
skin growth).
Moist eschar supports bacterial growth in-
creasing the risk of infection and ideally should
be debrided. Dry eschar, on the other hand,
forms an impervious barrier to external micro-
bial contamination. In patients with compromised
circulation, for example patients with peripheral
arterial disease or diabetes, it is best to leave
the eschar in place until investigations can de-
termine the degree of arterial disease. Wounds
with a poor blood supply have minimal oxygen
and nutrients being delivered to the wound bed
and surrounding tissues, limiting wound healing
potential and removal of a dry eschar may cause
further deterioration of the wound and increase
the risk of infection.
Slough (also necrotic tissue) is a non-viable
fibrous yellow tissue(which may be pale,greenish
in colouror have a washed out appearance)
formed as a result of infection or damaged tis-
sue in the wound. The presence of slough may
indicate the wound is stuck in the inflammatory
phase (chronic wounds) or the body is attempting
to cleanthe wound bed in preparation for healing.
Slough is usually a combination of leucocytes,
bacteria, devitalised tissue or debris and usually
has a moist, shiny stringy appearance or may be
firmly attached to the wound bed.
Granulation tissue is a collagen rich
tissue forming at the site of an
injury during the proliferative
phase. As the wound heals
this tissue fills in the
wound deficit replacing
the blood clot formed
during haemosta-
sis and eventually
forming scar tissue.
Healthy granulation
tissue is bright red
with a grainy appear-
ance, due to the budding
or growth of new blood
vessels into the tissue. This
tissue is firm to touch and has a
shiny appearance. It is essential to pro-
tect the granulation tissue to allow the epitheliali-
sation process to proceed in order to close the
wound. Granulating wounds require adequate
tissue perfusion; a slightly acidic environment;
a stable wound temperature; good bioburden
control; moisture balance; a reduction of factors
which may prevent healing (e.g. the underlying
cause of the wound);and protection from physi-
cal trauma.
Hyper-granulation tissue (often called over-
granulation) is an excess of granulation tissue
over and above that required to fill the wound
cavity. Hyper-granulation tissue may appear dark
red and devitalised (due to poor oxygenation) or
pale due to lack of oxygen. Hyper-granulation tis-
sue inhibits the migration of epithelial cells across
the wound surface and increases the risk of scar
tissue formation by preventing the wound edges
from closing. Hyper-granulation tissue may be
the result of prolonged inflammation due to infec-
tion or the presence of an irritant or foreign body;
overuse of occlusive dressings; constant rubbing
of dressings or tubes against the skin causing an
inflammatory response (e.g. a peg tube or supra
pubic catheter); allergy to dressings; or imbal-
ance of cellular activities that regulate the pro-
duction of healthy tissue.
With any hyper-granulation
tissue it is important to iden-
tify and treat the cause and
to eliminate malignancy.
If occlusive dress-
ings have been used
change to a vapour
permeable dress-
ing. The application
of light pressure to
the wound bed using
a foam dressing with
tubigrip compression
may reduce the overgrowth
of tissue. Additionally, hyper-
tonic dressing (e.g. Mesalt) may
dehydrate the overgranulation. In case
of infection, antimicrobial dressings such as sil-
ver, iodosorb or medical honey may also help to
dehydrate the wound. Apply light pressure to the
wound bed. It is important to swab the wound
to determine bacterial burden and to eliminate
infection as a causative agent.
Epithelialisation is the regeneration of new
skin (epithelium) over a wound and signifies
the final stage of healing. Epithelial tissue, light
pink in colour, usually migrates inwards from the
wound margins or may appear as small islands of
tissue over the surface of the wound.
For the full article visit NCAH.com.au
The colour of wounds and its implication for healingBy Bonnie Fraser RN BSc, BNURS
Wounds are very common across the spec-
trum of health care settings, with a range of pres-
entations including traumatic or surgical wounds
and chronic wounds such as diabetic foot ulcers
and leg wounds (in particular venous stasis ulcers
and arterial ulcers), ischemic wounds (gangrene)
and pressure injuries. Less common wounds
may include vasculitic ulcers, necrotising fas-
ciitis, pyoderma gangrenosum and calciphylaxis.
With any wound it is important to understand
the aetiology in order to develop an appropriate
management plan, but also to properly manage
any comorbidities that may be associated with
the development of the wound or limit the healing
potential.Locally, the type of tissue in the wound
bed may give important clues about the stage of
healing or whether the wound will heal. Wound
assessment must therefore be holistic and incor-
porate key aspects of both the patient and the
wound to ensure the best possible outcome for
the individual. While holistic assessment is the
foundation for thorough wound assessment, this
article will focus on wound characteristics, in par-
ticular tissue types and the condition of the sur-
rounding skin.
Healthy SkinAs the outer layer of the body, skin provides a
protective barrier to environmental influences al-
lowing us to respond to a myriad of environmen-
tal stimuli. Skin forms an impervious barrier to
changing weather conditions as well as chemical
and bacterial assault. Skin contains thousands
of sensory nerve endings that detect changes
in temperature, pain and pressure, and facilitate
thermoregulation. Skin has metabolic functions
producing vitamin D in response to sunlight and
secreting salts through sweating. Skin plays
an important cosmetic role,influencing how we
view ourselves and communicate with others.
Any failure in skin integrity results in a wound.
All wounds, regardless of their cause and heal-
ing intention (discussed in a future article), must
progress through the stages of healing in order
to close and restore skin integrity. The following
provides a guide to understanding various tissue
types associated with wounds.
Tissue types and wound healingManagement of a patient’s wound will be de-
termined by the wound tissue present and exu-
dates. The different types of tissue can easily be
remembered by colour. Necrotic tissue, termed
eschar, is easily identified as black or dark brown
in colour. Eschar may be dry or moist and pre-
sents as thick and sometimes leathery necrotic
tissue cast off from the surface of the wound.
Eschar inhibits the proliferative and maturation
phases of wound healing by preventing the for-
mation of healthy granulation tissue and inhibit-
ing wound contraction and epithelialisation (new
skin growth).
Moist eschar supports bacterial growth in-
creasing the risk of infection and ideally should
be debrided. Dry eschar, on the other hand,
forms an impervious barrier to external micro-
bial contamination. In patients with compromised
circulation, for example patients with peripheral
arterial disease or diabetes, it is best to leave
the eschar in place until investigations can de-
termine the degree of arterial disease. Wounds
with a poor blood supply have minimal oxygen
and nutrients being delivered to the wound bed
and surrounding tissues, limiting wound healing
potential and removal of a dry eschar may cause
further deterioration of the wound and increase
the risk of infection.
Slough (also necrotic tissue) is a non-viable
fibrous yellow tissue(which may be pale,greenish
in colouror have a washed out appearance)
formed as a result of infection or damaged tis-
sue in the wound. The presence of slough may
indicate the wound is stuck in the inflammatory
phase (chronic wounds) or the body is attempting
to cleanthe wound bed in preparation for healing.
Slough is usually a combination of leucocytes,
bacteria, devitalised tissue or debris and usually
has a moist, shiny stringy appearance or may be
firmly attached to the wound bed.
Granulation tissue is a collagen rich
tissue forming at the site of an
injury during the proliferative
phase. As the wound heals
this tissue fills in the
wound deficit replacing
the blood clot formed
during haemosta-
sis and eventually
forming scar tissue.
Healthy granulation
tissue is bright red
with a grainy appear-
ance, due to the budding
or growth of new blood
vessels into the tissue. This
tissue is firm to touch and has a
shiny appearance. It is essential to pro-
tect the granulation tissue to allow the epitheliali-
sation process to proceed in order to close the
wound. Granulating wounds require adequate
tissue perfusion; a slightly acidic environment;
a stable wound temperature; good bioburden
control; moisture balance; a reduction of factors
which may prevent healing (e.g. the underlying
cause of the wound);and protection from physi-
cal trauma.
Hyper-granulation tissue (often called over-
granulation) is an excess of granulation tissue
over and above that required to fill the wound
cavity. Hyper-granulation tissue may appear dark
red and devitalised (due to poor oxygenation) or
pale due to lack of oxygen. Hyper-granulation tis-
sue inhibits the migration of epithelial cells across
the wound surface and increases the risk of scar
tissue formation by preventing the wound edges
from closing. Hyper-granulation tissue may be
the result of prolonged inflammation due to infec-
tion or the presence of an irritant or foreign body;
overuse of occlusive dressings; constant rubbing
of dressings or tubes against the skin causing an
inflammatory response (e.g. a peg tube or supra
pubic catheter); allergy to dressings; or imbal-
ance of cellular activities that regulate the pro-
duction of healthy tissue.
With any hyper-granulation
tissue it is important to iden-
tify and treat the cause and
to eliminate malignancy.
If occlusive dress-
ings have been used
change to a vapour
permeable dress-
ing. The application
of light pressure to
the wound bed using
a foam dressing with
tubigrip compression
may reduce the overgrowth
of tissue. Additionally, hyper-
tonic dressing (e.g. Mesalt) may
dehydrate the overgranulation. In case
of infection, antimicrobial dressings such as sil-
ver, iodosorb or medical honey may also help to
dehydrate the wound. Apply light pressure to the
wound bed. It is important to swab the wound
to determine bacterial burden and to eliminate
infection as a causative agent.
Epithelialisation is the regeneration of new
skin (epithelium) over a wound and signifies
the final stage of healing. Epithelial tissue, light
pink in colour, usually migrates inwards from the
wound margins or may appear as small islands of
tissue over the surface of the wound.
For the full article visit NCAH.com.au
CYAN MAGENTA YELLOW BLACKCYAN MAGENTA YELLOW BLACK
Page 26 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 7
Page 10 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 23
416-007 1PG FULL COLOUR CMYK PDF415-011 1PG FULL COLOUR CMYK PDF414-009 1PG FULL COLOUR CMYK PDF413-013 1PG FULL COLOUR CMYK PDF412-010 1PG FULL COLOUR CMYK PDF411-017 1PG FULL COLOUR CMYK PDF409-036 1PG FULL COLOUR CMYK PDF408-012 1PG FULL COLOUR CMYK PDF407-034 1PG FULL COLOUR CMYK PDF
Act now!
2015 deadline
announced
The UK Government has announced new restrictions from next April on civil servants (NHS, Police etc.) being able to transfer their pensions to Australia. This may also be expanded to the private sector.
It is now still possible to transfer for more detail contact UKPTA
CALL US TODAY ON (08) 9309 [email protected]
416- 034 1PG FULL COLOUR CMYK PDF
Adelaide’s city centre is surrounded by parklands and is a blend of historic buildings, wide streets, parklands, cafes and restaurants. Adelaide is easy to get around with rolling hills to the east and beaches to the west. With a population of slightly more than one million, Adelaide is the “20 minute city”. The airport is only seven kilometres from Adelaide city. The Adelaide Hills and major beaches are less than half an hour away by car. That’s what we call liveable! So what’s stopping you – apply today?
Registered Nurse - Theatre Scrub/Scout and Anaesthetics
Are you looking for a new challenge? Calvary Wakefield Hospital needs you! Calvary Wakefield Hospital is an extremely busy eight theatre suite with increasing utilisation. We have vacancies in Cardiac, Neuro and Orthopaedic and General surgery. We are looking to recruit registered Nurses with a minimum of two years experience in Scrub/Scout or Anaesthetics.
Successful applicants will possess:• Registration with AHPRA to practice as a Registered Nurse in Australia• A minimum of two years' experience as a Scrub/Scout or Anaesthetics• Strong interpersonal and communication skills • Proven ability to work effectively both in a team and autonomously • Intermediate computer skills • Full rights to work in Australia
Bene�ts include:• An attractive salary with on-call component • Salary packaging
Further information please contact:Kay McDonald, Peri-operative & Angio Service Manager Tel (08) 8412 2045 or Email: [email protected]
Applications close: 30th September 2014
In the Tradition of the Sisters of the Little Company of Mary with values of hospitality healing, stewardship and respect
www.calvarysa.com.au 300 Wake�eld Street , Adelaide SA 5000
416-035 1PG FULL COLOUR CMYK PDF 415-026 1PG FULL COLOUR CMYK PDF
For more information and to apply, please visit careers.mercy.com.au
• Perioperative Services / Mercy Hospital for Women • Full time 76 hours/fortnight (Part time negotiable)
Mercy Health is a Catholic organisation employing over 5,000 people who provide compassionate and holistic care through our acute hospitals, aged care facilities, mental health programs, palliative and respite services, maternity and women’s health services, early parenting services and home care services.
An opportunity exists for a motivated and experienced Registered Nurse with Post Graduate qualifications in Perioperative nursing, to become part of our leadership team.
Our unit caters for women who require specialist surgical care in Obstetrics, Urogynaecology, Reproductive Medicine, Gynaecological Oncology, Endosurgery and General Gynaecology.
As a highly organised and motivated team member, you will possess excellent clinical and interpersonal skills coupled with a strong customer care focus.
This is a fantastic opportunity to join an award winning organisation and take the next step in your career. Attractive salary packaging benefits and a wide range of health and wellbeing initiatives are available.
Enquires to: Louise Alexander, Nurse Unit Manager, Perioperative Services on 8458 4108Quote Ref No: MHW 04Applications Close: Friday 15 August 2014
Associate Nurse Unit Manager Operating Suite (Grade 3B)
Health services
MERCY HEALTH: CARING FOR A LIVING
New camera technology for Victorian ambulances
Innovative reversing camera technology is
being rolled out in new ambulances across Vic-
toria.
The technology, designed to provide para-
medics driving ambulances with a clearer view
of the rear cabin, is already installed in about 50
new ambulances across the state.
Paramedics driving ambulances already view
reversing camera vision directly on the rear vision
mirror instead of on the dashboard.
Under the new system, the images on the
rear vision mirror will automatically switch from
reversing vision to the interior view of the rear
compartment when the ambulance is moved
from reverse into drive.
Ambulance Victoria says there is no camera
located in the back of the cabin, instead a cam-
era in the front of the vehicle provides the driver
with a view that’s the same perspective as the
rear vision mirror - albeit an improved view.
The camera does not record any images but
instead displays real-time images to the ambu-
lance driver.
The technology is being rolled out only in new
ambulances as they enter the fleet after a suc-
cessful trial of the technology in five ambulances
last September.
The Victorian initiative is possibly the first
time reverse camera technology has been used
to provide ambulance drivers with vision of the
rear ambulance compartment.
For the full article visit NCAH.com.au416-021 1/2PG FULL COLOUR CMYK PDF
CYAN MAGENTA YELLOW BLACK CYAN MAGENTA YELLOW BLACK
Page 30 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 3
Page 6 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 27
416-011 1PG FULL COLOUR CMYK PDF 414-008 1PG FULL COLOUR CMYK PDF 412-008 1PG FULL COLOUR CMYK PDF 411-039 1PG FULL COLOUR CMYK PDF 410-012 1PG FULL COLOUR CMYK PDF 410-012 1PG FULL COLOUR CMYK PDF 410-012 1PG FULL COLOUR CMYK PDF 408-032 1PG FULL COLOUR CMYK PDF 407-010 1PG FULL COLOUR CMYK PDF 404-010 1PG FULL COLOUR CMYK PDF 403-039 1PG FULL COLOUR CMYK PDF 402-038 1PG FULL COLOUR CMYK PDF 401-016 1PG FULL COLOUR CMYK PDF 325-021 1PG FULL COLOUR CMYK PDF 323-037 1PG FULL COLOUR CMYK PDF
• Solid nursing background for health check services (min 2yrs post grad) • Solid venepuncture experience for blood screening services (min 2yrs exp)• Excellent general medical knowledge and terminology• Professional presentation and communication, along with impressive time management skills• Current CPR Certification• National Police Check• ABN• Nurse Immunisation certificate for all nurse immunisers
Danielle Le Fevre
Looking for Nurses, Paramedics and Pathology Collectors
Tasmanian nurses and midwives plan industrial action
Tasmania’s nurses and midwives will remove
goodwill in their planned industrial action as the
state government considers introducing a public
sector wage freeze.
The move comes after the Australian Nursing
and Midwifery Federation’s (ANMF) Tasmanian
branch recently met with members across the
state to endorse a log of claims, as it prepares
to negotiate a new EBA for public sector nurses
and midwives.
The ANMF is also joining forces with other
unions to hold ‘bust the budget’ rallies on August
28 at Parliament House in Hobart and on Sep-
tember 4 at both Devonport and Launceston.
ANMF branch secretary Neroli Ellis said
members will put a halt to unpaid administra-
tion work in hospitals from August 25, in a move
designed to put pressure on the system without
impacting on patients.
“If you take the goodwill of nurses and mid-
wives out of the system, it will put a lot of pres-
sure on the system, particularly around the ad-
min - computer entries, computerised admission
systems, etcetera, so potentially they may have
to employ more admin staff after hours,” she told
abc.net.au.
Ms Ellis was unavailable for comment at
the time of publication but the branch’s website
states the government’s proposed wage freeze
amounts to a “real wage cut” for nurses and mid-
wives.
“Inflation and the price of goods and services
continues to rise and your salary buys less over
time - the value of what you earn is cut,” it states.
The government has proposed a one-year
wage freeze for all public servants, followed by a
move to two per cent increases, in a bid to save
$50 million a year and safeguard around 500 jobs.
The freeze will take affect when the legisla-
tion passes both houses of the Tasmanian parlia-
ment, which the union fears could occur as soon
as October.
“The government has the constitutional pow-
er to rip up contracts with its public sector work-
ers through legislation,” the ANMF branch states.
“It’s a radical unprecedented action but if
they can get special legislation through both
houses of state parliament, then they have the
ultimate power over your wages and conditions.”
The branch is also fighting legislation, which
has already passed the Lower House, that aims
to outlaw reasonable protest action.
The union states the new legislation includes
penalties such as $10,000 on-the-spot fines and
three-month mandatory jail terms for disrupting
workplaces.
“We’re seeking legal advice about the impli-
cations of this legislation and what it could mean
for ANMF (Tas branch) members and activities in
education and training workplaces.”416-006 1/4PG PDF414-007 1/4PG PDF412-007 1/4PG PDF411-036 1/4PG PDF410-015 1/4PG PDF408-011 1/4PG PDF
CPD Nurses Phone APP!Log diary to record
your educationwww.cpdnursing.com.au
416-026 1PG FULL COLOUR CMYK PDF415- 028 1PG FULL COLOUR CMYK PDF414-031 1PG FULL COLOUR CMYK PDF
Is patient safetyyour passion?Improve the quality of care and safety of patients in your organisation with the Master of Quality Services (Health and Safety) at the University of Tasmania. Available fully online, this is a unique new degree developed in response to industry demands - a course that will open up a world of opportunities to experienced clinicians and health professionals like you.
For more information, email: [email protected] or phone 13UTAS
Applications now open.
utas.edu.au/2014 | 13UTAS
USRM12684rj CRICOS Provider Code: 00586B *Academic Ranking of World Universities 2013
Tomorrow starts today.
More graduate nursing training places needed
The New Zealand government’s move to
fund an extra 200 places in the nurse entry
to practice program will still leave hundreds of
trained nurses without work, according to nurses.
The New Zealand Nurses Organisation
(NZNO) is calling for the government to fund a
one-year Nurse Entry to Practice (NEtP) program
for all new graduate nurses, and has launched a
petition which has received more than 7000 sig-
natures.
NZNO acting professional services man-
ager Hilary Graham-Smith said while an extra
200 graduates will receive essential support and
mentorship, others will miss out on the vital train-
ing.
“Two hundred new NEtP positions still leaves
too many nurse graduates without support,” she
said.
“These new positions do not start until 2015
by which time there will be another cohort of
graduates, meaning more new grads in the mar-
ket for places and a talent pool currently sitting
at around more than 400 trained nurses without
work.”
The petition was launched after concerns
that large numbers of graduate nurses are failing
to secure work in a clinical setting due to a limited
number of NEtP program places while employers
are also seeking candidates with experience.
Health Minister Tony Ryall said up to 200 ad-
ditional places will be created in the program,
taking the total number of places to 1300, and
comes at a cost of $2.8 million.
Mr Ryall said 160 of the places will be created
at public hospitals and district health board-funded
community health services while 40 places will be
based at aged care facilities across the country.
“Nurses are at the frontline of care providing
round-
the-clock
care and sup-
port to patients
and their families,” he
said in a statement.
“As our ageing population grows and de-
mand on health services increases, we need even
more nurses working in our communities.”
Mr Ryall also recently announced $1.5 million
to fund an extra 25 scholarships for nurse gradu-
ates to work in general practices in some of the
country’s high needs communities next year.
Under the scholarships, 48 graduate nurses
are this year working in Very Low Cost Access
(VLCA) practices.
“This was the first time scholarships like this
has ever been offered,” he said.
“The feedback from general practices and
graduate nurses has been so positive we are in-
vesting extra money to offer scholarships again
next year.”
The recruitment process for the 12-month
scholarships begins this month.
Leave a comment on this and other articles by visiting the ‘news’ section
of our website: www.ncah.com.au
To go to the article “More graduate nursing training places needed”
directly, visit: http://bit.ly/1A92cq1
CYAN MAGENTA YELLOW BLACKCYAN MAGENTA YELLOW BLACK
Page 28 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 5
Page 4 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 29
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We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
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For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
Issue 17 – 26 August 2013
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
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eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
Issue 17 – 26 August 2013
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
Issue 1 – 20 January 2014
Advertiser ListCare Flight
CCM Recruitment International
CQ Nurse
Education Cruises
Employment Office
Geneva Health
Griffith University
Health and Fitness Recruitment
Koala Nursing Agency
Lifescreen
Medacs Australia
Medibank Health Solutions
Northern Sydney Local Health District
Nursing and Allied Health Rural Locum Scheme
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffing
Quick and Easy Finance
TR7 Health
UK Pensions
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UK Pensions Wimmera Healthcare Group
Next Publication: Regional & Remote featurePublication Date: Monday 3rd February 2013
Colour Artwork Deadline: Tuesday 28th January 2013
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Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
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Quick and Easy Finance
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TR7 Health
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Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
Issue 17 – 26 August 2013
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
1317-005 1PG FULL COLOUR CMYK (typeset)
Advertiser List
AHN Recruitment
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Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
Issue 17 – 26 August 2013
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
Issue 1 – 20 January 2014
Advertiser ListCare Flight
CCM Recruitment International
CQ Nurse
Education Cruises
Employment Office
Geneva Health
Griffith University
Health and Fitness Recruitment
Koala Nursing Agency
Lifescreen
Medacs Australia
Medibank Health Solutions
Northern Sydney Local Health District
Nursing and Allied Health Rural Locum Scheme
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffing
Quick and Easy Finance
TR7 Health
UK Pensions
Unified Healthcare Group
UK Pensions Wimmera Healthcare Group
Next Publication: Regional & Remote featurePublication Date: Monday 3rd February 2013
Colour Artwork Deadline: Tuesday 28th January 2013
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Issue 16–18 August 2014
We hope you enjoy perusing the range of opportunities included in Issue 16, 2014.
Advertiser List
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Alcohol Detoxification and Rehabilitation: challenges for health professionalsBy Glynis Thorp
A s health professionals we must never under-
estimate the dangers of alcohol withdrawal.
Alcohol is a central nervous system depressant
and abrupt cessation can overstimulate the auto-
nomic nervous system.
A respected doctor I had the pleasure of
learning from once told me a story which high-
lights the importance of recognizing and treating
alcohol withdrawal:
Imagine putting four people in a glass room
that you can see and hear through and sit back
and observe. One of these people is addicted
to opiates, the second is addicted to ampheta-
mines, the third is addicted to benzodiazepines
and the fourth is an alcoholic. Over a period of
time if deprived of their drug of choice they will
experience withdrawal. The person who is ad-
dicted to opiates will sweat profusely, have se-
vere stomach cramps and desperately beg you
to help them with pain relief so that they can start
to feel normal again. This is an important point
that we must remember: it is not to get high any-
more, it is to feel normal. The amphetamine ad-
dict will be very angry, probably hitting the walls
and demanding medication while they scratch at
their skin, causing abrasions. The person with a
benzodiazepine addiction will be very frightened,
shake, twitch and not be able to sleep. The alco-
holic will probably sit in a corner, terrified and su-
per sensitive to noise; have visual hallucinations;
feel like things are crawling over them; slump
over; and possibly have a fit and die.
It is important to remember that patients that
go through alcohol withdrawal under our care will
likely not have been admitted specifically for al-
cohol detoxification. Withdrawal is more likely to
be inadvertent due to illness and lack of access
to alcohol.
Withdrawal symptoms usually occur 6–24
hours after the last alcoholic drink (however this
can vary depending on the patient and the nature
and extent of their alcoholism). The signs of alco-
hol withdrawal include anxiety, agitation, sweat-
ing, tremor, nausea, vomiting, abdominal cramps,
diarrhea, craving, insomnia, elevated blood pres-
sure, elevated pulse and elevated temperature,
headaches, seizures, confusion, perceptual dis-
tortions, disorientation, hallucinations, delirium
tremens, arrhythmias and Wernicke’s Encepha-
lopathy (WE). WE symptoms include: opthalmo-
plegia, ataxia and confusion.
The scales used to monitor withdrawal in
Australia include:
• AWS,AlcoholWithdrawalScale
• CIWAAR-ClinicalInstituteWithdrawal
Assessment of Alcohol Scale (Ensure you
use the scale that is recommended by your
employer in their guidelines and policies and
procedures.)
Medications that may be prescribed to as-
sist patients suffering from alcohol detoxification
symptoms include:
• Anti-anxiety medicines (benzodiazepines
such as diazepam) which treat withdrawal
symptoms such as delirium tremens (DTs).
• Seizuremedicines to reduceorstopsevere
withdrawal symptoms during detoxification.
• Medicines for recovery include Disulfiram
(Antabuse), which makes the person sick
(vomit) if they consume alcohol.
• Naltrexone (ReVia, Vivitrol),which interferes
with the pleasure one gets from alcohol.
• Acamprosate (Campral), whichmay reduce
cravings for alcohol.
• Thiamine supplements are recommended.
Alcohol abuse can cause the body to be-
come low in certain vitamins and minerals
especially Thiamine (vitamin B1). Thiamine
helps prevent Wernicke-Korsa koff syndrome
which causes brain damage. (WE was first
identified in 1881 by the German neurologist
CarlWernicke,although the link toThiamine
wasnotdiscovereduntilthe1930s.Russian
psychiatristSergiKorsakoffdescribedasimi-
lar presentation in 1887-1891).
Patients and health professionals dealing
with alcohol detoxification will also face systemic
challenges, such as:
• Limitedaccesstorehabilitationcentres
• Significant distancebetween treatment and
rehabilitation centres, particularly in regional
and remote areas
• Navigating the rules and requirements that
rehabilitation centres impose prior to admis-
sion (which ensure a patient’s level of readi-
ness for change)
• Limited access to family support, as many
patients suffering from severe alcoholism
and requiring rehabilitation have often lost
contact with friends and family.
The prevalence of alcohol abuse and de-
pendence in our society means that as health
professionals many of us will be confronted with
alcohol withdrawal symptoms. It is vital that we
are familiar with the warning signs and symptoms
of alcohol withdrawal as mismanagement or the
absence of appropriate care can have severe
consequences.
References
Sydney Alcohol Treatment Group-http://
www.alcpharm.med.usyd.edu.au/ accessed
20102/8/2014.
Alcohol Detoxification and Rehabilitation: challenges for health professionalsBy Glynis Thorp
As health professionals we must never under-
estimate the dangers of alcohol withdrawal.
Alcohol is a central nervous system depressant
and abrupt cessation can overstimulate the auto-
nomic nervous system.
A respected doctor I had the pleasure of
learning from once told me a story which high-
lights the importance of recognizing and treating
alcohol withdrawal:
Imagine putting four people in a glass room
that you can see and hear through and sit back
and observe. One of these people is addicted
to opiates, the second is addicted to ampheta-
mines, the third is addicted to benzodiazepines
and the fourth is an alcoholic. Over a period of
time if deprived of their drug of choice they will
experience withdrawal. The person who is ad-
dicted to opiates will sweat profusely, have se-
vere stomach cramps and desperately beg you
to help them with pain relief so that they can start
to feel normal again. This is an important point
that we must remember: it is not to get high any-
more, it is to feel normal. The amphetamine ad-
dict will be very angry, probably hitting the walls
and demanding medication while they scratch at
their skin, causing abrasions. The person with a
benzodiazepine addiction will be very frightened,
shake, twitch and not be able to sleep. The alco-
holic will probably sit in a corner, terrified and su-
per sensitive to noise; have visual hallucinations;
feel like things are crawling over them; slump
over; and possibly have a fit and die.
It is important to remember that patients that
go through alcohol withdrawal under our care will
likely not have been admitted specifically for al-
cohol detoxification. Withdrawal is more likely to
be inadvertent due to illness and lack of access
to alcohol.
Withdrawal symptoms usually occur 6–24
hours after the last alcoholic drink (however this
can vary depending on the patient and the nature
and extent of their alcoholism). The signs of alco-
hol withdrawal include anxiety, agitation, sweat-
ing, tremor, nausea, vomiting, abdominal cramps,
diarrhea, craving, insomnia, elevated blood pres-
sure, elevated pulse and elevated temperature,
headaches, seizures, confusion, perceptual dis-
tortions, disorientation, hallucinations, delirium
tremens, arrhythmias and Wernicke’s Encepha-
lopathy (WE). WE symptoms include: opthalmo-
plegia, ataxia and confusion.
The scales used to monitor withdrawal in
Australia include:
•AWS,AlcoholWithdrawalScale
•CIWAAR-ClinicalInstituteWithdrawal
AssessmentofAlcoholScale(Ensureyou
use the scale that is recommended by your
employer in their guidelines and policies and
procedures.)
Medications that may be prescribed to as-
sist patients suffering from alcohol detoxification
symptoms include:
•Anti-anxietymedicines(benzodiazepines
such as diazepam) which treat withdrawal
symptoms such as delirium tremens (DTs).
•Seizuremedicinestoreduceorstopsevere
withdrawal symptoms during detoxification.
•MedicinesforrecoveryincludeDisulfiram
(Antabuse), which makes the person sick
(vomit) if they consume alcohol.
•Naltrexone(ReVia,Vivitrol),whichinterferes
with the pleasure one gets from alcohol.
•Acamprosate(Campral),whichmayreduce
cravings for alcohol.
•Thiaminesupplementsarerecommended.
Alcohol abuse can cause the body to be-
come low in certain vitamins and minerals
especially Thiamine (vitamin B1). Thiamine
helps prevent Wernicke-Korsa koff syndrome
which causes brain damage. (WE was first
identified in 1881 by the German neurologist
CarlWernicke,althoughthelinktoThiamine
wasnotdiscovereduntilthe1930s.Russian
psychiatristSergiKorsakoffdescribedasimi-
lar presentation in 1887-1891).
Patients and health professionals dealing
with alcohol detoxification will also face systemic
challenges, such as:
•Limitedaccesstorehabilitationcentres
•Significantdistancebetweentreatmentand
rehabilitation centres, particularly in regional
and remote areas
•Navigatingtherulesandrequirementsthat
rehabilitation centres impose prior to admis-
sion (which ensure a patient’s level of readi-
ness for change)
•Limitedaccesstofamilysupport,asmany
patients suffering from severe alcoholism
andrequiringrehabilitationhaveoftenlost
contact with friends and family.
The prevalence of alcohol abuse and de-
pendence in our society means that as health
professionals many of us will be confronted with
alcohol withdrawal symptoms. It is vital that we
are familiar with the warning signs and symptoms
of alcohol withdrawal as mismanagement or the
absence of appropriate care can have severe
consequences.
References
SydneyAlcoholTreatmentGroup-http://
www.alcpharm.med.usyd.edu.au/accessed
20102/8/2014.
416-033 1/2PG FULL COLOUR CMYK PDF
News in brief:Clotting drug may aid hip patientsGiving hip or knee replacement patients
a clotting drug may reduce the need for a
blood transfusion during surgery, experts
say. - tinyurl.com/kygr88q
Psychology leader develops app for headachesAn international authority on the treatment
of headache pain is leading the research into
the use of the app, which acts as an elec-
tronic diary to record ratings of headache
pain. - tinyurl.com/nr37unp
Swine flu cases rising in AustraliaNearly 21,000 cases of flu have been con-
firmed in Australia so far this year, double
the number of cases at this time last year.
- tinyurl.com/ltqf4pz
Healthy ways of coping with night workNight workers who have trouble sleeping
after their shifts shouldn’t rely on sleeping
pills, a German psychologist warns.
- tinyurl.com/oy4b6l7
Cancer survivors face challengesWhen GP Elysia Thornton-Benko suspected
something wasn’t quite right with her body
she did everything she tells her patients not
to - ignored the symptoms and carried on.
- tinyurl.com/m7roz7y
__________________________________
For more news and articles on nursing and allied health visit our website:
www.ncah.com.au
CYAN MAGENTA YELLOW BLACK CYAN MAGENTA YELLOW BLACK
Page 28 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 5
Page 4 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 29
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Advertiser List
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
Issue 17 – 26 August 2013
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
1317-005 1PG FULL COLOUR CMYK (typeset)
Advertiser List
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
All rights reserved. No part of this publication may be copied or
reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
Issue 17 – 26 August 2013
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
Issue 1 – 20 January 2014
Advertiser ListCare Flight
CCM Recruitment International
CQ Nurse
Education Cruises
Employment Office
Geneva Health
Griffith University
Health and Fitness Recruitment
Koala Nursing Agency
Lifescreen
Medacs Australia
Medibank Health Solutions
Northern Sydney Local Health District
Nursing and Allied Health Rural Locum Scheme
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffing
Quick and Easy Finance
TR7 Health
UK Pensions
Unified Healthcare Group
UK Pensions Wimmera Healthcare Group
Next Publication: Regional & Remote featurePublication Date: Monday 3rd February 2013
Colour Artwork Deadline: Tuesday 28th January 2013
Mono Artwork Deadline: Wednesday 29th January 2013
We hope you enjoy perusing the range of opportunities included in Issue 1, 2014.
© 2014 Seabreeze Communications Pty Ltd.
401-029 1PG FULL COLOUR CMYK PDF1317-005 1PG FULL COLOUR CMYK (typeset)
Advertiser List
AHN Recruitment
Ausmed
Austra Health
Australian College of Nursing
Australian Volunteers International
CCM Recruitment International
CQ Nurse
CRANAplus
Employment Offi ce
eNurse
Kate Cowhig International
Medacs Australia
No Roads to Health
NSW Health - Illawarra Shoalhaven
Oceania University of Medicine
Oxford Aunts Care
Pulse Staffi ng
Queensland Health
Quick and Easy Finance
Royal Flying Doctor Service
TR7 Health
UK Pension Transfers
Unifi ed Healthcare Group
We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.
If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]
+ DISTRIBUTION 34,488
The NCAH Magazine is the most widely distributed national nursing and allied health publication in Australia
For all advertising and production enquiries please contact us on +61 (0) 3 9271 8700, email [email protected] or visit www.ncah.com.au
If you would like to change your mailing address, or be included on our distribution, please email [email protected]
Published by Seabreeze Communications Pty Ltd Trading as NCAH.
ABN 29 071 328 053.
© 2013 Seabreeze Communications Pty Ltd.
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Issue 17 – 26 August 2013
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© 2013 Seabreeze Communications Pty Ltd.
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reproduced by any means without the prior written permission of
the publisher. Compliance with the Trade Practices Act 1974 of
advertisements contained in this publication is the responsibility of
those who submit the advertisement for publication.
Issue 17 – 26 August 2013
www.ncah.com.au
Next Publication: Education featurePublication Date: Monday 9th September 2013
Colour Artwork Deadline: Monday 2nd September 2013
Mono Artwork Deadline: Wednesday 4th September 2013
Issue 1 – 20 January 2014
Advertiser ListCare Flight
CCM Recruitment International
CQ Nurse
Education Cruises
Employment Office
Geneva Health
Griffith University
Health and Fitness Recruitment
Koala Nursing Agency
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Medibank Health Solutions
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Issue 16–18 August 2014
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Advertiser List
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Alcohol Detoxification and Rehabilitation: challenges for health professionalsBy Glynis Thorp
As health professionals we must never under-
estimate the dangers of alcohol withdrawal.
Alcohol is a central nervous system depressant
and abrupt cessation can overstimulate the auto-
nomic nervous system.
A respected doctor I had the pleasure of
learning from once told me a story which high-
lights the importance of recognizing and treating
alcohol withdrawal:
Imagine putting four people in a glass room
that you can see and hear through and sit back
and observe. One of these people is addicted
to opiates, the second is addicted to ampheta-
mines, the third is addicted to benzodiazepines
and the fourth is an alcoholic. Over a period of
time if deprived of their drug of choice they will
experience withdrawal. The person who is ad-
dicted to opiates will sweat profusely, have se-
vere stomach cramps and desperately beg you
to help them with pain relief so that they can start
to feel normal again. This is an important point
that we must remember: it is not to get high any-
more, it is to feel normal. The amphetamine ad-
dict will be very angry, probably hitting the walls
and demanding medication while they scratch at
their skin, causing abrasions. The person with a
benzodiazepine addiction will be very frightened,
shake, twitch and not be able to sleep. The alco-
holic will probably sit in a corner, terrified and su-
per sensitive to noise; have visual hallucinations;
feel like things are crawling over them; slump
over; and possibly have a fit and die.
It is important to remember that patients that
go through alcohol withdrawal under our care will
likely not have been admitted specifically for al-
cohol detoxification. Withdrawal is more likely to
be inadvertent due to illness and lack of access
to alcohol.
Withdrawal symptoms usually occur 6–24
hours after the last alcoholic drink (however this
can vary depending on the patient and the nature
and extent of their alcoholism). The signs of alco-
hol withdrawal include anxiety, agitation, sweat-
ing, tremor, nausea, vomiting, abdominal cramps,
diarrhea, craving, insomnia, elevated blood pres-
sure, elevated pulse and elevated temperature,
headaches, seizures, confusion, perceptual dis-
tortions, disorientation, hallucinations, delirium
tremens, arrhythmias and Wernicke’s Encepha-
lopathy (WE). WE symptoms include: opthalmo-
plegia, ataxia and confusion.
The scales used to monitor withdrawal in
Australia include:
•AWS,AlcoholWithdrawalScale
•CIWAAR-ClinicalInstituteWithdrawal
AssessmentofAlcoholScale(Ensureyou
use the scale that is recommended by your
employer in their guidelines and policies and
procedures.)
Medications that may be prescribed to as-
sist patients suffering from alcohol detoxification
symptoms include:
•Anti-anxietymedicines(benzodiazepines
such as diazepam) which treat withdrawal
symptoms such as delirium tremens (DTs).
•Seizuremedicinestoreduceorstopsevere
withdrawal symptoms during detoxification.
•MedicinesforrecoveryincludeDisulfiram
(Antabuse), which makes the person sick
(vomit) if they consume alcohol.
•Naltrexone(ReVia,Vivitrol),whichinterferes
with the pleasure one gets from alcohol.
•Acamprosate(Campral),whichmayreduce
cravings for alcohol.
•Thiaminesupplementsarerecommended.
Alcohol abuse can cause the body to be-
come low in certain vitamins and minerals
especially Thiamine (vitamin B1). Thiamine
helps prevent Wernicke-Korsa koff syndrome
which causes brain damage. (WE was first
identified in 1881 by the German neurologist
CarlWernicke,althoughthelinktoThiamine
wasnotdiscovereduntilthe1930s.Russian
psychiatristSergiKorsakoffdescribedasimi-
lar presentation in 1887-1891).
Patients and health professionals dealing
with alcohol detoxification will also face systemic
challenges, such as:
•Limitedaccesstorehabilitationcentres
•Significantdistancebetweentreatmentand
rehabilitation centres, particularly in regional
and remote areas
•Navigatingtherulesandrequirementsthat
rehabilitation centres impose prior to admis-
sion (which ensure a patient’s level of readi-
ness for change)
•Limitedaccesstofamilysupport,asmany
patients suffering from severe alcoholism
andrequiringrehabilitationhaveoftenlost
contact with friends and family.
The prevalence of alcohol abuse and de-
pendence in our society means that as health
professionals many of us will be confronted with
alcohol withdrawal symptoms. It is vital that we
are familiar with the warning signs and symptoms
of alcohol withdrawal as mismanagement or the
absence of appropriate care can have severe
consequences.
References
SydneyAlcoholTreatmentGroup-http://
www.alcpharm.med.usyd.edu.au/accessed
20102/8/2014.
Alcohol Detoxification and Rehabilitation: challenges for health professionalsBy Glynis Thorp
A s health professionals we must never under-
estimate the dangers of alcohol withdrawal.
Alcohol is a central nervous system depressant
and abrupt cessation can overstimulate the auto-
nomic nervous system.
A respected doctor I had the pleasure of
learning from once told me a story which high-
lights the importance of recognizing and treating
alcohol withdrawal:
Imagine putting four people in a glass room
that you can see and hear through and sit back
and observe. One of these people is addicted
to opiates, the second is addicted to ampheta-
mines, the third is addicted to benzodiazepines
and the fourth is an alcoholic. Over a period of
time if deprived of their drug of choice they will
experience withdrawal. The person who is ad-
dicted to opiates will sweat profusely, have se-
vere stomach cramps and desperately beg you
to help them with pain relief so that they can start
to feel normal again. This is an important point
that we must remember: it is not to get high any-
more, it is to feel normal. The amphetamine ad-
dict will be very angry, probably hitting the walls
and demanding medication while they scratch at
their skin, causing abrasions. The person with a
benzodiazepine addiction will be very frightened,
shake, twitch and not be able to sleep. The alco-
holic will probably sit in a corner, terrified and su-
per sensitive to noise; have visual hallucinations;
feel like things are crawling over them; slump
over; and possibly have a fit and die.
It is important to remember that patients that
go through alcohol withdrawal under our care will
likely not have been admitted specifically for al-
cohol detoxification. Withdrawal is more likely to
be inadvertent due to illness and lack of access
to alcohol.
Withdrawal symptoms usually occur 6–24
hours after the last alcoholic drink (however this
can vary depending on the patient and the nature
and extent of their alcoholism). The signs of alco-
hol withdrawal include anxiety, agitation, sweat-
ing, tremor, nausea, vomiting, abdominal cramps,
diarrhea, craving, insomnia, elevated blood pres-
sure, elevated pulse and elevated temperature,
headaches, seizures, confusion, perceptual dis-
tortions, disorientation, hallucinations, delirium
tremens, arrhythmias and Wernicke’s Encepha-
lopathy (WE). WE symptoms include: opthalmo-
plegia, ataxia and confusion.
The scales used to monitor withdrawal in
Australia include:
• AWS,AlcoholWithdrawalScale
• CIWAAR-ClinicalInstituteWithdrawal
Assessment of Alcohol Scale (Ensure you
use the scale that is recommended by your
employer in their guidelines and policies and
procedures.)
Medications that may be prescribed to as-
sist patients suffering from alcohol detoxification
symptoms include:
• Anti-anxiety medicines (benzodiazepines
such as diazepam) which treat withdrawal
symptoms such as delirium tremens (DTs).
• Seizuremedicines to reduceorstopsevere
withdrawal symptoms during detoxification.
• Medicines for recovery include Disulfiram
(Antabuse), which makes the person sick
(vomit) if they consume alcohol.
• Naltrexone (ReVia, Vivitrol),which interferes
with the pleasure one gets from alcohol.
• Acamprosate (Campral), whichmay reduce
cravings for alcohol.
• Thiamine supplements are recommended.
Alcohol abuse can cause the body to be-
come low in certain vitamins and minerals
especially Thiamine (vitamin B1). Thiamine
helps prevent Wernicke-Korsa koff syndrome
which causes brain damage. (WE was first
identified in 1881 by the German neurologist
CarlWernicke,although the link toThiamine
wasnotdiscovereduntilthe1930s.Russian
psychiatristSergiKorsakoffdescribedasimi-
lar presentation in 1887-1891).
Patients and health professionals dealing
with alcohol detoxification will also face systemic
challenges, such as:
• Limitedaccesstorehabilitationcentres
• Significant distancebetween treatment and
rehabilitation centres, particularly in regional
and remote areas
• Navigating the rules and requirements that
rehabilitation centres impose prior to admis-
sion (which ensure a patient’s level of readi-
ness for change)
• Limited access to family support, as many
patients suffering from severe alcoholism
and requiring rehabilitation have often lost
contact with friends and family.
The prevalence of alcohol abuse and de-
pendence in our society means that as health
professionals many of us will be confronted with
alcohol withdrawal symptoms. It is vital that we
are familiar with the warning signs and symptoms
of alcohol withdrawal as mismanagement or the
absence of appropriate care can have severe
consequences.
References
Sydney Alcohol Treatment Group-http://
www.alcpharm.med.usyd.edu.au/ accessed
20102/8/2014.
416-033 1/2PG FULL COLOUR CMYK PDF
News in brief:Clotting drug may aid hip patientsGiving hip or knee replacement patients
a clotting drug may reduce the need for a
blood transfusion during surgery, experts
say. - tinyurl.com/kygr88q
Psychology leader develops app for headachesAn international authority on the treatment
of headache pain is leading the research into
the use of the app, which acts as an elec-
tronic diary to record ratings of headache
pain. - tinyurl.com/nr37unp
Swine flu cases rising in AustraliaNearly 21,000 cases of flu have been con-
firmed in Australia so far this year, double
the number of cases at this time last year.
- tinyurl.com/ltqf4pz
Healthy ways of coping with night workNight workers who have trouble sleeping
after their shifts shouldn’t rely on sleeping
pills, a German psychologist warns.
- tinyurl.com/oy4b6l7
Cancer survivors face challengesWhen GP Elysia Thornton-Benko suspected
something wasn’t quite right with her body
she did everything she tells her patients not
to - ignored the symptoms and carried on.
- tinyurl.com/m7roz7y
__________________________________
For more news and articles on nursing and allied health visit our website:
www.ncah.com.au
CYAN MAGENTA YELLOW BLACKCYAN MAGENTA YELLOW BLACK
Page 30 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 3
Page 6 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 27
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• Solid nursing background for health check services (min 2yrs post grad) • Solid venepuncture experience for blood screening services (min 2yrs exp)• Excellent general medical knowledge and terminology• Professional presentation and communication, along with impress ive time management skills• Current CPR Certification• National Police Check• ABN• Nurse Immunisation certificate for all nurse immunisers
Danielle Le Fevre
Looking for Nurses, Paramedics and Pathology Collectors
Tasmanian nurses and midwives plan industrial action
Tasmania’s nurses and midwives will remove
goodwill in their planned industrial action as the
state government considers introducing a public
sector wage freeze.
The move comes after the Australian Nursing
and Midwifery Federation’s (ANMF) Tasmanian
branch recently met with members across the
state to endorse a log of claims, as it prepares
to negotiate a new EBA for public sector nurses
and midwives.
The ANMF is also joining forces with other
unions to hold ‘bust the budget’ rallies on August
28 at Parliament House in Hobart and on Sep-
tember 4 at both Devonport and Launceston.
ANMF branch secretary Neroli Ellis said
members will put a halt to unpaid administra-
tion work in hospitals from August 25, in a move
designed to put pressure on the system without
impacting on patients.
“If you take the goodwill of nurses and mid-
wives out of the system, it will put a lot of pres-
sure on the system, particularly around the ad-
min - computer entries, computerised admission
systems, etcetera, so potentially they may have
to employ more admin staff after hours,” she told
abc.net.au.
Ms Ellis was unavailable for comment at
the time of publication but the branch’s website
states the government’s proposed wage freeze
amounts to a “real wage cut” for nurses and mid-
wives.
“Inflation and the price of goods and services
continues to rise and your salary buys less over
time - the value of what you earn is cut,” it states.
The government has proposed a one-year
wage freeze for all public servants, followed by a
move to two per cent increases, in a bid to save
$50 million a year and safeguard around 500 jobs.
The freeze will take affect when the legisla-
tion passes both houses of the Tasmanian parlia-
ment, which the union fears could occur as soon
as October.
“The government has the constitutional pow-
er to rip up contracts with its public sector work-
ers through legislation,” the ANMF branch states.
“It’s a radical unprecedented action but if
they can get special legislation through both
houses of state parliament, then they have the
ultimate power over your wages and conditions.”
The branch is also fighting legislation, which
has already passed the Lower House, that aims
to outlaw reasonable protest action.
The union states the new legislation includes
penalties such as $10,000 on-the-spot fines and
three-month mandatory jail terms for disrupting
workplaces.
“We’re seeking legal advice about the impli-
cations of this legislation and what it could mean
for ANMF (Tas branch) members and activities in
education and training workplaces.”416-006 1/4PG PDF 414-007 1/4PG PDF 412-007 1/4PG PDF 411-036 1/4PG PDF 410-015 1/4PG PDF 408-011 1/4PG PDF
CPD Nurses Phone APP!Log diary to record
your educationwww.cpdnursing.com.au
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Is patient safetyyour passion?Improve the quality of care and safety of patients in your organisation with the Master of Quality Services (Health and Safety) at the University of Tasmania. Available fully online, this is a unique new degree developed in response to industry demands - a course that will open up a world of opportunities to experienced clinicians and health professionals like you.
For more information, email: [email protected] or phone 13UTAS
Applications now open.
utas.edu.au/2014 | 13UTAS
USRM12684rj CRICOS Provider Code: 00586B *Academic Ranking of World Universities 2013
Tomorrow starts today.
More graduate nursing training places needed
The New Zealand government’s move to
fund an extra 200 places in the nurse entry
to practice program will still leave hundreds of
trained nurses without work, according to nurses.
The New Zealand Nurses Organisation
(NZNO) is calling for the government to fund a
one-year Nurse Entry to Practice (NEtP) program
for all new graduate nurses, and has launched a
petition which has received more than 7000 sig-
natures.
NZNO acting professional services man-
ager Hilary Graham-Smith said while an extra
200 graduates will receive essential support and
mentorship, others will miss out on the vital train-
ing.
“Two hundred new NEtP positions still leaves
too many nurse graduates without support,” she
said.
“These new positions do not start until 2015
by which time there will be another cohort of
graduates, meaning more new grads in the mar-
ket for places and a talent pool currently sitting
at around more than 400 trained nurses without
work.”
The petition was launched after concerns
that large numbers of graduate nurses are failing
to secure work in a clinical setting due to a limited
number of NEtP program places while employers
are also seeking candidates with experience.
Health Minister Tony Ryall said up to 200 ad-
ditional places will be created in the program,
taking the total number of places to 1300, and
comes at a cost of $2.8 million.
Mr Ryall said 160 of the places will be created
at public hospitals and district health board-funded
community health services while 40 places will be
based at aged care facilities across the country.
“Nurses are at the frontline of care providing
r o u n d -
the-clock
care and sup-
port to patients
and their families,” he
said in a statement.
“As our ageing population grows and de-
mand on health services increases, we need even
more nurses working in our communities.”
Mr Ryall also recently announced $1.5 million
to fund an extra 25 scholarships for nurse gradu-
ates to work in general practices in some of the
country’s high needs communities next year.
Under the scholarships, 48 graduate nurses
are this year working in Very Low Cost Access
(VLCA) practices.
“This was the first time scholarships like this
has ever been offered,” he said.
“The feedback from general practices and
graduate nurses has been so positive we are in-
vesting extra money to offer scholarships again
next year.”
The recruitment process for the 12-month
scholarships begins this month.
Leave a comment on this and other articles by visiting the ‘news’ section
of our website: www.ncah.com.au
To go to the article “More graduate nursing training places needed”
directly, visit: http://bit.ly/1A92cq1
www.ncah.com.au Nursing Careers Allied Health - Issue 16
Printed by BM
P - Freecall 1800 623 902
POSTAGEPAID
AUSTRALIA
PRINTPOST100015906
Seabreeze Communications Pty Ltd (ABN 29 071 328 053)PO Box 6744, Melbourne, VIC 3004
CHANGE OF ADDRESS: If the information on this mail label is incorrect, please email [email protected] with the address that is currently shown and your correct address.
Issue 1618/08/14
fortnightly
Working Abroad Feature
More graduate nursing training places needed
Tasmanian nurses and midwives plan industrial action
New camera technology for Victorian ambulances
The colour of wounds and implications for healing
416-008 1PG FULL COLOUR CMYK PDF
Call 1300 221 971 | www.smartnurses.com.au
DISCLAIMER: For full terms and conditions please visit our website.
One call and we’ll find, insure and salary package your ideal car. It’s that easy.
One call does it all.
2013
State
Leasing ads_NCAH-125 x 180_July 2014.indd 1 15/07/2014 10:58:53 AM
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EARNSOMEEXTRA$$$Nursing and MidwiferyEducators and Clinical SpecialistsNCAH is looking to hire expert nurses and midwives towrite nurse practice related articles on a freelance basis.
If you are an experienced Australian nurse educator or nurse specialist, and you are interested in writing to complement your income on a very �exible basis we would love to hear from you.
Nursing and Midwifery experts are sought to write articles covering one or more clinical areas including but not limited to:
• Accident & Emergency • Critical Care • Aged Care • Cardiac Care • Paediatric Nursing • Continence • Healthcare IT & Information • Neurology • Midwifery & Neonatal nursing • Practice nursing • Nurse Leadership and Management
Please send expressions of interest to [email protected] must include a CV and covering letter detailing your professional experience.
416-009 1/2PG FULL COLOUR CMYK PDF 415-012 1/2PG FULL COLOUR CMYK PDF 414-011 1/2PG FULL COLOUR CMYK PDF 413-035 1/2PG FULL COLOUR CMYK PDF 412-027 1/2PG FULL COLOUR CMYK PDF
Apply online www.acn.edu.au | [email protected] | 1800 117 262
An Australian Government Department of Health initiative supporting nurses and midwives. Australian College of Nursing is proud to be the fund administrator for this program.
NURSING & MIDWIFERY SCHOLARSHIPS
Scholarships are available for nurses & midwives in the following areas: > undergraduate
> postgraduate
> continuing professional development
> nurse re-entry
> midwifery prescribing
> nurse practitioner
> emergency department clinical and non-clinical continuing professional development.
Open 21 July 2014 – Close 15 September 2014
www.ncah.com.auNursing Careers Allied Health - Issue 16
Prin
ted
by B
MP
- Fr
eeca
ll 18
00 6
23 9
02
POSTAGEPAID
AUSTRALIA
PRINTPOST100015906
Seabreeze Communications Pty Ltd (ABN 29 071 328 053)PO Box 6744, Melbourne, VIC 3004
CHANGE OF ADDRESS: If the information on this mail label is incorrect, please email [email protected] with the address that is currently shown and your correct address.
Issue 1618/08/14
fortnightly
Working Abroad Feature
More graduate nursing training places needed
Tasmanian nurses and midwives plan industrial action
New camera technology for Victorian ambulances
The colour of wounds and implications for healing
416-008 1PG FULL COLOUR CMYK PDF
Call 1300 221 971 | www.smartnurses.com.au
DISCLAIMER: For full terms and conditions please visit our website.
One call and we’ll find, insure and salary package your ideal car. It’s that easy.
One call does it all.
2013
State
Leasing ads_NCAH-125 x 180_July 2014.indd 115/07/2014 10:58:53 AM
416-018 1PG FULL COLOUR CMYK PDF 415-032 1PG FULL COLOUR CMYK PDF 414-029 1PG FULL COLOUR CMYK PDF
EARNSOMEEXTRA$$$Nursing and MidwiferyEducators and Clinical SpecialistsNCAH is looking to hire expert nurses and midwives towrite nurse practice related articles on a freelance basis.
If you are an experienced Australian nurse educator or nurse specialist, and you are interested in writing to complement your income on a very �exible basis we would love to hear from you.
Nursing and Midwifery experts are sought to write articles covering one or more clinical areas including but not limited to:
• Accident & Emergency • Critical Care • Aged Care • Cardiac Care • Paediatric Nursing • Continence • Healthcare IT & Information • Neurology • Midwifery & Neonatal nursing • Practice nursing • Nurse Leadership and Management
Please send expressions of interest to [email protected] must include a CV and covering letter detailing your professional experience.
416-009 1/2PG FULL COLOUR CMYK PDF415-012 1/2PG FULL COLOUR CMYK PDF414-011 1/2PG FULL COLOUR CMYK PDF413-035 1/2PG FULL COLOUR CMYK PDF412-027 1/2PG FULL COLOUR CMYK PDF
Apply online www.acn.edu.au | [email protected] | 1800 117 262
An Australian Government Department of Health initiative supporting nurses and midwives. Australian College of Nursing is proud to be the fund administrator for this program.
NURSING & MIDWIFERY SCHOLARSHIPS
Scholarships are available for nurses & midwives in the following areas: > undergraduate
> postgraduate
> continuing professional development
> nurse re-entry
> midwifery prescribing
> nurse practitioner
> emergency department clinical and non-clinical continuing professional development.
Open 21 July 2014 – Close 15 September 2014