ncah issue 18 2014

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Theatre & Critical Care FeatureImproving communication in the operating room

Superannuation delay short-changes nurses and midwives

Physiotherapist debunks concussion myths

Wounds and the normal healing process

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| www.ncah.com.au Nursing Careers Allied Health - Issue 18 | Page 29

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Issue 17 – 26 August 2013

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Issue 1 – 20 January 2014

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Monday 22nd September 2014

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About Galway University HospitalsGalwayUniversityHospitals(GUH),comprisingofUniversityHospitalGalway (UHG)andMerlinParkUniversity Hospital(MPUH),provideacomprehensive rangeofservicestoemergencyandelectivepatientsonaninpatient, outpatient anddaycarebasisacross the two sites. UHGandMPUH together employapproximately3,000wholetimeequivalentstaff.Itis adesignated supraregionalcentre,servesacatchment areain theregionofonemillion peoplefromDonegal toTipperary North. HSE-West accounts foralmostone quarteroftheIrishpopulationandGalway accounts foraquarterof this.

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•

•••••

••

Better health training needed to prevent suicide

Improved training for health professionals will

work to make an impact on Australia’s suicide

rates, according to SANE Australia.

The national mental health charity states

most health professionals, including psycholo-

gists and GPs, do not receive specific training

about suicide with on-the-job train-

ing usually focusing on risk

assessment tools or crisis

intervention.

“Most health

professionals rely

on suicide risk as-

sessment tools

that ask people

about whether

they are hav-

ing suicidal

thoughts and if

they have made a

plan to act,” it said

in a statement.

“These tools are

extremely poor at predict-

ing suicide with the majority

of people who go on to take their

life being assessed as at low risk.

“There is a serious lack of education about

how to prevent a suicidal crisis, or how to talk to

people about their suicidal feelings.”

SANE Australia CEO Jack Heath said im-

proved training, a better understanding of suicide

attempts and a national effort to reduce the stig-

ma surrounding suicide could make a real impact

on the nation’s suicide rates.

“While it is an extremely complex issue, we

must always remember that suicide is prevent-

able,” he said.

“In particular, we need to understand better the

experiences of people who have attempted suicide.

“We know that many people’s main motiva-

tion for attempting to take their own life is to put

an end to what they feel is an unbearable pain

and sense of hopelessness.”

The statement, to mark World Suicide Pre-

vention Day on September 10, comes as the lat-

est Australian Bureau of Statistics figures show

Australia experienced the highest suicide rate in

10 years in 2012, with 2535 lives lost to suicide.

The recently released World Health Organisa-

tion (WHO) report, Preventing Suicide: A Global

Imperative, shows more than 800,000 people

commit suicide every year - which equates to

around one person every 40 seconds.

The report, WHO’s first global report on sui-

cide prevention, shows 75 per cent of suicides

occur in low to middle-income countries.

“This report is a call for action to address

a large public health problem which has been

shrouded in taboo for far too long,” WHO direc-

tor-general Dr Margaret Chan said in a statement.

SANE, a founding member of the National

Suicide Prevention Coalition, said it’s vital to train

GPs to detect suicidal thoughts and behaviours

with statistics showing 80 per cent of people who

commit suicide visit their doctor in the weeks

leading up to their death.

The organisation recently released research

that shows well-presenting people who have

survived a suicide attempt have encountered

dismissive and negative attitudes in the health

sector.

The research, conducted with the University

of England, found judgemental attitudes still exist

among some allied health professionals, nurses

and doctors when it comes to treating people

who have attempted suicide.

For help with suicide prevention call Lifeline on

13 11 14, Suicide Call Back Service on 1300 659

467 and SANE Australia Helpline on 1800 18 7263


Opportunity.Experience.Lifestyle. Executive Director of Nursing and Midwifery

Location: Office of the Chief Executive, Townsville, Townsville Hospital and Health Service (THHS).

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health • care • people


Page 28 | www.ncah.com.au Nursing Careers Allied Health - Issue 18 |


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Why Galway City:Known the wor ld o ver for i ts friendly people, fabulous beaches , s afe char ming s treet s , s hopp ing and nightlife, Galway will refres h flagging s pirits like no other plac e.


Kate C owhig International Healthcare Recruitment49 St. Stephen’s G reen, Dublin 2, Ireland

31 Southampton Row, London,WC1B 5HJ , UK

www.K CRJOB S .comFollow us on

e: info@kc r.iet: +353 1671 5557

About Galway University HospitalsGalw ay Univers ity Ho s pitals (GU H), co mprisi ng of Universit y Hos pital G alway (UHG ) and Merlin P ark Univers ity H os pital (MPUH ), provide a comprehens ive rang e of s ervices to emergency and elective patients on an inpatient, outpatient and day care bas is acros s the two sites. UHG and MPUH together employ approximately 3,000 whole time equivalent s taff. It is a desi gnated s upra regional centre, s erves a catchment area in the region of one million people from Donegal to Tipperary Nor th. HS E - Wes t accounts fo r alm os t one quarter of the Iris h population and Ga lway a ccounts fo r a quar ter of this .

Ga lway Univers ity Ho s pitals also has s trong links with the N ational Univers ity of Ireland, G alway, (NUIG ) for the training of medica l, nurs ing a nd oth er health profes s ionals and is the s ite for extensive academ ic t raining and res earch.

Requi rements:Must have a minimum of 2 years experience in ICU or Theat res.

Benefits a re as follows:• Salary:as per HSE scale commencing at € 27,211 – € 39,420

perannum increases depending on years of experience.• Additionalpay for shift differentials.• Permanent, full-time pensionable contracts.• 24 days Annual Leave plus 9 Public Holidays .• 39Hours per week.• Four weeks FREE accommodation• Assistancewith accommodation – average rent per room €280pcm• Professionaldevelopment and educational opportunities.• Opportunity to complete Higher Diploma in ICU and Theat res, fully

funded, with close links to NUIG• Opportunityto join the HSE Pension scheme.• Within walking distance of the pictu resque City of Galway .• Withineasy reach of Shannon, Knock and Dublin airports.

Permane nt Fu ll time St aff Nurs e P os itionsIC U & T hea tre, Ga lway, Ireland

Follow us







•

•••••

••











intervention.

“Most health

professionals rely

on suicide risk as-

sessment tools

that ask people

about whether

they are hav-

ing suicidal

thoughts and if

they have made a


in a statement.

“These tools are















able,” he said.


































sector.


















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www.acmhn2014.com

program

out now!


3914

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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• • National Police Check• ABN•

Danielle Le Fevre

Looking for Nurses, Paramedics and Pathology Collectors

Locations: QLD - Townsville, Emerald, Billa Billa. NT - Darwin, Alice SpringsWA - Geraldton, Karratha, Broome, Margaret River. NSW - Dubbo.


Australia’s ageing nursing and midwifery

workforce will retire much poorer as a result

of the Federal Government’s decision to post-

pone compulsory superannuation increases, ac-

cording to the Australian Nursing and Midwifery

Federation (ANMF).

ANMF assistant federal secretary Annie But-

ler said nurses and midwives, where a major por-

tion are aged in their 40s and 50s and set to retire

in the next decade, will be among those hardest

hit under the changes.

“Our workforce is 90 per cent

female, they’re disadvantaged

in every possible way and

our very expert clinical

nurses and those at

higher registered nurse

levels have reason-

able earning capacity

but a vast bulk of our

workforce is part of

the lower paid work-

force, so this is going

to hit them very hard,”

she said.

“They tend to be in the

sectors where bargaining over

things like superannuation can be

particularly difficult, like in aged care.

“They have been planning under the certain

assumption that this is how it’s going to work

for them and now that’s been removed, so that

means that what they’ve planned for the next 10

to 15 years could be affected.”

Ms Butler said some nurses and midwives

are still reeling from the impact of the Global Fi-

nancial Crisis.

“We’ve already had examples of people who

even now can’t retire or aren’t going part-time

when they’ve reached maybe over 50 or 55 be-

cause of the impact on their super,” she said.

“We’re very concerned that nurses are going

to be forced to continue working to well over 70

because they just can’t afford to retire.”

Ms Butler said the superannuation freeze

combined with the proposed changes in pension

indexation will result in a 25 per cent reduction in

overall retirement incomes for nurses and mid-

wives, on average earnings, now aged 45.

“If we look at our lower paid workers in the

aged care industry, maybe more an assis-

tant-in-nursing (AIN) or care worker

level, the affects to them could

be that they’re just forced

onto welfare,” she said.

“We don’t know

what’s going to hap-

pen with pensions

exactly, we know

they are going to be

made more difficult

to access, so we’re

concerned about driv-

ing people into circum-

stances of disadvantage

and poverty.

“That is a real concern for

some elements of our members.”

The government has announced the compul-

sory superannuation contribution that employers

make for their workers will now remain at 9.5 per

cent until 2021, when it will gradually begin to rise

towards 12 per cent, instead of rising to 12 per

cent by 2019-20.

The superannuation freeze comes amid

ANMF concerns the government’s proposal to

deregulate university fees will drive the cost of a

nursing degree to $100,000.

“Our concern is not just about the fact that

we are going to see perhaps impossible fees

for nurses, we won’t see any people from lower

socio-economic backgrounds be able to access

nursing or midwifery,” Ms Butler said.

“They will never be able to pay off that debt

because they just don’t have the incomes poten-

tially to support it.”

Ms Butler said deregulation could also result

in some universities moving to withdraw their

cost-intensive nursing courses.

“Some years ago it was determined by the

government that nursing and education were

dedicated priority areas - we had public univer-

sities who were required to make sure that they

service the public good, so things like nursing

and midwifery is one of those areas,” she said.

“The government has systematically with-

drawn funding from the tertiary sector over the

last decade…so for universities to be able to

function and make their money, even just to sur-

vive, they are going to be chasing income rather

than making sure that they serve their obligation

to the community.

“Universities seeking income could just with-

draw entirely from wanting to even offer nursing

courses - that is a real concern.”

Ms Butler said the federation is calling on all

Senators to oppose the Higher Education and

Research Reform Amendment Bill 2014, as it

moves into the Senate, where it is expected to be

considered in October.

She said the ANMF’s Lies, Cuts and Broken

Promises campaign has now reached 5000 sup-

porters and will continue to take a stand against

the government’s health care cuts.

“We want to keep track and keep not just the

government but all of the parties and the cross-

benchers accountable,” she said.

“We are going to keep a mechanism of what

these people have said before they got into their

position and now what they are doing.

“We want to keep track of every broken

promise that we see.”

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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.


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Find out more about our immersive master classes, supported online learning and globally connected academics at our UTS info evening on 1 October.

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Are you keen to utilise ALL of your nursing skills?• FullTimeandCasualOpportunities• BasedinAdelaide•Attractiveremuneration

Opportunities exist for suitably qualified Nurses to join the Royal Flying Doctor Service, Central Operations in Adelaide. Working in a diverse, fulfilling and rewarding environment, RFDS nurses are at the forefront in delivery of aeromedical health services.

We are seeking registered nurses with General and Midwifery Nursing Certificates, currently registered with the Australian Health Practitioner Regulation Agency. You will also have comprehensive experience and/or post graduate qualifications in a critical care area, together with high level customer service skills and a professional approach to service delivery.

If you are keen to progress your career with an organisation that makes a real difference to all Australians, apply now.Please direct your confidential enquiries to Greg McHugh Ph: (08)8150 1313Applications to: Kate Guerin, HR Coordinator RFDS Central OperationsPO Box 381 Marleston DC SA 5033 Email: [email protected] Royal Flying Doctor Service Is An Equal Opportunity Employer

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Senior Flight Nurse> Port Augusta

The Royal Flying Doctor Service, Central Operations (SA/NT), is seeking to appoint an enthusiastic and passionate individual to the position of Senior Flight Nurse. Located in Port Augusta, this role is responsible for the fi rst line management of a quality nursing service for the Port Augusta Base.

Responsibilities include:• First line management of Flight Nurses based in Port Augusta;• Participation in the development of the strategic direction for RFDS Flight Nurses;• Roster development and coverage as required; • Undertake Flight Nurse performance appraisals and clinical competency testing;• Participation in recruitment activities;• Liaison with other Health Services;• Provide support to staff after hours.

Qualifi cations and experience:• General and Midwifery Nursing qualifi cations, registered with AHPRA;• Comprehensive experience in aeromedicine and a critical care area essential;• Post graduate qualifi cations in critical care essential;• Ability to lead and manage a group of staff;• Ability to work both independently and as part of a multi-disciplinary team;• Confi dent in decision making abilities;• Post graduate qualifi cations in aeromedicine desirable;• General computer literacy.

In return we offer:• Attractive remuneration and benefi ts (salary packaging);• Company motor vehicle and relocation assistance provided;• Extensive training and orientation;• A supportive environment where staff are valued and personal development is encouraged.

If you are keen to move your career into an organisation that makes a real difference to all Australians, apply now.

Please direct your confi dential enquiries to:Greg McHugh Ph: (08) 8150 1313Applications to: Kate Guerin, HR CoordinatorPO Box 381, Marleston BC SA 5033Email: careers@fl yingdoctor.net

Applications close: 9 April 2012

The Royal Flying Doctor Service is an Equal Opportunity Employer










SEE WA IN A DAYFlight nurses positions Regional bases Come and enjoy this exciting role with one of the largest areomedical services in Australia, providing a range of emergency services and primary health care to the state of Western Australia. Our operations are ever evolving and we are seeking Expressions of Interest from suitably skilled and motivated Registered Nurse / Midwives wanting to join our dynamic fl ight nurse teams at our regional bases within Western Australia.The role of a Flight Nurse is fun, rewarding and challenging while valuing team work and independent practice. If you are registered with AHPRA as a registered nurse and midwife, have 3-5 years post grad experience in emergency or critical care and great communication skills RFDS Western Operations may have the role for you.A comprehensive 2 week orientation, generous salary and salary packaging benefi ts, assistance with relocation and subsidised rental and utility costs along with district loadings and gratuities are some of the incentives offered to the successful candidates.If you are seeking the opportunity to work in all our locations within WA, Derby, Jandakot, Meekatharra, Kalgoorlie and Port Hedland and would like to know more about being a fl ight nurse contact Gabrielle West, Director of Nursing on (08) 9417 6300. The RFDS are open to a 6 month plus fl ight nurse contract for applicants seeking employment with the RFDS.Information on positions can be obtained from Rosemary Hunt, by phoning (08) 9417 6300 during offi ce hours or send your e-mail request to [email protected] date for applications is Monday 6th February 2012.

BlazeS052637








HEALTH SERVICES

PROGRAM MANAGER • WorkwithaleadingAustralianbrand• AttractiveSalaryPackagingBenefits• BasedatMileEnd,SAThe Royal Flying Doctor Service of Australia is the world’s first and most comprehensive aero-medical provider of emergency and primary healthcare services to those who live, work and travel throughout Australia. An exciting opportunity now exists to join the RFDS Health Services team.Reporting to the General Manager, Health Services, this role is responsible for the coordination of health programs delivered throughout the RFDS Central Operations bases in Adelaide, Port Augusta, Alice Springs and our Health Facility in Marree. Otherresponsibilitiesinclude:• Facilitating the planning, delivery and evaluation of the

various programs in collaboration with the relevant individual program coordinators;

• Seeking new opportunities for health program delivery ;• Preparing reports required for each program;• Day to day management of health program staff.

Inadditiontoappropriatetertiaryqualificationsinhealthadministration,thesuccessfulcandidatewillhave:• Demonstrated knowledge of, and experience in, the

health issues of rural and remote Australia;• Ability to develop and maintain relationships across a

diverse range of people;• Excellent interpersonal skills with the ability to effectively

lead and communicate with staff at all levels;• A proactive attitude and high level client service skills.In return, we are offering an attractive salary, including salary packaging benefits in a supportive environment where staff are valued and personal development is encouraged.Enquiries&Applicationsto: NikkiCrichton,ProjectCoordinator RFDSCentralOperations Tel:(08)82383333 Post:POBox381MarlestonSA5033 Email:[email protected] Applicationsclose:20September2013

The RFDS is an Equal Opportunity Employer


Flight Nurses

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Nurse VocationalEducator

Up to $90k package • Salary packaging optionsPlus a range of additional employee benefits

This is a fantastic opportunity for an experienced nurse educator (registered nurse with vocational education experience) to join one of Australia’s pre-eminent educational institutions. Your Vocational Education career with Swinburne will include involvement in the design, administration and implementation of first class education programs for students in the Department of Health and Sciences.

For further information and to apply online, visit our website swinburne.edu.au/jobs Swinburne values diversity in its work environment and has been recognised as an Employer of Choice for Women since 2007. Swinburne encourages applications from Indigenous Australians; women; mature age workers; people with disabilities; people who identify as LGBTI; and those from culturally and linguistically diverse backgrounds.

Refer to position number: 30871. Applications close Monday 8 September 2014Refer to position number: 30871. Applications close Monday 8 September 2014

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General Practitioner – VR

Just take a look at the city of Perth’s changing and soaring skyline offering excitement, endless opportunities and it’s all waiting for YOU! At TR7 our philosophy is built around personal growth, lifestyle, professionalism & fun. Over a decade of recruitment experience equips us to help you secure a ful�lling career in the Western Australian health industry.

Our client is seeking an experienced Vocationally Registered General Practitioner for their small, enthusiastic health service located in Perth's Metro area. The position is available on a full time, Part time or Locum basis.

Requirements:• Recent experience as a GP • VR and AHPRA registration is essential• Able to provide comprehensive medical care to individuals and families• Patient-focussed,experienced in chronic disease management & annual health check ups

Bene�ts: • Existing patient base • Small, friendly and experienced team • Flexible working hours • Free parking

Applicants must have a valid working visa as no sponsorship is available.

If this sounds like you, we would like to hear from you. Email your resume today or for more information call our Health Recruitment Team on 9218 1444.

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Are you keen to utilise ALL of your nursing skills?•FullTimeandCasualOpportunities•BasedinAdelaide•Attractiveremuneration
























BlazeS052637








HEALTH SERVICES

PROGRAM MANAGER •WorkwithaleadingAustralianbrand•AttractiveSalaryPackagingBenefits•BasedatMileEnd,SAThe Royal Flying Doctor Service of Australia is the world’s first and most comprehensive aero-medical provider of emergency and primary healthcare services to those who live, work and travel throughout Australia. An exciting opportunity now exists to join the RFDS Health Services team.Reporting to the General Manager, Health Services, this role is responsible for the coordination of health programs delivered throughout the RFDS Central Operations bases in Adelaide, Port Augusta, Alice Springs and our Health Facility in Marree. Otherresponsibilitiesinclude:• Facilitating the planning, delivery and evaluation of the









Flight Nurses

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Refer to position number: 30871. Applications close Monday 8 September 2014 Refer to position number: 30871. Applications close Monday 8 September 2014

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Danielle Le Fevre









Federation (ANMF).










nurses and those at


levels have reason-







she said.












nancial Crisis.



















“We don’t know


pen with pensions

exactly, we know


made more difficult





and poverty.








cent by 2019-20.




























to the community.





















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18868 / IMAGE BY AN

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Federation (ANMF).










nurses and those at


levels have reason-







she said.












nancial Crisis.



















“We don’t know


pen with pensions

exactly, we know


made more difficult





and poverty.








cent by 2019-20.




























to the community.





















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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

[email protected]

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

Lyell McEwin nurses take industrial action

Nurses have launched industrial action at a

South Australian hospital in protest at plans to

use existing staff for a dedicated resuscitation

team.

Emergency nurses at Adelaide’s Lyell McE-

win Hospital are implementing low level industrial

action designed not to impact on patient care as

the staffing dispute continues.

Australian Nursing and Midwifery Federation

(ANMF) South Australian branch secretary Adj

Assoc Professor Elizabeth Dabars AM said three

additional nurses are needed in the emergency

department to staff the dedicated resuscitation

team.

“It became apparent that they were seeking

to implement that resuscitation team out of the

existing staff cohort,” she said.

“That’s completely ridiculous because those

existing staff members already have important

work that they are undertaking, and therefore in

order to take them and utilise them in relation to

the dedicated resuscitation team would be sim-

ply a matter of robbing Peter to pay Paul.

“That’s something that the nurses at the Lyell

McEwin Health Service emergency department

did not accept because they are interested in

providing an appropriate service to the commu-

nity at Lyell McEwin and the surrounds.

“It seems absolutely bizarre and it is unacceptable to us that the northern sub-urbs would receive a lower standard of care than their counterparts at the Flinders Medical Centre and the Royal Adelaide Hospital, both of whom are described as tertiary hospitals and do have dedicated resuscitation teams.”

Adj Assoc Professor Dabars said emergency

nurses have replaced their uniforms with ANMF-

branded scrubs and are distributing leaflets to

the community to raise awareness of the issue.

“At the moment it’s all designed not to im-

pact negatively on patient care because of

course the entire point is that we want to improve

patient care at the facility and so the action really

involves bringing community attention to the is-

sue,” she said.

Adj Assoc Professor Dabars said nurses are

also planning to participate in a lunchtime rally.

“We are ever hopeful that we could get the

matter resolved prior to then but in the event it’s

not resolved…then the lunchtime rally will go

ahead,” she said.

“The members will also consider what other

strategies or potential escalation of their indus-

trial action that they might be able to consider at

that time.”418-006 1/4PG PDF 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


What’s your tax return going to deliver this year?So much depends on how organised you are and how you play the tax game. Every dollar you can claim on an investment property will benefit your financial wellbeing.

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Nurse Recruiter Opening We now have a Nurse Recruiter position available at CCM Recruitment International (Sydney of�ce). This is a great opportunity to become part of an International company and steer your career in a new direction.

We are looking for someone with the following professional background/skills:

· Registered Nurse (preferable) · Have worked in the Middle East/Internationally · Excellent communication skills · Team player & can work autonomously

CCM is a leading International Healthcare recruitment company with of�ces in Europe and Australia.

CCM have over 25 years’ experience recruiting healthcare staff overseas. International recruitment is about more than just getting a job overseas. It’s also about support, attention to detail, knowledge and expertise. A new job, new country, new lifestyle and friends can be stressful if not carefully managed. We provide the necessary support to make sure the relocation is smooth. When candidates arrive they feel prepared for the challenges and opportunities their new life presents.

If you feel you could be part of our team, can think on your feet and are willing to learn, please forward your resume to [email protected] or Free Phone AUS: 1800 818 844, Free Phone NZ: 0800 700 839 or +61 2 9328 1218

· Self motivated · Ability to meet deadlines · Basic computer skills

Number of nurses and midwives job hunting escalates

New figures reveal the number of nurses

and midwives searching for work in Australia has

jumped 86 per cent in just a year.

The latest Australian Institute of Health and

Welfare (AIHW) report, Nursing and Midwifery

Workforce 2013, shows of the 317,988 registered

nurses and midwives, more than 8100 were look-

ing for a job in 2013, up from 4365 in 2012.

The report shows there were a total of

344,190 registered nurses and midwives, with

317,988 in the workforce.

Of those, 8151 were looking for work,

266,509 were working as clinicians and 29,520

were working in non-clinician roles, while 13,808

were on extended leave.

Queensland Nurses’ Union secretary Beth

Mohle said the increasing number of nurses and

midwives searching for employment came as no

surprise.

Ms Mohle said almost 1800 full-time equiva-

lent (FTE) nursing positions have been cut in

Queensland alone while the state is also grap-

pling with a growing number of unemployed

graduate nurses.

“For the first time ever, our members are fear-

ing for their job security - it’s the biggest issue for

them right now,” she said.

“Is it any wonder there are people looking for

jobs when there have been jobs massively cut

from the public sector?”

Ms Mohle said workforce planning is need-

ed to offset the predicted looming shortage

of nurses.“We need to be taking on more new

graduates because we need to be planning for

the tsunami of retirement that’s going to be hitting

us soon, with the ageing nursing and midwifery

workforce,” she said.

“Nobody is looking at workforce as an issue

that should be invested in, they are only looking at

it as a bottom line cost.

“Until we change the thinking about that we

are going to continue to see really troubling data

like this, so this is really quite significant.”

The AIHW report shows the number of nurs-

es and midwives increased in five of the eight

states and territories from 2009 to 2013, with the

largest increase in Western Australia, at 8.5 per

cent, and the greatest drop in the Northern Terri-

tory, at 8.3 per cent.

It also reveals very remote areas have the

greatest number of nurses and midwives, with

1264 FTE nurses and midwives per 100,000 peo-

ple in very remote areas.

In comparison, major cities have the largest

number of doctors with 426 FTE medical practi-

tioners per 100,000 people, while there are 1111

FTE nurses and midwives per 100,000 people in

outer regional areas.

The figures show the total number of nurses

and midwives registered in Australia increased

from 320,982 in 2009 to 344,190 last year, along-

side a 35 per cent fall in the number of midwives.

“This is likely to be related to many dual reg-

istered nurse/midwives not actively working in

midwifery and, therefore, not being able to meet

a recency of practice standard,” it states.

The number of registered nurses rose 9.8 per

cent in 2013 while the number of enrolled nurses

dropped 3.9 per cent.

The workforce snapshot shows almost 90

per cent of nurses and midwives are female, and

the average age of the workforce was 44.

The 60-64 age group of nurses and midwives

has more than doubled from 9592 in 2003 to

22,658 in 2013, while the 65 and over age group

has almost tripled in size from 3288 to 9151.

More than 2600 nurses and midwives iden-

tified as an Aboriginal or Torres Strait Islander,

representing 0.9 per cent of the workforce who

provided their Indigenous status.





Players and professional athletes should be

removed from play after receiving a head-injury

on the sporting field amid estimates only 10 per

cent of concussions result in unconsciousness,

according to an Australian physiotherapy re-

searcher.

Professor Tony Schneiders, a physiotherapy

and sports physiotherapy researcher and lecturer

at Central Queensland University, said undetect-

ed injuries and concussions could increase the

chance of players returning to the field, placing

them at risk of another more serious injury.

Professor Schneiders said it’s important

physiotherapists on the sidelines quickly identify

the symptoms of concussion.

“Obviously diagnosing a brain injury is not

something that we necessarily have within our

scope of practice but looking out for the signs

and symptoms associated with that in a general

situation or in a sporting situation is really impor-

tant for a physiotherapist to be aware of,” he said.

“It’s also important to be able to identify if

someone does have a subdural hematoma or a

bleed in the brain which could be catastrophic,

as opposed to saying it’s just a head knock, treat

it as a concussion.

“They need to be able to identify where per-

haps that minor concussion can transgress and

actually get worse and can result in more serious

consequences for the athlete.

“That’s a difficult area because the trouble

is the signs and symptoms that are associated

with concussion are if not exact but very simi-

lar to the signs and symptoms with a subdural

hematoma…until the symptoms get so bad and

the athlete loses consciousness and obviously

you realise that you are dealing with something

more serious.”

Professor Schneiders, who will speak about

concussion in sport at the September 19-21

Physiotherapy New Zealand (PNZ) conference,

said initial signs are both cognitive and physical,

from poor memory to slurred speech, loss of bal-

ance and coordination.

He said it’s vital physiotherapists take a con-

servative approach to head injuries, particularly

when it comes to children’s and adolescent sport.

“Their brains are much more susceptible to

damage and to ongoing problems than an adult

brain, so even if we’ve had the inkling or thought

that they might have sustained a concussion they

should be removed from play and not returned

to play until they have been checked over by a

doctor,” he said.

“With the adult athlete, perhaps not as con-

servative, but certainly the consensus document

on concussion guidelines at the moment do sug-

gest that the player is removed from play despite

what level of concussion they have, because

the symptoms they have after concussion will

change from person to person.”

Professor Schneiders said there has also

been much hype and misconception around sec-

ond-impact syndrome, where it’s believed that

two concussions in quick succession can result

in serious and sometimes fatal consequences.

“Probably, all it is is a slower swelling of the

brain which takes a while to manifest, so with

the first knock they’ve had damage to the brain,

which has caused it to swell or bleed, and de-

pending on what damage occurs it can be quite

catastrophic,” he said.

“In a lot of cases with head injuries that bleed

or that swelling actually takes a period of time to

start giving you symptoms because it needs to

build up pressure in the brain, and that can take

anything from minutes to hours in some cases.

For the full article visit NCAH.com.au

Wounds and the normal healing processBy Bonnie Fraser RN, BSc, BNURS

Wound healing is the process of the body

replacing devitalised and/or missing tissue

in order to fill a cavity and repair damaged skin.

This typically occurs in a coordinated fashion

along a healing continuum, a process taking up

to two years. During this time wounds are vul-

nerable to repeated trauma and breakdown and

should be protected where possible. Across the

spectrum of health care settings health profes-

sionals face the challenge of difficult, hard to

heal wounds in addition to the uncomplicated

wound that heals as expected. In order to facili-

tate healing it is important for nurses to not only

recognise the stage of healing but to recognise

when a wound is failing to heal. In this article we

will look at the types of healing intention, some

of the factors that influence wound healing and

revisit the stages of wound healing.

Types of healingNurses will come across three types of healing

intention during their clinical practice - healing

by primary or secondary closure and delayed

primary closure (or tertiary closure).1 ,4 Some

might be familiar with the terms first, second and

third intention healing respectively. In the acute

care setting, the majority of wounds heal by pri-

mary intention where wound edges are easily ap-

proximated and held in place with various closure

materials such as sutures, staples, glue or steri-

strips. These wounds are generally clean, uncon-

taminated or non-infected wounds with minimal

tissue defects. Surgical wounds, clean cuts and

lacerations are examples of such wounds. These

wounds have minimal scarring as there is no tis-

sue defect and new dermal tissue is only required

to fill the gap across the closely aligned wound

edges.

Wounds healing by secondary intention are

typically chronic wounds, wounds with large

tissue defects or wounds that cannot be easily

closed due to the degree of skin loss. Healing

occurs more slowly by granulation (growth of

new tissue to fill a cavity), wound contraction (to

close the wound) and re-epithelialisation (growth

of new skin) of the wound surface.1,4 These

wounds usually result in lager scar tissue forma-

tion as new skin must grow across a larger area.

Pressure injuries, diabetic ulcers, leg ulcers and

dehisced wounds are examples of wounds heal-

ing by secondary intention.

Some wounds may require delayed closure

due to infection, the need for debridement or

formation of new granulation tissue to cover ex-

posed fascia, bone or tendon prior to definitive

or primary closure. This type of healing is com-

monly referred to a delayed primary closure or

tertiary closure. 1 The need for a skin graft is an

example where delayed primary closure may be

required. Primary closure may occur up to 7 days

after cleansing or debridement of the wound bed

and where infection is adequately treated.

Factors affecting wound healingA myriad of factors can slow down or impair heal-

ing notwithstanding age, illness, complex disease

processes, medications, psychological or social

factors, or a combination of any of these. Any

condition that reduces perfusion to the wound

bed will impair healing for example vascular dis-

ease (arterial disease or chronic venous insuffi-

ciency) and chronic airways disease (e.g. emphy-

sema, asthma or lung cancer) while rheumatoid

arthritis, diabetes and age impact wound healing

through altered cellular mechanisms involved in

the healing process. The peri-operative period,

surgical procedure and post-operative pain in

particular can create stress and anxiety which in-

duce physiological responses that interfere with

healing processes. Similarly, psychosocial fac-

tors such as the lack of social and family sup-

port networks, loss of independence, depression

and poverty initiate the same stress responses

that delay healing. Locally wound characteristics

also influence reparative processes. Tissue type,

infection and inflammation, moisture

balance, wound edges, wound

temperature and the capac-

ity of the microcirculation

to deliver oxygen to

the wound bed and

surrounding tissues

all impact on heal-

ing.

The wound heal-ing processRegardless of the

type of wound the

same basic physiologi-

cal principles apply to how

wounds heal. Generally there

are three stages in the wound healing

process although some authors tend to separate

haemostasis and inflammation. The wound heal-

ing occurs though a continuum and comprises

haemostasis, inflammation, proliferation and

maturation (or remodelling). 2,3

Immediately post injury blood vessels at the

site of the injury will firstly constrict to reduce

blood flow to the area.2,3 Collagen fibres are

exposed at the site of damaged vascular tissue

which trap platelets, which in turn release chemi-

cals that make nearby platelets sticky and clump

together to form a platelet plug resulting in clot

formation.2,3 The inflammatory phase occurs

simultaneously where vasoconstriction is fol-

lowed by vasodilation increasing blood flow to

the damaged site with an influx of macrophages

and neutrophils which begin to clean the wound

removing debris, bacteria, damaged cells and

devitalised tissue readying the site for the next

stage of healing. 2 The inflammatory phase is

characterised by the cardinal signs heat, pain,

redness and swelling and usually will lasts from

zero to three days depending on the nature of

the wound and other patient characteristics but

will continue until the wound bed has been ad-

equately prepared for the next stage of the heal-

ing, the proliferative phase.

The proliferative phase usu-

ally occurs from between three

days to approximately three

weeks (again depending on

the nature of the wound

and patient factors that

may limit healing). 2,3

It is during this phase

that new blood vessels

are created (angiogen-

esis) and new tissue in

the form of extra cellular

matrix, primarily composed

of collagen and elastin, is

produced to fill the wound cav-

ity over which new skin will grow

(epithelialisation).2,3 Collagen and elas-

tin together provide tensile strength and elastic-

ity to newly formed skin.2,3 Once the wound is

repaired the final phase of wound healing, the

maturation phase begins.2,3 This phase, last-

ing up to two years involves wound contraction

and remodelling of newly formed collagen to pro-

duce scar tissue. 2.3 Remember it is during this

phase the wound remain vulnerable to break-

down though repeated insult especially wounds

healing by secondary intention such as dehisced

wounds, pressure ulcers, diabetic foot ulcers and

leg ulcers and subsequently should be protected

at all times.






































edges.



















































the wound bed and

surrounding tissues

all impact on heal-

ing.


type of wound the





























































at all times.


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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]










searcher.




















it as a concussion.












more serious.”
















doctor,” he said.





























































edges.



















































the wound bed and

surrounding tissues

all impact on heal-

ing.


type of wound the





























































at all times.






































edges.



















































the wound bed and

surrounding tissues

all impact on heal-

ing.


type of wound the





























































at all times.


418-007 1PG FULL COLOUR CMYK PDF417-011 1PG FULL COLOUR CMYK PDF416-007 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













Federation (ANMF).










nurses and those at


levels have reason-







she said.












nancial Crisis.



















“We don’t know


pen with pensions

exactly, we know


made more difficult





and poverty.








cent by 2019-20.




























to the community.





















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[email protected]



Caregivers



OxfordAunts Care





team.










team.

























sue,” she said.






ahead,” she said.




that time.”418-006 1/4PG PDF416-006 1/4PG PDF414-007 1/4PG PDF412-007 1/4PG PDF411-036 1/4PG PDF410-015 1/4PG PDF408-011 1/4PG PDF


































surprise.





graduate nurses.





























































Registrations are now open for all courses Australia-wide via our website. Alternatively, stay informed by signing up to our eNews at criticalcare.edu.au

There’s no better time to organise your continuing professional development with the leaders in acute care education

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Take your knowledge to a whole new level

Improving communication in the operating room

An Australian researcher aims to improve

team-work and communication between nurs-

es, anaesthetists and surgeons in the operating

room.

Associate Professor Brigid Gillespie, a Senior

Research Fellow at Griffith University’s NHMRC

Centre for Excellence in Nursing (NCREN), is re-

searching the use of non-technical skills during

surgery in the OR.

A former theatre nurse, Assoc Professor

Gillespie said there are several issues contribut-

ing to miscommunication in the OR.

“You have got so many disciplines working

together and all of them have a different focus,”

she said.

“The team should function in an inter-de-

pendent way but that doesn’t always happen.

“While we have this overarching goal of pro-

viding safe patient care, sometimes our priorities

are competing, and what I think I should be doing

may not be understood by someone else.”

Assoc Professor Gillespie has conducted

several observational studies that measure com-

munication, teamwork and interruptions in the

OR at Queensland hospitals since 2007.

She’s also leading a large Australian Re-

search Council-funded observational study at the

Gold Coast University Hospital and the Princess

Alexandra Hospital to evaluate team training in-

tervention designed to improve surgical team

members’ situational awareness.

Assoc Professor Gillespie said the study has

found anaesthetists display higher levels of situ-

ational awareness, leadership and communica-

tion than surgeons.

“For those of us that work in the operating

room or have worked in the operating room,

we’ve always kind of known that intuitively be-

cause people’s roles are so well defined and cir-

cumscribed,” she said.

“The surgeons are focused on the surgery

even before they get in there, so they are perhaps

not as aware of what’s going on around them.”

Assoc Professor Gillespie said nurses are

often the conduit of information and communica-

tion in the OR.

“Nurses are, in many instances, what holds

everyone together in terms of communicating

changes,” she said.

“We all think we have the skills in terms of

communication, we all think we’re innately good

communicators but the research, and not just my

research, other people’s research demonstrates

that we’re not as good as we think we are and

there is room for improvement.”

Assoc Professor Gillespie is also conducting

a National Health and Medical Research Coun-

cil study to investigate the implementation of the

mandated surgical safety checklist, which her re-

search shows significantly reduces postoperative

complications.

“All of the hospitals to some degree do use

it but it does boil down to culture and it’s very

context specific,” she said.

“The component that’s done the best is this

time out component where it’s like a team huddle

and they check - have we got the right patient,

what’s the operation that’s being done, what side

are we operating on, are there any concerns?

“The checklist gives everybody in the team

the opportunity to voice their concerns in a non-

threatening way so that everybody is aware - it

heightens everybody’s situational awareness in

terms of the bigger picture.”

Assoc Professor Gillespie said she hopes her

research will eventually be implemented in new

clinical guidelines for the operating room.

Legislation won’t safeguard nurses and allied health professionals

New legislation that aims to protect nurses

and allied health professionals against assaults

and threats will not work to deter violent offenders,

according to the Australian Nursing and Midwifery

Federation’s (ANMF) Victorian branch.

ANMF Victorian branch secretary Lisa Fitzpat-

rick said a raft of measures are needed to improve

workplace safety for health professionals.

“The bills are only going to be effective as peo-

ple are charged and prosecuted which of course we

don’t see,” she said.

“So in effect, having this sort of legislation, it’s

not going to act as a deterrent.

“There’s research upon research around man-

datory sentencing; increased penalties isn’t a deter-

rent so on its own it’s of little value.”

Under Victorian legislation introduced into par-

liament in August, offenders who assault health

practitioners, including nurses, midwives, GPs,

pharmacists, physiotherapists and psychologists,

face a six month jail term, double the penalty for a

common assault.

The legislation is designed to build on legisla-

tion introduced into parliament earlier this year that

covers emergency workers in hospitals and emer-

gency services staff, providing increased penalties

for violent offenders.

Ms Fitzpatrick said measures such as better

security, increased risk planning, pre-admission as-

sessments, education, increased reporting and a

change of culture in hospitals are also needed.

“Boards and hospital managers…(need to

take) the issue seriously and report about changes

being implemented as a result of violent events tak-

ing place, feedback being given to staff about what

action is being taken - they are the sorts of things

that are really going to have a significant impact on

decreasing violence in our workplaces.”

Ms Fitzpatrick said Freedom of Information

statistics show a 33 per cent increase in reports of

violence against Victorian health care professionals.

“There’s no question that the violence is not

only increasing in the number of incidences but it’s

also increasing in the severity,” she said.

“People are becoming not just violent more

often but more violent in so far as nurses are be-

ing punched now, they are being knocked uncon-

scious, they are having their hair pulled out, they are

being dragged along the floor.”

Ms Fitzpatrick said while the branch’s ‘Say No

to Violence’ campaign has raised awareness about

the level of violence perpetrated against health pro-

fessionals, little has been done to curb the problem.

“We’re disappointed that this is the fix that’s

been provided by the state government after four

years,” she said.

“There’s been it’s own inquiry that it completed

in 2011, where it said that it would support the rec-

ommendations but the recommendations haven’t

been implemented, hospitals haven’t been funded

to implement recommendations.

“We’d like to see it be a real priority of gov-

ernment, not just given lip service and that there

actually be measures implemented that prevent

violence rather than the attitude of everything in

Victoria can be fixed by locking somebody up and

throwing away the key.

“The problem is far more comprehensive and

needs a more intelligent and detailed implementa-

tion of a suite of measures to actually address the

issue so that nurses and other health workers actu-

ally feel safe going to work and are safe.”


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room.





surgery in the OR.






she said.




















tion than surgeons.











tion in the OR.















complications.







































common assault.


































years,” she said.


















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• Extra $$$








• ABN



























room.





surgery in the OR.






she said.




















tion than surgeons.











tion in the OR.















complications.







































common assault.


































years,” she said.


















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• Extra $$$








• ABN






















Federation (ANMF).










nurses and those at


levels have reason-







she said.












nancial Crisis.



















“We don’t know


pen with pensions

exactly, we know


made more difficult





and poverty.








cent by 2019-20.




























to the community.





















418-002 1/2PG FULL COLOUR CMYK PDF 417-004 1/2PG FULL COLOUR CMYK PDF 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



[email protected]



Caregivers



OxfordAunts Care





team.










team.

























sue,” she said.






ahead,” she said.




that time.”418-006 1/4PG PDF416-006 1/4PG PDF414-007 1/4PG PDF412-007 1/4PG PDF411-036 1/4PG PDF410-015 1/4PG PDF408-011 1/4PG PDF


































surprise.





graduate nurses.


































































searcher.




















it as a concussion.












more serious.”
















doctor,” he said.





























































edges.



















































the wound bed and

surrounding tissues

all impact on heal-

ing.


type of wound the





























































at all times.






































edges.



















































the wound bed and

surrounding tissues

all impact on heal-

ing.


type of wound the





























































at all times.


418-007 1PG FULL COLOUR CMYK PDF417-011 1PG FULL COLOUR CMYK PDF416-007 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













searcher.




















it as a concussion.












more serious.”
















doctor,” he said.





























































edges.



















































the wound bed and

surrounding tissues

all impact on heal-

ing.


type of wound the





























































at all times.






































edges.



















































the wound bed and

surrounding tissues

all impact on heal-

ing.


type of wound the





























































at all times.


418-007 1PG FULL COLOUR CMYK PDF 417-011 1PG FULL COLOUR CMYK PDF 416-007 1PG FULL COLOUR CMYK PDF 415-011 1PG FULL COLOUR CMYK PDF 414-009 1PG FULL COLOUR CMYK PDF 413-013 1PG FULL COLOUR CMYK PDF 412-010 1PG FULL COLOUR CMYK PDF 411-017 1PG FULL COLOUR CMYK PDF 409-036 1PG FULL COLOUR CMYK PDF 408-012 1PG FULL COLOUR CMYK PDF 407-034 1PG FULL COLOUR CMYK PDF

Act now!

2015 deadline

announced













Federation (ANMF).










nurses and those at


levels have reason-







she said.












nancial Crisis.



















“We don’t know


pen with pensions

exactly, we know


made more difficult





and poverty.








cent by 2019-20.




























to the community.





















418-002 1/2PG FULL COLOUR CMYK PDF417-004 1/2PG FULL COLOUR CMYK PDF416-002 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



[email protected]



Caregivers



OxfordAunts Care





team.










team.

























sue,” she said.






ahead,” she said.




that time.”418-006 1/4PG PDF 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


































surprise.





graduate nurses.






























































Danielle Le Fevre









Federation (ANMF).










nurses and those at


levels have reason-







she said.












nancial Crisis.



















“We don’t know


pen with pensions

exactly, we know


made more difficult





and poverty.








cent by 2019-20.




























to the community.





















418-024 1PG FULL COLOUR CMYK PDF417-030 1PG FULL COLOUR CMYK PDF416-018 1PG FULL COLOUR CMYK PDF415-032 1PG FULL COLOUR CMYK PDF414-029 1PG FULL COLOUR CMYK PDF












18868 / IMAGE BY AN

NA ZH

U

UTS:

HEALTH





Are you keen to utilise ALL of your nursing skills?•FullTimeandCasualOpportunities•BasedinAdelaide•Attractiveremuneration
























BlazeS052637








HEALTH SERVICES

PROGRAM MANAGER •WorkwithaleadingAustralianbrand•AttractiveSalaryPackagingBenefits•BasedatMileEnd,SAThe Royal Flying Doctor Service of Australia is the world’s first and most comprehensive aero-medical provider of emergency and primary healthcare services to those who live, work and travel throughout Australia. An exciting opportunity now exists to join the RFDS Health Services team.Reporting to the General Manager, Health Services, this role is responsible for the coordination of health programs delivered throughout the RFDS Central Operations bases in Adelaide, Port Augusta, Alice Springs and our Health Facility in Marree. Otherresponsibilitiesinclude:• Facilitating the planning, delivery and evaluation of the









Flight Nurses






Refer to position number: 30871. Applications close Monday 8 September 2014 Refer to position number: 30871. Applications close Monday 8 September 2014

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Are you keen to utilise ALL of your nursing skills?• FullTimeandCasualOpportunities• BasedinAdelaide•Attractiveremuneration
























BlazeS052637








HEALTH SERVICES

PROGRAM MANAGER • WorkwithaleadingAustralianbrand• AttractiveSalaryPackagingBenefits• BasedatMileEnd,SAThe Royal Flying Doctor Service of Australia is the world’s first and most comprehensive aero-medical provider of emergency and primary healthcare services to those who live, work and travel throughout Australia. An exciting opportunity now exists to join the RFDS Health Services team.Reporting to the General Manager, Health Services, this role is responsible for the coordination of health programs delivered throughout the RFDS Central Operations bases in Adelaide, Port Augusta, Alice Springs and our Health Facility in Marree. Otherresponsibilitiesinclude:• Facilitating the planning, delivery and evaluation of the









Flight Nurses






Refer to position number: 30871. Applications close Monday 8 September 2014Refer to position number: 30871. Applications close Monday 8 September 2014

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Danielle Le Fevre









Federation (ANMF).










nurses and those at


levels have reason-







she said.












nancial Crisis.



















“We don’t know


pen with pensions

exactly, we know


made more difficult





and poverty.








cent by 2019-20.




























to the community.





















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1886

8 / I

MAG

E BY

AN

NA

ZHU

UTS:

HEALTH




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Lifescreen

Medacs Australia





Oxford Aunts Care

Pulse Staffing


TR7 Health

UK Pensions









Advertiser List

AHN Recruitment

Ausmed

Austra Health




CQ Nurse

CRANAplus

Employment Offi ce

eNurse


Medacs Australia

No Roads to Health



Oxford Aunts Care

Pulse Staffi ng

Queensland Health



TR7 Health










ABN 29 071 328 053.








www.ncah.com.au





Advertiser List

AHN Recruitment

Ausmed

Austra Health




CQ Nurse

CRANAplus

Employment Offi ce

eNurse


Medacs Australia

No Roads to Health



Oxford Aunts Care

Pulse Staffi ng

Queensland Health



TR7 Health










ABN 29 071 328 053.








www.ncah.com.au







CQ Nurse

Education Cruises

Employment Office

Geneva Health

Griffith University



Lifescreen

Medacs Australia





Oxford Aunts Care

Pulse Staffing


TR7 Health

UK Pensions

















Advertiser List


Bupa


CPD Nursing


Epworth Healthcare



Nurse at Call


Oxford Aunts Care

Queensland Health




Smart Salary

The Investors Club





1300 306 582



Why Galway City:Known the wor ld o ver for i ts friendly people, fabulous beaches , s afe char ming s treet s , s hopp ing and nightlife, Galway will refres h flagging s pirits like no other plac e.


Kate C owhig International Healthcare Recruitment49 St. Stephen’s G reen, Dublin 2, Ireland

31 Southampton Row, London,WC1B 5HJ , UK

www.K CRJOB S .comFollow us on

e: info@kc r.iet: +353 1671 5557

About Galway University HospitalsGalw ay Univers ity Ho s pitals (GU H), co mprisi ng of Universit y Hos pital G alway (UHG ) and Merlin P ark Univers ity H os pital (MPUH ), provide a comprehens ive rang e of s ervices to emergency and elective patients on an inpatient, outpatient and day care bas is acros s the two sites. UHG and MPUH together employ approximately 3,000 whole time equivalent s taff. It is a desi gnated s upra regional centre, s erves a catchment area in the region of one million people from Donegal to Tipperary Nor th. HS E - Wes t accounts fo r alm os t one quarter of the Iris h population and Ga lway a ccounts fo r a quar ter of this .

Ga lway Univers ity Ho s pitals also has s trong links with the N ational Univers ity of Ireland, G alway, (NUIG ) for the training of medica l, nurs ing a nd oth er health profes s ionals and is the s ite for extensive academ ic t raining and res earch.

Requi rements:Must have a minimum of 2 years experience in ICU or Theat res.

Benefits a re as follows:• Salary:as per HSE scale commencing at € 27,211 – € 39,420

perannum increases depending on years of experience.• Additionalpay for shift differentials.• Permanent, full-time pensionable contracts.• 24 days Annual Leave plus 9 Public Holidays .• 39Hours per week.• Four weeks FREE accommodation• Assistancewith accommodation – average rent per room €280pcm• Professionaldevelopment and educational opportunities.• Opportunity to complete Higher Diploma in ICU and Theat res, fully

funded, with close links to NUIG• Opportunityto join the HSE Pension scheme.• Within walking distance of the pictu resque City of Galway .• Withineasy reach of Shannon, Knock and Dublin airports.

Permane nt Fu ll time St aff Nurs e P os itionsIC U & T hea tre, Ga lway, Ireland

Follow us







•

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••











intervention.

“Most health

professionals rely

on suicide risk as-

sessment tools

that ask people

about whether

they are hav-

ing suicidal

thoughts and if

they have made a


in a statement.

“These tools are















able,” he said.


































sector.



















Advertiser List

AHN Recruitment

Ausmed

Austra Health




CQ Nurse

CRANAplus

Employment Offi ce

eNurse


Medacs Australia

No Roads to Health



Oxford Aunts Care

Pulse Staffi ng

Queensland Health



TR7 Health










ABN 29 071 328 053.








www.ncah.com.au





Advertiser List

AHN Recruitment

Ausmed

Austra Health




CQ Nurse

CRANAplus

Employment Offi ce

eNurse


Medacs Australia

No Roads to Health



Oxford Aunts Care

Pulse Staffi ng

Queensland Health



TR7 Health










ABN 29 071 328 053.








www.ncah.com.au







CQ Nurse

Education Cruises

Employment Office

Geneva Health

Griffith University



Lifescreen

Medacs Australia





Oxford Aunts Care

Pulse Staffing


TR7 Health

UK Pensions









Advertiser List

AHN Recruitment

Ausmed

Austra Health




CQ Nurse

CRANAplus

Employment Offi ce

eNurse


Medacs Australia

No Roads to Health



Oxford Aunts Care

Pulse Staffi ng

Queensland Health



TR7 Health










ABN 29 071 328 053.








www.ncah.com.au





Advertiser List

AHN Recruitment

Ausmed

Austra Health




CQ Nurse

CRANAplus

Employment Offi ce

eNurse


Medacs Australia

No Roads to Health



Oxford Aunts Care

Pulse Staffi ng

Queensland Health



TR7 Health










ABN 29 071 328 053.








www.ncah.com.au







CQ Nurse

Education Cruises

Employment Office

Geneva Health

Griffith University



Lifescreen

Medacs Australia





Oxford Aunts Care

Pulse Staffing


TR7 Health

UK Pensions

















Advertiser List


Bupa


CPD Nursing


Epworth Healthcare



Nurse at Call


Oxford Aunts Care

Queensland Health




Smart Salary

The Investors Club





1300 306 582



Why Galway City:Known theworld over for itsfriendly people, fabulous beaches, safecharming streets, shoppingand nightlife, Galway will refresh flagging spirits likenootherplace.


Kate Cowhig International Healthcare Recruitment49 St. Stephen’s Green, Dublin 2, Ireland

31 Southampton Row, London,WC1B 5HJ, UK

www.KCRJOBS.comFollow us on

e: [email protected]: +353 1671 5557

About Galway University HospitalsGalwayUniversityHospitals(GUH),comprisingofUniversityHospitalGalway (UHG)andMerlinParkUniversity Hospital(MPUH),provideacomprehensive rangeofservicestoemergencyandelectivepatientsonaninpatient, outpatient anddaycarebasisacross the two sites. UHGandMPUH together employapproximately3,000wholetimeequivalentstaff.Itis adesignated supraregionalcentre,servesacatchment areain theregionofonemillion peoplefromDonegal toTipperary North. HSE-West accounts foralmostone quarteroftheIrishpopulationandGalway accounts foraquarterof this.

GalwayUniversityHospitalsalsohas stronglinkswith the National University ofIreland,Galway,(NUIG)forthetrainingof medical, nursing and otherhealth professionalsandisthe sitefor extensiveacademic trainingandresearch.

Requirements:Must have a minimum of 2 years experience in ICU or Theatres.

Benefits are as follows:•Salary: asperHSEscalecommencingat €27,211 – €39,420

per annumincreasesdependingonyearsofexperience.•Additional payforshiftdifferentials.• Permanent, full-timepensionablecontracts.• 24 days Annual Leave plus 9 Public Holidays.•39 Hoursperweek.• Four weeks FREE accommodation•Assistance withaccommodation–averagerentperroom€280pcm•Professional developmentandeducationalopportunities.• Opportunity to complete Higher Diploma in ICU and Theatres, fully

funded, with close links to NUIG•Opportunity tojointheHSEPensionscheme.• Within walking distance of the picturesque City of Galway.•Within easyreachofShannon,KnockandDublinairports.

Permanent FulltimeStaffNursePositionsICU&Theatre,Galway,Ireland

Follow us







•

•••••

••











intervention.

“Most health

professionals rely

on suicide risk as-

sessment tools

that ask people

about whether

they are hav-

ing suicidal

thoughts and if

they have made a


in a statement.

“These tools are















able,” he said.


































sector.


















418-004 1PG FULL COLOUR CMYK PDF417-007 1PG FULL COLOUR CMYK PDF416-004 1PG FULL COLOUR CMYK PDF415-007 1PG FULL COLOUR CMYK PDF414-005 1PG FULL COLOUR CMYK PDF413-010 1PG FULL COLOUR CMYK PDF412-005 1PG FULL COLOUR CMYK PDF411-011 1PG FULL COLOUR CMYK PDF409-012 1PG FULL COLOUR CMYK PDF408-007 1PG FULL COLOUR CMYK PDF407-013 1PG FULL COLOUR CMYK PDF406-010 1PG FULL COLOUR CMYK PDF405-013 1PG FULL COLOUR CMYK PDF404-011 1PG FULL COLOUR CMYK PDF403-015 1PG FULL COLOUR CMYK PDF402-036 1PG FULL COLOUR CMYK PDF401-003 1PG FULL COLOUR CMYK PDF324-020 1PG FULL COLOUR CMYK PDF323-022 1PG FULL COLOUR CMYK PDF322-035 1PG FULL COLOUR CMYK PDF321-014 1PG FULL COLOUR CMYK PDF1320-006 1PG FULL COLOUR CMYK PDF (RPT)418-029 1PG FULL COLOUR CMYK PDF417-019 1PG FULL COLOUR CMYK PDF






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program

out now!


3914

9













www.ncah.com.au Nursing Careers Allied Health - Issue 18

Printed by BM

P - Freecall 1800 623 902

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AUSTRALIA

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Issue 1815/09/14

fortnightly










2013

State

Leasing ads_NCAH-125 x 180_July 2014.indd 1 15/07/2014 10:58:53 AM




Nursing in Dubai

Benefits on offer:






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nAttractive fee structure for our Graduate Entry Program.nOver 150 students currently enrolled and over 50 graduates

in Australia, New Zealand, Samoa and USA.nHome-based Pre-Clinical Study under top international


nClinical Rotations can be performed locally, Interstate or Internationally.

nReceive personalised attention from an Academic Advisor.nOUM Graduates are eligible to sit the AMC exam or NZREX.

OCEANIA UNIVERSITY OF MEDICINEINTERNATIONALLY ACCREDITED For information visit www.RN2MD.orgor 1300 665 343


RNtoMD OUM’s innovativeteaching style is




www.ncah.com.auNursing Careers Allied Health - Issue 18

Prin

ted

by B

MP

- Fr

eeca

ll 18

00 6

23 9

02

POSTAGEPAID

AUSTRALIA

PRINTPOST100015906



Issue 1815/09/14

fortnightly










2013

State

Leasing ads_NCAH-125 x 180_July 2014.indd 115/07/2014 10:58:53 AM




Nursing in Dubai

Benefits on offer:






✔ Free utilities






418-001 1/2PG FULL COLOUR CMYK PDF417-002 1/2PG FULL COLOUR CMYK PDF416-001 1/2PG FULL COLOUR CMYK PDF


n Attractive fee structure for our Graduate Entry Program.n Over 150 students currently enrolled and over 50 graduates

in Australia, New Zealand, Samoa and USA.n Home-based Pre-Clinical Study under top international


n Clinical Rotations can be performed locally, Interstate or Internationally.

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


RN to MDOUM’s innovativeteaching style is




ncah issue 18 2014

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