should australian disaster team deployments include a nurse leader?

1
Abstracts S7 Should Australian disaster team deployments include a nurse leader? Angela Jackson 1 Cairns Base Hospital, Department of Emergency Medicine, Queensland 4879, Australia Keywords: Disaster; Christchurch earthquake; Nursing leader; Emergency nursing E-mail address: [email protected]. Introduction: On 23 February 2011, after the Christchurch earthquake and requested by the New Zealand Government, the Australian Government deployed a 30 person Queensland Australian Medical Assistance Team (AusMAT) to Christchurch. This was the first AusMAT deployment where a nursing leader was identified prior to deployment and was actively involved in overall team leadership Aim: The aim of this presentation is to describe the ben- efit of deploying emergency nurses to disasters and having a pre identified nurse leader. Findings: The AusMAT was deployed planning to provide extra capacity for the Christchurch Hospital. Upon arrival into Christchurch, the team were re tasked to setup and commence operating a tented field medical facility. This was located in the east of the city where there was signifi- cant damage and no power, water or sewerage. Aftershocks were felt every few hours. In a week the team treated 642 patients. The emergency nurses, all of who were experienced prac- titioners, were pivotal in the success of overall facility management and patient flow. In this disaster setting emer- gency nurses showed leadership, flexibility and their ability to work as a team. With the deployment of any medical team, nurses are likely to make up more than half of the deployed personnel. Emergency nurses in particular are a valuable asset in the disaster setting due to their wide variety of skills, their train- ing within chaotic environments and their ability to work in a large team. It would appear logical therefore that they would be represented at a leadership level. Conclusion: It is recommended that a nurse leader should be included in any future AusMAT deployment An emergency nurse would be an ideal candidate where the situation is unpredictable and chaotic. doi:10.1016/j.aenj.2011.09.020 1 Australian Medical Assistance Team (AusMAT) Nurse Leader Christchurch earthquake deployment. Flight nursing and midwifery in Australia Genevieve Brideson Flinders University, GPO Box 2100 Adelaide, SA 5001, Australia Keywords: Australian; Aviation nursing; Flight nursing; Aviation midwifery; Computer mediated communication; Competency; Continuing professional development E-mail address: genevieve.brideson@flinders.edu.au. Australian Flight Nurses (AFN) strive to provide safe, effective, quality midwifery care that is evidence based and meets the requirements of high risk pregnant women and their babies. This highly specialised role combines a mix of both hospital and pre hospital environments whereby auton- omy and competence go hand in hand. The scope of practice of AFN is complex and extended purely due to the logistics of managing patients alone in the back of an aircraft at 25,000 feet. There is a dearth of previous research investigating how AFN maintain currency of their clinical midwifery skills and knowledge, indeed any area of their practice. The abundant literature that examines the maintenance of competence by nursing and midwifery professionals fails to look at the aviation context. The use of qualitative case study design enabled the researcher to examine the ways ten AFN maintain current clinical midwifery skills and knowledge. A single embed- ded case study design was utilised to enable the researcher to describe, understand and explain how this is achieved by these Flight Nurses. The use of computer mediated communication enabled the researcher to interview the participants using email as the electronic medium. This facilitated the recruitment of Australia wide participation for the study. Braun and Clarke’s (2006) thematic analysis was used to interpret and understand the findings of the interviews. The overall objective of this research was to investi- gate how current clinical midwifery knowledge and skills are maintained by AFN and to establish an understanding of their midwifery continuing professional development (CPD) requirements. doi:10.1016/j.aenj.2011.09.021

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Page 1: Should Australian disaster team deployments include a nurse leader?

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gatheir midwifery continuing professional development (CPD)requirements.

doi:10.1016/j.aenj.2011.09.021

Abstracts

Should Australian disaster team deployments include anurse leader?

Angela Jackson1

Cairns Base Hospital, Department of Emergency Medicine,Queensland 4879, AustraliaKeywords: Disaster; Christchurch earthquake; Nursingleader; Emergency nursing

E-mail address: [email protected].

Introduction: On 23 February 2011, after theChristchurch earthquake and requested by the NewZealand Government, the Australian Government deployeda 30 person Queensland Australian Medical AssistanceTeam (AusMAT) to Christchurch. This was the first AusMATdeployment where a nursing leader was identified priorto deployment and was actively involved in overall teamleadership

Aim: The aim of this presentation is to describe the ben-efit of deploying emergency nurses to disasters and havinga pre identified nurse leader.

Findings: The AusMAT was deployed planning to provideextra capacity for the Christchurch Hospital. Upon arrivalinto Christchurch, the team were re tasked to setup andcommence operating a tented field medical facility. Thiswas located in the east of the city where there was signifi-cant damage and no power, water or sewerage. Aftershockswere felt every few hours. In a week the team treated 642patients.

The emergency nurses, all of who were experienced prac-titioners, were pivotal in the success of overall facilitymanagement and patient flow. In this disaster setting emer-gency nurses showed leadership, flexibility and their abilityto work as a team.

With the deployment of any medical team, nurses arelikely to make up more than half of the deployed personnel.Emergency nurses in particular are a valuable asset in thedisaster setting due to their wide variety of skills, their train-ing within chaotic environments and their ability to work ina large team. It would appear logical therefore that theywould be represented at a leadership level.

Conclusion: It is recommended that a nurse leader shouldbe included in any future AusMAT deployment An emergency

nurse would be an ideal candidate where the situation isunpredictable and chaotic.

doi:10.1016/j.aenj.2011.09.020

1 Australian Medical Assistance Team (AusMAT) Nurse LeaderChristchurch earthquake deployment.

S7

light nursing and midwifery in Australia

enevieve Brideson

Flinders University, GPO Box 2100 Adelaide, SA 5001,ustraliaeywords: Australian; Aviation nursing; Flight nursing;viation midwifery; Computer mediated communication;ompetency; Continuing professional development

-mail address: [email protected] Flight Nurses (AFN) strive to provide safe,

ffective, quality midwifery care that is evidence based andeets the requirements of high risk pregnant women and

heir babies. This highly specialised role combines a mix ofoth hospital and pre hospital environments whereby auton-my and competence go hand in hand. The scope of practicef AFN is complex and extended purely due to the logistics ofanaging patients alone in the back of an aircraft at 25,000

eet.There is a dearth of previous research investigating how

FN maintain currency of their clinical midwifery skills andnowledge, indeed any area of their practice. The abundantiterature that examines the maintenance of competencey nursing and midwifery professionals fails to look at theviation context.

The use of qualitative case study design enabled theesearcher to examine the ways ten AFN maintain currentlinical midwifery skills and knowledge. A single embed-ed case study design was utilised to enable the researchero describe, understand and explain how this is achievedy these Flight Nurses. The use of computer mediatedommunication enabled the researcher to interview thearticipants using email as the electronic medium. Thisacilitated the recruitment of Australia wide participationor the study. Braun and Clarke’s (2006) thematic analysisas used to interpret and understand the findings of the

nterviews.The overall objective of this research was to investi-

ate how current clinical midwifery knowledge and skillsre maintained by AFN and to establish an understanding of