the official magazine for auckland dhb june/july 2018 · the official magazine for auckland dhb...

THE OFFICIAL MAGAZINE FOR AUCKLAND DHB

JUNE/JULY2018

TE W

HET

U M

ARAM

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InsideNursing and Midwifery Award WinnersTurning Auckland DHB pinkMeet the Team at Fertility PlusThank you to our volunteers

2 / NOVA / JUNE/JULY

Staying connected

Ailsa ClaireChief Executive

Winter is here and traditionally it’s a time when we see increased demand for our services, although this year we have experienced high demand throughout the summer.

We are working as hard as we can to look at ways to better manage this demand into the future, including planning for winter early.

We have been recruiting early for new roles and bureau roles, and increased staffing numbers in the cleaning team to help us get through winter.

The new 24-bed Clinical Decision Unit, which forms part of the Acute Hub opened in May.

The space will provide a much better experience for our patients and ensure our Emergency Department is used for those needing emergency treatment.

It is a brilliant example of a co-design in action, with representatives from many different professions involved in the design. When you look around the unit you can see some of the small details that will make such a difference to the functionality of the unit.

Winter is a time when we get hit with illness ourselves, and judging by the Northern Hemisphere we could be in for a severe flu season. I really encourage you to look after your own health and wellbeing this winter. Getting your flu vaccine, eating a healthy diet and drinking plenty of water are just some of the things you can do. And if you are sick, stay at home and get well.

Finally, in May we celebrated some of the remarkable things our nurses and midwives do every day at our Nursing and Midwifery Awards. I am incredibly proud of our amazing nursing and midwifery teams here at Auckland DHB. It was inspiring to hear about nurses who have stepped up to the plate, taking on new roles, leading teams, being advocates, and delivering excellent care for our patients and their families. You can read more about the awards on page 4 and 5.

On the cover: Tracey Lee, Perioperative Associate Nurse Director on the information stands on Pink Shirt Day.

I was admitted at the Adult Emergency Department and I just wanted to express how satisfied I was with the service I received. The nurse and doctor were lovely, attentive, empathetic and provided very good guidance. I was not expecting to receive such warm friendly service in an emergency room.– D.

I had a chest X-ray at Greenlane. The radiographer was great with me, gentle, calm, reassuring and very professional. The whole experience was easy. The same day I had a lung function test. I find these tests very difficult and distressing as I am very short of breath. But yesterday was by far the best experience I’ve ever had. She was very patient and kind with a great manner.– P.

All staff on Ward 62, with no exception, were very friendly, very kind and extremely efficient. Everyone was a gem. They are a credit to the hospital and to themselves. It was an amazing experience and I take my hat off to your team. I would have happily stayed on.– G.


Meet the team - Fertility PlusFertility Plus has been providing fertility investigations and treatment to our communities for more than 25 years. It was New Zealand’s first established In-vitro Fertilisation (IVF) clinic, and has helped thousands of couples fulfil their hopes of starting a family. Infertility is a common problem, with an estimated one in six couples affected during their lives. The close-knit team of doctors, nurses, embryologists, counsellors and administration staff at Fertility Plus work together to ensure people experiencing infertility receive excellent, compassionate care.Meet some of the team and hear what they have to say about doing their life’s best work at Auckland DHB:

“There are lots of things that make me proud of doing the work I do, and I really do love the role I’m in. Working with the team here is so interesting and rewarding. We are a strong team and work closely together to give people the best chance possible of having a child. This means so much to people”.

“Working here is obviously very exciting when IVF succeeds – when we’ve gone the extra mile, or worked really hard to carry out some treatment for a patient, and we find out the treatment has been successful and they’re pregnant. Seeing the benefits of all the work that we put in, that’s what makes a really great day.”

“I run the nurse-led recurrent pregnancy loss clinic.This model of care is delivered to a vulnerable group of women. My role is to support them in early pregnancy, providing monitoring and guidance, whatever the outcome. I’m always really happy to work with people and see them achieve a successful ongoing pregnancy.”

Fiona McDonald, Social Worker

Emily Wilson, Embryologist

Nicola Zuurbier, Staff Nurse

Welcome Haere Mai Respect Manaaki Together Tūhono Aim High Angamua

“I am honoured to work with such an incredible group of people who are dedicated, funny and pull together every day to support each other and our patients. We deal in hope and help make families in very special ways – it’s an incredible field to work in.”

Juanita Stulich, Charge Nurse


An evening of celebration took place at the annual Nursing and Midwifery Awards to acknowledge our amazing nurses and midwives. Awards were presented to those who have shone over the past year in clinical practice, leadership and education. This year a number of new awards were introduced to recognise the diversity of our nursing and midwifery workforce. These include our Rising Star Award, which went to Emily Lonsdale-Cooper who stood out from the moment she joined the organisation.Two other new awards were the Te Kauae Raro Māori Nursing and Midwifery Award and the Pacific Nursing and Midwifery Award. The inaugural winners of these awards were Dawson Ward and Unaisi Wainivetau. These two awards were presented for improving outcomes and reducing inequities for our Māori and Pacific communities.Chief Nursing Officer Margaret Dotchin was unable to be at the Awards this year, but in a video message she said: “I am incredibly proud of what all our nurses and midwives at Auckland DHB achieve every day. These Awards are an opportunity to recognise and celebrate the awesome work our nurses and midwives do in caring for patients, their families and our community. Congratulations to all winners and finalists in the Awards, and thank you to every nurse and midwife for what you achieve every day.”The supreme award of the evening, the Chief Nursing Officer Award, was presented by CEO Ailsa Claire and Andrew Old. Terri-Anne Davis, the winner, was selected from all 200 nominees. Terri-Anne was chosen for the pastoral care she provides for her colleagues, and her empathy and compassion for patients and their families.“I am incredibly proud of our amazing nursing and midwifery teams here at Auckland DHB,” said Ailsa Claire. “It was inspiring to hear about nurses who have stepped up to the plate, taking on new roles, leading teams, being an advocate and delivering excellent care for our patients and their families.“Nurses and midwives are achieving these amazing things at a time when more and more is being asked of them and other health professions as the population continues to grow in Auckland and the acuity of our patients increases. I thank them from the bottom of my heart.”Thank you to the A+ Trust, which generously supports these awards.

Nursing and Midwifery Awards

Annemarie Pickering - Adult Medical winner.

Jane Ronaldson - Child Health winner.

Fran Storr - Perioperative winner.

Carol Slight - Pat Butcher Award winner.

Unaisi Wainivetau - Pacific Nursing and Midwifery Award winner.

Helen Richardson - Cardiovascular winner.

Raewyn Osbaldiston - Community and Long Term Conditions winner.

Urmila Singh - Women's Health winner.

Dawson Ward - Te Kauae Raro Māori Nursing and Midwifery Award winner.

Terri-Anne Davis - Chief Nursing Officer Award winner.

The A+ TrustNursing and Midwifery Awardswinners and finalists 2018


Adult Medical Nursing Award Winner: Annemarie Pickering Finalists: Emma Hill, Rebeka Fastnedge

Cancer and Blood Nursing Award Winner: Rosie HowardFinalists: Metty Mathew, Raewyn Pukas

Cardiovascular Nursing Award Winner: Helen Richardson Finalists: Cathy Gasparini, Kathy Hurley

Child Health Nursing Award Winner: Jane RonaldsonFinalists: Barishna Zareh, Kathy Yallop

Community and Long Term Conditions Nursing AwardWinner: Raewyn OsbaldistonFinalists: Terri-Anne Davis, Valerie Cheetham

Mental Health and Addictions Nursing AwardWinner: Brian SykesFinalists: Holly Rogers, Ruby Ramos-Dyer

Perioperative Nursing and Midwifery Award Winner: Francesca StorrFinalists: Lawrence Carlo Espanol, Sue Cole

Surgical Nursing Award Winner: Sacha Cowell Finalists: Elaine Yi, Sowmia Thomas

Women's Health Nursing and Midwifery AwardWinner: Urmila Singh Finalist: Shenaaz Desai

Aged Residential Care Nursing AwardWinner: Carmen Stadler-Hanekom Finalist: Myungsook Kang

Primary Health Care Nursing Award Winner: Sue Matthews Finalists: Amanda Entwistle, Wendy Qiu

Rotary Trophy of TraditionWinner: Helen McGrinderFinalists: Michael Geraghty, Sandy Yam

Judith Philipson Excellence in bedside delivery Winner: Kelly D’Emmerez de Charmoy Finalists: Jenny Liew-Siddells

Rotary Ann Craig Memorial Award Winner: Lois Lingard Finalist: Jane Ronaldson

Rotary Alastair Macfarlane Memorial AwardWinner: Robin Moss Finalist: Racheal Magan

Rising Star Award Winner: Emily (Milly) Lonsdale-CooperFinalists: Rebecca Busing, Yu Wan Chang

Pat Butcher Lifelong Learning AwardWinner: Carol Slight Finalists: Francesca Storr, Margaret Colligan

Leadership AwardWinner: Angela MintoFinalists: Tracie La, Vito Sestito

Te Kauae Raro Māori Nursing and Midwifery AwardWinner: Dawson Ward Finalist: Kiri Mokomoko

Pacific Nursing and Midwifery AwardWinner: Unaisi Wainivetau Finalists: Delvene Steven, Meleseini Kaufusi

Values AwardWinner: Maryanne Offner Finalists: Claire Koshy, Sophie Atkinson

Nursing and Midwifery Excellence AwardWinner: Cathy Gasparini Finalists: Rebekah Watson, Samantha Cotton

Our Patients’ Local Hero AwardWinner: Demelza StevensFinalists: Janice Capstick, Virginia (Ginny) Pringle

Chief Nursing Officer Award Winner: Terri-Anne Davis Finalists: Sacha Cowell, Unaisi Wainivetau

All our 2018 winners at the Awards evening.


is rolling out to Totara Ward at Greenlane Clinical Centre on the 27 June 2018

New Zealand Early Warning Score (NZEWS) Chart

Vital SignsDate

EWS

Date

Time (24 hour)

Time (24 hour)

Respiratory Rate

(breaths/min)

write RR value in box

≥ 36

777

≥ 36

25-35

3

25-35

21-24

2

21-24

12-20

0

12-20

9-11

1

9-11

5-8

3

5-8

≤ 4

777

≤ 4

Oxygen (L/min)

Room air

0

Room air

Supplement (L/min)

2

Supplement (L/min)

Oxygen

Saturation (%)

write SpO2 value in

box

≥ 96

0

≥ 96

94-95

1

94-95

92-93

2

92-93

≤ 91

3

≤ 91

Heart Rate(bpm)

mark HR with X

write value if off scale

Write if ≥ 140

777

Write if ≥ 140

130s

3

130s

120s

2

120s

110s

110s

100s

1

100s

90s

90s

80s

0

80s

70s

70s

60s

60s

50s

50s

40s

2

40s

30s

777

30s

Blood Pressure

(mmHg)

score systolic BP

value only

Write if ≥ 220

3

Write if ≥ 220

210s

0

210s

200s

200s

190s

190s

180s

180s

170s

170s

160s

160s

150s

150s

140s

140s

130s

130s

120s

120s

110s

110s

100s

1

100s

90s

2

90s

80s

3

80s

70s

70s

60s

777

60s

50s

50s

Temperature

(oC)

mark Temp with X

write value if off scale

≥ 39s

2

≥ 39s

38s

1

38s

37s

0

37s

36s

36s

35s

1

35s

≤ 34s

2

≤ 34s

Level Of

Consciousness

mark LOC with

Alert

0

Alert

Voice

3

Voice

Pain

Pain

Unresponsive

777

Unresponsive

EARLY WARNING SCORE TOTAL

EWS TOTALAdul

t Vita

l Sig

ns C

hart

side

1

SURNAME:

FIRST NAMES:

Please ensure you attach the correct visit patient label

MUST ATTACH PATIENT LABEL HERE

NHI:

DOB:

10/17

Black, CMYK

SURN

AM

E:

FIRS

T N

AM

ES:

Plea

se e

nsur

e yo

u at

tach

the

corr

ect v

isit

patie

nt la

bel

MU

ST A

TTA

CH P

ATIE

NT

LAB

EL H

ERE

NH

I:

DO

B:

ESCALATE CARE FOR ANY PATIENT YOU, THEY OR THEIR FAMILY ARE

WORRIED ABOUT, REGARDLESS OF VITAL SIGNS OR EWS

Mandatory escalation pathway

Total Early Warning Score (EWS)

Action

EWS 1-5

• Manage pain, fever or distress

• Discuss with Senior Nurse and consider increasing

observation frequency, document discussion

EWS 6-7

Acute illness or unstable

chronic disease

House Officer & PaR

review within 60 min

(call Registrar if

H/O unavailable)

• Notify H/O & PaR Nurse

• Inform Nurse in Charge/CNS

• Increase Obs frequency to

minimum q60 minutes

• Document in notes

EWS 8-9

or any vital sign in red zone

Likely to deteriorate rapidly

Registrar & PaR

review within 30 min

(call SMO if Registrar

unavailable)

Consider ICU referral

• Notify Registrar & PaR Nurse

• Inform Nurse in Charge/CNS

• Increase Obs frequency to

minimum q30 minutes

• Document in notes

EWS 10+

or any vital sign in blue zone

Immediately life

threatening critical illness

• Dial 777

• State ‘Code Red’ and give the patient’s location

• State ‘Code Blue’ in the event of cardiac arrest

• Stay with patient, continuous monitoring if available

• Support airway, breathing and circulation

Modification to Early Warning Score (EWS) Triggers

The EWS can be changed to prevent chronic disease incorrectly triggering escalation.

All modifications must be made in line with hospital policy and

regularly reviewed by the primary team.

Ignore any modification that is not signed and dated.

Vital sign

(use abbreviation)

Accepted values and

modified EWS

Date and

timeDuration

(hours)

Name and contact

details

/ /

:

Reason:/ /

:

Reason:/ /

:

Reason:

NOT FOR CPRNOT FOR

CODE RED

/ /

:

Any treatment limitations must be documented in the patient’s clinical record.

A full set of vital signs with corresponding EWS must be taken and calculated each

time at a frequency stated in hospital policy. If there is no timely response to your

request for review, escalate to the next coloured zone.Rest

Movement

≥ 100mL/4h

< 100mL/4h

PU last 8h

Not PU last 8h

Rest

Movement

≥ 100mL/4h

< 100mL/4h

PU last 8h

Not PU last 8h

Painwrite score

(0-10)

Urine

output ( )

Catheter

No catheter

To find our more talk to your ward educator, local champion or search NZEWS on Hippo

“there is more detail and this gives a better picture of the patients clinical status”

“…..it’s more sensitive at picking up deteriorating patients quickly – and that feels safer”

“…encourages clinical thinking and clinical review”

“…there is shared communication with the MDT and it generated more discussion around the patients condition”

#EndPJparalysis

Get up,

Get dressed,

Get moving!

“Time is the most

important currency

in healthcare”

– Prof Brian Dolan

Most patients in

hospital only walk

around 250 steps

per day.

A week long stay

in hospital can

result in a 10%

muscle loss in

older people

What you can do

Encourage

patients to…

Walk to the

bathroom

Sit out of bed to

eat their meals

Or to…

Get up to make

a drink

Walk around our

public spaces

when friends or

whānau visit

Let’s help

our patients

maintain their

independence

and get home

sooner

Turning Auckland DHB pinkOn 18 May, if you walked into one of our buildings, you couldn’t fail to be hit by a sea of pink. It was Pink Shirt Day, an international day where schools and businesses are encouraged to speak up and stand together to eliminate bullying, harassment and discrimination.Last year, on Pink Shirt Day we launched the Speak Up| Kaua ē patu wairua programme, which put in place processes and ways for people to speak up about bullying and unacceptable behaviour. Along with that came a commitment from the senior management teams and the Board to do their very best to provide you with a safe and supportive workplace. “That commitment remains,” says Ailsa Claire. “I believe we are making progress and the vast majority of us work in supportive teams who demonstrate the highest standards. We know there is more to do and I do encourage people to call out unacceptable behaviour and Speak Up if you experience or witness bullying, harassment or discrimination.”This year we followed the lead of the national Pink Shirt Campaign by focusing on kindness. “We have a great organisation with good people and a strong purpose,” says Ailsa. “As an organisation committed to health, we must start by being kind to ourselves and our colleagues.”Thank you to everyone who took part in Pink Shirt Day. We had a really positive response to the day – 4,000 pink stickers were worn and 140 pledges of kindness were made. By wearing a pink shirt or a pink sticker, it showed us standing together visibly to say bullying isn’t acceptable here and you’re not alone.Thank you to our retailers who contributed to Pink Shirt Day: Paper Plus, Jamaica Blue and Compass Group.To find out more about Speak Up visit Hippo.

Top: Central Referrals team at GCC. Above: Ask HR team at GCC. Below: A sea of pink at ACH.



Farewell to our valued colleague Julia Metcalfe

Sadly, Julia Metcalfe, a highly respected sonographer at Auckland DHB and across New Zealand, passed away on 10 April 2018. Since she began as a student radiographer

at Auckland Hospital in 1985, Julia had devoted her career to medical imaging. She quickly moved into the field of ultrasound, in recent years leading the Ultrasound team, a role that she loved and embraced. Julia was passionate about education and was instrumental in the success of the Unitec and University of Auckland programmes that she helped to establish and for which she provided a role as clinical tutor. Our in-house ultrasound training program was developed by Julia and many a good sonographer has been ‘grown’ under her watchful eye.Beyond what Julia gave professionally, she was a very kind, giving and caring friend and colleague to many. Julia will be sorely missed by all who knew and worked with her.

The April Board meeting was the last for Dr James Le Fevre. Gwen Tepania-Palmer (pictured here with James), Ailsa Claire and other members of the Board and Executive, recognised James’ contribution to the governance of Auckland DHB, which included serving as Deputy Chair. James continues to work for our DHB as an emergency physician, and continues to be a board member of Waitemata DHB.

Welcome, Haere Mai to our new Chair, Pat Snedden

We welcomed Pat Snedden to Auckland DHB as Chair on 1 June. Many staff will know Pat from his previous tenure as our Chair. He has also chaired Counties Manukau DHB and is a former Director of the Ports of Auckland.Pat is currently Chair of the Big Idea Charitable Trust, National Science Challenge, and the Manaiakalani Education Trust, which works in the service of challenged school communities in Tāmaki and elsewhere. He has been awarded the NZ Order of Merit for services to education and to Māori.Making the announcement, the Minister of Health, Hon Dr David Clark, also thanked Gwen Tepania-Palmer for her leadership as our interim Chair since the departure of Dr Lester Levy in January. Gwen continues as a member of the Board.

The Board and Executive thanked Gwen for her service as interim Chair at the May Board meeting (Gwen with Sue Waters was acting Chief Executive).

Pat Sneddon.

23 years’ service as a Bureau Nurse for Auckland DHBSaras Nand started as a Bureau Nurse with Auckland DHB in 1995. After 23 years’ service Saras will be retiring and in September she will be joining the Heart Foundation as a volunteer in Fiji. “Health has always been my passion. It is so rewarding seeing people go home healthy or when you meet people you have looked after in the supermarket who remember you and thank you for caring for them” she said. Asked what her plans are for her retirement she said “to look after myself and my house”. We wish Saras all the best for her retirement and thank her for her dedicated service.

The Board farewells James le Fevre

localheroesOur Congratulations to our April and May local heroes: Tracey Sadlier and Angie Sexton, registered nurses in the Level 8 Operating Rooms; and Silvana Campanella, paediatrician at Te Puaruruhau. Here are their nominations:“Tracey and Angie skilfully mastermind the flow of acute and elective orthopaedic surgery through level 8 so that patients receive the care that they need in a timely manner. They do this in an exemplary manner, remaining calm and focused on the patients’ needs at all times. The way they engage with individual patients is impressive, they really get to know and truly care about those patients who unfortunately have a number of returns to the OR. Tracey and Angie maintain that personal touch in a technical environment, which quickly puts the patient at ease. The whole orthopaedic service respects and values the work that these nurses do. They are the unsung heroes, the worker bees, the Sunday night TV ‘good sorts’.”“Silvana has been a tremendous source of support and expertise helping manage some very difficult clinical cases. Silvana works in the field of Child Protection, which can be a thankless task, but her job is absolutely essential in ensuring the welfare of our children. Our team is not so used to managing child protection cases; to be able to draw on her wisdom has been reassuring and has helped enable good outcomes for these patients. She has often gone above and beyond her role in supporting our team. Silvana is highly professional and compassionate. We want to thank her for helping us to help our patients. She is a true credit to Starship.”

local heroes is kindly supported by A+ Trust

Please keep your stories about our local heroes coming in. To nominate go to: www.adhb.health.nz.

Well done to everyone nominated as a local hero – thank you for living our values!

Alesha CanhamAlison CorkillAlzira RodriguesAnne FrewDalice WilsonDoreen SinghEsther HanFay FoleyHelen WinrowJanice SticklandJoanna (Jo) Walling


Karen Hodson Karishma SivanKarsten MaertzschinkKate Paul Kim MarshallLuke HannemanLyndsay MickellMark EntwistleMichelle MosbyNick McIvor

HippoFavourite links at your fingertipsDid you know you can save your most frequently visited pages to ‘My Favourites’? To add a page to your favourites, click the cog symbol on the top-right corner of the page. Scroll to the bottom of the drop-down list that appears and select ‘Add to My Favourites’. A pop-up box will appear with the name (you can change the name if you want to), click OK.

L8 OR colleagues and Ailsa Claire celebrate with local heroes Tracey and Angie.

Your personalised list of favourites is easily accessible on the right-hand side bar on the homepage and landing pages.

You can also save documents that are on Hippo, or an external link, to this list. To find out more visit the Help page on Hippo.


Celebrating Earth Day

We had a lot to celebrate on Earth Day this year. Not only have we reduced our carbon emissions by 21 per cent since 2016, but we’ve also been recognised by the Global Green and Healthy Hospitals Network for our commitment to reducing our carbon footprint. As part of the 2020 Healthcare Climate Challenge, we signed a pledge to reduce our carbon emissions (by two per cent per annum or 20 per cent by 2025). We are delighted to be awarded the Silver Climate Champion Awards in:

Energy reductionNon-energy reductionClimate leadership

On the day we were joined by some of our partner organisations, including Asaleo Care, Baxter, Auckland Transport, Johnson & Johnson, Waste Management, Fisher & Paykel Health Care, Auckland Council, and Jamaica Blue, who shared some of the great work they are doing around sustainability.Pop-up stands set up on Level 5 at Auckland City Hospital provided a range of information about sustainable initiatives such as waste management, food waste, how to recycle correctly at home, and sustainable transport options.It takes a team to be a sustainable health organisation – every small individual action makes a difference so thank you to everyone who is helping us become greener.

What we’ve achieved:Reduced our carbon emissions by 21 per cent since 2016

Recycled 10 tonnes of PVC since 2016

We now recycle theatre aluminium bottles

Reduced waste to landfill by 160 tonnes since 2016

Saved 2.8 million kWh of energy in the last year

Installed 1160 LED light fittings or lamps in the last year

Installed two electric-vehicle charging stations at Auckland City Hospital

Some of our sustainability champions with our 2020 Healthcare Climate Challenge Award.


New Clinical Decision Unit opens

Congratulations to everyone involved in the building of the new Clinical Decision Unit (CDU). The CDU was officially opened by Ailsa Claire, CEO, and Gwen Tepania-Palmer, Chair of the Board, on 1 May 2018 and admitted its first patient on 8 May 2018. The unit sits alongside our Adult Emergency Department and provides a welcome boost in our ability to see very unwell patients and to better look after all our patients – especially as we face increased demand over the winter months.The Clinical Decision Unit will provide specialist assessment for patients who have arrived at the hospital through the Emergency Department or have been referred by their GP.Speaking at the opening, Ailsa thanked the team who had transformed a space that was not being used into a space that now houses 24 beds. “The unit has the most up-to date furniture, fixtures and equipment, and the emphasis on design and flow, which was considered in all the stages of planning and constructing, will really help improve the patient experience,” said Ailsa. “The CDU will be an excellent addition to Level 2 to increase

capacity, improve patient flow and our patient, whānau and staff experience.”Kathy Peacock who project managed this build says the most exciting thing about this project from a facilities perspective was being able to take a dark, noisy storage space and turn it into a light modern clinical space. “Being part of the process of implementing a new model

of care for Level 2 and being able to contribute through the design and construction aspects was very satisfying,” she says. “I think the outcome of the project is a fantastic space for both staff and patients.” Dee Hackett, General Manager for Adult Medical Services and Greenlane Clinical Centre, led the CDU

working group. “One of the highlights for me working on this project was the high level of collaboration with clinical colleagues across the whole organisation” she says. “A special thank you to Rich Ferretti, Quantity Surveyor and Auckland DHB Liaison from Argon Construction Ltd, Kathy Peacock from Facilities and Development, Annemarie Pickering from ED, and Emma Hill – a truly ‘can-do’ team where no hurdle or issue was too big to resolve. Also a big shout-out to HR who have worked in the background on the huge recruitment drive.”

The CDU has been a collaborative effort between the emergency department and the wider hospital to improve our ability to manage acute demand. Together we have co-designed a space to meet the needs of patients and staff.

Anil Nair, Clinical Director for Adult Emergency Department

“

“


Megan Tahere Clinical Director, Primary Maternity ServicesWe caught up with Megan Tahere the new Clinical Director for Primary Maternity Services to find out more about her and her vision for our Primary Maternity Services.

Tell us a little bit about yourself?I am a mother of five and a grandmother of two. I have a 19, 17, 15, a nearly three year old and a one year old. I also have a four year old grandson and a six month old granddaughter, we all live together it’s great.I was born and raised in Tauranga. In my teenage years I became the kaiāwhina at our local Kōhanga Reo and it was there that I identified a gap. We had our whānau and our mokopuna coming to the Kōhanga Reo but there wasn’t the support for them, from a Māori perspective, during their pregnancies. It was at this point that the seed was planted and I really wanted to become a midwife. What has your journey been like so far?After I had my own children there wasn’t the opportunity or training provider for me to study midwifery in Tauranga. I had three small children all under the age of 5 and I guess commuting was not a very practical idea. So I had to wait. It was only when my youngest daughter was about to turn 5 that I relocated to Auckland to pursue my midwifery dream. I left school at 16 which meant that I hadn’t done science or any other subjects since then. When I went for my interview for the midwifery programme the now Aucland University of Technology (AUT) Head of Midwifery School asked me how I was going to manage my studies, specifically the science component. I just replied confidently and assertively that failure was not an option for me. I had relocated myself and my children to a new place leaving behind all my support and for me that meant that failure was just not an option. It’s a bit of a running joke even to this day that she took a gamble on me and it paid off.After I enrolled I had a look at the content of the midwifery programme and thought to myself “wow” this is quite mainstream and remember thinking what is it that I am going to do to fulfil parts of me as a Māori woman. So I enrolled in a Graduate Certificate in Health Science, Te Ara Hauora Māori, Māori Health. I thought it can’t be that hard – a Bachelor of Health Science and a Graduate Certificate in Health Science Māori - and I guess that’s the beauty of naivety and determination and not seeing the barriers and only seeing what you want and going for it. It was a real time of discovery for me, working out who I was and what I was capable of beyond looking after and loving my children.


What did you do before joining Auckland DHB?I graduated in 2011 and joined Counties Manukau Health in their new graduate midwife programme and remained there until now. I also worked at AUT as the Māori Midwifery Liaison, Clinical Educator and Pu Ora matatini Midwifery Programme Co-ordinator. This role was focused on increasing the enrolment of Māori students into the midwifery programme as well as providing wraparound support both academically and pastorally. This was me going full circle taking me right back to my Kōhanga Reo days and allowing me to be a part of filling a gap. I was following my passion. I spent four years at AUT where the contribution of many achieved great results. We went from 4 to 5 Māori graduates a year to 9 to 11 over that time which was very rewarding for our community. I joined Auckland DHB at the beginning of this year as the Clinical Director, Primary Maternity Services and Midwifery Educator. Tell us about Megan outside of work?Outside of the DHB I am the Deputy Chair of the New Zealand College of Midwives in Auckland and the Chair of Ngā Māia ki Tāmaki Makaurau our regional group of professional Māori midwifery organisation, Ngā Māia o Aotearoa. I dedicate a lot of my time to the profession because of my passion to improve services for women and whānau. I have three daughters and a granddaughter, I want to make sure that the services for women’s health and maternity are where they need to be for them. I am a mum and grandmother and my commitment really lies with my whānau outside of work.You’ve taken on the role of Clinical Director, Primary Maternity Services – what does that mean to you?This role is important to me because I am really committed to developing the primary maternity service space and being part of innovation that responds to our midwifery workforce issues, improves the services we provide and birthing outcomes for women and whānau we serve. We want women and whānau to have access to the best maternity services possible. We want our population to be well. By increasing wellness of our Māori population we will see an improvement in population wellness overall. We need to work together to lift our performance, to develop our Māori midwifery workforce, maternity services and community relationships and upskill in the areas of cultural and tikanga competency so that we are better able to meet the needs of our unique and diverse population.What is your vision for Primary Maternity Services?Everything we do needs to be in consultation with who

Matāriki is the Māori name for the small cluster of stars known as the Pleiades, or the Seven Sisters in English. In Aotearoa, the cluster re-appears near the tail of te waka o tamarereti (the Milky Way), which marks the New Year for many iwi. It is a time of new beginnings, and an occasion to reflect on the year that has passed and the year to come. This year Auckland DHB will celebrate Matāriki in the first week of July.This year we are very excited to announce two new initiatives. Our inaugural Matāriki Values Awards will celebrate everything our people do to improve whānau experience, eliminate health inequities for Māori, or develop the Māori workforce. The Matāriki Awards are one way we recognise and celebrate the dedication of our people and

inspire others by sharing their work. The Awards will be held on 5 July.We are also very excited to launch the AKO App. This app has been sponsored by Whaea Naida Glavish and is the first of its kind for DHBs. It is a training and development tool to help our people with: Te Reo pronunciations, karakia, pōwhiri, waiata, facilitating and leading a hui, mihimihi and pepeha, and basic protocol at a marae. The tikanga and reo on the AKO app is closely aligned to the Tikanga of Ngāti Whātua (Mana Whenua) so staff can use it with confidence. It will be free to our employees.

we serve. We can create fantastic pathways, services and health promotion strategies but if they are not actually what our community need then there is no point. My goal is for us to have a primary maternity service that is sustainable and reflects the wishes of women and their whānau. A service that values all that is integral to growing healthy mokopuna and whānau.I want to ensure that our services are accessible to our women and whānau, closer to home so they can access our services to ensure better outcomes.I want to promote that very special place midwives have in primary care and in the lives of our women and whānau. You see midwives who have had inter-generational relationships with whānau it’s not just about a woman during her pregnancy it’s an opportunity for a whānau- centred approach to health promotion.What does the year ahead look like for you?Opportunity! We can get so focused on the barriers, what isn’t happening, what people are saying isn’t achievable or what we don’t have as opposed to looking at what we do have and really acknowledging that we are a fore runner in the world in terms of our maternity service. We are the only country who has implemented an indigenous framework into their regulatory and professional framework for midwifery practice. We should be proud of what we have achieved and that we have had the opportunity to embed Tūranga Kaupapa into our mandatory education for midwives here at Auckland DHB. What I see ahead of me is not hard work it’s my life. I think the day being a midwife becomes a job is the day I need to hang up my pinard. Being in this role there is a lot of opportunity for women, their whānau and their childbirth journey in the future.What are your greatest achievements outside of work?My children are my greatest achievements outside of work. Being a teenage mum means that I have grown up with my children. It is very much a reciprocal relationship - they teach you as much as you teach them. They have given me the inspiration and strength to do more in life.What’s your final message be?The key thing about sharing this story is that I left school at 16, I had three children by the time I was 22, all under 5. There can be a lot of judgement around what you will make of yourself when you are in that pathway. I want to encourage and empower women to value the knowledge and experience they bring and to re-enter education despite what the criteria says on the university website. Know your own capacity and capability as a woman and just go for it.

Nau mai, haere mai, welcoming Matāriki, the Māori New Year


Adele Thomas, Aggie Melville, Aimee Riley, Aishwarya Rahi, Aleisha Patard, Alexandra Pereira, Alexia Waite, Alice Hung, Alice Towgood, Alison Rawbone, Anielou Dungog, Aniket Chawla, Anil Kanhai, Ann Vasquez, Anton Schollum, Ariel Cristan Camacho, Ash Ford, Ava Osborne, Bernadette Lucero, Bibi Ahmed, Billie Davis, Brinny Mathias, Brittney Marlowe, Bronwyn Summerscales, Carol Wareing, Catherine Jackson, Catherine Roguski, Chanelle Mackenzie, Chee Ling Chan, Christina Buchanan, Claire Payn, Colin Pang, Craig Barretto, Crystal Tan, Dahui Bae, Diana Tauro, Diane Mchale, Dominique Watts, Elizabeth Court, Elizabeth Quensell, Elizabeth Walker, Ellen Williams, Emily Tarbotton, Emma Adamson, Emma Helmich, Eseta Tuisawana, Faavaomalo Nonu, Faheema Munif, Fahima Muse, Fiona Dobie, Frances Russell, Gabriella Ratnarajah, Garry Trotman, Gauri Mantri, Geneviere Alberino, Geoffrey Parkes, George Scaria Aikara, Georgia Archer, Georgiana Eaddy, Graciel Mendoza, Gustavo Rangel, Hannah Borman, Hannah Davies, Hannah Win, Harbans Kaur, Harsha Amaratunga, Hazelyn Lumbo, Isabel Chan, Isabella Amoah, Isaiah Folau, Jaisa Marie Daniel, Jallalieh Siila Tofaeono, James Sutcliffe, Jane Crown, Janice Abellon, Jayan Unnithan, Jay-Anne Tabios, Jeanette Mackenzie, Jeanette Threlfall, Jehan Alban, Jennifer Porter, Jessica Baron, Jessica Hunter-Wilson, Joanna Hosana, Joanna Vanderwee, Johannah Matres, John Dave Alcantara, Jonason Francisco, Josna George Kiruppasseril, Jovelyn Bergantin, Judy Posimani, Julie Devine, Julie Thirumalayil Devasia, Kaio Aumua, Kajal Nadan, Kaleb Samoa, Kanokwan Rope, Karen Anne Gorospe, Karina Ropata, Kate Wilson, Kathrina Jobin, Kathryn Fowler, Kathryn Gatward, Kathryn Holden, Kelsey Curtis, Kerry Wilson, Kim Ellis, Kirandeep Kaur, Kirstin Thompson, Krisann Fernandes, Krizyl Ceas, Lana Goodwin, Larissa Perry, Laura Liddy, Lidiya Antony, Lisa Callaghan, Lois Yamuta, Lyndal Huxford, Lynne Abercrombie, Maddison Downie, Maersk Comaingking, Maeve Scannell, Maria Lambino, Maria Nunez Ponce, Maribel Purisima, Marie Jones, Marie Volante, Marie-Therese Pendy, Marissa Villar, Mariza Valdez, Mark Fisher, Mary Virtue, Mary Rose Calimbas, Maryellen Mitchell, Mei Biddle, Melissa Reynolds, Mere Ligairi, Mhargherrie Seneris-Lopez, Michael Hitchcock, Michaela Clark, Mikayla Pledger, Mikayla Warman, Millicent Domingo, Miranda Brinsmead, Mnthali Price, Monica Magsambol, Monica Wright, Nadia Kozlova, Nalina Narayan, Nasoni Tulavu, Nathaniel Ferrer, Neelam Goundar, Nicholas Scullion, Nicola Burmingham, Nicola Kueh, Nicola Paterson, Nicolai Flaminiano, Nirmala Sen, Nora Halpin, Ocean Masiu, Oksana Sakhnova, Olivia Ensor, Paige Sami, Parmesh Deo, Pativaine Unasa, Paul Pogoy, Pereka Ruarau, Peter Robb, Phoebe Coleto, Prashinta Kumar, Pujaben Thakkar, Rachael Martin, Rachel Baptista, Rachel Masters, Ranjeeta Devi, Rebecca Aldous, Rebecca Andrew, Rebecca Maloney, Richard Lymposs, Rodolfo Jr Moulic, Romie Luquias, Roseleigh Hood, Rosemary Steenhuisen, Rupamben Kumar, Saeeda Akhtar, Sahida Anwaryar, Saleena Toia, Sangita Singh, Sarah Beer, Seena Devassykutty, Serena Owen, Shabnam Nisha, Shayal Goundar, Sheila Labnotin, Shoann Pere, Shreenal Patel, Siobhan Mulrooney, Sophia Bloomfield, Stacey Law, Suhyang Jang, Suja Jose, Sujung Go, Susan Arnott, Susanna Muller, Sze Yin Yao, Taimi Feao, Takua Iona, Tania Te Wake, Tayla Harding, Theresa Dieckermann, Thomas Salmond, Tobias Merz, Tomasz Myszewski, Tracy Rangiawha, Treena Antony, Ugonna Onyeiwu, Ullritz Dan Romero, Valencia Tuiloma, Vanessa Minor, Varinder Kataria, Vickie Shakur, Victoria Dickey, Vincent Pizarro, Vindhyavasini Kruthiventi, Wanjun Zhou, Wendy Crystal Penney, Xian Li, Yevheniia Yakovenko, Yu Bi Mun, Zaria Jakeman, Zendell Faye Comia.

thanks for joining us

to our recentstarters

Distinguished Clinical Teachers Awards

Congratulations to Dr Tim Skinner, consultant anaesthetist, Dr Lynn Sadler, epidemiologist, and Dr Leah Andrews, child and adolescent psychiatrist (top to bottom below) who were awarded Distinguished Clinical Teachers awards earlier this year.The awards are presented to those who are leaders in clinical research and have made substantial contributions to clinical teaching in the University of Auckland’s Faculty of Medical and Health Sciences over many years.


Celebrating National Volunteer Week

Companionship in ReablementOur first 40 companion volunteers joined us at the end of May on four wards with a focus on rehabilitation, reablement and older people’s health.These volunteers provide companionship and person-centred care for our patients who may be recovering from surgery, a traumatic brain injury or stroke. Volunteers discuss current affairs, play games under the guidance of our occupational therapists, and help patients practise their speech language therapy exercises. Some of these activities may seem ordinary but they help motivate patients to get up and get moving, which has been shown to help them get home sooner.The programme also benefits our future workforce, providing an opportunity for students to be inspired to join the health sector through real-world hands-on experiences.

Let’s meet one of our first companion volunteers, Senai:

Why did you start volunteering?I wanted to get a different perspective on the research I have been involved with at university – the human experience of what people are going through, and being able to give some kind of support is great. What’s the best thing about volunteering?

Definitely meeting the different characters, all the patients are amazing people who have lived very colourful lives … And they love to tell their stories. One patient who was in his 90s had served in World War II, slept under the pyramids, and had visited the country where my family originally comes from.What would you say to someone considering signing up to volunteer?If you have the time, just do it. It’s great to be able to give back and help. If you can provide some happiness to someone, then it’s worth it for sure. And as a young person, it’s really important to develop those intergenerational relationships. You learn a lot.

Thank you to all our volunteers who selflessly give their time, skills and energy to make each day better for our patients and visitors – you are our heroes!

It’s National Volunteer Week in June and to celebrate we talked to some of our volunteers from the newest volunteer programmes.

A redeveloped Pet Therapy Program recently launched at Starship. Volunteer pets are now visiting family rooms on the wards, thanks to our volunteers and the SPCA. This means children and their whānau have more opportunities to interact with animals. Pet therapy can be especially helpful for children who are too sick to enjoy play and interaction in the Starship play rooms. Lindy Lely, our Volunteering Manager, says the feedback from visitors and patients has been very positive. “Our busy ward teams have also told us our regular Pet Therapy dogs on the wards have been a marvellous contrast to brighten up their day and relieve stress.”Meet Laura, Elisabeth and Mika (the dog), one of our volunteer pet teams: What do you (and your pet) do when you’re not volunteering?Laura: I’m a Senior HR Manager, and Mika likes to take lots of naps.Elisabeth: I’m a high-school teacher, and have recently been spending time overseas with my daughter to help with her twins.How would you describe Mika?Laura: Mika is my first dog. He’s awesome but not your typical Samoyed as he’s very quiet! He loves kids, has a calming nature, and isn’t really fazed by anything. Mika loves treats and his best dog friend is Sid the Husky. He’s like a celebrity dog, people get their cameras out whenever I take him out.What’s the best thing about volunteering at Auckland DHB?Elisabeth: It’s the magic of seeing the effects the pets have on the children here at Starship.What would you say to someone considering volunteering?Laura: It’s definitely worth exploring, and is a special way to be able to give back to the community. Dogs are a good bridge to make connections with people.

Furry friends for Starship children

L to R: Elisabeth and Mika wth Eden, a Starship patient, and Laura.

If you have a story to share with the Auckland DHB Team please contact the Communication Team on ext 26556 or email [email protected] 1178-5373 (print) ISSN 1178-5381 (online)

Friday 15 JuneElder Abuse Awareness DayIt’s estimated that up to 10% of people aged over 65 are victim to elder abuse or neglect. Age Concern Auckland are partnering with us to educate our community. Stop by the info stand at ACH.

Friday 15 JuneInternational Cleaners DayHelp us celebrate our wonderful cleaning services team! Each one of them plays a vital role ensuring we provide the highest levels of cleanliness and safety for our patients, visitors, and our people.

17 – 23 JuneNational Volunteers WeekOur volunteers play an enormous role in improving our patient and whānau experience. They give their time and their kindness freely, join with us in saying a very big thank you!

Tuesday 26 JuneNavigate | Kai ArahiAre you new to Auckland DHB? Make sure you are signed up to Navigate so you can get the best start with us.

Thursday 5 & Friday 6 JulyIn the KnowIf you manage or lead a team, be sure to come along to hear the latest updates from the organisation as we head into winter. Details on Hippo.

Thursday 5 JulyMatāriki AwardsWe’ll be celebrating everything our people do to improve whānau experience, eliminate health inequities for Māori and develop the Māori workforce at the Matāriki Awards.

Diary Dates

JulyMatāriki Matāriki is the small cluster of stars also known as the Seven Sisters. Their appearance marks the Māori New Year - a time for whānau and to reflect on the past and the year to come.

Kai ArahiNavigate

tonnes of waste have been diverted from landfill since 2016 through our desk cubes and tri bins recycling initiative

163

26Values Award nominations were received for this year’s Nursing and Midwifery Awards

steps are taken by patients in hospital on average per day. Consider how you can support patients to maintain some normality in their routine and get up, get dressed and get moving

250

4,000 stickers were handed out in support of Pink Shirt Day

136parsecs, an estimate of the distance from Earth to the Matāriki star cluster. Matāriki will be celebrated at Auckland DHB in the first week of July

220 volunteers who generously give their time to help create a better experience for patients, whānau and visitors

the official magazine for auckland dhb june/july 2018 · the official magazine for auckland dhb...

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