March 2012 - the Bay of Plenty District Health Board
Transcription
March 2012 - the Bay of Plenty District Health Board
March 2012 The BoPDHB Clinical School presented Dr Derek Sage with the inaugural 2011 Clinical Teaching Prize in appreciation of his contribution to student placements and teaching. For more see page 12. Photo courtesy of Bay of Plenty Times. page 4 page Checkup 10 page 16 Bay of Plenty District Health Board staff news 100% recycled paper 1 designed and printed by the BOPDHB’s Design and Print team Overview Guest Columnist – Julie Robinson, Director of Nursing The time has come to talk of many things … …of uniforms, hand washing and the wearing of rings You will note in this edition of Checkup that we have introduced a new Guest Columnist feature (right) which is great because it means I can limit my column to issues across the organisation. It is also great to introduce readers to other key players within the organisation and for you to read their thoughts on issues. Staying within budget in the 2011/12 year is proving to be a challenge. Whilst we are currently forecasting that we will meet our financial targets this year, I have a growing concern as to how we will do this. I know that Chief Operating Officer Phillip Balmer is working with his Provider team to pull back their current gap. This is essential, as the preparation work for the 2012/2013 budget has revealed a major shortfall between revenue and the first estimates of the cost of delivering services. We must get to a break-even budget for 2012/2013 and this will involve change. I know you will join with me in making sure we are examining everything we do, and are being as careful with our DHB resources as you are with your own at home. I hope that in the next edition of Checkup I will be able to tell you that we have balanced the books not only for 2011/12 but also for 2012/13. Phil Cammish Chief Executive BoPDHB 2 When you are offered the privilege of being a guest columnist for Checkup the mind does go blank initially. This led to a reflection on the issues that other people have approached me about recently. One hot topic that springs to mind is that of uniforms, or in some cases the standards when a uniform is not required. Hardly in the world peace bracket, but it does stir up a wide range of opinions. So why do we wear uniforms? The NHS in England devotes a complete document to guidelines on uniforms and work wear. Known as “bare below the elbows” it is based on extensive literature reviews of the evidence, so clearly uniforms are more than a pedantic hangover from times gone by. First and foremost it is about patient safety. Effective hygiene and preventing infection are absolutes in healthcare. Uniforms and workwear should not impede effective hand hygiene, and should not unintentionally come into contact with patients during direct patient care activity. Similarly, nothing should be worn that could compromise patient or staff safety during care, for example false nails, rings, earrings and necklaces. Generally a plain ring, such as a wedding ring is allowed. Another reason is public confidence. The way staff dress is an important influence on people’s overall perceptions of the standards of care they experience. Uniforms should be clean at all times, and professional in appearance, as should the clothing for non uniformed clinical staff. There is good evidence that uniforms should be washed through the commercial process as this removes most micro organisms. Although there is no evidence that wearing uniforms outside work adds to infection risks, public attitudes indicate it is good practice to change at work, or to cover uniforms as you travel to and from work. I am not sure I really want my supermarket fruit and veggies brushed by a uniform that has just been dealing with a mucky wound thanks. And by the way did you wash those hands? As Professor Didier Pittet, world renowned infection control expert states: “Hand cleansing by healthcare workers is the most important and most effective strategy to reduce cross transmission from patient to patient and from the environment to the patient. It reduces healthcare associated infection and associated morbidity and mortality. It also contributes significantly to reduce the reservoir of multiresistant bacteria.” Have your say By Diana Marriott, Communications Manager We’d like to hear from you and your colleagues about internal communications at the DHB. We’d like to know what you think about things like: Checkup - the staff newsletter; the CEO Chat Sheet from Phil Cammish; Pacentral – our intranet; and the Staff Forums. Do you feel up to date with what’s happening across the organisation? Do you get the chance to read the newsletters? Have you ever been to a Staff Forum? Do you read our staff newsletters online or prefer a printed copy? If you’d like to have your say on what works and what doesn’t work for you, please complete our ‘Internal Communications Staff Survey’ by March 31. You can either complete the survey online by going to Pacentral and clicking on the link under ‘What’s New’, or you can complete a printed survey and post it back to us. Those areas/ departments that receive printed copies of Checkup will have received hard copies of the survey at the same time. They can also be found at various locations around both campuses, such as staff rooms and cafes. If you would like a copy sent to you, please call me on ext. 8029 or email diana.marriott@bopdhb.govt.nz. Once we have received all the feedback from the survey, the communications team will review what’s working well and what isn’t and make any necessary changes – we’ll keep you posted. This is your chance to make things better for you and your team, so please take the time to contribute. We look forward to hearing from you. We are listening - HR update By Gordon Mackay, General Manager HR We would like to take the opportunity to thank those who responded to our recent Customer Service Survey. We value your feedback as it will enable us to continuously improve our service delivery. The HR Exec Team is currently considering the results and our response will be published when finished. HR Helpdesk The HR department has a dedicated helpdesk which is your first point of contact for all general HR enquiries (excluding Payroll). Career Discovery Programme The HR Helpdesk is staffed by Human Resources Coordinator Tash Pieterse. You can call or email directly through to the helpdesk and your request will be logged and attended to within 24 hours or less. Requests may vary from: “Am I eligible for parental leave?” “Am I able to get a copy of my job description?” “How does the process of applying for discretionary sick leave work?” Any enquiries that need further assistance or to be passed to another HR staff member will be processed in a timely manner. All enquiries that are put through our helpdesk will be acknowledged immediately, logged, and a unique reference number will be provided for easy tracking. ? i All BoPDHB staff are encouraged to reflect on their career as part of their ongoing development. HR offers a free, confidential and personalised support service with Career Development Advisor, Jude Ebbett. Jude is a qualified career practitioner with many years experience in the secondary and tertiary education, community and organisational settings. Many staff have found this service supportive for a variety of situations including decisions about development opportunities, reengagement with current role, CV review and interview coaching. As career development is a continuing process due to factors both internally and externally changing, many staff have benefitted from access to the service on a periodic ongoing basis. Possible gains for you of accessing the service include: • Self/context understanding • Identification of strengths and preferences • Work/learning exploration/alignment • Identification of themes/meaning/ combinations • Work/personal/relationship balance • Decision-making Coming soon New HR intranet – including personal profile Ext. 8812 HRHelpdesk@bopdhb.govt.nz For all general HR enquiries. All queries responded to within 24hrs. called ‘Yourself’ e-learning – information on the new HR e-learning modules Staff Service Recognition Awards – recognising and celebrating with staff who have been with the organisation for more than 10 years • Goal setting • Action planning • Specific opportunities information/ research • Self marketing techniques • Progress review. Increasingly a session with the Career Development Advisor is being incorporated into learning and development goals as part of the annual Professional Development Review process for staff. If the time is right to give yourself the gift of reflection, the supported time and space to examine where you are now and where you want to be, simply email jude.ebbett@bopdhb.govt.nz or call ext. 8870. What’s new Welcome to our new Team Leader HR Advisor, Nick Cockroft. Nick joined us on February 7 and is a member of the HR Exec Team. 3 Learning from overseas Outstanding service in the Eastern Bay By Carol Charters, Whakatane Hospital Librarian Article courtesy of Whakatane Beacon What have the world’s first public library, the first public park and the pub where Marx and Engels met have in common? They are all found in Salford, England, venue of the Sixth International Evidence Based Library and Information Practice Conference which I attended in June 2011. Chris Moyes came to Whakatane from the United Kingdom 33 years ago as the first resident specialist paediatrician in the Eastern Bay. For the early years he was a sole practitioner, on call for emergencies at all times. Visiting family and benign exchange rates made attending this international conference less costly than a New Zealand meeting. It also gave me a unique opportunity to listen to world leading researchers. Having a strong academic focus, the conference programme unveiled a wide range of topics from academic, health, school and public library practitioners. The pre-conference workshop led by Andrew Booth, the doyenne of evidence-based library and information practice, was both practical and inspirational. Following on from keynote speakers, there were a number of stimulating parallel sessions looking at subjects like students studying student use of library resources, electronic capture and analysis of librarian-mediated literature searches, insights into how NICE guidelines are developed and lots, lots more. I particularly liked the poster presentations in the ‘Madness Sessions’ where presenters had the opportunity to describe their work in one minute. Presentations included the librarian’s role in nursing research council (Finland), proposed collaboration between palliative care educators and hospice librarians (England), an online clinical query service from the Royal College of Obstetricians and Gynaecologists and improving encounters of the customer kind from the Karolinska Institute. The informal programme included a LifeTimes exhibition of Salford’s social and industrial history held at the Salford Museum and Art Gallery and an evocative tour of Old Trafford Football Stadium. Listening to the triumphs and tragedies of Manchester United whilst having dinner in the Stretford Suite overlooking a floodlit pitch was unforgettable. 4 A Whakatane doctor has been awarded a medal for outstanding clinical service in a rural or remote area from the Royal Australasian College of Physicians. In spite of this huge responsibility he was a key player in the investigation of hepatitis B infections and in developing affordable and effective vaccination schedules, leading to the adoption of hepatitis vaccination for all children in New Zealand. Dr Moyes received an academic doctorate from Cambridge University for that work and, in recent years, he has been Medical Director of the Hepatitis Foundation, with around 12,000 current clients. His other research interests have included child injury prevention and asthma. He has been a principle author of 36 original research papers. Professor John Kolbe, who awarded Dr Moyes his medal, emphasised the reputation he had gained for working collaboratively with other agencies involved in child health. Last year Dr Moyes retired from emergency work, but continues some outpatient A new BoPDHB website on its way By Kimberley Bray, Communications Advisor The DHB is underway with an exciting new project to rebuild our external website www.bopdhb.govt.nz and build social media capability. Dr Chris Moyes was the sole paediatrician in the Eastern Bay for approximately 10 years. Since arriving in New Zealand in 1979 his work has been published locally and internationally in peer reviewed journals. paediatric clinics as well as chairing a committee to advise the DHB on child and youth health priorities, and another to review all cases of death in young people. He also sits on a national committee advising the Ministry of Health on child health service development, and continues his work for the Hepatitis Foundation. The project aims to redevelop the organisations online presence, to assist in the delivery of the organisations overall strategic goals as defined in the District Annual Plan 2011/12, the District Strategic Plan and Ministers expectations for ‘transformational change’. At the same time, taking into consideration the technical and socio-cultural aspects of an online presence and e-health developments. For the BoPDHB a well planned, designed and executed internet would provide the opportunity to communicate key messages, educate and inform, and provide access to systems and tools that support health outcomes. The current BoPDHB website is out of date, lacking in functionality, and reflecting poorly on who we are as a progressive, communityfocused organisation so it is exciting to have an opportunity to refocus what we are doing and how we are perceived online when it comes to our patients and our community. If you would like to be involved in focus groups for the redevelopment of the website, or have some thoughts that you would like to share about the current site or the future direction, contact the project manager Kimberley Bray on ext. 5822 or email kimberley.bray@bopdhb.govt.nz. Our new name is SORTED SORTED is the new name for the Bay of Plenty Youth Alcohol and Other Drugs (AOD) service. BoP nurse judges national awards Alcohol and Drug Clinician David Gilmour says the opportunity to rebrand the service arose from new government funding under the Drivers of Crime initiative. “The Youth Alcohol and Other Drugs service has been a component of Child and Adolescent Mental Health Service (CAMHS) for some time,” says David. “Up to now most of the referrals have been from the CAMHS team and, whilst some young people who have substance misuse problems also have mental health issues, the fact is that most do not.” The idea of the new name SORTED is to raise the profile of the team and broaden its referral base. The SORTED team from left: AOD Case Managers David Gilmour and Caleb Putt and Social Worker Case Manager Mark Thomas. The service is available to under 18s and their families/significant others. For more information call ext. 5052 or email Sorted@bopdhb.govt.nz. “We receive referrals from Youth Justice and Youth Aid and are developing those links as well as making new ones via NGOs, PHOs and, with greater visibility, direct from the public,” says David. Introducing... the Peggy Sue ward By Fiona Burns, Change Manager “…If you knew Peggy Sue, Then you’d know why we are blue (and orange, yellow and green), About Pegging, our Peg It scheme…” (Thanks to Buddy Holly for original lyrics) Staff in the Whakatane Medical Ward have acquired the name ‘Peggy Sue’ thanks to a Releasing Time to Care initiative. Signing up to the Releasing Time to Care programme in October, the first Well Organised Ward (WOW) project was to address the everyday time consuming activity of looking for medical notes. This was taking from 3-30 minutes for each set, and with up to 90 different staff accessing the ward on a week day, was a source of great frustration and a huge waste of clinical time. “For an HISC employee to be nominated for the CAREGiver of the Year Award, is recognition of excellence in the caring for another,” says Tony. “It’s a fantastic opportunity for the older person clients and their families to engage in this process and I believe it should be emulated by other health care providers.” Home Instead Senior Care Director, Debra Jager says they felt very honoured to have a judge of such high calibre, who himself started his career as a caregiver. The Peg It system has four colours to indicate who has the notes: blue - Nurses, yellow - Doctors, green - Allied Health and orange to indicate the notes and patient are off the ward e.g. at CT or X-ray. “Tony was the perfect selection of judge as he helped to inspire caregivers who aspire to train further and move their careers to even higher realms in the industry,” Debra says. “Special thanks to Tony for so willingly giving his time to this important industry event.” Tauranga already has a claim to fame with a winner in this prestigious event. The WOW team met for a day to reorganise the process. They adopted the Canterbury DHB ‘Put it Back Jack’ campaign and took it one step further to add ‘Peg It’ with the rules of the game below: “Two years ago our very own Ngarie Cowley was National CAREGiver of the Year,” says Debra. “We are hoping the December Awards will see one of our CAREGivers again win the big prize.” PEG IT AND PUT IT BACK! The National Office for HISC is now based in Tauranga. This means the BoPDHB has major international research carried out by HISC USA at its finger tips. Show with a peg where notes will be. Only use 1 set of notes at a time. Put the clinical notes back after use. Thank you! After two months it’s working well with great feedback - and maybe patent pending?! BoPDHB’s Nurse Practitioner Tony Lawson was a judge at the annual Home Instead Senior Care (HISC) Regional CAREGiver of the Year Awards last year. Two finalists were selected to go through the National Awards where Tony will also be a judge. Registered Nurses Maggie Jansen (left) and Sue Smith helped to design the ‘Peg It’ system and are now known as Peggy Sue! 5 Congratulations Sue! By Tracey Wood, Midwife Educator Calendar of events Toi Te Ora - Public Health Service participates in and organises community events that promote better health and independence. A 2012 calendar of these events for the Bay of Plenty region is now available. If you would like a copy, pleased contact Health Information Advisor Lorraine Howarth on 07 349 7362, email lorraine.howarth@bopdhb.govt.nz or view the calendar online at www.toiteorapublichealth.govt.nz/calendar. After six months of intense self-directed study, Eastern Bay of Plenty Lactation Consultant Breastfeeding Sue Gulliver-Birkett Advisor and Whakatane Hospital Midwife Sue Gulliver-Birkett, recently passed the International Board Certified Lactation Consultant Examination. Sue has been a midwife for 12 years and identifies as Ngati Pukeko. Sue believes wholeheartedly in breastfeeding kaupapa and its potential to improve the health of the whole population. Becoming a Lactation Consultant, an internationally recognised title, has equipped Sue with skills and knowledge necessary to further develop breastfeeding support services in the Eastern Bay. Sue already has clinics for mothers and babies in Opotiki, Kawerau and Whakatane, and is in discussion with Iwi providers to establish more satellite clinics with a focus on ease of access in our community. Congratulations to our champions of excellence By Helene Stols, Outcomes Coordinator Mental Health and Addiction Services In December last year Te Toki Maurere, Whakatane Inpatient Mental Health Service, achieved and maintained for eight months in succession a 100% outcomes collection compliance against the 80% Ministry of Health (MoH) target for inpatient services. Child and Adolescent Mental Health Services (CAMHS) and Liaison Psychiatry share the championship position for community services as they both hit the 80% outcomes collection compliance target in December last year against the MoH target of 60%. Mental health assessments may appear to be subjective, complex and intangible as they include identification of symptoms, behaviors, moods, thought processes and contextual factors such as relationships and activities of 6 daily living. However, the Health of the Nation Outcomes Scales (HONOS/CA/65+/LD) is a suite of measurement tools used by mental health professionals to score the level of severity, which makes it more tangible and measurable. It is a national mandatory requirement for mental health professionals and services to electronically enter these scores to meet the MoH requirements and outcomes collection compliance targets. The local Mental Health and Addiction Service (MH&AS) Clinical Governance had set an 80% target for community mental health services and a 90% target for inpatient mental health services by December 2011, which was higher than the MoH targets. At the onset these targets seemed to be challenging. In December 2010 the aggregate BoPDHB HONOS collection compliance for community services was only 10% and for the inpatient services, 47%. By December 2011 it was 62% for community services and 100% for inpatient services. By December 2011 thirty three case managers across all the mental health community services were 100% up to date with outcomes collection entries for all of their case loads. Two Tauranga community teams, CAMHS and Liaison Psychiatry, hit the 80% target. All three of the inpatient mental health services maintained a 100% HONOS outcomes collection compliance, but Te Toki Maurere, is the inpatient champion. Each of the three teams was awarded a certificate at a team celebration. Right - CAMHS champions back row from left: Clive James, Caleb Putt, Julie Jensen, David Gilmour, Jenny Lamberton, Emily Belbin and Dr Michael Gudex. Middle row from left: Mark Thomas, Julie Ryle, Anja Theron, Rebecca Lovett, Bernice Roulston, Nikki Mildon and Victor Viray. Front row from left: Paul Horini, Darron Billett, Judie Smith, Glenda Gilligreen and Prya Beharry. Te Toki Maurere champions from left: Karl Chrisoffersen, Tania Miller, Auhi Wahapango, Lydia Ranapia, Hazel Agnew, Jo Olsen and Bev King (seated). Liaison Psychiatry champions from left: Renee Wilton, Raewyn Hunt and Dr Branka Mijatovic. New dysphagia online Moodle By Robin Matthews, Speech Therapist Nurses at Bay of Plenty DHB are able to improve patient outcomes and reduce the risk of complications such as pneumonia by undertaking dysphagia assessment training online using a new Moodle module. The Module ‘Dysphagia, Mouth Cares and Feeding Training for Nurses’ went live on Monday February 13 and is the culmination of 12 months work. In line with similar training in other hospitals around New Zealand, the aim is to empower nurses to provide, in partnership with SLTs, a timely and well informed assessment of the safety of swallowing for all patients admitted with a diagnosis of stroke, cancer, TBI, cranial-facial abnormality and other neurological conditions. The module brings together the latest local and international guidelines and protocols and places them in an accessible, selfdirected learning format. The course looks closely at four main areas of anatomy, swallow physiology, feeding and mouth cares. Implementation of dysphagia and oral cares programmes elsewhere including screening have led to substantial reductions in hospital acquired pneumonia rates. Join SWEAT today By Marcus Vercoe, Staff Wellness Centre Manager Have you made a New Years resolution to improve your health and fitness, lose weight or increase your daily physical activity? Join SWEAT now and we’ll help you make it happen. Clinical Nurse Educator Lou Fowler (left) with Speech Therapist Robin Matthews. Once the module is completed, nurses who would like to develop expertise in assessment will be invited to become a recognised Dysphagia Screening Nurse within their clinical area. These nurses will attend a hands-on dysphagia workshop where they will take an in depth look at the Swallow Screen Protocol and hone their clinical assessment skills. On completing the workshop the trained nurses will support the SLT department to work towards reducing hospital acquired pneumonias and reduce the number of patients with adequate swallowing being left Nil by Mouth overnight or at weekends. Nurses who would like further information or who are interested in attending the advanced dysphagia workshop should discuss this with their Clinical Nurse Manager or email me: robin.matthews@bopdhb.govt.nz. There are a large number of events happening this year, it’s just a matter of putting yourself out there and getting involved. Take this opportunity to participate as an individual or get your friends and colleagues together and participate as a team. Group Fitness Check out our new Group Fitness Timetable on Pacentral - we’ve added more classes and new times to suit your work hours. Group Fitness is a fun and easy way to get you motivated when exercising, and it’s also a great way to meet other people. Come and see what we have to offer, you might just find it’s not as scary as you think! From left: Smokefree Coordinator Liz Spence, Social Worder Gwenda Rüegg, Clinical Nurse Manager Bella Mark and Health Care Assistant Jill Van de Wouden. The Smokefree ABC statistics at Whakatane hospital’s surgical ward are close to 100% thanks to an idea by Social Worker Gwenda Rüegg. An informative and graphic QUIT display in the foyer entrance to the ward has received great feedback from patients, family/ whanau of patients, visitors and staff. There has been an increase in enquires about becoming smokefree and those wanting QUIT information. “With recent increases in tobacco costs, patients are well aware of not just the medical and social cost but the financial cost to them,” says Gwenda. “The ward are committed to educating patients about becoming smokefree and they are encouraged and supported to use nicotine replacement therapy (NRT).” The surgical ward staff have made the commitment to ensure their ward percentages are at the highest level. The ward had been low in the QUIT/Smokefree ABC’s statistics, but the total commitment from Clinical Nurse Manager Bella Mark, Social Worker Gwenda Ruegg and Health Care Assistant (HCA) Jill van der Wouden has resulted in an increase from the low 60’s% to the high 90’s%. Jill and Gwenda make it their responsibility to ensure every patient file they can get their hands on has the Smokefree ABC’s sticker and that it is actually completed. A spin class at the Tauranga SWEAT Wellness Centre. Events Challenge If you’ve ever wanted to participate in an event such as a Multisport, Triathlon or Walk/Run event, here is your opportunity. It’s easy - simply sign up to any of the upcoming events which interest you, we have many listed on the SWEAT site on Pacentral, register your membership with SWEAT and we’ll ensure you’re on the right path to achieving your goal. Surgical ward commit to smokefree “Nursing staff are aware they too must commit to that bright green sticker and make sure it is completed,” says Gwenda. The new initiative is also in place at the Orthopaedic Pre-Assessment clinic where every patient goes through the Smokefree ABCs. Group Fitness classes such as Balance are a great way to meet new people. Staff look forward to the next round of statistics in the hope that they have improved or sustained their latest targets. 7 Delivering change that matters to our patients, employees and communities By Suzanne Round, Communications Advisor Employees from across the DHB are working together to improve the patient journey, developing opportunities for employees, teams and/or departments to step up and champion new, better or different ways of doing things. Through the GO-TEAM, the DHB provides an opportunity for employees to be recognised for ‘going the extra mile’ and encouraging ideas for improvement from the ground up. “ “The GO-TEAM is about embracing change and it is fantastic that all employees have an opportunity to be involved in actually making things happen,” says Gold Award winner. ” GO-TEAM Gold Award In December and January the GO-TEAM was pleased to award the first ever Gold Awards to four deserving individuals that had been nominated by an employee for ‘going the extra mile’ and providing excellent service/care. Ali Roach - Julia Braid - Nurse Manager, Flexi Unit Clinical Nurse Leader, ICU/CCU “Ali completed the new step down unit in double quick time, ensuring that nurses rostered were fully informed and aware of requirements, whilst ensuring a smooth transition and improved patient flow,” says Tauranga Hospital Coordinator, Julie Williams. “Julia took on the challenge at very short notice in helping open eight additional beds within her unit. Julia is always able to see the big picture and keep the patient’s interests in the forefront. This award also finished off a successful year for the new ICU/CCU service development,” says Tauranga Hospital Coordinator, Julie Williams. Lynette Finlayson - ED Coordinator “Lynette exemplifies the can do attitude of the GO-TEAM. Her great team work with the Duty Management team and the ED team has resulted in big gains in patient flow, ensuring that patients get to the right place in the hospital to continue their journey,” says Tauranga Hospital Coordinator, Julie Williams. Lisa McAuley Duty Manager Coordinator “Lisa possesses excellent communication and leadership as a duty manager, committed to quality, safety and the six-hour target. Lisa ensures a steady flow of patients coming into ED, regular rounding and engagement with ED CNC and ED SMOs,” says Clinical Nurse Manager – ED and APU Marama Tauranga. Ali Roach (right) was nominated by Julie Williams. 8 Nurse Leader Surgical Service Ros Jackson (right) presents Julia Braid with her award. What the winners had to say: “It really means a lot to be recognised for the work that goes on behind the scenes.” “The Gold Awards are a great way for DHB employees to be recognised in a different way by the organisation.” All four nominations had been unanimously decided by the GOTEAM Committee for demonstrating the ideals of the GO-TEAM and a commitment to the organisational values: Compassion, Attitude, Responsiveness, and Excellence (CARE). The Gold Awards provide an opportunity for both patients and employees to recognise the excellent service or care delivered across the organisation to our patients and the community. Nominate an employee or team today! Any DHB employee can nominate a colleague or team, including students and contractors. Nomination forms are available all yearround from the main hospital reception at Tauranga and Whakatane or can be completed online by visiting the GO-TEAM intranet site - http://intranet/ goteam/pages/awards.aspx ‘Making Change that Matters’ Competition In late 2011, the ‘Making Change that Matters’ Competition was launched to provide an opportunity for all employees across the DHB to submit their ideas for improvement in their area to improve the patient journey. Each entry was judged by the GO-TEAM Committee against a list of criteria including the alignment to the organisational strategic priorities and demonstration of values (CARE). The standard of the entries was so high that the GO-TEAM Committee decided to select three winning initiatives to take forward with support from the Service Improvement Unit. Each initiative will be delivered through the Action Projects Course by Kerrie Freeman, designed to provide project management skills and support to enable individuals across the DHB to deliver small-scale initiatives. “We have had this idea for such a long time and we just didn’t know how to execute it. We are thrilled that the competition gives us the chance to really make this happen,” said the Rheumatic Fever Project team. ‘Making Change that Matters’ winners: Project lead: Cheryl Shearer Concept: Electronic Confidential Patients Information form Project lead: Debbie Coates Concept: Echo Cardiology at Whakatane Hospital Project leads: Rudi Downs, Johanna Wilson, Leeann Waaka Concept: Early detection and prevention of Rheumatic Fever Do you have a great idea? Passion, commitment to make it happen? ‘Making Change that Matters’ competition is now open for employees, students and contractors across the DHB to submit their great ideas for improvement. Get your entry in by Friday March 30 by completing the online form on the GO-TEAM intranet site - http://intranet/goteam/ 9 The race is on By Susan Langdon, Physiotherapy Team Leader Whakatane Physiotherapist Karen Hanlen is on track to represent New Zealand in the Olympics having discovered a love of mountain biking just two years ago. What is a Nurse Practitioner? It’s been 10 years since the first Nurse Practitioner (NP) was appointed in New Zealand and there are now just over 100 across the country. Four BOPDHB nurses have achieved the prestigious qualification. ED Nurse Practitioner Brett Turnwald. Cardiac Nurse Practitioner Wendy Bryson. Physiotherapist Karen Hanlen, won her first race - the Colville Classic - in 2010. She blew the field away and left everyone asking “Who is this Karen Hanlen from Whakatane?” At the beginning of February Karen found out she is on the Olympic ‘long’ list which means she has to compete against others to gain the final position in the Olympic team. She will race in Rotorua and South Africa in March and Belgium in April. Karen has always played sport - volleyball, touch, netball (Magic development squad), mountain running/cross-country (The Goat, Tois, Kauri - she has won them all!), as well as participating in multisport events (Montys, Motu – she has won them all!). Last year Karen won the NZ Mountain Bike Cup but was second to Rosara Joseph (Commonwealth silver medalist) in the NZ champs. 2011 was also Karen’s maiden International Tour where she raced in England, USA, Canada, Italy, Germany, Czech Republic and lastly Switzerland in the World Champs where she was placed 23rd. Karen started the tour ranked 110 and finished the year 36th. Karen is not a carded athlete; she has to manage mostly with the support of family, friends and the Whakatane Cycle Centre. Karen is of Ngati Awa and Te Arawa descent. She was born in Whakatane (in our Te Koru building) and went to Whakatane High which has produced a few sports stars - Lisa Carrington, Benji Marshall, Sophie Hart, Nathan Twaddle to name a few. From her love of sport came her choice of career - physiotherapy – and Karen has worked for us since graduation apart from an OE with husband Mark and two children Caleb, five and Aramia, three. Work or sport, Karen always gives 100% with a smile on her face. Good luck Karen - we are ALL behind you. 10 “A Nurse Practitioner is a Registered Nurse with a minimum of five years experience at an advanced level within a specific scope of nursing practice,” says cardiac Nurse Practitioner Wendy Bryson. Wendy says the role is as challenging as it is rewarding and every day brings a unique opportunity to make a difference. “Being a Nurse Practitioner provides the opportunity to look beyond the patient’s diagnosis and deal with the implications, associated barriers/opportunities and challenges they face in coping with cardiac-related issues,” she says. “Together with the patient we can determine a specific and realistic plan of care.” Nurse Practitioner for the Older Adult, Tony Lawson, says that as well as working with individual clients, the role puts him in a lead position in forward planning strategic and clinical issues. “I am able to consider the overall population health issues for the older adult in our community,” he says. Whilst the NP role is clinically based, Nurse Practitioner in the area of adult mental health, Jeff Symonds, says it encompasses others aspects of practice such as education, supervision and research. “In my work I am assessing, investigating, diagnosing, ordering and reviewing relevant laboratory tests, defining treatment plans, continually consulting and collaborating with my medical, nursing and other MDT colleagues,” he says. “I cover both community and inpatient settings depending on where clients in my caseload are.” Jeff believes the role of Nurse Practitioners is still evolving in NZ. “Over time with increasing numbers of NPs and lobby groups such as the Nursing Council and Nurse Practitioner NZ, I am positive the role will continue to grow and establish itself by demonstrating the benefits NPs can offer to our health services,” he says. Brett Turnwald is a Nurse Practitioner in Tauranga Hospital’s Emergency Department. His role is to ease the demand and help with the flow of patients rather than a set group of patients. This includes acute assessment, diagnostics, treatment and discharge planning. Brett says becoming a NP is a mixture of hard work and determination. “Plan, talk and solicit advice about the direct route. Most of it is pure hard work with determination as the goal. A clinically based Masters Degree and achievement of NZ Nursing Council assessment criteria and competencies are pre-requisites to achieving the NP qualification. For more information on becoming a Nurse Practitioner, visit www.nursingcouncil.org.nz. Lunch with the birds By Bianca Hennings, Surgical Transcriptionist Sharon Nally and I would like to tell you about our orderly lady Trish Paterson. At lunchtime outside Te Whare Maiangiangi (Mental Health Service Inpatient Unit at Tauranga Hospital) Trish has a flock of about 20 sparrows that she feeds at lunchtime. They are so used to her feeding them on a daily basis that they wait for her on a tree by the maternity/after hours hospital carpark, meet her as she starts coming out the back door and then fly across the road with her she is the only one they will do that for!!! Trish even chases the seagulls away so that they don’t eat the sparrows’ lunch. She chats with them and the sparrows even seem to understand what she is saying to them. It is quite a sight you definitely have to see it to believe it! Hands on in the Clinical School By Sandra Ball, Rheumatic Fever Clinical Lead Eastern Bay Primary Health Alliance A ‘hands on’ anatomy and physiology teaching workshop at Whakatane Hospital Clinical School, provided Community Health Workers (CHWs) with a fuller understanding of Rheumatic Fever (RF) and the effects it can have on the heart. Changes to clinical health research By Sarah Strong, Clinical School Manager The workshop was attended by Grace Ransfield from Te Korowai Aroha (Rotorua) and Toi Te Ora Communicable Disease Nurse Lindsay Lowe, as well as Community Health Workers (CHWs) who are engaged in the rheumatic fever prevention programmes running in Opotiki, Kawerau and Murupara: Nita Walker and Miriam Steadman from Whakatohea Iwi and Social Health Services (WISH) (Opotiki); Liisa Wana and Melissa Bennett EBPHA (Kawerau); and Moana Hall and Maria Sadlier from Te Ika Whenua Hauora (Murupara). All agreed it was “a fantastic session.” Sheep and deer hearts were used to visualize the heart valve structures that are vulnerable to damage from Rheumatic Fever. Sheep and deer hearts were used to discover the various chambers of the heart. The first few moments of the session were a challenge as the participants opened the hearts up. Once the amazing structures inside the heart were revealed everyone became engrossed in the task of exploring and learning about the heart. The morning was hosted by Rheumatic Fever Clinical Lead Sandra Ball from Eastern Bay Primary Health Alliance (EBPHA) and Whakatane Hospital Pediatrician Dr John Malcolm. Dr Malcolm was available later in the session to explain about heart valve repair and replacement. He also shared an elementary understanding of diagnosis of acute RF. As always he answered all of the questions fired at him with patience and passion. Together these health workers offer sore throat swabbing to over 3000 school children in high RF incidence areas in the Eastern Bay of Plenty. The CHWs visit the schools in their areas twice each week and offer a throat swab to any (consenting) child who says they have a sore throat. If the throat swab comes back positive for group A streptococcus (or ‘strep throat’) the CHW follows this up with the family/whanau Doctor and ensures that the child is offered the appropriate antibiotic. All three programmes are funded by the BOPDHB. Opotiki has been underway since 2009, Kawerau 2010 and Murupara since 2011. The CHWs are an incredible group of women who have developed great rapport with their school children. The knowledge they gained will enable them to work even more effectively. Below: Heart dissection was one part of the ‘hands on’ workshop. From left: Rheumatic Fever Clinical Lead Sandra Ball with Community Health Workers Nita Walker, Moana Hall and Miriam Steadman. Clinical School Manager Sarah Strong (left) and Research Manager Rana Reuther. Rana Reuther Research Manager and Sarah Strong Clinical School Manager are involved in a national research network that is collaborating to review and feedback on new reporting requirements being developed by the Health and Disability Ethics Committee (HDEC). The introduction of new processes will have a significant impact on DHBs as any research will need to be lodged with HDEC and the standard operating procedures followed. The aim is to provide ethics committees in New Zealand with a robust, standardized transparent and efficient system. The changes will take effect from 1 July 2012. We will be provided with national templates and guidelines for clinical research. The Clinical School will support the procedures by developing a data gathering system in-house that aligns with the national requirements. This will have the added functionality of being able to collate reports and data to have a DHB-wide view of research being undertaken. In the next edition of Checkup we will introduce you to our Research team and provide you with information on how we can support you with clinical research. 11 Clinical teachers and supervisors doing a grand job By Peter J Gilling MD(Otago) FRACS, Head of School, Bay of Plenty Clinical School The DHB is fortunate to have dedicated staff who provide incredible support and guidance to our students. The clinical school managed 247 medical students placements in 2011. Feedback is consistently positive, here’s a sample: “It has been an amazing experience and I have had great teaching from the doctors. They really involved us in all the happenings (theatres, ward rounds, clinics etc.) and I had the opportunity to do a lot of practical work. The administration beforehand was great, very clear, and I felt well looked after during my time here.” “Orthopaedic team were friendly and allowed me to get involved in surgery. Excellent teaching and facilities.” “Having worked in four big hospitals I am very pleased to say BoPDHB surpasses them all in terms of facilities, student support, accommodation and the helpful staff. Overall one of the best DHBs to work with.” “I had a wonderful time at Tauranga Hospital with supportive clinical teaching which stretched me and encouraged me to apply knowledge in a practical holistic way. Thank you very much. I would love to return again!” Dr Derek Sage - Photo courtesy of Bay of Plenty Times. The BoP Clinical school presented Dr Derek Sage the inaugural 2011 Clinical Teaching Prize in appreciation of his contribution to student placements and teaching. ED is one of the more popular placements for our students, contributing to that is the reputation they have gained as a supportive teaching environment. All supervisors of students are greatly appreciated as it’s the quality of their experience that encourages students to return and motivates them in their professions. 2011 Allied Health Awards By Penny Horton, Education Manager In December 2011 the annual Allied Health Awards Ceremony took place in the Tauranga Hospital Education Centre. These awards recognise allied health staff who have displayed exceptional achievement in their roles and are awarded in five categories: assistant, administration support, practitioner under five years and over five years in profession and leader/manager. Nominations for the awards can be made by any BoPDHB staff member. Audiology Administration Support Person Andrea Schuler was nominated by Application trainer Ursula Macfarlane. Some of Andrea’s ‘stand out achievements’ are her ability to work around the patients needs when managing bookings, knowing the roles and expectations of clinical staff and having great ideas and suggestions which contribute to the smooth running of the department. Physiotherapist Pete Reeve. Susan was recognised for her strength in clinical care and patient advocacy, along with her ability to ensure a culture of continuing professional development in her team. Whakatane Hospital Physiotherapy Team Leader Susan Langdon, was nominated by The calibre, commitment and skills of each individual was strongly evident in all the 12 2011 Allied Health Award winners from left: April Fisher, Wendy Richards, Luana Cox and Susan Langdon. nominations. Winners of the awards were: Occupational Therapy Assistant Luana Cox, Audiology Administration Support Person Andrea Schuler, Social Worker Wendy Richards, Occupational Therapist April Fisher and Physiotherapy Team Leader Susan Langdon. Milestone for CIED Service The Cardiac Implantable Electronic Device (CIED) Service at Tauranga Hospital completed their 500th procedure at the end of January. Mrs Nicholls is now looking forward to getting her life back after spending the last 12 months house-bound due to her heart condition. The follow-up of Bay of Plenty CIED patients has been provided at Tauranga and Whakatane hospitals since 1995. The addition of the implant service in 2008 at Tauranga Hospital provides a local service for patients in the Bay of Plenty, that were otherwise having to travel over to Waikato for their implantation or system change procedures. Section Head Sheryl Tait, Head Cardiologist Dr Jonathan Tisch and Cardiologist Dean Boddington, part of the team delivering the service at Tauranga Hospital, were delighted to see the service achieve their 500th procedure and celebrated with a large carrot cake. “That’s 500 patients that haven’t had to go to Hamilton for the procedure and 775 patients that can come to a local and familiar place for their routine check-ups,” said Jonathan. The BoPDHB Cardiac Implantable Electronic Device (CIED) Service, from left: Senior Cardiac Physiologist Kate Swinson, Section Head, Cardiac Implanted Electronic Devices Service Sheryl Tait, Director of Cardiology Dr Jonathan Tisch, Team Leader Clinical Physiology and Echocardiography Michelle Bayles and Senior Cardiac Physiologist Tracey Cumming. (Absent: Electrophysiologist Dr Dean Boddington and Senior Cardiac Physiologist Cheryl Friedl.) Opening of Te Takapu o Hineahuone By Hiiria Hohua, Te Pou Kokiri, Regional Maori Health Services An 18 year ambition was realised when Te Takapu o Hineahuone: Community House was formally opened 31 October 2011 at Whakatane Hospital. Both the Chair of the District Health Board, Sally Webb and Amohaere Tangitu; Regional Director of Regional Maori Health Services unveiled the plaque revealing the name of the new accommodation facility. Te Takapu o Hineahuone means the Haven of Hineahuone and is intended as a place of calm and respite for families of unwell patients in Whakatane Hospital. Moreover, according to Maori traditions Hineahuone was the first formed female and the giver of life to humankind. Viewed from this context, the Community House is meant as a haven of peace and giver of life. Karakia for the opening was led by Pouroto Ngaropo; assisted by former Whakatane Hospital Chaplain, Diane Neilson and local kaumatua Te Tuhi Mate. During the Opening begins. From left: Stan Ratahi: Te Pou Kokiri; Pouroto Ngaropo: Te Tumu Tataki, Regional Maori Health Services (RMHS); Lani Marama: Kahika Whakahaere, RMHS; Sally Webb: Chair, BOPDHB; Amohaere Tangitu: Te Pou Tahu Ahorangi, RMHS; Arona Smith: Te Pou Kokiri & Te Tuhi Mate. (Photo courtesy of Whare Akuhata). proceedings Amohaere Tangitu acknowledged the invaluable support and encouragement the DHB, Phillip Balmer and Phil Camish provided, bringing to fruition a vision she has held since joining the organisation. Te Takapu o Hineahuone replaces the Rangimarie Room by providing accommodation for families of seriously ill patients admitted to Whakatane Hospital, enabling them to be close at hand during a critical time. This is especially important where long distance travel is involved or where transport is problematic. Te Takapu o Hineahuone is managed by Regional Maori Health Services with the aid of the Duty Managers, Whakatane telephony and reception. During normal working hours enquiries can be forwarded to Regional Maori Health Services, ext. 4954 and with the Duty Manager’s office after hours. Similar accommodation is available for families at Tauranga Hospital and is also managed by Regional Maori Health Services Tauranga office, contactable on ext. 8560. Regional Maori Health Services would like to sincerely extend our deepest gratitude and thanks to those who have helped make Te Takapu o Hineahuone a reality. We acknowledge the gifting of bedroom furniture by Dorothy Gilliland and her husband, and Te Toi Huarewa Trust for the beautiful outdoor furniture set. Similarly, we appreciate and thank all the departments and individuals who helped ensure that the opening was a success, and who continue to support the operation of Te Takapu o Hineahuone. 13 Wound care conference By Nurses Diane Hishon, Lyn Dalton, Sarah Craven-Jones, Sandy Presland, Kate O’Dwyer, Heidi Darcy and Waimate Ngamoki. Seven nurses from the Bay of Plenty attended the New Zealand Wound Care Society (NZWCS) Conference in November last year. Held in Dunedin, we joined 350 delegates from New Zealand, Australia and Europe. The programme was informative with presentations from respected international speakers and local experts across a range of plenary and workshop sessions. The variety of topics gave the attendees options to attend sessions on the latest research and others providing practical sessions on best practice. New Australian and New Zealand Clinical Practice Guidelines for the Prevention and Management of Venous Leg Ulcers were introduced and will be distributed in 2012 through the District Health Boards, Directors of Nursing, The New Zealand Guidelines Group and The New Zealand Wound Care Society. The Pan Pacific Clinical Practice Guidelines for the Prevention and Management of Pressure Injury were released for consultation. These projects have been developed from the work of a committed team of wound care experts in New Zealand, Australia, Hong Kong and Singapore including members of the NZWCS. These projects will provide current evidence based guidelines for health professionals in numerous countries in the south pacific region. Our Director of Nursing supports our Tissue Viability Group to be actively involved in the NZWCS. Several of us represented our DHB admirably at the conference and presented papers. Lyn Dalton and Sarah Craven Jones’ poster ‘It’s more than JUST a dressing’ won best poster presentation. Heidi Darcy’s research paper titled ‘Immune stimulating properties of medical grade honey’ won best oral presentation. Diane Hishon’s oral presentation titled ‘Improved topical negative pressure therapy management and outcomes’ was well received. Attending this conference has been beneficial individually and collectively for our organisation. We have developed a new Wound Care colour coded assessment chart and dressing options. These will be available in all areas following the review process. We plan to share the latest evidence based practice with our colleagues and update guidelines / protocols relating to wound and skin care. Our goal is to improve the outcomes for patients with wounds. Lyn Dalton (left) and Sarah Craven-Jones won Best Poster Presentation and they donated the prize money to purchase a camera for the Whakatane District Nursing Service. Pharmacy conference flies high By Helen Cant, Pharmacy Services Manager Last November the BoPDHB Pharmacy team hosted the 2011 NZ Hospital Pharmacists’ Association (NZHPA) Conference for 250 pharmacists, pharmacy technicians, students, interns, academics and industry representatives from across New Zealand and Australia. BOP staff in theme at the Flights of Fancy conference dinner. The conference was opened by Minister of Health, Hon Tony Ryall, who had clearly been thinking about the role of pharmacists in the health sector and how our skills might be better used – great to hear. Tauranga contributed by turning on some superb weather and the weekend was capped off by the Conference Dinner at Classic Flyers, where the theme ‘Flights of Fancy’ saw a great range of fancy dress. The programme included a diverse range of speakers and presented papers. Keynote speakers included Peter Austin, an independent pharmacist prescriber and senior pharmacist at Southampton General Hospital in England who presented a number of plenary and workshop sessions around IV nutrition and the role of IV fluids. Professor Ian Reid, Head of the Auckland Medical School, presented his research on the role of calcium in heart disease. BoP’s Nurse Leader for Medicine Sandra Fielding, provided a nursing perspective on medication safety, and Captain David 14 Morgan, Chief Pilot of Air NZ, spoke of safety in the aviation industry – an area which is often used as a comparator to medication safety. The team at Whakatane Hospital put together a great series of workshops specifically for pharmacy technicians. Other presentations included one from ACC about treatment injury (including medications), one about the role of medicinal honey, a workshop on health literacy, and panel discussions on the developing role of pharmacists in clinical and medication safety roles in NZ. Presenters of submitted papers and posters ranged from pharmacy students to PhD candidates, newly registered pharmacists to those approaching retirement, pharmacy managers to specialist clinical pharmacists. The feedback from the delegates was overwhelmingly positive. Congratulations to the team on the success of their hard work in organising this event. Under the spotlight Te Koru Therapy and Rehab Services, Whakatane Hospital By Julie Mallen, Community Occupational Therapist Therapy & Rehabilitation Services commenced at Whakatane Hospital in 1983. The need for such a service was greatly recognised and appreciated, growing in demand and staffing over the years until it moved to what is now Te Koru. Originally the old maternity wing of the hospital, it has for almost the last 10 years housed around 50 therapy and support staff. In fact one or two of the staff actually gave birth to their children here! One of the biggest challenges of being a service in great demand is keeping on top of our sometimes lengthy waiting lists. We believe we manage this well by providing quality information, prioritising referrals as they are received, and appropriate delegation. Community Therapy Team We are a community based therapy service covering the Eastern Bay. The aim is to enable people to remain living as independently as possible within their own home if that is their choice. The team includes physiotherapists, occupational therapists and speech-language therapists. Rehabilitation assistants Some of the Community Therapy Team support the therapists by following up on treatment programmes and are invaluable to our service ensuring the therapists are freed up to carry out essential tasks Child Development Service This multidisciplinary team covers the Eastern Bay and works with children aged 0-15 who have delayed development. The team includes physiotherapists, occupational therapists, speech language therapist, Some of the Child Development Service Team social workers, psychologist and rehabilitation assistant, working closely together to ensure a coordinated approach to assessing and treating children. Rehabilitation Therapy Team The team carries out rehabilitation for patients who are in hospital and in need of more intensive programmes, for example following a stroke, fall, or brain injury. Patients spend most of the day in the department, returning to their ward later. The team includes an occupational therapist, physiotherapist, social worker, nurse, speech-language therapist and rehabilitation assistants. The team is currently working on several WOWE (Well Organised Working Environment) projects under the Releasing Time to Care programme. This includes a detailed study on the roles of staff, the layout of the environment and ‘patient status at a glance’ project to ensure our clients/patients are our primary focus. Some of the Rehab Therapy Team with Te Koru Manager Pip Percival (3rd from left). A team of in-patient occupational therapists concentrate on facilitating a safe discharge home from hospital. They are also responsible for ensuring that patients booked for elective surgeries such as hip or knee joint replacements are fully assessed pre and post surgery, loaned equipment and taught precautions to reduce risk of dislocation or other complications. Some of the In-Patient Occupational Therapy Team Physiotherapy Te Koru has a bustling physiotherapy department which includes a gym, treatment rooms and hydrotherapy pool. The team of ultra fit staff in their smart new uniforms see around 70 outpatients per day as well as inpatients providing treatment and exercise plans. Some of the Physiotherapy Team All of our staff are supported by a fantastic team of administration and reception staff, and Te Pou Kokiri. We believe they all provide strong foundations to our service and without them we could not function as effectively and efficiently as we do. Our designated Hotel Services Assistant is also considered an integral member of our department. Lanka is always friendly and enthusiastic and keeps our department spic and span. Reception and administration staff from left: Katie Goodman, Wendy Mexted, Julie Bond and Bev Harris Last but not least, as a team of professionals we are committed to the training of students - occupational therapy, physiotherapy, nursing, and speech-language students, some of whom have been successful in gaining employment with us once qualified. Receiving students is crucial to our role, for educating, supporting, supervising and facilitating development. For ourselves, it provides work and personal challenges and reminds us to consider why we do what we do. Additionally, as professionals, we are required to provide evidence of continual professional development, attending training courses, participating and presenting In-Services and Journal Clubs, giving and receiving regular supervision, carrying out annual note and peer review audits and maintaining professional portfolios in order to qualify for annual re-registration. If you would like to know more about Te Koru or have a grand tour, contact Julie Mallen on ext. 4620. 15 Whakatane staff have a ball! Whakatane Hospital Ball photo gallery By Lauren Ward-Davies, House Officer When a few grumbles that Whakatane Hospital had not had a “big social event” in years sparked my organisational streak, I decided, one wintery night back in September last year, to organise a Hospital Ball. Fast-forward three months and with plenty of planning, frequent (and probably slightly annoying) emails to colleagues (apologies!) and word-of-mouth, the hospital was abuzz with “ball talk” by the time we welcomed in 2012. On Friday 13th January (with my fingers crossed that the night would not be marred by its superstitious date) 120 guests dressed in their finest and arrived at Whakatane Golf Club to be met by fairy lights, candles and balloons. A two-course meal and several bottles of wine later, everyone was dancing to the brilliant Tauranga band “Five O’clock Shadow” who belted out covers of well-known songs from over the decades. From left: House Officers, Dr. Amy Rhodes, Dr. Polly Chadwick, Dr. Lauren Ward-Davies and Dr. Aoife Lillis. The sell-out event was enjoyed by colleagues (and guests) from nearly every department, from Radiology to Paediatrics, the Emergency Department to Medicine, representing a wide range of ages and, of course, the various nationalities that makes Whakatane so fantastically multicultural. From the many photos and wonderful stories from the night, everyone had a brilliant time with colleagues, family and friends. House Officer, Dr. Angela Mweempwa. From left: Radiographers Miss Claire-Marie Brady, Mr. Johan (Joe) Mann (seated), Miss Tiffany Walters and Miss Julie Cameron, and ED Nurse Mr David Henderson. From left: House Officers Dr. Aoi Moniwa and Dr. Joanna Connor. Watch this space for the next event using Whakatane’s soon-to-be established social fund started with left-over money from the ball. From left: Mrs. Esther Malcom (guest), Consultant Paediatrician Dr. Richard Forster, Ms. Jocelyn Munro (guest), Consultant Physician Dr. Brian NordstromLane and Dr. Robyn Nordstrom-Lane (guest). e From left: Mr. David Coombes (guest), Mr. Lytle Hall (guest), Mr. Lindsay Rhind-Smith (guest) and Consultant Surgeon Mr. Des Collins. ine Hop s Mrs Paul : ED Nurse . on ps From left om ichelle Th and Ms. M Contribute to Checkup If you would like to contribute articles to Checkup, or want to suggest a story, email Communications Advisor Rebecca Silvester via rebecca.silvester@bopdhb.govt.nz 16 A BIG Than k you to House Officer Lauren W ardwho organi Davies sed a fantastic event for Whakatane staff.
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