July 2013 - the Bay of Plenty District Health Board

Students take part in a simulation car crash exercise see page 7 for more details.
July 2013
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Checkup
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Bay of Plenty District Health Board staff news
100% recycled paper
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designed and printed by the BOPDHB’s Design and Print team
Overview
By Helen Mason, Acting CEO
It’s great to have the opportunity to be
Acting CEO and interact with people I don’t
always have the opportunity to meet in my
usual role as General Manager of Planning
and Funding.
What has struck me is the changing mindset
to ‘whole of system’ approaches. This is
reflected in a number of articles in this
edition of Checkup. The Health Passport is
intended to ensure good communication
and transfer of information for patients
as they move through the system. The
Rural Health Interprofessional Immersion
Programme brings a wide range of
professions together, and supports their
understanding of the part each plays in
the system. The recent submission on
the Smartgrowth Strategy is focused on
thinking about and improving health within
the broader social and economic system.
BOPDHB is developing a five year Integrated
Healthcare Strategy in partnership with
the three Bay of Plenty Primary Health
Organisations (PHOs), in order to improve
the way the broader system delivers care
to our people.
Integrated Healthcare is seen as essential
to ensuring the sector as a whole can
effectively respond to the pressures of
increasing service demand, aiming to
improve the health of the population and
the patient experience whilst making the
most of a limited funding environment.
For example: better co-ordination of
care between primary and secondary
services and effective co-ordination for
people with multiple chronic conditions;
multi-disciplinary team work in primary
care for chronic care management and
access to specialist advice; providing
support across health and social services;
ensuring information technology
supports communication between health
professionals, environments and patient
self-management.
Sarah Davey from Planning and Funding is
managing this work. A project group has
been established and will be seeking input
from key stakeholders within the DHB and
throughout the BOP health system from
July to October. For further information
or to find out how you can input, contact
Sarah: sarah.davey@bopdhb.govt. We look
forward to your contributions.
2
Guest Columnist
By Debbie Brown, Quality and Patient Safety Manager
As Quality and
experiencing similar situations.
More and more these stories are
Patient Safety
being shared with Board members,
Manager my days
including patients and family
members presenting at our DHB
are full, varied
Board meetings.
and extremely
The true value is allowing those
interesting. I have
who deliver the care to hear the
thought long and
stories first-hand and acknowledge
the effect these incidents have
hard about what
Debbie Brown
had on both individual patients
to tell you and it’s
and/or their family members. I
come down to two things
recall one complaint where a doctor agreed to
a family meeting. The outcome was an apology
which are shaping the work
to the patient that their experience had been
my team and I do.
sub optimal and several areas for improvement
Firstly Patient and family Centred Care
(PFCC). “Patient and family centred care
redefines relationships in healthcare placing
an emphasis on collaborating with patients
and families of all ages, at all levels of care,
and in all health care settings. Further, it
acknowledges that families, however they are
defined, are essential to patients’ health and
well-being and are crucial allies for quality
and safety within the health care system.”
Partnering with Patients and Families, 2006.
The Quality and Patient Safety team receives
feedback on a daily basis from patients and/
or their family regarding their experience
with services across the DHB. Much of this
feedback is positive and supportive of the
care delivered across our hospitals. However,
we also hear some tragic stories which
assist us to learn and prevent others from
Health Passport
By Gail Bingham, General Manager
Governance and Quality
A new Health Passport is set
to help patients communicate
better with their healthcare
providers.
Patients will carry the booklet with them when
attending hospital or other providers of health
and disability services. The passport contains
information about how they want people to
communicate with them and support them
during their visit.
BOPDHB has worked in collaboration with its
community providers to provide the Health
and Disability Commission’s Health Passport
and health professionals should find it of
great assistance when providing health care
services. It will be particularly helpful for those
individuals who have difficulty communicating as
it will tell you how they communicate and wish
to be cared for when their families are absent.
were identified which he had control over and
could change.
Open for better care is a national patient safety
campaign co-ordinated by the Health Quality
& Safety Commission (HQSC). The campaign
was launched on May 17 by the Associate
Minister of Health, Hon Jo Goodhew. The aim
of the campaign is to enable the health and
disability sector to ensure everyone is doing
the right thing, and doing it right, first time.
The campaign focuses on reducing harm in the
areas of: falls, surgery, healthcare associated
infections and medication. The campaign aligns
and works with existing patient safety initiatives
we have been doing at a local level.
DHBs, CEOs and Chairs were asked by HQSC to
sign a pledge in support of the campaign. Phil
Cammish and Sally Webb recently signed this
on behalf of BOPDHB.
If you have any regular patients that have
difficulty communicating with you I recommend
you discuss the Health Passport with their
family and encourage them to complete one.
A copy of the passport and a guide on how to
complete it can be found on the Health and
Disability Commission website: www.hdc.org.nz.
Please contact
Gail Bingham
on ext 8990 if
you have any
questions in
relation to
the Health
Passport.
Health
Passport
First name
:
Last name
:
I like to be
known as:
Please ret
urn th
when I lea is Passport to me
ve.
The front cover of the new Health Passport is
purple and patients are encouraged to print it out
in colour to alert staff to the document.
Record number of staff have flu vaccination
Who won the
battle against
the flu?
Occupational Health Nurse Lucy Cairns was rushed
off her feet when called to give out the flu jab
at Tauranga ED. Pictured with SMO Emergency
Medicine Alastair Maclean.
to 30th Sept
49539
46350
50%
40%
30%
to 31st July
47560
to win
Be in
to 31st Aug
57030
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dinner at
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Who’s winning the
fight against the flu…
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to 07th June
Everyone in the winning area
will go into a draw to win
2009
60%
Whakatane
90%
80%
70%
60%
50%
40%
30%
20%
70%
10%
35%
37%
53%
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Bay of Plenty District Health Board
Influenza Vaccine Distribution
2009 to 2013 Comparison
V 50000
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30000
80%
Whakatane
Public flock for flu jab
The increase in numbers
of flu vaccinations is
being reflected in this
year’s public figures
with almost 60,000
Bay of Plenty residents
getting the flu jab.
Tauranga
90%
s
SMO Emergency Medicine Alastair Maclean says
he hates getting the flu.
Be in
to win
100%
D
oc
“I’ve seen people die from the flu – it’s a real
wake-up call.”
Influenza is more than just a bad cold. It can
kill. Influenza is highly contagious and severe
for those most at risk such as the elderly and
young children. Free influenza vaccination is
still available for staff. If you missed the recent
clinics and trolley rounds, call or text one of
Everyone
in the awinning
area
the helpline numbers
to arrange
vaccination
will go into
a draw
win
– Liz Necklen in Tauranga
on 027
7059 to
353,
or Janine Barr in Whakatane
on 021at
471 576.
dinner
For more information follow the link from the
Harbourside restaurant
homepage of Pacentral.
Payroll Administration Support Bridget Hutchinson
oc
to
r
45%
71%
“I’m carer for my granddaughter and when you
work in this environment, you don’t want to
take anything nasty home.”
D
For many of those who chose to take up the free
flu jab, the decision was easy. SMO Emergency
Medicine Suzanne Moran says she’s seen healthy
68%
people die from something that is preventable.
52%
Tauranga
e
h
t
t
Le
Who’s winning the
battle
fight against the flu…
commence
ED Admin Team Leader Norma Wallace gets the
flu jab for family reasons.
Percentage of staff vaccinated
This means 57% of BOPDHB staff are protecting
themselves, their families, colleagues and very
importantly patients against the flu, which can
be deadly for those most at risk.
“I have the flu jab every year, I hate getting
the flu and I don’t want to pass it on to my
patients. I also saw my son suffer with swine flu
a few years ago.”
Percentage of staff vaccinated
The Employee Health and
Safety Nurses have been
run off their feet over the
last few months giving over
1700 DHB staff the seasonal
influenza vaccination.
This year we kept track of which area
across the DHB had the most staff members
take up the free flu jab. Staff were split
into four areas: doctors, nurses and
midwives, allied health and HCAs, and
admin and management. In Whakatane
there was a clear winner with 70% of
the doctors having the vaccination.
Congratulations to ED House Surgeon Terry
Fesaitu who was drawn from this group
and has won a $200 restaurant voucher to
spend at Roquette restaurant. In Tauranga
it was a closer battle with the admin and
management area just beating the doctors
with 75% of staff having the vaccination.
Congratulations to Payroll Administration
Support Bridget Hutchinson who has won
$200 to spend at Harbourside restaurant.
2013
Year
3
Introducing
CIRCA
By Phillip Balmer,
Chief Operating Officer
Chief Operating Officer
Phillip Balmer says the most
important thing happening
in the Provider Arm at the
moment is CIRCA – so what’s
it all about?
options were unacceptable. We decided instead
on a third way to meet this challenge through
redesign of care delivery.
The CIRCA programme started in June 2012,
when over 200 staff attended workshops
over four days to answer the question: How
can individuals and teams more effectively
undertake new ways of delivering services
that will result in a better patient experience,
improved clinical outcomes and improved
return on investment?
CIRCA, Latin for quality is a DHB wide quality
improvement programme aimed at improving
the patient experience and achieving
greater efficiency and value from health
delivery systems by improving the design and
coordination of care for all. This integration
aims to address fragmentation in patient
services, and enable better coordinated and
more continuous care, frequently for an ageing
population which has an increasing incidence of
chronic disease. The goals described align with
the Institute for Improvement (IHI) Triple Aim.
The workshops looked at what innovative
practices were already in place within the
DHB, nationally and internationally and
whether these practices could be applied more
widely across a range of services. Collectively
capturing and sharing these key learnings
from healthcare leaders and practitioners
directly involved in care delivery greatly
advanced our organisational knowledge of
what works and doesn’t work and prevented
the missed opportunities for a broader spread
of proven methods and innovative solutions.
From these workshops, a rich mosaic of
voices were collated to stimulate broader and
ongoing conversations between clinical teams,
researchers, managers and patients to improve
care delivery systems. The innovative ideas
were collated into various categories that
aligned with the patient journey.
Healthcare services in New Zealand and
internationally face an unprecedented
challenge to meet the increasing demand
for services, as well as the increasing costs
associated with care delivery. In responding
to these challenges, healthcare providers are
faced with two equally unpalatable options:
rationing services, or reducing staff costs
such as reducing training etc. As we each care
about our community, our patients and the
professional competence of our staff, leaders
across the organisation agreed these two
The goal therefore is to ask each clinical
team to evaluate these ideas for their merit
in application within their service and where
relevant to support their implementation.
Rather than attempt to do this all at once,
each clinical team are being asked to evaluate
whether they can meet the CIRCA criteria
sequentially focusing on one category at a
time. Implementation is supported through a
dedicated support team. It is hoped that this
approach will speed up and improve the process
of implementation whilst reducing the demand
on health professionals in meeting multiple
agendas simultaneously. However this will
only work if multiple teams pull in the same
direction at the same time.
CIRCA in essence therefore provides an
organising framework for evaluating care
delivery in order to improve patient care and
experience through improved coordination.
CIRCA 1 Strengthen continuity of care and
coordination between primary and secondary
services to improve the patients experience and
clinical outcomes and increase coherence and
synergy between care providers.
CIRCA 2 Promote greater reliance on patient
and community self-management through more
effective support and education.
CIRCA 3 Strengthen service and clinical
integration within hospital services to ensure
the patient receives the right care at the right
time each and every time.
CIRCA 4 Strengthen service and clinical
integration between hospital systems both
secondary and tertiary to ensure there is
connectivity, alignment and collaboration
between care providers.
CIRCA 5 Goal to strengthen individual and
service specific improvement capabilities as
it is recognised that there is no ‘one size fits
all’ or magic bullet approach to improving care
delivery.
To find out what the programme has achieved
to date, visit the new CIRCA intranet site on
Pacentral: http://intranet/CorporateServices/
Communications/CIRCA/default.aspx. If
you have any questions or want any further
information on how to get involved with the
programme, contact Peter Bassett on ext 5355
or Suzanne Round on ext 8246
Survive or thrive –
our future’s in your hands
DHB staff have the opportunity to
hone improvement skills by accessing
an internationally recognised and
renowned framework for quality
improvement training and education,
the Institute for Healthcare
Improvement (IHI) Open School.
High quality patient care is a shared responsibility for all staff
and we can all take a leading role in improving the patient
experience through quality improvement activity.
Under CIRCA 5, individuals and services will identify an area
for improvement as they pursue the quality agenda to make
improvements within their service.
4
Online courses will be available through e-moodle and
complemented by on-going support from within the
organisation, so staff can apply what they learn through
practical improvement projects.
Do you recognise areas where we could improve the service
we provide to our patients and have the desire to help make it
happen?
To sign up, go to the CIRCA intranet site: http://intranet/
CorporateServices/Communications/CIRCA/default.aspx to
complete the online booking form. Applications close July 26.
Here to support staff
By Sanjay Lal, Internal Audit
Team Leader and Andrea Davis,
Clinical Auditor
Successful audits don’t just
happen by chance; they
are the result of careful
planning, implementation,
and follow up.
That’s where we come in. We are a little known
team, hidden away on the 3rd floor in Tauranga
Hospital, monitoring whether processes in the
DHB are running effectively and safely. Sanjay is
a Corporate Auditor and a Chartered Accountant
and Andrea has a background in nursing.
Our purpose is to monitor the organisation’s risk
management, internal control and governance
processes. We do not audit specific individuals
or become involved with Human Resource issues.
Our service is independent and this enables
reviews to be carried out freely and objectively.
All information given to Internal Audit personnel
is treated with the strictest confidence.
Recently, you may have been asked to complete an
online survey about fraud to enhance awareness
of fraud risks within the DHB. You may receive
a phone call from Sanjay in the future as he’s
currently working on various payroll audits and
may need your assistance.
Internal auditors Sanjay Lal and Andrea Davis welcome contact from staff who might need help to improve or
make changes within their department.
Andrea has recently worked with Wound Care
Nurse Specialist Di Hishon to conduct a wound care
survey. Nurses across the organisation were asked
to complete the online survey to determine wound
care knowledge and establish learning needs.
We also offer support to staff by facilitating
departmental audits, assisting with databases
for clinical specialities and assisting with
investigations into serious events such as fraud
and misconduct.
Quality controls are everybody’s business. This
means we are all mutually accountable. If you
are aware of a process that’s not working, let’s
put our heads together and come up with a way
to make it better. Read about us on Pacentral
under ‘Governance & Quality’ or contact us
directly on ext 5179 with any concerns or
queries. Remember: we’re by your side, at your
service, in your best interests.
Pepi-Pod programme launch
One of the ways to help prevent SUDI is to use
a wahakura - a woven baby bed made from
harakeke (flax). The Pepi-Pod is another similar
safe sleeping option for those who want baby to
sleep in bed with them.
By Marg Norris, Midwife Leader
The BOPDHB is launching
a Pepi-Pod Safe Sleeping
Programme for babies who are
identified as being vulnerable
to Sudden Unexpected Death
In Infancy (SUDI).
Babies are more vulnerable to SUDI when
exposed to smoking during pregnancy, when
their birth weight is less than 2500gms and
when co-sleeping with adults, especially
those who smoke and/or use alcohol or
drugs. Other risks include unsafe infant sleep
positions and unsafe placement of pillows or
loose covers.
To receive a Pepi-Pod, parents agree to be
part of a programme where they receive safe
sleep information, monitoring and support
as they leave hospital and return home. Well
Child and Tamariki Ora providers provide
safe sleep support when the midwife has
completed her care.
Deaths from SUDI are largely preventable and
it is important that all health professionals
routinely provide consistent safe infant
sleep messages to all parents. SUDI can be a
frightening topic for new parents, however it
is important to understand the facts and the
things they can do to help reduce the risks.
Change for Our Children is a government
funded organisation that informs, educates and
promotes safe sleeping for all infants.
Tauranga and Whakatane Maternity Units both
have Safe Sleeping Champions that attend
national meetings for updates and provide
education for staff and parents. Staff also
provide breastfeeding education and support,
The Pepi-Pod is a general purpose storage box
that converts to a baby-sized bed with the
addition of a cover, fitting mattress and bedding,
to help reduce the risk of SUDI.
and smokefree screening with support offered
for smoking cessation.
The Bay of Plenty DHB Safety of Children
Policy and the Safe Infant (birth to one
year) Protocol are soon to be released. For
further information
please contact Sue
Gulliver- Birkett,
Whakatane Maternity,
Natasha Rawiri,
Tauranga Maternity
or our programme
coordinator
Raewyn Lucas.
5
Sound of silence still resonates
General Radiography Team
Leader Pete Seager was one
of 10 Tauranga search and
rescue volunteers who went
down to Christchurch to
help in the aftermath of the
February 2011 earthquake.
He and Christchurch author
Deb Donnell have put together
Responders, a book of the
photos and experiences of
search and rescue volunteers
from around the country.
Pete says it is not the destruction as much as the
silence that he remembers most vividly about
the days after the devastating earthquake.
“It was the emptiness. Standing in what was a
busy street and there’s not a soul there. The
memory I have is of it being completely silent.
This is a main street in a New Zealand town on
a Saturday afternoon and there’s not a sound,”
he says.
Pete was one of 10 members of NZ-RT16
Tauranga Search and Rescue who headed to
Christchurch the day following the earthquake.
The Tauranga team arrived in Christchurch at
about 5am Thursday February 24. They were
initially tasked with door knocking houses in
the suburbs to check on residents and mark
the properties as clear if empty. As the days
rolled by the team found themselves searching
through industrial buildings in the city centre.
“Sometimes buildings outside would look very
normal but when you got inside the shelves and
stock would be all over the place. All the piles
needed to be checked to ensure no-one was
trapped.”
Responders is available online at
www.responders.co.nz, or it can be bought at
Books A Plenty in Grey Street, Tauranga.
Search and Rescue Volunteer and General
Radiography Team Leader Pete Seager wrote
the book Responders as a way to tell the
stories of the people they encountered in the
aftermath of the February 2011 Christchurch
earthquake, and to give the volunteers the
recognition they deserved. Pictured here a
tilt slab had crushed a car in a light industrial
block within the red zone. Liquefaction silt
had risen up to bury the car to its axles.
Treaty of Waitangi Training an eye opener
By Monique Keys and Shona Ramea,
Regional Maori Health Services
Reflecting on the course content, we have
certainly gained a better understanding of
the Treaty and its purpose. There are various
reasons why at the time a Treaty was necessary:
colonisation; the need to co-exist peacefully;
British Crown protection from countries of
threat ie France etc. Many of these if not all,
are still applicable reasons to maintain the
Treaty agreement, today, however with New
Zealand being such a diverse country ethnically,
the ethos/values of the Treaty apply to all.
During May the Whakatane
Clinical School hosted our
annual Treaty of Waitangi
Training facilitated by
Roy Hoerara, Director Tu
Maia Ltd.
Being staff of Regional Maori Health Services, we
asked the question, “What is it that we could
gain from this training? We are already employed
within our BOPDHB regional cultural service, we
are proficient in Te Ao Maori or the Maori world,
we feel we are already well versed with things
relating to Treaty and health.” We were wrong!
Not only did this course provide understanding
on interpreting the Articles that make the
Treaty, but we were also able to gain a better
understanding of the Treaty document as
a whole, and as such, now view the Treaty
6
The BOPDHB Treaty of Waitangi training is hosted by
Roy Hoerara, the company director of Tu Maia Ltd
which specialises in Treaty of Waitangi facilitation,
training, strategy, policy and settlements.
document in a new light. For us, as Maori,
the Treaty always held a sense of mamae
or wrongdoing – this is, to a degree still a
reality, however with better education and
understanding we can now see what a beautiful
document it really is.
Very few organisations within New Zealand
provide such education/courses of this
standard, and we would sincerely encourage
all staff to undertake this training as well
as the Cultural Awareness Training. Not just
to enhance your knowledge and history of
New Zealand but also to enhance how we
all deal with patients/clients/any persons
who are different from yourself and being
aware that they may have differing needs
and expectations. We left the training with a
renewed sense of pride in our Maoridom/Maori
Culture but also an empowered pride in our
nationality and being New Zealanders.
DHB input to SmartGrowth Strategy
By Brian Pointon,
Planning and Funding
and Rebecca Culliford,
Health Improvement Advisor
Growth in the Western BOP needs to be
managed so that it supports and enhances the
health of residents and ensures no harmful
effects on the natural environment.
The BOPDHB has made a
submission to the draft
SmartGrowth Strategy 2013.
This 50-year strategy will be
the basis for healthy living in
the Western Bay of Plenty.
As a health agency, the BOPDHB recognises
that the foundations for good health are the
social determinants including safe employment,
quality and affordable housing, education
opportunities, physical activity opportunities,
social connectedness, personal safety, clean air,
water and soil and effective waste disposal and
easily accessible health services.
The key message that the BOPDHB has sent to
the SmartGrowth partners (TCC, WBOPDC, BOP
Regional Council and Tangata Whenua collective)
is that in order for the Western BOP to be a great
place to ‘live, learn, work and play’, there needs
to a compact urban form for Tauranga City and
an improved transport system.
A compact urban form and improved transport
system can enhance these foundations by
stimulating improvements to the provision, quality
and desirability of public space, the provision
of walking and cycling infrastructure, increased
public transport and increased access to all
community facilities and services. This approach
also reduces the need for expensive investment in
new outer city infrastructure and the associated
heavy reliance on motor vehicles. The Western
BOP growth pattern in the recent past has been a
contributor to our increase in diabetes, cardiovascular disease and some cancers.
The BOPDHB has congratulated SmartGrowth
on its four well-beings approach (economic,
environmental, social and cultural) and the
involvement of many organisations other than
local government in developing the strategy and
solutions for future growth management.
The written submission was prepared by Toi Te
Ora Public Health Services staff in conjunction
with Planning and Funding, and approved by the
DHB Chair. There will be opportunity to present
an oral submission in mid-June.
RHIIP into it!
By Sarah Strong,
Clinical School Manager
Four groups of students
have completed the Rural
Health Interprofessional
Immersion Programme
(RHIIP) in Whakatane. We
are one of two pilot sites
in New Zealand, along with
Gisbourne, Tairawhiti DHB.
Each programme runs for a six week block
and has seven or eight students working
together from a number of professions:
medical, nursing, occupational therapy,
physio and pharmacy.
Students explore each other’s roles and
responsibilities, shadow each other for
a day, and develop an interprofessional
care plan for a primary care patient.
These care plans are presented to the GP
team. They also spend time with patients
in the community exploring Maori health
perspectives, complete specific workshops
on interprofessional working, the rural
health context, Maori health needs and
models of care and teamwork. Extended
activities have included workshops and
mock primary care assessment with St
Johns and emergency services.
The programme is facilitated by an
interprofessional team comprised of Dr
Jo Scott Jones from the Opotiki Church
Street Surgery and Registered Nurse Carley
Jones of the Mental Health and Addictions
Service. In addition Maori academic support
will form an integral part of the programme
A simulation exercise with St Johns and the fire brigade took place during the pilot RHIIP programme last year.
Nursing Student Leonie Wakefield fits a neck brace to one of the two St Johns volunteers who were car crash
victims in the simulation.
with this position currently being recruited by
the University of Auckland.
Living together during the programme is
encouraged by offering free accommodation
in two student houses in Whakatane. Specific
comments from students have focussed on
the benefits gained from living and working
together, with an increased understanding of
each other’s roles.
Students commented on an increased
awareness of the benefits and challenges of
working rurally and more willingness to work
in a rural area.
“I have a greater appreciation for the lack
of resources and opportunities the people of
rural communities have and how much they
need.”
“It was great to see the depth of knowledge
in different areas and the learning approach
means that the patients care was more
holistic.”
“The best experience to actually be able
to go out into the community in rural areas
and see the inequalities compared to the
environment I have been brought up in in an
urban area. The inequality is overwhelming.”
“Great for breaking stereotypical ideas
and seeing strengths of other healthcare
workers.”
Support from Whakatane Hospital staff has
been much appreciated and integral to the
success of this programme.
7
Celebrating long
By Maxine Griffiths,
Staff Engagement Leader
Tauranga
40
years
service
We know that health
professionals choose the
vocation they do mostly
because of their passion
and dedication, so it is
important that BOPDHB
continues to support and
develop opportunities, to be
an employer of choice and
exhibit the value it has for
its employees.
Excellence. Aligning the values of an organisation
with the aspirations of its staff and expectations
of those it serves, is key to sustaining a high
quality, motivated and engaged workforce.
Our Staff Service Recognition celebrations are the
epitome of such values. Undertaken on an annual
basis, they have gone from strength to strength
not only in the number of employees accepting
invitation for recognition, but also in the
attendance of their family members, colleagues
and managers in support of the contribution
made and the loyalty shown by these longer
serving employees. Whilst acknowledging the
importance of the occasion, the celebrations have
assumed a relaxed, informal atmosphere, with the
opportunity for recipients and their families to mix
and mingle with other recipients and colleagues
away from the workplace.
The organisation has recently adopted a new
set of values identified by the acronym CARE
- Compassion, Attitude, Responsiveness and
The photos below are a snapshot of this year’s
celebrations in Whakatane on May 1 and
Tauranga on May 16.
Community Mental Health Team
Elective Services Manager Kathie Sale and
partner Chris Rutherford (10 yrs).
Clinical Physiology Team, Joelene Walker (10
yrs), Michelle Bayles and Sheryl Tait (20 yrs).
Maternity Unit and Special Care Baby Unit
Team.
Board Chair Sally Webb and cake cutter SCBU
Registered Nurse Beth French.
Community Mental Health Registered Nurse
Dave McLean and Emergency Department Nurse
Practitioner Ali McLean (15 yrs).
Anaesthesia & Surgical
Services Nurse Leader
Ros Jackson (10 yrs).
8
Nurse Leader
Clinical Support
Maurice Chamberlain
(15 yrs).
Dental Therapist
Michelle Grierson
(20 yrs).
Nurse Educator
Fiona Williams
(25 yrs).
Ward 3A Enrolled Nurse
Carolyn Booker
(30 years).
Te Whare Maiangiangi
Registered Nurse
Jane Robertson (35 yrs).
service with staff
Whakatane
Maurice Chamberlain and Paediatric Team
ladies Colleen Clulow (30 yrs), Lydia Snell (15
yrs) and Carol Murphy (25 yrs).
Te Koru Therapy & Rehabilitation Team.
35
years
service
Board Chair Sally Webb and cake cutters,
Kitchen Assistants Iris Pooley and Dorothy
Thrupp (35 yrs).
Registered Nurse Patient Transfer Debra Middleton
(10 yrs) with daughter Hope and son Sam.
Tait Kora from maintenance (35 yrs) with son
Stuart and grandson Tane.
“I have been employed with the BOPDHB
since 1997. In that time I have seen many
changes and met many committed and
passionate people.”
“Positive experiences include the support I
was given while doing post graduate study,
the implementation of the Releasing Time to
Care programme along with Team Nursing.”
“I would like to thank the BOPDHB for the
opportunity to work in an organisation
with some of the friendliest, outgoing and
loveliest people you could meet.”
“Over the past years, BOPDHD has cultivated
an innovative organisation/culture. It has
given staff the freedom to think outside the
‘square’ and join all those dots that others
cannot see.”
Surgical Team members Viv Murfitt (15 yrs),
Desiree Kelly (25 yrs) and Trudy Howard (25 yrs).
Toi Te Ora Public
Health Development
Advisor Sharon Kennedy
Muru (10 yrs).
Health Records
Administration Support
Lesley Anderson
(15 yrs).
Registered Nurse, ICU/CCU Jill Bradley (25 yrs)
with Mum Louie.
Orderly Ted Large
(20 yrs).
Medical Records
Clinical Coder Nikki
Schwass (25 yrs).
Non Clinical Support
Administration Support
Elaine Secker (30 Yrs).
Te Pou Kokiri Te Koru
Therapy & Rehabilitation
Riripeti Rio (37 yrs).
9
Lippincott nursing manual for another 3 years
By Raewyn Adams, Librarian
Lippincott’s Nursing
Procedures and Skills
manual will be available
for DHB staff for another
three years. Off-site
uptake has mainly been
from hospice and agedcare nurses, with a good
number of keen DHB
nurses also signing up to
access it from home.
Back in 2011 the Midland Directors of Nursing
ran a pilot process and resource evaluation
which resulted in this product being chosen for
the region. The project was called ‘Improving
Nursing and Midwifery Utilisation of Evidence to
Inform Clinical Practice’. The point of it was to
provide a robust resource for all nurses in the
Midland region to enable consistent application
of nursing procedures across the region.
The implementation of the project included
an assessment of every procedure in the
manual to ensure its suitability for New
Zealand conditions. This was done by
experienced nurses across the Midland
region and those procedures that were
not appropriate were either edited or
discarded. The final step was for the DHBs
to incorporate the resource into their formal
policies. Bay of Plenty DHB nurses who check
the CPM protocols will find that many now
link to the Lippincott manual. The whole
manual can also be accessed via the Nursing
menu on the library page.
To enable private access to all eligible nurses in
the region, including BOPDHB nurses who wish
to use the manual from home, a Moodle site
was set up at http://bestpractise.elearning.
ac.nz. Anyone who is a registered nurse working
for any organisation that receives at least
partial DHB funding is eligible. To set up a
login, go to the website, sign up and follow the
instructions for your access to the product. An
email is then sent to the DHB library closest to
you, your credentials are checked and you are
notified that your access has been enabled.
When that process is complete, you can then
use the product any time and from any
computer.
An early part of this project also included
a subscription to Ebsco’s Nursing Reference
Center. This was a point of care tool for
nurses but we were unable to continue the
subscription and access to this product is no
longer available in the BOPDHB area. Please
see library staff if you have any questions or
call the Tauranga Library on ext 5687 or 8687,
or the Whakatane Library on ext 4819.
Welcome to the Transit Lounge
By Keri Henderson, Registered Nurse
The Transit Lounge at
Tauranga Hospital reopened
late last year and is proving
to be a comfortable place
for patients to wait prior to
discharge.
Open Monday to Friday 9.00am to 5:30pm, the
lounge is staffed by a qualified, experienced
team of nurses, who work towards continuing
and completing the discharge process for the
patient. The aim is to support patient flow in
to, out of and around the hospital.
The team in the Transit Lounge provide services
such as: completing/sending district nursing
referrals; completing ACC referrals; wound
10
dressings; liaising with MDT when needed; and
continuing education.
The area is equipped with Lazyboy chairs,
two beds, and a wound dressing area. Hot and
cold drinks are offered regularly as well as a
light lunch, and reading material is available
if desired. An up-to-date information board
displays community groups and topical subjects.
Currently, we are displaying information
on influenza and over the last weeks have
promoted Asthma Week and World Smokefree
Day. We attempt to be educative and innovative
and not merely a waiting room.
At the Transit Lounge we value the support of
the wider hospital community and we’re always
open for you to come and check it out. The
current policy is under review and it is hoped
that once this is completed we will have an
update of the services available.
Registered Nurse Keri Henderson helps patient
Patricia Barton in the Tauranga Hospital Transit
Lounge.
History in the making
Photos of people, events
and buildings dating back to
1900 are being gathered to
be part of the Whakatane
Hospital History Wall.
“Building the new hospital gave us the idea
to gather history of the area and what’s been
happening in health over the last century,”
says DHB Board member Yvonne Boyes.
By Sue Freeman,
Smokefree Coordinator
Located by the staff cafeteria, the 12 panels
will depict a timeline of health-related
memories from 1900 through to 2012.
Yvonne says the wall is a culmination of many
months of team work.
“Many people have been involved in the
project: Carol Charters, Nancy Nielsen, Ian
Shearer, Jane Haultain, Gay Turner, Rona
Stanley, Ron McMullen and representation
from Maori Health.”
The DHB’s Multi-Media Designer Sally Llewellyn
is designing the new history wall set to go up in
Whakatane Hospital in July.
The content is currently being reviewed
decade by decade by the team to ensure all
history is correct. The plan is for it the wall
to be completed during July.
In your SHOES
By Penny Horton,
Clinical School Education Manager
Showcasing Health
Occupations and Experiences
(SHOES) is a series of
seminars relating to health
careers targeting students
from local secondary schools.
Facilitated by BOPDHB Career and
Development Advisor Jude Ebbett, the
seminars are designed to enable young people
to investigate health career opportunities and
assist them to make informed decisions about
subject options which will prepare them to
achieve their study goals.
The focus of the first seminar in April was
‘Medicine as a Career’. Approximately 60
young people, and some parents, from
local secondary schools attended the
event. Doctors Clarence Kerrison, Theresa
Mittermeier, Bonnie Leung and Wing Mu
discussed: how they had made their choice
of medicine as a career; how they met the
challenge of competitive entry into training;
experiences of their career so far; and advice
from their experiences.
Their relaxed and informative presentation
held the attention of the audience and
prompted a number of questions. Consultants
Neil Graham and Mark Lawrence described
aspects of their own career pathway
and specialties. Sarah Strong provided
information regarding UMAT as part of entry
criteria and provided the audience with
information about the course offered by the
Clinical School at the end of each year which
helps prepare students for UMAT.
World
Smokefree
Day
Graduate Registered Nurse from the
Perioperative Department Abby Rickard
(centre), shows students how to take blood
pressure readings.
Approximately 20 students and parents
attended the second seminar in May which
focused on careers in Nursing and Midwifery.
Presentations from Student Nurse Coordinator
Cindy Harper, Bachelor of Nursing students
Georgia Lee Park and Mark Travers; graduate
nurses Min Wang, Kirsty Blenkiron and Abbey
Rickard; midwives Leigh Robertson and
Noeleen Morely provided a comprehensive
overview of the benefits and challenges of
choosing a career in nursing or midwifery.
Head of Department for the Bachelor of
Nursing Programme at Waiariki Polytechnic
Brighid McPherson, gave a broad outline
of the programme including entry criteria,
costs, course requirements and professional
standards. Following the presentations
Clinical Nurse Educator Louise Fowler
provided the audience with an opportunity
for hands-on experience at taking blood
pressure, checking blood glucose levels and
handling IV equipment.
Thank you for supporting
this year’s World Smokefree
Day on May 31.
At the Tauranga Hospital stand on May
31 eight QuitCards and three referrals
for support were written for people both
wanting to quit completely or to cut down
until they are ready to stop. Information
packs were requested by another 16
families. We also had Hypnotist James
Marks available for support and he made 20
contacts.
The cost of smoking is too high with most
smokers telling us they wish they had
never started. Smokers regard doctors
and nurses as reliable and knowledgeable
sources of knowledge about quitting, and
are likely to accept your advice when
they feel physically vulnerable due to a
health problem especially if it is related
to smoking. A 30 second to three minute
intervention which includes the benefits of
quitting has been shown as cost effective for
the hospital service and trebles the chance
of the patient making a quit attempt.
Recommend nicotine lozenges to all
hospitalised smokers to help them quit
or replace their smokes while they are in
hospital to manage nicotine withdrawal and
allow them to stay safely within hospital
buildings especially after hours.
The World Smokefree Day survey showed
5% of visitors did not know our grounds
are smokefree (note: all smokers were
aware). Pictorial signage will be placed at
front entrances of hospitals to overcome
language barriers.
For staff who would like to wear the green
smokefree t-shirts ‘You can quit – ask me
how’, they are available at a small cost
through IPROC and can be worn to work on
any day of the week. Whakatane Hospital
staff wear theirs every Wednesday.
For some information or to book in an inhouse training session, please contact me
on ext 8476.
A sincere thank you to all of those mentioned
above who willingly gave their own time
to show-case their occupations with such
professionalism and enthusiasm.
11
What is
HealthShare?
Introducing SimNewbie
By Sarah Strong, Clinical School Manager
By Philippa Edwards,
Systems and Data Analyst,
HealthShare Ltd
You may have heard
of work being done by
HealthShare and wondered
who they are and what
involvement the BOPDHB
has. HealthShare provides
shared services to the five
DHBs in the Midland region
(Bay of Plenty, Lakes,
Waikato, Tairawhiti and
Taranaki) to support the
DHBs working regionally.
The Clinical Work Programme arm is tasked
with providing project management and
systems/data analysis resource to regional
action groups made up of SMOs, GPs, CNS,
Business Leaders, Chief Operating Officer,
Planning and Funding, Maori Health and
Communications from across the five DHBs.
Meetings are held quarterly for each work
programme primarily with a clinical focus
on how to improve service delivery, equity
and future capacity. Attendees remove their
individual DHB hats and work within the group
for patients across the Midland region by
working towards equity of access, developing
regional clinical pathways, identifying
workforce and IT issues and solutions, and
sharing clinical knowledge.
Currently the groups are Rural, Stroke, Elective
Services (Opthalmology, Orthopaedics, and
Chronic Pain), Maternity Action Groups, EDs,
Trauma, Health of Older People, Renal, Cardiac
and Radiology Networks. These have been
selected as are either vulnerable services
or services with a Ministry of Health focus.
Working together across the region allows for
innovation and sharing of a nature that has not
been as feasible under individual DHBs.
The Regional Services Plan (RSP) describes
a vision for the future of health services in
the Midland region and provides a framework
for the five Midland DHBs to continue to plan
and work cooperatively. The RSP has been
developed across the five DHBs.
Paediatrician Jeremy Armishaw (left) and Resuscitation Coordinator Andy Davies with the newest member of
the Sim Family - SimNewbie.
The delivery of SimNewbie
on May 28 completes our
Sim Family of SimJunior and
SimMan. Thanks to generous
funding from TECT (Tauranga
Energy Consumer Trust) we
now have a new-born baby
manikin which will enhance
the way clinical training
scenarios are undertaken to
make them more realistic.
Resuscitation Coordinator Andy Davies says the
arrival of SimNewbie means we will be able
to enhance our training by adding a higher
degree of realism to the education process.
“Midwives, doctors and nurses will be able to
engage with SimNewbie as if it is a real sick
baby,” he says. “The manikin has realistic
functionalities such as: chest rise and fall for
breathing; the lips change to blue/white; to
illustrate when oxygen levels are low, the
umbilicus can be cannulated to give fluids;
and IO drills can be used to gain practice in
this technique. To have a manikin that moves
its arms and legs, makes it look alive, along
with life-like crying, all add to realism for the
training, which in turn makes the clinician
observe more carefully rather than being
given a vocal prompt by the instructor.”
Training for the educators will start in
September. Clinicians will learn all the
functionalities including how to programme
and customise training scenarios.
Want a
healthier lifestyle?
Let us know how we can help by
completing the BOPDHB’s 2013
Healthy Living Survey. See back
page for more details.
12
healthyliving
Bay of Plenty District Health Board
MHSOP Mauao Mosaic project completion
celebration garden party
At the end of June staff
gathered in the Mental
Health Services for Older
People (MHSOP) garden to
celebrate the completion of
the Mauao Mosaic project.
The mosaic designed
collaboratively by OTs and
consumers of the service
stretches along an inner
wall of the sensory garden
adding brightness and
colour to the garden.
OT Coordinator for MHSOP Cilla Kuzmanov
spoke at the function thanking all those
people who had been involved in fundraising
for the project, management for their
support, those involved in developing
the sensory garden and the designers and
assemblers of the Mauao Mosaic.
The project began in December 2011 when
the first garden party was held. At that time
plans for the garden included a mosaic mural,
raised beds, a water feature, privacy area,
and a Zen garden.
The sensory garden has been developed in
partnership with the sensory modulation room
based in Tauranga Hospital’s adult inpatient
mental health unit – Te Whare Maiangiangi. The
sensory room, like the sensory garden is a place
where patients can relax, refocus and better
cope with their illness.
The MHSOP garden parties have been extremely
successful since they began, selling homemade
food and produce, Bric a Brac and Christmassy
things and will continue as funds are needed
for another mosaic for another part of the
MHSOP gardens.
The mosaic was created by Community Outreach
Service clients, under Mental Health Services for
Older People and took 18 months to complete.
BOPDHB would like to thank hospital staff, the
community and Bayfair for their support with
various fundraisers for the project.
13
John and his side-kick Brady
By Penny Sanderson, Regional
Manager, Clinical Support Services
Many patients and staff will
have noticed the new staff
members of the Health
Records Department. John
Blakeman and his guide
dog, Brady, recently joined
the team and have not only
positively contributed by
assisting with the workload,
there have been other
noticeable benefits as well.
It’s been interesting to have a male working
in what has been a traditionally female work
environment but the biggest change has been
having Brady in the department. Watching
the faces of staff who are under pressure
with heavy workloads as they interact with
Brady has been amazing. Staff taking the
time to have a quick chat and give Brady a
quick pat seem to remove their stress and
invariably puts a beaming smile on their face.
John and Brady not only work within Health
Records, but also go to each ward once a day
selling the daily newspaper. Again the reaction
from patients, visitors and staff has been
extremely positive. Patients, particularly the
elderly, respond very warmly to both John and
Brady and John is always willing to let Brady
spend some time with patients who wish to
meet and interact with him.
John says he is really enjoying his new role at
the DHB and working with awesome colleagues.
“It’s great that Penny and the team have faith
in me that I can do the job and are willing to
have me on board – Brady and I are both really
enjoying it,” he says.
As John and Brady continue to settle into
work here at Tauranga Hospital, further tasks
are being added to their daily routine which
means they are spending more time out of the
department. Brady has proven that he only has
to be taken on one of these new routes once
and he knows how to get John and himself
there and back the next time he’s needed to.
John and four year old Brady are making their
mark as members of the Health Records Team.
Health symposium popular with Bay students
By Chae Simpson, Kia Ora Hauora Midland Programme Coordinator
During April the Kia Ora Hauora team took 13 Bay of Plenty
students to the Te Rau Matatini Rangatahi Symposium in
Tauranga. The students from Bethlehem College, Otumoetai
College, Edgecumbe College and Tauranga Girls College were
part of a group of 40 Year 12 and 13 students from across the
Midland region.
All Midland students that attended the event
were able to complete health career plans with
Kia Ora Hauora. The plans are a new initiative
to help students address any gaps in their
learning and experience before they apply for
tertiary study.
For more information please contact
Chae Simpson via email chae.simpson@
lakesdhb.govt.nz or phone 027 432 9059.
The symposium provided networking and leadership activities designed to expose students to current
Maori health issues as well as create links with health professionals.
“We have learnt so much from this experience and it has been so awesome to meet students from
other schools. I came away knowing a lot more about what I need to do to get ready for Uni,” said
Tiriana Anderson, a student from Nga Taiatea Wharekura in Hamilton.
14
Future Maori health professionals from colleges
across the Bay gather in Tauranga for an
educational insight into working in health.
PuzzleTime!
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
Actual quotes
from medical
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We received a few less articles for this month's Checkup so had 
records
a page to fill. We thought it would be fun for you to have some

puzzles to complete - good luck and enjoy!
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



AUDIT
PEPIPOD
CHECKUP
RURAL
CHRISTCHURCH
SHOES
CIRCA
SIDEKICK
GARDEN
SIMNEWBIE
HEALTHSHARE
SMARTGROWTH
HEALTHY
SMOKEFREE
HISTORY
SYMPOSIUM
IMMERSION
TRANSIT
INFLUENZA
WAITANGI
LIPPINCOTT
WALL
better.
Patient has chest pain if she lies on her
left side for over a year.
The patient is tearful and crying
constantly. She also appears to be
depressed.
The patient refused an autopsy.
The patient has no past history of
suicides.
PARTY
Patient has left his white blood cells at
another hospital.
PASSPORT



The patient's past medical history has
been remarkably insignificant with only
a 40 pound weight gain in the past three
days.

Checkup Crossword

She slipped on the ice and apparently her
legs went in separate directions in early
December.













The patient had waffles for breakfast and
anorexia for lunch.
Between you and me, we ought to be able
to get this lady pregnant.


On the second day the knee was better
and on the third day it had completely
disappeared.
Patient was released to outpatient
department without dressing.
LIVING
Check Up Cross Word


heart had stopped, and he was feeling

Check Up Cross LOUNGE
Word






























By the time he was admitted, his rapid

Checkup Word Search

The patient was in his usual state of good
health until his airplane ran out of gas and
crashed.
She is numb from her toes down.



 
 
 
 
 



 


 


 


 

 

 
 





 






 
 
Patient was alert and unresponsive.
When she fainted, her eyes rolled around
the room.
"It's simple. The nurse blindfolds me,
I spin around a few times, and then I try to
reattach your tail."
15
Want a
healthier lifestyle?
Let us know how we can help by
completing the BOPDHB’s 2013
Healthy Living Survey.
BOPDHB Healthy Living
initiatives to date have included:
 Employee Health Clinics.
 SWEAT gym and exercise classes.
 Information sessions on heart
health, nutrition, and other healthrelated topics.
 Financial support workshops.
 Review and development of
supportive workplace policy.
 Employee Assistance Programme
(EAP) services.
… what else would you like to see?
How to complete
the Healthy Living
Survey
• Go to the
health
homepage
ylivin
g
of Pacentral
and click on the
Healthy Living icon.
Bay of
Bay of Plenty District Health Board
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
rict Hea
lth Boa
rd
• For those without computer
access a printed hard copy
can be emailed to your
manager or sent to you via
the internal mail. Please
contact Ted Harper via email
ted.harper@bopdhb.govt.
nz or call ext 8374. Printed
copies should be sent back
to Ted through the internal
mail system:
healthyliving
Plenty
Dist
Ted Harper
Manager - Employee Health
and Safety Service
Room 152, Level 2
Pohutukawa House
Tauranga Hospital