Nursing & Midwifery News – February 2023

From Shane

A huge welcome to a couple of cohorts of new colleagues that are joining the Western Health team this month.

In late January our first group of new RUSONs and RUSOMs commenced their careers at Western Health, consisting of Year 2 and 3 undergraduate student nurses and midwives. You all know what a huge difference that our RUSON/Ms make in our wards and departments. Under the supervision of our nurses and midwives, these important roles not only support the provision of Best Care to our patients and women, but the program also supports the RUSON/Ms to become more exposed to working in a busy hospital whilst they are studying – helping them to become better nurses and midwives once they graduate.

A significant proportion of our RUSONs and RUSOMs go on to become our graduate nurses and midwives at Western Health, and this month we also welcome our first group of graduate nurses and midwives for 2023. This year our Grad+ program has grown, and in a very competitive environment I am delighted that so many early career nurses and midwives have chosen to start their careers with us. No matter how long you have been working, I am sure that you remember what it was like to start life as a nurse or midwife for the first time. There is an equal mix of excitement and nervousness, and such a lot of new information to take in! I am confident that with your support and the renowned friendliness of our Western Health teams, all of our new graduates will settle in really quickly. Please join me in making all of our new colleagues very welcome.

Of course, it is not only important to attract and welcome the best and brightest nurses and midwives, but we also want to retain them for hopefully a long, happy and rewarding career at Western Health. As I have been talking to our nurses and midwives over recent months, one theme has resonated more than anything else – the need for greater flexibility and better rosters that are more employee-centered. We have therefore teamed together with Safer Care Victoria, the Department of Health, the ANMF and 2 other health services to lead Victoria in changing the way we roster nurses and midwives. This important project aims to:

• Improve staff engagement, wellbeing, and retention.
• Help shape workforce reform.
• Maximise the availability of nurses and midwives.
• Reduce fatigue related illness and casualisation.
• Meet an individual’s work, family, and social situation.
• Be more responsive to flexible working arrangements.
• Meet the professional needs and desires of our nurses and midwives.

At Western Health, all of our nurses and midwives will have an opportunity to inform and influence this important work. You will hear more about it over the coming weeks.

The Rostering Project, RUSON/M program and Grad+ program are components of our Nursing & Midwifery Workforce Plan for 2022-2026 which will be formally launched this month. This plan has been developed over the past 18 months with significant consultation to ensure we enhance Western Health being a great place for nurses and midwives to work and to meet the workforce challenges that we are facing now and into the future. The size of our workforce will nearly double over the next 6 years, and I am confident that the plan will put us in the best possible position to meet this challenge.

This year I will be commencing regular Nursing & Midwifery Open forums, which will be another way for our nurses and midwives to keep up to date and informed about things that affect nurses and midwives locally, across Victoria, nationally and internationally. This will complement the CEO Forum and will be more focused in on matters that directly impact our nurses and midwives. The first one is planned for 14 February at 2pm, please join me if you can.

February is scholarship month, so if you are undertaking post-graduate study in 2023, please make sure that you get an application in. There are generous scholarships available!

This week our team at Grant Lodge have shown Best Care in action having undertaken their first short-notice aged care accreditation since Western Health took over governance of the residential aged care facility. Whilst the assessors are not able to give the outcome as they were exiting, their comments were extremely positive. Well done to all involved for their ongoing commitment to resident-centred care.

I am delighted to welcome Ryan Dube to the Nursing & Midwifery Executive at Western Health this month, as our inaugural Director of Nursing for Mental Health & Wellbeing. Ryan will take the lead on the clinical preparation for us to become a designated mental health service from 1 July 2023.

It is pleasing to see a significant reduction in COVID hospitalisation numbers over the past couple of weeks, with them being at the lowest point in a very long time. Despite this, the demand for our services remains extremely high and you are all doing an amazing job of maintaining a focus on ensuring that our community receives Best Care, in a timely manner in the most appropriate location. My sincere thanks – it truly does make a difference.

Staff furlough numbers however are remaining fairly constant; however, I have confidence that our staffing levels will continue to improve from this month onwards.

Shane Crowe
Executive Director, Nursing & Midwifery

Patient Assessment education program

A new patient assessment education program was launched organisation-wide on 16 January 2023. The program consists of WeLearn mini-modules and associated bedside education facilitated by clinical nurse educators (CNEs) and clinical support nurses (CSNs). The modules are:

• Pre-evaluation and Introduction to Patient Assessment
• CNS and Neurovascular
• CVS and Respiratory
• GIT and Renal
• Skin Integrity and ADLs/Safety
• Post-evaluation upon completion

The modules are being released every 2-3 weeks and CNEs and CSNs will be providing education and support around these skills. This 10 week program and is a great opportunity for all nursing staff at Western Health to participate as the bedside education and support will be targeted at individual skill levels.

In mid-February there will a pilot on 4 wards trialing a more ward-targeted approach delivering the education. Educators will be doing monthly education plans with our Unit Managers to identify ward priorities, which will then inform tailored bedside education that would benefit each individual ward.  Critical thinking and reflective practice will form an integral part of this rollout and once the pilot is complete this will be rolled out organisation wide in late March/early April.

This has been really exciting so far. The new model provides support, and we are confident that this bedside focused approach will enhance the skills and capability of our nurses and midwives.

If you have any questions please discuss with your ward Educator.

Post-graduate Scholarship applications closing soon

Western Health in partnership with respected Victorian Universities offers postgraduate programs for nurses interested in developing their knowledge and skills in specialty nursing practice.

The program includes:

• Postgraduate Diploma in Advanced Clinical Nursing (Adult Acute Care) in extensive specialties including Cardiac Care, Critical Care, Emergency, Perioperative, Paediatrics and more.
• Master of Nursing (any speciality)

Benefits

• A combination of employment and study
• Increased opportunities to integrate theoretical knowledge into clinical practice by being employed in the specialty area being studied
• Academic pathways for higher degree studies
• Financial recognition i.e.: Higher qualification allowance for nurses who complete relevant postgraduate qualifications

Recognition

Recognition of prior learning is possible for nurses who have completed post registration studies in some clinical specialties. These nurses may be eligible for credit of up to 50 percent of the program.

Scholarship Applications

Applications close February each year. Scholarships are only available to Western Health Staff.

• 25% funds on 50% completion of studies
• 25% funds on 100% completion of studies
• Remaining 50% of funds 12 months post completion of study

A number of scholarships are available for Western Health nurses, including:

Western Health Postgraduate Nursing and Midwifery Scholarships:

Nursing & Midwifery sets aside dedicated funds each year to support our nurses to be able to undertake postgraduate education through lessening the financial burden. Please click on the following documents to lean more and apply:

• Post-graduate Studies Scholarship Application Form & Guidelines 2023
• Post-graduate Studies Scholarship Checklist 2023

Applications close: Close of Business Friday 24 February 2023

Department of Health Postgraduate Nursing and Midwifery Scholarship:

Each year Western Health receives dedicated funding from the Department of Health to support our nurses to be able to undertake postgraduate education. Please click on the following documents to lean more and apply:

• 2022-23 Nursing & Midwifery Postgrad Scholarship Application
• Information for Post Graduate Scholarships
• DH Scholarship Guidelines

Applications close: Close of Business Friday 10 February 2023

Any Western Health staff wanting to undertake post-graduate education is encouraged to apply for both the Western Health and Department of Health scholarships.

More information

Please contact the Scholarships Registrar within the Western Health Education and Learning via phone 8345 6845 or email welearn@wh.org.au.

Welcome to our new RUSON/Ms!

In late January some more fresh faces commenced at Western Health, as we are welcomed our first intake of Registered Undergraduate Students of Nursing and Midwifery (RUSON/RUSOM) for 2023.

Undergraduate students of nursing and midwifery play a vital role at Western Health, assisting our registered nurses and midwives on our wards. The program gives students an opportunity to practice the skills they are learning at university and gain practical experience before they graduate. While they’re with us, they develop an in-depth understanding of how a hospital operates and build trust and rapport with patients and treating teams alike.

Western Health was the first Victorian health service to implement the RUSOM role and significantly expanded the employment of RUSON roles in response to the COVID-19 pandemic. RUSONs were heavily involved in our COVID-19 response, working at our testing and vaccination sites to help keep our community safe.

A significant number of our RUSONs and RUSOMs go on to become our future graduates and continue their career with us – after all, West is Best. A huge welcome to you all, it’s great to have you on board!

Nursing & Midwifery Workforce Plan set to be released

An engaged, committed, robust and skilled workforce is the key to any successful organisation. Western Health is an organisation of people that provide healthcare to people, so to achieve our Purpose the effective management of our workforce is integral. There are many factors, both internally and externally, that impact on workforce management – so an informed, strategic and multi-facetted plan is essential.

As the largest workforce group, which is uniquely involved in all aspects of healthcare and the patient journey, our nurses and midwives have a critical role to play in shaping the future of Western Health.

There is no doubt that the current local, national and international nursing and midwifery workforce challenges are greater now than
any other time in our careers. After years of having projected a shortage of nurses and midwives, as the COVID-19 pandemic has globally impacted on all elements of healthcare the demand for healthcare professionals exceeded the available supply. The last couple of years has seen the predicted shortages become a reality.

The reasons for the shortages are varied and include fatigue and the direct impact of the pandemic on the workforce, an ageing workforce,
and a growing preference for part‑time work. Western Health has not been immune to the effects of this shortage of nurses and midwives, however our planning has placed us in an enviable position. Western Health’s Nursing & Midwifery Workforce Plan 2019-21 has been instrumental in placing the health service in a strong workforce position, which has allowed us to continue to grow and be responsive to meet the healthcare needs of Melbourne’s west.

The evolution in health care delivery has not only continued, but it has been fast-tracked due to the pandemic spurring on innovation
like no other time seen in recent history. This has resulted in new models of care, new roles, increases in community- based healthcare
and the increased use of technology. These evolutions in care have seen an increase in the complexity of care and a greater requirement for clinicians to have highly developed skills in supervision and delegation.

On top of these currently challenges, Western Health is a rapidly growing health service. Over the next 6 years we will almost double in
size, with the new Footscray Hospital, Melton Hospital, mental health services and community hospitals coming on line. It is therefore vital that we have a robust Nursing & Midwifery Workforce Plan for the upcoming 5 years to ensure that we build upon the successful
initiatives of the past, to include actions that strategically meet the current and future requirements.

During February, after 18 months of extensive analysis, planning and consultation, Western Health’s Nursing & Midwifery Workforce Plan for 2022-26 will be formally launched. Keep an eye out for it!

Night-duty meals program comes to an end

The extended meals and refreshment program – part of the Victorian Government’s winter retention strategy – has come to an end, with the last meals provided on Tuesday 31 January 2023.

Running since 1 July last year, the program has provided just short of 80,000 meals to staff working night shift at Sunshine, Footscray, Williamstown and Bacchus Marsh Hospitals.

The program was initially due to cease on 31 December, but the Victorian Government extended the program by an additional month.

Short Notice Accreditation being introduced

We are due to undertake health service wide accreditation against the National Safety and Quality Health Service (NSQHS) Standards in the second half of 2023. We last underwent accreditation at Western Health in 2020 – in fact it was the week before COVID was declared a pandemic. There have been a number of changes to the accreditation process since then, which include:

• accreditation now being a short-notice assessment rather than a scheduled event. For Western Health, this means we will get 24 hours’ notice any time from 1 July 2023 – 30 November 2023 that Surveyors will be arriving for a week of Survey. Although quite different to what we are used to, this is positive as it means surveyors will get to see us how we really are when undertaking our ‘business as usual’.
• the surveyors will spend much more time on our clinical wards and departments, with a target of 75% of their time as compared to 60% in 2020.
• our new mental health services will be included in the assessment.
• our evidence of compliance needs to be more evident and accessible than previously required.

Fortunately, we were already working on a business as usual approach to compliance against the NSQHS Standards before the above changes were announced on 16 January 2023. New multi-disciplinary (‘Fab 5’) teams for each Standard commenced in October last year and are working in conjunction with key Western Health committees to ensure our Best Care quality systems are being used to continually monitor, review and improve compliance against the NSQHS Standard requirements.

At the start of November last year, there was great staff engagement in the Advancing Best Care week that included the launch of improved quality systems supporting compliance with NSQHS Standards such as PROMPT (policy & procedure platform) and the refreshed ABC (Audit Best Care) process and changes to the Riskman system.

A new Live Best Care site was also launched which will be a central hub for communications, information and links to business as usual evidence supporting NSQHS Standard compliance. With Accreditation Surveyors spending so much time in clinical wards and departments, this site will also be great resource for front-line staff to easily access information on our approach to Best Care to share with Surveyors.

We passed accreditation with sterling results in 2020 and we have continued to improve! The really positive message from this survey was when surveyors were out talking to our staff and our patients and our volunteers, they all talked the language of Best Care – care that is person-centred, co-ordinated, right to meet the needs of patients, and safe. The short-notice accreditation survey in 2023 will be another opportunity for us to show Best Care in action and what great work we do. I have every confidence we will shine.

Information will start coming out over the coming weeks and months on things you can do to ensure you feel ready for our short-notice accreditation survey

Linen Reporting Portal

A portal has been set up to log issues related to linen supply across Western Health sites.

The portal is managed by the Health Support Services, and provides an opportunity for clinical areas to record issues in real time.

Should you have any issues relating to your linen supply, please direct all enquiries to Linen Reporting.

Our inaugural Director of Nursing for Mental Health & Wellbeing

We are delighted to announce the appointment of Ryan Dube to the role of Director of Nursing for Mental Health & Wellbeing Services at Western Health, who will be the Senior Mental Health Clinical Lead for the Mental Health Transition & Integration project.

Ryan Dube is a Registered Nurse who comes to Western Health with extensive experience, expertise and leadership within mental health, and has a proven track record of an ongoing commitment to improving the care of people with a mental health diagnosis. Ryan is a values-driven leader, who is committed to working collaboratively to achieve high quality outcomes for our consumers, staff and the wider community.

Most recently Ryan was at Mercy Health where he was the Deputy Program Director for Access, Inpatient and Residential Services, a role that he has held since 2020. Prior to this he was the Director of Clinical Services at Belmont Private Psychiatric Hospital in Queensland and the Executive Director for Prison Mental Health Services at Forensicare.

Prior to the transition (until 30 June 2023) Ryan will work as part of the Mental Health Transition and Integration team as the Senior Mental Health Clinical Lead, reporting operationally to Paula Stephenson (Director, Mental Health Transition & Integration) and professionally to Shane Crowe (Executive Director, Nursing & Midwifery). During this time he will provide professional and clinical leadership to inform Western Health’s mental health clinical standards, clinical practice, strategic workforce planning and education, and the quality and safety requirements for Western Health’s Mental Health and Wellbeing Services.

Following the transition (post 1 July 2023) Ryan will shift into the Director of Nursing for Mental Health & Wellbeing role where he will report directly to Shane Crowe (Executive Director, Nursing & Midwifery).

Ryan will commence at Western Health on 6 February 2023.

Working with our nurses and midwives to reform rostering

Western Health recognises the need to respond to the workforce issues we are currently experiencing in nursing and midwifery. We have teamed together with Safer Care Victoria, the Department of Health, the ANMF and 2 other health services to lead Victoria in changing the way we roster nurses and midwives. This project aims to address the way we roster nurses and midwives by creating a set of guidelines that will support more employee centred rostering and flexibility. 

As part of this exciting research project, we have recruited a Project Manager who will lead this research conducted at Western Health. The first stage of this research will be the distribution of two surveys, one for nurses and midwives and one for unit managers of selected wards/units. This will be followed up with co-designed focus group workshops which will target the issues identified from these initial surveys. 

The outcome of this consultation will be to develop and implement new rostering guidelines that are more responsive to flexible working arrangements and based on employee centred rostering principles. 

A second survey will be undertaken to ascertain if the developed guidelines are suitable and acceptable and follow up surveys at 6 and 12 months after the introduction of the guidelines. This will determine how well the guidelines are working for nurses, midwives, and health services. 

The project will be 8 months in duration and will provide valuable information for the research steering committee to draft and implement a set of rostering guidelines for nurses and midwives in Victoria. 

We will keep you updated on the progress of this exciting project throughout 2023. 

Western Health to provide primary care at Dame Phyllis Frost Centre

On 20 January 2023 Corrections Minister Enver Erdogan announced that Western Health will provide primary care at the Dame Phyllis Frost Centre (DPFC), in Ravenhall, west of Melbourne, from 1 July 2023.

Western Health will provide this in-reach primary care service in collaboration with the Department of Justice and Community Safety and the Department of Health. Our Chronic and Complex Care Division will be operationally responsible for this service and will partner with other Western Health clinical programs and primary care providers to deliver this service.

Clinical services at DPFC will be led and provided by a multidisciplinary team established by Western Health, incorporating care coordinators within core clinical teams. Primary care to be offered at DPFC will include a 24-hour nursing service, on-call medical service, and integrated care planning. There will also be a focus on preventive healthcare, such as immunisation and mammogram services. People requiring emergency care will be taken by ambulance to the nearest emergency department, as is current practice.

An important component of our planning is a comprehensive program for staff onboarding, ongoing education, training and professional development, as well as clear clinical processes and operating frameworks.

Western Health staff will be kept updated over the coming months on the implementation of this new service for a vulnerable group in our community.

Showing Pride in our Diversity

Please join Western Health in taking part in the Midsumma Pride march returning to Fitzroy St, St Kilda on Sunday 5 February 2023. This is a fantastic event where marcher’s party together in a parade of solidarity – celebrating gender and sexuality diversity.

With a busy and challenging few years behind us as a health service, we are excited be a part of the Pride March this year to celebrate our rainbow community at Western Health!

Everyone is welcome to take part in the march or attend and show their support for the LGBTQI+ community. This is a great opportunity to tie up your rainbow bootlaces or throw on your heels and join the spectacular act of unity that is Midsumma Pride March.

Marchers from Western Health will receive a Pride March inspired t-shirt for the event! Please register here if you wish to be a part of the Western Health marching crew.

At the end of the march, attendees are led into Catani Gardens for celebrations and entertainment including DJs and live performances. All registered participants will receive updates and news on the event via email.

At Western Health we pride ourselves on being inclusive and accepting everyone, no matter their race, gender or sexual orientation. Find out more about the Midsumma Pride March here.

Come join in the fun of Pride!

Leadership scholarships and courses for women

Women & Leadership Australia has announced a new round of scholarships to enable more women in the health sector to undertake career-enhancing leadership development programs.

Partial scholarships of $1,000 to $5,000 will support participation in one of four courses designed for women in non-leadership roles through to senior leaders:

• Women outside formal leadership roles can apply for a scholarship of $1,000 towards the Impact Program
• Early career and aspiring leaders can apply for a scholarship of $1,000 towards the Leading Edge Program
• Mid-level managers can apply for a scholarship of $3,000 towards the Executive Ready Program
• Senior and executive leaders can apply for a scholarship of $5,000 towards the Advanced Leadership Program

Please click here for more details and to apply. Applications close Friday 17 March 2023 unless allocated prior.

Sustainability Plan launched

Our sustainability team recently launched the Western Health Sustainability Plan 2020-2025. This new plan outlines what we need to do as a health service to reduce our carbon footprint and ultimately achieve the Victorian Government’s target of net zero emissions by 2050.

The World Health Organization recognises climate change to be “the highest-impact global risk to society as a whole and presents a clear and present danger to health security”. We know climate change will disproportionately affect disadvantaged communities and as a health service we will need to respond to the impacts of climate change on human health.

Western Health’s Strategic Directions 2021-2023 identifies sustainability as a guiding principle of our core business activity. The holistic approach required to integrate sustainability into daily practice and decision making is challenging given the organisation’s size and complex daily operations.

In order to facilitate the integration of sustainability in corporate decision making, the plan outlines the importance of implementing a Sustainability Task Group. The objective of this group is to oversee the organisational transformation required to embed sustainability into our operations.

This strategic and multi-disciplinary team will be responsible for designing and overseeing the delivery of sustainability integration at Western Health. Consisting of senior leaders from across the organisation, they will provide accountability and transparency in translating the Strategic Directions into outcomes across the organisation.

With the implementation of our Sustainability Plan, Western Health will be a sustainability leader among health services across Australia.

Applications open for Premier's Awards for Health & Medical Research

Applications for the annual Premier’s Awards for Health and Medical Research are currently open!

The awards recognise the exceptional contributions and capabilities of Victoria’s early- career health and medical researchers.

Recipients of the five category awards receive $5,000, and an additional $15,000 is granted to the winner of the Premier’s Excellence award. The award categories include:

• Basic Science Researcher
• Clinical Researcher
• Aboriginal Researcher undertaking research in any field of health and medical research
• Health Services Researcher
• Public Health Researcher

The following people are encouraged to apply:

• current PhD candidates within a health and medical field who are at least two years into candidature at a Victorian academic or research institute
• post-doctoral researchers within a health and medical field who have completed a PhD at a Victorian academic or research institute in the past three years.

Find out more information and apply at the awards page.

Applications close at 5pm on 15 February 2023.

Benchmarking Best Care

The latest benchmark reports from the Health Roundtable that go up to September 2022 have recently been released, that show how our delivery of Best Care compares to other health services across Australasia.

Let’s look at how we perform in the area of Medication Complications, which include drug related respiratory complications/depression, haemorrhagic disorder due to circulating anticoagulants, movement disorders due to psychotropic medication and serious alteration to conscious state due to psychotropic medication.

Sunshine Hospital

The rates of medication complications per 10,000 episodes at Sunshine Hospital has been consistently green, and has dropped even further last quarter. We are amongst some of the best outcomes in Australia. This is a wonderful result.

Well done to our Sunshine Hospital teams.

Footscray Hospital

Rates of medication complications per 10,000 episodes at Footscray Hospital has been bouncing up and down a bit, and most recently is green after a spike up.

It is pleasing that this is back down to green.

Fantastic Footscray!

Bacchus March Hospital

The rates of medication complications per 10,000 episodes at Bacchus Marsh Hospital has been consistently at zero and green.  This is a wonderful result.

Well done to our Bacchus Marsh Hospital teams.

Educational Opportunities

Resuscitation Mandatory Competencies:

Sessions have recommenced. In the first instance, can you arrange an assessment with your local instructor or educator. Resus educators are contacting managers to arrange local sessions for individual teams. Dedicated sessions for Bank and Pool Staff along with separate sessions for Nursing and Medical staff are available on WeLearn.

Upcoming courses:

• 21/2/2023: Night Duty Education Update: Preceptorship program
• 02/03/2023 & 09/03/2023: Mental Health First Aid – A two day face-to-face accredited course to empower staff to provide initial support to someone who is developing a mental health problem, has a worsening of an existing mental health problem or is in a mental health crisis. Enrolment fee: $60.00

For more courses please click here.

Emerging Evidence

The Western Health Library Service is a great source for locating the latest nursing and midwifery related evidence based practice and research.

Latest articles of interest:

• Accurate identification and documentation of First Nations women and babies attending maternity services: How can we ‘close the gap’ if we can’t get this right? Australian and New Zealand Journal of Obstetrics and Gynaecology. 2022 December Full Text Western Health Author
• Outcome of reduction of paediatric forearm fracture by emergency department clinicians. Emergency Medicine Australasia. 2023: January. Full Text  Western Health Author
• Examining the transformation of midwifery education in Australia to inform future directions: An integrative review. Women and Birth. 2022: December Full Text  Western Health Author
• Relationships are the key to a successful publicly funded homebirth program, a qualitative study. Women and Birth. 2023: January Full Text  Western Health Author
• Participants’ and Health Care Providers’ Insights Regarding a Web-Based and Mobile-Delivered Healthy Eating Program for Disadvantaged People With Type 2 Diabetes: Descriptive Qualitative Study. JMIR Formative Research. 2023: January Full Text   Western Health Author
• Critical thinking development in undergraduate midwifery students: an Australian validation study using Rasch analysis. BMC Pregnancy and Childbirth. 2022: December Full Text Western Health Author
• Language used to describe the Australian midwifery workforce: A change opportunity to improve professional identity. Women and Birth. 2022: December Full Text Western Health Author
• Families are receiving world-class breastfeeding care at Joan Kirner Women and Children’s at Sunshine Hospital in the western suburbs of Melbourne, Victoria. Australian Midwifery News. 2022: Summer Full Text
  Western Health Author

New Nursing/Midwifery eBook Titles:

• Cardiac care: a practical guide for nurses.  2^nd edition. Wiley, 2022
  This latest edition includes brand new chapters on structural heart disease, takotsubo syndrome, and non-obstructive coronary artery disease. While also covering the essential topics necessary for the proper provision of cardiac care, this practical guide for nurses provides: A thorough introduction to cardiac practice, including the mechanics of the cardiovascular systems and the regulation of cardiac and vascular function. Comprehensive exploration of cardiovascular disease assessment, including risk factors for cardiovascular disease, laboratory tests, and diagnostic procedures. Practical discussions of the detection and management of heart rhythm disturbances, including ECG interpretation, cardiac monitoring, and arrhythmias In-depth examinations of the detection and management of acute coronary syndromes, including chest pain assessment and discharge planning.
  Search the WH Library catalogue for similar titles

• Hale’s Medications & mothers’ milk, 2023; a mawesternhealth.spydus.com/…ENQ/WPAC/BIBENQnual of lactational pharmacology. 21^st ed. Springer, 2023.
  The worldwide gold standard for lactation support professionals. Developed by world leaders in lactational pharmacology, this essential reference contains the most current, complete, and evidence-based information available on the transmission of maternal drugs into human milk.
  Search the WH Library catalogue for similar titles.

Off-site or home access to the library eBook titles, require free library membership. If you are not a member you can Join Online. For more information Click on our FAQ page.

Visit the library’s Intranet website, or ring the library to speak with a Librarian: 8395 8036 or 8345 6655. Working from home? Visit the Library Internet site.