Published on 3 October 2022

Edition 59: October 2022

  • Helpful contacts

    Employee Assistance Program: 1800 099 444

    Nurse & Midwife Support: 1800 667 877

    Nurse & Midwife Health Program:
    03 9415 7551 or 1800 888 236

  • Upcoming dates

    October

    2        Perioperative Nurses Week commences
    3        Transition to Acute Care program commences
    4        Riskman Compliments and Complaints upgrade
    7        Victorian Nurses and Midwives Trust Grants applications close
    7        Clinical Translation and Commercialisation Medtech applications close
    13      Victorian Public Healthcare Awards 2022
    18      Inspire Awards (3pm)
    24      Research Week Opening Session
    26      Transformative dialogues in clinical practice session (4pm)
    27      Research Week – Nursing & Midwifery session (2pm)
    31      Western Health/Deakin University PhD scholarship applications close

    Check out Events for more details.

  • Nursing & Midwifery Executive

    Adjunct Professor Shane Crowe
    Executive Director of Nursing & Midwifery
    Phone: 8345 1463
    Email: shane.crowe@wh.org.au

    Professor Bodil Rasmussen
    Chair of Nursing, Deakin University/Western Health
    Phone: 8395 8163
    Email: bodil.rasmussen@wh.org.au

    Doug Mill
    Director of Nursing & Midwifery
    Division: Drug Health Services
    Phone: 8345 1916
    Email: douglas.mill@wh.orh.au

    Helen Sinnott
    Director of Nursing & Midwifery, Sunshine
    Divisions: Women’s & Children’s
    Phone: 0435 962 716
    Email: helen.sinnott@wh.org.au

    Jo Mapes
    Director of Nursing & Midwifery, Footscray
    Division: Perioperative and Critical Care
    Phone: 0423  302 337
    Email: joanne.mapes@wh.org.au

    Kate Renzenbrink
    Director of Nursing & Midwifery Informatics (CNMIO)
    Phone: 0425 772 324
    Email: kate.renzenbrink@wh.org.au

    Professor Linda Sweet
    Chair of Midwifery, Deakin University/Western Health
    Phone: 8395  1178
    Email:  linda.sweet@wh.org.au

    Lisa Gatzonis
    Director of Nursing & Midwifery Workforce
    Phone: 9393 0127
    Email: lisa.gatzonis@wh.org.au

    Monique Sammut
    Director of Nursing & Midwifery, Sunbury
    Divisions: WPHU and Clinical Support & Specialist Clinics
    Phone: 0412 769 423
    Email: monique.sammut@wh.org.au

    Nicole Davies
    Director of Nursing & Midwifery, Williamstown
    Division: Emergency, Medicine & Access
    Phone: 9732 8630
    Email: nicole.davies@wh.org.au

    Rohan Vaughan
    Director of Nursing & Midwifery, Melton
    Division: Chronic & Complex Care
    Phone: 0434 365 769
    Email: rohan.vaughan@wh.org.au

    Associate Professor Tony McGillion
    Director of Nursing & Midwifery (Inspiring Innovation)
    Phone: 0466 925 108
    Email: tony.mcgillion@wh.org.au

    Wendy Giddings
    Director of Nursing & Midwifery, Bacchus Marsh
    Division: Aged, Cancer & Continuing Care and Bacchus Marsh & Melton
    Phone: 0458 603 897
    Email: wendy.giddings@wh.org.au

From Shane

A huge welcome to our new colleagues that have just joined Western Health via the Transition to Acute Care program. This program provides a pathway for nurses that have experience in other areas of nursing, including residential aged care, to gain experience and commence working within acute healthcare. The program has been really popular when it was advertised. You are all aware of the workforce shortages that are gripping the industry, and so providing new opportunities for nurses and midwives to join our teams is increasingly important. I have confidence that our new colleagues will get the friendly welcome and support that we are known for here at Western Health.

There are a number of events occurring in October, and I am looking forward to seeing our nurses and midwives shine bright! Firstly one of my favourite events of the year, our annual Inspire Awards, are held this month. This event gives us all an opportunity to hear about the amazing things that have been accomplished by our most inspirational colleagues. There is always lots of nurses and midwives in the mix, so be sure to join the online event on 18 October at 3pm to hear some remarkable stories. A warning – sometimes tissues are required!

On 13 October The Victorian Public Healthcare Awards are being held, where Western Health’s McMonty Hood, Aboriginal Cultural Safety program, OVA Prevention and Management program and our COVID Care at Home program have been named a finalists.

Research Week is also held in October, which is a fantastic event where we get to hear from our colleagues that have been undertaking important research. Research is vital to inform Best Care, and there is a lot of research constantly occurring at Western Health. Be sure to try and attend the opening event on 24 October where Professor Stephen Duckett is giving the keynote address. I am particularly looking forward to the Nursing & Midwifery event on 27 October (2pm) where we have a chance to see the breadth, depth and quality of our nursing and midwifery research program. The program has grown significantly over the past years, and has become prolific with multiple articles being published every month! I am also looking forward to supporting our up and coming nursing and midwifery researchers via bestowing research grants.

It is wonderful to see the numbers of both COVID positive inpatients and furloughed staff down. Currently we only have 6 COVID positive inpatients, which is the lowest it has been for over 18 months. We are taking important steps in changing some aspects of how we manage COVID-19 to ensure that it is sustainable into the future. Unfortunately COVID is here to stay, and as restrictions are eased in the community the protections that we have in place, including masks and air handling, become more important that ever. Unfortunately there will be waves in the future, and our collective vigilance puts us in a good position to minimise the impact on Western Health’s staff, patients and visitors.

Finally a big shout out to our perioperative nurses during Perioperative Nurses Week (2-8 October) where we recognise the importance and positive impact of these colleagues. This years theme is on practical, realistic self-care for the perioperative nurse.

Free Nursing & Midwifery Study

Victoria’s healthcare workforce faces long-standing pressures that the COVID-19 pandemic has exacerbated.

To help address issues regarding the supply and distribution of the healthcare workforce, the Victorian Government is implementing a range of initiatives to support Victoria’s healthcare workforce, including scholarships and training support for thousands of nurses and midwives.

The package is anticipated to support the recruitment and training of 17,000 nurses and midwives to the health system. These nurses and midwives will play a critical role alongside current healthcare workers as the health system continues to respond to current demand, and reforms to increase capacity for the future.

Most of these initiatives are managed directly through health services, and Western Health will be applying for funding for all of the relevant opportunities.

  • Scholarships to support Enrolled Nurse (EN) to Registered Nurse (RN) transition
    This funding will support eligible enrolled nurses employed in public health services to undertake further study to gain general registration as registered nurses. Enrolled nurses will be supported via scholarships to commence studies in 2023 or 2024.
    Scholarships to support Enrolled Nurse (EN) to Registered Nurse (RN) transition
  • Re-entry pathway: Scholarships and support for nurses and midwives to re-enter the workforce
    This pathway will provide scholarships and support for up to 25 nurses and midwives per annum to complete an approved re-entry to practice program return to practice in public health services.
    Re-entry pathway: Scholarships and support for nurses and midwives to re-enter the workforce
  • Additional postgraduate nursing positions in specialty areas
    This additional investment funding in postgraduate nursing and midwifery programs will support health services to train and develop specialist nursing capability in emergency care, intensive care, oncology, midwifery and other areas of high need.
    Additional postgraduate nursing positions in specialty areas
  • Scholarships for postgraduate nurses and midwives in specialty areas
    This funding will provide scholarships to support nurses and midwives in public health services to undertake an eligible clinical postgraduate course increase both the number and value of scholarships provided to nurses and midwives undertaking postgraduate studiesin areas of clinical practice where there is an identified workforce need.
    Scholarships for postgraduate nurses and midwives in specialty areas
  • Support for new Nurse Practitioners
    This funding will enable public health services to support nurse practitioner candidates, grow the number of nurse practitioners and meet future needs across the system.
    Support for new Nurse Practitioners
  • Increased graduate nurse and midwife support
    This initiative will provide additional funding to public health services to support more places in nursing and midwifery graduate programs.
    Increased graduate nurse and midwife support
  • Undergraduate Bachelor of Nursing and Midwifery Scholarships
    These scholarships are designed to remove financial disincentives for nursing and midwifery students who complete their undergraduate qualification in nursing and midwifery at a Victorian education provider.
    Undergraduate Bachelor of Nursing and Midwifery Scholarships
  • Support for additional midwifery positions
    This program aims to grow the midwifery workforce through supporting public health services to increase the number of registered nurses undertaking postgraduate studies in midwifery through a postgraduate midwifery employment model.
    Support for additional midwifery positions

Delirium…. we must suspect it, spot it and stop it!

Are you familiar with the early signs of delirium? Is your patient drowsy today? Maybe they are slightly confused or agitated? If so, please suspect delirium.

Delirium is an acute change in cognition characterized by inattention, fluctuating levels of consciousness, and/or disorganized thinking and often goes unidentified in the early stages. Postoperative delirium is common, with significant associated morbidity and cost. Patients with delirium after surgery have high in-hospital mortality (4-17%) and their long-term mortality remains elevated. Additionally, delirium is associated with increased postoperative complications, longer length of stay, longer intensive care unit stay (ICU), and much higher rates of discharge to a nursing home.

Orientation clocks:

The Nursing and Midwifery Directorate have recently purchased and distributed a number of Orientation clocks to our inpatient wards that regularly care for patients with delirium. Orientation clocks are an evidenced based strategy that aid in delirium prevention and management. A study by Rudolph, J. L., & Marcantonio, identified a number of strategies that are useful in delirium prevention including orientation aids, ensuring patients are wearing their glasses and hearing aids, promoting adequate hydration, early mobilisation and rehabilitation, adequate nutrition and effective pain management.

WeLearn module:

Please make time in the coming weeks to complete our new Delirium Prevention and Management WeLearn module. Delirium…. we must suspect it, spot it and stop it!

PROMPT is nearly here

The PROMPT document management system currently used by Bacchus Marsh & Melton staff will soon be the new home for all Western Health Policies, Procedures and Guidelines (PPGs).

The PROMPT system supports a significant number of health services with their PPG access and management requirements. The PROMPT platform has a well-developed search function which should make it easier for staff to find and utilise PPGs.

Well over half the PPGs currently on the WH Intranet have been copied and moved across to the WH PROMPT site to-date. We are now aiming for the second week in November 2022 for all WH PPGs to be on the PROMPT site. To ensure staff do not need to work across two PPG systems, WH-wide staff access to the PROMPT system will not commence until all PPGs have been moved across. In the interim, the content of the WH PPG intranet site is still being kept up-to-date, even if documents have already been copied to PROMPT.

Training materials on the centralised PROMPT system, including a short video are currently under development, noting the PROMPT system is very user friendly. We have also taken the opportunity to integrate WH and Bacchus Marsh/Melton PPG templates and submission forms, so these will look a little different for new and reviewed PPGs from November.

Look out for further information on the movement of WH PPGs which will be regularly distributed in the lead up to a go-live for the WH PROMPT system in November. Information will also be accessible through the WH Live Best Care site.

Save the Date: ABC Audit Day - 8th November

On 8 November 2022, all inpatient areas across Western Health will participate in the Auditing Best Care (ABC) process.

The ABC audit is a whole-of-organisation audit where we set aside a day to monitor the delivery of best care at Western Health and identify areas for improvement.

The audit involves asking a series of questions directly to the patient (or carer), bedside checks and reviewing documentation entered into the EMR.

Please save this date in your calendars.

Further details about the audit will be provided in the coming weeks.

Compliments and Complaints Riskman upgrade

The Riskman Feedback (complaints & compliments) Register is being updated.

The V2 Feedback Register will go live on Tuesday, 4 October.

  • On the evening of Friday 30 September, feedback (complaints and compliments) entry will be disabled for all staff –  you will not be able to enter any feedback to the existing Feedback Register in Riskman
  • Any compliments received over the weekend, can be entered in the V2 Feedback Register on Tuesday 4 October (QRG Entering compliments)
  • Staff will be able to review or close any existing feedback via accessing the existing feedback through ‘My Workspace’ >  ‘Review my Archived Feedback
  • Staff can enter compliments, enquiries and suggestions in the new feedback register.
  • Staff should not enter any complaints in the V2 Feedback Register, all complaints need to go to the feedback team via email WHS-Feedback@wh.org.au
  • Further work is underway to enable the entry of complaints directly to the V2 Feedback Register– further details will follow outlining this process
  • For any access/permission issues please send your enquiry through to Riskman Helpdesk via email on WHS-RiskmanHelpdesk@wh.org.au

With COVID cases continuing to decline, the state government and public health services are shifting to a more ‘business as usual’ COVID response, with vaccination and at-home COVID-19 care to be managed by primary care. In line with these changes, Western Health has made some notable changes outlined below. As always, Western Health will continue to monitor the situation and review protective measures regularly

Vaccination and testing

All Western Health operated testing and vaccination sites have now closed, which comes after two years of sustained effort supporting access to testing and vaccination in the community.

The COVID vaccination in-reach service will continue under our Infection Prevention and Control (IPC) team.  If you have an inpatient requiring a COVID vaccination, referrals can be made via outreachcovidvax@wh.org.au.

Visitor and patient testing
The Joan Kirner Women’s and Children’s visitor RAT testing marquee will be decommissioned, with Thursday 29 September the final day of operation. Going forward, self-administered RAT testing of visitors and outpatients will be based on clinical risk and managed at a local unit level.

Outpatients and visitors are still required to complete the screening process – including an attestation on entry – and will continue to be provided with a KN94 masks.

Staff testing
There are no changes to staff access to RAT tests. Staff can continue to access RATs via the current collection points at each site.

Following a successful pilot of self-administered PCR testing, symptomatic staff who test negative on RAT testing and wish to access a PCR test will be able to do so, via self-administration. Confirmatory PCR testing following a positive RAT is no longer recommended.

From 3 October, access to self-testing PCR will be from Williamstown Emergency Department (preferably between 8am and 11am). PCR testing will no longer be accessible at Sunshine Hospital.

Preoperative Nurses Week

This week from 2-8 October we celebrate Perioperative Nurses Week 2022! The past few years have been challenging and unpredictable for our perioperative nursing community. So this year, the Australian College of Perioperative Nurses (ACORN) is focusing on practical, realistic self-care for the perioperative nurse – N.U.R.S.E Selfcare:

  • N – Nourish
  • U – Unplug
  • R – Rest
  • S – Soothe
  • E – Educate

Our perioperative nurses ‘Step up’ every day to be there for their colleagues, patients, and the wider healthcare community. This year ACORN is encouraging perioperative nurses ‘stepping up’ towards NURSE self-care.

Inspire Awards 2022

Make sure that you join in to watch the Inspire Awards 2022 ceremony on 18 October at 3pm, to see who is recognised and receives an award.

The annual Western Health Inspire Awards recognise employees and volunteers, individuals and teams, whose actions inspire others to live our values. They offer another way of saying thank you to someone who has made a difference to your day or to the experience of patients or others. by recognising individuals or teams who are making a difference through:

Compassion – consistently acting with empathy and integrity

  • improving the experience of patients

Accountability – taking responsibility for our decisions and actions

  • taking responsibility for standards of care or service
  • being positive and productive
  • using resources responsibly

Respect – for the rights, beliefs and choice of every individual

  • communicating respectfully in all situations
  • recognising and respecting diversity

Excellence – inspiring and motivating, innovation and achievement

  • demonstarting high standards of work
  • helping others learn and improve
  • working well with others, across the system

Safety – prioritising safety as an essential part of everyday practice

  • looking out for the safety of others

Healthcare Women's Leadership Scholarships now open

Advance your career with a Healthcare Women’s Leadership Scholarship. Partial scholarships of $1000-$5,000 are available for world-class leadership courses at all levels via Women & Leadership Australia.

Skills for Workplace Impact:
Delivered part time over 10 weeks, the Impact Program provides game-changing strategies for women who are dynamic, passionate and ambitious but not in formal management positions. $1,000 partial scholarship available for a  10 week online course (average 1-2 hours per week commitment).

Early Career Managers:
Delivered part-time over four months, Leading Edge is designed to enable the transition of aspiring and early career female managers into confident, capable and motivated leaders. $1,000 partial scholarship available for a 4 week online program (average 2 hours per week commitment).

Mid-Level Managers:
Delivered part-time over seven months, Executive Ready is designed to stretch mid-level leaders and propel them towards executive level performance, behaviours and mindsets. $3,000 partial scholarship available fir a 7 month online program (average 2 hours per week commitment).

Senior and Executive Leaders:
Delivered part-time over twelve months, the Advanced Leadership Program is a high-impact and challenging developmental course for senior and executive leaders. $5,000 partial scholarship availabel for a 12 month online program (average 2 hours per week commitment).

Women & Leadership Australia graduates gain credit towards one of Australia’s most respected MBA programs at Deakin University.

Applications close Friday 18 November 2022.

New Thunderstorm Asthma prediction and alert system

A new thunderstorm asthma monitoring, prediction and alert system is being introduced on 1 October 2022 to ensure Victorians are notified of high-risk events this pollen season, so that people at increased risk – such as those with asthma or hay fever – can take action to avoid exposure to the pollen fragments that can trigger asthma.

Grass pollen season, which typically runs from the start of October until the end of December, brings with it a seasonal increase in asthma and hay fever and the chance of thunderstorm asthma. When large numbers of people develop asthma symptoms over a short period of time, caused by high amounts of grass pollen and a certain type of thunderstorm, it is known as epidemic thunderstorm asthma.

The forecasting system, which will operate until 31 December, forecasts three days in advance and provides a low (green), moderate (orange) or high (red) risk forecast across the nine Victorian weather districts. On high-risk thunderstorm asthma risk forecast days, people with asthma or spring hay fever can reduce their risk by avoiding the storms. On these days, at-risk people should go inside, close windows and turn off any air conditioners that bring air and possible pollen fragments in from outside.

Melbourne experienced the world’s largest epidemic thunderstorm asthma event on 21 November 2016, which resulted in 10 tragic deaths and thousands of people developing breathing difficulties in a very short period. Those at risk should check the epidemic thunderstorm asthma risk forecast daily at emergency.vic.gov.au/respond or download the app and set up a watch zone.

What happens after I complete a Riskman report?

After receiving feedback from nurses and midwives that they did not know what happened to reported incidents after they were entered into Riskman, a new Riskman alert will be sent to the initial reporter to notify them of an incident’s investigation and outcome once it had been closed by their manager.

In response to this feedback, 2 new alerts have been created in the Riskman system. Both alerts are sent automatically to the person who initiated the entry of an incident (reporter).

An overview of the alerts are provided below and a QRG is available on the Live Best Care site:

1. Incident acknowledgement alert. This email alert contains the following:

  • Summary of the incident entered
  • Information on what happens next
  • How to review the incident
  • How to navigate Riskman when reviewing an incident

2. Investigation completed alert. When an incident investigation is completed, this email alert contains the following:

  • Summary of the incident entered
  • Details of the investigation and findings

Incident Follow-Up

When closing an incident on Riskman and entering the incident follow-up details please remember the following:

  • Change the investigation status to ‘completed’
  • The investigations and findings field is a mandatory field for statutory data transmission requirements
  • Investigation details must be entered into the investigations and findings field only
  • ‘Refer to journal entry’ is not an acceptable entry in the investigations and findings field
  • Do not enter investigation details in the journal entry section on Riskman (journal entries are not transmitted to the VHIMS)

 

 

 

 

Feedback Register

The Riskman Feedback Register (where Western Health complaints and compliments are entered) will be upgraded on Monday 3rd October 2022. There will be minimal changes for front line users however the upgrade will allow for a more intuitive and user-friendly platform.

Riskman Assistance

The Riskman Helpdesk is available to assist with any Riskman issues. Please contact them via email: WHS-RiskmanHelpdesk@wh.org.au

New Low Back Pain Standard

Did you know that one in six Australians are affected by back problems and it is a leading cause of disability worldwide?

Recently the Australian Commission on Safety and Quality in Health Care released the first national Low Back Pain Clinical Care Standard to improve early management of patients with this common condition.

The standard outlines optimal care for patients with an acute episode, recurrence or exacerbation of chronic low back pain, and advocates a shift towards active approaches to support people with low back pain.

Recommendations in the standard include self-management and physical activity, addressing psychological barriers to recovery such as thoughts and emotions about pain, and tackling social obstacles, including work and home stress.

Family Violence training

Training is available to all Western Health clinical staff every Monday over Zoom until the end of 2022.

Please register using the link and forward onto any staff that may be interested.

Benchmarking Best Care

The latest benchmark reports from the Health Roundtable that go up to March 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 falls. The following data looks at the rate of falls that result in an intracranial haemorrhage, fractured neck or femur or other fractures.

Falls:

Sunshine Hospital

Unfortunately we have had a significant increase in falls resulting in a fracture or intracranial haemorrhage per 10,000 episodes of care at Sunshine Hospital in the latest quarter.

There had been significant improvement, so we need to remain vigilant and continue to focus on preventing falls – we can do this!

 

 

 

Footscray Hospital

There has also been an increase in the falls resulting in a fracture or intracranial haemorrhage per 10,000 episodes at Footscray over the past quarter.

Compared to our peers, we still remain red so there is continued work and an ongoing focus needed – however the work and effort of everyone is making a real difference!

Keep going Footscray!

 

 

Bacchus Marsh Hospital:

The rates of falls with serious injury at Bacchus Marsh Hospital is in the green when compared to our peers, and keeping consistently low (zero for the latest quarter). This is a fantastic result.

Well done to our Bacchus Marsh Hospital teams.

 

 

 

 

Clinical Translation and Commercialisation Medtech applications open

Round two of the $19.75 million Clinical Translation and Commercialisation Medtech (CTCM) program is now open for applications. The CTCM program is open to Australian small to medium-sized enterprises (SMEs) and offers funding between $250,000 to $1.5 million to support early clinical development of medical devices with commercial potential.

To be considered for funding, projects must focus on the development of a medical device for human use, the purpose of which is to diagnose, prevent, monitor, treat or alleviate a disease or injury, or modify or monitor anatomy or physiological functions of the body.

Funding will only be awarded to projects where the device’s capability has already been validated with research and/or preclinical studies.
Applicants will be required to provide a co-contribution dependent on the total amount of CTCM funding requested. Additional cash or in-kind contributions above this threshold will be viewed favourably.

For further information including funding guidelines and a podcast and on-demand video of the recent round two information session, please visit the website.

Applications must be made online via Smartygrants by Friday 7 October 2022 at 4:00pm AEDT.

Comprehensive Care - Falls & Pressure Injury Prevention Equipment Guide

The EMA Comprehensive Care Project team have created a QRG for staff on how to quickly access Comprehensive Care Falls and Pressure Injury Prevention equipment at Western Health.

The resource outlines:

  • the different pieces of equipment that is available
  • what is is used for
  • how to access it internally
  • how to hire the item (where relevant)
  • FMIS order details

It is a fantastic resource and is also now linked to both the Falls Prevention and Pressure Injury Prevention intranet sites.

Direct access to the Comprehensive Care Equipment Guide can be found here.

Pressure Injury Prevention Champion Training

Our Pressure Injury Prevention Champion Training commences this month, with training days scheduled for 17 October, 21 October and 24 October.

All training sessions are being held in the WHCRE building at Sunshine Hospital and we pleased to report all sessions are fully booked.

This is the beginning of our Pressure Injury Prevention Champion Program and we are excited to work with our teams to #Stop the Pressure.

Keep an eye out for our fantastic Pressure Injury Prevention t-shirts and Foot Check Cards coming soon!

A new view in the EMR for nursing

Valuable feedback from nurses following the EMR Phase 1 implementation has led to the development of Nursing Admit and Nursing Manage mPages in the EMR to better support nurses with access to information. While mPages are common for the medical workforce, Western Health is leading the way with development of a nursing mPage, which will be the first of its kind in Australia.

What is an mPage?

An mPage brings together information from various sources throughout the EMR to provide one comprehensive real-time view of patient information.

What are the benefits for nurses?

  • Increased information sharing across all craft groups
  • Decrease the ad hoc nature of the current nursing workflow
  • Introduction of Dynamic Documentation (if required) in line with all other disciplines
  • Streamlining of current fragmented nursing workflows to better support nursing staff including early career nurses

This tool will also allow for improved data integration, performance monitoring, data analytics, and patient safety.

Three changes will be implemented:

  • Nurse Admit workflow mPage (Patient Chart)
  • Nurse Manage workflow mPage (Bedside Chart)
  • Dynamic Documentation for nursing – Admission, Shift and Transfer

Nursing representatives from across the organisation will provide input into the implementation and WeLearn development, with the rollout to all areas of Western Health currently using the EMR to take place prior to the EMR Phase 2.1 implementation.

For more information on the Nursing Workflow mPages, please contact Kylee Ross – Kylee.Ross@wh.org.au

Sharps and Body Fluid Exposure Order Set

The Infection Prevention Committee has endorsed updates in the Sharps Injury and Body Fluid Exposure Management procedure to include electronic orders on EMR for related serology testing. This change will allow better tracking of tests than previously on paper forms.
The Sharps Injury and Body Fluid Exposure Order Set is now live for use in EMR.

When a staff member or a non-admitted patient has sustained a needlestick injury (sharps injury) or body fluid exposure, please adhere to the Sharps Injury and Body Fluid Exposure Management procedure to notify Infection Prevention or the AHA. The staff member or non-admitted patient will need to be registered within the EMR by presenting to the Emergency Department. Once registered in the EMR with a new encounter, the order set can be initiated on their chart for blood testing. Instructions are available on EMR when within the order.

For inpatients involved in an incident, open disclosure and consent should still be conducted and attained according to the procedure and the order set for serology can be utilised within their current inpatient EMR encounter to place the serology orders.

Note, each Source and Recipient will need to have these tests ordered on their own individual charts in EMR.

Department of Health Workforce Strategy survey open

Have your say on the future direction of the workforce for health and mental health.

The Department of Health’s Workforce Strategy survey is open to all workers across health and mental health.

The survey is available HERE.

Your opinions and insights can help inform immediate and long-term initiatives targeting workforce recovery, development and growth.

The survey is open to everyone who works in the Victorian health, and mental health and wellbeing sector – all roles, all professions and all organisations. Those working in mental health and drug health settings have the option of completing tailored questions, which would take a further 10 minutes. The survey closes on Sunday 16 October 2022.

Upcoming Education Opportunities

Check out the upcoming educational opportunities available for Western Health nurses and midwives:

  • Invasive Lines & Cannulation:
    Due to COVID-19 restrictions, advertised dates are only available for Bank-Pool Nursing Staff, Radiology and Medical staff. All ward nursing staff are to book in a time with their ward educator.
  • 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.

October 2022

  • 5/10/2022: Stroke Study Day
  • 5/10/2022: Microsoft Course – Excel Intermediate
  • 7/10/2022: VAC Therapy Study Day
  • 11/10/2022: Night Duty: HFNP AIRVO
  • 18/10/2022: Central Venous Access Devices (CVAD) Workshop
  • 19/10/2022: Tracheostomy Study Day
  • 26/10/2022: Microsoft Course – Charts & Graphs
  • 26/10/2022: Microsoft Course – Excel Advanced
  • 28/10/2022: Male Catheterisation

November 2022

  • 2/11/2022: Heart Failure Study Day (Rescheduled from 3/11/2022)
  • 4/11/2022: Male Catheterisation
  • 9/11/2022: Night Duty: Pain Management
  • 11/11/2022: Anaesthetic Emergency Responses Workshop (AERW)
  • 16/11/2022: Pressure Injury Study Day
  • 16/11/2022: Microsoft Course: Pivot Tables
  • 16/11/2022: Microsoft Course: Using Formulas
  • 17/11/2022-18/11/2022: Advanced Life Support Level 2 (ALS2): Booking is full
  • 23/11/2022: Microsoft Course – Track Change, Markup & Compare Documents
  • 23/11/2022: Microsoft Course – Excel Advanced
  • 28/11/2022: Male Catheterisation

December 2022

  • 02/12/2022: Crisis Management in Obstetric Anaesthesia and Neonatal Resuscitation (CMOANR)
  • 07/12/2022: Night Duty: Mechanical Restraints

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:

  • Evaluating the implementation of the Birmingham Symptom-specific Obstetric Triage System (BSOTS) in Australia. Women and Birth, 2022: September. Full Text Western Health Author
  • Midwives providing woman-centred care during the COVID-19 pandemic in Australia: A national qualitative study. Women and Birth, 2022: September. Full Text   Western Health Author
  • Social determinants of health on human immunodeficiency virus care quality in Indonesia. Journal of Advanced Nursing, 2022: August. Full Text  Western Health Author
  • Nurse-provided lung and inferior vena cava assessment in patients with heart failure. Journal of the American College of Cardiology, 2022: August.   Article Link  Request This Article  Western Health Author
  • Nurse, midwife and patient perspectives and experiences of diabetes management in an acute inpatient setting: a mixed-methods study. BMC Nursing, 2022: September. Full Text Western Health Author
  • Predictors and impact of women’s breastfeeding self-efficacy and postnatal care in the context of a pandemic in Australia and Aotearoa New Zealand. Midwifery, 2022: August. Full Text  Western Health Author
  • O16 – Engagement in health services among expectant and new fathers: Qualitative findings from a cross sectional study. Women and Birth, 2022: September, Supplement 1. Full Text Western Health Author
  • O23 – Ten years of a publicly funded homebirth in Victoria: maternal and neonatal outcomes. Women and Birth, 2022: September, Supplement 1. Full Text Western Health Author
  • O27 – Maternity Connect: An evaluation of a professional upskilling education program for rural midwives and nurses. Women and Birth, 2022: September, Supplement 1. Full Text Western Health Author
  • O69 – Experiences and information needs of women who become pregnant after bariatric surgery. Women and Birth, 2022: September, Supplement 1. Full Text Western Health Author
  • O71 – Australian maternity service provision: a comparative analysis of state and territory maternity care frameworks. Women and Birth, 2022: September, Supplement 1. Full Text Western Health Author
  • O90 – Barriers and enablers for antenatal care access of women engaged with social work services in the Geelong North region. Women and Birth, 2022: September, Supplement 1. Full Text Western Health Author
  • P30 – The introduction of registered undergraduate students of midwifery in a tertiary hospital: Experiences of staff, supervisors, and women. Women and Birth, 2022: September, Supplement 1. Full Text Western Health Author
  • P5 – Expectant and new fathers’ health literacy and engagement in maternity and early infant health services. Women and Birth, 2022: September, Supplement 1. Full Text Western Health Author

New Nursing/Midwifery eBook Title

  • Fast Facts for the L&D Nurse: Labor and Delivery Orientation. Cham: Springer, 2022. 3rd edition.
    This succinct, easy-to-use orientation guide for nurses new to labor and delivery (L&D) is the only resource to deliver quick-access guidance in bulleted format regarding everyday procedures, requisite equipment, and how to capably handle emergency situations.
  • Fast Facts for the Adult-Gerontology Acute Care Nurse Practitioner. Cham: Springer, 2022.
    Organized in a clinical system-based approach. Provides quick-access tables, diagrams, and formulas, including risk calculators. Streamlines complex information into easily understandable language. Compares similar diagnostic criteria for accurate diagnoses in high-acuity settings.

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