Ncah issue 16 2014

www.ncah.com.auNursing Careers Allied Health - Issue 16

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ted

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MP

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eeca

ll 18

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More graduate nursing training places needed

Tasmanian nurses and midwives plan industrial action

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EARNSOMEEXTRA$$$Nursing and MidwiferyEducators and Clinical SpecialistsNCAH is looking to hire expert nurses and midwives towrite nurse practice related articles on a freelance basis.

If you are an experienced Australian nurse educator or nurse specialist, and you are interested in writing to complement your income on a very �exible basis we would love to hear from you.

Nursing and Midwifery experts are sought to write articles covering one or more clinical areas including but not limited to:

• Accident & Emergency • Critical Care • Aged Care • Cardiac Care • Paediatric Nursing • Continence • Healthcare IT & Information • Neurology • Midwifery & Neonatal nursing • Practice nursing • Nurse Leadership and Management

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> postgraduate


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Page 30 | www.ncah.com.au Nursing Careers Allied Health - Issue 16 | Page 3

Page 6 | www.ncah.com.auNursing Careers Allied Health - Issue 16 | Page 27

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• Solid nursing background for health check services (min 2yrs post grad) • Solid venepuncture experience for blood screening services (min 2yrs exp)• Excellent general medical knowledge and terminology• Professional presentation and communication, along with impress ive time management skills• Current CPR Certification• National Police Check• ABN• Nurse Immunisation certificate for all nurse immunisers

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Looking for Nurses, Paramedics and Pathology Collectors


Tasmania’s nurses and midwives will remove

goodwill in their planned industrial action as the

state government considers introducing a public

sector wage freeze.

The move comes after the Australian Nursing

and Midwifery Federation’s (ANMF) Tasmanian

branch recently met with members across the

state to endorse a log of claims, as it prepares

to negotiate a new EBA for public sector nurses

and midwives.

The ANMF is also joining forces with other

unions to hold ‘bust the budget’ rallies on August

28 at Parliament House in Hobart and on Sep-

tember 4 at both Devonport and Launceston.

ANMF branch secretary Neroli Ellis said

members will put a halt to unpaid administra-

tion work in hospitals from August 25, in a move

designed to put pressure on the system without

impacting on patients.

“If you take the goodwill of nurses and mid-

wives out of the system, it will put a lot of pres-

sure on the system, particularly around the ad-

min - computer entries, computerised admission

systems, etcetera, so potentially they may have

to employ more admin staff after hours,” she told

abc.net.au.

Ms Ellis was unavailable for comment at

the time of publication but the branch’s website

states the government’s proposed wage freeze

amounts to a “real wage cut” for nurses and mid-

wives.

“Inflation and the price of goods and services

continues to rise and your salary buys less over

time - the value of what you earn is cut,” it states.

The government has proposed a one-year

wage freeze for all public servants, followed by a

move to two per cent increases, in a bid to save

$50 million a year and safeguard around 500 jobs.

The freeze will take affect when the legisla-

tion passes both houses of the Tasmanian parlia-

ment, which the union fears could occur as soon

as October.

“The government has the constitutional pow-

er to rip up contracts with its public sector work-

ers through legislation,” the ANMF branch states.

“It’s a radical unprecedented action but if

they can get special legislation through both

houses of state parliament, then they have the

ultimate power over your wages and conditions.”

The branch is also fighting legislation, which

has already passed the Lower House, that aims

to outlaw reasonable protest action.

The union states the new legislation includes

penalties such as $10,000 on-the-spot fines and

three-month mandatory jail terms for disrupting

workplaces.

“We’re seeking legal advice about the impli-

cations of this legislation and what it could mean

for ANMF (Tas branch) members and activities in

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Tomorrow starts today.


The New Zealand government’s move to

fund an extra 200 places in the nurse entry

to practice program will still leave hundreds of

trained nurses without work, according to nurses.

The New Zealand Nurses Organisation

(NZNO) is calling for the government to fund a

one-year Nurse Entry to Practice (NEtP) program

for all new graduate nurses, and has launched a

petition which has received more than 7000 sig-

natures.

NZNO acting professional services man-

ager Hilary Graham-Smith said while an extra

200 graduates will receive essential support and

mentorship, others will miss out on the vital train-

ing.

“Two hundred new NEtP positions still leaves

too many nurse graduates without support,” she

said.

“These new positions do not start until 2015

by which time there will be another cohort of

graduates, meaning more new grads in the mar-

ket for places and a talent pool currently sitting

at around more than 400 trained nurses without

work.”

The petition was launched after concerns

that large numbers of graduate nurses are failing

to secure work in a clinical setting due to a limited

number of NEtP program places while employers

are also seeking candidates with experience.

Health Minister Tony Ryall said up to 200 ad-

ditional places will be created in the program,

taking the total number of places to 1300, and

comes at a cost of $2.8 million.

Mr Ryall said 160 of the places will be created

at public hospitals and district health board-funded

community health services while 40 places will be

based at aged care facilities across the country.

“Nurses are at the frontline of care providing

r o u n d -

the-clock

care and sup-

port to patients

and their families,” he

said in a statement.

“As our ageing population grows and de-

mand on health services increases, we need even

more nurses working in our communities.”

Mr Ryall also recently announced $1.5 million

to fund an extra 25 scholarships for nurse gradu-

ates to work in general practices in some of the

country’s high needs communities next year.

Under the scholarships, 48 graduate nurses

are this year working in Very Low Cost Access

(VLCA) practices.

“This was the first time scholarships like this

has ever been offered,” he said.

“The feedback from general practices and

graduate nurses has been so positive we are in-

vesting extra money to offer scholarships again

next year.”

The recruitment process for the 12-month

scholarships begins this month.

Leave a comment on this and other articles by visiting the ‘news’ section

of our website: www.ncah.com.au

To go to the article “More graduate nursing training places needed”

directly, visit: http://bit.ly/1A92cq1

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We hope you enjoy perusing the range of opportunities included in Issue 17, 2013.

If you are interested in pursuing any of these opportunities, please contact the advertiser directly via the contact details provided. If you have any queries about our publication or if you would like to receive our publication, please email us at [email protected]

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Published by Seabreeze Communications Pty Ltd Trading as NCAH.

ABN 29 071 328 053.

© 2013 Seabreeze Communications Pty Ltd.

All rights reserved. No part of this publication may be copied or

reproduced by any means without the prior written permission of

the publisher. Compliance with the Trade Practices Act 1974 of

advertisements contained in this publication is the responsibility of

those who submit the advertisement for publication.

Issue 17 – 26 August 2013

www.ncah.com.au

Next Publication: Education featurePublication Date: Monday 9th September 2013

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Issue 16–18 August 2014


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Alcohol Detoxification and Rehabilitation: challenges for health professionalsBy Glynis Thorp

As health professionals we must never under-

estimate the dangers of alcohol withdrawal.

Alcohol is a central nervous system depressant

and abrupt cessation can overstimulate the auto-

nomic nervous system.

A respected doctor I had the pleasure of

learning from once told me a story which high-

lights the importance of recognizing and treating

alcohol withdrawal:

Imagine putting four people in a glass room

that you can see and hear through and sit back

and observe. One of these people is addicted

to opiates, the second is addicted to ampheta-

mines, the third is addicted to benzodiazepines

and the fourth is an alcoholic. Over a period of

time if deprived of their drug of choice they will

experience withdrawal. The person who is ad-

dicted to opiates will sweat profusely, have se-

vere stomach cramps and desperately beg you

to help them with pain relief so that they can start

to feel normal again. This is an important point

that we must remember: it is not to get high any-

more, it is to feel normal. The amphetamine ad-

dict will be very angry, probably hitting the walls

and demanding medication while they scratch at

their skin, causing abrasions. The person with a

benzodiazepine addiction will be very frightened,

shake, twitch and not be able to sleep. The alco-

holic will probably sit in a corner, terrified and su-

per sensitive to noise; have visual hallucinations;

feel like things are crawling over them; slump

over; and possibly have a fit and die.

It is important to remember that patients that

go through alcohol withdrawal under our care will

likely not have been admitted specifically for al-

cohol detoxification. Withdrawal is more likely to

be inadvertent due to illness and lack of access

to alcohol.

Withdrawal symptoms usually occur 6–24

hours after the last alcoholic drink (however this

can vary depending on the patient and the nature

and extent of their alcoholism). The signs of alco-

hol withdrawal include anxiety, agitation, sweat-

ing, tremor, nausea, vomiting, abdominal cramps,

diarrhea, craving, insomnia, elevated blood pres-

sure, elevated pulse and elevated temperature,

headaches, seizures, confusion, perceptual dis-

tortions, disorientation, hallucinations, delirium

tremens, arrhythmias and Wernicke’s Encepha-

lopathy (WE). WE symptoms include: opthalmo-

plegia, ataxia and confusion.

The scales used to monitor withdrawal in

Australia include:

•AWS,AlcoholWithdrawalScale

•CIWAAR-ClinicalInstituteWithdrawal

AssessmentofAlcoholScale(Ensureyou

use the scale that is recommended by your

employer in their guidelines and policies and

procedures.)

Medications that may be prescribed to as-

sist patients suffering from alcohol detoxification

symptoms include:

•Anti-anxietymedicines(benzodiazepines

such as diazepam) which treat withdrawal

symptoms such as delirium tremens (DTs).

•Seizuremedicinestoreduceorstopsevere

withdrawal symptoms during detoxification.

•MedicinesforrecoveryincludeDisulfiram

(Antabuse), which makes the person sick

(vomit) if they consume alcohol.

•Naltrexone(ReVia,Vivitrol),whichinterferes

with the pleasure one gets from alcohol.

•Acamprosate(Campral),whichmayreduce

cravings for alcohol.

•Thiaminesupplementsarerecommended.

Alcohol abuse can cause the body to be-

come low in certain vitamins and minerals

especially Thiamine (vitamin B1). Thiamine

helps prevent Wernicke-Korsa koff syndrome

which causes brain damage. (WE was first

identified in 1881 by the German neurologist

CarlWernicke,althoughthelinktoThiamine

wasnotdiscovereduntilthe1930s.Russian

psychiatristSergiKorsakoffdescribedasimi-

lar presentation in 1887-1891).

Patients and health professionals dealing

with alcohol detoxification will also face systemic

challenges, such as:

•Limitedaccesstorehabilitationcentres

•Significantdistancebetweentreatmentand

rehabilitation centres, particularly in regional

and remote areas

•Navigatingtherulesandrequirementsthat

rehabilitation centres impose prior to admis-

sion (which ensure a patient’s level of readi-

ness for change)

•Limitedaccesstofamilysupport,asmany

patients suffering from severe alcoholism

andrequiringrehabilitationhaveoftenlost

contact with friends and family.

The prevalence of alcohol abuse and de-

pendence in our society means that as health

professionals many of us will be confronted with

alcohol withdrawal symptoms. It is vital that we

are familiar with the warning signs and symptoms

of alcohol withdrawal as mismanagement or the

absence of appropriate care can have severe

consequences.

References

SydneyAlcoholTreatmentGroup-http://

www.alcpharm.med.usyd.edu.au/accessed

20102/8/2014.


A s health professionals we must never under-








alcohol withdrawal:





























to alcohol.















Australia include:

• AWS,AlcoholWithdrawalScale

• CIWAAR-ClinicalInstituteWithdrawal

Assessment of Alcohol Scale (Ensure you



procedures.)



symptoms include:

• Anti-anxiety medicines (benzodiazepines



• Seizuremedicines to reduceorstopsevere


• Medicines for recovery include Disulfiram



• Naltrexone (ReVia, Vivitrol),which interferes


• Acamprosate (Campral), whichmay reduce


• Thiamine supplements are recommended.







CarlWernicke,although the link toThiamine







• Limitedaccesstorehabilitationcentres

• Significant distancebetween treatment and


and remote areas

• Navigating the rules and requirements that



ness for change)

• Limited access to family support, as many


and requiring rehabilitation have often lost









consequences.

References

Sydney Alcohol Treatment Group-http://

www.alcpharm.med.usyd.edu.au/ accessed

20102/8/2014.

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News in brief:Clotting drug may aid hip patientsGiving hip or knee replacement patients

a clotting drug may reduce the need for a

blood transfusion during surgery, experts

say. - tinyurl.com/kygr88q

Psychology leader develops app for headachesAn international authority on the treatment

of headache pain is leading the research into

the use of the app, which acts as an elec-

tronic diary to record ratings of headache

pain. - tinyurl.com/nr37unp

Swine flu cases rising in AustraliaNearly 21,000 cases of flu have been con-

firmed in Australia so far this year, double

the number of cases at this time last year.

- tinyurl.com/ltqf4pz

Healthy ways of coping with night workNight workers who have trouble sleeping

after their shifts shouldn’t rely on sleeping

pills, a German psychologist warns.

- tinyurl.com/oy4b6l7

Cancer survivors face challengesWhen GP Elysia Thornton-Benko suspected

something wasn’t quite right with her body

she did everything she tells her patients not

to - ignored the symptoms and carried on.

- tinyurl.com/m7roz7y

__________________________________

For more news and articles on nursing and allied health visit our website:

www.ncah.com.au




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alcohol withdrawal:





























to alcohol.















Australia include:






procedures.)



symptoms include:






























and remote areas




ness for change)












consequences.

References



20102/8/2014.










alcohol withdrawal:





























to alcohol.















Australia include:






procedures.)



symptoms include:






























and remote areas




ness for change)












consequences.

References



20102/8/2014.
























__________________________________


www.ncah.com.au




416-011 1PG FULL COLOUR CMYK PDF 414-008 1PG FULL COLOUR CMYK PDF 412-008 1PG FULL COLOUR CMYK PDF 411-039 1PG FULL COLOUR CMYK PDF 410-012 1PG FULL COLOUR CMYK PDF 410-012 1PG FULL COLOUR CMYK PDF 410-012 1PG FULL COLOUR CMYK PDF 408-032 1PG FULL COLOUR CMYK PDF 407-010 1PG FULL COLOUR CMYK PDF 404-010 1PG FULL COLOUR CMYK PDF 403-039 1PG FULL COLOUR CMYK PDF 402-038 1PG FULL COLOUR CMYK PDF 401-016 1PG FULL COLOUR CMYK PDF 325-021 1PG FULL COLOUR CMYK PDF 323-037 1PG FULL COLOUR CMYK PDF

• Solid nursing background for health check services (min 2yrs post grad) • Solid venepuncture experience for blood screening services (min 2yrs exp)• Excellent general medical knowledge and terminology• Professional presentation and communication, along with impressive time management skills• Current CPR Certification• National Police Check• ABN• Nurse Immunisation certificate for all nurse immunisers

Danielle Le Fevre






sector wage freeze.






and midwives.
















abc.net.au.





wives.











as October.














workplaces.




education and training workplaces.”416-006 1/4PG PDF414-007 1/4PG PDF412-007 1/4PG PDF411-036 1/4PG PDF410-015 1/4PG PDF408-011 1/4PG PDF



416-026 1PG FULL COLOUR CMYK PDF415- 028 1PG FULL COLOUR CMYK PDF414-031 1PG FULL COLOUR CMYK PDF

















natures.





ing.



said.






work.”















round-

the-clock

care and sup-

port to patients












(VLCA) practices.






next year.”










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Act now!

2015 deadline

announced

The UK Government has announced new restrictions from next April on civil servants (NHS, Police etc.) being able to transfer their pensions to Australia. This may also be expanded to the private sector.

It is now still possible to transfer for more detail contact UKPTA

CALL US TODAY ON (08) 9309 [email protected]

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Adelaide’s city centre is surrounded by parklands and is a blend of historic buildings, wide streets, parklands, cafes and restaurants. Adelaide is easy to get around with rolling hills to the east and beaches to the west. With a population of slightly more than one million, Adelaide is the “20 minute city”. The airport is only seven kilometres from Adelaide city. The Adelaide Hills and major beaches are less than half an hour away by car. That’s what we call liveable! So what’s stopping you – apply today?

Registered Nurse - Theatre Scrub/Scout and Anaesthetics

Are you looking for a new challenge? Calvary Wakefield Hospital needs you! Calvary Wakefield Hospital is an extremely busy eight theatre suite with increasing utilisation. We have vacancies in Cardiac, Neuro and Orthopaedic and General surgery. We are looking to recruit registered Nurses with a minimum of two years experience in Scrub/Scout or Anaesthetics.

Successful applicants will possess:• Registration with AHPRA to practice as a Registered Nurse in Australia• A minimum of two years' experience as a Scrub/Scout or Anaesthetics• Strong interpersonal and communication skills • Proven ability to work effectively both in a team and autonomously • Intermediate computer skills • Full rights to work in Australia

Bene�ts include:• An attractive salary with on-call component • Salary packaging

Further information please contact:Kay McDonald, Peri-operative & Angio Service Manager Tel (08) 8412 2045 or Email: [email protected]

Applications close: 30th September 2014

In the Tradition of the Sisters of the Little Company of Mary with values of hospitality healing, stewardship and respect

www.calvarysa.com.au 300 Wake�eld Street , Adelaide SA 5000

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For more information and to apply, please visit careers.mercy.com.au

• Perioperative Services / Mercy Hospital for Women • Full time 76 hours/fortnight (Part time negotiable)

Mercy Health is a Catholic organisation employing over 5,000 people who provide compassionate and holistic care through our acute hospitals, aged care facilities, mental health programs, palliative and respite services, maternity and women’s health services, early parenting services and home care services.

An opportunity exists for a motivated and experienced Registered Nurse with Post Graduate qualifications in Perioperative nursing, to become part of our leadership team.

Our unit caters for women who require specialist surgical care in Obstetrics, Urogynaecology, Reproductive Medicine, Gynaecological Oncology, Endosurgery and General Gynaecology.

As a highly organised and motivated team member, you will possess excellent clinical and interpersonal skills coupled with a strong customer care focus.

This is a fantastic opportunity to join an award winning organisation and take the next step in your career. Attractive salary packaging benefits and a wide range of health and wellbeing initiatives are available.

Enquires to: Louise Alexander, Nurse Unit Manager, Perioperative Services on 8458 4108Quote Ref No: MHW 04Applications Close: Friday 15 August 2014

Associate Nurse Unit Manager Operating Suite (Grade 3B)

Health services

MERCY HEALTH: CARING FOR A LIVING


Innovative reversing camera technology is

being rolled out in new ambulances across Vic-

toria.

The technology, designed to provide para-

medics driving ambulances with a clearer view

of the rear cabin, is already installed in about 50

new ambulances across the state.

Paramedics driving ambulances already view

reversing camera vision directly on the rear vision

mirror instead of on the dashboard.

Under the new system, the images on the

rear vision mirror will automatically switch from

reversing vision to the interior view of the rear

compartment when the ambulance is moved

from reverse into drive.

Ambulance Victoria says there is no camera

located in the back of the cabin, instead a cam-

era in the front of the vehicle provides the driver

with a view that’s the same perspective as the

rear vision mirror - albeit an improved view.

The camera does not record any images but

instead displays real-time images to the ambu-

lance driver.

The technology is being rolled out only in new

ambulances as they enter the fleet after a suc-

cessful trial of the technology in five ambulances

last September.

The Victorian initiative is possibly the first

time reverse camera technology has been used

to provide ambulance drivers with vision of the

rear ambulance compartment.

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Apply now to start study in 20141800 818 865une.edu.au/healthmanagement

Become a leader in health with UNEUNE prepares future health service managers, leaders and health policy makers to learn

and work within increasingly integrated, health care delivery systems. Our Master of Health

Management is a highly regarded program which provides the qualification necessary for

individual membership with the Australasian College of Health Services Management (ACHSM).

It is designed to give you the skills to innovate, lead and manage in complex regulatory

environments.

The Master of Health Management can be studied online, giving you the opportunity to obtain a

world-class qualification and the flexibility to balance study with your commitments.

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skills to progress your professional career in health management.


Apply online at:nswhealth.erecruit.com.au

N43668

Coffs Harbour is located on the North Coast of New South Wales, midway between Sydney and Brisbane with multiple daily fl ights to both capital cities. The area boasts superb beaches, mountain scenery, heritage listed rainforests, fi ne restaurants and a near idyllic climate. It is a family friendly area with outstanding schools and recreational facilities.

The Coffs Harbour Health Campus is a modern 208 bed facility which provides a broad range of specialty health care services. These include emergency medicine, intensive care, coronary care, general medicine, general surgery and orthopaedics, obstetrics/gynaecology, paediatrics, stroke and rehabilitation, renal and mental health and a wide range of clinical support services and community based services. Recent additions to the facility include the Coronary Angiography Unit and the North Coast Cancer Institute (NCCI) which provides oncology services, radiotherapy and breast screening. Come and enjoy the rewards of working as part of a highly dedicated team committed to the provision of world class health services.

Midwifery Unit Manager – Maternity ServicesLocation: Coffs Harbour Health Campus

• Provide management, clinical leadership and coordination of care within the Maternity Services• Promote the CORE values of MNCLHD and NSW Health, leading in a manner which encourages

the adoption of these standards in all staff• In consultation with midwifery and medical staff within the Maternity Services, develop the strategic

direction for the Maternity Services and inspire a shared sense of purpose amongst all staff

Enquiries: Joanne Uttley, (02) 6656 7024 or email [email protected]

Reference number: 201904

Closing date: 1 September 2014

The colour of wounds and its implication for healingBy Bonnie Fraser RN BSc, BNURS

Wounds are very common across the spec-

trum of health care settings, with a range of pres-

entations including traumatic or surgical wounds

and chronic wounds such as diabetic foot ulcers

and leg wounds (in particular venous stasis ulcers

and arterial ulcers), ischemic wounds (gangrene)

and pressure injuries. Less common wounds

may include vasculitic ulcers, necrotising fas-

ciitis, pyoderma gangrenosum and calciphylaxis.

With any wound it is important to understand

the aetiology in order to develop an appropriate

management plan, but also to properly manage

any comorbidities that may be associated with

the development of the wound or limit the healing

potential.Locally, the type of tissue in the wound

bed may give important clues about the stage of

healing or whether the wound will heal. Wound

assessment must therefore be holistic and incor-

porate key aspects of both the patient and the

wound to ensure the best possible outcome for

the individual. While holistic assessment is the

foundation for thorough wound assessment, this

article will focus on wound characteristics, in par-

ticular tissue types and the condition of the sur-

rounding skin.

Healthy SkinAs the outer layer of the body, skin provides a

protective barrier to environmental influences al-

lowing us to respond to a myriad of environmen-

tal stimuli. Skin forms an impervious barrier to

changing weather conditions as well as chemical

and bacterial assault. Skin contains thousands

of sensory nerve endings that detect changes

in temperature, pain and pressure, and facilitate

thermoregulation. Skin has metabolic functions

producing vitamin D in response to sunlight and

secreting salts through sweating. Skin plays

an important cosmetic role,influencing how we

view ourselves and communicate with others.

Any failure in skin integrity results in a wound.

All wounds, regardless of their cause and heal-

ing intention (discussed in a future article), must

progress through the stages of healing in order

to close and restore skin integrity. The following

provides a guide to understanding various tissue

types associated with wounds.

Tissue types and wound healingManagement of a patient’s wound will be de-

termined by the wound tissue present and exu-

dates. The different types of tissue can easily be

remembered by colour. Necrotic tissue, termed

eschar, is easily identified as black or dark brown

in colour. Eschar may be dry or moist and pre-

sents as thick and sometimes leathery necrotic

tissue cast off from the surface of the wound.

Eschar inhibits the proliferative and maturation

phases of wound healing by preventing the for-

mation of healthy granulation tissue and inhibit-

ing wound contraction and epithelialisation (new

skin growth).

Moist eschar supports bacterial growth in-

creasing the risk of infection and ideally should

be debrided. Dry eschar, on the other hand,

forms an impervious barrier to external micro-

bial contamination. In patients with compromised

circulation, for example patients with peripheral

arterial disease or diabetes, it is best to leave

the eschar in place until investigations can de-

termine the degree of arterial disease. Wounds

with a poor blood supply have minimal oxygen

and nutrients being delivered to the wound bed

and surrounding tissues, limiting wound healing

potential and removal of a dry eschar may cause

further deterioration of the wound and increase

the risk of infection.

Slough (also necrotic tissue) is a non-viable

fibrous yellow tissue(which may be pale,greenish

in colouror have a washed out appearance)

formed as a result of infection or damaged tis-

sue in the wound. The presence of slough may

indicate the wound is stuck in the inflammatory

phase (chronic wounds) or the body is attempting

to cleanthe wound bed in preparation for healing.

Slough is usually a combination of leucocytes,

bacteria, devitalised tissue or debris and usually

has a moist, shiny stringy appearance or may be

firmly attached to the wound bed.

Granulation tissue is a collagen rich

tissue forming at the site of an

injury during the proliferative

phase. As the wound heals

this tissue fills in the

wound deficit replacing

the blood clot formed

during haemosta-

sis and eventually

forming scar tissue.

Healthy granulation

tissue is bright red

with a grainy appear-

ance, due to the budding

or growth of new blood

vessels into the tissue. This

tissue is firm to touch and has a

shiny appearance. It is essential to pro-

tect the granulation tissue to allow the epitheliali-

sation process to proceed in order to close the

wound. Granulating wounds require adequate

tissue perfusion; a slightly acidic environment;

a stable wound temperature; good bioburden

control; moisture balance; a reduction of factors

which may prevent healing (e.g. the underlying

cause of the wound);and protection from physi-

cal trauma.

Hyper-granulation tissue (often called over-

granulation) is an excess of granulation tissue

over and above that required to fill the wound

cavity. Hyper-granulation tissue may appear dark

red and devitalised (due to poor oxygenation) or

pale due to lack of oxygen. Hyper-granulation tis-

sue inhibits the migration of epithelial cells across

the wound surface and increases the risk of scar

tissue formation by preventing the wound edges

from closing. Hyper-granulation tissue may be

the result of prolonged inflammation due to infec-

tion or the presence of an irritant or foreign body;

overuse of occlusive dressings; constant rubbing

of dressings or tubes against the skin causing an

inflammatory response (e.g. a peg tube or supra

pubic catheter); allergy to dressings; or imbal-

ance of cellular activities that regulate the pro-

duction of healthy tissue.

With any hyper-granulation

tissue it is important to iden-

tify and treat the cause and

to eliminate malignancy.

If occlusive dress-

ings have been used

change to a vapour

permeable dress-

ing. The application

of light pressure to

the wound bed using

a foam dressing with

tubigrip compression

may reduce the overgrowth

of tissue. Additionally, hyper-

tonic dressing (e.g. Mesalt) may

dehydrate the overgranulation. In case

of infection, antimicrobial dressings such as sil-

ver, iodosorb or medical honey may also help to

dehydrate the wound. Apply light pressure to the

wound bed. It is important to swab the wound

to determine bacterial burden and to eliminate

infection as a causative agent.

Epithelialisation is the regeneration of new

skin (epithelium) over a wound and signifies

the final stage of healing. Epithelial tissue, light

pink in colour, usually migrates inwards from the

wound margins or may appear as small islands of

tissue over the surface of the wound.

For the full article visit NCAH.com.au


























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toria.




















lance driver.




last September.





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Salt injection ‘kills cancer cells’Scientists have created a molecule that can

cause cancer cells to die by carrying sodium and

chloride ions into the cells.

Scientists have created a technique which

can cause cancer cells to self-destruct by inject-

ing them with salt.

Researchers from the University of South-

ampton are part of an international team that has

helped to create a molecule that can cause can-

cer cells to die by carrying sodium and chloride

ions into the cells.

Synthetic ion transporters have been created

before but this is the first time researchers have

demonstrated how an influx of salt into a cell trig-

gers cell death.

These synthetic ion transporters, described

this week in the journal Nature Chemistry, could

point the way to new anti-cancer drugs while also

benefiting patients with cystic fibrosis.

“This work shows how chloride transport-

ers can work with sodium channels in cell mem-

branes to cause an influx of salt into a cell. We

found we can trigger cell death with salt,” said

study co-author Professor Philip Gale, of the Uni-

versity of Southampton.

Cells in the human body work hard to main-

tain a stable concentration of ions inside their

cell membranes. Disruption of this delicate bal-

ance can trigger cells to go through apoptosis,

known as programmed cell death, a mechanism

the body uses to rid itself of damaged or danger-

ous cells.

One way of destroying cancer cells is to trig-

ger this self-destruct sequence by changing the

ion balance in cells.


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London - no ordinary challenge for paramedicsIt’s one of the world’s most famous cities with landmarks such as Tower Bridge, Big Ben, Buckingham Palace and The Shard. It’s also home to one of the busiest ambulance services in the world - and it wants our paramedics. By Karen Keast

London has always been a working destina-

tion for Australians and New Zealanders.

While the London Ambulance Service has

long attracted Aussie and Kiwi paramedics

searching for a career change, now,

for the first time, the organisa-

tion is actively recruiting

paramedics from either

side of the Tasman

divide.

The service

will send a team

to interview

and assess

paramedics in

Australia and

New Zealand

next month as it

works to bridge

its paramedic short-

age.

London Ambulance

Service operations director

Jason Killens says the organisa-

tion hasn’t recruited from overseas before.

“This is an unique opportunity for Australian

paramedics,” he says.

“There is a national shortage of paramedics

in the UK and therefore we are looking to recruit

paramedics from Australia and New Zealand as

their skills and training closely match those in the

UK.

“I’d urge them to apply now for a chance to

work for the world’s busiest ambulance service in

one of the most famous cities in the world.”

The London Ambulance Service is home to

4,500 employees, with 3,300 frontline staff work-

ing across 70 ambulance stations spanning 620

square miles, from Heathrow in the west to Up-

minster in the east, and from Enfield in the north

to Purley in the south.

It receives around 4,000 calls a day, and

almost a quarter of those are immediately life-

threatening.

The organisation this year launched its re-

cruitment campaign, ‘London - no ordinary chal-

lenge’, as it works to fill about 250 vacancies for

registered paramedics.

Its recruitment website reveals London par-

amedics face unique challenges ranging from

open chest surgery at the side of the road to tak-

ing patients to hospital by boat.

Paramedics have the opportunity to work

amid all walks of London life via the service’s fast

response cars, as a flight paramedic and in its

cycle response unit.

“We respond to emergencies as quickly as

possible and deliver the highest level of care…in

the air, on the road, by foot,” it states.

Mr Killens says the London Ambulance Ser-

vice has changed a lot since he started.

“There’s now a clear career development

structure in place,” he says.

“But the qualities needed to succeed are the

same - persistence, personal resilience and the

ability to seize every opportunity you can.”

Those wanting to apply for the positions

must be at a paramedic level.

“We accept applications if they are current-

ly completing a paramedic science degree or

equivalent,” Mr Killens says.

“All applicants will need to obtain UK para-

medic registration before joining – but they can

still apply while their registration is in process.”

During assessments, candidates will need

to demonstrate their knowledge and decision-

making ability.

Mr Killens says candidates are first required

to take a multiple choice clinical assessment pa-

per on areas ranging from anatomy to advanced

life support and trauma.

“This is followed by a lifting assessment and,

finally, they will do a practical assessment on ad-

vanced life support,” he says.

“Candidates will be observed on how safe,

effective and logical their decision-making is

while working in a team.

“They will also be interviewed by someone

from human resources along with an operational

team member.”

Mr Killens says the service has so far re-

ceived about 100 applications from across Aus-

tralia and New Zealand and he expects all suit-

able candidates will receive a job offer.

“We expect to be able to offer a job to eve-

ryone who is successful at the interview and as-

sessment,” he says.

“A team from the service will be in Australia and New Zealand in September for interviews and assessments and by the end of the day paramedics could walk away with a job in London.

“We expect to complete the process of re-

ceiving their references, pre-employment checks

and their UK registration by December, with their

start date in January after been granted a visa.”

The service is offering candidates support

with their application, visa and relocation costs,

while it will also cover the Health and Care Pro-

fessions Council paramedic registration fee.

Paramedics who secure jobs will be required

to complete a short conversion course enabling

them to treat patients in the UK.

Mr Killens says the full training package will

enable paramedics to operate as registered para-

medics in London.

“This will include a conversion course, blue

light driving, responding to incidents on the Lon-

don Underground and an operational placement

as a third person with an ambulance crew.”

The London Ambulance Service will attend

the PAIC conference on the Gold Coast, from

September 18-20 September, running interviews

and assessments, and answering questions.

The service will also visit Sydney from Sep-

tember 8-9, Adelaide from 12-13, Melbourne

from 15-16, and Auckland from September 12-

13.

Paramedics wanting to apply can visit www.

noordinarychallenge.com, and for more informa-

tion can visit the London Ambulance Service’s

Facebook at www.facebook.com/noordinary-

challenge or speak to a member of the recruit-

ment team by emailing recruitment@londonam-

bulance.nhs.uk.

Doctors urged to spot rheumatic fever

Indigenous people are at increased risk of

contracting acute rheumatic fever, which is pre-

ventable but leads to deadly heart disease if un-

detected.

When Kenya McAdam’s joints started hurting

when she was 15, she thought it was due to a

recent soccer game, or growing pains.

But within a week she had been rushed from

Kununurra in the Kimberley to a Darwin hospital,

where she suffered a cardiac arrest.

She was diagnosed with rheumatic heart dis-

ease (RHD) and underwent heart surgery, which

she may need every decade for the rest of her life.

Australia has one of the highest rates of RHD

in the world, with indigenous people 64 times

more likely to contract it as a result of weakened

immune systems due to poverty and deprivation.

A seminar being held in Darwin this week is

training health workers to be on the lookout for

the preventable illness.

Acute rheumatic fever is caused by a reaction to a streptococcus bacteria, in-flaming the heart, joints, brain and skin, and if untreated it can cause RHD, where the heart valves are stretched or scarred, interrupting blood flow.

“I didn’t realise how sick I was at first, and

then when I was told, I went `wow’. All of that

inside of me and I didn’t even know,” Kenya, now

18, told AAP on Tuesday.

Her mother Cherie says she had persistent

sore throats as a child, which are a symptom of

the disease that doctors failed to diagnose.

Kenya’s brother Luke has rheumatic fever

and her youngest sister Mercii has a congenital

heart condition.

Many Australian medical professionals have

never seen a case of acute rheumatic fever because

it has largely been eradicated in urban settings,

said Professor Bart Currie, director of RHD Aus-

tralia.

Almost half a million new cases are identified

each year around the world, especially in the Pa-

cific region, and it kills 230,000 people annually.

Cherie and Kenya are urging health profes-

sionals to be more aware.

“Women, we share the same heartbeat as our

kid,” Cherie said.

“We know when something is up ... If she

keeps coming back (to the doctor) you listen to

her, and dig deeper.”

An earlier diagnosis might have prevented

Kenya’s condition becoming the disease, which

will limit her in terms of employment and physical

activity, Cherie said.

Experts are also converging in Darwin for the

largest study on RHD and pregnancy conducted

across Australia and New Zealand.

The disease is often undiagnosed but is un-

masked by pregnancy when women’s hearts are

under stress, and can make them very unwell.

The study is ongoing, but preliminary results

show that a limited access to specialist health

care in remote communities, a high turnover of

staff and multiple layers of health records are

preventing pregnant women from getting the care

they need.

But in Kununurra now when children present

with sore throats, they immediately receive in-

jections to battle possible rheumatic fever, said

Cherie.

“We’ve been instigators of change for the

better so other families don’t have to go through

what we’ve been through,” she said.

Copyright AAP 2014

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Support for Noarlunga Hospital nurses

Nurses working at an Adelaide hospital have

been offered counselling and support after a

patient was charged with the murder of another

patient.

South Australia Police have arrested and

charged a 23-year-old Woodcroft man with mur-

der after the death of a man, aged in his 40s, at

the Noarlunga Hospital.

A nurse doing her rounds at the Morier Ward

of the hospital found a man collapsed around

1am on August 12.

He was unable to be revived and was pro-

nounced dead.

Australian Nursing and Midwifery Federa-

tion South Australian branch secretary Adj Assoc

Professor Elizabeth Dabars AM said nurses who

work at the ward are receiving support.

“Our understanding is the nurses, whilst of

course it’s been quite a shocking experience,

have at least been getting some appropriate sup-

port from their managers,” she said.

“That includes some appropriate offers of

counselling, and also getting people home in an

appropriate way rather than expecting them to

drive in a state of shock.

“The support that’s been offered by manage-

ment has been positive and one that we’ve wel-

comed.

“Obviously our hearts and minds also go out

to those who are affected and have been involved

in this situation.”

In a statement, Southern Adelaide Local

Health Network chief executive officer Belinda

Moyes said the incident took place in a contained

area of the health service.



Opportunity.Experience.Lifestyle. Nursing Director / Program Manager Location: Rehabilitation Mental Health Services,Mental Health Service Group, Townsville,Townsville Hospital and Health Service. Salary Details: Remuneration value up to $149 668 p.a., comprising salary of $131 177 p.a., employer contribution to superannuation (up to 12.75%) and annual leave loading (17.5%) (Nurse Grade 9 [2]). Duties/Abilities: Accountable for leadership, innovation and excellence in the continuum of care for Rehabilitation Mental Health Services across multiple sites. Manage the operational delivery of clinical services in partnership with the relevant Clinical Medical Director. Be accountable for the administration, direction and control of the asset management and fi nancial management of one or more of the relevant cost centres in the program stream. Assist the Nursing Director (Grade 9 [3]) in the provision of leadership of professional nursing services within the Mental Health Service Group.Enquiries: Michael Catt (07) 4433 3088.Job Ad Reference: TV138793.Application Kit: www.smartjobs.qld.gov.au or (07) 4750 6771 Closing Date: Sunday, 24 August 2014 (applications will remain current for 12 months).

health • care • people

Blaze44879


Expand your professional skills and knowledge with the exciting concept of Education at Sea.

For full conference information and details please visit www.educationatsea.com.au

Cardiology Care in the 21st CenturySouth Pacific Cruise: Oct 26th - 3rd Nov 2014

Mothers, Babies and the Health Care Professional "Child Health Nurses and Midwives - Where do we fit in"

South Pacific Cruise: Nov 8th - 15th 2014

Midwives On Board! 2015 Contemporary Issues In Maternity CareSouth Pacific Cruise: Feb 8th - 18th 2015

Dual Diagnosis: the complexity and importance of careThailand & Vietnam Cruise: Feb 11th - 18th 2015

Diabetes and Nutrition within the Ageing Population: Personalising your approach to Prevention, Treatment and Care

South Pacific Cruise: Mar 14th - 22nd 2015

The Australian College of Emergency Nursing: TNCC Trauma Nursing Core Course Seventh Edition


Perioperative NursingSouth Pacific Cruise: June 8th - 18th 2015

Nurses for Nurses Network 2015 Annual Conference Western Caribbean Cruise: July 12th - 19th 2015

For conference information and bookings please visit www.educationatsea.com.au










Consider our product disclosure statement before making a decision about First State Super. Call us or visit our website for a copy. FSS Trustee Corporation ABN 11 118 202 672 AFSL 293340 is the trustee of the First State Superannuation Scheme ABN 53 226 460 365N

CA_WorksH

ard_180x120P_0714

416-002 1/2PG FULL COLOUR CMYK PDF415-004 1/2PG FULL COLOUR CMYK PDF414-002 1/2PG FULL COLOUR CMYK PDF413-005 1/2PG FULL COLOUR CMYK PDF412-002 1/2PG FULL COLOUR CMYK PDF411-006 1/2PG FULL COLOUR CMYK PDF410-003 1/2PG FULL COLOUR CMYK PDF409-008 1/2PG FULL COLOUR CMYK PDF408-00 1/2PG FULL COLOUR CMYK PDF407-008 1/2PG FULL COLOUR CMYK PDF405-011 1/2PG FULL COLOUR CMYK PDF404-007 1/2PG FULL COLOUR CMYK PDF403-013 1/2PG FULL COLOUR CMYK PDF402-013 1/2PG FULL COLOUR CMYK PDF401-039 1/2PG FULL COLOUR CMYK PDF



[email protected]



Caregivers



OxfordAunts Care





patient.







1am on August 12.


nounced dead.















comed.












Blaze44

879








DualDiagnosis: the complexity and importance of careThailand & Vietnam Cruise: Feb 11th - 18th 2015

Diabetes and Nutrition within the Ageing Population: Personalising your approach to Prevention,Treatment and Care





Nurses for Nurses Network 2015 AnnualConference Western Caribbean Cruise: July 12th - 19th 2015





416-005 1PG FULL COLOUR CMYK PDF 415-006 1PG FULL COLOUR CMYK PDF 414-006 1PG FULL COLOUR CMYK PDF 413-009 1PG FULL COLOUR CMYK PDF 412-006 1PG FULL COLOUR CMYK PDF 411-010 1PG FULL COLOUR CMYK PDF 409-011 1PG FULL COLOUR CMYK PDF 407-012 1PG FULL COLOUR CMYK PDF






ing them with salt.









gers cell death.

















ous cells.






n Attractive fee structure for our Graduate Entry Program.n Over 150 students currently enrolled and over 50 graduates

in Australia, New Zealand, Samoa and USA.n Home-based Pre-Clinical Study under top international


n Clinical Rotations can be performed locally, Interstate or Internationally.

n Receive personalised attention from an Academic Advisor.n OUM Graduates are eligible to sit the AMC exam or NZREX.

OCEANIA UNIVERSITY OF MEDICINEINTERNATIONALLY ACCREDITED For information visit www.RN2MD.org or 1300 665 343


RN to MDOUM’s innovativeteaching style is













side of the Tasman

divide.

The service

will send a team

to interview

and assess

paramedics in

Australia and

New Zealand

next month as it

works to bridge


age.

London Ambulance










UK.












threatening.

































making ability.













team member.”






















medics in London.












13.







bulance.nhs.uk.





detected.



























heart condition.





tralia.


























they need.




Cherie.




Copyright AAP 2014

416-031 1/4PG PDF415-018 1/4PG PDF

I N G R I D T E R E S A P R Y D E

of

NURSING

DARKThe

SIDE


of

NURSING

DARKThe

SIDE of

NURSING

DARKThe

SIDE of

NURSING

DARKThe

SIDE


ISBN:- 978-1-4525-1239-6











GenevaHealthcare

Australian nurses in Ebola response

Australian nurses are on the frontline in the

health response to the Ebola epidemic sweeping

West Africa.

As the death toll from the virus continues to

climb, Australian Red Cross aid worker and nurse

Amanda McClelland is on the ground in Sierra

Leone, heading up the international Red Cross

response.

Ms McClelland is one of a small team of

Australian Red Cross health professionals sent

to West Africa, including nurse and epidemiolo-

gist Marshall Tuck, while an anaesthetist is also

on the way.

An International Federation of Red Cross

(IFRC) emergency health senior officer, Ms Mc-

Clelland is working to set up the first Red Cross

isolation unit.

Ms McClelland said nurses are wearing full

personal protection equipment (PPE) from over-

alls and goggles to two pairs of gloves and apron

gumboots while they work, and using social dis-

tancing and good hand washing practices in the

community.

Nurses receive specialised training on arrival,

including use and removal of PPE, and are then

supervised in the isolation unit for up to two days.

“The ideas may be frightening, and the con-

sequences of a mistake can be high, but the care

of Ebola patients comes down to the basics that

all nurses should have,” she said.

“Many of our African colleagues have died

- 21 so far in the hospital that we are about to

support.

“This is because of lack of quality educa-

tion, quality equipment and extremely long hours

causing fatigue and possible errors.

“Many

of the nurses

were actually in-

fected from friends and

family at home rather than at

work where they had access to the right protec-

tion equipment.”

The organisation has deployed a full field

hospital and will open a 60-bed unit in Kenema,

Sierra Leone’s third largest city.

Ms McClelland said patients are presenting

with fever, malaise, vomiting and diarrhoea.

“Haemorrhagic symptoms are surprisingly

rare and only come late in the condition but they

can be confronting,” she said.

“We haven’t started clinical care yet, as the

hospital is being built and the focus has been on

breaking community transmission through good

public health practices.”

Ms McClelland, who oversees safety, policy

procedures and guidelines and manages the rela-

tionship with partners including the World Health

Organisation and the Sierra Leone Ministry of

Health, said the Red Cross has been involved

since the first cases appeared in Gueckadou, in

Guinea, in March, sending specialist aid work-

ers from across the globe to the three affected

countries.

She said the Ebola response comes down to

basic public health.

“It is good hygiene, burial practices and a

simple transmission cycle that can be broken

through early case indication and treatment,” she

said.

By Karen Keast

“We utilise public health nurses with good

community experience to assist the national Red

Cross society in working with a large network of

volunteers in communities, personal and psycho-

logical support and contact tracing activities.

“It helps if these community nurses have a

good understanding of infection control, and epi-

demiology.

“In terms of clinical care, the nursing proce-

dures are basic skills - good interpersonal com-

munication, use of personal protective equip-

ment and supportive care that includes treatment

of sepsis and shock.”

Ms McClelland said a lack of understanding

about the disease has led to rumours and misin-

formation in the population, making clinical care

difficult.

“There have even been cases of civil unrest

or the population attacking a vehicle or hospital,”

she said.

“This fear and lack of understanding makes

bringing the outbreak under control very difficult.For the full article visit NCAH.com.au

“In terms of clinical care, the high case fa-

tality rate is difficult and working in the personal

protection equipment in hot conditions is a big

challenge.

“Nurses are losing up to two litres of fluid

in one set of rounds, so keeping hydrated and

avoiding heat stress is extremely important.”

Regardless of the hurdles, Ms McClelland

said it’s rewarding to work alongside Red Cross

volunteers in the midst of the epidemic.

“Despite the fear and stigma they turn up to

work every day and do what they can to help their

communities - they are amazing and an inspira-

tion,” she said.

The other highlights are the survivors.

“There are big celebrations when someone

survives,” she said.

“The counters take them back to their village

and assure everyone they are now safe and not

infectious.”

416- 012 1/2PG FULL COLOUR CMYK PDF

Time for a humanitarian career move?Want to kick-start your career in international development? Gain invaluable field experience by volunteering in Asia, Africa or the Pacific.

Assignments in nursing, midwifery, public health and allied health are regularly available. You can enrich your career with new skills, learn to manage with limited resources, and build invaluable relationships. We’ll support you all the way with airfares, accommodation and allowances.

Visit redcross.org.au/aidwork or call 03 9345 1834 to explore your options.Australian Volunteers is an Australian Government initiative

australianaidvolunteers.gov.au










side of the Tasman

divide.

The service

will send a team

to interview

and assess

paramedics in

Australia and

New Zealand

next month as it

works to bridge


age.

London Ambulance










UK.












threatening.

































making ability.













team member.”






















medics in London.












13.







bulance.nhs.uk.





Geneva Healthcare




West Africa.





response.





on the way.




isolation unit.






community.










support.




“ M a n y

of the nurses

were actually in-




tion equipment.”





















countries.






said.

By Karen Keast








demiology.









difficult.



she said.


bringing the outbreak under control very difficult. For the full article visit NCAH.com.au




challenge.










tion,” she said.






infectious.”















side of the Tasman

divide.

The service

will send a team

to interview

and assess

paramedics in

Australia and

New Zealand

next month as it

works to bridge


age.

London Ambulance










UK.












threatening.

































making ability.













team member.”






















medics in London.












13.







bulance.nhs.uk.





Geneva Healthcare




West Africa.





response.





on the way.




isolation unit.






community.










support.




“ M a n y

of the nurses

were actually in-




tion equipment.”





















countries.






said.

By Karen Keast








demiology.









difficult.



she said.


bringing the outbreak under control very difficult. For the full article visit NCAH.com.au




challenge.










tion,” she said.






infectious.”















side of the Tasman

divide.

The service

will send a team

to interview

and assess

paramedics in

Australia and

New Zealand

next month as it

works to bridge


age.

London Ambulance










UK.












threatening.

































making ability.













team member.”






















medics in London.












13.







bulance.nhs.uk.





GenevaHealthcare




West Africa.





response.





on the way.




isolation unit.






community.










support.




“Many

of the nurses

were actually in-




tion equipment.”





















countries.






said.

By Karen Keast








demiology.









difficult.



she said.


bringing the outbreak under control very difficult.For the full article visit NCAH.com.au




challenge.










tion,” she said.






infectious.”















side of the Tasman

divide.

The service

will send a team

to interview

and assess

paramedics in

Australia and

New Zealand

next month as it

works to bridge


age.

London Ambulance










UK.












threatening.

































making ability.













team member.”






















medics in London.












13.







bulance.nhs.uk.




416-005 1PG FULL COLOUR CMYK PDF 415-006 1PG FULL COLOUR CMYK PDF 414-006 1PG FULL COLOUR CMYK PDF 413-009 1PG FULL COLOUR CMYK PDF 412-006 1PG FULL COLOUR CMYK PDF 411-010 1PG FULL COLOUR CMYK PDF 409-011 1PG FULL COLOUR CMYK PDF 407-012 1PG FULL COLOUR CMYK PDF






ing them with salt.









gers cell death.

















ous cells.






n Attractive fee structure for our Graduate Entry Program.n Over 150 students currently enrolled and over 50 graduates

in Australia, New Zealand, Samoa and USA.n Home-based Pre-Clinical Study under top international


n Clinical Rotations can be performed locally, Interstate or Internationally.

n Receive personalised attention from an Academic Advisor.n OUM Graduates are eligible to sit the AMC exam or NZREX.

OCEANIA UNIVERSITY OF MEDICINEINTERNATIONALLY ACCREDITED For information visit www.RN2MD.org or 1300 665 343


RN to MDOUM’s innovativeteaching style is













side of the Tasman

divide.

The service

will send a team

to interview

and assess

paramedics in

Australia and

New Zealand

next month as it

works to bridge


age.

London Ambulance










UK.












threatening.

































making ability.













team member.”






















medics in London.












13.







bulance.nhs.uk.





detected.



























heart condition.





tralia.


























they need.




Cherie.




Copyright AAP 2014

416-031 1/4PG PDF415-018 1/4PG PDF

I N G R I D T E R E S A P R Y D E

of

NURSING

DARKThe

SIDE


of

NURSING

DARKThe

SIDE of

NURSING

DARKThe

SIDE of

NURSING

DARKThe

SIDE


ISBN:- 978-1-4525-1239-6
















Consider our product disclosure statement before making a decision about First State Super. Call us or visit our website for a copy. FSS Trustee Corporation ABN 11 118 202 672 AFSL 293340 is the trustee of the First State Superannuation Scheme ABN 53 226 460 365N

CA_WorksH

ard_180x120P_0714

416-002 1/2PG FULL COLOUR CMYK PDF415-004 1/2PG FULL COLOUR CMYK PDF414-002 1/2PG FULL COLOUR CMYK PDF413-005 1/2PG FULL COLOUR CMYK PDF412-002 1/2PG FULL COLOUR CMYK PDF411-006 1/2PG FULL COLOUR CMYK PDF410-003 1/2PG FULL COLOUR CMYK PDF409-008 1/2PG FULL COLOUR CMYK PDF408-00 1/2PG FULL COLOUR CMYK PDF407-008 1/2PG FULL COLOUR CMYK PDF405-011 1/2PG FULL COLOUR CMYK PDF404-007 1/2PG FULL COLOUR CMYK PDF403-013 1/2PG FULL COLOUR CMYK PDF402-013 1/2PG FULL COLOUR CMYK PDF401-039 1/2PG FULL COLOUR CMYK PDF



[email protected]



Caregivers



OxfordAunts Care





patient.







1am on August 12.


nounced dead.















comed.












Blaze44

879








DualDiagnosis: the complexity and importance of careThailand & Vietnam Cruise: Feb 11th - 18th 2015

Diabetes and Nutrition within the Ageing Population: Personalising your approach to Prevention,Treatment and Care





Nurses for Nurses Network 2015 AnnualConference Western Caribbean Cruise: July 12th - 19th 2015











Consider our product disclosure statement before making a decision about First State Super. Call us or visit our website for a copy. FSS Trustee Corporation ABN 11 118 202 672 AFSL 293340 is the trustee of the First State Superannuation Scheme ABN 53 226 460 365 N

CA_W

orks

Har

d_18

0x12

0P_0

714

416-002 1/2PG FULL COLOUR CMYK PDF 415-004 1/2PG FULL COLOUR CMYK PDF 414-002 1/2PG FULL COLOUR CMYK PDF 413-005 1/2PG FULL COLOUR CMYK PDF 412-002 1/2PG FULL COLOUR CMYK PDF 411-006 1/2PG FULL COLOUR CMYK PDF 410-003 1/2PG FULL COLOUR CMYK PDF 409-008 1/2PG FULL COLOUR CMYK PDF 408-00 1/2PG FULL COLOUR CMYK PDF 407-008 1/2PG FULL COLOUR CMYK PDF 405-011 1/2PG FULL COLOUR CMYK PDF 404-007 1/2PG FULL COLOUR CMYK PDF 403-013 1/2PG FULL COLOUR CMYK PDF 402-013 1/2PG FULL COLOUR CMYK PDF 401-039 1/2PG FULL COLOUR CMYK PDF



[email protected]



Caregivers



OxfordAunts Care





patient.







1am on August 12.


nounced dead.















comed.












Blaze44879








Dual Diagnosis: the complexity and importance of careThailand & Vietnam Cruise: Feb 11th - 18th 2015

Diabetes and Nutrition within the Ageing Population: Personalising your approach to Prevention, Treatment and Care





Nurses for Nurses Network 2015 Annual Conference Western Caribbean Cruise: July 12th - 19th 2015





416-005 1PG FULL COLOUR CMYK PDF415-006 1PG FULL COLOUR CMYK PDF414-006 1PG FULL COLOUR CMYK PDF413-009 1PG FULL COLOUR CMYK PDF412-006 1PG FULL COLOUR CMYK PDF411-010 1PG FULL COLOUR CMYK PDF409-011 1PG FULL COLOUR CMYK PDF407-012 1PG FULL COLOUR CMYK PDF






ing them with salt.









gers cell death.

















ous cells.






nAttractive fee structure for our Graduate Entry Program.nOver 150 students currently enrolled and over 50 graduates

in Australia, New Zealand, Samoa and USA.nHome-based Pre-Clinical Study under top international


nClinical Rotations can be performed locally, Interstate or Internationally.

nReceive personalised attention from an Academic Advisor.nOUM Graduates are eligible to sit the AMC exam or NZREX.

OCEANIA UNIVERSITY OF MEDICINEINTERNATIONALLY ACCREDITED For information visit www.RN2MD.orgor 1300 665 343


RNtoMD OUM’s innovativeteaching style is













side of the Tasman

divide.

The service

will send a team

to interview

and assess

paramedics in

Australia and

New Zealand

next month as it

works to bridge


age.

London Ambulance










UK.












threatening.

































making ability.













team member.”






















medics in London.












13.







bulance.nhs.uk.





detected.



























heart condition.





tralia.


























they need.




Cherie.




Copyright AAP 2014

416-031 1/4PG PDF 415-018 1/4PG PDF

INGRID TERESA PRYDE

of

NURSING

DARKThe

SIDE


of

NURSING

DARKThe

SIDEof

NURSING

DARKThe

SIDEof

NURSING

DARKThe

SIDE


ISBN:- 978-1-4525-1239-6










416-007 1PG FULL COLOUR CMYK PDF 415-011 1PG FULL COLOUR CMYK PDF 414-009 1PG FULL COLOUR CMYK PDF 413-013 1PG FULL COLOUR CMYK PDF 412-010 1PG FULL COLOUR CMYK PDF 411-017 1PG FULL COLOUR CMYK PDF 409-036 1PG FULL COLOUR CMYK PDF 408-012 1PG FULL COLOUR CMYK PDF 407-034 1PG FULL COLOUR CMYK PDF

Act now!

2015 deadline

announced
























Health services





toria.




















lance driver.




last September.
















environments.








N43

668



































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skin growth).



































during haemosta-

sis and eventually


Healthy granulation
















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ings have been used

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rounding skin.

































skin growth).



































during haemosta-

sis and eventually


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cal trauma.























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ings have been used

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environments.








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skin growth).



































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sis and eventually


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ings have been used

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permeable dress-



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rounding skin.

































skin growth).



































during haemosta-

sis and eventually


Healthy granulation
















cal trauma.























If occlusive dress-

ings have been used

change to a vapour

permeable dress-



the wound bed using























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Act now!

2015 deadline

announced
























Health services





toria.




















lance driver.




last September.









416-011 1PG FULL COLOUR CMYK PDF 414-008 1PG FULL COLOUR CMYK PDF 412-008 1PG FULL COLOUR CMYK PDF 411-039 1PG FULL COLOUR CMYK PDF 410-012 1PG FULL COLOUR CMYK PDF 410-012 1PG FULL COLOUR CMYK PDF 410-012 1PG FULL COLOUR CMYK PDF 408-032 1PG FULL COLOUR CMYK PDF 407-010 1PG FULL COLOUR CMYK PDF 404-010 1PG FULL COLOUR CMYK PDF 403-039 1PG FULL COLOUR CMYK PDF 402-038 1PG FULL COLOUR CMYK PDF 401-016 1PG FULL COLOUR CMYK PDF 325-021 1PG FULL COLOUR CMYK PDF 323-037 1PG FULL COLOUR CMYK PDF

• Solid nursing background for health check services (min 2yrs post grad) • Solid venepuncture experience for blood screening services (min 2yrs exp)• Excellent general medical knowledge and terminology• Professional presentation and communication, along with impressive time management skills• Current CPR Certification• National Police Check• ABN• Nurse Immunisation certificate for all nurse immunisers

Danielle Le Fevre






sector wage freeze.






and midwives.
















abc.net.au.





wives.











as October.














workplaces.




education and training workplaces.”416-006 1/4PG PDF414-007 1/4PG PDF412-007 1/4PG PDF411-036 1/4PG PDF410-015 1/4PG PDF408-011 1/4PG PDF



416-026 1PG FULL COLOUR CMYK PDF415- 028 1PG FULL COLOUR CMYK PDF414-031 1PG FULL COLOUR CMYK PDF

















natures.





ing.



said.






work.”















round-

the-clock

care and sup-

port to patients












(VLCA) practices.






next year.”











Advertiser List

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Griffith University



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Ausmed

Austra Health




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eNurse


Medacs Australia

No Roads to Health



Oxford Aunts Care

Pulse Staffi ng

Queensland Health



TR7 Health










ABN 29 071 328 053.








www.ncah.com.au





Advertiser List

AHN Recruitment

Ausmed

Austra Health




CQ Nurse

CRANAplus

Employment Offi ce

eNurse


Medacs Australia

No Roads to Health



Oxford Aunts Care

Pulse Staffi ng

Queensland Health



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ABN 29 071 328 053.








www.ncah.com.au







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Employment Office

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Griffith University



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416-004 1PG FULL COLOUR CMYK PDF415-007 1PG FULL COLOUR CMYK PDF414-005 1PG FULL COLOUR CMYK PDF413-010 1PG FULL COLOUR CMYK PDF412-005 1PG FULL COLOUR CMYK PDF411-011 1PG FULL COLOUR CMYK PDF409-012 1PG FULL COLOUR CMYK PDF408-007 1PG FULL COLOUR CMYK PDF407-013 1PG FULL COLOUR CMYK PDF406-010 1PG FULL COLOUR CMYK PDF405-013 1PG FULL COLOUR CMYK PDF404-011 1PG FULL COLOUR CMYK PDF403-015 1PG FULL COLOUR CMYK PDF402-036 1PG FULL COLOUR CMYK PDF401-003 1PG FULL COLOUR CMYK PDF324-020 1PG FULL COLOUR CMYK PDF323-022 1PG FULL COLOUR CMYK PDF322-035 1PG FULL COLOUR CMYK PDF321-014 1PG FULL COLOUR CMYK PDF1320-006 1PG FULL COLOUR CMYK PDF (RPT)










alcohol withdrawal:





























to alcohol.















Australia include:






procedures.)



symptoms include:






























and remote areas




ness for change)












consequences.

References



20102/8/2014.










alcohol withdrawal:





























to alcohol.















Australia include:






procedures.)



symptoms include:






























and remote areas




ness for change)












consequences.

References



20102/8/2014.
























__________________________________


www.ncah.com.au





Advertiser List

AHN Recruitment

Ausmed

Austra Health




CQ Nurse

CRANAplus

Employment Offi ce

eNurse


Medacs Australia

No Roads to Health



Oxford Aunts Care

Pulse Staffi ng

Queensland Health



TR7 Health










ABN 29 071 328 053.








www.ncah.com.au





Advertiser List

AHN Recruitment

Ausmed

Austra Health




CQ Nurse

CRANAplus

Employment Offi ce

eNurse


Medacs Australia

No Roads to Health



Oxford Aunts Care

Pulse Staffi ng

Queensland Health



TR7 Health










ABN 29 071 328 053.








www.ncah.com.au







CQ Nurse

Education Cruises

Employment Office

Geneva Health

Griffith University



Lifescreen

Medacs Australia





Oxford Aunts Care

Pulse Staffing


TR7 Health

UK Pensions









Advertiser List

AHN Recruitment

Ausmed

Austra Health




CQ Nurse

CRANAplus

Employment Offi ce

eNurse


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416-004 1PG FULL COLOUR CMYK PDF 415-007 1PG FULL COLOUR CMYK PDF 414-005 1PG FULL COLOUR CMYK PDF 413-010 1PG FULL COLOUR CMYK PDF 412-005 1PG FULL COLOUR CMYK PDF 411-011 1PG FULL COLOUR CMYK PDF 409-012 1PG FULL COLOUR CMYK PDF 408-007 1PG FULL COLOUR CMYK PDF 407-013 1PG FULL COLOUR CMYK PDF 406-010 1PG FULL COLOUR CMYK PDF 405-013 1PG FULL COLOUR CMYK PDF 404-011 1PG FULL COLOUR CMYK PDF 403-015 1PG FULL COLOUR CMYK PDF 402-036 1PG FULL COLOUR CMYK PDF 401-003 1PG FULL COLOUR CMYK PDF 324-020 1PG FULL COLOUR CMYK PDF 323-022 1PG FULL COLOUR CMYK PDF 322-035 1PG FULL COLOUR CMYK PDF 321-014 1PG FULL COLOUR CMYK PDF 1320-006 1PG FULL COLOUR CMYK PDF (RPT)










alcohol withdrawal:





























to alcohol.















Australia include:






procedures.)



symptoms include:






























and remote areas




ness for change)












consequences.

References



20102/8/2014.










alcohol withdrawal:





























to alcohol.















Australia include:






procedures.)



symptoms include:






























and remote areas




ness for change)












consequences.

References



20102/8/2014.
























__________________________________


www.ncah.com.au




416-011 1PG FULL COLOUR CMYK PDF414-008 1PG FULL COLOUR CMYK PDF412-008 1PG FULL COLOUR CMYK PDF411-039 1PG FULL COLOUR CMYK PDF410-012 1PG FULL COLOUR CMYK PDF410-012 1PG FULL COLOUR CMYK PDF410-012 1PG FULL COLOUR CMYK PDF408-032 1PG FULL COLOUR CMYK PDF407-010 1PG FULL COLOUR CMYK PDF404-010 1PG FULL COLOUR CMYK PDF403-039 1PG FULL COLOUR CMYK PDF402-038 1PG FULL COLOUR CMYK PDF401-016 1PG FULL COLOUR CMYK PDF325-021 1PG FULL COLOUR CMYK PDF323-037 1PG FULL COLOUR CMYK PDF

• Solid nursing background for health check services (min 2yrs post grad) • Solid venepuncture experience for blood screening services (min 2yrs exp)• Excellent general medical knowledge and terminology• Professional presentation and communication, along with impress ive time management skills• Current CPR Certification• National Police Check• ABN• Nurse Immunisation certificate for all nurse immunisers

Danielle Le Fevre






sector wage freeze.






and midwives.
















abc.net.au.





wives.











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work.”















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next year.”







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416-018 1PG FULL COLOUR CMYK PDF415-032 1PG FULL COLOUR CMYK PDF414-029 1PG FULL COLOUR CMYK PDF






416-009 1/2PG FULL COLOUR CMYK PDF 415-012 1/2PG FULL COLOUR CMYK PDF 414-011 1/2PG FULL COLOUR CMYK PDF 413-035 1/2PG FULL COLOUR CMYK PDF 412-027 1/2PG FULL COLOUR CMYK PDF





> postgraduate


> nurse re-entry





www.ncah.com.auNursing Careers Allied Health - Issue 16

Prin

ted

by B

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Issue 1618/08/14

fortnightly











2013

State

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416-018 1PG FULL COLOUR CMYK PDF 415-032 1PG FULL COLOUR CMYK PDF 414-029 1PG FULL COLOUR CMYK PDF






416-009 1/2PG FULL COLOUR CMYK PDF415-012 1/2PG FULL COLOUR CMYK PDF414-011 1/2PG FULL COLOUR CMYK PDF413-035 1/2PG FULL COLOUR CMYK PDF412-027 1/2PG FULL COLOUR CMYK PDF





> postgraduate


> nurse re-entry





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Ncah issue 16 2014

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