Caring for the community since 1896

Issue 25

MAUDEMESSENGER February 2019

The expression “digital transformation” is becoming increasingly common as organisations focus on adjusting to the use of new technologies. It’s a phenomenon from which we can’t escape either at work or home. Digital technology has changed the way we communicate,

shop, learn, pay our bills and much more. The New Zealand government, in the knowledge that the workplace is changing rapidly for most of us has set up the Future of Work Commission. This reflects the concern growing among many western governments that digitally driven change is affecting not just individuals and organisations but society as a whole.

I often think that this type of change is a bit like surfing (speaking as a spectator not a participant). You can’t control the wave, but you can try and understand it and use it to your advantage. Nurse Maude in the past has fallen behind in its use of information technology.

Farmers’ Christmas campaign Thank you to everyone who supported the very successful Tree of Remembrance and Christmas bauble campaigns. The funds raised have increased each year as Farmers staff and the community get behind the Nurse Maude Hospice.

We can’t afford to let that happen again. We have the systems in place now to provide a good base from which we can progress incrementally. Technology will exert its own influence on how we work, often in unexpected ways. The important thing is to harness it to our advantage and keep up with the play rather than fall behind and be overtaken by others.

Uncertainty can be challenging but I invite everyone to be part of this journey by continually considering how digital technology can influence your work, how you as an individual can keep up to date with developments and how Nurse Maude can usefully invest its resources to remain as a leader in the efficient provision of quality care in the community. Join the discussion, give us the benefits of your insights and expertise and make sure Nurse Maude remains a great place to work in the digital age.

Farmers staff presented the cheque at a special thank you morning tea on 23 January.

This year the amount raised in Canterbury was just over $84K, all of which goes directly to the hospice.

Caring for the community since 1896

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The HubWhat do you think of our Customer Service? Our aim is to provide top quality customer service that aligns with Nurse Maude’s core values of Care, Partnership, Excellence and Integrity. Nurse Maude’s Customer Promise states: ‘Whenever you contact us you will receive a helpful response and high quality service’ and the Hub team work hard towards achieving this.

VolunteersAt their Christmas morning tea last year, the volunteer team organised and sold raffle tickets. The impressive $360 that was raised was given to the hospital to purchase activity items for residents. Linda Mace (Volunteer Services Manager) said it was a fantastic effort as so many participated to make it happen.

From left: Linda Mace, Bernie Palmer & Heidi Heim (Hospital Activities Coordinators), Bridget Scorgie (Volunteer Coordinator) and Natalie Seymour (Hospital Manager).

Learning & Development

Left to right: Antas, Corina receiving her certificate from Lucy Fife, Jay Lee, Romina receiving her certificate from Corina and Tina receiving her certificate from Philipa Calvin

Congratulations to the following Support Workers, Hospital Aides and Administration staff for completing their NZQA Certificate in Health and Wellbeing:

Level 2: Antas Shiva, Romina Bayson, Dee Williams, Michele McLaren, Tina Crooks, Jaine Zylstra, Ann Bassett and Arun Connolly Level 3: Jay Lee Level 4: Corina Gerritsen

Feedbackwelcome

Our customers are whoever is on the other end of the phone, and if you feel that we haven’t met our Customer Promise, or have any feedback about your customer service experience, please contact the Hub or email me directly marcia.johnson@nursemaude.org.nz

Marcia JohnsonCustomer Services Manager

Sunday 24 Feb

5.30pm

St Mary's

Pro-Cathedral

373 Manchester Street

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Caring for the community since 1896

Hospice

DonationsThe spirit of generosity was alive and well during the festive season. Many family members, friends, and members of the public brought in Christmas goodies for the hospice team.

A special mention goes to Sara Jane Lloyd from Cookie Time who fundraised for 30 buckets of Christmas Cookies which she brought in Christmas Eve. These were distributed amongst the patients, family members and staff who worked Christmas day.

Lesley Narayanan accepting the buckets of Christmas Cookies from Sara Jane.

2018 CDHB Quality & Improvement Awards

Nurse Maude staff receiving the award are from left: Glynis Cumming, Jane Rollings, Ann Bradley and Vicki Telford)

48 entries were received over four categories in the CDHB Quality & Improvement Awards, and the Palliative Aged Residential Care (PARC) service was the winner in the Improved Work-life category (we were also shortlisted in the People’s Choice Awards – so thank you to those who voted for us).

The Improved Work-life category acknowledges the critical role of the workforce in healthcare transformation and achievement of the New Zealand Triple Aim for Quality Improvement. An engaged and productive workforce is the backbone of an effective health care system and is recognised as improving the experience of providing care.

This is a huge achievement and well deserved acknowledgement of the tremendous work that the PARC team, and the MDT that supports them, do.

A special thank you to Ann Bradley (Quality Facilitator) for her ongoing encouragement and commitment to ensuring we follow the correct quality processes. Ann, together with Glynis Cumming and Vicki Telford put our entry together.

I especially want to thank the Aged Residential Care facilities (ARCF) as this award is also a celebration of the amazing partnerships the PARC team have established with the ARCF staff.

As part of the award, we received $1000 to go towards professional development.

Congratulations to the PARC team and Ann – I am a very proud manager.

www.youtube.com/watch?v=jgWPQutMLqE Click above for a short video on the PARC Service.

Jane RollingsService Manager

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Caring for the community since 1896

ARC Opening – 22 January

Moving Day

Open Day

Caring for the community since 1896

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HospitalBy the time you read this we will have moved into our new purpose built facility – another milestone in the long history of Nurse Maude.

Those of us working in the beautiful new space send a heartfelt thank you to the people, too numerous to mention, who have worked so hard to make this possible.

Late last year, many staff, old & new, gathered to farewell the Nurse Maude Memorial Hospital. Everyone had a lovely time reminiscing over afternoon tea and old photos.

Kia ora from the new activities team - Heidi and Bernadette

Heidi (left) and Bernie bring plenty of experience and skill to create a fun, welcoming, varied activities programme for residents.

They couldn’t have started at a busier time of the year:

• December was packed with Christmas activities: mince pies were baked, place mats were made for the tables and the decorations that were made were hung in the stairways.

• It was a delight to listen to the Austrian Choir (in traditional costume) and the 70-strong Elmwood Primary School choir was a joy.

• Continuing with the musical theme, the heart-warming carol evening was a great success with many people attending.

• Heidi and Bernie send their thanks to all whomade the Christmas Party on the 13th December such a joyful occasion. Resident Lyn Reid gave it a resounding thumbs up.

Introducing Lorna, the hospital’s new hairdresserOriginally from the UK, Lorna emigrated to NZ in 2012 and is now a NZ citizen. She is married to

A little bit of history - it was in February 1950 that the Nurse Maude Convalescent Home (for women) was opened in McDougall House. The men’s turn was to come five years later when 85 Leinster Road was bought and altered, providing a total of 53 short-term beds for ex-hospital patients to recover from their illness.

Roger and has a son Daniel. Her hobbies are fishing, camping, cars, swimming and cooking.

Lorna has 35 years’ hair dressing experience and it shows, our clients are over the moon with her services. She is looking forward to the opening of the new salon and invites you to pop in and say hello (the salon is based in Waitaha Lounge, first floor). If you would like to make an appointment call in on a Thursday, phone her mobile 022 312 1626 or speak to one of the nursing staff.

Congratulations to: Anne Bassett, Arun Connolly and Jaine Zylstra for completing their Level 2 certificates.

Ann BarberHospital Clinical Manager

Hospital

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Caring for the community since 1896

Education

In December, Hospital Service Manager Natalie Seymour gave a series of health and safety sessions in preparation for the move into the new hospital. This included demonstrations of some of the new, state of the art equipment:

Sentida 5 bed - the wissner-bosserhoff beds are from Germany and Nurse Maude is the only organisation

using them in New Zealand. The beds have a patented bedframe with bedrails integrated into the rounded frame to prevent injuries.

Guldmann ceiling hoist – all 75 rooms in the new hospital have a single ceiling track and the high acuity room has an H track. All the hoists are weighted to 255kg but can be changed to a higher weight rating for bariatric patients.

Participants found the sessions informative and fun and having the opportunity to experience the equipment first hand gave them a rare insight of how it feels to be lifted and transferred.

Everyone is looking forward to working in the new hospital which will have numerous benefits for our residents.

Rose McConchie Clinical Nurse Educator

Welcome . . .

Information Technology Chloe Coutts (Office Administrator)HospitalKelly Gwynne (Aide), Caiying Wang, Trixie Biluan (Enrolled Nurses)SupplyJonathan Flint (Driver)Information ServicesMelanie Wall, (Business Solutions Project Manager)Palliative CareMelissa Counihan (Needs Assessor / Social Worker)HomecareNMDBHMaureen Seymour-Cousens, Kaye-Lee Mawer, Sonja Robas (Support Workers)

Specialty ClinicsAnne Cooper (Stomal Therapist)

The HubKirsty Gilmour (Administrator)

Community NursingTina Smith (NetP Grad)

Volunteers• Hospice: Jane Marett, Barbara Bailey• Hospital Wards: Mary McDonald, Xenya Vujvonic,

Therese Aitchison, Carol Chatterton• Hospital Activities: Eli Soothill, Valerie Wycoff• Hospice Shops: Linda Geeves (Rangiora), Judy

Clinton & Claire Lemon (Merrin Street)

Caring for the community since 1896

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HomecareNelson Marlborough

Support Worker MeetingsThis year meetings will be education focused and February kicks off with an interactive DVD looking at professional boundaries.

Motueka 2-3pm Takaka 1-2pm Nelson 2-3pm Blenheim 2-3pm St Thomas Church Rec Park Centre Nick Smith Rooms St Andrews Church

Monday Tuesday Wednesday Thursday

February 18th 19th 20th 21stMarch 18th 19th 20th 21stApril 15th 16th 17th 18thMay 20th 21st 22nd 23rdJune 17th 18th 19th 20thJuly 22nd 23rd 24th 25thAugust 19th 20th 21st 22ndSeptember 16th 17th 18th 19thOctober 21st 22nd 23rd 24thNovember 18th 19th 20th 21st

CongratulationsWell done to Christine Hoar who recently completed her Level 4 Certificate in Health and Wellbeing - Advanced Support.

CanterburyWelcome back, we hope you all had a happy Christmas and a wonderful new year. Thank you all for the hard work in 2018 and we look forward to another great year in 2019.

Service Coordinators celebrated Christmas with the 12 days of Christmas. Each day was a different activity which included giving back to our community with a donation to City Mission, a dress up competition and a Christmas team photo.

DocumentationRemember to document any concerns you have in the clients red folder and sign to confirm that the cares have been completed. This gives the client and family a record of their care.

Caring for the community since 1896

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HomecareCRM Please remember …

• To stick to the assessed time when you are visiting clients. If you have had to stay longer call the office for a code and record it in the Follow Up section on your phone. This will assist the coordinators to confirm the visit time.

• To read the additional information on your phone related to the tasks, alerts and the care plan in the home. Case managers document important information here and it must be read before starting every visit.

• Always keep your phone in ‘one day view’ so that there is no risk of seeing the wrong days’ work schedule. Always check you are working from the correct date before starting your visits.

Professional BoundariesWe have recently been advised of some instances where support workers have visited clients who have been admitted to hospital. In order to maintain professional boundaries please do not visit clients that you see out in the community whilst they are in hospital.

Medication – what to do if there is a problemBe proactive in sorting out any medication problems. Don’t ignore them – to do so can have serious consequences for your client.

Listed below are some of the common issues that arise – remember if in doubt, ask for advice.

1. There are no medications to give as theblister-pack for today is missing and the clientis adamant that they have not taken theirmedications for today

Do Ring the Hub and ask to speak to the CaseManager for that area, or if it is after hours(5:00pm – 9:30pm) the District Nurse, for advice.

Don’t . . .give another day’s medications from theblister pack

2. You have found a loose blister pack and on themain blister pack there is a medication blistermissing

Do Ring the Hub and ask to speak to the CaseManager for that area, or if it is after hours(5:00pm – 9:30pm) the District Nurse, for advice.

Don’t . . . tape/staple the medications back on tothe main blister pack

3: The blister pack has the wrong date

Do Ring the Hub and ask to speak to the Case Manager for that area, or if it is after hours (5:00pm – 9:30pm) the District Nurse, for advice.

Don’t . . . give the medication to the client. It is a legal requirement that the medication has the right date and patient name

4. You have checked the medications against the blister pack description, but they don’t match Do Ring the Hub and ask to speak to the Case Manager for that area, or if it is after hours(5:00pm – 9:30pm) the District Nurse, for advice. Don’t . . . give the medication to the client

5. Can you re-date blister pack medications if they have inadvertently started the wrong blister pack week?Do Ring the Hub and ask to speak to the Case Manager for that area, or if it is after hours(5:00pm – 9:30pm) the District Nurse, for advice. Don’t . . . re-date the medication

6. You have checked the medications against the blister pack description and there is a medication missingDo Ring the Hub and ask to speak to the Case Manager for that area, or if it is after hours(5:00pm – 9:30pm) the District Nurse, for advice. Don’t . . . give the medications to the client

7. Client says they have already taken their medicationDo Notify the office so it can be followed up Don’t . . . write in the file ‘meds taken’

8. Client says they do not want to take a specific medication, e.g. ParacetamolDo Notify the office that the client has refused their medication (you may be asked to dispose of it).

9. Client asks you to apply a cream such as antifungal cream or an anti-inflammatory cream such as OsteogelAlthough these are over the counter creams, they contain active ingredients and should only be used for short periods.Do Write them up in the client file before you apply themDo Contact the case manager to have these added to the clients file

Caring for the community since 1896

HomecareLeave PolicyTo support staff health and wellness we have summarised a few key points on sick leave from the updated Leave Policy.

Bugs travel fast especially in the community, so we encourage you to take all necessary steps to prevent the spread of infection.

If you get sick or injure yourself contact The Hub as soon as possible so we can provide you with any support you may need and find a replacement to cover your workload. Please keep in regular contact with your coordinator/ or manager to confirm your expected / planned return to work.

While we support all staff to return to work as soon as possible, there are conditions that need to be met to ensure you are well enough to do so.

• If you are off work for three or more consecutive day’s you will be required to provide a Medical Certificate (at your cost) to confirm your fitness to return to work.

• If you have a consistent pattern of illness or are regularly off work unwell, you may be asked to supply a Medical Certificate after one day’s absence:

Support Worker Meeting ScheduleMonday Tuesday Tuesday Wednesday ThursdayMerivale Lincoln Avonhead Linwood Rangiora

Ballroom Clinic RoomSt Marks

Presbyterian Church

Linwood Union Church

Upstairs meeting room

24 McDougall Ave 16 Lyttelton St 150 Withells Rd 378 Linwood Ave 73 High Street, Rangiora

13:45 - 15:15 13:30 - 14:30 15:00 - 16:00 14:00 - 15:00 14:00 - 15:00

February 18 19 19 20 21March 18 19 20 21April 15 16 16 17 18May 20 21 22 23June 17 18 18 19 20July 15 16 17 18August 19 20 20 21 22September 16 17 18 19October 14 15 15 16 17November 18 19 20 21December 16 17 17 18 19

2019

- the cost will be met by Nurse Maude if you have a sick leave balance remaining, or

- it will be at your cost if you have no sick leave balance

• As sick leave balances are monitored, we will contact you if we observe a regular pattern of absence or if you have exhausted your sick leave entitlement. We may invite you to meet with a senior member of the team and/or HR to discuss your circumstances to see if we can support you to maintain a better level of attendance.

• We may request your consent to speak with your GP to better understand your situation, so we can support you to maintain a healthy work/life balance.

• If you sustain a physical injury that limits your ability to perform tasks or prevents you from working, we will meet with you regularly and support you with your return to work plan.

• Remember to report any injuries sustained at work to the Hub as soon as they happen.

We hope that this information if of use to you and look forward to working with you to maintain a healthy work/life balance in the year ahead.

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Caring for the community since 1896

Community Nursing

Next Community Meeting:Tuesday 12th February

Thank you all for your hard work and commitment over the busy Christmas period, it was much appreciated.

New year, new you – if you want to get your PDRP started or enrol in a course then please contact Rose or Jeannie from Learning & Development. They will be happy to help.

Visiting nursing students - we had the pleasure of hosting 12 students from Portland, Oregon. They were impressed with the services that Nurse Maude provide in the community and equally impressed with our beautiful country.

Nurse of the Month - Deb Williams takes out this month’s award for providing a text book first-response to a client who collapsed as a result of a probable anaphylaxis.

Farewell - Linda Wood leaves the DN team to take up a permanent position as a Practice Nurse. We wish her all the best in this new venture.

Welcome - registered nurses Myrna Tan, Rachel Hanson and Sian Palmer have joined the district nursing team.

Introducing:

• Deb Williams relieves as coordinator for theNorth Rural team. Deb is an experiencedenrolled nurse who has worked in communitynursing for several years. She is also a CRMtrainer, aka ‘the whizz’

• Service Coordinators Kaye Erickson andChristina Tuapola work closely with the RNcoordinators and currently work out of theLonghurst and Eastgate sector bases

Congratulations - Jenny Rhodes received her Long Service Award for 30 years’ service as an enrolled nurse.

(Jenny is 4th from the right)

Compliments:

• Client is thankful for the marvellous service that she received. 'Vanessa Todd was particularly very pleasant.'

• ‘Our extended family is extremely thankful and grateful for the loving care that your nurses have given David over the last month or so, while he could remain at home. In particular, I would like to mention Magnolia Creencia, she was so gentle and caring with David, and always listening to his replies.’

• Rebekah Fazackerley received the following feedback from the specialist palliative CNS ‘It is pleasing to find a New Graduate nurse with the enthusiasm and knowledge to make an accurate assessment on someone she has not met before and have the ability to appropriately follow through on her assessment.’

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Kaye Erickson Christina Tuapola

REMEMBER: if you have a viewpoint that you would like to share with your colleagues send it to Sue.Bramwell@nursemaude.org.nz for consideration for

inclusion in the next issue of Maude Messenger – we would love to hear from you.