Following on from completion of four 70 day Social Work Fieldwork Placements for Melbourne University, the social work team has recently warmly welcomed eight La Trobe University social work students to Northern Health.

Northern Health is a proud teaching hospital, contributing to the future of health care and shaping the next generation of health professionals. While wandering our corridors, you may come across these eager friendly faces.

Social work students have two placements during their studies both consisting of 70 days each (14 full-time weeks). Placements are lengthy to enable consolidation of core skills across learning areas such as values and ethics, organisational and community context, interpersonal skills, research and culturally sensitive practice.

Sarah Wotherspoon is the Social Work Clinical Educator who has one day per week dedicated to clinical education. Her role includes interviewing prospective students, allocating supervisors, developing group learning student timetables and supporting students and staff during placement. Sarah also acts as a conduit between the universities and the health service.

“Student group learning sessions are interactive and cover various topics such as psycho-social assessments, self-care, working with Aboriginal and Torres Strait Islander patients, ethical dilemmas, loss and grief,” Sarah said.

“They are a great way to bring students together and facilitate group discussion and learning,” she added.

Students also have access to self-directed learning opportunities across core areas of clinical social work practice including family violence, children at risk, elder abuse and family meetings.

Feedback from previous social work students highlight the dedication of our social work department to provide a high quality placement experience.

“My supervisor suited me so well and really took the time to understand me. I felt we could discuss anything without judgement which is so important,” one student said.

“Even from my first interview coming into Broadmeadows Hospital, my supervisor was so welcoming and we came to agreements together about expectations and learning styles early on in placement. The whole team has been really lovely and open,” another student added.

In their final week of placement, students complete a case study presentation to the social work team. These presentations are a celebration of the completion of placement, and a positive way of highlighting the student’s growth and skill development, as well as integrating theories into the health context.

Featured Image: Sarah Wotherspoon (far left) with La Trobe social work students

It was standing room only last Wednesday in the main lecture theatre for our Safe Practice Forum. This month, the theme was ‘Standard 5: Comprehensive Care’ – focusing on minimising our patients’ harm.

Liz McKeown, Accreditation Officer, said the National Safety and Quality Health Service (NSQHS) Standards now require us to apply targeted strategies to prevent and minimise the risk of any specific harms.

“Our patients, for example, might exhibit unpredictable behaviours such as aggression, self-harm or violence, that have the potential to lead to greater harm, to themselves, patients and others. We need to have in place systems that can help us identify these situations and apply strategies to mitigate their risk,” she said.

The latest Safe Practice Forum explored the theme of ‘Predicting, preventing and managing self-harm and suicide’ and coincided with Northern Health’s Conversations on Mental Wellness Week.

Dean Pritchard, Deputy Director, Emergency Department, opened the session with some confronting suicide data and contextualised how we ‘need to know a little about everything…’ and are expected to know enough to reliably keep our patients safe.

“The session highlighted the importance of having a structure in place to detect and prevent self-harm and suicide for our patients,” he said.

The two patient cases Dean shared emphasised our need to remove the means, closely monitor, reduce abscond opportunities and optimise the environment.

Liz drew on these two patient cases to provide a thorough background to the recent development of our Comprehensive Assessment and Risk Evaluation (CARE) Record.

The escalation points in the CARE Record for different members of the care team were stressed and real-life examples of current escalations provided.

“Recent situations have highlighted the need to comprehensively assess patients at risk of suicide and self harm and provide individualised plans of care to keep them safe,” she said.

Clare McCarthy, Project Manager, said our Safe Practice Forum has a crucial role in patient safety.

“The forum allows us to reframe errors in the system — it helps us move beyond the myth that individual culpability is the single source of harm and allows us to see other contributing factors, that are usually systemic. It fosters a learning environment and gives clinicians a system perspective. This is fundamental to our high reliability organising endeavour,” she said.

“A special thanks goes to our NorthWestern Mental Health colleagues who shared their experience and expertise at the session. We look forward to further collaborative work with them,” Clare added.

Featured Image: Dean Pritchard, Deputy Director, Emergency Department and Liz McKeown, Accreditation Officer

It is that time of year again for our annual Northern Health Foundation Dinner, held on Saturday 16 November at Casa D’Abruzzo Club Epping.

We are excited to announce this year’s theme is The 80’s and to fit the theme, the event will be hosted by the iconic Australian pop group, The Chantoozies!

Stand and Deliver 80’s Tribute band will also be joining us on the night to perform and entertain guests with their favourite 80’s hits, with stunning costumes and incredible singers!

Debra Bourne, Chief Nursing and Midwifery Officer said she is already planning to check out the op-shops this weekend for some 80s outfits.

“I would like to encourage everyone to get their best 80’s outfit out and join us all for a great night with your colleagues,” she said.

Northern Health Foundation are fundraising for 60 new state of the art defibrillators across our four campuses, Northern Hospital Epping, Broadmeadows Hospital, Bundoora Centre and Craigieburn Centre. Your support will help us care for patients when their heart stops.

Ticket prices (inc. GST) are:
Early-bird (until 20.09.19) $105pp or $1,050 table of 10
Standard (from 21.09.19) $120pp or $1,200 table of 10

Inclusions: 3 course meal, beverages and entertainment
Dress code: Cocktail / Business Attire (or 80’s style)

Proudly supported by 1ALP Leasing.

Purchase discounted early-bird tickets before 20 September! Click here to purchase your discounted early-bird tickets today!

Executive Patient Safety Walk Arounds (EPSWA) were re-introduced at Northern Health in 2016 to help identify at risk environments and since the re-introduction, the program has undergone a number of evaluations and subsequent improvements.

“The objectives of the program are to improve patient safety at Northern Health through linking patient safety activities with the Northern Health Executive. This will create opportunities for staff to discuss patient safety issues with the highest level of management, and to escalate and action areas for increasing satisfaction and safety for our staff, patients and visitors,” Donna Christensen, Director Quality and Service Improvement, explained.

The current walk arounds take a Division approach, where a whole Division is reviewed by a minimum of six executives. There are EPSWAs scheduled monthly between February and November.

“There were a number of highlights from the August EPSWAs, including feedback from staff stating how much they enjoy working in their areas, effective utilisation of space and positive patient/family experience stories,” Donna said.

Ward 3 is the EPSWA area of the month where excellence in patient and staff safety were observed by the Executive.

“Some of the highlights include 70 per cent of staff chemotherapy trained, 96 per cent hand hygiene compliant and 97 per cent flu vaccinated. The patient and family feedback board initiative was implemented and the safety round initiative completed at the end of each shift,” Donna said.

Samantha Soggee, Ward 3 Nurse Unit Manager, said the patient and family feedback board was created to highlight positive feedback that ward staff receive from patients and families.

“It promotes what we are doing as a team, as well as other types of feedback we get. We created a template in case we have issues raised. For example, someone said they would like more information on different types of cancer, so in the template we explained what we are going to do and how. We’ve provided a booklet and met that need,” she said.

Another example of improvements include adding replacement of carpet to maintenance schedule to improve patient flow, new agreed ward rounds were developed to prevent ad-hoc medical rounding, and ISS were involved to help increase access to soft food.

Samantha said EPSWAs do make a difference, as it was identified that there is a need for these kinds of boards during one of the rounds.

“We had a board before, but it didn’t look like this. After the EPSWA, we’ve developed it. All our staff participated and helped develop the board,” Samantha said.

Tracey Webster, Quality Coordinator Cancer Services, said the team wanted the patients to feel really valued and see their feedback is taken seriously.

“The new management of Ward 3 and me are focused on the culture which promotes the importance of feedback and communicating what we do with that feedback. For example, once we got the feedback on outdated cancer brochures, and after we developed new ones, we identified that we need a way to say thank you to patients who took their time to give that feedback and display it publicly,” she said.

As part of our contribution to environmental sustainability, Northern Health has purchased three Toyota Corolla Hatch Hybrids for the domiciliary home visit midwife (DOM) team.

The DOM team have to conduct an increasing amount of home visits in the northern growth corridor and actively use Northern Health fleet vehicles.

“As part of our contribution to our sustainability, we wanted to purchase some vehicles that had a positive environmental effect. The Corolla Hybrids burn less fuel and emit lower levels of carbon and are great cars for our staff to use,” said Basil Ireland, Chief Financial Officer.

“The cars are extremely economical, with a factory rated 4.2/litres per 100 km,” explained Dominic LaCaze, Supply Manager.

“Our current fleet has about 75 cars and Northern Health plans to buy hybrid when replacing cars. The only exception might be if the car is required to have additional boot capacity, as the hybrids don’t have large boots,” he added.

Some of the safety features of our hybrid cars include auto high beam, radar cruise control, eight-inch colour touchscreens and bi-LED headlights.

Dominic said our DOM staff are enjoying the cars, with some of the feedback so far including; “It’s a beautiful car to drive,” “The keyless entry and push button ignition start is really cool,” and “Knowing there are extra safety features like auto high beam, automatic emergency braking and lane departure alert makes us feel safer in doing our job.”

Northern Health wants to achieve the Victorian Government’s target of being net zero carbon emissions by 2050.

“It will be difficult to achieve, but we are making positive steps including increased recycling of waste, installation of solar panels to reduce energy consumption from the grid and fine tuning our building automation systems to ensure efficient use of energy,” Basil Ireland said.

If you have ever considered being a mentor to a colleague, or being a mentee yourself, Northern Health’s new ‘Mentoring for Success’ program is your chance to meet your match.

The new program launching today is open to all employees. Regardless of your role, you can apply to be a mentor, a mentee or both.

Natalie Sposaro, Manager Organisational Capability, explains this is far from a traditional mentoring program, as it offers three different types of mentoring relationships: Traditional, peer to peer and reverse.

“Unlike traditional mentoring programs, Northern Health’s program gives the opportunity for all employees to participate. For instance, an ANUM could mentor a Director or vice-versa. A peer to peer mentoring relationship can also be highly beneficial for both parties and another option individuals can apply for. Research suggests that employees who have a mentoring relationship tend to more successful in their roles,” she explained.

The colourful image representing the program showcases the diversity of thought that goes beyond equality and inclusion.

“It rather focuses on realising the full potential of people, by acknowledging and appreciating each person’s unique perspective and different way of thinking. Diversity of thought promotes innovation, harnesses different viewpoints and allows for more options,” said Penelope Grellet, Director Organisational Capability.

Penelope explained the team will undertake a detailed matching process of all applications and ensure the most relevant pairing is achieved for both the mentor and mentee depending on their preferences and objectives.

“Once a match has been found, the Organisational Capability team will email the mentor and mentee directly. We will endeavour to find a suitable match for everybody, however, if this cannot be accommodated, we will contact you directly to advise,” she explained.

Michelle Fenwick, Executive Director People and Culture, said the program is there for staff to see where their career could go and what pathways are possible to get themselves to the next level.

“We often don’t know what we don’t know. Sometimes, by talking to others, we find out what else is actually there. We don’t need to make every bad decision to learn from it. We can also learn through discussion and finding out other people’s stories,” she said.

Basil Ireland, Chief Financial Officer, said he could apply to be either a mentor or a mentee. “Within my team, there are people I can provide some guidance too. I would also enjoy getting a mentee that is not from the finance sector. It would be good for both of us,” he said.

Dr Megan Robb, Director of Emergency said our ED had mentorship programs she enjoyed being involved in since she was a registrar.

“It is really important for both career and personal development, and to improve the relationships between trainees and consultants. It’s great to see now a mentoring program across the whole organisation. I would apply for the program, as I always had mentors and mentees through my career,” she said.

Applications for the program are open from Monday, 16 September 2019 and all employees are welcome to apply as either a mentor or mentee. All applications will be reviewed by the Organisational Capability team within People and Culture. Applications close on Monday, 7 October 2019.

To find out more and apply, head to the Mentoring Program Intranet page.

In the recent Royal Australasian College of Physicians (RACP) Basic Physician Training (BPT) clinical examinations, our Northern Health physician trainees (current med reg group) performed exceptionally well, with an overall pass rate of 88 per cent (37 out of 42 candidates) and a 91 percent pass rate for first time sitters.

This compares with the overall pass rate of 69 per cent Australia wide, and 76 per cent for Victoria.

Dr Edwina Holbeach, Northern Health Geriatrician and Co-Network Director, Central North West BPT Consortium, would like to congratulate the trainees on this wonderful achievement.

“We are exceptionally proud of all our trainees who have worked extremely hard, both in their exam preparation but also on the wards during the hospital’s busiest time of year.”

“I would also like to say a big thank you to our senior med reg – Madeline Cosgrave, consultants and advanced trainees, who volunteered hours of time to tutorials, coming in on weekends for practice exams and so much more. It has all paid off!” she added.

To become a specialist physician, trainees must complete six years of training – with the first three years considered ‘basic physician training’. There is a written and clinical examination that must be passed prior to commencing three years of advanced training.

“Our medical registrars have spent the last 18 months in gruelling preparation, firstly for the written examination and then the clinical. During this period, there is generally upwards of 15-20 hours per week in study on top of full time work!” Dr Holbeach said.

“Hospital staff would have seen the trainees walking around the wards with ‘briefcases’ full of equipment needed to examine patients.”

In July this year, Northern Hospital hosted the examinations, with interstate candidates and interstate examiners participating alongside local consultant examiners. Patients from the Northern Health community volunteered their time on examination day to ‘test’ cases for the candidates.

“Thank you to our patients for volunteering their time – we couldn’t have hosted the exam without them,” Dr Holbeach said.

This year, the Central North West BPT Consortium (Austin, Northern, Bendigo, Horsham) had 42 candidates sitting the clinical exam. The clinical exam takes months of preparation and many bedside tutorials, practice mock exams and specialty training days. The candidates had to travel interstate to have their clinical acumen tested over a whole day.

The future is bright for our trainees with Dr Holbeach finishing by saying, “We look forward to seeing our trainees proceed through to the next stage of their careers as advanced trainees here at Northern Health.”

Today marks R U OK? Day, coinciding with Northern Health’s week of ‘Conversations on Mental Wellness’.

R U OK? Day is a national day of action dedicated to reminding everyone to ask, “Are you OK?” and to remember that every day of the year we need to support people who may be struggling with life’s ups and downs.

This year, the theme revolves around encouraging everyone to Trust the Signs, Trust your Gut & Ask R U OK?

It’s important our staff feel confident they know the signs someone might need support. Whenever you notice a change, no matter how small, we encourage staff to trust their gut and start an R U OK? conversation.

As employers or staff, we can all create a culture where people feel confident asking and answering this simple yet important question. We all play a role in providing a safe and healthy workplace for staff, and these conversations can make a real difference to anyone going through a tough time.

Northern Health Director OHS & Wellbeing, Will Halpin, said, “We have been privileged this week to hear inspirational stories and research around mental wellness. The poignant message for me is that we all have our vulnerabilities and bad days.”

“It takes courage to ask for help, and to ask if someone is ok, but it is incredibly important. That simple question can have a profound impact,” he added.

Featured Image (left to right): Michelle Fenwick (Executive Director, People and Culture), Siva Sivarajah (Chief Executive), Andrew Williamson (Executive Director, Public Affairs and Foundation), Basil Ireland (Chief Financial Officer)