Nurse Uncut - General

Shake, Rattle, and Roll.

Wednesday, September 8th, 2010 by NU_admin

Our friends across the ditch in New Zealand have been having a rough time since the earthquake on the weekend.

The 7.1 magnitude earthquake hit region of Canterbury at 4:36 am on September 4, the epicentre was 40 km west of Christchurch city, and the depth of the quake was 10 km. The epicentre was close to the town of Darfield.

076098-christchurch-earthquake

It was fortunate the earthquake occurred when the central city streets were deserted, as there could have been many deaths and injuries if it had happened during working hours.

Many buildings and homes were destroyed and most of the region has been without power and water for some time. Cantabrians have been living in fear since the quake as the region has been rocked by over 150 aftershocks reaching up to 5.4 on the ricter scale.

chch

A State of Emergency has been declared and will continue for the following days.

Although Australia is not on the edge of a plate, we still experience earthquakes when the Indo-Australian plate is pushed north and collides with the Eurasian, Philippine and Pacific plates.

road

One of the most devastating earthquakes in Australia was the one that hit Newcastle on 28 December 1989. It measured 5.6 on the Richter scale, and its effects were felt throughout central-eastern New South Wales.

There are on average 200 earthquakes of magnitude 3.0 or more in Australia each year. Earthquakes with magnitude 5.5, such as that in Newcastle in 1989, occur on average every two years. About every five years there is a potentially disastrous earthquake of magnitude 6.0 or more.

How do you survive?

New Zealand and Australia schools, institutions, and businesses have been taught the Drop, Cover, Hold technique but another technique that is widely talked about these days is the Triangle of Life technique. Where rather than taking cover under a solid object you instead curl into a fetal position next to a solid object, with the theory that the object will create a safe triangular zone next to it when objects fall from above.

earthquake cover

Based on your hospital protocols – what seems more logical to you?

Some general survival tips for the home and workplace are:

  • Brace tall, free-standing bookshelves and water heaters to stop them falling over.
  • When furnishing your home keep chairs, lounges or beds clear of hanging items such as ceiling fans, hanging pictures or mirrors and hanging plants.
  • Store breakables and heavy items on bottom shelves.
  • Secure suspended cupboard doors with heavy latches.
  • Hazardous materials should be kept in waterproof containers and stored in a secure cupboard to prevent leakage.
  • Keep a battery powered radio and torch by your bed.
  • Talk to your family about the safest areas for you to shelter during earthquakes.
  • Keep a list of emergency numbers readily available, such as police, State Emergency Service, fire, ambulance, and gas, power and water supplies.
  • Maintain a store of at least three days worth of emergency non-perishable foods and water supply.

Do you have any friends or family in Christchurch affected by the quake? if so, let us know their experiences.

What are your Earthquake experiences in Australia?

If you want to see more of the devestation check out this community gallery shared by the citizens of Christchurch.

Image credit: GeoffTrotter; 2UE; EarthquakeCountry.

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Father’s Day. What does it mean to you?

Tuesday, September 7th, 2010 by NU_admin

It was Father’s Day last weekend. How did the Father’s in your life spend the day? Do you need a special day to honour your Father?

Richard Thomas from the Sydney Morning Herald said even though his 80-year-old dad is 22,500 kilometres away, he regularly sends him tokens of gratitude and affection “for a lifetime of fatherly care and love.” He does this without “relying on a designated day instructing me to do so“.

father

“I know as a father what I value most is to see my children happy and healthy with a little bit of obedience thrown in. And as any father will know that a child’s gleeful laugh is worth all the overpriced and overpackaged tat that was sold to commemorate this day. Yesterday morning I was greeted with the warmest of hugs, a couple of handmade cards and a cup of tea in bed from my kids and that just about made me the happiest dad in the world,” he says.

Some of our Forum members have been chatting about how they or their Fathers spent the day.

Foxylass said unfortunately her poor dad is spent Father’s Day in hospital. Bernhardt spend the day at a wedding and received hugs from his daughters and a handshake from his son, which he says is worth far more than presents.

How did you honour the special men in your life? What does Father’s Day mean to you?

Image credit: mikebaird.

Source: Sydney Morning Herald.

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Inter-Generational Program Concept a Winner.

Friday, September 3rd, 2010 by NU_admin

The Positive Living in Aged Care Awards were held in Sydney this week.

Aged care facilities in Katoomba, Killara and Hamlyn Terrace received first prize in their respective category, for their award-winning mental health and wellbeing projects.

 grandparent3

The big winner of the day was the intergenerational program concept. Half of the competition’s finalists were recognised for their work in challenging age-related boundaries.

UnitingCare Ageing’s Starrett Lodge in Hamlyn Terrace won an award for its intergenerational project which links residents with local mother and baby groups.

The lodges’ project aimed to encourage meaningful interaction between young and old for the benefit of resident and child alike.

Clinical nurse consultant Ms Merl said before starting the project it was common for the cognitively aware residents to fear the dementia unit. But the program changed these perceptions.

“When they talk to babies and children, no matter how severe their dementia is, it shows that they are still normal and are still people.”

Ms Merl said she has a permanent smile on her face for the whole hour and a half session.

“I come out [from the session] and my face hurts from smiling. I hope that someone brings me a baby when I am in aged-care. I really do.”

grandparent2

The awards were developed by the NSW Health Older People’s Mental Health Working Group and judged by both the Aged and Community Services Association NSW & ACT (ACS) and Aged Care Association (ACAA) NSW.

The other winners were:
Killara Gardens Pathways Aged Care in Killara, and Anita Villa Riviera Health in Katoomba

The runners-up awards went to:
Mt Carmel House – Catholic Care of the Aged in Port Macquarie, Macquarie Care Centre – Catholic Healthcare in Bathurst, and Sir Moses Montefiore Jewish Homes in Randwick.

What are your thoughts on this programme? Have any nurses working in Aged Care seen these preconceptions towards dementia unit patients? either from the community or other patients?

Image credit: Izzard, DerBettler.

Source: Australia Ageing Agenda.

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Paediatric Oncology Nursing.

Thursday, September 2nd, 2010 by niknak30

The ward I work on is predominantly a children’s medical/ isolation ward but the majority of our patients these days are oncology patients that require isolation for one reason or another. So, it got me thinking about what it is that I like about nursing children with cancer?

child_in_hospital_175

Seems almost wrong to enjoy looking after children and their families who are dealing with the most terrible diseases, having treatment that makes them so so sick and often seeing them pass away. That said, the number who pass away gets less and less with all the advancements in treatment so thankfully there is still more good than bad in paediatric oncology.

So, what is it I enjoy?

Well, I really enjoy the continuity of care that we get by looking after long term patients, seeing them come from diagnosis right through until the end of treatment. I like that the families get to know us as much as we get to know them . I think it helps them to know that we know their children and it helps the kids because they know us.

The children being treated go through so much, lumbar punctures, chemo, blood and platelet transfusions, blood tests, nausea, vomiting , yet they on the whole tolerate these things with so much strength and they always try to smile whenever they can. The parents work out ways to explain the procedures, they might collect bravery beads, we might make sticker charts but every day we see these children they are just doing what needs to be done to get through.

wiw-beads_lg

I love the warm fuzzy feeling you get from knowing that in some small way you may have made a difference in the life of a child and their family. Holding a hand, letting a parent cry on your shoulder, laughing about something silly at a time when life seems hopeless, being honest when you say “it will hurt a bit”, listening when someone needs you to even if you don’t really have the time.

smile

All these things add up and they mean as much to me as I hope they do to the children I care for.

Image credit: monkeyc, union of youth.

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The Changing Nursing Workforce.

Wednesday, September 1st, 2010 by NU_admin

One of our new forum members Krishna had some interesting thoughts on the changing nursing workforce. So much that we thought it deserved a blog post. We’d be really interested to hear your views so share them below!

knowledge

She has been nursing for 30 years and says she has noticed a shift in “life values” between the 70’s-80’s trained nurse and the upcoming young grads of today.

“But this isn’t a bad thing,” she says.
“In the 80’s we looked up to Alan Bond and Christopher Skase for ‘how to make a quid’. Well…really…where did that get us? We worked and worked, to pay for the pools, the McMansions, the overseas travel, the gadgets. We commuted for up to two hours a day to work….are we insane?

Then the ‘new breed‘ came. The grads who go part-time after a year or two. The “life-stylers. I take my hat off to them. Sure they want to travel, but they don’t yearn for the stuff we did.

Where does that leave the nursing profession? With not many 3rd-6th year nurses working full-time?
Have a look around your ward. How many are “babies” newly graduated, how many are in the middle group and how many of us “crusties’ are on your staffing profile? Where are the 3rd-6th years??

If we look in to the future of the nursing workforce we have to understand what drives the newly graduated today. It is certainly not the hierarchical response of the past (do as I say.) They have the power to leave. And this will impact on our profession significantly within the next 10 years.

The change is happening. So, for example, when NSW health wants to trial “pattern rostering” like in Hunter New England, why would a young person stay?

What is happening in the private sector? Or, more significantly, in aged care? The vitriol is alive and well with the ‘party’ spin-doctors but let’s see what really unfolds. A “Hung parliament” might actually be a good thing to shake up the two major parties. We’ll “watch this space.”

Bernhard agrees that there are more RNs of less than five years post-grad experience in areas that used to have regular ‘long-term’ nursing staff.

What do you think? What is your staffing profile made up of? What drives the new graduate today?

Image credit: University of Miami.

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Are You Getting Enough Sleep?

Tuesday, August 31st, 2010 by NU_admin

Sleep is important for everyone. But for nurses and other healthcare workers - who can cause serious injury to others if they are careless for even a moment, it is even more important.

sleep

But how are you supposed to get enough when you’re switching from a morning shift, to an afternoon shift, to a night shift? You come home and the sun is shining, cars a driving by, people are talking, and dogs are barking.  You arrive home, have breakfast, greet your family, then head to the bedroom, draw the curtains, and go to bed. All the while your body clock is thinking ‘what the heck is going on?!’

All adults require seven to eight hours of quality sleep each night. Sleeping during the day is not as restorative as night sleep.

Nightshift workers, especially those with unpredictable shifts rarely get the amount of sleep they need.

There are numerous suggestions for helping nightshift workers sleep better but do any of these really work? 

  • Wear sunglasses on the way home from work. It signals to your brain that your shift is over.
  • Nap during your lunch break. Studies indicate that just twenty to thirty minutes of sleep can make you more alert.
  • Limit your caffeine and only consume in the first four hours that you are awake.

Do you think these tips work? Or is sleeping well during the day just something you have to get used too?

How much depends on the individual? I have two family members that regularly work nursing night shifts. One swaps back and forth between morning, afternoon, and night and always feels like a ‘zombie’ even after having a decent sleep, the other works nightshift four nights a week, every week and can sleep anywhere at the drop of a hat, and wake up completely alert and ready to go. She has no problem sleeping at night on her nights off either.

So what’s the difference? Is that the ‘routine’ that makes the difference? Or does it depend on the individual?

We would love to hear your thoughts!

Image credit: pedrosimoes7

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Casual Staff and Overtime…Can You Help?

Monday, August 30th, 2010 by NU_admin

Are you employed on a casual contract? do you know all the rules, regulations and entitlements?

One of our recent forum questions was on casual staff and whether they are eligible for overtime if working more than 40 hours in a week…can you help?

Q: Is a casual pool employee eligible for overtime if over 40 hours are worked in any one week period?

nurse ovetime

Amanda63 thought casual staff could not be paid overtime due to the fact that they ARE casual.

“In the public award, as far as I’m aware, casual staff do not attract overtime due to the fact that they are casual. This has been a point of debate for some time with the casual staff, particularly if you are doing more than 8 hours straight on the same day.”

Amanda63 also says: 

“Many may not be aware but in the public hospital system the award states that on Sundays an employee doing overtime will be paid double time from the commencement of the shift (not time and a half for the first two hours), and double time and a half for public holidays.

“Sunday and public holiday overtime attract different codes to overtime at any other time when entered in to the computer.”

What do you think? Do you have any advice for casual staff?

Can you help with this question? Do you have any feedback?

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Image source: Christiana Care

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Hold a BBQ and save lives!

Thursday, August 26th, 2010 by NU_admin

Kidney Health Australia’s BIG RED BBQ campaign is about to start.

The campaign is based on an Australian icon, the barbeque. Barbeques are great opportunities to bring family and friends together to create and share fantastic memories.
It is with this in mind that Kidney Health Australia developed the BIG RED BBQ, to give everyone the chance to get their family and friends together to not only have fun, but to raise funds and awareness of kidney disease.

 big red kidney

Caption: Kidney Health Australia CEO Anne Wilson, Tim Mathieson, the Hon. Deputy Prime Minister Julia Gillard and Billy the Kidney.

Each and every day in Australia 7 people die from breast cancer, 8 from prostate cancer and 4 die from road accidents.

Fortunately, deaths from these causes are diminishing.

Horrifically, and without fanfare, EVERY day over 50 Australians die with kidney related disease, and the death rate is increasing unacceptably fuelled by the rise in obesity, diabetes and the ageing population.

Over 1.7 million Australians have at least one clinical sign of kidney disease (1 in 9 adults).

Kidney disease has no warning signs which means that a person can lose up to 90% of their kidney function before they realise they are sick. Sydney Turf Club supports the Big Red BBQ, to bring families, friends and businesses together to raise awareness about kidney disease and encourage all Australians to get tested by their GP.

FAST FACTS ON CKD IN AUSTRALIA

Chronic Kidney Disease (CKD) is a significant and growing public health problem, responsible for substantial burden of illness and premature mortality. In Australia, it is a fact that 1 in 3 adults is at increased risk of developing CKD. Adult Australians are at risk of CKD if they:

- Have high blood pressure (hypertension)
- Have diabetes
- Smoke cigarettes
- Are obese
- Have a family history of chronic kidney disease
- Are over 50 years of age
- Are of Aboriginal and Torres Strait Islander descent

Who is at more risk of Chronic Kidney Disease?

- High blood pressure affects 1 in 4 Australians (50% do not have blood pressure managed to target levels)
- Diabetes affects 7.6% of Australians aged over 25 years (50% of whom are undiagnosed)
- 19.5% of Australians aged over 14 years smoke daily
- 2.6 million adult Australians aged over 25 years are obese

What causes Kidney Disease?

The three top causes of CKD in Australia are:
- Diabetes, 34% of new cases
- Nephritis or inflammation of the kidney, 22% of new patients
- High blood pressure (hypertension), 14% of new cases

So hold your own barbeque and by making people aware that kidney disease is a silent killer, you never know whose life you may save.

To find out how you can lend your support visit: www.kidney.org.au

and register here to hold your own BBQ wherever you are in Australia.

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Image credit and sources: Kidney Health Australia. 

This post was brought to you by the NSW Nurses’ Association.

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Do you look after your feet?

Wednesday, August 25th, 2010 by niknak30

Nursing is one of those professions that has you on your feet most of the time. Like waitresses, shop assistants, surgeons and pharmacists and people from many other professions, we often end the day with sore or tired feet.

What is it that you do to make sure you can get through your day whether it be a 4, 6, 8 or 12 hour shift without being unable to walk?

feet

I have always been a fan of buying good comfortable shoes. I don’t buy shoes that are designed specifically for nurses. Why is that you might ask?…. well basically it is because they look a bit ugly to me. Now, I realise that nursing is hardly a fashion career, but being that I have always had to wear a uniform, my choice of footwear is my only fashion choice I can make for myself.

So, what shoes do I wear? How do I choose them?

Well basically I just choose a shoe that fits my foot well, has a reasonable amount of support in the sole, that I like the look of and that feels comfortable when I try it on. I tend to go shoe shopping late in the day not first thing in the morning so that my feet are at their most tired and therefore I will get a better sense of what feels comfortable.

I tend to buy shoes every 12-18months and on the most part my shoes last that length of time quite well. Being that I just purchased a new pair of work shoes last week I thought it fitting to write about the ones I chose this year.

If I went with the packaging (which I didn’t) I would believe that I will have toned calf muscles, good posture, tightened abdominal muscles, improved circulation and will lose up to 5kg. They also came with a DVD telling me how to walk in them…. which I have yet to watch. Now, whilst that all sounds good, my aim from a work shoe is to not cause me foot pain after 12hrs. Thankfully, this purchase – my most expensive work shoe at $179 has provided me with comfortable shoes that lasted the distance at work.

I have a school friend who is a podiatrist and he agreed that whilst they are a good shoe (when you walk on them properly) the toning shoes as they are known are a fad. Again, that doesn’t really bother me, as long as comfort is maintained.

I would like to say that I also think a soak in the foot bath at the end of a long day does do my feet wonders, but that’s not when it counts. What counts is those last 2 hrs of the shift when you think your feet won’t hold you up any longer. That is when I most appreciate the investment in my feet and my comfortable shoes.

foot bath

How do you choose to look after your feet? Is it the shoes or do you have other ways of looking after your feet?

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Image credit: wombatunderground1, fljpg.

This post was brought to you by th NSW Nurses’ Association.

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“The Women Who Shaped Nursing.”

Tuesday, August 24th, 2010 by NU_admin

Do you want to get to know the faces of women who shaped nursing and midwifery and who have walked the wards of hospitals, industrial schools, orphanages, refuges and asylums?

Then come along and check out the exhibition on “Women Who Shaped Nursing in New South Wales.

Nurses history

The exhibition is a part of the History Council of New South Wales History Week.

History Week 2010 gives people the opportunity to take a walk down the streets of the past and into the lives of those you pass. Explore the biographies of our leaders, those who shaped our world and the worlds of lesser known identities.

The History Council of NSW has been running History Week for 14 years to show that history is interesting, relevant and all around us. Each year over 140 events take place across the state.

They are generally well-attended and this year will be no exception with the state’s museums, libraries, universities and historical societies unravelling some fabulous and fascinating faces from our past. Characters abound in our streets – now and in the past.

Talk to Emeritus Professor R. Lynette Russell about nurses, Professor Noeline Kyle on midwives and Dr Jennie Blundell on specialist nursing. Tour the archives and view a display of ‘Those who served’ featuring Australian nurses at war.

Times of opening:
Tuesday 7 September & Friday 10 September 2010
10am – 3pm

Venue:
Nursing History Research Unit
88 Mallett Street Room C102
Camperdown NSW

Enquiries:
02 93510635
njk8@bigpond.com
lynette.russell@sydney.edu.au

There are more than 140 events across NSW see: www.historyweek.com.au

Download the flyer  for more information.

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