34TH CONFERENCE GRAND CHANCELLOR HOBART 12–14 OCTOBER 2016 CONTENTS WELCOME #CRANAplus2016

Welcome from our CEO...... 2 On behalf of the Board We also welcome all of you. Clinicians, Conferences are an opportunity to learn about of Directors and the students, educators, policy makers, managers new and emerging evidence to help improve From our Patron...... 4 CRANAplus staff, I warmly and senior leaders, the diverse group that your knowledge, skills and awareness, while Thanks...... 5 welcome you to the 34th make up the matrix of remote and isolated ensuring you remain contemporary within healthcare across Australia. Governor’s message...... 5 CRANAplus Conference, your professional field. here in the beautiful It is imperative that as an industry we have Opening ceremony...... 7 Please ask questions and engage with the many southern city of Hobart. an opportunity to debate the challenges and wonderful presenters and exhibitors, all of whom Day one...... 11 barriers we face in providing healthcare in We pay our respects to the Mouheneenner are here to share their knowledge. The CRANAplus Keynote speaker...... 13 some of the toughest conditions in Australia. People, the traditional owners and custodians staff are here to make sure you have a fun, Invited speakers...... 14 This year’s theme of ‘GOING TO EXTREMES educational and reinvigorating time, so please Program...... 15 of the land on which we gather. We also – HOW ISOLATION, GEOGRAPHY & CLIMATE, Notes...... 30 acknowledge the Tasmanian Aboriginal BUILD RESOURCEFULNESS & INNOVATION IN seek them out for any questions or assistance. community of today, who through their HEALTHCARE’ gives us an opportunity to Day two...... 34 Cheers knowledge and culture, help to improve our Keynote speaker...... 38 celebrate and describe the innovation, passion

Invited speaker...... 39 understanding of history, the environment, and successes that we see routinely in our Christopher Cliffe

Program...... 40 science and our nation. unique and isolated practice environments. CEO, CRANAplus

Conference dinner...... 53

Notes...... 56

Membership survey overview...... 60

Trade displays...... 62

Scholarship program...... 64 Undergraduate remote placement

scholarships 2016...... 65

Maps...... 66

Contact...... 67

CRANAplus acknowledges the Aboriginal and Torres Strait Islander Peoples as the traditional custodians of Australia, many of whom live in remote areas, and pays its respect to their Elders both past and present.

2 GOING TO EXTREMES HOW ISOLATION, GEOGRAPHY & CLIMATE, BUILD RESOURCEFULNESS & INNOVATION IN HEALTHCARE 3 Dear Delegates THANKS FROM OUR PATRON I welcome visitors most warmly to the Conference of CRANAplus, taking place in beautiful and historic Hobart, Tasmania in We would like to acknowledge our Partners October 2016. and Sponsors who contribute to the success Tasmania, named after the great of this event and thank them for their support: Netherlands explorer Abel Tasman, was formerly known as Van Diemen’s Land after Associate Partner a Governor-General of the Netherlands East Indies. On the other side of the Australian continent, on the coast of Western Australia, we mark this week the 400th anniversary of Dirk Hartog’s pewter plate. Ours is a land of the indigenous peoples and those who came across the seas to seek new Welcome Ceremony Sponsor challenges and opportunities. Reaching out for new challenges and opportunities is something that comes naturally to CRANAplus. Not all of the changes that were brought by the newcomers were beneficial to the original inhabitants of Australia. But one gift has continued and is inspiring. It is Sponsor the dedication of heath care workers, scientists and support staff of all races and backgrounds to provide care in the remote, regional and rural areas of our huge country. The ideal of bringing healthcare to all was emphasised last year by the adoption of the Sustainable Development Goals of the United Nations. The third of these goals promises that by 2030, humanity will ensure healthy lives and provide wellbeing for all people at all ages. This is not a new goal for CRANAplus. It is one which its members strive to deliver every day. I am sure that the Hobart Conference will be a memorable success. It will remind us of our history. It will recommit us to our future.

The Hon. Michael Kirby AC CMG Patron, CRANAplus Attendance at this entire program provides 13 CPD points Photo: Sasha Hadden.

4 CRANAplus 2016 CONFERENCE PROGRAM GOING TO EXTREMES HOW ISOLATION, GEOGRAPHY & CLIMATE, BUILD RESOURCEFULNESS & INNOVATION IN HEALTHCARE 5 GOVERNOR’S MESSAGE

Tasmania is, I am sure, a good fit, given that the entirety of the island is classified as either Outer Regional or Remote. In my role as Governor I am Patron of many organisations, one of which is the Royal Flying Doctor Service in Tasmania. I’m very pleased that in recent months I have been able to work with the RFDS here, together with Foodbank Tasmania, in setting up a Breakfast/Oral Health Program for primary schools across Tasmania. Collaborative efforts of this nature are no doubt a core feature of your work, given the necessity of building relationships with clients to ensure appropriate service delivery across the continent, and allied support services for the remote workforce. It has certainly proved very satisfying to see this form of collaboration being energetically developed in Tasmania. It is my pleasure to write this welcome message for delegates attending the 34th Annual I wish you all the very best for a rewarding Conference of CRANAplus at Hotel Grand and stimulating conference and I can say with More people in health and Chancellor, Hobart on Thursday 13 and Friday certainty that in Hobart you have chosen a 14 October 2016. wonderful environment in which to network and socialise. A feature of your Conferences is the diversity community services choose of Australian locations where they are held, in this way reflecting the nature of the work of those whom you represent and support, The Hon. Kate Warner AM HESTA for their super namely Australia’s remote health workforce. Governor of Tasmania Supports your industry | Low fees | A history of strong returns

WORKPLACE SUPER PRODUCT OF THE YEAR - VALUE CHOICE WINNER 2015 RAINMAKER EXCELLENCE AWARDS

Issued by H.E.S.T. Australia Ltd ABN 66 006 818 695 AFSL 235249, the Trustee of Health Employees Superannuation Trust Australia (HESTA) ABN 64 971 749 321. Investments may go up or down. Past performance is not a reliable indicator of future performance. Product ratings are only one factor to be considered when making a decision. See hesta.com.au for more information. Before making a Photo: Sue-Ellen Kovack. decision about HESTA products you should read the relevant Product Disclosure Statement (call 1800 813 327 or visit hesta.com.au for a copy), and consider any relevant risks (hesta.com.au/understandingrisk)

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HESTA_Midwife_CRANAplus_148x210.indd 1 21/09/2016 4:07 PM OPENING CEREMONY #CRANAplus2016

The Official Opening Ceremony will feature Francine Douce FACM a welcome to Country by Elder Aunty Brenda Francine Douce is a registered nurse and midwife with more than Hodge and will be held at the Conference 30 years’ experience in the Tasmanian healthcare system. Francine has venue – Hotel Grand Chancellor, Hobart. held many senior nursing and midwifery positions in both the public and private sector and is currently the Acting Chief Nurse and Midwife with the Department of Health and Human Services in Tasmania. Elder Aunty As the Chief Nurse and Midwife, Francine provides strategic leadership for the nursing and Brenda Hodge midwifery professions as well as representing Tasmania at a national level in a range of fora including the Australian and New Zealand Council of Chief Nursing and Midwifery Officers. Francine is a member of the Australian College of Nursing and a Fellow of the Australian College of Midwives; and Tasmania’s member at the National Council of the Australian College of Midwives. Francine has a special interest in leadership; health service and practitioner regulation; and professional issues in nursing and midwifery. She was a member of the Nursing Board of Tasmania from 2005 to 2010; Deputy Chair from 2009 and the Chair of the Professional Standards Committee 2008–2010; and was the inaugural Chair at the time of transition to the national Regulation and Accreditation Scheme in 2010. Francine completed the ICN leadership program at the Global Nursing Leadership Institute in 2015; the first Tasmanian participant in the program with less than a handful of Australians having participated since the introduction of the program in 2009. Francine lives on the beautiful NW Coast of Tasmania with Michael, her husband of more than 30 years, and has two sons Jordan (25) and Keenan (21).

WEDNESDAY 12 OCTOBER 9:00 am Registration desk opens 3:00 pm Registration desk closes 4:00 pm CRANAplus Annual General Meeting 6:30 pm Conference Opening Ceremony (Sponsored by HESTA) held in Exhibiiton area Welcome to Country Elder Aunty Brenda Hodge Opening address Ms Francine Douce, Acting Chief Nurse & Midwifery Officer, Tasmania Sponsor address Presentation of new CRANAplus Fellows Cocktails and canapés 8:30 pm Finish Photo: Sue-Ellen Kovack.

8 CRANAplus 2016 CONFERENCE PROGRAM GOING TO EXTREMES HOW ISOLATION, GEOGRAPHY & CLIMATE, BUILD RESOURCEFULNESS & INNOVATION IN HEALTHCARE 9 CRANAplus Bush Support Services 1800 805 391 Toll Free Support Line DAY ONE

Over this two-day Conference you will remote healthcare, to get the latest news hear from both national and international and developments affecting our professions. distinguished Keynote and Invited Speakers Regular and new sponsors and exhibitors and colleagues. are showcasing their products and services. We believe this will be both an entertaining Take this opportunity to inform and update and informative program. yourself about the range of products and the latest developments in technologies, therapeutic This is a perfect opportunity to join colleagues treatments, products and services for personal from all over Australia, from all areas of use and career opportunities.

CRANAplus

Bush Support Services Photo: Courtesy of Hotel Grand Chancellor.

face-to-face counselling THURSDAY 13 OCTOBER Something on your mind? 9:00 am Welcome address Christopher Cliffe, CEO, CRANAplus Need to talk to someone who understands what it’s like to live and work in remote Australia? Session 1 CRANAplus Bush Support Services is offering free and confidential face to face psychological 9:15 am Keynote speaker Dr Bob Brown counselling at the CRANAplus Conference in Hobart. 10:00 am Question time (10 minutes) This service is available to all conference delegates. A team of experienced CRANAplus Bush Support Services’ psychologists will be available for FREE one-on-one confidential counselling at 10:10 am Invited speaker Anneliese Cusack Going to Extremes: Working & Living in a convenient, discreet and private venue, to offer support on a broad range of issues including; Canada’s Frozen North workplace mental health, drug & alcohol, trauma, sexual assault and family & relationship issues. 10:25 am Abstract Rod Menere Remote Area Nurse Occupational Health and Safety To avoid disappointment you are encouraged to book an appointment early via email 10:40 am Question time (10 minutes) ([email protected]) or mobile (0458 635 888). 10:50 am Morning tea (30 minutes)

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THURSDAY 13 OCTOBER CONTINUED in 2004, Bob became parliamentary leader of the Australian Greens in 2005. Session 2 The 2007 election saw Bob re-elected to the 11:20 am Invited speaker Dr Jeff Ayton, Chief Medical Officer, Polar Medicine Unit, Senate for a third term, receiving the highest Australian Antarctic Division personal Senate vote in Tasmania and being 11:45 am Abstract Sandy McElligott How Truck…”On the road to health”….7 years on elected with more than a quota in his own right. 12:00 pm Abstract Claire Boardman Innovative technology to address remote education In 2010 Bob led the Australian Greens to a and clinician awareness of a preventable disease historic result with more than 1.6 million 12:15 pm Abstract Vanessa De Landelles Is it “Geographical Isolation” or is it “Tranquility” Australians voting for the Greens and the election of nine Senators and one House of 12:30 pm Abstract Lauren Gale The Royal Flying Doctor Service (RFDS): More than a flying doctor Representatives member. 12:45 pm Question time (10 minutes) As a result, the Greens gained balance of power 12:55 pm Lunch & Book Launch Dr Janie Dade Smith (1 hour) in the Senate and signed an agreement with the Session 3 ALP which allowed Prime Minister Julia Gillard to form government. A key part of this agreement 2:00 pm Abstract Kim McCreanor, CEO, AMRRIC A consultative approach to improving was the Greens requirement that a price on animal and human health in remote Indigenous communities carbon be introduced, which led to legislation 2:15 pm Abstract Naomi Kikkawa e-PIMH: A Perinatal and Infant Mental Health Bob Brown was elected to the Senate being passed at the end of 2011. Workforce Development Pilot in 1996 after 10 years as an MHA in Tasmania’s Bob stepped down as Leader of the Australian 2:30 pm Abstract Robyn Carmichael and Nola Fisher “They Came Back” state parliament. Greens, and then retired from the Senate in June 2:45 pm Abstract Marjorie Middleton Hair Dye and Health Promotion: Reaching Remote In his first speech in the Senate, Bob raised the 2012. After leaving parliament he founded the Youth in Innovative Way threat posed by climate change. Government Bob Brown Foundation to support environmental 3:00 pm Abstract Simone O’Brien and Linda Blair Nurse Practitioner/Rural and Isolated Endorsed and opposition members laughed at his warning campaigns and activists around Australia and Nurse Assessment and Collaborative Care Project of sea level rises and it took ten years for them our region. 3:15 pm Question time (10 minutes) to finally begin to acknowledge the causes and effects of climate change. 3:25 pm Afternoon tea (30 minutes) Since 1996, Bob has continued to take a Session 4 courageous, and often politically lonely, stand 4:00 pm Abstract Tony Barnett Dental extremes: “They pull out their own teeth in the bush” on issues across the national and international 4:15 pm Abstract Jessie Cummins Dentists’ adherence to antibiotic prophylaxis guidelines spectrum. Some of the many issues that Bob for infective endocarditis raised in the Senate included petrol sniffing in Central Australia, self-determination for West 4:30 pm Abstract Chris Zeitz and Stewart Roper Improving the management of Rheumatic Papua and Tibet, saving Tasmania’s ancient Heart Disease in Remote Indigenous Communities forests, opposing the war in Iraq, justice for 4:45 pm Abstract Amanda Akers Methamphetamine management: Melting the ice in remote care David Hicks, stopping the sale of the Snowy 5:00 pm Question time (10 minutes) Hydro scheme and opposing the dumping of nuclear waste in Australia. 5:15 pm Remote Area Workforce Safety & Security Project Symposium Bob was re-elected to the Senate in 2001. 6:00 pm LGBTI Network of Interest The Atrium Bar, Hotel Grand Chancellor Following the election of four Greens senators

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Anneliese Cusack is SESSION 1 • Legislation – State and Territory OHS an Australian nurse and legislation provides general expectations and Welcome by CRANAplus CEO Christopher Cliffe/ midwife. In 1976, after guidelines for Health Services (as employers) Housekeeping finishing her formal and RANs (as employees). Over the past education, Anneliese Keynote address decade, OHS legislation has increased went bush. She worked DR BOB BROWN employer responsibilities to prioritise staff for 25 years in remote safety and wellbeing, while also increasing communities across Australia providing primary Invited speaker employee accountability. care to a varied population. During her career in ANNELIESE CUSACK • Regulation – Employer/Health Service Australia she could be found in the Torres Straits Going to Extremes: Working & Living and Community strategies, guidelines and in Canada’s Frozen North in North Queensland, somewhere Western Photo: Steve Batten. procedures identify how services can be Australia or the Northern Territory, the AP lands provided in a manner that promotes the in South Australia and many points in between, Dr Jeff Ayton ROD MENERE safety of health staff. including Cook on the Transline and a brief stint commenced with the Remote Area Nurse Occupational Health • Equipment – This includes characteristics of on the west coast of Tasmania. Australian Antarctic and Safety housing and clinic construction, equipment fit Division as Chief Medical for service provision, security lighting, reliable In 2001, while working with the Royal Doctor Rod Menere is a Registered Nurse with a Officer in 2002 with transport and communication equipment, gps Flying Service in Port Augusta, Anneliese Bachelor’s degree in Community Health and a responsibility for the tracking, and resources for disposal of sharps accepted a two-year CHN position further Master’s in Primary Healthcare. Since 1983 he Australian Antarctic and contaminated materials. north… much further north… in the Canadian has worked extensively as a Public Health Field program medical support and human biology • RAN decision making – There will be Arctic. A new adventure began. Anneliese, true Nurse, Remote Area Nurse, and in international and medicine research. times when a RAN has to make a decision to her adventurous nature, has been working development. Rod has researched and written prioritising her/his wellbeing over possible for the past 14 years in communities throughout He is current Australian delegate to the Scientific extensively about RAN issues. He currently challenges to the health of a patient. the far north of Canada – trading her passion for Committee of Antarctic Research Life Sciences works with the ACT Mental Health Crisis Team, rescuing joeys to training and racing sled dogs. Scientific Group and member SCAR COMNAP Joint however he retains a passion for and interest This is a difficult, lonely decision that will Expert Group Human Biology and Medicine. in remote area nursing. sometimes create animosity between RANs and their community/employer. Legislation, Jeff graduated from the University of Melbourne Abstract: regulations, and safety equipment provide in 1987 and spent his career seeking a generalist Workplace health and safety strategies do minimal immediate assistance if a RAN finds and procedural scope of practice. promote the wellbeing of remote area nurses, her/himself alone and unsupported in a In 1992, Jeff wintered at Casey Station, Antarctica, other health staff and communities. Improved threatening situation. understanding of Occupational Health and as a remote area general practitioner. He has Conclusion: Safety (OHS) will support Remote Area subsequently gained varied experience in other Legislation, regulations, and equipment Nurses (RANs) to effectively utilise available rural and remote medical practices as a procedural contribute to promoting RAN physical and general practitioner obstetrician and anaesthetist wellbeing strategies. psychological wellbeing. However, we need including Lorne Victoria, Norfolk Island, and RAN occupational health and safety is influenced to empower RANs to decline participation in remote mine sites in Papua New Guinea. by a range of factors: unsupported, potentially risky situations in In recognition of the need to grow, train and • Context – Expanded scope of practice, order to promote workplace safety and reduce sustain generalist doctors for rural and remote inconsistent community expectations, the incidence of assaults. RANs as a group can Australia he served on the ACRRM board and and clinical/social isolation, are widely support individuals bullied/harassed in the is a Past President of the Australian College of acknowledged as creating risks to RAN course of pursuing reasonable actions to protect

Photo: Steve Batten. Rural and Remote Medicine. safety and wellbeing. their wellbeing.

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SESSION 2 (WHOW) truck. As other health programs and Claire was privileged to be working with services recognised its value and convenience Aboriginal and Torres Strait island communities Invited speaker as mobile clinic the WHOW truck soon morphed in public health and infection prevention and DR JEFF AYTON into ‘HOW’ truck, which meant wider utilisation. control in the Torres Strait, Far North Queensland. Chief Medical Officer, Polar Medicine Unit, Australian Antarctic Division Currently the truck is used by multiple Claire has worked in complex disaster and services including: developing nation settings and has a strong SANDY MCELLIGOTT • Men’s Health – to enable an appropriate, ongoing interest in healthcare economics, How Truck…”On the road to health”….7 years on private place for men to have consultations. developing nation and Indigenous health issues. • The visiting Podiatrist, who usually stays out Sandra McElligott is the remote women’s Claire has held a number of State and National for a few weeks, when in Central Australia. appointments and is the immediate past health educator who has been working in • Women’s health remains the main utiliser Central Australia for around 24 years. She is a President of the Australasian College for of the truck. Infection Prevention and Control (ACIPC) and Photo: Courtesy of Hotel Grand Chancellor. registered nurse and midwife and has a passion • It is used as a Third clinic space for the for working with the local women on their is a senior lecturer at Griffith University. practical sessions of the town Well women’s best practice, a surveillance and reporting priorities. She believes in a bottom up approach course training. In 2013 she won one of four prestigious Council system, clinical guidelines and patient and when it comes to projects and programs. • Also taken to remote communities to follow of Executive Women scholarships to attend the clinician education resources. She has been involved in the production of up assessment and competency on staff Australian Graduate School of Management three DVD resources working with local groups To improve clinical understanding of ARF • Provides an additional self-sufficient consult Women in Leadership course at UNSW and, in in Central Australia as well, but she is here and RHD, RHDAustralia in collaboration with room avoiding the impingement of existing 2014 Claire was a NT finalist for the Australian today to share another local initiative about experienced clinicians, developed five healthcare clinic space in high demand from visiting of the Year Awards. redirecting health to the people. That is the worker and 15 specialist modules prepared by services within health centres. progress seven years on of the Health on Wheels Abstract: clinicians for clinicians. More than 850 health or HOW truck, as it is locally know. The vehicle has retained its popularity with local Acute Rheumatic Fever (ARF) and Rheumatic professionals have completed the free education women, in that, the local women direct us as to Heart Disease (RHD) are a major healthcare modules endorsed by the Australian College Abstract: where to park to run the service. problem in Australia affecting more than 6000 of Nurses and Australian College of Rural and The Central Australian remote mobile clinic, people, the majority of which are Aboriginal and Remote Medicine. locally known as the (Health On Wheels) HOW It provides a private, confidential space, where Torres Strait Islander people where remoteness; truck, has been around since 2009. they feel comfortable to discuss issues affecting transient population; poor living and education RHDAustralia has used innovative technology their lives. standards; high health practitioner turnover; and in self-management strategies and to improve This presentation celebrates the inception of an early diagnosis and detection of ARF/RHD. Using limited knowledge of the disease all contribute to important much valued mobile health resource It will be used this year for health promotion Facebook as a platform, the Self-Management delays and deficiencies in health service delivery funded and supported by the NTG Department purposes at the Alice Springs and Tennant Creek App improves the uptake of LA-bicillin injections and, ultimately, to the burden of disease. of Health (DOH) at the request of remote Show indicative of its versatility, functionality required every 21–28 days to prevent recurrence community people, for the people. It was and value to our PHC outreach service. ARF is an illness caused by a reaction to a of ARF and the resultant condition RHD. The recognised as a need to improve community bacterial infection with Group A streptococcus Diagnosis Calculator App has been downloaded people’s access to much needed health services. CLAIRE BOARDMAN which can affect the heart, joint, brain and skin and used by more than 4000 healthcare Local community women and women’s health Innovative technology to address remote and cause fever, leading to hospitalisation and professionals across Australia and New Zealand. services advocated strongly for a facility to education and clinician awareness of a RHD, a chronic, disabling and fatal disease. The presentation will focus on examples of how enable well women’s clinic health checks to be preventable disease Under the Commonwealth funded Rheumatic technology can be used to provide targeted provided within their remote communities. Claire Boardman is Deputy Director of Fever strategy, RHDAustralia (RHDA) works education and improve clinical diagnosis of an Hence the mobile health service began and RHDAustralia, based at Menzies School of collaboratively with RHD control programs to entirely preventable disease of which Australia was known as the Women’s Health on Wheels Health in Darwin. Prior to this appointment provide technical assistance, promotion of has the highest recorded rate in the world.

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is likely emergency aeromedical evacuations – LAUREN GALE The Royal Flying Doctor Service (RFDS): flying medical staff to remote destinations to More than a flying doctor retrieve critically injured or unwell patients and transport them to hospitals. Lauren Gale is the Director of Programs & Policy for the Royal Flying Doctor Service, responsible But perhaps less well-known is that the for leading the RFDS Research and Policy Unit RFDS provides comprehensive primary in Canberra, which has most recently released healthcare services in remote and rural areas, publications looking into oral health in remote particularly in places where low population and rural Australia; accident and injury in remote numbers make it unviable to support and rural Australia; and, the demand from permanent, local health services. This includes Indigenous Australians in remote and rural areas regular fly-in fly-out GP and nursing clinics; a for aeromedical services. 24/7 telehealth service; oral health programs; mental health and wellbeing programs; and Prior to commencing with the RFDS in 2013, health promotion activities. Lauren was a Policy Adviser in the Department of the Prime Minister & Cabinet with responsibility In 2015, the Centre for International where mandatory skills, clinical updates areas including rural health, mental health, Economics assessed the value of RFDS primary VANESSA DE LANDELLES and networking occur. Often this maybe indigenous health and women’s health. healthcare services. This demonstrated that Is it “Geographical Isolation” or is it “Tranquility” the only time we get to personally meet every year 65,000 people are seen by RFDS Lauren completed a Master of Public Policy Vanessa De Landelles was born and raised other PHC colleagues. primary healthcare staff; have access to GP (Social Policy) at the Australian National in Alpha and has lived in rural and remote consultations (in person/over the phone); and This year, we took the week long conference University in 2013 and previously completed Queensland for 90% of her life. Vanessa has to pharmaceuticals. The report demonstrated to Windorah. Whilst some drove their vehicles a Bachelor of Arts and Sciences (Hons.) at the the importance of the innovative service model been a RAN with Queensland Health for nine some 800 km, others opted for domestic University of Sydney, including an honours thesis of the RFDS in communities too small to support years within the Central West district with the airflights taking a mere two hours. After some on Australian rural health policy and persistent all the health services required, and where past five years being permanent in Windorah. had been stopped by flood waters and had to health workforce shortages in rural areas. travel time and costs in accessing primary back track making their trip a good 10 hour She is of South Sea Island heritage and is and tertiary care facilities are prohibitive. drive, networking and friendships began on Lauren currently Chairs the Board of the Women’s happily married. Centre for Health Matters ACT and the Board the first night. Windorah has a population of Since September 2015, the RFDS has also of Netball ACT. Vanessa loves rural nursing and being accepted 70 with no mobile phone service, only satellite released research papers on oral health; accident as part of her community. internet, no shopping, cinemas, restaurants or Abstract: and injury; and Indigenous Health as related to casinos to visit. After hour group sessions were the RFDS service “footprint”, each presenting Abstract: The Purpose: spent enjoying wine and cheese on the sand never before published RFDS data. The vast distances, geographical isolation and To describe and quantify the comprehensive suite hill, swimming in the river and holding a Miss of RFDS primary healthcare services provided lack of reliable communication is considered a Outcome: PHC parade. Imagine everyone sitting around to remote and rural parts of Australia through major concern when it comes to recruitment The RFDS will continue to gather evidence talking face to face, getting to meet and know innovative service models, and briefly discuss and retention of Primary Health Centres within about health inequities in the areas it serves; new friends and revisit old ones… why? Because the findings of recent RFDS research reports. Queensland’s Central West Hospital and Health there is no mobile phone service which also analyse outcome data from services; and Service. Monthly teleconferences are held, eliminates social media and texting. Special Scope: compare RFDS data against broader population videoconferencing is regularly accessed for bonds were made during this week, some of For 88 years, the RFDS has been providing data in order to pursue more adequate and upskilling and education sessions whilst face- these friendships will be life long. Some may call critical health services to those in remote and appropriate primary healthcare services for to-face conferences are held biannually, this living in isolation, I call it living in tranquility. rural areas. The best-known service of the RFDS remote and rural Australia.

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to animal management. Historical forms of Perinatal and infant mental health can be SESSION 3 NAOMI KIKKAWA animal management have been fraught with e-PIMH: A Perinatal and Infant Mental Health described as the emotional and psychological KIM MCCREANOR disaster, disrespect, lacking in knowledge, Workforce Development Pilot well-being of mothers, fathers, infants and A consultative approach to improving consultation and negotiation, which has often families, including the parent-infant relationship, animal and human health in remote stalled programs through the wrong approach. Naomi Kikkawa is the Rural and Remote Project from preconception through pregnancy and up Indigenous communities Coordinator for the Queensland Centre for to three years post-birth. Bringing the two word views together is Perinatal and Infant Mental Health (QCPIMH) Kim McCreanor is the Chief Executive Officer possible if paths are created in a mutually based in Brisbane. Naomi has an Arts degree, Over recent decades a strong evidence base has of Animal Management in Rural and Remote respectful and consultative manner. Attitudinal majoring in Psychology, and a Bachelor of Social emerged, which highlights: Indigenous Communities (AMRRIC). For the last change becomes evident when best practice Work (Hons). In 2008, Naomi completed the • The importance of the early years of a child’s 25 years, Kim has worked extensively in the principles are applied over a sustained period. intensive Circle of Security (COS) Training and has life, including the establishment of secure field of community sector management. Her AMRRIC recognises that each community continued to use the COS model and approach attachment relationships. career focus has been in the disability services has different needs, strengths and resources, throughout her work. In the last ten years, • The impact of parental mental health issues, sector, including managerial roles within large embedded in different sociocultural and Naomi has worked in the mental health sector, including trauma history, on a child’s well- organisations operating in remote areas of historical environments. Therefore, a one-size- particularly multicultural mental health, including being and development. Western Australia. A recent two year role as fits-all approach is unlikely to deliver the best refugees and asylum seekers, and child and youth • The effectiveness of interventions designed Relationships Manager for the Bali Animal results. Each community needs a respectful and mental health. Naomi has a particular interest in to minimise risk and increase protective Welfare Association (BAWA) saw Kim move culturally appropriate approach that engages community development and building workforce factors for parents, infants and families. into the field of animal welfare, a longstanding with residents to ensure local relevance. capacity of rural and remote communities • The need for an integrated approach to the passion alongside her work with people with to support the healthy social and emotional provision of services for high-risk parents, a disability. Kim has a strong interest in animal This presentation will highlight the positive way development of young families. infants and families. and human health, community engagement forward that we are seeing in communities and managing free roaming dog populations today based on AMRRIC’s best practice Abstract: Recognising high levels of need in rural and to improve the quality of life for people and guidelines. Differing cultures and attitudes can The Queensland Centre for Perinatal and remote areas, QCPIMH aims to develop a rural their companion animals. meet respectfully at the coalface of animal Infant Mental Health (QCPIMH) was established and remote strategy to improve supports for management work to achieve great outcomes in 2008 as a state-wide hub of expertise in the mental health and emotional wellbeing Abstract: for animals and their owners under these of expectant and new parents, and their infants Dogs play an important role in the lives of perinatal and infant mental health, to provide guidelines. It will draw on examples of our and young children. people in Indigenous communities. However, in consultation, liaison and support to public OneHealth model to animal management which mental health services and the broader communities where residents do not have access A key aspect of this strategy is the Perinatal incorporates education through community community sector, using whole-of-government to veterinary services, or where desexing programs and Infant Mental Health Workforce engagement and educational resources available and cross-sectoral clinical and community are infrequent, overpopulation creates increased Development Pilot. competition for food, increased disease risk, and to enable safety around dogs in community. partnerships and networks. nuisance problems such as increased barking, The Pilot aims to support the existing local pack aggression and the spread of rubbish. Other workforce, to understand the importance of the contributing factors, such as lack of access to, or early years and identify when the emotional affordability of dog food and medicine, and a well-being of the parents and child are at risk lack of knowledge about dog needs, means the so appropriate intervention can be facilitated. health of dogs can unintentionally suffer, which Assistance is provided via resources, training and can adversely affect the health and wellbeing education, phone, email and video conferencing of all people in community. consultation. The pilot also facilitates local The non-Indigenous world view varies greatly networks and referral pathways to support

from the Indigenous world view when it comes Photo: Steve Batten. smooth transition of care.

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In remote Aboriginal communities children are That was in 2004 – and she is still here! Marjie ROBYN CARMICHAEL AND NOLA FISHER SIMONE O’BRIEN AND LINDA BLAIR seen at health centres where they present with is passionate about Remote Indigenous Health “They Came Back” Nurse Practitioner/Rural and Isolated Endorsed acute illnesses or they are on recall lists for in Australia, and has worked as a RAN/RAM in Nurse Assessment and Collaborative Care Project Robyn Carmichael originally came to the chronic health problems. At some health centres, Queensland, South Australia, and the NT. individual staff with an interest in child health Simone O’Brien is a Rural and Remote Nurse Territory in 1980, where she worked in Marjie’s other role is a as a humanitarian: she has provide a more comprehensive service, but this Practitioner who works in a small rural health Nhulunbuy-Gove Peninsula as a Midwife and the worked for Medecins sans Frontieres/Doctors is often staffing dependant. service in Central Victoria that never knows with the Aerial Medical Service. After returning Without Borders since 2009, and thus has had what is going to walk through the door. She also to Melbourne, she worked as a Midwife and The coverage of children seen in Yuendumu for the priviledge to work with women and children works as a Midwife and Women’s Health Nurse Paediatric nurse whilst raising her three boys. the previous two months for Healthy Under 5 throughout Asia, Africa, and the Middle East. Practitioner at a large regional hospital in Central She then worked as Maternal and Child Health Kids checks prior to January 2016 was 22%. Nurse in Melbourne. Abstract: Victoria. Simone was instrumental in setting up In January this year our well child centre became Remote health professionals often have to a NP Outreach Model of Care for a rural health The love of the Territory was always there and operational two days per week. The Child extend their roles in order to meet community service that goes beyond age and chronic illness she returned to Alice Springs in 2012 to work as Health Nurse and Aboriginal Health Practitioner needs. Young people are often hard to engage and delivers healthcare to the most marginalised an Outreach Child Health Nurse based in Alice deliver the Healthy Under 5 Kids program which and require innovative ways in which to attract and isolated in the community. Springs for six months, but like many others them to the health centre. includes immunisations. We are working within Prior to this Simone has spent extensive years before her that six months turned into four an educational facility that includes Child Care In 2015 I began trialling a technique to engage working in rural health across the life spectrum, years and she is now living and working in and FAFT (Families as First teachers) and the young girls and women to come in for women’s she was a Forensic Nurse Examiner for the Yuendumu which is 290 km north-west of Strong Women program. health checks, contraceptives, and early Victorian Institute of Forensic Medicine and Alice Springs as a Remote Child Health Nurse. We have developed a ‘wellness centre’ where antenatal care. worked closely with victims of sexual assault, a pap nurse provider, rural nurse educator, midwife, Nola Fisher started work as an Aboriginal Health families come because their children are This involved becoming a hair dresser, and and occasional lecturer at La Trobe University. worker in 1994, she worked in Nyirripi and she well and they have their health checks and holding ‘hair and health promotion events’. cared for all the women and Children in the immunisations. They don’t have to wait at Girls only sessions of hair dying and pampering Linda Blair is a Rural and Isolated Practice community. Nola moved to Yuendumu in 2005 the busy clinic. The focus is on health and combined with informal education about taking Endorsed Registered Nurse (RIPERN) and Nurse and continued her work as an Aboriginal Health development, not illness. We are also working responsibility for their own health have resulted Immuniser who works in a small Victorian Practitioner and now works in Child Health in a multi-disciplinary team to develop this in a unique relationship, the effect of which rural hospital. alongside the Child Health Nurse delivering wellness model. In the first month of operation has been an increase in clinic presentations for Linda has been an active participant in the pilot the Healthy Under 5 Kids program for over the coverage for the children’s checks was 77%. Implanon insertion, earlier first antenatal visits, project of a Nurse Practitioner/RIPERN Assessment 120 children from 0–4 years. and increased ‘women’s checks’. One young Mum did not want her 12 month and Collaborative Care outreach model. Abstract: old to have four immunisations in one day; The additional incentive of receiving a package The model goes beyond age and chronic illness she asked if she could come back tomorrow. of hair dye for every completed women’s health How often when working remote have you to deliver healthcare to the most marginalised And yes she did come back. check/Pap Smear has further engaged young heard it said “they won’t come back?” and isolated in the community. women to present to the clinic. This engagement In Yuendumu we have created a ‘Well Child MARJORIE MIDDLETON was initially focussed on young women, but has Linda has been working within rural Victoria Centre” where they do come back. Hair Dye and Health Promotion: Reaching been so popular that young men have asked for for the past 3 years and is passionate about Remote Youth in Innovative Way The importance of the early years is well their own hair and health promotion events, as the RIPERN model of care and expanding its Indigenous communities have the older women. practicality in rural and remote areas. documented, and across the NT the Healthy Under 5 Kids program aims to address the health and Marjie Middleton is a Canadian nurse who came The program started in one community, but In her downtime Linda enjoys spending time development of the under fives and their families to Australia to work as a remote area nurse ‘for has extended to include three communities with her family, bushwalking as well as an avid in remote parts of the Northern Territory. just one year’. with great success. reader in a Book Club.

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Abstract: Conclusion: better oral health services in realistic and cost We interviewed over 100 healthcare Introduction: There is documented evidence Implementation of the NPRACC model of care effective ways. Stronger links and cooperation professionals from 15 rural and remote regarding the burden of disease in rural has found that thus far it has proven to be a between primary care providers and dental communities across Tasmania, Queensland and communities; the absence of public transport seamless, safe model of healthcare delivery professionals may improve service provision such South Australia in which there was no resident that is clinically and financially sustainable. to supporting larger towns, lack of sustainable that interventions are both timely, effective and dentist. We wanted to learn of their experiences infrastructure and an aging population. With Additionally, the model can be replicated in result in appropriate follow-up or referral. and advice on what could be done to improve the introduction of a Nurse Practitioner (NP) other small rural health services. oral health in the bush. service at Heathcote Health the focus had been We report on a rural health workforce research Question time (10 minutes) We found that little communication occurred on supporting clients who required Urgent/Acute project that investigated the relationship between primary care providers and either Care, and residential care clients experiencing a Afternoon tea (30 minutes) between dental services and primary care visiting dental professionals or those located change in functional status. Review of this role practitioners (nurses, doctors, pharmacists). in their nearest larger town. found that it was underutilised and constrained SESSION 4 by the traditional ‘silos’. Further there was a need The broad aim of this study was to assess if Strategies to improve oral health services to address identified service gaps in the healthcare TONY BARNETT stronger interprofessional collaboration could included: education and public health delivery, and to provide the community access Dental extremes: “They pull out their own help address issues exacerbated by problems measures, improving communication and to a more seamless model of healthcare. teeth in the bush” of access and dental workforce shortages to referral pathways as well as providing more improve the provision of oral health services regular and reliable visiting dental services Design: Tony Barnett is the Director of the Centre for to rural and remote communities. through various mechanisms. An interdisciplinary outreach model of care, Rural Health at the University of Tasmania. He known as the Nurse Practitioner/Rural Isolated trained as a nurse at Whyalla (South Australia), Practice Registered Nurse Assessment and has previously worked in a number of hospitals Collaborative Care (NPRACC), was implemented in Victoria and South Australia and held senior for an initial period of six months. Action positions at Deakin and Monash Universities. research methodology underpinned the He is engaged in a number of projects in implementation, data collection, analysis Tasmania and elsewhere on topics that and evaluation processes of the project. include: rural health, interprofessional practice, Both qualitative and quantitative data were simulation and clinical education. He is a chief collected using tools specifically developed investigator with the (national) Centre of for the project. Statistical and thematic data Research Excellence in Primary Oral Health Care. analysis processes informed the results. Abstract: Objective: Oral health is a significant problem for many The aim of this innovative healthcare delivery remote communities. Residents experience project was to implement a model of healthcare higher rates of dental caries, report reduced visits that moved beyond bed-based care and to a dentist and are more likely to present to addressed the healthcare needs of the small non-dental healthcare professionals for problems rural community. such as toothache, abscesses and trauma We’re there for you! for treatment than residents of major cities. Results: Australia-wide Career Choice Diversity Freedom Flexibility Local and Outback Nursing 2129I Poor oral health can have a broader impact. As a newly implemented model data collection, analysis and evaluation remain “They have no front teeth and that is depressing. We have your • National Rural Nursing Contracts Register your interest now! active processes. Interim results indicate Mental health is worse with bad teeth… and all next career • Permanent opportunities Call 1300 761 351 that the project is meeting the specifications my patients have bad teeth.” (Remote Area Nurse) move covered: • Agency nursing Email [email protected] of the project and, more importantly, the There are strong imperatives to investigate ways healthcare needs of the community. in which these communities can be provided with

24 CRANAplus 2016 CONFERENCE PROGRAM GOING TO EXTREMES HOW ISOLATION, GEOGRAPHY & CLIMATE, BUILD RESOURCEFULNESS & INNOVATION IN HEALTHCARE 25

Acute Care Aged Care Corporate Health Primary Health Care Mental Health #CRANAplus2016

for the prevention of infective endocarditis and Indigenous PhD student to completion. He is an are non-compliant with the 2012 Australian interventional cardiologist and clinical director of Therapeutic Guidelines”. With the overuse of Medicine for the Central Adelaide Local Health antibiotics contributing to the development Network which incorporates the Royal Adelaide, of drug resistant organisms, the importance Queen Elizabeth and Hampstead Rehabilitation of antibiotic stewardship is at the forefront of Hospitals. He learnt to fly over ten years ago patient care. The results of this pilot study have which has added both efficiency and enjoyment the potential to improve the dental profession’s to his outreach activities. awareness and accurate adherence to the Stewart Roper’s original tertiary studies were Therapeutic Guidelines, thereby reducing in Zoology and Biochemistry, becoming a inappropriate antibiotic prescribing. Registered Nurse at the Royal Adelaide Hospital A retrospective chart audit of patients who (RAH) in 1984 then at Flinders University, attended the Cairns James Cook University Adelaide, in 1988 as a biology lecturer in the Dental Clinic between 2012–2014, identified undergraduate and postgraduate nursing as requiring antibiotic prophylaxis (n=57). courses. In October 1990 Stewart left to A chart-auditing tool was developed to commence work with Nganampa Health Service determine the supervising dentists’ adherence in Amata, 1500 km north of Adelaide. to the 2012 Australian Therapeutic Guidelines His original intention was to stay for six months for prescribing antibiotic prophylaxis for the to a year. He eventually left after nine and a half prevention of infective endocarditis. Data was years full time as a Community Health Nurse. analysed using descriptive statistics and Cohen’s He’s not completely sure how this happened, but Kappa Tests using SPSS version 22 to determine somehow the character of the people and magic the inter-assessor agreement. Photo: Steve Batten. of the landscape overcame the challenges of The results from the study revealed the over- living and working in such a remote location. to over-prescribe antibiotic prophylaxis for prescription and lack of adherence to the JESSIE CUMMINS Stewart continued to work with Nganampa in the prevention of infective endocarditis. These current 2012 Australian Therapeutic Guidelines Dentists’ adherence to antibiotic prophylaxis various roles and as a locum relieving nurse. results are concerning as the over-prescribing for antibiotic prophylaxis for the prevention of guidelines for infective endocarditis Since 2010 he has been employed as a projects of antibiotics by dentists may be contributing infective endocarditis by the supervising dentists officer with a variety of duties. Jessie Cummins is a final year dentistry student to the rapid rise of antibiotic resistance and at the Cairns James Cook University Dental Clinic. at James Cook University, Cairns. During the increasing the patients’ risks of developing Over the past two years a major role has course of her studies Jessie has developed antibiotic associated complications. To date, CHRIS ZEITZ AND STEWART ROPER become coordination of the Rheumatic Heart a strong interest in the dental management there are no known studies that have been Improving the management of Rheumatic Heart Disease Programme. of clients with complex medical issues, and conducted to assess the prescribing habits of Disease in Remote Indigenous Communities following graduation, wishes to pursue a Australian general dentists regarding the use He also recently managed to publish a book of is the associate professor for rural career in Special Needs Dentistry. of antibiotic prophylaxis for patients at risk of Chris Zeitz his photographs and recollections over the years and Indigenous cardiovascular health for the on the Anangu Pitjantjatjara Lands; Palya. It has infective endocarditis in accordance with the Abstract: University of Adelaide. He has spent more than 20 given him great pleasure that the book has been 2012 Australian Therapeutic Guidelines. The overall consensus from the current years delivering cardiac services and education to so well received by all, but especially Anangu, evidence indicates that dentists frequently The study hypothesised that “The supervising rural and remote communities in South Australia without whose knowledge, assistance and misidentify certain cardiac conditions and dentists at the Cairns James Cook University and has had a long standing involvement in access to their beautiful country the book would dental procedures resulting in a tendency Dental Clinic over-prescribe antibiotic prophylaxis Indigenous health, including supervising an not have been possible.

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Abstract: substance abuse, and supporting individuals to Problem: AMANDA AKERS Rheumatic heart disease (RHD) remains a achieve self-respect and self-care strategies. Patients affected by methamphetamines behave Methamphetamine management: significant issue for Indigenous Australians out of character, showing verbal aggression, Abstract: with a high prevalence in remote communities. Melting the ice in remote care violent threats and actions. Despite knowledge Issue: This preventable disease requires a coordinated Amanda Akers is a Clinical Psychologist with of the patient’s typical presentation, nurses and health system that readily identifies acute With the increase in methamphetamine research specialisation in the field of drugs health professionals working in remote areas are infections, provides appropriate secondary (ice) abuse in metropolitan areas and not assured that previous behaviour is a predictor and alcohol. She has worked for the Hunter prevention therapies and monitors those with spilling out into remote areas of Australia, of current or possible behaviours, or adherence New England Drug and Alcohol Service in rural established valvular disease. the need for appropriate management of to policies relating to zero tolerance of abuse in NSW offering an outreach service to clients methamphetamine-related presentations is In 2014, the Nganampa Health Council, which had clinics or emergency departments, and as such, and supervision to residential drug and alcohol becoming more apparent as these presentations nurses and health professionals remain at risk of already invested in an RHD program manager, rehabilitation workers. She has run a SMART become more frequent and extreme. partnered with SA Health (RHD Program Advisory abuse, injury, or psychological trauma. Recovery group in Armidale NSW. Group and Central Adelaide Cardiology Service) to According to the Australian Drug Foundation, Conclusion: improve the management of patients with RHD. She has a strong background in providing 7% of Australians over 14 years of age have Basic education or re-education on the effects The program manager coordinated the antibiotic assessments for trauma victims, as well as drug used amphetamines one or more times in their and visible signs of methamphetamine abuse prophylaxis management, linked with the RHD and alcohol assessments for forensic purposes. life, 2.1% of those had used amphetamines in are recommended, appropriate management registry and utilised visiting cardiology and Amanda has been working in private practice the previous 12 months, and 50.4% of them of methamphetamine abuse presentations are echocardiography services to improve the overall for the past 11 years. She is casually employed reported that crystal meth, or ice, was the highlighted, and referral possibilities are suggested, compliance with prophylaxis and monitoring with as a psychologist for CRANAplus Bush Support main form of amphetamine used. to assist with maintaining resilience in communities a view to reducing the potential for patients to where these difficult presentations exist. proceed to end stage valvular disease. Services and is acutely aware of situations Methamphetamine is now the 4th most common faced by remote area nurses and other health drug involved in ambulance attendances following Question time (10 minutes) We examined the rates of compliance with practitioners, including issues relating to drug alcohol, benzodiazepines, and non-opioid BLA prophylaxis between December 2012 and Remote Area Workforce Safety & Security and alcohol problems. Amanda has become a analgesics in Australia. An increased awareness December 2015, following the introduction of the Project Symposium regular contributor to the CRANAplus magazine. of how to detect and manage presentations above services. In 2013, 40% of patients were She has a keen interest in supporting partners where methamphetamine abuse is present is LGBTI Network of Interest receiving <50% of recommended BLA prophylaxis doses and 80% receiving < 80% of doses. By 2015, and families of people negatively affected by vitally important. The Atrium Bar, Hotel Grand Chancellor these respective rates had fallen to 7% and 28%. Conversely, over the same period, the proportion of patients with RHD that achieved 100% of recommended BLA prophylaxis doses increased from 3% to 45%. The partnership forged between Nganampa Health, the RHD registry program and SA Health has significantly improved compliance with BLA prophylaxis. It has also significantly improved compliance with rates of clinical and echocardiographic screening of patients with established rheumatic valvular heart disease. This is a robust example of communities and health services working collaboratively together

at a local level to achieve good health outcomes. Photo: Sue-Ellen Kovack.

28 CRANAplus 2016 CONFERENCE PROGRAM GOING TO EXTREMES HOW ISOLATION, GEOGRAPHY & CLIMATE, BUILD RESOURCEFULNESS & INNOVATION IN HEALTHCARE 29 NOTES

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Anneliese Cusack [email protected] Nola Fisher [email protected] Rod Menere [email protected] Marjie Middleton [email protected] Sandy McElligott [email protected] Simone O’Brien [email protected] Claire Boardman [email protected] Linda Blair [email protected] Vanessa De Landelles [email protected] Tony Barnett [email protected] Lauren Gale [email protected] Jessie Cummins [email protected] Kim McCreanor [email protected] Chris Zeitz [email protected] Naomi Kikkawa [email protected] Amanda Akers [email protected] Robyn Carmichael [email protected]

32 CRANAplus 2016 CONFERENCE PROGRAM GOING TO EXTREMES HOW ISOLATION, GEOGRAPHY & CLIMATE, BUILD RESOURCEFULNESS & INNOVATION IN HEALTHCARE 33 DAY TWO #CRANAplus2016

FRIDAY 14 OCTOBER Session 3

9:00 am Welcome address President, CRANAplus 2:00 pm Official address Mr Tony Zappia MP, Assistant Shadow Minister for Medicare Session 1 2:20 pm Abstract Karen Deininger and Vanessa De Landelles Team Building under ‘Vast Distances & Isolation’ – with a little bit of Extreme climatic conditions added 9:15 am Invited speaker Adj Prof Deb Thoms, Commonwealth Chief Nursing & Midwifery Officer 2:35 pm Abstract Leanne McGill and Katrina Rohrlach LINKS: e-mentoring to the Extreme 9:40 am Abstract Daniel Terry Getting them out there: The impact of rural exposure 2:50 pm Abstract Catherine Jacka A Rights Based Approach – Consideration for Geography on satisfaction and practice intention among nursing student Distant Service Providers 9:55 am Abstract Kadee Rae Jones I am a New Graduate Nurse and I am working in 3:05 pm Abstract David Carpenter 25,000 feet and climbing… aeromedical retrieval Rural and Remote Australia in Central Australia 10:10 am Abstract Marcia Hakendorf Remote Area Nursing certification, a workforce process 3:20 pm Question Time (10 minutes) 10:25 am Abstract Danni-Lee Dean The innovative health system we want to work in 3:30 pm Afternoon tea (30 minutes) 10:40 am Question Time (10 minutes) Session 4 Sponsored by Jesi Management Services 10:50 am Morning tea (30 minutes) 4:00 pm Q & A: Maintaining Staff Safety in Complex and Diverse Environments Session 2 Martin Boyle Emergency Management Coordinator, Australian Antarctic Division 11:20 am Keynote speaker The Hon. Michael Kirby Brendan Boucher International Security Advisor, Australian Red Cross 12:05 pm Question Time (10 minutes) Guy Sansom Senior Emergency Physician, St Vincent’s Hospital Melbourne 12:15 pm Official address The Hon. Dr David Gillespie MP, Assistant Minister for Rural Health Pat Allen President, Police Association Tasmania 12:35 pm Abstract Leona McGrath Birthing on Country – A Collaboration Mick Stephenson General Manager, Emergency Operations, Ambulance Victoria 12:50 pm Question Time (10 minutes) 5:00 pm Wrap up and close 1:00 pm Lunch (1 hour) 7:00 pm CRANAplus Annual Awards Dinner Hobart Function Centre

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Mr Tony Zappia MP, Assistant Shadow Minister for Medicare Tony has lived in the north-eastern suburbs of Adelaide since early childhood, attending Pooraka Primary School and Enfield High School. He began full-time work in 1969 with the ANZ Bank. From 1976 to 1980, Tony was employed as a research officer to Senator Jim Cavanagh. Between 1981 and 2007, Tony part-owned and operated a local fitness centre. He was also an Australian power lifting champion and an accredited fitness and weight training instructor. Tony served as an elected member with the City of Salisbury between 1977 and 2007 and served on many different boards, committees and community organisations. From 1997 to 2007 Tony The Hon. Dr David Gillespie MP, Assistant Minister for Rural Health was Mayor of Salisbury. Under his leadership, the City of Salisbury became a world leader in environmental and water management. Dr David Gillespie was elected to the Australian Parliament in 2013 and was appointed to the Australian Government Ministry following his return Parliamentary service: Elected to the House of Representatives for Makin, South Australia at the 2016 election. in 2007, 2010, 2013 and 2016. David and his wife Charlotte have three children Isabelle, Oliver and Alice, Tony lives in Pooraka. He is married to Vicki and they have three children. raising the family on their farm in the Hastings Valley on the outskirts of Wauchope and Port Macquarie, on which they run grass-fed Angus beef for the export market. Dr Gillespie graduated from the University of Sydney and is a Fellow of Royal Australasian College of Physicians. As an undergraduate, he gained experience training both in Papua New Guinea and British Columbia. Dr Gillespie’s post graduate specialist training included stints at hospitals in Bathurst, Orange and Dubbo, while based at Royal Prince Alfred Hospital in Sydney. He also gained two years of paediatric experience at Royal Alexandra Hospital for Children in Camperdown, St George Hospital in Kogarah, and at Sydney’s St Vincent’s Hospital. David obtained a Diploma of Anaesthetics (London) and Diploma of Child Health (United Kingdom [UK]) after working in the UK National Health Service. Before entering Federal Parliament, David had 33 years of medical practice, including 21 years as specialist gastroenterologist and consultant specialist physician in Port Macquarie. David was active in postgraduate medical training as Director of Physician Training at Port Macquarie Base Hospital and was instrumental in the hospital achieving accreditation by the Royal Australasian College of Physicians for specialist training and becoming a centre for college examinations. David and Charlotte built, licensed and ran the Hastings Day Surgery in Port Macquarie for 12 years. During this period, David also lectured and tutored at UNSW Rural Medical School from its inception. David is using his first-hand experience in public and privately managed health delivery and small business to ensure Australia’s health system delivers high quality, cost-effective care in an affordable and fiscally sustainable manner. Photo: Courtesy of Hotel Grand Chancellor.

36 CRANAplus 2016 CONFERENCE PROGRAM GOING TO EXTREMES HOW ISOLATION, GEOGRAPHY & CLIMATE, BUILD RESOURCEFULNESS & INNOVATION IN HEALTHCARE 37 KEYNOTE SPEAKER #CRANAplus2016

of Arbitrators & Mediators Australia from 2009–2010. He serves as a Board Member of the Australian Centre for International Commercial Arbitration. In 2010, he was appointed to the Australian Panel of the International Centre for Settlement of Investment Disputes (World Bank). He also serves as Editor-in-Chief of The Laws of Australia. He has been appointed Honorary Visiting Professor by 12 universities.

In 2010, Michael Kirby was awarded the Gruber Justice Prize. He served 2011–2012 as a member of the Eminent Persons Group investigating the future of the Commonwealth of Nations.

He was appointed as a Commissioner of the UNDP Global Commission of HIV and the Law In March 2011, he was appointed to the Advisory Council of Transparency International, When he retired from the High Court of based in Berlin. In 2013, he was appointed Australia on 2 February 2009, Michael Kirby Chair of the UN Commission of Inquiry on was Australia’s longest serving judge. He Human Rights Violations in North Korea. He was Acting Chief Justice of Australia twice. was also appointed in 2013 as a Commissioner Following his judicial retirement, Michael of the UNAIDS Commission on moving from INVITED SPEAKER Kirby was elected President of the Institute AIDS to the Right to Health (2013–2014).

Debra Thoms manager of the Royal Hospital for Women in commenced in the position Sydney and as Chief Nursing and Midwifery of Commonwealth Chief Officer within the Health Departments of Nursing and Midwifery South Australia and New South Wales. Officer at the end of In 2005 Debra was selected to attend the August 2015. She was formerly the inaugural Johnson and Johnson Wharton Fellows Program Chief Executive Officer of the Australian College and the Wharton School of Business at the of Nursing, a position she took up in mid-2012 University of Pennsylvania. following six years as the Chief Nursing and Her contribution to nursing and healthcare has Midwifery Officer with NSW Health. been recognised by an Outstanding Alumni During her career Debra has gained broad Award from the University of Technology, Sydney management and clinical experience including and she also holds appointments as an Adjunct as a clinician in remote and rural Australia, Professor with the University of Technology,

Photo: Courtesy of The Hobart Function and Conference Centre. as CEO of a rural area health service, general Sydney and the University of Sydney.

38 CRANAplus 2016 CONFERENCE PROGRAM GOING TO EXTREMES HOW ISOLATION, GEOGRAPHY & CLIMATE, BUILD RESOURCEFULNESS & INNOVATION IN HEALTHCARE 39 PROGRAM #CRANAplus2016

Rural Health (UDRHs) in Australia. This present- SESSION 1 KADEE RAE JONES ation profiles nursing student placements in UDRHs Welcome by CRANAplus President/ I am a New Graduate Nurse and I am working and examines student satisfaction and future Housekeeping in Rural and Remote Australia intention to enter rural and remote practice. Invited speaker Kadee Rae Jones is currently completing her Methods: ADJ PROF DEB THOMS New Graduate year within the Far West of NSW. Under the Australian Rural Health Education Commonwealth Chief Nursing She has previously rotated through the remote Network (ARHEN), the Student Survey Working & Midwifery Officer clinic in Ivanhoe, NSW. Currently she is working Group (SSWG) collaborated to develop a student in Broken Hill within the surgical department. placement evaluation questionnaire that included DANIEL TERRY 21 common questions. Kadee is a part of the executive committee Getting them out there: The impact of rural of the Australian Student and Novice Nurse exposure on satisfaction and practice intention Data collected between July 2014 and November Association (ASANNA) as the Rural and among nursing student 2015 was aggregated and analysed, including Remote Representative. Daniel Terry completed his PhD in 2014, which demographics, placement location, length and type of placement, level of satisfaction and future This position requires her to engage and support

focused on the acculturation and retention Photo: Steve Batten. Novice Nurses and Students within rural and of International Medical Graduates in rural intention to work in a rural or remote area. remote Australia access resources and develop and remote contexts. He has a background in Results: relationships with people in similar areas. In her MARCIA HAKENDORF Nursing and a Masters of International Health. In total, 1,273 nursing and midwifery students previous life she was an Early Education Teacher Remote Area Nursing certification, He is a research fellow and has worked as a responded. The sample was 89.4% female and in Canberra, ACT and Sydney, NSW. a workforce process research assistant for the University of Tasmania 32 respondents (2.5%) identified as Indigenous. Marcia Hakendorf was born in the Riverland of and Deakin University. He has been involved The majority of students had placements of She is undeniably passionate about helping South Australia and trained as a nurse in the mid- in many projects concerning the health and less than four weeks (82.9%) and were mainly others and providing the best care in others wellbeing of rural migrant communities; and he most vulnerable situations. late 70s, and then returned to the Royal Adelaide placed in Public Hospitals (64.5%), Community Hospital in the 80s to continue her nursing career. is currently undertaking a number of research Health (16.6%) and Residential Aged Care projects related to chronic ill health and rural Abstract: Over the past 30 years a substantial amount (8.7%). Students were placed in Modified I am a new graduate nurse and I am doing of that time has been dedicated to rural South health workforce. Monash Model (MMM) 3–5 (Rural) (86.5%) or what everyone told me I couldn’t. I am a New Australia working in various roles, such as, Nurse Abstract: MMM 6-7 (Remote) (11.4%) locations. Overall Graduate Nurse and I am working in Rural and Educator, Senior Project Officer in Country Health Background: satisfaction was high at 91.0%. Though not Remote Australia. SA dealing with various nursing and midwifery Australia continues to experience difficulty statistically significant (p > 0.05), a marginally workforce development projects. Then was The Australian Student and Novice Nurse recruiting rural and remote healthcare higher proportion of students expressed selected to undertake the role of Research Association support new and upcoming Officer/Project Nurse for the Parliamentary Select practitioners. While initiatives target this challenge, satisfaction with rural (91.4%) versus remote Registered Nurses all over the country, Committee Inquiry into ‘Nurse Education and most are medically focussed, with research (89.3%) placements. Before placement 55.8% working in all sorts of typical, extreme and Training in South Australia’. indicating that rural undergraduate student said they intended practicing in a rural or remote unusual situations. As the Rural and Remote placements impact positively on graduates taking location after graduation, while after placements Prior to her employment with CRANAplus was Representative for ASANNA I intend to share my up non-metropolitan positions. Less attention is this increased to 61.6% (p < 0.001). employed as Senior Nursing and Midwifery stories and the stories of other New Graduate given to rural nursing workforce and the impact Policy Advisor in the SA Health’s Nursing and Conclusion: Registered Nurses like me who are going to of such placements on nursing students. Midwifery Office has extensive experience The UDRHs provide nursing and midwifery extremes and completing the liberating and in dealing with state-wide projects, policy Aim: students with highly satisfactory placement terrifying task of transitioning not only to development, issues around Nursing and A placement evaluation study was undertaken experiences that increases positive attitudes becoming a Registered Nurse but a Registered Midwifery Professional Practice, and the involving all eleven University Departments of to future remote and rural practice. Nurse working in a rural and/or remote area. development of Nurse Practitioner Workforce.

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Marcia joined CRANAplus in 2012 as the Project The responses will be synthesised and grouped The Strategy was developed in 2001 by the NSW DANNI-LEE DEAN Officer for the National Standards and Credentialing into common areas. The NRHSN Council will State Government to increase the number of The innovative health system we want to work in Project, which resulted in the production of the force rank the ideas with different criteria – Aboriginal nurses and midwives in NSW. Clinical Governance Guide for remote health Danni-Lee Dean has actively engaged with potential positive impact, easiest to implement Leona is a mother, grandmother, registered professionals. Completed a Master of Health SPINRPHEX Rural Health Club and nursing and most innovative. midwife and contemporary Aboriginal artist. Administration. Over the past four years and has students during her degree. She has assisted Results: Leona co-chairs the Rhodanthe Lipsett Indigenous been responsible for a number of professional in advocating for her fellow nursing students Midwifery Trust Fund, as well as Chair of the workforce development programs and projects during her many representative roles within Results will be presented as a brief overview of Australian College of Midwives Aboriginal and including the RAN Certification program. university. Danni has experienced rural the range of ideas generated and then focus on Torres Strait Islander Advisory Committee. international healthcare in Laos and Kolkata, those determined by the NRHSN Council as likely Abstract: India. Danni is passionate about becoming to make the most impact of the future of rural Abstract: The Remote Area Nurse Certification is a new a rural and remote nurse and working and remote healthcare. This presentation will describe, from CATSINaM’s and exciting initiative of CRANAplus, which collaboratively within a multidisciplinary team. perspective, the collaborative work undertaken acknowledges the importance of adaptability Conclusion: with CRANAplus and the Australian College and flexibility needed in our workforce to ensure Abstract: Not available at the time of abstract submission. of Midwives (ACM) to develop a Joint Position the highest quality standard of health care to Background: The conclusions from the recommendations Statement about Birthing on Country. remote communities. The National Rural Health Student Network for future innovative healthcare models will (NRHSN) represents the future of rural and be presented. Aboriginal and Torres Strait Islander women It is well recognised that remote nurses and remote health in Australia. It has more than have been advocating for many years that Question Time (10 minutes) midwives are predominately, the permanent 9,000 members who belong to 28 university Birthing on Country (BoC) will improve maternal residing workforce within remote and isolated Rural Health Clubs from all states and territories. Morning tea (30 minutes) and infant outcomes because of the integral areas across the Australia. Their scope of practice It is Australia’s only multi-disciplinary student connection between birthing, country, and place is often described as generalist specialists health network. In 2016, the NRHSN celebrates SESSION 2 of belonging. Birthing on country occurred for coordinating a diverse range of comprehensive its 21st Birthday. The NRHSN will take the many thousands of years before women were primary health care services not just for opportunity to look forward to the next 21 years Keynote address removed to birth in other settings, hence, from individuals but the entire community. and think about the future rural and remote THE HON. MICHAEL KIRBY a historical perspective it is a relatively new healthcare system we want to work in. We will phenomenon to not birth on country. Whilst the Certification of Remote Area Nurses look at the role of technology, preventative Question Time (10 minutes) is a vital workforce process whereby nurses healthcare, community empowerment and other BoC Models can be described as maternity Official address demonstrate their practice against the 9 services that are designed, developed, delivered innovative future healthcare models to meet THE HON. DR DAVID GILLESPIE MP Professional Standards of Remote Practice rural and remote community health needs. and evaluated for and with Aboriginal and Torres Assistant Minister for Rural Health to ensure the minimal standard of care, the Strait Islander women that are community Aim: benefits are long reaching. Thus allowing based and governed, provide for inclusion of To explore how today’s students believe rural nurses to set the bar for their own professional LEONA MCGRATH traditional practices, involve connections with and remote healthcare models will evolve practice; providing professional recognition Birthing on Country – A Collaboration land and country, incorporate a holistic definition and generate ideas and recommendations of our specialist generalist role; giving clarity of health, value Aboriginal and/or Torres Strait for healthcare innovations to improve health Leona McGrath is a proud Aboriginal woman and confidence around their scope of practice, Islander as well as other ways of knowing and outcomes and empower communities. originally from Queensland from the Woopaburra outlining education preparation; and greater peoples of Great Keppel Island and the Kuku learning, encompass risk assessment and clarity around workforce recruitment and service delivery, and are culturally competent. Method: Yalanji peoples of far North Queensland. retention. RAN Certification is the cornerstone The NRHSN Council will be surveyed via an For others, BoC is understood as ‘a metaphor for professional recognition of a competent, anonymous, online questionnaire about Leona is the Senior Adviser to the NSW for the best start in life for Aboriginal and Torres confident remote nursing workforce. innovative models of rural and remote healthcare. Aboriginal Nursing and Midwifery Strategy. Strait Islander babies and their families…’

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Accordingly, BoC Models can be incorporated in Vanessa De Landelles was born and raised from the PHTLS trainers, CRANAplus team continues to work in the two-way learning, any setting and it is important that wherever an in Alpha and has lived in rural and remote (Marcia, Geri and Leonie), Lifeline, Benchmarque, training and assessment space with remote Aboriginal and/or Torres Strait Islander baby is Queensland for 90% of her life. Vanessa has Public Health Doctor and Nurse. We had so and very remote Aboriginal Heath Practitioners born, his or her mother and family are encouraged, been a RAN with Queensland Health for nine much fun getting to know the ‘newbies’, the and Nursing students and clinicians. supported and enabled to incorporate relevant years within the Central West district with the presenters, catching up with the regulars and Katrina Rohrlach studied a Bachelor of Nursing cultural aspects within that place or service. past five years being permanent in Windorah. meeting the Windorah locals. In recognition of International Women’s Day, CWH&HS Board at the University of South Australia from 2012– This aim was reflected in the National She is of South Sea Island heritage and is Member Mr Bruce Scott presented each PHC DON 2014. She graduated in 2015 with the Margaret Maternity Services Plan , which highlighted happily married. with a ‘sash’ for the hard work under ‘extreme Grace McNair AM Foundation Prize and received the development of a BoC framework and the Vanessa loves rural nursing and being accepted conditions and isolation’ that we do. the Chancellor’s Letters of Commendation from establishment of BoC programs. as part of her community. 2012–2014. Whilst at university she helped run It helps when the nurses can share time having a ‘study-buddy’ group for Scientific Basis of a cuppa, dinner and a drink with their peers – it To this end, CATSINaM partnered with the ACM Abstract: Clinical Practice and was involved in the Nursing is what some nurses take for granted. So under and CRANAplus to develop a position paper How do you become part of a team or know Student Leadership group in 2013 and 2014. ‘vast distances and isolation’ – with a little bit of with calls to governments for action in this very who your team is when there are ‘vast She was also involved in undertaking the ‘Safe extreme climatic conditions, the Windorah PHC important area. distances and isolation caused by geography’? Administrations of Medications Policy Review’ DON Conference 2016 managed to help build a The Central West Hospital & Health Service in early 2015. Question Time (10 minutes) (CWH&HS) commenced a Primary Health Clinics team of great nurses. Lunch (1 hour) (PHC) Director of Nursing (DON) ‘conference’ In late 2014, she was also invited to CRANAplus’ approximately nine years ago. All staff attended LEANNE MCGILL AND KATRINA ROHRLACH REC course and then soon after began her for a week in Longreach QLD for education LINKS: e-mentoring to the Extreme journey with the CRANAplus LINKS program. SESSION 3 and mandatory training. This started the Leanne McGill has been a Remote RN and In 2015, she commenced her graduate year Official address creation of a team. Clinical Educator for many years in the NT and at Port Augusta Hospital and Regional Health MR TONY ZAPPIA MP I was fortunate to attend my first PHC DON is currently an e-mentor for the CRANAplus Service and is still employed there. Currently she Assistant Shadow Minister for Medicare Conference in Longreach 2009 after commencing LINKS program. She has just completed a Master is studying Module 2, Fundamentals of Renal as the relieving DON between Boulia and of Nursing in Advanced Clinical Education and Nursing through the Royal Adelaide Hospital. KAREN DEININGER AND VANESSA DE LANDELLES Muttaburra PHC. Wow! What a great bunch of Team Building under ‘Vast Distances & nurses to meet. So inspiring, for someone who Isolation’ – with a little bit of Extreme has just spent 20 years cocooned in anaesthetics climatic conditions added at large tertiary hospital. We had one or two dinners together, otherwise it was just time Karen Deininger started nursing as an AIN 1983, spent in a motel room and the classroom. EN 1984, RN 1993 and spent 20 years working as It was very valuable time for a ‘newbie’ to an Anaesthetic Nurse at the Princess Alexandra meet the team. A few people I could ‘phone a Hospital Brisbane. She thought she would stay friend’ if needed. there for another 20 years but instead travelled around remote parts of Australia in 2008 and Move forward to 2016 another WOW! moment. realised there was more to life than the PA. Windorah PHC DON Conference (six days) can never be under estimated in how it helped Karen, along with her husband and son, packed to create a team. Getting to Windorah was a up and moved to Muttaburra to provide PHC challenge due to flooded roads and people DON relief for Muttaburra/Boulia. Best move travelling long distances. Spending all day and ever and my husband is my ‘house bitch’. every meal together including the presenters

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CATHERINE JACKA A Rights Based Approach – Consideration for Geography Distant Service Providers

Catherine Jacka (Waanyi Woman, Burketown) has worked in the Indigenous health arena for 23 years. Catherine has planned and delivered the culturally sensitive and safe delivery of health promotion and created supportive networks (gender specific, community and healthcare providers), provides client support and advocacy in clinical service delivery, liaise with health and palliative care services to ensure culturally safe experiences for Aboriginal and Torres Strait Islander people, families and healthcare providers.

Abstract: Purpose of the presentation: (note: figures and % are approximates)

Australians lifestyles and systems have established services in major cities and regionally.

A rights based approach to care supports all Australians having equitable access to services. Establishing and maintaining diverse knowledge Abstract: discussed various aspects of nursing, healthcare other. They also wanted to continue their two- of professionals and connectedness to specialists Workplace The LINKS Mentoring Program issues, cultural care and task-orientated way learning through the e-mentoring sessions advice and services is required. nursing evolving to the holistic care of clients, (Learning, Integration, Networks, Knowledge, for an undisclosed period of time into the future. Nature and scope of the presentation: Support) was introduced to both Katrina patients, family members and the outcome Thus, Katrina, who is now studying a Graduate For people, culture defines how interactions Rohrlach and Leanne McGill across opposite sides for communities. Sometimes the electronic Certificate in Renal Dialysis, and Leanne, who occur and how people access services. History of Australia in early 2015 by Marcia Hakendorf devices they communicate with suffered from has just completed a Master of Nursing in informs us of the experiences of peoples, (Professional Officer, CRANAplus). either low battery power, poor reception or lack of bandwidth and they had to persevere with Advanced Clinical Education, will continue their connections place human faces to the stories. Katrina (Port Augusta, SA) and Leanne strong bond of critical analysis, professional numerous call-backs and re-dials, but that never Racist attitudes are used to divide people (Katherine, NT) were introduced via Skype development, friendship and electronic stood in the way of the continued e-mentoring. and espouse notions of superiority over screens and both completed the Mentoring communications based in the LINKS Mentoring others. Research identifies that worldwide Training Module which outlines the policies, They Skyped each other regularly for the Program through CRANAplus. the colonisation of first nations people procedures and protocols to follow. 12 months of the program as outlined in their e-mentoring contract, however, when the year They hope to eventually meet up in person included the relocation to distant locals The experience that these two RNs have came to an end they both decided to contact during their nursing career at some time, some- and poor access to nutritious food sources navigated is amazing as they built up a trusting, Marcia and invite her to join them in an ‘e-cuppa’ where, some-how across the vast geographical which impacted on people’s acceptance, confidential, professional relationship and to reflect on what they had learnt from each extremes of Australia. achievement of social determinates.

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DAVID CARPENTER SESSION 4 BRENDAN BOUCHER 25,000 feet and climbing… aeromedical Q & A: Maintaining Staff Safety in Complex Security and Risk Advisor, retrieval in Central Australia and Diverse Environments International Programs, Australian Red Cross David Carpenter is Tasmanian born and bred and PANELISTS: worked as an emergency nurse in Launceston

for a number of years. After a short period MARTIN BOYLE as a locum remote area nurse in 2008, David Emergency Brendan has 12 years’ experience working as qualified as a midwife and swapped temperate Management an International Security and Risk Advisor within island life for the deserts of Central Australia. Coordinator, humanitarian relief and development programs He has worked as an Alice Springs-based Flight Australian around the world. His work has included, Photo: Steve Batten. Nurse/Midwife with the Royal Flying Doctor Antarctic Division conducting security assessments, delivering Service since 2011. Equally impacting first nations people is the training and managing the safety and security Martin Boyle coordinates field support and impacts of being the long term recipients of Abstract: of large scale humanitarian operations, across emergency management for the Australian 25 countries, many of which were characterised all forms of racism. These are key factors of The Royal Flying Doctor Service of Australia Antarctic program. He has been south on by complex conflict such as D. R. Congo, Pakistan, the poor health of all Indigenous nations. (RFDS) is one of the largest and most many occasions in various leadership and and Sri Lanka. Consider: comprehensive aeromedical organisations in management positions. the world. Staff at the Alice Springs base provide During this period Brendan has worked Culture defines how people communicate, Martin has 20 years’ experience across the emergency evacuations for people living, extensively with World Vision International, as beliefs about illness and all other aspects of emergency management industry in both private working and travelling in remote Central a Global Security Advisor and member of the life. Missing from many facets of health is the and public sector as a consultant, emergency Rapid Response Team; worked within the World recognition of culture (and the diversity within) Australia. Vast distances, dramatic climatic services manager, operations coordinator, and Bank’s Security Operation Centre in Washington of the receivers of care and understanding variation, cultural diversity and a wide spectrum international delegate. He has previously worked DC, and delivered safety and security training the impacts when people of different cultures of clinical presentations combine to provide a for Australian Customs and Border Protection and to humanitarian professionals with RedR interact. The critical reflection of individual unique practice setting with a birds-eye view. the Tasmania State Emergency Service. service providers about their cultural beliefs Australia. Brendan is currently working as the He was awarded a Certificate of High and values to ensure there is no negative This presentation outlines the influence of each Security and Risk Advisor at Australian Red Cross, Commendation for Search & Rescue operations experiences based on service provider beliefs, of these extremes on aeromedical operations in International Programs team. in 2002 from Tasmania Police and the Bravo Zulu focus on the outcomes is integral. the region, before showcasing the development award in 2015 from the International Association of some innovative solutions that support the Grave importance lays with the Australian of Emergency Managers. provision of safe and efficient aeromedical organisations and health service providers, transport across a region the size of Western Martin is an internationally recognised addressing inclusive policies, practices and Europe. These include partnerships with Central Certified Emergency Manager (CEM)®, Certified enhancing service professionals knowledge, Australian Remote Health and the Alice Springs Practising Project Manager (CPPM) and a skills and attitudes towards and about Hospital Retrieval Service, and a unique seven-tier member of the Business Continuity Institute. Aboriginal and Torres Strait Islander people. priority coding system for tasks. The presentation He holds a Masters in Emergency Outcome: will also incorporate the use of interactive Management, Graduate Certificate in Addressing these factors will ensure technology to poll the audience for their answers Management, BA(Hons) in Business and organisations are culturally capable, service to scenario-based questions in real time. Information Technology, and Advanced Diploma providers are culturally responsive and receivers in Public Safety (Emergency Management). Question Time (10 minutes) of care will be empowered to advice of factors Martin is also the Chair of the Australian New cultural safety. Afternoon tea (30 minutes) Zealand Search and Rescue Conference.

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Both the model and policy were developed (MICA) paramedic in 1999. A former intensive PAT ALLEN through consultation with the members of the care nurse his special interests lie in algorithmic President, PAT and ongoing negotiations with the Police patient care, cardiac arrest improvements, Police Association Service and Government. The result is seen as systematic patient assessment and the Tasmania a major step forward in the area of safety for validation of paramedic work through research. frontline police officers, particularly in rural

and isolated areas. He is a co-author and steering committee

member on a number of trials including Patrick Allen is the President of the Police MICK STEPHENSON hypothermia in cardiac arrest and brain injury, Association of Tasmania (PAT), the union that General Manager, oxygen use in STEMI and cardiac arrest and the represents 99.6% of sworn police officers of Emergency Operations, relevance of blood pressure to survival after all ranks within Tasmania Police. He remains Ambulance Victoria cardiac arrest. He has held positions including a serving member of Tasmania Police and has MICA Team Manager, MICA Group Manager, been seconded into his current role for the last Regional Manager and is currently A/General four years following his election as President. Manager with AV. Mick was awarded the He has been a police officer for over 36 years Mick Stephenson commenced his career with Ambulance Service Medal in the Australia Day and has served in various positions throughout Ambulance Victoria in 1996 as a paramedic, Honours 2015 for his contribution to improving the State. He has performed roles in isolated becoming a Mobile Intensive Care Ambulance patient care and clinical outcomes. areas such as Queenstown, and has been also served in single and two person stations in the Derwent Valley, Tasman Peninsular and on the TransitionTransition fromfrom RNRN toto East Coast. RemoteRemote AreaArea NurseNurse 20172017 GUY SANSOM He has previously trained with the Australian Senior Emergency Federal Police and was seconded into that Physician, organisation for a period of 2 years. St Vincent’s Hospital As President of the PAT he serves on the Melbourne Executive Council of the Police Federation of ABOUT THE SHORT COURSE Australia and works alongside all the Presidents A face-to-face program that prepares Registered Nurses to work as of Police Unions and Associations throughout Remote Area Nurses and articulates with Flinders University Award courses. Dr Guy Sansom is a long-time Emergency Content includes Framing Indigenous Health, Primary Health Care, Australia and New Zealand. Self Care and Remote Advanced Nursing Practice.* Department Physician at St Vincent’s Hospital Melbourne where he was formally trained in He has continued on with the work of previous To be held in Alice Springs peer-supported Critical Incident Stress Debriefing presidents of the PAT over the last 18 years in in June 2017 in 1997. He is also currently a Field Emergency relation to single unit policing and the work, Dates to be finalised shortly Medical Officer with Victoria Displan (Disaster health and safety implications as a result of Cost: $2,000 * To satisfy all the requirements of the program, participants will be required to complete Pharmacotherapeutics for Management). He has previously worked and police officers conducting such duties. RANS (online) and the CRANAplus Remote Emergency Care (REC) course. taught in Pakistan, PNG, and the Solomon This culminated in the development of a No fees apply for students enrolled in Flinders Remote Health Award Courses following provision of a student number. Islands, and has assisted with the delivery Send your registration no later than 4 weeks prior to course start date. Response Model and Policy which is based of the A/REC programs since 1999. For registration enquiries please contact: around the requirement of the Work, Health, Short Course Administration Officer – Centre for Remote Health He continues to aim for the stress-free life… Safety Act and the harmonised laws introduced E: [email protected] W: http://www.crh.org.au/ an ongoing project. by the Gillard Federal Government in 2012. PO Box 4066 Alice Springs NT 0871 P: +61 8 8951 4700 F: +61 8 8951 4777

50 CRANAplus 2016 CONFERENCE PROGRAM GOING TO EXTREMES HOW ISOLATION, GEOGRAPHY & CLIMATE, BUILD RESOURCEFULNESS & INNOVATION IN HEALTHCARE 51 JOURNEY MANAGEMENT CONFERENCE DINNER SOFTWARE The culmination of the Conference is the Annual Awards Dinner on Friday night, held at the Hobart Function and Conference Centre – a short walk from Hotel Grand Chancellor (see maps on page 67). The Centre enjoys a waterfront location like no other, situated as it is on Elizabeth Street Pier, spanning 100m out over the sparkling water of the Derwent, the centerpiece of Hobart’s bustling waterfront community. STAY SAFE in rural and isolated FEEL environments PROTECTED Photo: Courtesy of The Hobart Function and Conference Centre.

Find out how Karen Cook – MC Karen has been a registered nurse for over 30 years and is currently www.jesi.io the Director of Innovation and Reform in the Health Workforce Reform Branch at the Australian Government Department of Health where her responsibilities include providing secretariat for the National Nursing and Midwifery Education Advisory Network of which CRANAplus is a member. Karen is also the President of the Board of Carers Australia, the national peak body representing Australia’s carers and advocating on their behalf of Australia’s carers to influence policies and services at a national level. Come say ‘hello’ And in her spare time Karen is a marriage celebrant and event MC. +61 7 4774 7149 we’re in booth 29! [email protected] 52 CRANAplus 2016 CONFERENCE PROGRAM GOING TO EXTREMES HOW ISOLATION, GEOGRAPHY & CLIMATE, BUILD RESOURCEFULNESS & INNOVATION IN HEALTHCARE 53 #CRANAplus2016

CRANAplus award sponsors 2016

CRANAplus Excellence in Education & Research Award Sponsored by: Centre for Remote Health (CRH)

CRANAplus Excellence in Remote Health Practice Award Sponsored by: Mt Isa Centre for Rural & Remote Health (MICRRH)

CRANAplus Excellence in Mentoring in Remote Award Sponsored by: Remote Area Health Corps (RAHC)

CRANAplus Outstanding Novice/ Encouragement Award Sponsored by: Aussiewide Economy Transport

CRANAplus Collaborative Team Award Sponsored by: Brad Bellette Design Photos: Courtesy of The Hobart Function and Conference Centre.

The Annual CRANAplus Awards recognise those colleagues for their special contribution to remote health. The Centre for Remote Health Awards and the Health Care Australia Award will also be presented. The winner of the prestigious Aurora Award, which recognises the 2016 Remote Health Professional of the Year will be announced. And you can bid farewell to our 34th successful Conference by dining and dancing till late.

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Daniel Terry [email protected] Leanne McGill [email protected] Kadee Rae Jones [email protected] Katrina Rohrlach [email protected] Danni-Lee Dean [email protected] Catherine Jacka [email protected] Leona McGrath [email protected] David Carpenter [email protected] Karen Deininger [email protected]

58 CRANAplus 2016 CONFERENCE PROGRAM GOING TO EXTREMES HOW ISOLATION, GEOGRAPHY & CLIMATE, BUILD RESOURCEFULNESS & INNOVATION IN HEALTHCARE 59 CRANAplus MEMBERSHIP SURVEY 65% MEMBERS indicated WORK & PROFESSION workplace bullying impacted them 71% indicated lack of professional support impacted them

76% work in89% remote and/or rural health 13%Male 87%Female indicated 92% indicated the importance of internet/email inadequate management 80% access in their accommodation indicated the importance impacted them of educational preparation and skills maintenance in the workplace 77% Australian

78%work in Clinical Care

CRANAplus MEMBERSHIP 42% 49% 69% 94% 56% 78% 83% 3% found their individual indicated would download and use a found our online are Aboriginal and/or CRANAplus membership job related trauma CRANAplus App on a smart processes intuitive Torres Strait Islander Have been in their Anticipate not to be Older than good value for money impacted them device to access resources, and easy to use current position for working in remote 50 years of age tools and information more than 6 years health in 5 years

TOP 5 THINGS MEMBERS Free online CRANAplus Discounts on Weekly email Quarterly 1 2 3 4 magazine 5 VALUE… training/resources website courses/conferences and member alerts 60 CRANAplus 2016 CONFERENCE PROGRAM GOING TO EXTREMES HOW ISOLATION, GEOGRAPHY & CLIMATE, BUILD RESOURCEFULNESS & INNOVATION IN HEALTHCARE 61 Data collected during 2016 Membership Survey TRADE DISPLAYS improving remote health

% 10 OFF CPD courses*

EMPLOYERS HAVE YOU CONSIDERED YOUR STAFF PROFESSIONAL DEVELOPMENT NEEDS FOR 2017?

We will deliver private training for organisations across Australia. CRANAplus is a registered training organisation that develops education services tailored to the remote and isolated workforce and delivers these courses locally where they are needed. CRANAplus can provide courses specifically for your organisation that are flexible, affordable and tailored to meet the professional development requirements of your workforce. Visit our website to see the full range of courses currently on offer: www.crana.org.au We are happy to discuss your requirements and tailor our courses to meet the needs of your workforce. Take advantage of our 10% discount offer on any fully private course booked for February 2017 * Weekend or weekday! We’re ready!

For further information email [email protected] or call 07 4047 6407

* Limited availability. Conditions apply. www.crana.org.au 62 CRANAplus 2016 CONFERENCE PROGRAM SCHOLARSHIP PROGRAM SCHOLARSHIPS 2016

The CRANAplus scholarship program specifically identifies criteria that needs to be met both Scholarship sponsor Recipient Placement location Discipline targets undergraduate students studying in by the student and the hosting location. a health discipline at an Australian university Colleen Van Onselen Steve Arnold Carnarvon Hospital WA Nursing who have a genuine interest in remote and The purpose of the scholarships is to assist with Memorial Scholarship isolated health. the cost of travel, meals and accommodation, HESTA Katarina Samotna Alice Springs Hospital, Nursing which may be incurred when undertaking such Haast Bluff and Titjakala Through the generous support of members and a placement. The scholarship does not cover Clinics organisations these scholarships offer students loss of wages, University fees or textbooks. the opportunity to experience health service CRANAplus Elizabeth Pressley Coomealla Aboriginal Nursing delivery in a remote location. Eligibility for our Scholarships includes Health CRANAplus membership and membership ZEITZ ENTERPRISES Gabby Tentye Mount Gambier Hospital Nursing Opportunities to undertake a clinical placement of a Rural Health Club www.nrhsn.org.au in a remote setting are quite limited. The travel CRANAplus Katie Louise Conway Kununarra Hospital Nursing cost, especially for students who do not receive At the completion of their placement, students Michael Ilijash Perpetual Kate Tran Alice Springs Hospital Nursing financial assistance, is also prohibitive. are required to write a short report which is Scholarship – sponsored Another challenge can be finding a remote published in the CRANAplus Magazine. by Jan Ilijash health service that has the capacity and interest These positive clinical experiences for students HESTA Dennis Nguyen Tennant Creek Hospital NT Bachelor in supporting student placements. Medicine/Surgery have changed their awareness and passion to We know the importance of a positive clinical potentially work in this exciting sector. CRANAplus Lily Sideris Riverland General Hospital Nursing placement experience and the impact that Berri SA ARE YOU INSPIRED? can have on a health professionals’ career CRANAplus Zoe Bonsema Alice Springs Hospital Nursing path. We also know that the success of clinical If you think you would like to sponsor a Colleen Van Onselen Melissa Gina Mellan Carnarvon Public Hospital Nursing placement is based on many factors and it is scholarship, you can contact Anne-Marie Borchers Memorial Scholarship and Mount Magnet why CRANAplus supports the approach of the ([email protected]) to discuss the options. National Health Rural Students Network (NRHSN) CRANAplus Claire Matheson Alice Springs Hospital Medicine who recently developed their document CRANAplus has DGR status (Designated HESTA Georgia Myers Alice Springs Hospital Nursing “Optimising Rural Placements Guidelines”. Gift Recipient) and any donations over $2 CRANAplus Jennifer June Turner Thursday Island Hospital Nursing This document, endorsed by CRANAplus, are tax deductable.

ARE YOU READY FOR A REMOTE PLACEMENT??? The CRANAplus Undergraduate Student Remote Placement Scholarship is available to students who, as part of their undergraduate course of study through an Australian University, undertake a remote location placement. The Scholarship provides financial assistance of up to $1000 per successful applicant, and is intended to provide assistance towards the cost of fares, accommodation and other incidental costs incurred by a student while undertaking a remote placement. The Scholarship may be claimed for placement undertaken for the current calendar year and may be retrospective to the closing date, and funds awarded on provision of tax invoices for costs incurred.

Email [email protected] for more details. Photo: Steve Batten.

64 CRANAplus 2016 CONFERENCE PROGRAM GOING TO EXTREMES HOW ISOLATION, GEOGRAPHY & CLIMATE, BUILD RESOURCEFULNESS & INNOVATION IN HEALTHCARE 65 MAPS #CRANAplus2016

HOBART OVERVIEW W THEH HOBART E R FUNCTION E T AND O CONFERENCE F I CENTREWN DH E UR SE T O F I N D U S Maps: Courtesy of The Hobart Function and Conference Centre.

Official Photographer ORGANISING COMMITTEE Alice Springs office Street address: c/- Centre for Remote Health, rosey boehm Amy Hill CONTACT photography cnr Simpson and Skinner Streets, Anne-Marie Borchers Alice Springs, NT 0870 www.roseyboehm.com.au the hobart function theand hobart conference function centre and conference centre Claire Prophet Mailing address: PMB 203, Alice Springs, NT 0871 improving Phone: (08) 8955 5675 Official Journalist Denise Wiltshire remote health Rosemary Cadden one elizabeth streetone pier elizabeth street pier Helen Phipps Cairns office Adelaide office [email protected] t 6230 8979 f 62319190 e [email protected] w www.hfcc.com.au t 6230 8979Street f address: 62319190 Lot 2, Wallamurra e [email protected] Towers, Streetw www.hfcc.com.au address: Unit 1/81 Harrison Road, Karen Clarke Graphic Designer 189–191 Abbott Street, Cairns, QLD 4870 Dudley Park, SA 5008 Mailing address: PO Box 7410, Cairns, QLD 4870 Mailing address: PO Box 127, Prospect, SA 5082 IT & SOCIAL MEDIA SUPPORT Phone: (07) 4047 6400 Phone: (08) 8408 8200 alison fort graphicwww.alisonfort.com designer Steve Batten Fax: (07) 4041 2661 Fax: (08) 8408 8222

66 CRANAplus 2016 CONFERENCE PROGRAM GOING TO EXTREMES HOW ISOLATION, GEOGRAPHY & CLIMATE, BUILD RESOURCEFULNESS & INNOVATION IN HEALTHCARE 67 35TH ANNUAL CONFERENCE THE FUTURE OF REMOTE HEALTH AND THE INFLUENCE OF TECHNOLOGY Broome Western Australia October 18-20 2017

www.crana.org.au

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