South West Hospital and Health Service PULSE SEPTEMBER 2019 EDITION Lindsay Godfrey, Mayor Paroo Shire Council and Dr Chester Wilson, Cunnamulla Hospital. We would like to pay our respects to the traditional owners of the lands across the South West. We would also like to pay our respects to the current and future Elders who will inherit the responsibility of keeping Aboriginal and Torres Strait Islander culture alive, and creating a better life for the generations to follow. We believe the future happiness and wellbeing of all Australians and their future generations will be enhanced by valuing and taking pride in Australian Aboriginal and Torres Strait Islander peoples – the oldest living culture of humanity.

South West Traditional Owners:

Augathella – Bidjara (Bid-jara) Mungindi – Kamilaroi (Car-milla-roy)

Bollon – (Coo-ma) Quilpie – Bunthamarra (Bun-tha-mar-ra) and Wangkumara (Wong-ka-mara) Charleville – Bidjara (Bid-jara) Roma – Mandandanji (Mand-an-dand-gee) Cunnamulla – Kunya (Koun-yah) with other interests St George – Kooma (Coo-ma) with Kamilaroi, Mandandanji, Bigambul and Dirranbandi – Kooma (Coo-ma) Gungarri interests

Injune – Kongabula (Kong-ga-bull-a) Surat – Mandandanji (Mand-an-dand-gee)

Mitchell – Gungurri (Gon-gari) – Kullila (Coo-lee-lar)

Morven – Bidjara (Bid-jara) Wallumbilla – Mandandanji (Mand-an- dand-gee)

Our Values

QUALITY COMPASSION ACCOUNTABILITY ENGAGEMENT ADAPTABILITY

This newsletter is produced by the South West Hospital and Health Service (South West HHS). All feedback and contributions are welcome to [email protected]. All published material has been approved by the Health Chief Executive. Contents

4 Board

6 Board out and about

7 The power of engagement

8 Health Service Chief Executive

Our Communities

10 Aspire to health program 2019 - inspiring our local students

12 School-based youth health nurses celebrate 20 years

13 R U OK Day

14 Balonne takes the step to be a healthier community

16 An incredible year culminates in outstanding student performance

17 Staff attend annual national practice management conference

Our Teams

18 New learning and development team look unveiled

19 Mitchell CAN chair Sheryn Hanna committed to ever improving health care in the bush

Our services

20 Opportunities to improve surgical outcomes through theatre emergency simulation training

21 Building the skills of our staff through anaesthesia education- perianaesthesia crisis management

22 EMET - Roma hospital

23 #SWspirit

Our resources

24 Roma hospital redevelopment making great progress FROM THE BOARD CHAIR JIM McGOWAN, AM Laura Wilson, Lisa Hamlyn and Dr John Scott, Board Member

4 South West Hospital and Health Service This time next year, the medical, nursing, allied health and support staff will be working (hopefully) from the new Roma Hospital. Having had the opportunity to view the new hospital on a number of occasions during its construction, I know that it will be a facility of which not only the Roma community will be proud, but it will also be a wonderful facility which will benefit all of the people of the South West. It is beautifully designed with open spaces and, with all of the services being co-located as well as having state of the art health equipment. However, it is not the building which makes for a great health service but the dedicated, well-trained and professional people who staff it. The new Roma Hospital will provide the opportunity to do things differently, consistent with the South West Hospital and Health Service’s vision of being a national leader in the delivery of health services to rural and remote communities. It should facilitate better integration and better co-ordination of the health services, with our commitment to person centred care being the guiding principle in any re-design of work. There is much to do in commissioning the new hospital. It will come with its challenges. Linda and her team understand that it is not just about a new building, but it is the people who will make the difference. Induction, familiarisation and training activities will be critical. There will be tears along the way but remember to keep a focus on the opportunities which the new facility will provide. You will have ideas about future patient care innovations. You need to speak up. You will also have legitimate concerns during the commissioning. It is important that we need to hear them as well. In my Pulse article last month, I acknowledged the concerns with the S4/HANA implementation. I understand your continuing frustration. I thank those involved with trying to overcome the problems with this system. I am also looking forward to the annual staff awards night on Monday 28 October and the annual Community Advisory Network (CAN) forum the next day. I know that Linda and Donna are planning something special this year. While I know that distance is an enduring problem in the South West, I would encourage people to attend if it at all possible. A couple of quotes to contemplate “It is the long history of humankind (and animal kind, too) that those who learned to collaborate and improvise most effectively have prevailed.” Charles Darwin (1809- 1882); English Naturalist and author of “On the Origins of Species”. “Coming together is a beginning, staying together is progress, and working together is success.” Henry Ford (1863-1947) American Industrialist who developed the techniques for the mass production of cars. Jim McGowan AM

The Pulse August 2019 5 FROM THE BOARD CHAIR OUT AND ABOUT Cunnamulla

Jim McGowan Board Chair with Jan Chambers Board Member, Suzette Beresford CAN Member, Trish McKenzie, Cunnamulla CAN Chair, Karen Tully Deputy Board Chair, Samantha Edmonds Executive Director Finance, Infrastructure and Corporate Services, Emil Moule CEO Paroo Shire and Lindsay Godfrey Mayor Paroo Shire

Geraldine Tuite and Catherin Barlow, Operational Services Officers Cunnamulla Aboriginal Corporation for Health - Back - Pam Walker, and Rachel Johnson, Primary Health Raeleigh Deen, Kerry Crumblin CEO, Front, Denise Turnbull, Dorothy (Cindy) Anderson and Francis Benefield Quilpie

Jim McGowan, Board Chair and Lisa Hamlyn, Quilpie CAN Chair Jocelyn Wallace, CWAATSICH with Michelle Donohue, Health Promotions Officer Quilpie Shire Council and Linda Patat, HSCE

6 South West Hospital and Health Service THE POWER OF ENGAGEMENT The September South West Hospital and Health Board communities are met and our communities are healthier was held in Cunnamulla. New Director of Nursing, and happier places. It is through the strong engagement Ursula O’Brien welcomed the Board and hosted a mechanism that has been established and continues community barbecue which was attended by many of to grow that we are able to work collaboratively with our key stakeholders, representatives from the Paroo our staff, our patients and communities to deliver and Shire Council, Cunnamulla Aboriginal Corporation enhance health outcomes. We respect the right for all for Health, Community Advisory Network, community our community members to be informed, consulted, members and staff. The Board immensely values these involved and empowered and for them to identify opportunities to share time with locals in their own issues that affect their wellbeing. This environment places and listen to what is important to them. This builds and enhances trust which is critical for long-term, was followed by a visit to Thargomindah, Quilpie and sustainable engagement and effective governance. Morven where again a huge welcome was provided. The The result when everyone is working respectfully and Board regularly travels throughout the large South West collaboratively together will be greater than the sum of expanse and enjoys and admires the uniqueness of the parts. each place and the passion of the people and thanks all stakeholders for their honesty, their commitment and their dedication. Effective engagement is a powerful tool for working together to shape better health outcomes and Engagement is a key priority and is one of the influence systems. Through strong partnerships core values of the South West Hospital and Health with our communities and local Community Advisory Service. We recognise how essential it is to build a Networks we are on an upward trajectory to bring strong rapport and positive relationships with our about behavioural changes to improve the health of communities because we are all in it together to our communities through the Healthy Communities build a strong health service where the needs of our Initiative and that is something to be truly proud about.

Thargomindah

Tammy Warner A/CEO Bulloo Shire Council, Linda Patat, HSCE and Tammy Warner and Linda Patat Karen Tully, Deputy Board Chair

Jim McGowan, Board Chair and Linda Patat, HSCE meet with Julie Stewart, Thargomindah CAN Chair, Bulloo Shire Council representatives and Alan Thompson, Director of Nursing Thargomindah Community Clinic

The Pulse August 2019 7 FROM THE CHIEF EXECUTIVE LINDA PATAT

I feel like I say this every month, but the year is but when a team values themselves in ways certainly flying by! I’ve had a great month out in the that respect their right to come to work and feel business this month, spending time in Charleville, included, listened to, respected, and safe; amazing Cunamulla, St George, Dirranbandi, Mungindi, things can happen. Morven, and Surat. If you would like to know more about this initiative, I’m hearing of the impact of multiple new IT or see some ideas to implement it in your systems and will progress a body of work to fully workplace, please contact my Office. understand the impacts, and how we may be able to better absorb them moving forward. Whilst you Next month we look forward to sharing some big have shared the issues, you have also shared how moments - our Annual Staff Awards Night; our you can see the positive benefits of some of these Annual Community Advisory Network Meeting; and systems, such as Smart Referrals. some enhancements in our approach to consumer partnership and engagement. I am committed to ensuring we redesign what we need to do to make the right thing the easy thing to Importantly, I would like to acknowledge Rodney do, and I’ll keep you posted with our progress. Landers’ inclusion as part of our Executive Team, and confirm our organisation’s intent to As Jim has shared, moving into the new Roma progressively strengthen both our workforce and Hospital is gaining momentum, and to have the our service’s commitment to cultural safety and outside building relatively complete, and now appropriateness. able to walk through and see how the inside will function has been a great help to staff. Thank you for the work you do every day in our health service. We are about to launch a revitalised I look forward to continuing to progress our plans recruitment and branding campaign to target our for the move, and work with you all to ensure we vacancies. deliver a centre of excellence for both rural and remote staff training and integrated, person-driven We know that the way you speak about our service, care. and your team, and the way you welcome and include new people, has a huge impact on our This month we have had many conversations reputation and in turn our successful recruitment . about staff safety - both physically in our work environment, but also psychologically in our Please join together to be a part of the targeted workplace teams. efforts we are making to make our workforce as strong and reliable as it can be - because fully Several work places have taken up the ‘GBUNK’ staffed teams help everyone’s work day feel better! challenge - a pledge and a system to remove ‘Gossip; Backstabbing; Undermining; Negative and Yours in service Not Necessary discussions in the workplace, and L always ensure they are Kind.

This commitment is far easier said than done,

8 South West Hospital and Health Service WHERE’S LINDA BEEN?

Where was Linda in August 2019?

Linda was spotted last month flying into St George. Guess where Linda was in September 2019?

Send your guesses to [email protected]

OUR CHIEF EXECUTIVE OFFICER’S TAKE ON THE ANNUAL REPORT 2018-19 It’s a real wow moment when I look through the pages Our business is all about people, our patients, our of the Annual Report 2018-19. South West Hospital and staff, our communities and this is echoed throughout Health Service (SWHHS) is a truly amazing place with the pages of the Annual Report where there are some incredibly gifted and talented people who come to work incredible stories about our people, our services, our every day to serve their communities with compassion, communities and our resources. Not only are there empathy, kindness, dedication and commitment. words on a page, there is an amazing photographic selection that paint the pictures of our remarkable As I reflect and am reminded of the great work you do achievements and provides a sense of connection. every day, some of which is chronicled in the pages of the Annual Report, I am most humbled and honoured We have some exciting initiatives planned for 2019- to be part of something so exceptional and great. What 20 that will build on 2018-19. There will be a focus on we have achieved together is a direct result of your preparing for transitioning to the new Roma Hospital, unswerving commitment to the SWHHS values - Quality, closing the gap on health outcomes for our Indigenous Compassion, Accountability, Engagement, Adaptability. communities, enhancing our skills and empowering our people and communities to be healthier. Some remarkable achievements were made that have laid a solid foundation to transform the health and well I am extremely proud to be part of the SWHHS and being of our communities and further enhanced the all that has been achieved. It is truly amazing to see delivery of high-quality services to our communities. the range of services provided and the emphasis These achievements included developing our strategic on compassionate care at every touch point with partnerships with other key health providers to deliver our patients which will increase the confidence our a more integrated and seamless health service, launch communities have in us and what our organisation of the Healthy Communities Initiative, improving stands for. Thank you sincerely for your outstanding primary care, development of the Aboriginal and contribution, your tireless efforts, dedication and Torres Strait Islander Health Strategy 2018-22, launch commitment and for making 2018-19 the great success of the compassionate care bundle, development of it was. the People Strategy 2018-2022 and the construction of contemporary staff accommodation at numerous I strongly encourage you to take a look at the Annual locations to name but a few. We are well on track Report and as you do feel a sense of pride of what you to achieve the vision “to be a national leader in have been part of. the delivery of health services to rural and remote communities”.

The Pulse August 2019 9 ASPIRE TO HEALTHAspire to Health ProgramPROGRAM 2019 2019 - INSPIRING OUR LOCAL STUDENTS MoreMore than than 25 25 students students from fr Roma,om Roma, St George, St George, Charleville & Wallumbilla participated in the 2019 AspireCharleville to Health& Wallumbilla program participated hosted inby the South 2019 West Hospital and Health Service (SWHHS) in collaborationAspire to Health with program DDSW hosted Department by South West of Employment, Small Business and Training, University of Hospital and Health Service (SWHHS) in collaboration Queenslandwith DDSW Department Rural Clinical of Employment, School, Griffith Small University and the University of Southern Queensland. Business and Training, University of Queensland Rural Aspire to Health is a widely informative and highly interactive program enabling school students the Clinical School, Griffith University and the University of opSouthernportunity Queensland. to connect and engage with Health care professionals locally including but limited to, Life Flight, Queensland Ambulance Services (QAS), Physiotherapist, Occupational Therapist, Dietitian, Aspire to Health is a widely informative and highly Speechinteractive Pathologist, program enabling Mental school Health students professional, the Midwives, Nurses, Nurse Educators, Doctors, Optometrist,opportunity to connectPodiatrist and andengage more. with Health care professionals locally including but limited to, ByLife offering Flight, Queensland the program Ambulance to year Services 10 student (QAS),s it provides them insight into what working in Health CarePhysiotherapist, looks like Occupationalbefore embarking Therapist, on Dietitian, their senior years and subjects. Speech Pathologist, Mental Health professional, DuringMidwives, the Nurses, day th Nursee students Educators, participated Doctors, in a hospital tour, ambulance familiarisation, clinical skills thatOptometrist, specialised Podiatrist in plastering, and more. Suturing , Allied Health and Basic Life Support compressions with the assistanceBy offering theof ourprogram health to yearcare 10 professionals. students it provides them insight into what working in Health Care looks like Lifebefore Flight, embarking QAS andon their SWHHS senior Nurse years and Educators subjects. and Medical officers joined services to demonstrate a simulatedDuring the day emergency the students scenario participated for the in a studentshospital to gain understanding of how services work together intour, a mock ambulance real- familiarisation,life emergency clinical situation. skills that Students provided feedback of the day with meeting the professionalsspecialised in plastering, and the simulationSuturing, Allied scenario Health andbeing the highlight of the day. Basic Life Support compressions with the assistance of "Oneour health student care professionals.told us it was great to get individual advice from real students and working professionals.”Life Flight, QAS and SWHHS Nurse Educators and Medical officers joined services to demonstrate a Atsimulated the conclusion emergency of scenario the day for student the students were to askedgain to complete a brief survey regarding the day, below table indicates the Career Path Interest of the students.

10 South West Hospital and Health Service The Learning & Development Team would like to thank all health care professionals for your time and commitment to make the program possible. understanding of how services work together in a mock real-life emergency situation. Students provided feedback of the day with meeting the professionals and the simulation scenario being the highlight of the day.

“One student told us it was great to get individual advice from real students and working professionals.”

At the conclusion of the day student were asked to complete a brief survey regarding the day, below table indicates the Career Path Interest of the students. The Learning and Development Team have chosen Mitchell to be the Sepsis The Learning & Development Team would like to winner from the Sepsis Awareness competition in September. Congratulations thank all health care professionals for your time Mitchell!!!! and commitment to make the program possible.

The Pulse August 2019 11 SCHOOL-BASED YOUTH HEALTH NURSES CELEBRATE 20 YEARS their educational environment is a great support.”

School-based youth health nurses provide confidential advice on contemporary health issues such as healthy eating, growth and development, physical activity, mental and sexual health, smoking, alcohol and drugs, and personal and family problems.

Mr Miles said a significant benefit of the service was that it allowed young people to conveniently access healthcare within the safe and familiar setting of their school.

“Young people can face a range of barriers to healthcare Queensland’s 160-strong team of school-based youth such as having a limited knowledge of what services health nurses are this week celebrating 20 years of are available, confidentiality concerns, affordability, helping young people live healthier and learn better. transport issues, or less experience in recognising health risks,” he said. The Queensland Labor Government established the school-based youth health nurse service with 100 “By working alongside education staff, school- nurses in 1998 as a two-year trial to help address based youth health nurses are helping to create an growing health issues faced by young people and to environment and school culture that promotes health support healthy lifestyle choices. and prevents illness. Twenty years later, there are now 160 clinical nurses in state secondary schools across Queensland. “Over the past 20 years, school-based youth health nurses have helped thousands of young people and Minister for Health and Minister for Ambulance Services we thank them for the difference they have made, and Steven Miles said the program, delivered in partnership continue to make, to the health and wellbeing of young with Education Queensland, was vital for improving the health and wellbeing of young people. people and their families across Queensland.

“We know that healthy young people are better “It is another example of our commitment to ensuring equipped to learn, and adolescence is a time of great the delivery of vital health services to Queenslanders in vulnerability and change,” Mr Miles said. their local communities.

“Not only do young people have to navigate their way “I am proud a Labor government established such a through physical changes, but also emotional changes vital service that continues to evolve and grow each that can impact how they think and respond to certain day, and sincerely thank our school-based youth health situations. nurses for the important work they do.” “Having access to school-based youth health nurses who can provide free one-on-one health consultations, The 20th anniversary of the School-based Youth Health assessments, health information and referrals within Nurse Service will be celebrated at the service’s

12 South West Hospital and Health Service R U OK? DAY R U OK?’s vision is a world where we’re all connected and are protected from suicide. This year R U OK? Day was celebrated on Thursday 12 September and across the South West people came together to ask R U OK?

The mission behind R U OK? Day is to inspire and empower everyone to meaningfully connect with people around them and support anyone struggling with life.

It is a wonderful day that is celebrated to help boost people’s confidence to meaningfully connect and ask about life’s ups and downs.

The Pulse August 2019 13 BALONNE TAKES THE STEP TO BE A HEALTHIER COMMUNITY The South West Hospital and Health Service (SWHHS) As part of the roll-out of Healthy will host a step competition in the Balonne Shire as part Communities in the Balonne Shire, of the roll-out of its Healthy Communities initiative in a health and wellbeing survey the region. already had been distributed throughout the region. This will Healthy Communities Balonne Project Officer Rachel help us to gain an understanding Sanders said the initiative already had been rolled out of what our communities in the Maranoa Shire and was now in the early stages of experience when looking after being rolled out in the Balonne Shire. their own health and wellbeing and how, as a community, we can Ms Sanders said that Healthy Communities initiative support them to make healthy is designed to help South West residents eat well, be lifestyle changes. more active and create environments that support and encourage heathy lifestyle behaviours, especially these It is hoped to start the days when a significant proportion of people lead a conversation in the Balonne Shire more sedentary lifestyle and are not active every day. around health and wellbeing while empowering individuals to We want to help our residents consider how risk take care of their own health and factors such as a sedentary and inactive lifestyle, wellbeing. unhealthy weight, unhealthy eating, smoking and alcohol consumption are impacting on their health and We also intend to support lifestyle. community initiatives and build and maintain local partnerships Unhealthy and risky behaviours can and do lead to and the support of our potentially preventable hospitalisations and premature communities on identifying their deaths. In the Balonne Shire for instance, around 62.7 needs and providing feedback per cent of adults and 38.8 per cent of children are on our activities was important. classified as obese and our goal is to start turning this Ms Sanders said the step around and encouraging our community to eat more competition being held during fruit and vegetables and find ways to be more active October involved government in their daily life. These are two simple things that can organisations including the health improve overall health and reduce the risk factors that service, police, ambulance, the are known to lead to ill health. local council and others.

Ms Sanders said the Healthy Communities initiative was The aim is to create some friendly a key priority of the SWHHS 2018–2022 Strategic Plan competition between the major and what we want to achieve is to keep people healthy government bodies within the and avoid them having to come to hospital in the first shire, while also modelling good place. health behaviours and creating team morale and healthy lifestyle As part of our strategic plan over the next four years, we leadership. It’s important to get will be focussing on a range of ‘healthy communities’ out and get active. This doesn’t initiatives designed to reduce the burden of chronic have to be strenuous. It can be as disease in our region and the rate of avoidable hospital simple as going for a light stroll admissions. with the family, taking the dog for

14 South West Hospital and Health Service The Pulse August 2019 15 AN INCREDIBLE YEAR CULMINATES IN OUTSTANDING STUDENT PERFORMANCE ferocity. Incoming Artistic Director Nicole Reilly said. They looked forward to the continued relationship with staff, students and community in Charleville.

In addition to the programs presented, Zen Zen Zo invited the staff and students of Charleville SHS to visit them in , gave students VIP tickets to the award-winning production of THE TEMPEST and invited them on a guided backstage tour with the director of the show.

Director of Zen Zen Zo New Zealand, Alys Hill said the program had been an incredibly moving experience getting to know such extraordinarily hardworking students. Having worked all over the world from Asia to Europe, he said that Charleville students were exceptional. Throughout the program, students were Thanks to funding secured by the innovative HOPE guided through the process of creating, developing, program, Charleville State High School (SHS) students rehearsing and directing their own theatrical work. had the opportunity to work alongside internationally- Through pre and post evaluations, even the students trained and highly acclaimed Zen Zen Zo Physical themselves have noticed a remarkable difference Theatre teaching-artists. in their confidence, developing their own voice and aesthetic in storytelling. HOPE – which stands for Harmony, The final performance for the year has been filmed and Opportunity, Pride and Empowerment – is will be presented to the community at the school’s a South West Hospital and Health Service awards night. (SWHHS) youth focused initiative which has been operating since 2015.

With support from Arts Queensland’s Artist in Residency Program, Zen Zen Zo, a leading Brisbane-based theatre company, was able to deliver four one-week programs designed to build physical and emotional awareness, build resilience and encourage creativity and mindfulness.

Zen Zen Zo’s was greatly honoured to have been involved in the HOPE program with Charleville SHS students who work with such generosity, humility and

16 South West Hospital and Health Service STAFF ATTEND ANNUAL NATIONAL PRACTICE MANAGEMENT CONFERENCE A number of staff from the South West recently “The Conference covered a wide attended the annual Australian Association of Practice Management five-day Conference at the end range of topics for General Practice of September in Brisbane. including IT software, Industry expert presentations, the latest models of Acting Executive Director Primary and Community care and updates in General Practice Care Julie McNeill said it was the first time it was held in Queensland for a number of years. across Australia and internationally; and fantastic opportunities to network Julie said four staff from the South West joined with with other sectors and industries.” delegates from all over Australia for the Conference. She said it was an invaluable opportunity for the “We were represented by Shelly Reynolds (MBS whole Primary Care management team to attend, Program Manager), Pauline Kehl (Service Director to learn from others and to bring back ideas and - Primary Care, Leonie Whitfield (General Practice resources to the SWHHS General Practice service. manager – East) and Paula Tyler-Hartley (General Practice Manager – West),” Julie said.

The Pulse August 2019 17 NEW LEARNING AND DEVELOPMENT TEAM LOOK UNVEILED As part of the South West Hospital and Health Service’s vision of giving everyone the opportunity to understand, take ownership of, be inspired by and affect the future of healthcare in the region, a new Learning and Development Team has been unveiled.

Previously known as the Workforce Development Unit (WDU), Chief Executive Linda Patat launched the re-branding of the WDU on 16 September to be the Learning and Development Team.

Nurse Education Director Leanne Raatz said the rebranding was about introducing the team and what they do. Ms Raatz said that what was even more important than showcasing who the team are and what they do was to take a stand and show that the team are ensure every staff member develops and grows using not a stand-alone team but rather a group that is part memories, experiences, skills and new knowledge to of the wider South West team working with everyone to meet individual growth. No one can move forward by achieve common goals.. standing still. That is why we are evolving healthcare to deliver better health outcomes for everyone. Ms Raatz said that while the SWHHS sets the benchmark for improving health outcomes in rural New contact details: and remote areas, through a new vision the Learning Email: and development Team we can help ensure staff are [email protected] continually learning and developing to deliver high Phone: 4624 2649 standards in healthcare across the region. Our purpose Learning and Development Team is to provide visibility through the launch of our new polo shirts that tell our story to inspire and enthuse the learners – our staff – across the South West.

Ms Raatz said her team were committed to supporting a learning culture using the South West’s values through best teaching practices and innovative approaches to benefit all our staff. Our goal is to

18 South West Hospital and Health Service MITCHELL CAN CHAIR SHERYN HANNA COMMITTED TO EVER IMPROVING HEALTH CARE IN THE BUSH

Wanting and delivering the Facility. This was successful and I have been Chair of best health services possible this group since its inception. for the Mitchell community is what motivates the town’s “It is something I love being a part of. I love the Consumer Advisory Network community spirit of the Mitchell people and (CAN) Chair Sheryn Hanna. surrounding areas and I love that I can play a part in helping them.” Sheryn, who has always lived in Mitchell, worked as Sheryn said she loved being a part of the CAN and an enrolled nurse prior to knowing that if there were any concerns with healthcare having her three children, in the region that she could be a part of helping fix that. and she believes this is what gave her the insight “We have the support of the South West Hospital and into understanding the importance of rural and remote Health Service and Board and they always listen to us. healthcare. Our priorities are ensuring we have a viable space for our ageing population and we are very proactive in our “Understanding and having a genuine interest in the doctor recruitment to the area. bush and our people really helps in being able to maintain and build on our healthcare needs,” Sheryn Sheryn said “We have been able to facilitate changes to said. the Bus Queensland timetable to ensure our community members needing to travel to Roma for specialist After finishing home-schooling her three children, appointments can do so in a day. This is just one of Sheryn was elected to the Booringa Shire Council in the many changes our CAN have been able to help our 2004. community with.”

“In 2008 the new regional Council of Maranoa was Sheryn said the Mitchell CAN is driven by the formed and during this time an opportunity on the local community. We, as a committee, are looking forward to CAN came up. continuing this strong relationship and ever-improving the healthcare options and facilities for our community. “During my time on the CAN we conducted a feasibility study on Mitchell becoming a Multipurpose Health

The Pulse August 2019 19 Theatre Emergency Simulation Training in the South West Theatre Emergency Simulation Training in the South West The StateTheatre-wide Anaesthesia Emergency and PerioperativeSimulation CareTraining Clinical in Networksthe South (SWAPNet West ) Rural Perioperative Team TrainingThe State Program-wide Anaesthesia (RPTTP) andwas Perioperative held in the Care South Clinical West Networks in September. (SWAPNetThe) RuralStateThis -Perioperativeprogramwide Anaesthesia has been and Perioperative Care Clinical Networks (SWAPNet) Rural Perioperative sponsoredTeam by ClinicalTraining Program Excellence (RPTTP) Queensland was held in theand South is designed West in September. for Level This3 Teamfacilities program Training inhas regional Program been (RPTTP) and was held in the South West in September. This program has been sponsored by Clinical Excellence Queensland and is designed for Level 3 facilities in regional and rural areas.sponsored by Clinical Excellence Queensland and is designed for Level 3 facilities in regional and rural areas. rural areas.

The programThe program promote promotes teamwork,s teamwork, communication communication and and system system design, design, with thewithThe aim program the to improveaim promote to improves teamwork, communication and system design, with the aim to improve surgical outcomessurgical outcomes for patients for patients in rural in rural areas. areas. T Thishis scenarioscenario-based-based education education intendssurgical intends to outcomes enhance to enhancebothfor patients both in rural areas. This scenario-based education intends to enhance both technical technicaland non and-technical non-technical skills. skills. The The two two-day-day program incorporated incorporated six scenarios, sixtechnical scenarios, using and a lifelike nonusing-technical a lifelike skills. The two-day program incorporated six scenarios, using a lifelike manikin in Roma and Charleville’s theatre environment. Audio-visual equipmentmanikin live str in eamedRoma and the Charleville’s theatre environment. Audio-visual equipment live streamed the manikin in Roma and Charleville’s theatre environment. Audio-visual equipment live streamed the simulation from the operating theatre, to let participants engage in the debriefingsimulation sessions. from This the operating theatre, to let participants engage in the debriefing sessions. This simulationallow fromed forthe interaction operating and theatre, communication to let amongstparticipants staff, giving engage them in the the opportunity debriefingallowed for to interaction sessions. and This communication amongst staff, giving them the opportunity to OPPORTUNITIESallowed forinvestigate interaction areas forand improvement. communication amongstTO staffIMPROVE, giving them theinvestigate opportunity SURGICAL areas for to improvement. investigateThe areas staff involved for improvement. were able to practice their skills in their own work environmentThe staff. The involved simulations were able to practice their skills in their own work environment. The simulations OUTCOMESincluded: - Can’t Intubate Can’tTHROUGH Oxygenate (CICO) Anaphylaxis, THEATREObstetric Haemorrhage,included: - Sedation Can’t Intubate of a Can’t Oxygenate (CICO) Anaphylaxis, Obstetric Haemorrhage, Sedation of a The staff Cinvolvedhild, Cardiac were Arrest able and to a Majorpractice Trauma. their Staff skills came in from their all own backgrounds work environment acroChild,ss the Cardiac South. TArrest West,he simulations and a Major Trauma. Staff came from all backgrounds across the South West, EMERGENCYincluded:and - Can’t included Intubate Medical Can’t staff (Anaesthetics, Oxygenate SIMULATION Surgical(CICO) andAnaphylaxis, Obstetric TRAININGand Haemorrhage, included Medical Sedation staff (Anaesthetics, of a Surgical and Child, CardiacObstetric), Arrest Perioperative and a Major Nurses, Trauma. Midwives, Staff E.D camestaff, from all backgroundsObstetric), across Perioperative the South West,Nurses, Midwives, E.D staff, and includedWards Medicalperson, Pharmacists staff (Anaesthetics, andThe Pathology. State-wide Surgical and Wardsperson, Pharmacists and Pathology. Anaesthesia and Obstetric),The Perioperative SWAPNet faculty Nurses, consisted Midwives, of an Anaesthetist, E.D staff, The SWAPNet faculty consisted of an Anaesthetist, Perioperative Care WardspersonSurgeon,, Pharmacists Perioperative and Nurse Pathology. Educator and SWAPNet Surgeon, Perioperative Nurse Educator and SWAPNet coordinator who all volunteeredClinical their time Networks to deliver coordinator who all volunteered their time to deliver The SWAPNetthe training. faculty This consisted opportunity of (SWAPNet)has an given Anaesthetist, the Rural staff of the the training. This opportunity has given the staff of the Perioperative Surgeon, SouthPerioperative West confidence Nurse in Educatortheir ability and to continue SWAPNet to South West confidence in their ability to continue to work and communicate effectivelyTeam as Training a team. work and communicate effectively as a team. coordinator who all volunteered theirProgram time (RPTTP) to deliver the training.Thank T hisyou opportunity to the SWAPNet has teamwas given for held providing the in staff the this of the Thank you to the SWAPNet team for providing this training to the SWHHS. South West confidence in their abilitySouth to West continue in to training to the SWHHS. September.work and For communicateThis more program information was effectively sponsoredon the SWAPNet as by a team.Clinical RPTTP please visit:- For more information on the SWAPNet RPTTP please visit:- Excellence Queenslandhttps://clinicalexcellence.qld.gov.au/i and is designed for Levelmprovement 3 -exchange/rural-perioperativehttps://clinicalexcellence.qld.gov.au/i-team-training- mprovement-exchange/rural-perioperative-team-training- facilitiesThank inyou regionalprogram to the andSWAPNet rural areas. team for providing this program Thetraining program toSharon promotes the SWHHS.Edwards teamwork, and Annette communication Jensen, Perioperative Nurse Educator’s. Sharon Edwards and Annette Jensen, Perioperative Nurse Educator’s. and system design, with the aim to improve surgical outcomesFor more for information patients in rural on the areas. SWAPNet This scenario- RPTTP please visit:- basedhttps://clinicalexcellence.qld.gov.au/i education intends to enhance both mprovementtechnical -exchange/rural-perioperative-team-training- andprogram non-technical skills. The two-day program incorporated six scenarios, using a lifelike manikin in RomaSharon and EdwardsCharleville’s and theatre Annette environment. Jensen, Perioperative Audio- Nurse Educator’s. visual equipment live streamed the simulation from the operating theatre, to let participants engage in the debriefing sessions. This allowed for interaction and communication amongst staff, giving them the opportunity to investigate areas for improvement. The staff involved were able to practice their skills in their own work environment. The simulations included: - Can’t Intubate Can’t Oxygenate (CICO) Anaphylaxis, medical staff (anaesthetics, surgical and obstetric), Obstetric Haemorrhage, Sedation of a Child, Cardiac perioperative nurses, midwives, ED staff, wardsperson, Arrest and a Major Trauma. Staff came from all pharmacists and pathology. backgrounds across the South West, and included The SWAPNet faculty consisted of an anaesthetist, surgeon, perioperative nurse educator and SWAPNet coordinator who all volunteered their time to deliver the training. This opportunity has given the staff of the South West confidence in their ability to continue to work and communicate effectively as a team. Thank you to the SWAPNet team for providing this training to the SWHHS. For more information on the SWAPNet RPTTP please visit:- https://clinicalexcellence.qld.gov.au/ improvement-exchange/rural-perioperative-team- training-program Sharon Edwards and Annette Jensen, Perioperative Nurse Educators.

20 South West Hospital and Health Service OMNI Anaesthesia Education- Perianaesthesia Crisis management

The SWHHS hosted the inaugural OMNI course on theOMNI 31st Aug Anaesthesiaust 2019 at the Roma Education Explorers Inn.- Perianaesthesia Crisis management OMNI Anaesthesia Education is a new training organisation who have Specialist Anaesthetist and st Nursing faculty with over 60 years combined expertiseThe in anaesthesia SWHHS traininghosted across the the inaugural world. The OMNI course on the 31 August 2019 at the Roma Explorers Inn. workshop was designed specifically for Nurses and MedicalOMNI Officers Anaesthesia working within Education the perioperative is a new training organisation who have Specialist Anaesthetist and environment who undertake anaesthetic assistant and anaesthetic roles. OMNI Anaesthesia Education- Perianaesthesia Crisis management Nursing faculty with over 60 years combined expertiseOMNI Anaesthesia in anaesthesia Education training- Perianaesthesia across the world. Crisis Themanagement The participants from St George, Toowoomba and Roma gained difficult airway skills, principles of st workshop was designed specifically for NursesThe and SWHHS Medical hosted Officers the inaugural working OMNI within course the onperioperative the 31 Augst ust 2019 at the Roma Explorers Inn. crisis resource management, knowledge and confidence when preparing for and responding to The SWHHS hosted the inaugural OMNI course on the 31 August 2019 at the Roma Explorers Inn. OMNI Anaesthesia Education is a new training organisation who have Specialist Anaesthetist and perianaesthesia emergencies. Topics included cardiacenvironment events, critical bleeding who withundertake massive anaesthetic assistantOMNI and Anaesthesia anaesthetic Education roles. is a new training organisation who have Specialist Anaesthetist and transfusion, malignant hyperthermia, and local anaesthetic toxicity. Nursing faculty with over 60 years combined expertise in anaesthesia training across the world. The Nursing faculty with over 60 years combined expertise in anaesthesia training across the world. The The participants from St George, Toowoombaworkshop and Roma was gained designed difficult specifically airway for skills,Nurses principles and Medical of Officers working within the perioperative Interactive difficult airways equipment skills stations were a big part of the day, with representatives workshop was designed specifically for Nurses and Medical Officers working within the perioperative environment who undertake anaesthetic assistant and anaesthetic roles. from Karl Storz and Cook Medical, demonstrating the crisismost up resource to date equipment management, available in thisknowledge and confidenceenvironment when who preparing undertake for anaesthetic and responding assistant to and anaesthetic roles. field. These included CMAC blades and monitors, bronchperianaesthesiaoscope’s as well as emergenciesthe Melker Airway. andTopics included cardiac events, critical bleeding with massive Cook exchange catheters. The participants from St George, Toowoomba and Roma gained difficult airway skills, principles of transfusion, malignant hyperthermia, and local anaestheticThe participants toxicity. from St George, Toowoomba and Roma gained difficult airway skills, principles of crisis resource management, knowledge and confidence when preparing for and responding to Following the success of this first work shop, it is hoped that this will be repeated in 2020. crisis resource management, knowledge and confidence when preparing for and responding to perianaesthesia emergencies. Topics included cardiac events, critical bleeding with massive Interactive difficult airways equipment skills statperianaesthesiaions were a big emergencies part of the. Topicsday, with included representatives cardiac events, critical bleeding with massive Many thanks to Dr Vera Meeusen, Fiona Newman, Prof Andre Van Zundert and the representatives transfusion, malignant hyperthermia, and local anaesthetic toxicity. from Cook and Storz for making the trip to Roma and fromenjoying KarlBUILDING some Storz of Roma’s and best Cook tourist M THE spots.edical, demonstraSKILLStingtransfusion, theOF most OUR mupalignant to date STAFF hyperthermia, equipment availableand local anaesthetic in this toxicity. For further information please contact: - www.omnianaesthesia.comfield. These included CMAC blades and monitors,InteractiveInteractive bronch difficultoscop difficult ae’sirways a airwayss wellequipment equipment as the skillsMelker skills stat statAionsirwayions were wereand a big a big part part of theof the day, day, with with representatives representatives THROUGH ANAESTHESIAfrom Karl Storz EDUCATION- and Cook Medical, demonstra ting the most up to date equipment available in this Sharon Edwards and Annette Jensen Perioperative NurseCook Educator’s exchange. catheters. from Karl Storz and Cook Medical, demonstrating the most up to date equipment available in this PERIANAESTHESIA CRISISfield.field. These These included MANAGEMENT included CMAC CMAC blades blades and and monitors, monitors, bronch bronchoscoposcope’s e’sas wellas well as theas the Melker Melker Airway Airway and and Following the success of thisThe first South work West Hospital shop, Cook it is hopedexchangeavailable thatin this catheters. field.this willThese includedbe repeated CMAC blades in and20 20. and Health Service (SWHHS) Cookmonitors, exchange bronchoscope’s catheters. as well as the Melker Airway and hosted the inaugural OMNI Cook exchange catheters. Many thanks to Dr Vera Meeusen,course on the Fiona 31 August Newman, FollowingFollowing Prof the Andre thesuccess success Van of thisZundert of this first first work and work theshop, shop, representatives it is it hoped is hoped that that this this will will be berepeated repeated in 20in 2020.20 .

from Cook and Storz for making2019 at theRoma trip Explorers to Roma andFollowing enjoying the success some of this firstof Roma’sworkshop, it best is hoped tourist that spots. Inn. OMNI Anaesthesia ManyMany thanksthis will thanks be to repeated Dr to Vera Dr in 2020.Vera Meeusen, Meeusen, Fiona Fiona Newman, Newman, Prof Prof Andre Andre Van Van Zundert Zundert and and the the representatives representatives Education is a new training organisation who have fromfrom CookMany Cook thanksand and Storzto Dr StorzVera for Meeusen, makingfor making Fiona the Newman, thetrip trip to Prof Roma to Andre Roma and and enjoying enjoying some some of Roma’sof Roma’s best best tourist tourist spots. spots. For further information please contact: - www.omnianaesthesia.com a specialist anaesthetist Van Zundert and the representatives from Cook and Storz for and nursing faculty with For furtherFormaking further information the trip information to Roma and pleas enjoying please contact: esome contact: of Roma’s - www.omnianaesthesia.com - bestwww.omnianaesthesia.com Sharonover Edwards 60 years combined and Annette expertise in anaesthesiaJensen Perioperative training tourist Nurse spots. Educator’s . across the world. The workshop was designed specifically for nurses and medical officers working within the perioperativeSharon SharonFor Edwards further Edwards information and and Annette please Annette contact: Jensen Jensen- www. Perioperative Perioperative Nurse Nurse Educator’s Educator’s. . environment who undertake anaesthetic assistant and omnianaesthesia.com anaesthetic roles.

The participants from St George, Toowoomba and Roma gained skills in managing difficult airways, principles of crisis resource management, knowledge and confidence when preparing for and responding to perianaesthesia emergencies. Topics included cardiac events, critical bleeding

with massive transfusion, malignant hyperthermia and local anaesthetic toxicity.

Interactive difficult airways equipment skills stations were a big part of the day, with representatives from Karl Storz and Cook Medical, demonstrating the most up to date equipment

The Pulse August 2019 21 EMET – ROMA HOSPITAL CLINICIANS ENHANCE THEIR EMERGENCY MEDICINE SKILLS Clinical staff from Roma Hospital took part in the first He said it was fantastic to have Emergency Staff Emergency Medicine Education and Training (EMET) on Specialist, Dr Neale Thornton who travelled from the Monday 16 September 2019 at the Roma Hospital. Mackay Base Hospital to the Roma Hospital to facilitate the emergency medicine training. Roma Precinct Director of Medical Services, Dr Alan Richardson said the South West had received funding Dr Richardson said that the program provides a from the Commonwealth Department of Health and unique opportunity for clinical staff of all disciplines support from the peak body for emergency medicine to enhance their emergency medicine skills. While on in Australia, the Australasian College for Emergency site Dr Thornton conducted case-based discussions, Medicine to implement the EMET Program. simulation scenarios as well as skill sessions.

Dr Richardson said this was the first time an ongoing Dr Thornton is passionate about providing the best program like this had been facilitated at the Roma training possible and is programmed to visit for Hospital. one week per month for the next eighteen months. Dr Richardson believes the South West staff are “South West Hospital and Health Service sets the passionate about evolving healthcare to deliver better benchmark for improving health outcomes in rural and health outcomes for everyone. He said that we can’t remote areas,” Dr Richardson said. move forward standing still and when healthcare By connecting healthcare professionals, research professionals come together as a community, the best groups, Queensland Health, government bodies help is always at hand. and local communities at a human level, the South The next EMET will be held the week starting Monday 11 West is enabling the creation of a shared vision that November. For information please call Amy Cavanough, gives everyone the opportunity to understand, take Executive Support Officer to Director Medical Services, ownership of, be inspired by and affect the future of Roma Health Precinct on 4624 2843. healthcare in the region.

22 South West Hospital and Health Service #SWSPIRIT RECIPIENT MAREE MITCHELL

Rebecca Sullivan is the South West Hospital and Health Service’s #SWspirit recipient for the month of September.

#SWspirit is a regular initiative to recognise staff who exemplify the organisation’s spirit through living our values in the way they work every day.

When a health facility has people like Rebecca Sullivan working there, you can be sure it has a strong and healthy community surrounding it.

For 25 years Rebecca has worked at the Charleville Hospital and in one of her colleague’s own words ‘she just keeps the place ticking’ and it is through this commitment that Rebecca is September’s #SWspirit recipient.

“For me, having worked at the Charleville Hospital for more than 25 years, it is like coming home and my colleagues are like my family.”

Rebecca consistently displays all the South West’s values of quality, compassion, accountability, engagement and adaptability in her role as Enrolled Nurse Advanced Skills.

She works across a few teams including the general ward, theatre and central sterilising and is also the site co- ordinator for the newborn healthy hearing program.

“For me, having worked at the Charleville Hospital for more than 25 years, it is like coming home and my colleagues are like my family,” Rebecca said.

“We are a team at the Charleville Hospital and we take pride in the care we give to our community and I’m so proud to be a part of this team for so long.” She treats everyone that comes into her path with the Described by her peers as ‘the person you go to when you need something done’, Rebecca is always busy whether same kindness, respect and dignity as she would her own she is in theatre, emergency or anywhere in the hospital. family while always being reliable and accountable in all she does. She is never one to ask for credit, but always happy to plug away behind the scenes and help whoever, whenever they Rebecca also works effectively and inclusively with others need it. while also embracing adaptability by being able to learn, change and grow. Rebecca certainly exudes all things true to the South West spirit given her strive for excellence in all she does while Rebecca is a very worth recipient of the #SWspirit delivering excellent person-centred care. nomination for September. Congratulations Rebecca.

The Pulse August 2019 23 ROMA HOSPITAL REDEVELOPMENT MAKING GREAT PROGRESS Construction work on the new Roma Hospital continues to progress well. The focus during September was on:

• Internal services and fit out works • Works to plant rooms and cladding • Rough in works continuing to all available areas • Sheeting of walls and ceilings • Floor finishes commencing.

With the construction now well progressed there is emphasis on the commissioning to ensure the move to the new hospital occurs smoothly and from opening our teams are performing to a very high standard to provide Eastern Site Boundary View the best health services to the people of the South West. Plans for all functional areas. These plans provide the information from each department on their move During the month of September, the SWHHS welcomed requirements and any service impacts that may arise new members to the commissioning team. Kirsty during the actual move period. This work will continue Dykes, Daniela Ortega and Scott Lisle are now working through October. with Sue Leggate to ensure that all commissioning activities are completed and that the hospital and The SWHHS has also now finalised the procurement of community staff are well prepared for the move into the Revitzo, a 3D software application that enables staff new hospital. to take a virtual walk through of the internal areas of the hospital. This has proved invaluable with positive The focus of commissioning activities in September feedback received from staff. Revitzo is also planned to has been the commencement of Move Readiness be used for the hospital orientation program.

24 South West Hospital and Health Service Left to right: Shaun Roydhouse, Anne Knayer, Keith Mawn

(BEMS) team is working on a number of activities to prepare for management, monitoring and maintenance of building services and assets in the new hospital.

Management and monitoring of the building services - such as fire protection, CCTV, the water treatment plants and air conditioning - will transition from predominantly manual processes to an automated building management control system. The system will increase management efficiency and provide useful data on the daily operation of key building services and plant. Hospital staff tour of the new hospital Regular site visits enable the BEMS team to familiarise A workshop was held with administrative officers in themselves with the infrastructure of the new hospital. late August to discuss the administration functional Appropriate training will be provided prior occupation locations and arrangements for the new hospital. of the hospital. The use of Revitzo through the workshops helped the administrative staff visualise the locations where administrative functions will be completed in the new hospital. These early workshops will help to inform the new administration services structure to be implemented.

September also saw the commencement of regular site tours for staff. As internal works rapidly progress arrangements had been made to take groups of staff through the hospital so that they could see the flow of departments and visualise the size of the various rooms. Initial groups included the hospital department leads and the hospital’s medical officers

Hospital staff tour of the new hospital As construction of the new hospital progresses the Building, Engineering and Maintenance Services

The Pulse August 2019 25