Far West in Focus
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The Far West Local Health District Newsletter Edition 3, Vol 7, MAR 2017 Message from the Chief Executive I’ve noticed the sudden drop in temperature over the last week, a reminder that the flu season is not far away. It’s time to start thinking about getting your flu vaccine before the season starts so that as many of us as possible are available when the community most needs our acute services. Every person that uses our services expects to leave us as well, or better than when they entered. The roll-out of Hourly Patient Rounding, initially on Medical Ward at Broken Hill Hospital is the start of a process to ensure that inpatients are safer in our care and their needs are better met. This builds on work already done through Yamirri Nharatji to improve the way we do things and initiatives supported through the Clinical Governance Unit. Drop by and see how it’s going on Medical Ward. The LHD plays a significant role in each of the communities we serve. It was great to hear about the snake bite education provided by the team at Ivanhoe. There was also promotion of the free Get Healthy program for residents of Ivanhoe. The Mental Health and Drug and Alcohol Team participated with the team from Menindee at the Crossroads Camp, highlighting the important role we play equipping young people for their future. There’s more in this edition about great work being done across the LHD to engage with communities and support people to live their best lives. I was surprised to bump into John Keenan in the office on Wednesday this The FWLHD came together with a number of emergency agencies week, despite his having for Exercise Vas Onero — turn to page 2 for details. retired. Although everyone who knows John was sad to see him retire, I’m sure we’ll see him around. Trevor Dawson, who’d also been with the LHD in its various forms over the past 30 years also retired this month. Welcome to our new group of JMOs, who I’m sure will make a great contribution to our services and benefit from their time with us. Exercise Vas Onero was a state wide disaster exercise held just north of Packsaddle on the Tibooburra Road. The scenario involved a bus, a motorcycle and a truck full of livestock coming together. The health service along with all the emergency services participated, with the LHD sending a team to the site and testing systems for the triage, treatment, evacuation and receipt of patients from the scene. Thanks to everyone who volunteered their time and contributed to the exercise. I’m told that every agency learned from the exercise and identified opportunities to improve the way we work together and respond to emergencies and disasters. Working With Children’s Checks (WWCC) are now due for most people. If you are required to have a WWCC and do not have one, we are unable to allow you to work. To organize your check go to www.service.nsw.gov.au and complete your application, then take your application number to your local SericeNSW office, present the required identification and pay the fee of $80. It’s a relatively efficient process. Enjoy this edition of Far West in Focus. — Stuart Riley, Chief Executive The Far West Local Health District Newsletter Edition 3, Vol 7, MAR 2017 Exercise “Vas Onero” Far West LHD participated in Exercise Vas Onero a NSW State sponsored multi-agency, emergency management, training exercise, held at Packsaddle on Saturday 25 Mach 2017. With additional funding from the State Rescue Board the exercise focussed on testing the capacity of all agencies to respond to a mass casualty incident in a remote area. Following months of preparation and planning, the exercise writing team presented a mock scenario of a night time, head on crash between a bus and livestock transport, at the intersection of the Silver City Highway and Henry Roberts Road, 220kms North of Broken Hill. As part of the scenario, the LHD were requested to deploy a Health Response Team to the scene to support and work with the Ambulance Services in the provision of pre-hospital medical treatment. The UDRH Medical Students played the role of crash victims trapped in the bus. Complete with moulaged injuries the students did an excellent job with distressed screams and chaos only adding The Exercise in action (above) and our Health Response further reality to the exercise. Team deployed for the Exercise (below). The RFDS flew in, which created the opportunity for Roads and Maritime Services to test a night time set up of the recently completed Shannon’s Creek air strip. The Department of Defence also played with the provision of notional air support from a Blackhawk Helicopter crew for additional patient transport. Other agencies included the Packsaddle & Tibooburra volunteer Ambulance and SES crews, Local Land Services, who managed the live sheep at the scene, several Rural Fire Services crews, NSW Police and NSW Fire & Rescue who provided HAZMAT services. Approximately 170 people attended the exercise and all were accommodated in the Rural Fire Service Emergency Base Camp set up opposite the Packsaddle Road House. Thanks to all the LHD staff for their amazing efforts both in the prior preparation, attending and participating in the exercise. This is the first time we have deployed a Health Response Team into such a remote area and their performance was commendable, especially with the added complexities of 41 degree heat, working in the dark in an unfamiliar and a somewhat chaotic environment. I also need to mention John Leehane, who was the duty HSFAC for the exercise. While John was not on site he still participated and received and processed all the information from the scene, back in Broken Hill, as would be expected if such a situation would present. The exercise was deemed a huge success with our objectives being achieved, along with identifying some key issues for improvement, captured by the exercise control team. The LHD will now collate the evaluation and feedback data with recommendations for the review and redevelopment of EM plans and procedures. We look forward to implementing the recommendations for improvements and planning our involvement in the next year’s exercise. — Brendan Hedger, District Disaster Manager PAGE 2 The Far West Local Health District Newsletter Edition 3, Vol 7, MAR 2017 Medical Ward praised for Patient Hourly Rounding implementation Medical Ward staff members of BHHS were congratulated recently on the implementation of Patient Hourly Rounding — an evidence based tactic under Yamirri Nharatji. Congratulations were forthcoming from Ken Barnett, BHHS General Manager, Lindy Harkness, DON/M and Zandra Corey, Director of Clinical Governance, who joined the staff at a celebratory afternoon tea on 17 March. “The implementation of hourly patient rounding is a great achievement and the purpose of our afternoon tea is to recognise the achievement the medical ward staff made because I know they all had to work together to make this happen,” said Zandra Corey. The trial for hourly patient rounding commenced on Medical Ward in December 2017. Patient hourly rounding is a practice which has been implemented in hospitals all over the world to improve patient safety by reducing falls, pressure injuries and increasing patient satisfaction. Call bell rates and falls on Medical Ward have been trending down since the implementation of hourly patient rounding. Ken Barnett also congratulated the Medical Ward Staff on this achievement. “Changing practice is always challenging and we are very proud of the way the staff on this ward have adapted and implemented this change. You are leading the way for the other wards who will also be implementing Patient Hourly Rounding” he said. Lindy Harkness, Director Nursing & Midwifery also offered her appreciation: “I’m very proud to thank the Medical Ward team for the difference they make to our patients every day”. The next steps are to continue to implement the competency assessment of staff on the rounding behaviours and talking to patients about their experience of hourly rounding. Well done, Medical Ward! Get Healthy is ready to launch on April 3 Following successful launches across the LHD, Get Healthy is ready to kick off on April 3! Congratulations to everyone who has already taken the first step toward a healthier you. Last year, the Get Healthy program assisted 140 staff members to lose a total of 184.35kgs and walk 5.25 times around Australia's coastlines. This year, we want to achieve even more! We are focusing on you and your healthy goals. We will provide the tools, resources, education and support for you to achieve your healthy life. We will also subsidise 50% of the cost of the Global Corporate Challenge where your team competes with teams from across the world to walk the most number of steps in 100 days. If you have not yet registered or for more information, jump onto www.gethealthyfwlhd.com.au to register as an individual or a team today! PAGE 3 The Far West Local Health District Newsletter Edition 3, Vol 7, MAR 2017 Snake bite and first aid education at Ivanhoe Thomas Cashion (RN at Ivanhoe Health Service) gave a fantastic presentation to the students and staff of Ivanhoe Central School this month about first aid relating to a snake bite. The junior and senior school children were introduced to the variety of venomous snakes that are present in the Ivanhoe region. We then spoke to the students about the DRSABCD first aid acronym: Highlighting the importance of checking for Danger, checking for a Response of the casualty, and then to Send for help.