Wide Bay Hospital & Health Service
September 2015
spital.
r’s visit to Bundaberg Ho
media during the Ministe
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Do
ndaberg Leanne
Dick and Member for Bu
Health Minister Cameron
Minister delivers good news in person
MINISTER for Health Cameron Dick
visited Bundaberg Hospital for his first
post-budget regional trip to announce
funding to employ more nurses
throughout the state’s health facilities.
Accompanied by the Member for
Bundaberg, Leanne Donaldson,
Minister Dick took the opportunity to
undertake a tour of Bundaberg Hospital
and meet the staff.
“It was a great opportunity to highlight
the achievements of our WBHHS team
with the Minister and for him to share
the government’s plans for health with
our staff.”
Up to 4000 new graduates will be
offered jobs across Queensland and
an additional 400 experienced nurses
will be employed as navigators to
assist patients under the $212.3 million
funding package.
“It was fantastic to introduce the
Minister to our hardworking and
dedicated staff throughout Bundaberg
Hospital,” Wide Bay Hospital and
Health Service Chief Executive Adrian
Pennington said.
The tour included the emergency
department, family unit, paediatrics
ward and PARAS. Later in the day
the Minister also visited the new
Community Care Units for mental
health consumers.
Improving health, together
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Director of paediatrics Judy Williams, Member for Bundaberg Leanne Donaldson, Minister for Health Cameron Dick, nurse unit manager Bundaberg
family unit Dohna Myler and clinical director of obstetrics and gynaecology Dr Tom McHattie.
$212m to boost state nursing numbers
AS part of his visit to Bundaberg
Hospital, Minister for Health Cameron
Dick announced the commitment
the state budget had made to the
nursing workforce and patient safety
improvements.
The additional $212.3 million will provide
up to 4000 new graduates across
Queensland over the next four years
as well as 400 additional experienced
nurses to help patients to navigate the
health system.
“International research shows that
nurses have the biggest impact
on having the best possible health
outcomes for patients,” Mr Dick said.
“We are currently determining where the
nurse navigators and nurse graduates
Improving health, together
will be placed around the state.
“I am keen to ensure these positions
are placed in regions with the greatest
need so that this significant investment
in rebuilding and expanding our nursing
workforce directly improves frontline
services.
“Bundaberg’s population is increasing
slowly but steadily, and I want to hear
from nurses in particular about their roles
and workloads and how we can address
that to get a positive outcome for both
the nurses and the people they’re
looking after.”
Member for Bundaberg Leanne
Donaldson said she wanted to make
sure the nurses and ambulance officers
had a chance to put their views directly
Minister for Health Cameron Dick talks to
staff.
to the Minister.
“There are many people who make
up our health system, and while some
people in it will always have access to
decision-makers, I want to make sure
that all voices are heard,” she said..
2
Wide Bay Hospital & Health Service
WBHHS
News from across the
Community
care units
draw show
of support
THE Wide Bay Hospital & Health
Service’s new community care units
were visited by Minister for Health
Cameron Dick and the Member for
Bundaberg Leanne Donaldson as part of
the Minister’s visit to the region.
The 20-unit facility, which was completed
earlier this year, has provided mental
health consumers with independent
living while also accessing supported,
extended rehabilitation service without
travelling for long distances.
WBHHS trained nurses, psychiatrists,
occupational therapists, social workers
and psychologists are onsite and
available to help residents with recoveryoriented treatment services
Minister Dick and Ms Donaldson took the
opportunity to tour the facility and spoke
to WBHHS staff about the feedback
they have received since it opened
earlier this year. Staff shared with the
Minister about the pivotal role the CCU
provides to consumers by offering
them an environment that helps them
develop their skills and develop the goals
required in their recovery.
ABOVE: Minister for
Health Cameron Dick
talks to staff at the
Community Care Units.
LEFT: – WBMHAODS
Executive director
Robyn Bradley,
team leader of the
Community Care
Units Catherine
Dingsdag, WBHHS
Chief Executive
Adrian Pennington,
Member for Bundaberg
Leanne Donaldson
and Minister for Health
Cameron Dick.
Minister Dick and Ms Donaldson also
took a strong interest in the peer support
workers that assist residents at the
community care units.
These peer support workers have a
lived experience in recovery from mental
illness and provide an invaluable service
to the residents.
Feedback from residents who have
travelled from across the Wide Bay HHS
to stay in the CCU has been positive,
with some consumers already having
achieved their goals and returned to their
communities.
Improving health, together
Australian Workers Union representative Keith Ballin, Minister for Health Cameron Dick, Member
for Bundaberg Leanne Donaldson, Grant Poke and WBHHS Chief Executive Adrian Pennington.
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Wide Bay Hospital & Health Service
WBHHS
News from across the
Staffing before restructure
TITLE
FTE
A/Director North
1
Quality Manager
1
Quality Support Officer
1
PSO
2
PLO
Admin
Current staffing levels of the Clinical Governance Unit
TITLE
FTE
Director
1
CG Programmes Manager
1
Risk Manager
1
2
Clinical Audit Coordinator
1
2
Facilitator
7
Project Admin 3 months / year
Quality / CSCF
0.25
Admin
5
SUB TOTAL
9.25
SUB TOTAL
16
A/Director South
1
Quality Manger
1
Quality Admin
1
PLO
2
Risk Manager
1
PSO
1
PSO Support
2
SUB TOTAL
9
TOTAL
18.25
Clinical Governance Unit performance
YEAR
MEDIAN DAYS TO
CLOSE SAC 1
MEDIAN DAYS TO
CLOSE SAC 2
2012
313.8
191.5
2013
264.4
148.2
2014
122.2
91.5
2015
111.4
29.9
Hitting the mark on critical solutions
the array of cases that present to them.”
THE transparent, thorough and timely
investigation of clinical incidents is of
the utmost importance to Wide Bay
Hospital & Health Service, which is why
the former Patient Safety and Quality
Management Unit was restructured to
create the Clinical Governance Support
Unit (CGSU).
The success of the restructure has been
evident when reviewing the performance
of the organisation, as it has consistently
improved the length of time it takes to
investigate reported incidents, as shown
in the table above.
“The way the WBHHS investigates
clinical incidents is vital to providing a
transparent organisation and to ensure
we constantly review our procedures so
we can improve our workplace practices
to ensure best patient outcomes,” Chief
Executive Adrian Pennington said.
Improving health, together
The WBHHS Clinical Governance
Support Unit has supported the
organisation to achieve these strong
results despite no increase in staff, as
shown in the staffing tables on this page.
“It is important to undertake thorough
investigations in a timely manner, as it
improves accountability and enables the
WBHHS to rapidly implement changes
when needed.
“Congratulations to the Clinical
Governance Support Unit for the work
they are doing and the professionalism
they continue to display as they support
line managers to investigate and review
CGSU Executive Director Dr Pieter
Pike said it was not the number of staff
in a work unit that made a difference to
patient outcomes, but the way in which
resources were used.
“The redesign of the Clinical Governance
Support Unit now enables the
organisation to act in a holistic way to
improve patient outcomes,” Dr Pike said.
The decrease in the time it takes to
appropriately review clinical incidents
is but one measure of the continually
improving clinical governance framework
now embedded in the WBHHS.
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Wide Bay Hospital & Health Service
WBHHS
News from across the
Cook-up
thanks for
top effort
STAFF at Hervey Bay Hospital were treated
to a special barbecue in recognition of the
great work done during the Legionnaire’s
contamination in the hospital.
Plenty turned out to enjoy a sizzling steak
and salad, and a cold soft drink. nestorest
Vivian Brongeest cooks up a storm for the hungry troops.
LEFT: WBHHS
Chief Operating
Officer Debbie
Carroll and Chief
Executive Adrian
Pennington at
the Hervey Bay
barbecue.
Catherine
Dries,
Raewyn
Welson and
Nikki Brown
enjoy the
thank-you
barbecue.
Improving health, together
Hervey Bay ED Nurse Unit Manager Troy Fisher
was one of many who popped out for a bite.
5
Wide Bay Hospital & Health Service
WBHHS
News from across the
Nursing grad
shows she’s up
to the challenge
POST graduate nurses are in
our rural facilities this year
and making the most of the
opportunity to gain a wide range
of experiences in not only the
assessment and care, but also
the transfer of complex and
critically unwell patients.
Recently, Post Graduate nurse
Tayla Rolfe, who is based at
Gayndah, did an amazing job
in caring for a child requiring
transfer to the Lady Cilento
Hospital in Brisbane.
Bundaberg Hospital paediatrician Dr Matt Wakeley provides a local option in Monto.
Healthy move for Monto kids
MONTO children are receiving a new
level of healthcare, with the Wide Bay
Hospital & Health Service offering a
new paediatric outreach clinic at Monto
Hospital.
The paediatric outreach clinic will
be operated by Bundaberg Hospital
paediatrician Dr Matt Wakeley and
provide a local option to Monto families.
“This outreach clinic will provide local
paediatric care to children from the
Monto area, reducing the need to
travel to Bundaberg for appointments,”
WBHHS Chief Executive Adrian
Pennington said.
“All GP referrals to a paediatrician from
the Monto area will be considered for
this local clinic while current paediatric
patients at Bundaberg Hospital can
request to be seen by Dr Wakeley at the
outreach clinic instead.
“The outreach clinic is planned to take
place four times a year, with the potential
for these patients to use Telehealth at
Improving health, together
Monto for follow-up appointments instead
of travelling into Bundaberg.
“Providing this clinic is a great outcome
for the Monto community, as it will help
many families who would have otherwise
needed to travel to Bundaberg for
appointments.”
After caring for the patient,
Tayla provided handover to the
medical team of Rescue 500.
Rescue 500 is based in Brisbane,
has a full ICU set-up and is
manned by a pilot, co-pilot,
crewman, intensive care
paramedic and doctor, which is
a daunting audience for a new
nurse!
Dr Wakeley is looking forward to working
at Monto and providing paediatric care to
local families.
“Having the clinic in Monto will improve
access to paediatric services for Monto
families and I am excited about providing
care in a local setting to these children,”
Dr Wakeley said.
“Being close to home and saving the
burden of travel creates less stress for
the children and their families who need
to attend paediatric appointments.”
During future visits to Monto Hospital,
Dr Wakeley is also hoping to provide
educational sessions on children’s health
issues to local staff.
Peace of Gayndah
STAFF at Gayndah Hospital
enjoy a wonderful view and
pleasant hospital grounds,
which Hannah Bellwoood (QCP
reliever) and John Varghese (UQ
Medical Student) experienced
when they sat down with Dr
Donald Howarth (Locum) for an
education session recently.
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Wide Bay Hospital & Health Service
WBHHS
News from across the
2015 Winnie May Scholarship winners Antoinette Hollett and Zaina Glynn.
Scholarships serve up higher hopes
TWO Bundaberg nurses have each
been awarded a nursing scholarship to
undertake advanced training which will
lead to higher nursing qualifications and
ultimately help improve the wellbeing of
local patients.
The Winnie May Scholarship is coordinated by the Bundaberg Health
Services Foundation, in honour of nurse
Winnie May who devoted her life to
nursing. Ms May was the niece of Dr
Thomas May, who was the founding
father of Bundaberg Hospital from 1879.
The scholarship is funded by Dr May’s
descendents and since it began in 2004
more than $80,000 has been given
to provide nurse education for staff at
Bundaberg Hospital.
Foundation acting chair Mr Jim Mullett
said that patients would be the ultimate
scholarship ‘winners’ when the studies
were completed and implemented to
Improving health, together
further improve patient care.
Antoinette Hollett will receive $6000 for
her studies in the Graduate Certificate
in Diabetes. Ms Hollett said she was
motivated to become a diabetes
educator after seeing a young patient on
the paediatric ward gain the skills and
‘My own experiences
have intensified my
desire to improve my
knowledge ’
knowledge he needed to self-manage
his diabetes by another educator.
“My own experiences have intensified
my desire to improve my knowledge in
the area of diabetes so that I can help
people with this complex disease better
manage their health,’’ she said.
Zaina Glynn, a registered nurse on
the medical clinical decisions unit,
will receive $2900 for her Graduate
Certificate in Leadership and
Management.
“I believe that nurses should endeavour
to improve through continuing
professional development to be able to
deliver the best possible care to clients,’’
Ms Glynn said.
The scholarships are open to all
permanent nursing staff at Bundaberg
Hospital who will complete their
appropriate studies within two years.
“The scholarships also are important
as they allow nurses to pursue a higher
level of education without the financial
burden associated with ongoing tertiary
studies,” Mr Mullett said.
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Wide Bay Hospital & Health Service
WBHHS
News from across the
Devoted Fay
steps down
from role
ONE of the most familiar faces
around Bundaberg Hospital is
the much-loved Fay Hayes.
After 25 years, Fay has retired
from her role as a devoted and
committed volunteer.
Colleagues farewell Allan Lawrie at a morning tea in Bundaberg Hospital.
Allan signs off on long career
THE Wide Bay Hospital & Health Service
recently farewelled the much respected
Allan Lawrie after a distinguished career
at Bundaberg Hospital.
Allan has supported staff of Bundaberg
Hospital and the former Bundaberg
Hospital Board followed by transitions
and iterations of Wide Bay Regional
Health Authority, Bundaberg District
Health Service, Sunshine Coast-Wide
Bay Health Service District, Wide
Bay Health Service District and, more
recently, Wide Bay Hospital & Health
Service for more than 32 years.
Allan commenced in Payroll/Accounts
Payable in December 1982, when Data
Saab was the most advanced office
machine and Kalamazoo was the current
contemporary payroll tool - the Data
Saab was so large it had an office of its
own.
As the health service evolved and grew,
Allan took responsibility for Accounts
Payable, managing this service and
other finance functions for 17 years until
the statewide implementation of the
clinical costing system Transition II.
On his retirement, Allan was one of
a handful of staff across the state
who remained since implementation
Improving health, together
of this complex system. The staged
implementation of ABF principles gave
Allan a welcome opportunity to get out
from behind the computer screen and to
talk with clinicians about service delivery,
ensuring we were modelling and costing
activities of the HHS.
Allan has seen the health service cycle
turn; he fondly recalls driving out to
the Board Chair’s home – the local
magistrate – to get cheques signed, and
here we are again, since 2014, back to
hospital and health boards.
All of the Bundaberg Hospital
team will miss Fay as she was
a highly valued member of the
team at the facility.
Fay was recognised at a
morning tea where WBHHS chief
operating officer Debbie Carroll
presented her with a plaque
commemorating her service at
the hospital.
Fay was joined at the
celebration by her son and
daughter-in-law. She paid tribute
to the dedicated nurses she had
worked alongside during her
time at the hospital.
He was always supportive and protective
of his team, taking joy in watching the
families of his staff grow and prosper
in their own lives. He will be missed by
Lindy, Karen and other HHS staff.
Allan retired on July 5, enjoying a
celebratory dinner with a core group
of colleagues at White China and a
morning tea in the department.
Along with his wife, Mandy, who has also
worked at Bundaberg Hospital since
2000 as a registered nurse, in quality
roles in mental health and at HHS level
and most recently in clinical governance
unit, Allan is now looking forward to
some travel and quality time with his
grandchildren. We wish them both well.
Fay Hayes will be missed by staff
at Bundaberg Hospital, where she
volunteered for 25 years.
8
Wide Bay Hospital & Health Service
WBHHS
News from across the
20 years, 100,000 screens - time to party
BREASTSCREEN Bundaberg
celebrated 20 years of service to the
local community with current and former
staff attending birthday celebrations at
the clinic.
A total of 100,124 women have been
screened at the Bundaberg clinic since
it opened its doors 20 years ago, with
another 46,619 women screened by
the mobile service and 45,748 women
screened at the Hervey Bay service.
Manager of BreastScreen Qld – Wide
Bay Dianne Dingle thanked the many
dedicated staff who had contributed to
20 years of service at the site.
“There has been a great team of
clinicians and support staff who have
been dedicated and professional in
operating the BreastScreen Bundaberg
clinic for the past 20 years,” Ms Dingle
said.
“It is fantastic to celebrate their
contribution to the lives of more
than 100,000 who have used the
BreastScreen service.
“BreastScreen is so important to
the treatment of breast cancer as
discovering it early thanks to screening
improves the chances of survival.
Wide Bay BreastScreen manager Dianne Dingle, Liz Nelson who has served 20 years at the clinic,
and WBHHS Cancer Care operations director Raymond Johnson.
“The work of the BreastScreen staff
at the Wide Bay service has saved
countless lives and they should be proud
of the work that they have done and will
continue to do.”
Coinciding with the birthday was news
on the latest financial year figures for
screenings across Queensland.
“For the 2014/15 year, the Wide Bay
service has met its target of 13,600
screenings,” Ms Dingle said.
“Only four of the 11 services met the
targets, so I would like to thank our staff,
the Wide Bay Hospital & Health Service,
media outlets, community groups and
local businesses who have assisted with
promoting our BreastScreen service
locally.
“This financial year we are setting an
even higher aim of 13,700 screenings,
which will enable even more women
to undertake this important life-saving
health check.”
Diabetes team put alarming health statistics on display
THE risk of diabetes is a growing health concern across the
nation, with 280 Australians developing diabetes everyday - and
the problem is particularly worrying in the Wide Bay.
The Wide Bay has the fifth-highest rate of Type 2 diabetes in
Australia per head of population, which has a huge impact on the
health system.
“Diabetes complications is the number one diagnosis for
avoidable hospital admissions in the Wide Bay,” WBHHS diabetes
service registered nurse Antoinette Hollett said.
To find out what you can do to lessen your risk of diabetes visit
www.diabetesaustralia.com.au
Improving health, together
Bundaberg Hospital diabetes education team members
Marie MacDougall, Antoinette Hollett and Tracey
Devine.
9
Wide Bay Hospital & Health Service
WBHHS
News from across the
Some of the members of staff who took part in the Cane2Coral.
We step up for Cane2Coral
THE Wide Bay Hospital & Health Service
supported the Cane2Coral this year,
which saw a large number of staff take
part in the annual fun run.
all the staff who participated in the
Cane2Coral, as well as those who took
up the fitness program and/or gym
membership.
With a range of distances from 4km to
half marathons (21.1km), there were
options for staff with various levels of
fitness and ability.
One such staff member was Alyson
Lucas, who took part in the Battle the
Boss over the eight-week program at
Breathe Hervey Bay and dropped 12%
of her starting body weight.
As part of the support, WBHHS staff had
the opportunity to take part in a fitness
program locally and access partner
gyms over a short term, with discounted
corporate membership on offer in future
months.
The WBHHS would like to congratulate
WBHHS staff members hit the finishing the line.
Improving health, together
Recently WBHHS staff also participated
in the Bundaberg Relay for Life.
In upcoming months you may see our
colourful marquee at other community
events, so be sure to drop by and say
hello!
WBHHS Chief Executive Adrian Pennington,
Chris Illett and Jessica Atkins finish the
Cane2Coral.
John Gamlin and John Lavarick were among the WBHHS staff members
who ran the half marathon.
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Wide Bay Hospital & Health Service
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Red hot
Chief Operating Officer’s report
It is hard to think it is the end of 14/15
financial year and there is much to be
proud of,as there have been significant
achievements by so many teams.
Some of the highlights include.
Planning
•
Produced and launched the Cancer
Care Strategic plan which was
presented at the CIRCS forum in
Rockhampton on August 10.
Clinical activity
• Zero elective surgery long waits for
six months
• WBHHS was the best performing
HHS for outpatients and HB/MH
achieved zero long waits at the end
of June
• Reduced waiting times pathway
(from GP referral to treatment), with
majority of patients being treated
within six months
• Delivered a 6% increase in patient
activity
• Increased Telehealth activity
• Continued to perform well in
meeting the NEAT targets at
Bundaberg and Maryborough
Hospitals
• Dental waiting times reduced
• Increased supportive therapies
services provided at Maryborough
Hospital
• Received additional funding
for new clinical equipment, eg
purchasing
• Ultrasound equipment
• Ophthalmology service
commenced locally and is ongoing
• Enhanced Allied Health support for
the rural facilities.
Capital works
• Refurbished Ward 2 at
Maryborough hospital, including six
palliative care beds
• Commissioned the new oral health
Improving health, together
our team.
DEBBIE CARROLL
Chief Operating Officer
and cancer care buildings. I must
commend the teams, as it was a
mighty effort by many to coordinate
the moves.
I would also like to congratulate the
Hervey Bay Medical Imaging Department
and Emergency Department for their
efforts in planning and coordinating the
CT change over.
This was extremely well managed
and the ED senior staff certainly went
the extra yards to provide after-hours
support, so thank you as the changeover
process went smoothly with the new
machine now up and running.
‘There is much to be
proud of, as there
have been significant
achievements by so
many teams’
I acknowledge there has been turnover
of senior medical staff in Bundaberg,
however recruitment efforts are
progressing well, with a number of key
positions filled.
Director DEM – Bundaberg
We welcome Dr Terrence George who
commences on September 28.
Dr George has extensive ED clinical,
leadership and management experience
as has held the ED Director position at
Nambour for a number of years, so he is
very familiar with the Queensland system
and processes.
Dr George is well known and well
respected, and he will be a great asset to
Rural DON
We welcome Nikki Goodwin, who will be
commencing on October 6.
Nikki has close to 37 years experience
and also comes from the Sunshine
Coast HHS. Since graduating as a
registered nurse, Nikki has worked in a
variety of areas in community, rural and
acute hospital settings.
Nikki is passionate about rural services
and brings a wealth of leadership
experience.
HHS SOPD Service
Coordinator
We welcome Simone Grodeland, who
commenced on August 17. Simone has
worked in senior administration roles
internationally and within the private
sector (Queensland) and brings a wealth
of experience and diverse background.
Staff Specialist Physician
– Bundaberg
We welcome Dr Kyaw Sanhla, who
commenced on August 3.
Dr Sanhla a very experienced physician
and has worked throughout Queensland,
including in Mackay and Townsville.
He has also recently undertaken a locum
contract in Bundaberg and was held
in high regard by the multi-disciplinary
team, so we are pleased to have him on
board in a permanent position.
Gastroenterologist
- Hervey Bay /Maryborough
Dr Toni Hampe will join us on September
14 and was recruited recently as an
additional position approved to establish
a sustainable endoscopy service.
I would like to thank each of you for the
contribution you make to our hospital
and health service.
11
Wide Bay Hospital & Health Service
HHS
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Education & Training
Nursing & Midwifery
DARIAN WARD
Director Education & Training
RAY JOHNSON
Director Cancer Care Service
THE Practical Obstetric Multi-Professional Training (PROMPT)
workshops have been facilitated in the Wide Bay since May
2014. Prior to this the Maternity Crisis Response Management
(MaCRM) workshops were offered locally.
SACRED Cows - they are things that no one who does them
can explain the rationale for, other than justifying it with these six
words, their mantra: “We’ve always done it this way.”
PROMPT facilitates learning with short information sessions,
skill stations and scenarios.
The workshops target groups of professionals who may be
involved with an obstetric emergency and include but are not
limited to midwives, medical officers from the Obstetric and
Gynaecology team, medical officers from the anaesthetic team
and students in medicine and midwifery.
At a recent workshop in Hervey Bay, the use of mannequins and
simulated patients in the scenarios helped achieve the learning
outcomes.
This picture (left)
shows Dr Ali
Jones on airway
management,
Dr Catherine
MacDonald
overseeing the
obstetric intervention,
with midwives
Liz Dale, Maree
McCredie and
Ansie van Teijlingen
assisting with cares. Midwife Gail Barber is supporting the
woman’s partner.
This picture shows
Hannah Redman
(Medical Student)
as the simulated
patient with Hardy
Jennings (Medical
Student) as the
simulated support
person.
I was reminded this week of how difficult it can be to challenge
our “sacred cows” in nursing. These are ideas or practices we
have held or done for so long that they often go unquestioned.
Historically, nurses’ decisions about patient care have been
based on tradition, communication with other nurses, knowledge
gained in nursing school, or preferences of medical providers.
These traditional practices, or Sacred Cows, may not contribute
to quality care and can be very costly and time consuming. Best
practices in patient care occur when nurses continually ask
questions about interventions, evaluate the evidence to support
or refute traditional practices, implement best evidence and
evaluate outcomes. As nurses question current practice, they
can begin to recognise relationships between scientific evidence,
best practice recommendations, clinical decision-making and
patient outcomes.
Categories of Sacred Cows
Cash Cow
The most expensive but cost-ineffective
traditional practice being performed without
supporting evidence
Mad Cow
The craziest, most bizarre, outlandish, weird,
and ridiculous traditional practice being
performed without evidence
I Never Saw a
Purple Cow
No one has ever read any evidence that
supports this traditional practice or can explain
why it is being done
’Til the Cow
Comes Home
A traditional practice of unknown origin being
performed for the greatest number of years
without supporting evidence
Don’t Have a Cow
Everyone would be upset to give up this
traditional practice, even though there is no
evidence for doing it
Put the Cow out
to Pasture
Everyone is aware there is no benefits to this
practice and would like to get rid of it
Dr Catherine
MacDonald is again overseeing the obstetric intervention with
midwife Ann Louise Huth and Nursing Director Heather Dickfos
assisting with cares.
Some traditions remain today that we all enjoy, like always
making a bed with the opening of the pillow case facing away
from the door because that’s how Florence Nightingale did it in
the Crimean War when they had to nurse soldiers in tents; facing
the pillows away from the door meant that they didn’t get filled
with sand blowing through the tent. I haven’t seen any horses
galloping past our wards of late…
If you have any questions or would like any information on this
workshop please contact Education Training and Research on
[email protected]
As a profession, we need a new mantra - ‘why do we do it this
way?’ Cows are better suited to pastures than nursing practice.
How many “Sacred Cows” are in your pasture?
Improving health, together
12