ORIENTATION INFOBOOK TAIRAWHITI INTERPROFESSIONAL EDUCATION PROGRAMME - Ko Matakerepo - Outside the Learning Centre at Hauora Tairāwhiti ...
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TAIRAWHITI INTERPROFESSIONAL EDUCATION PROGRAMME ORIENTATION INFOBOOK Ko Matakerepo – Outside the Learning Centre at Hauora Tairāwhiti
The Tairāwhiti Inter-Professional Education (TIPE) programme is a unique health education initiative in a rural setting now in its eighth year. TIPE was setup by University of Otago and Eastern Institute of Technology (EIT) with funding from Health Workforce New Zealand along with a sister programme run by University of Auckland based in Whakatane as a 3 year demonstration programme (2012-2014). The aim was to assess how effective IPE is in training student health professionals to work together in clinical settings and the long term goal of increasing recruitment and retention of healthcare professionals in rural and remote locations. TIPE has grown from strength to strength, with TIPE students also going to Wairoa from 2014. It has gained approval and further funding for the programme to continue until 2021. We are now using it as a model to establish further IPE programmes at a new site on the South Island Tairawhiti Interprofessional Education Programme Orientation Infobook 2020 1
Table of Contents 1. OVERVIEW ............................................................................................................................................. 4 2. KEY STAFF............................................................................................................................................... 5 3. BEFORE YOU GO AND SETTLING IN ....................................................................................................... 5 a. General Information........................................................................................................................... 5 b. Getting there ...................................................................................................................................... 6 c. Accommodation ................................................................................................................................. 6 d. Transport............................................................................................................................................ 7 e. Immunisation (Gisborne based students) .......................................................................................... 7 f. What to bring ...................................................................................................................................... 7 g. Community Facilities .......................................................................................................................... 8 h. Becoming involved with the community ........................................................................................... 8 4. THE PROGRAMME IN MORE DEPTH ...................................................................................................... 9 a. How your time is balanced over the 5 weeks .................................................................................... 9 b. The First Week ................................................................................................................................... 9 c. Learning Outcomes ............................................................................................................................ 9 d. Assessment ...................................................................................................................................... 10 e. E-learning - EIT Online ...................................................................................................................... 11 f. Student Status................................................................................................................................... 11 5. BEHIND THE SCENES ............................................................................................................................ 12 a. Staff behind the scene ..................................................................................................................... 12 b. Evaluation ........................................................................................................................................ 12 6. GENERAL INFORMATION ..................................................................................................................... 13 a. Attendance ....................................................................................................................................... 13 b. Dress code and professional appearance ........................................................................................ 13 c. Identification .................................................................................................................................... 13 d. Indemnification ................................................................................................................................ 13 e. Insurance of student personal property and motor vehicles .......................................................... 14 f. Security ............................................................................................................................................. 14 g. Special requirements ....................................................................................................................... 14 7. HEALTH SERVICE, RESOURCES AND FACILITIES ................................................................................... 14 a. Computers and Internet Connection ............................................................................................... 14 b. Library .............................................................................................................................................. 14 Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 2
c. Stationery ......................................................................................................................................... 14 d. Phones, photocopiers/fax ................................................................................................................ 15 e. Personal Health and Wellbeing ........................................................................................................ 15 • Health Services while on the programme................................................................................ 15 • Counselling ............................................................................................................................... 15 Appendix A: LEARNING OUTCOMES ........................................................................................................ 16 APPENDIX B: PRINCIPLES OF ETHICAL BEHAVIOUR ................................................................................. 20 APPENDIX C: PRE DEPARTURE CHECKLIST & SUGGESTED LIST OF WHAT TO TAKE ................................ 22 APPENDIX D.1: – MAP & ACCOMMODATION (GISBORNE and TDH) ....................................................... 25 APPENDIX D.2: MAP & ACCOMMODATION (WAIROA) ........................................................................... 27 APPENDIX E: 2020 BLOCK DATES ............................................................................................................. 28 APPENDIX F: REIMBURSEMENT FORM FOR PRIVATE VEHICLE TRAVEL TO AND FROM TIPE .................. 29 Tairawhiti Interprofessional Education Programme Orientation Infobook 2020 3
1. OVERVIEW TIPE will provide you with a fantastic opportunity to work collaboratively with other disciplines for both professional and personal development. The programme will also focus on the provision of rural health care, chronic conditions management, and principles of hauora Māori. It offers the opportunity to be part of a rural community, to experience a different lifestyle, to meet new and interesting people and to enrich your clinical work. There are a multitude of experiences available to you in both Gisborne and Wairoa: we encourage you to make the most of these opportunities. Interprofessional education (IPE) “occurs when members from two or more professions associated with health or social service are engaged in learning with, from and about each other”. IPE fosters patient centred team-based health care, where members of different health disciplines work together for the patient, as their common goal. Such interprofessional practice has been shown to improve both safety and quality of patient care, and especially so for those with complex chronic conditions. The eleven participating health disciplines are senior students in their final year of study – Dental, Dietetics, Medical, Nursing, Occupational Therapy, Oral Health, Pharmacy, Physiotherapy, Social Work, Speech Language Therapy and Paramedicine. Each student will have an individualised placement programme which has been designed to ensure you obtain good quality clinical experience. This is organised to give you a variety of experiences within your own discipline, with other disciplines and within a variety of settings, (e.g. rural, chronic conditions management and hauora Māori). There are a total of five blocks per year each consisting of 5 weeks duration. Time will be spent on placements within your own discipline, with other disciplines and doing group activities and projects. TIPE pays for one return trip to Gisborne or Wairoa to and from your main clinical location. Accommodation is provided for all the TIPE students for 5 weeks (duration of the IPE programme) in the Tairāwhiti District Health Board (TDH) compound or at Wairoa Hospital. In most cases each student will have their own individual room in a communal setting with a shared bathroom and kitchen. Any extra weeks accommodation will be at the students expense. (Hauora Tairāwhiti $150 per week and Wairoa $99) The Gisborne district (population 45,000 with about 30,000 residing in the city) and Wairoa (district population of 10,000, town just over 8000) are both known for their warm summers and mild winters. The locals pride themselves for their hospitality and you will find the local TIPE staff are all worthy examples of this characteristic. Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 4
2. KEY STAFF The following staff will be based in Gisborne and Wairoa and will primarily be your first point of contact on the programme: Natasha Ashworth, Programme Leader Email: natasha.ashworth@otago.ac.nz Phone: 06 869 0500 ext 8755 (office) 022 012 7632 (mobile) Marty Kennedy, Deputy Programme Leader Email: m.kennedy@otago.ac.nz Phone: 06 869 0500 ext 8755 (office) 027 511 4757 (mobile) Rose Schwass, Programme Co-ordinator Email: rose.schwass@otago.ac.nz Phone: 06 869 0500 ext 8554 (office) 021 279 4352 (mobile) Janie Thomas, Wairoa Professional Practice Fellow Email: Janie.Thomas@hawkesbaydhb.govt.nz Phone: 021 043 2154 (mobile) 3. BEFORE YOU GO AND SETTLING IN a. General Information Your main point of contact before you go to IPE is Amanda Garnett the IPE Programme Manager. Amanda is based at University of Otago, Wellington in the Department of Primary Health and General Practice. Amanda will send you a link to on line general information form. Contact Email : amanda.garnett@otago.ac.nz Phone: (04) 385 5460 mobile 021 261 7690 Tairawhiti Interprofessional Education Programme Orientation Infobook 2020 5
b. Getting there • The programme starts with a noho Marae usually on the Sunday night although occasionally this will be on the Monday. We recommend you travel on the Saturday before the programme or clinical placement. • Travel arrangements (one return trip to Gisborne or Wairoa from your main clinical location and return) will be made and paid for by the IPE programme. • If you choose air travel, return flights from your main clinical location will be booked by Programme Manager, Amanda Garnett. Any specific requirements can be stipulated on the General Information Form. Gisborne staff endeavour to meet all air travel students at the airport upon arrival in order to take them to the accommodation. If this is not possible a taxi will be organised and the student informed of the situation. Flights will be made for the Saturday before the start of the programme. If you’re at a clinical placement in Gisborne or Wairoa before the TIPE programme begins you can specify your travel dates. • If you choose private transport, TIPE will reimburse mileage or fuel in accordance with UO policies. Please note the preferred method is mileage and can be claimed at 42 cents per km. Please see Appendix F. Please let us know your anticipated day of arrival so a welcome pack can be left for you at the hospital reception. • A map of how to get to the Hauora Tairāwhiti or Wairoa Hospital and accommodation is in Appendix D c. Accommodation • Accommodation is provided either at Gisborne Hospital, 421 Ormond Rd. or Wairoa Hospital, Kitchener St. TIPE pays for your accommodation for the 5 weeks of the programme. If you require to stay for extra weeks to comply with your disciplines curriculum you will need to pay the weekly accommodation yourself. ($150 per week for Gisborne and $99 for Wairoa). In most cases each student will have their own individual room in a furnished dormitory setting with a shared bathroom and kitchen. Hospital standard bed linen is supplied. Other hospital staff live in the hostel on a permanent or part time basis please be respectful of those around you • The communal areas at the accommodation are cleaned on regular basis but you are responsible for your own room and with others in the accommodation for keeping the kitchen areas clean. Previous students have not been respectful of the accommodation and rather than instigate a bond system there will be a inspection of Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 6
accommodation at the end of the programme to ensure that rooms and communal areas are in an acceptable state. While at the accommodation you are representing your discipline, the programme and your institution. Please refer to Appendix D for maps d. Transport • Transport during your time on the programme will be provided during TIPE activities only. • For some activities a DHB vehicle will be available. Only students who hold a Full New Zealand driver’s license will be able to drive. Please note that all the relevant road and transport laws apply. You will also be required to comply with DHB policies and procedures relating to the use of the vehicles including those relevant to drivers under 25 years of age. Cars will be inspected at the end of programme to make sure that they are in an acceptable state to return to the DHB. • Vehicles maybe available for personal use within district during weekends, but you must purchase fuel. GPS monitoring is active in all DHB vehicles. • Transport will be supplied during the rural placements as no public transport is available. • You may not use your own transport during TIPE activities. If you have a specific requirement/request contact the Programme Co-ordinator: rose.schwass@otago.ac.nz, ph (06) 869 0500 ext 8554; 021 279 4352 (mobile) • In Gisborne Red Bus Service provides 2 buses operating to and from the city centre and the outer suburbs. No service is provided for rural areas outside the city, or coastal and rural townships. Details for the timetables and bus stops can be located at the Gisborne District Council Website. • Gisborne Taxi services offers a reliable 24/7 service. Credit card and taxi charge accepted. Contact 0800 505 555 or (06) 867 2222 e. Immunisation (Gisborne based students) In accordance with Tairāwhiti DHB policy, students will be required to declare that their immunisation status is up to date. Be prepared to provide appropriate documentation of immunisation status at the commencement on the programme if requested. f. What to bring • Clothing suitable for clinical placements, dress appropriately as a trainee health professional and wear your student ID. If you have a uniform please bring it. A long dark coloured skirt/dress or trousers is recommended for the noho marae experience. • Clothing suitable for extracurricular activities. Previous student cohorts have taken part in activities such as waka ama, surfing, and tramping to the top of Mt Hikurangi or around Lake Waikaremoana. Tairawhiti Interprofessional Education Programme Orientation Infobook 2020 7
• A sleeping bag (for noho marae and possible tramping trip(optional)) Please refer to Appendix D for a list of suggested personnel items. g. Community Facilities • Supermarkets are located in the city centre in Gisborne ( 5 – 10 minute drive) • Lytton shopping centre is the closest to the Gisborne accommodation – a 3 minute walk from the TDH main entrance. It has a Four Square, bottle store, bookshop, bakery, takeaway, hairdresser, ANZ and Westpac ATM • Wairoa has a New World supermarket (approx. 5 minute drive) and Four Square h. Becoming involved with the community • The East Coast community has always had the reputation of being a friendly and welcoming community. Activities and placements within the programme will allow you to interact in community activities, and events calendars with local organisations will keep you informed of upcoming events. • Tairāwhiti and Wairoa offer a range of activities and opportunities during your placement for playing sport – team or individual, recreation or exploring the region. Weekends are free to use at your own discretion although as part of appreciating “rural aspects” interaction with the community is encouraged as much as possible. There may be some optional weekend activities scheduled e.g. waka ama and/or tramps to Mt Hikurangi or Lake Waikaremoana. • Tairāwhiti and Wairoa offer a wide variety of things to see and do. Please see The Out East site http://www.outeast.co.nz and the www.newzealand.com websites. Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 8
4. THE PROGRAMME IN MORE DEPTH a. How your time is balanced over the 5 weeks All students have individualized placement programmes provided. This is organised to give you a variety of experiences within your own discipline, with other disciplines and within a variety of settings, (e.g. rural chronic conditions management, hauora Maori). See the Programme Co-ordinator if you have any queries: rose.schwass@otago.ac.nz, ph (06) 869 0500 ext 8554, 021 279 4352 (mobile) Tairāwhiti Interprofessional Education Programme Home clinical placements 25% Classroom and group activities 55% 20% Interprofessional placements and hauora Māori b. The First Week The programme starts with a stay overnight at a marae in the local area (noho marae). Please ensure you have a sleeping bag and suitable clothing. Other details about the first week will be sent to you nearer the time. c. Learning Outcomes At the end of the programme, and within a clinical, rural, hauora Māori context, you will be able to demonstrate that you have developed advanced skills in, and understanding about: 1. Interprofessional Communication 2. Treaty of Waitangi [especially as it influences health and social care in Tairāwhiti] 3. Hauora Maori [especially as it influences health and social care in Tairāwhiti] 4. Rural health care [especially as it influences health and social care in Tairāwhiti] 5. Patient/Client/family-whanau centred approaches [to care] 6. [Health professional] role clarification and understanding - roles and responsibilities Tairawhiti Interprofessional Education Programme Orientation Infobook 2020 9
7. Team work and team functioning (including negotiating disagreement) 8. Collaborative leadership (and followership) 9. Reflection about practice [especially in relation to long term/complex conditions management, socially accountable practice] 10. Coordination and decision-making [in patient/client care] The programme covers the following Interprofessional (IP) Competency domains • Interprofessional communication • Role clarification and understanding • Reflective practice – incorporating interprofessional principles, values, ethics • Teamwork and Team Functioning (including conflict negotiation and resolution) • Collaborative leadership (and followership) • Coordination and decision making For full details on each outcome, refer to Appendix A. d. Assessment During this 5-week IPE module, you will need to complete the following 4 assessment tasks. Successful completion of these tasks will meet each discipline’s assessment requirements for the 5-week module. Time allocation: Assessments 1 and 3 are substantive and run over the whole module; Assessments 2 and 3 will require less time and can be completed on a week by week basis. Assessment 4 will be awarded a group mark. As a rule of thumb, it may be helpful to think of 1 and 4 as together taking around 80% of your time; 2 and 3 together about 20%, but none should be onerous and all should reflect your experience. 1. Assessment one – Clinical diary/logbook; demonstration of satisfactory clinical competence You will be supplied with a clinical logbook. Take this with you to each of your disciplines clinical placements – some items require specific sign off by one of your supervisor(s)/preceptors on the day. There are two sections – the first with interprofessional (including Hauora Maori) components which is located on the e- learning platform Moodle; and the second (hard copy) with discipline-specific tasks. Near the end of the five week module : Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 10
a. Ensure you have completed your online entries for your Interprofessional reflections on Moodle b. Your Clinical Supervisor will review all your log book sections along with feedback from your preceptors, and fill in and sign off your discipline-specific clinical competence form. 2. Assessment Two – Rapid Community Appraisal Working in nominated small groups, you will need to work together to complete a Community Assessment Tool, and prepare a short presentation. As a group you present to each other and your Clinical supervisors by the end of Week 1. 3. Assessment Three – Case work During the module, you will be given a Patient scenario (complex case) to work on in groups. At the conclusion of the week, you will present your joint management plan for your patient as a group to your colleagues and the Clinical supervisor(s) responsible for the case. 4. Assessment Four – Community Education Project This education project is the key piece of work you need to complete in groups over the course of your 5 weeks together. The project topics have been chosen by a particular community in Tairāwhiti and Wairoa as something they would like you to do for them. From Week 1 you will have time to spend together each week to develop the educational project (e.g. a teaching session on a health topic, or an educational resource for a particular group). In Week 5 each group will present their resource back to the members of the community who have requested the topic and also to TIPE staff on the final day of the module. e. E-learning - EIT Online An e-learning Moodle site EIT Online has been developed for the programme. All students are expected to record brief but concise reflections to demonstrate clinical learning and experiences. Details on access and how to use this facility will be provided before you start the programme. f. Student Status • For the purposes of accessing EIT learning resources and facilities, all University of Otago students will be enrolled and registered with the EIT system. • All students are to use the facilities and resources in accordance with EIT policies and procedures. Tairawhiti Interprofessional Education Programme Orientation Infobook 2020 11
5. BEHIND THE SCENES Your local TIPE programme staff don’t work in isolation. For the programme to work as an integral part of the degree course you are each enrolled in, close links with and between the University of Otago, Otago Polytechnic and EIT are essential. a. Staff behind the scene • TIPE Programme Director (UOW) - Professor Sue Pullon • TIPE Programme Manager (UOW) – Amanda Garnett • Sue chairs the Education Operations Group (EOG) – responsible for liaising with each School and collectively ensuring this course meets your degree requirements. The Education Operations Group have representatives from each discipline - ◊ Sue Pullon – Programme Director and Chair (UOW) ◊ Alison Meldrum – Dental School (UO) ◊ Louise Beckingsale – Human Nutrition (UOC) ◊ Sam Murton & Lesley Gray – TI Medical Academic Convener (UOW) ◊ Sue Floyd – School of Nursing (EIT Hawkes Bay) ◊ Susan Moffat – Oral Health (UO) ◊ Narinder Verna – School of Occupational Therapy (Otago Polytech) ◊ Aynsley Peterson – School of Pharmacy (UO) ◊ James Windle – School of Physiotherapy (UO) ◊ Karlin Austin – School of Social Work (EIT Hawkes Bay) ◊ Tehmina Gladman – Education advisor (UOW) • The EOG reports to a Governance group which comprises of senior representatives of each discipline and local stakeholders including Tairāwhiti DHB, Ngati Porou Hauora, Turanga Health and Ngati Kahungunu Your local TIPE programme staff work with all these people. You are likely to see or hear of them at some stage in or around your time at Tairāwhiti. b. Evaluation Because this programme is unique (and has a sister programme in Whakatane, run from the University of Auckland with AUT) it is important it gets evaluated in several ways by people independent of the programme. You will be asked to participate in some simple evaluation tasks that will help us to continue to develop and improve the programme. Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 12
6. GENERAL INFORMATION a. Attendance You are expected to attend all activities scheduled for you on the course. The Tairāwhiti and Wairoa community, your clinical supervisors and many other local health professionals and Co-ordinators have put a great deal of effort into organising a carefully integrated mix of clinical placements and experiences for you to learn in. Please be respectful of the effort and dedication that has been put in on your behalf by: • attending all activities • dressing appropriately as a trainee health professional arriving on time, clearly introducing yourself and wearing your student ID • respecting patient confidentiality at all times (especially in any social situations) • avoiding leaving part way through any patient encounter (e.g. a consultation or treatment session) unless specifically asked to do so • thanking your preceptor (and other staff/community members as appropriate) as you leave • If for any reason you are unwell or have a need for an unavoidable absence, please contact Rose Schwass or Natasha Ashworth urgently. : rose.schwass@otago.ac.nz, ph (06) 869 0500 ext 8554,or Natasha.ashworth@tdh.org.nz 022 012 7632 (mobile), 06 869 0500 ext 8755 b. Dress code and professional appearance • Dress standards should be appropriate to the functions being performed, occupational health and safety requirements, cultural diversity, local community standards and climate. • Healthcare professionals are held in high esteem. As such, patients and the community expect a certain standard of dress and grooming. Make sure you look professional and comfortable. • Be clean and tidy, and adhere to necessary personal hygiene standards. • Ensure mobile phones are switched off when seeing patients c. Identification You are required to wear a supplied DHB identification at all times. Your student status allows you to undertake supervised clinical activity in an approved clinical attachment and environment. d. Indemnification The University and EIT will provide financial protection for claims against a student participating in an approved clinical placement or electives. If a claim is made against a student in relation to their activities whilst participating in an approved clinical placement or elective and the claim was not brought about or contributed to by any dishonest, fraudulent, Tairawhiti Interprofessional Education Programme Orientation Infobook 2020 13
criminal, malicious or deliberate act or omission by the student, the University and EIT will provide a legal support and where necessary meet the cost of such a claim. Note that some disciplines have additional specific indemnity relating to placements, and this will be applicable during your IPE experience. For queries, see Programme Leader: natasha.ashworth@otago.ac.nz e. Insurance of student personal property and motor vehicles Students are required to have their own individual insurance cover for all personal items. If you have a vehicle it is your responsibility to ensure your vehicle is appropriately registered and insured. It is also your responsibility to ensure you are appropriately licensed. f. Security • It is your responsibility to ensure your personal belongings are secured and safely locked away. Minimise the amount of money, jewellery and valuables that you carry on you. • You need to be aware of personal and professional security issues in the workplace. Speak to the Programme Co-ordinator or the Programme Leader if you have any concerns; notice anything unusual or anyone acting suspiciously. g. Special requirements It is important that you notify the Programme Co-ordinator or the Programme Leader of any special requirements you may have in relation to your TIPE experience (eg. medical condition, disability, religious/or cultural requirements). rose.schwass@otago.ac.nz, ph (06) 869 0500 ext 8554, 021 2794352 (mobile) 7. HEALTH SERVICE, RESOURCES AND FACILITIES a. Computers and Internet Connection • You will have access to computers in the Learning Centre during your IPE experience. You are required to use these resources with due care. (Policies for DHB’s and the University/EIT/Otago Polytechnic will apply when accessing the internet) • Internet access through wireless connection will be available in the student accommodation. b. Library • You will have access to the TDH library facilities and resources. The TDH librarian is available to assist you. TDH library facilities are available Monday – Friday 8:30am – 5:30pm. c. Stationery • Basic paper and photocopying resources are provided. There are local stationery stores where you can purchase items. You are welcome to take your own. Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 14
d. Phones, photocopiers/fax • Work place phones, photocopiers/fax are for work use only. • Seek permission for use and guidance where appropriate. e. Personal Health and Wellbeing • Health Services while on the programme As students of the TIPE programme, you are entitled to fully funded access to primary health care services during the course of the programme. Should you require any of these services? See Programme Co-ordinator. rose.schwass@otago.ac.nz, ph (06) 869 0500 ext 8554. • Counselling Should you require the services of a counsellor, confidential service is available for students. See Programme Co-ordinator. rose.schwass@otago.ac.nz, ph (06) 869 0500 ext 8554, 021 2794352 (mobile) Tairawhiti Interprofessional Education Programme Orientation Infobook 2020 15
APPENDICES Appendix A: LEARNING OUTCOMES Tairāwhiti Interprofessional education (TIPE) programme: Core Intended Learning Outcomes – updated 2019 • Interprofessional (IP) Competency domains • Interprofessional communication • Role clarification and understanding • Reflective practice – incorporating interprofessional principles, values, ethics • Teamwork and Team Functioning (including conflict negotiation and resolution) • Collaborative leadership (and followership) • Coordination and decision making At the end of the programme, and within a clinical, rural, hauora Māori context, the student will be able to: 1. Interprofessional Communication a. Demonstrate effective communication in a culturally safe, empathetic respectful and responsive manner with patient/clients/whanau/peers and colleagues. b. Demonstrate effective oral, written and presentation communication skills in routine and complex situations 2. Treaty of Waitangi a. Demonstrate an understanding of the special relationship between Maori and the Crown under the Treaty of Waitangi. 3. Hauora Maori a. Demonstrate principles of cultural safety, competency and literacy within the health environment. b. Demonstrate appropriate engagement and interaction with Maori patients, whanau and the community. c. Identify and apply appropriate Hauora Maori models within clinical and public health environments. d. Demonstrate knowledge and appreciation of the role of diverse health disciplines in Maori health and the capacity to work in an interdisciplinary team in Maori health Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 16
APPENDICES 4. Rural health care a. Demonstrate understanding of the characteristics of rural communities, including the benefits and challenges of living rurally b. Demonstrate knowledge and appreciation of rural community values and their influence on health, and health and social care c. Understand the importance of interprofessional collaborative practice (IPCP) in supporting rural patients, and health and social care professionals who live and work rurally d. Understand key rural health challenges so as to be able to work together in the best interests of the whānau and wider community. 5. Patient/Client/family-whanau centred approach a. Demonstrate the ability to seek input, share information and advocate for patients/clients’ participation in clinical decision making, in ways that maximise patients/clients safety, independence, cultural needs and quality of life and health b. Establish and maintain collaborative working relationships with patients/clients and their families/whanau 6. Role clarification and understanding - roles and responsibilities a. Demonstrate the ability to clearly explain own health professional role and responsibilities, and level of knowledge and judgement to patients/clients and their families /whanau b. Demonstrate the ability to respect, value and explain the roles and responsibilities of the other health professionals you work with to patients/clients and their families /whanau c. Demonstrate an understanding of the concepts of professional and interprofessional accountability, and associated legal and ethical issues Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 17
APPENDICES 7. Team work and team functioning (including negotiating disagreement) a. Demonstrate the ability to contribute to effective team functioning (including appropriate leadership, delegation, documentation) to improve collaboration, in the interests of patient safety and quality of care. b. Demonstrate the ability to effectively negotiate and resolve disagreement within a learning group. c. Respond to differences of opinion within an interprofessional team in the interests of potential positive outcomes. d. Demonstrate (where appropriate to the level of learning), the ability to participate in effectively negotiating and resolving disagreement between providers, patients/clients/ family/whanau (including the ability to raise and/or challenge differences of opinion in the interests of patient safety and quality of care). 8. Collaborative leadership (and followership) a. Establish and maintain collaborative working relationships with student and clinician colleagues in other health disciplines and within their own discipline b. Demonstrate the ability to lead a small group where appropriate, taking the needs of the group members into account, and working collaboratively with the group members. c. Demonstrate the ability to participate as a member of a small group where appropriate, taking the needs of the group members into account and working collaboratively with the leader. 9. Reflective practice e. Recognise the value of interprofessional learning (IPL) and interprofessional collaborative practice (IPCP) as a socially-accountable response to contemporary contextual drivers of health care. f. Recognise the value of interprofessional learning (IPL) and the need for interprofessional collaborative practice (IPCP) in caring for those with long term and/or complex health and/or social situations g. Recognise and value the roles and skills of all members of the health team in the delivery of care. h. Demonstrate ability to identify and reflect critically on own perspectives in relation to a team Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 18
APPENDICES 10. Coordination and decision-making a. Recognise effective communication strategies in teams in relation to the acceptability, quality and safety of clinical and professional outcomes. b. Recognise when to consult with, refer and/or fully collaborate with other health care professionals c. Understand the importance of, and start to establish purposeful networks within the health and social care community. Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 19
APPENDICES APPENDIX B: PRINCIPLES OF ETHICAL BEHAVIOUR Access to medical/health records • Access to medical records (records pertaining to the patient’s health recorded by any discipline) and patient information is limited to those patients that you are providing care to, and who have consented to being seen by you. Documenting on medical records • Follow instructions at clinical placements. • You should always comply with established quality and privacy standards. Confidentiality • The University and EIT places very high importance on maintaining patient confidentiality and privacy. Patient trust is critical to providing high quality health care. • It is your responsibility to ensure that information pertaining to a person’s condition and treatment is kept secure. As a student, you may only access specific clinical records with the authorization and supervision of your supervisor. • You are obliged to adhere to the Health Information Privacy Code. In accordance with this, no information contained within any assessments will identify client/consumers/whanau/communities as well as health team members/staff. Confidentiality requires not only protecting the name of individuals/groups but also their locality/specific unique situation. Please obtain the patient or if applicable the families consent to use his/her medical information in a presentation. Confidentiality must be assured. • Whilst on clinical placement you have a duty to maintain the confidentiality of all information that comes to you in the course of providing care to patients. Health care professionals (and students under the supervision of the health care professional) who have a legitimate therapeutic interest in the care of the patient may generally have access to the information they need to know in order to provide appropriate care and treatment. Consent to the sharing of information in these circumstances will generally be implied. At the commencement of the outplacement you may be required to sign a declaration of confidentiality. This form states that you will regard and maintain all information gained in the course of your placement directly or indirectly relating to patients, clients, staff, operational or procedure and policy matters as confidential. • Discussions involving patient, client or employee details with other employees or members of the public should be avoided unless they are part of your duties. Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 20
APPENDICES • You will have had many discussions in your course about confidentiality. There are, however, some specific aspects of rural practice that may cause problems. In smaller communities anonymity is rare, therefore news can travel fast. You must take care when: o Sharing medical information with the health team to support a patient and their family o Sharing information or making future care arrangements at the reception desk o Conducting any discussion of patients in a telephone conversation o When walking out of the clinic talking with your supervisor you may find you are talking about a patient in the waiting room. o Discussion about patients’ condition and management with your supervisor is vital for your education, but you need to exercise care about where this happens. In the consulting room, with the door shut is acceptable, but the tearoom may have members of staff present who are family members of the patient. o Avoid patient/specific clinical information of any kind on Facebook, no photos of patients or whanau without proper consent, only share clinical information in the correct manner via Moodle (secure environment) o Never assume it is safe to talk about a patient Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 21
APPENDICES APPENDIX C: PRE DEPARTURE CHECKLIST & SUGGESTED LIST OF WHAT TO TAKE Items Are you clear? Tick Documentation Have you completed the online form. Travel and Have you received and confirmed your flight arrangements? Local Transport Tairāwhiti staff endeavour to meet all air travel students at the 1. Flying Gisborne airport to transport them to the accommodation. If this is not possible a taxi will be organised and the student informed. Wairoa students will fly to Gisborne and transport to Wairoa will be arranged. Upon arrival report to the hospital/ED reception to obtain your arrival pack and access to the accommodation. A hospital map is in Appendix D 2. Taking your car If you are driving, have you got an up to date map? Make sure you check weather conditions. A map and directions to Tairāwhiti DHB or Wairoa Hospital is in Appendix D. Upon arrival report to the hospital/ED reception to obtain your arrival pack and access to the accommodation. Obtain a re-imbursement form to ensure you get reimbursed for travel costs. This may need to be accompanied by a bank deposit form or supporting evidence of the bank account. Eg: copy of a bank statement Immunisation Are your immunisations up-to-date and are you able to provide appropriate documentation of current immunisations. What to pack Clinical – Appropriate to the functions being performed, occupational health and safety requirements, cultural diversity, local community (Refer to the standards and climate. Uniforms should be worn if appropriate. suggested list of what to take) Leisure – Pack leisure wear including sports shoes, swimwear and clothing suitable for outdoor activities. Also a sleeping bag for the noho marae and hiking equipment (optional) eg day pack, headlamp and thermal wear. A long dark coloured skirt/dress or trousers for going onto the marae. Communication How will you most easily communicate with home? Mobile reception is variable in Tairāwhiti. Wireless internet is available in all the accommodation. TIPE Some pre reading will be available on EIT Online. You will be notified of your sign on before you go to Tairāwhiti. Have you signed on? NB: This list was initially drafted by previous IPE students Item Quantity Comment Laptop 1 Cellphone 1 Towels 2 Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 22
APPENDICES Linen Set Optional – as hospital linen is supplied Blankets 2 Optional Pillow 1 Optional Shower Jandals 1 Optional Toiletries Set Soap/shampoo/ toothbrush/paste etc. Medicines If applicable Uniform 1 2nd uniform optional Clinical equipment eg watch, 1 Essential stethoscope Name/Student Badges 1 All Clothes hangers 10 Optional Laundry Basket & Powder 1 Optional (Powder can be purchased later) Clothes pegs 12 Optional Multi plug (electrical) 1 Useful if you want to use several appliances at once Sports clothing & footwear 1 Useful for activities Swimming togs 1 Optional Sleeping Bag 1 Needed for Noho Mare (sleepover) Ear plugs 1 Optional (Handy at Noho Marae) Camera 1 Optional Driver’s License 1 Essential Vaccination History 1 Gisborne students only Day Pack 1 Useful for day trips & short hikes Wind breaker 1 Optional Raincoat and/or umbrella 1 Optional Sunglasses 1 Optional Headphones 1 Optional High visibility vest 1 For those exercising at night Cap/sunhat/sunscreen 1 Especially in summer months Beanie/scarf/gloves/slippers 1 Optional – especially useful in winter months Warm clothes Quantity For winter months USB Drives 1 Optional Stationery Selection Small quantity only Permanent Marker 1 Useful to name food items etc. Food storage ties Several To reseal open packets Food Storage containers 2 Optional Tidy clothes Quantity For those who don’t have a uniform – enough respectable dress for being at work eg shirts, dress trousers, tidy easy to walk in shoes Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 23
APPENDICES For those with a uniform -useful when working outside of normal clinical placements Socks Quantity Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 24
APPENDICES APPENDIX D.1: – MAP & ACCOMMODATION (GISBORNE and TDH) Directions for accommodation into Gisborne. Accommodation for the programme is situated onsite at Tairāwhiti District Health Hospital, 421 Ormond Rd, Gisborne Upon arrival into Gisborne at the 1st roundabout intersection (Lytton Road) turn left, continue straight till you approach the T section with the Hospital directly in front of you (shown in Fig 1 below). Turn left onto Back Ormond Road and right to enter Gate 1 as shown in Fig 2. Turn right and follow road straight through to the accommodation. Fig 2 – Hospital Map Fig 1 – Gisborne Map Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 25
APPENDICES Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 26
APPENDICES APPENDIX D.2: MAP & ACCOMMODATION (WAIROA) Map showing directions from SH2 to Kitchener St and Wairoa Hospital Wairoa Hospital Francis Kimball Hostel Building Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 27
APPENDIX E: 2020 BLOCK DATES 2020 Blocks Start Finish Block 1 Monday 2nd March Friday 3rd April Tairāwhiti & Wairoa Block 2 Monday 20th April Friday 22nd May Tairāwhiti & Wairoa Block 3 Monday 6th July Friday 7th August Tairāwhiti & Wairoa Block 4 Monday 24th August Friday 25th September Tairāwhiti & Wairoa Block 5 Monday 12th October Friday 13th November Tairāwhiti only Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 28
APPENDIX F: REIMBURSEMENT FORM FOR PRIVATE VEHICLE TRAVEL TO AND FROM TIPE Reimbursement Claim Form - Non Staff Attach ORIGINAL Receipts/Paid Invoices to the back of this form. Claims MUST be authorised by HoD/PVC/Delegated Authority in all cases. Please provide a bank account number (please attach deposit slip) Claimant Name Student Number Reason for Items claimed Date of Account code Amount GST Expenditure Receipt (s) Y/N Claim for use of Private Motor Vehicle on University Business: Trip Date Destination and Purpose of Trip Km Run Total KM Account Code: Rate per KM (Dissection 3371) NB: No GST claimed on mileage claims TOTAL TOTAL REIMBURSEMENT CLAIM Claimant’s Signature Approver’s (HoD/Delegated Authority Signature): Approver’s Name: Cost Centre Name: Date: Upon Completion of this form, the signed form needs to be returned to the Accounts Payable Office, Financial Services Division. Or Fax to: 03 479 7996 Or Scan the completed and signed form and email to:accounts@otago.ac.nz Tairawhiti Interprofessional Education Programme Orientation Infobook 2019 29
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