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ENROLLED NURSE SECTION of NZNO Pānui issue 14 Back row (L-R) Suzanne Rolls (PNA), Tina Giles (Treasurer), Debbie Handisides, Sue Goodwin, Michelle Prattley, Treve Swan (Secretary) Front Row Dalreen Larkin (TR rep) Robyn Hewlett (Chairperson), Robyn Schakelaar Enrolled Nurse Section Pānui Enrolled Nurse Section committee 2019 – August meeting Issue 14, December 2019 Highlights from the editor Robyn Schakelaar In this Issue: Well another year is about to come to They will need to be paid on line as a close and it’s been an exciting year well as the registration forms. with the acceptance to fund the Page 1: Highlights from the ENSIPP programme for newly Merry Christmas and editor graduated Enrolled Nurses. This is Page 2: Chairpersons News Happy New Year. major stepping stone to get our new Member Profiles nurses into the work force. Page 3: Conference Report I hope you all did the survey on the Page 4: Conference Report Scope of Practise. The survey has now closed and we hope to be able to give Page 5: Study Day Reports the results from this at the Conference Page 7: Scholarships & Grants which is being hosted in Dunedin by Graduations the Southern Region this year. 2020 Conference Study Days If you would like to present at Conference now is the time to look at “He ora te whakapiri” submitting your presentation to the There is strength in unity National committee. There are lots of funding options to help assist with the costs. These will be listed at the end of the newsletter. Robyn Schakelaar Please look at website about the Editor conference. This year we are doing the registrations differently. 1|Page
ENROLLED NURSE SECTION of NZNO Pãnui issue 14 committee is very pleased areas of practice/ speciality. Chairpersons that our suggestion of title Applications close on the 31st January has been accepted. 2020. The application form is available News on the Enrolled Nurse Section The Enrolled Nurse Section NZNO website. Applicants will be notified in National Committee received an February 2020 if they have been overwhelming response to our successful. “Enrolled Nurse Scope of Practice Survey 2019”, which closed on the 11th We wish all Enrolled Nurses a very December 2019. We thank Jinny Willis, Merry Christmas and a Happy New Principal Researcher, NZNO, for Year. putting the survey together for us, Robyn Hewlett from our suggestions of questions. We Chairperson Robyn Hewlett, Chair had an overwhelming 57% response. 2019 has passed us all by very quickly, We thank all enrolled nurses who are Member Profiles and with a New Year and decade on members of NZNO for participating in the horizon there are exciting things this valuable survey. It is valuable to happening for enrolled nurses and our the enrolled nurse section as it will new enrolled nurses who have give us some valuable data and graduated in 2019 and 2020 onwards. enrolled nurse comments and Major achievements for the Enrolled responses to the questions on the Nurse Section in 2019: Scope of Practice and Direction and Delegation. This will assist the May 2019 Minister of Health, Enrolled Nurse Section when we announces funding for a commence discussions with the supported transition into Nursing Council of New Zealand. Dalreen Larkin practice programme for Dalreen met her husband Mana when enrolled nurses. NorthTec Polytechnic in Whangarei they were 15 years old. She had their November 2019, Margareth are commencing the New Zealand first child at 17 and their seventh at 33, Broodkoorn, Chief Nurse, Diploma in Enrolled Nursing in March becoming a grandmother at 37. Ministry of Health, informs 2020, which is fantastic news. The the Enrolled Nurse Section Northland /Tai Tokerau Regional At aged 39, Dalreen decided to pursue National Committee that 130 Enrolled Nurse Section Committee and her lifelong passion of becoming a positions will be available for members are working and meeting nurse, so she enrolled at Whanganui new enrolled nurses in new with the Northland District Health UCOL. After the first week she graduate programmes from Board and NorthTec regularly, and will decided: she was too old; knew July 2020. assist in supporting the students when absolutely nothing; couldn’t they commence. understand what the lecturers were The title of the new graduate talking about; and it was all too hard. programme will be “Enrolled The 42nd Annual Enrolled Nurse However, she held on to a ‘tiny bit of Nurse Supported into Practice Section NZNO Conference is being hope’ and with further Programme” (EN SIPP). This held in Dunedin from the 19th -21st encouragement she tried again to was the title given by the May 2020. The theme for the pursue her lifelong passion of nursing. Enrolled Nurse Section conference is “The Year of the Enrolled Dalreen graduated as an Enrolled National Committee to the Nurse”. Registrations open this week Nurse in 2014 and has worked for document they compiled in on line. The draft programme is also Whanganui District Health Board 2014 to begin their journey to available on line, and will be updated since. lobbying for a fully funded regularly. new enrolled nurse graduate Today Dalreen is the Enrolled Nurse programme. The national We invite Enrolled Nurses to present Whānau Support Liaison Coordinator at our conference in 2020, from their Page | 2
ENROLLED NURSE SECTION of NZNO Pãnui issue 14 for the WDHB Outpatients As a PNA, Suzanne works locally with Department. She is known for her nurses in two regions: Wellington and excellent communications skills and Nelson, and Tasman and Marlborough building rapport with patients and areas. Member requests for advice their family/whānau. Working on a range from immediate practice issues, service improvement initiative in like ethical dilemmas to exploring Audiology, Dalreen made a future conversations regarding career demonstrable difference in supporting development. PNAs work with other more patients to attend their Suzanne Rolls NZNO staff such as NZNO lawyers, appointments and significantly Professional Nursing Adviser, NZNO. competency adviser and organisers on improve equity for Māori patients. She individual member issues. also more broadly supported She is a Registered Nurse, a member of patients/whānau to gain confidence the New Zealand Nurses Organisation Suzanne’s clinical background was in and strength in their own ability to (NZNO) and is employed by NZNO emergency nursing, critical care, and access services and navigate the since 2004. Suzanne is the NZNO’s general medicine. Suzanne has health system. professional nursing adviser (PNA) to completed a thesis titled “Exploring the New Zealand Enrolled Nurse workplace violence in the Emergency Dalreen also works in the WDHB ENT Section of NZNO. The role of a Department: Are emergency nurses and Medical departments, bringing professional nursing adviser enhances safe?”. In 2019, NZNO is undertaking that same dedication to NZNO members’ professional a national project addressing violence patient/whānau-centred care. aspirations and advocates for and aggression in the health system. improved health systems. Suzanne is currently leading the Dalreen presented the Audiology work project team. Key to all of this work at the 40th Annual Enrolled Nurse Suzanne has been in the forefront of will be modifying and adopting the Conference in 2018. She was invited the challenges and opportunities for Australian Nursing and Midwifery to be part of the New Zealand Nurses’ enrolled nursing in NZ since 2008. Federation Victoria Branch’s (ANMF’s) Organisation (NZNO) National Suzanne represented NZNO during the 10-Point Plan to End Violence and Committee and this year has been national enrolled nursing Aggression: A Guide for Health officially appointed as Te Runanga conversations regarding the outcomes Services. This plan is comprehensive and well-constructed and outlines key Representative of the EN section of the 2006 regulations review strategies with a systematic plan to NZNO National Committee. committee. This resulted in the past change the working environment for Minister of Health Hon Tony Ryall nurses and other health care workers. As a Māori representative of Enrolled instructing the Nursing Council of NZ Nurses (EN) in NZ, Dalreen is to review the scope of practice, title, The work of the project team and passionate about eliminating competencies and education NZNO includes: inequities in health for Māori and standards. Suzanne recalls these especially for Tamariki, so the next significant negotiations in 2008. How Confirming the NZNO position generation including her own the Enrolled Nurse Section activated statement on Violence and mokopuna can walk talk and proud, be the membership to take up the aggression towards and we healthy and reach their full potential. challenge of engaging with policy hope to publish this shortly. makers and shaping the future of enrolled nursing in NZ. Now enrolled Research into NZNO nurses are practising in the health members’ experiences with system in diverse settings and enrolled workplace violence and nurses have broadened their practice aggression has also been to optimise health outcomes. Since undertaken and will be 2010, there has been over 1200 ongoing. graduates from the National Diploma Highlighting to the regulator, of Enrolled Nursing. WorkSafe New Zealand, the need to include violence and Page | 3
ENROLLED NURSE SECTION of NZNO Pãnui issue 14 aggression to its priority list to intervention upon reports of The 41st Enrolled such acts in particular where concerns are reported and Nurse Section escalated by members. Conference held in As a PNA, Suzanne provides strategic leadership in a diverse work Hamilton 2019. programme, including guidance on progressing projects for nurses, Jenny Kendall NZNO Award “The Challenge of Change” making submissions to governmental departments and other agencies; as Jenny Kendall, Enrolled Nurse and well as managing communication theatre nurse at Capital Coast District internally within NZNO and with Health Board (CCDHB) was awarded external stakeholders on matters the Services to NZNO award at the relating to enrolled nursing practice in NZNO AGM & Conference in NZ. Suzanne is the PNA for the College September 2019. of Emergency Nurses of NZ and the Jenny has been involved with NZNO for Perioperative Nurses College. many years over her nursing career Through her years of experience as a and has supported her colleagues at professional nursing adviser, she has Wellington Hospital and CCDHB with become very familiar with the union support and encouraging her evidence-based guidelines, MOH colleagues in their professional targets, HQ&SC guidelines, and development. professional issues affecting the Jenny was one of the founding nursing workforce. Suzanne regularly members of the Enrolled Nurse represents NZNO in discussions with Section NZNO which was founded governmental agencies or external following a national seminar for stakeholders and has represented enrolled nurses and enrolling nurses NZNO in the media. (students), which was held in October The theme of the three day Suzanne enjoys working with the 1978 at Waiwhetu Maree, in Lower conference this year was the National Enrolled Nurse Section and Hutt. “Challenge of Change” regional committees. There is never a Jenny’s vision like a lot of us, is for pay They had an amazing programme of dull moment or lack of opportunity to equity and a greater recognition of the presenters. The conference focused advocate for enrolled nursing practice work that nurses do. on the importance of promoting the in NZ. Even with challenges in the value of enrolled nursing. Some of the health system, all nurses need to The Enrolled Nurse Section NZNO key points covered, included; pause and celebrate our achievements congratulate Jenny on her well- Communication, the deteriorating and contribution to health outcomes deserved NZNO Award. patient, and work place respect and for our population in NZ. Robyn Hewlett bullying. Chairperson Enrolled Nurse Section NZNO There were other presentations, but we found the ones mentioned above to be the most interesting. Page | 4
ENROLLED NURSE SECTION of NZNO Pãnui issue 14 early warning score (EWS) is a great Key tips we learnt from the tool to help recognise when a patient conference: is deteriorating. It is important to Knowing and understanding communicate your concerns with the multi-disciplinary team. your scope of practice, professional, legal and equitable responsibilities. Communication is the biggest Follow internal policies challenge in nursing. As enrolled designed to protect your nurses we need to understand and patient and you. Don’t cut communicate our scope of practice to corners to save time. our registered nursing colleagues. The most difficult challenge enrolled Seek advice don’t hesitate to nurses have faced over the years is ask more senior colleagues if that the registered nurse does not unsure about correct course understand the enrolled nurse’s scope Another topic discussed at the of action. of practice. From 2010 the enrolled conference was workplace bullying Speak up, always raise nurse scope of practice became the and respect and that bullying can hurt concerns about patient care, property of the Nursing Council of New physically and mentally. Some informing appropriate multi- Zealand. common bullying behaviours in disciplinary team nursing includes, withholding members…and acting as an information, using sarcasm, excessive monitoring of work, persistent public advocate for your patient criticism or humiliation. Bully’s hate Accurate documentation is witnesses. A respectable workplace is one paramount. that is supportive and collaborative, rather than put-downs and other bullying Some great news announced at the behaviours. conference, that there is a new grad funded programme for enrolled nurses. Our role as experienced enrolled nurses is to enhance, advance, empower our next generation of enrolled nurses. We should be proud of who we are and what we have to offer. The definition of the deteriorating patient is when physiological Conference activities of which Vicky decomposition occurs and a patient being the youngest had to participate experiences a worsening in their Workplace “safe zone” 5 principles: condition or an acute onset of a Maintain the self-respect and serious physiological disturbance. At motivation of others the conference it was discussed that Give feedback on actions and failure to recognize and respond to ideas rather than criticising patient deterioration and escalation in care has led to an increased risk of people adverse events in hospitalised Support others, rather than patients, this may have been avoided if undermining them patient deterioration had been Set realistic and attainable recognised and responded to earlier. goals Observations must be recognised as a Practice responsibly and vital task, rather than a basic task. The know your limitations Page | 5
ENROLLED NURSE SECTION of NZNO Pãnui issue 14 are worth it, it’s a recognition of our patient of the Burwood spinal unit who STUDY DAY practice, transferable, exemption is now an advocate for people who are from NCNZ audit, opportunity to making their own journey through the REPORTS progress through the levels, and health system. Southern Region Enrolled Nurse financial allowance as per the NZNO & Section Study Day 12th Report October PSA MECA’s. The session on grief held by Raewyn 2019 Robinson was full of useful information Bailley Unahi an inspirational young and had many on the course re- This year our annual study day was woman presented on her personal evaluating how we think about grief held at the education centre at story of a traumatic injury. But Bailley’s and questioning what we can change Southland Hospital. 43 Enrolled Nurses courage and strength has not stopped in our nursing practice and personal from across the Southern Region her from enjoying life, studying as an lives to support loved ones who are attended. A big thank you to all our Occupational Therapist, skiing and grieving. presenters for contributing to a great enjoying life to the max. day. Understanding Delirium was Two enrolled nurses presented at this presented in a lively manner by Susan The first presenter of the day was year’s study day. Gee and Tracey Hawkes. It contained a Rachel Nally, RN from Southland lot of practical information in an easy Hospital who presented and gave a Sue Robson, Enrolled Nurse, Adult in- to understand and interesting format. great overview of Osteoporosis, which patient Forensic Mental Health Unit, is the most common bone disease Wakari Hospital gave us a great There were two areas for which affects both women and men. overview of the forensic unit, how a improvement fed back to me. One was Treatment is screening, medication, patient is referred to the unit and Sue’s that the Incontinence Associated falls prevention, and bio phosphates. position as an enrolled nurse. Enrolled Dermatitis Pressure Areas and Skin Nurses are very involved in primary Integrity Session focused more on Skin Tears are a traumatic injury team nursing as a co-primary for the products rather than patient centred caused by shear friction and /or blunt patient with an RN. care. Second, was that the force. Many Pagan, Wound Care, CNS, Professional Nursing Advisor from Southland Hospital updated everyone Janet Gray, Enrolled Nurse, Ward 3 NZNO didn’t know who her target on the management, classification, Surgical, Dunedin Hospital, provided audience was and asked if there were types, dressing tips, including no steri- us with a great education session and HCA’s or allied health staff present. strips, followed by a great practical update on the Anatomy of the Cornea session. & Conditions. Some graphic eye Overall it was a great day enjoyed by photos and a promotion for eye organ all the nurses I spoke to. The highlight The National Bowel Screening donation were included. for me was reconnecting with ENs I’ve programme in the Southern DHB area met on previous occasions and hearing is changing lives, presenter Jason Hill, Robyn Hewlett Chairperson about what has changed in the areas Clinical leader, Bowel Screening SDHB Southern Region Enrolled Nurse Section they work in. informed enrolled nurses. The uptake of residents in Otago and Southland Canterbury Regional Enrolled Nurse has surpassed the national average. Section Study day 17th October 2019 Take home message was to encourage our family, whanau, friends, 5 ENs from Hillmortons’ PSAID neighbour’s to take the test when (Psychiatric Services for Adult with offered. Intellectual Disabilities) unit attended this year’s study day. Each of us Julie Symons, PDRP Co-ordinator, enjoyed the variety of the speakers on Southland Hospital presented on offer and took something different PDRP- Making it Easy. Julie gave us all away with us. very great useful tips in preparing our portfolios for assessment. As Julie The talk everyone took notice of was informed enrolled nurses present - We given by Josh Caldwell, a former Page | 6
ENROLLED NURSE SECTION of NZNO Pãnui issue 14 Scholarships and Graduations 42nd Annual Grants The Otago Polytechnic School of Enrolled Nurse Undergraduate Study Scholarships Nursing Graduation 2019 was held on Now Open 13th December 2019 in Dunedin. Conference 2020 "The Year of the Enrolled Closing date: 21 February 2020 Nurse" Available amount: Up to $1,500 Available to: SAVE THE DATE Bachelor of Nursing or Midwifery 19 - 21 May 2020 student who has successfully The Glenroy completed year two of their 1 Harrop Street programme Dunedin Student in the first year of an I attended the graduation ceremony Registration Costs enrolled nurse programme. and I had much pleasure in presenting Conference and Event information Criteria: awards on behalf the National Enrolled Early draft programme Nurse Section Committee and the (will be updated as new speakers are Course approved by Nursing Southern Region Enrolled Nurse confirmed) Council of New Zealand (NCNZ)/Midwifery Council of New Section. Other graduating Enrolled Nurses also received Otago Registrations now open Zealand (MCNZ) Polytechnic awards on the day. Registration link Official proof of enrolment required The Enrolled Nurse Section NZNO Award for Best Overall Conference Applicants must demonstrate: Presentation by an Enrolled Nurse/s Academic achievement Criteria and Application form Closes 31 January 2020 Contribution to nursing (for example support offered to More details to follow as it comes to fellow students, going the extra hand. Keep an eye on our website mile for patients) https://www.nzno.org.nz/enrolled Contribution to the community (for example involvement in activities outside of nursing - Study Days (Left) Sally Ann Ealson was the may include family recipient of the National Enrolled Regional Study Day dates will be commitments, volunteerism, Nurse Section NZNO Award, for available on the website once the cultural commitments) “Demonstrating Leadership Skills” regions have confirmed dates. Inclusion of up to two referees http://www.nzno.org.nz/groups/colle who will write a letter of (Right) Hannah Campbell, was the ges_sections/sections/enrolled_nurse support for the applicant and be recipient of the Southern Region s/regional/regional_study_days available for contact via phone Enrolled Nurse Section Award “Best Overall Student” https://www.nzno.org.nz/supp ort/scholarships_and_grants#9 20 Page | 7
ENROLLED NURSE SECTION of NZNO Pãnui issue 14 NZNO Medico Legal Forums 2020 Scope of Practice Dates and Locations Christchurch 11 February 2020 Christchurch Town Hall Dunedin 12 February 2020 Otago Golf Club Palmerston North 18 February 2020 The Chalet, Boatshed Auckland #1 26 February 2020 Fairway Events Centre Auckland #2 27 February 2020 Waipuna Hotel & Conference Centre Wellington 4 March 2020 Harbourside Function Centre Hamilton 5 March 2020 FMG Stadium We encourage you to apply for study leave for the forum being held nearest you! Registration costs: NZNO Members $120 Non-members $150 Students: Free (limited to 10 student members at each location) To register for the NZNO Medico Legal Forums 2020 and to view the programme you can access at www.nzno.org.nz Page | 8
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