simone hazelman - goulburn valley health - regional emergency care: what can we do?
TRANSCRIPT
Challenges in Rural/Regional
Emergency Management
Simone HazelmanB.Nursing
Grad.Cert. Nursing (Trauma)M.Nursing (Nurse Practitioner)
PURPOSE
Acknowledgement
Patient Flow
Whole of Area
Consistent communication and framework
Gippsland
Barwon South Western
Grampians
Loddon Mallee
Hume
0 50
Kilometres
10 0
Metropolitan map
including Department of Human Services regional boundaries
Department of Human Services regional boundariesbased on Local Government Areas
Australian Standard Geographical Classification 1 July 2011
Regional Victoria
Hume Region public hospitals
Hospital belonging to and located in this region
(includes all hospitals in this region)
Satellite hospital belonging to this region but located in another
Cobram District Health
Yarrawonga Health
Nathalia District Hospital Albury Wodonga Health, Albury
Numurkah & District Health Service Albury Wodonga Health, Wodonga
Tallangatta Health Service Upper Murray
Health & Community
Service, Corryong
Beechworth Health Service
Goulburn Valley Health, Northwest Health, Wangaratta
Goulburn Valley Health, Tatura Shepparton
Benalla Health Alpine Health, Myrtleford
Goulburn Valley Health,
Rushworth/Waranga
Alpine Health, Bright Alpine Health, Mt Beauty
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April-Jun 2015
AVerage Regional Hospital NEAT
Vic NSW Tas Qld ACT WA NT SA GVH
NEAT
ED Focus
ED Problem
ED solution
WHOLE OF AREA VS WHOLE OF HOSPITAL
CHALLENGES
Staffing turnover
Hierarchal cultures
Time and resources
Consistency in care
Community
resources
Non ED stakeholders
Public Perception
Bottlenecking
Interhospital
Transfer
Emergency transfer
Community Based
ED
Rural/Isolated Environment
Regional Environment
Tertiary Environment
CHALLENGES WITH RURAL
ENVIRONMENTS
Bed management and capacity
Resources and services available
GP defendant
Specialist management
WHO WANTS TO WORK HERE??
Poor staffing levels and still
mix
Increased OT, Sick
Leave and resignations
Poor moralePoor
performancePoor
reputationIncreased HR
issues
STAFFING
Traditional models
Resources
Limited scope
New Approach
Build Listen Identify quantify
NeedsClinical ladders
FrameworkStaff
engagement
Staff numbers
Standards
ED Accountability Advocate
ED values CREATE Privilege
Reputations Partnerships
Promote Acknowledge Promote engagement
CONCLUSION
Consistency
Communication
Engagement
Autonomy within the organisation
ACKNOWLEDGEMENT
Department of Health Victoria
GV Health
Regional and Rural Managers, ED and UCC
Emergency Department