News bulletin 4 March

on 4 March


Welcome to the College of Nurses – News Update.
No. 242 Wednesday 4 March 2015

From NZ media this week

Elderly man died after being prescribed high-dose opioid
The case of an 82-year-old who died after being prescribed a high-dose opioid has been given as an example of why better medical understanding is needed.

Parents of boy given codeine overdose dissatisfied by report
The mother of a boy given 10-times the recommended dose of codeine before surgery says she still can't forgive herself for not intervening.

Connecting to the environment for better health outcomes
Exploring Māori health from our own indigenous knowledge base, rather than as a reaction to prevailing Māori health crises is what we call a ‘kaupapa Māori approach’ for Māori health outcomes” says Leonie Matoe, Managing Director for Toi Tangata, an Auckland based Māori health provider providing advocacy and coordination for kaupapa Māori based approaches across the public health nutrition and physical activity sector.

Southern DHB launches New “Safety1st” System
The new electronic risk management system - Safety1st – went “live” across Southern today, part of a regional initiative to support continuous improvements in safety and the experience of care within hospitals and associated community services.

Research 'shows TPPA would harm health'
A careful assessment of what could happen to the health of New Zealanders under the Trans Pacific Partnership Agreement (TPPA) is needed, say New Zealand doctors. An Australian report Negotiating Healthy Trade in Australia: Health Impact Assessment of the Proposed Trans-Pacific Partnership Agreement released today examined the impact of the TPPA on four health issues - medicines, tobacco, alcohol and food. After careful consideration and analysis, the Australian research highlighted that it is likely to be significant negative health impacts in each of these four areas.

GP practice staff get healthy alongside patients
Health Minister Jonathan Coleman says general practice staff are getting behind a programme which has them joining their patients to live healthily.

Nurse censured for assessment failure
A nurse has been censured for failing to assess a patient who arrived at an after-hours clinic vomiting blood.
The 72-year-old woman was taken to the clinic by her daughter in November 2013, two days after spinal surgery.

From International media

Nurse satisfaction drives better healthcare outcomes
Recent research findings are compellingly clear: Although engaging and retaining critical talent in health care organizations can be a challenge, organizations that achieve strong levels of engagement are more likely than others to deliver better-quality patient care and achieve higher rates of patient satisfaction. As a critical talent segment, nurses are at the heart of a healthcare organization's ability to succeed during this increasingly competitive and turbulent time for the industry.

Nurses 'delay hospital discharges' over support fears
Nearly 70% of NHS nurses in England often delay discharging older patients because there is no support for them after hospital, a survey suggests.

Create more all-nurse clinics, says Bernard Drainville
Many minor medical issues don't require a doctor, and that's the main idea behind the SABSA clinic in Quebec City, where nurses run the show and solve many patients' problems before they end up at overcrowded hospital ERs

Stress busters: UPMC nurses undergo mindfulness training to cope with job pressures
Caring for patients can be “organized chaos,” nurses say. As the foot soldiers of health care, they function at the pressure point, the front lines of the war zone, where “you have to be flawless.”

B.C. nurses are fed up with abuse — ‘we have broken jaws to prove it’ — and will push to charge patients
B.C. nurses will begin pressing for charges against patients who hurt or abuse them, the president of the B.C. Nurses’ Union announced Tuesday.

Failure to train enough nurses proves very costly for NHS
Information obtained by the Royal College of Nursing in the East of England shows a 69pc rise in agency nursing expenditure across the region by £20m and a 26pc growth in the number of nurse vacancies across the region.

At VA Hospitals, Training And Technology Reduce Nurses' Injuries
Bernard Valencia's room in the Jerry L. Pettis Memorial Medical Center in Loma Linda, Calif., illustrates how hospitals across the country could fight a nationwide epidemic. As soon as you enter the room, you can see one of the main strategies: A hook hangs from a metal track that runs across the ceiling.

Is yours a nurse-led hospital?
Two nurse leaders discuss the obstacles holding nurses back from leadership roles, the perception of nursing versus its reality, and how patients can tell the difference between hospitals where
nurse leadership is strong versus those where nurses are less empowered.

Nursing-pharmacy collaboration: How to find the sweet spot
Healthcare leaders understand that improving interdisciplinary teamwork is critical to success within the new performance-driven care delivery landscape. Because medication management processes are central to patient safety and outcomes, collaboration between nursing and pharmacy in particular is becoming a focal point of process improvement--often requiring organizations to take a hard look at existing culture in order to make the appropriate changes

Nurse Practitioner Bill Passes
State lawmakers unanimously approved a bill giving nurse practitioners moreindependence. Currently, nurse practitioners need a written agreement to consult with a doctor before they can treat patients.

Articles of interest

Building nurse leader relationships
The Institute of Medicine's (IOM) report, The Future of Nursing: Leading Change, Advancing Health, recommends that nurses should be full partners with physicians and other healthcare professionals to lead improvement and redesign healthcare in the United States.1 The report acknowledges that nursing leadership is critical at every level during the transformation of healthcare and being a full partner requires leadership skills and competencies.1 To ensure that nurses are able to assume leadership roles, leadership-related competencies should be imbedded and promoted for nurses, at all educational levels, and across the spectrum of healthcare settings. - See more at:

Quality Nursing Documentation in the Medical Record
Clinical Nurse Specialist: The Journal for Advanced Nursing Practice
December 2014  
Volume 28  Number 6 
Pages 312 - 314 –
Current healthcare systems require that documentation ensures continuity of care, provides legal evidence of the process of care delivered by all disciplines, and supports evaluation of quality of patient care. Healthcare professionals should fully understand the principles of maintaining a legally sound health record and the potential consequences when the record's legal integrity is questioned. Documentation is regulated by both state and federal statutes. Poor standards of documentation have been linked to the failure to detect patients who were clinically deteroriating.1 The medical record must be maintained in a manner that follows applicable regulations, accreditation standards, professional practice standards, and legal standards. All providers of healthcare for the patient are responsible for knowing the required documentation and are held accountable for their entries and for missing information in the medical record. - See more at:

Glasgow Coma Scale: How to Improve and Enhance Documentation –
The Glasgow Coma Scale (GCS) is an international tool used to measure the level of consciousness for traumatically injured patients. One Level I and 3 Level II Trauma Centers in our Health Care System perceived a deficiency in the documentation of the GCS. An audit was performed and insufficient documentation was confirmed. An educational plan was developed and implemented to improve documentation. A reaudit was performed to determine the success of these interventions. Although improvement was demonstrated, additional action was taken to enhance documentation in the electronic medical record. - See more at:

The above information has been collated for the College of Nurses Aotearoa (NZ) Inc by Linda Stopforth, SNIPS and is provided on a weekly basis.  It is current as at Tuesday 3 March 2015

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