NZ nursing leadership

The coming of age: Aged residential care nursing in Aotearoa New Zealand in the times of COVID-19

The Nursing Leadership Group (NLG) is the recognised voice of aged care nursing. The following article written by the NLG which includes HCSL’s very own Director, Gillian Robinson BN, RN has been published in the Nursing Praxis – Journal of Professional Nursing Special Issue: Nursing response to COVID-19 in Aotearoa New Zealand

The coming of age: Aged residential care nursing in Aotearoa New Zealand in the times of COVID-19

For years aged care nursing has been largely overlooked and marginalised from mainstream healthcare. COVID-19 brought both aged residential care and nursing into sharp focus for Aotearoa New Zealand. This paper provides a commentary on the work of executive nurses within the Nursing Leadership Group of the New Zealand Aged Care Association as COVID-19 spread into some ARC facilities in early 2020 and threatened the health and wellbeing of many residents and nurses. The group influenced the agenda and implementation of policies for Aged Residential Care and brought the voice of nursing and residents of aged care to the forefront at national and regional levels.

 

CLICK BELOW TO DOWNLOAD THE FULL ARTICLE.


Aged residential care nursing in Aotearoa

Frances Hughes, PhD, RN, Clinical Director, Oceania, Auckland
Anna Blackwell , PGDip, RN, Nursing Director/Owner, Cook Street Nursing Care Centre, Palmerston North
Tanya Bish, MN(Hons), BCom, RN, Clinical Director, Metlife Care, Auckland
Cheyne Chalmers, MMgt, RN, Chief Operating Officer, Ryman Healthcare, Christchurch
Katherine Foulkes, PGDip, RN, Clinical Services Director, Bupa, Auckland
Lynda Irvine, RN, Head of Clinical Services, Summerset Group Holdings Ltd, Auckland
Gillian Robinson, BN, RN, Director, Health Care Compliance Solutions Ltd, Christchurch
Rhonda Sherriff, RN, Managing Director, Chatswood Retirement Village, Christchurch
Virginia Sisson, PGCert, RN, Operations Manager, The Selwyn Foundation, Auckland

Reference:  Hughes, F. A., Blackwell, A., Bish, T., Chalmers, C., Foulkes, K., Irvine, L., Robinson, G., Sherriff, R., & Sisson, V. (2021).  The coming of age: Aged residential care nursing in Aotearoa New Zealand in the times of COVID-19. Nursing Praxis in Aotearoa New Zealand, 37(3), 25-29.

 

 

merry christmas HCSL

Merry Christmas and Happy New Year

We’ve reached the end of the year!

 

Thank you!

For giving us another fantastic and very busy year. We are proud to

have you as part of our community.

 
Your loyalty and feedback have powered meaningful discussions, as well as countless

improvements and additions to how our software can work best for all of our clients.

For that, we really appreciate your input. 

 

To the many new clients who have joined us this year,

we are so excited to have you on board and we look forward to what the

next year has to bring. 

 

In 2022

We have some exciting new updates and features coming to the

HCSL software, we are looking forward to showing you all when the time comes. 

 

 

 

We are officially closing the office on

23rd December and will be returning on 10th January.

 

We will continue to provide on-call support. 

For all other enquires CONTACT US and we will respond on our return.

 

 

We wish you all the best as we head into the Christmas and New Year break.

Take care of yourselves, your family and your friends and enjoy the summer.

 

End Of Life Act HCSL

End of Life Choice Act implementation – 7th Nov 2021

End Of Life Choice Act HCSL

As you will be aware, assisted dying will be legally available in New Zealand from November 7 when the End-of-Life Choice Act 2019 comes into effect.

The introduction of assisted dying means that a person with a terminal illness who meets the eligibility criteria can request medication to relieve their suffering and end their life.

The Act sets out the legal framework and a high-level process for accessing assisted dying, including strict eligibility criteria and safeguards.

Assisted dying is not a replacement for palliative care or health care services more generally. It provides another option for people with a terminal illness in certain circumstances.

Assisted dying remains illegal until 7 November 2021.  The Ministry of Health will be responsible for the Act and has an implementation programme underway to implement the assisted dying service.

 

This may impact hospitals, care facilities and retirement villages across the country in an entirely new way, so we at Healthcare Compliance Solutions Ltd have been following the Ministry of Health’s guidance along the way, to ensure our policies and procedures help our new and existing clients through the process, as best as possible.


If you would like to learn more about how Healthcare Compliance Solutions can help you and your orgnisation.

ACA Workshop HCSL

Workshops for Managers in Aged Care

The New Zealand Aged Care Association Education Trust is planning the next series workshops with a focus on the revised Health and Disability Sector Standards 2021.

The standards will be mandated and implemented from February 2022.

There are significant changes to these standards and compliance will be a challenge for many facilities.

 

Gillian Robinson.

Our very own Gillian Robinson, Director Healthcare Compliance Ltd and Nursing Leadership Group member will be keynote presenter and will discuss how you can adjust policies and processes on your site to meet the new and revised standards.  Her presentation will also cover how you implement the necessary standards and what education staff will require to meet the standards. This will include governance and operational challenges.

 

 

Rhonda Sheriff, NZACA Clinical Advisor will present on Managing current staffing challenges that include staff shortages in ARC. With the borders closed, immigration challenges, pay anomalies and increasing workloads, now more than ever we are facing staffing difficulties in our sector. Let’s identify strategies that help mitigate risk in our sector and ensure safe care delivery to residents.  

 

Rhonda Sherrif

Rhonda Sherrif

The workshops are planned for the following dates:

Tauranga – Wednesday, 24 November 2021 – Cubro Head Office

Dunedin – Monday, 29 November 2021 – The Forsyth Barr Stadium

Christchurch – Tuesday, 30 November 2021 – Tait Technology Centre

Wellington – Monday, 6 December 2021 – Te Rauparaha Arena

                           CLICK HERE for more info.

COVID-19: Can employees in aged care be required to get the vaccine?

Right now there are a lot of discussions happening around New Zealand asking “Can employees in aged care be required to get the vaccine?” Associate Jaenine Badenhorst of Rainey Collins Law has cleared up some of the confusion, with some of the below facts, as of September 07th 2021.

In Brief

Under the New Zealand Government’s vaccine campaign, it is not mandatory for employees to be vaccinated against the Covid-19 virus.  Employers can therefore not require their employees to be vaccinated, unless it is necessary for health or safety reasons for a particular role.

If an employee works in a role where the risk of exposure to Covid-19 is higher and/or the consequences of contracting Covid-19 is more serious, the role may demand employees who are vaccinated to fill it.  Due to the likely risk to the Health and Safety of aged individuals, it is highly likely to be reasonable for employers to require aged care worker roles to be filled be vaccinated individuals.

Health and Safety Laws

Persons conducting a business or undertaking (PCBUs) owe duties, under the Health and Safety at Work Act (“the HSW Act”) to ensure, as far as is reasonably practicable, the Health and Safety of its workers, patrons, customer and clients.

Covid-19 poses a risk to the Health and Safety of others, and therefore PCBUs are required to undertake a risk assessment in their particular work environment, so that they can implement safeguards and protocols to eliminate or reduce that risk.

Health and Safety risk assessments must be done in consultation with workers, unions, and other relevant representatives.

If a Health and Safety risk assessment of a particular role indicates that vaccination is necessary to comply with Health and Safety obligations, an employer may require whomever fills that role, to be vaccinated.

It is important to note that rather than any ‘employee’ requiring vaccination, it is the particular ‘role’ that requires a vaccinated employee to carry it out.

When is vaccination likely to be required for the performance of a role?

Under the COVID-19 Public Health Response (Vaccinations) Order 2021, some work at the border can only be done by vaccinated workers.  Employers in this case need not do individual Health and Safety risk assessments, as all work covered by the Order must only be done by vaccinated workers.

It is possible further Orders could be made to require other roles to be filled only by vaccinated individuals.  In the absence of an Order, it will be up to each PCBU to make a decision for their work place, based on the Health and Safety risk assessments they have completed.

At present, PCBUs in the aged care sector will have to individually assess each role to determine whether it should to be filled by a vaccinated person for Health and Safety reasons.

Health and Safety risk assessments will typically require vaccination if a role involves a high likelihood of exposure to Covid-19 in the workplace and/or significant consequences to others in regular contact with the individual performing that role.  Examples will include roles where employees have lots of contact with customers and clients or other employees, especially where contact will be with vulnerable people.

Workers in aged care roles are likely to have contact with many individuals each week, and these individuals are likely to be more seriously affected by the impacts of Covid-19 if they contract it.  It is therefore highly likely that many aged care worker roles will require vaccinated individuals to fill them, so that PCBUs are compliant with their obligations under the HSW Act.

In each case, however, the PCBU must assess the risk on a case by case basis.  It is also important for the PCBU to consult with the workers in these roles, to help the PCBU assess the risk and ways to best eliminate or minimise it.

Recruiting new employees:

An employer may require vaccination for new employees, however this must be reasonable for the particular role.

Additionally, employers must take care to ensure they are not unlawfully discriminating under the Human Rights Act or affecting the right to refuse medical treatment under the New Zealand Bill of Rights Act.

Does an employee have to tell their employer if they have been vaccinated?

If an employee refuses to inform their employer of their vaccination status, the employer may assume that employee is not vaccinated in order to manage its Health and Safety obligations.  If an employer makes this assumption, it must inform the employee of its intention to do so, and what the possible consequences may be.

What if vaccination is refused?

If an employee refuses vaccination following a risk assessment that identifies it as necessary for the employee’s role, an employer may consult with their employee to change their work arrangements, duties or leave, or restructure their work or employment conditions.

Redundancy or dismissal should be considered as final options after changes to the employee’s duties or redeployment to other roles have been considered.  Without consideration of all reasonable alternatives, dismissal of an employee who refuses to be vaccinated will nearly always be unjustified.

Any changes, dismissals, or risk assessments must be carried out in good faith.

If there are concerns in your business in relation to employees receiving the Covid-19 vaccination, it is wise to speak with a professional experienced in the area.

Celebrating the COVID-19 vaccination

The following is contributed by Infection Prevention and Control Consultant (RN) Ruth Barrett –

I am 61 years old, a practicing nurse and recently I had a little celebration. I received my 2nd COVID-19 vaccination from a lovely team in Ashburton Hospital in Canterbury.

I feel like celebrating because I have played a small part towards helping New Zealand (and the world) fight this pandemic and get it under control. By having the vaccine, I am helping to keep my whanau and friends safe from catching the virus from me if I get infected, especially if I don’t have any symptoms. It also means I am happier to continue to look after vulnerable people, knowing I won’t be passing on the virus. It is reassuring to know that the vaccine will stop me getting really sick and ending up in hospital or worse. So, if we do have another large outbreak, my hospital bed can go to someone else.

We are lucky in New Zealand to have access to a vaccine that is very safe and very effective, and recent reports show that it is also works against the new variants that are out there.

I was a little nervous about getting the second dose and how I would feel afterwards. Although I have the influenza vaccine every year without any side effects, this time I needed two jabs. But in the end it was all good – I only needed two paracetamols about 6 hours later, had a good sleep, and then, apart from a sore arm for a day and a half, I felt fine.

Of course, I know that vaccinations are not the only thing that keeps us safe – all our public health measures and infection prevention and control activities are just as important. But if you are a healthcare worker, a parent, a partner, a friend, a child, a sibling, a grandchild or other, you can make a difference in your community by having the COVID-19 vaccine.

 

Ruth Barratt RN, BSc, MAdvPrac (Hons), CICP-E

Infection Prevention and Control Consultant

Christchurch, New Zealand

Avoiding Personal Grievance claims

One thing new and seasoned managers often fear is having a staff member raise a personal grievance against them.  We asked Rainey Collins Law Associate Jaenine Badenhorst for some ideas to support management avoid personal grievances.  The following advice was the response:

We would recommend that you do these key things to help avoid a personal grievance being raised against you/your business. 

 

  1. The first key thing to do is to hire the right candidate in the first instance. (Yes, we know that isn’t always easy)!  You want to make sure you have a robust interview and reference checking system in place.  You could also consider your existing team meeting the candidate to make sure there is a good personality fit.  There is also the possibility of a work trial or probation period, depending on the circumstances.

2.   Have a written employment agreement which clearly sets out the parties expectations (for instance about work hours, flexibility, responsibilities, reporting lines, raising problems, and so on).  It is helpful for these matters to be discussed beforehand, so that everyone is on the same page.  This helps to avoid confusion and misunderstandings.  Employee manuals can also be very helpful to cover more detailed rules and guidelines (for example internet use, health and safety, bullying and harassment, etc.).

3.   Keep accurate employee records and files.  This should cover hours worked, leave taken, superannuation or other agreed deductions, discussion around various work conditions and so on.  The employee file should also cover any issues with performance or misconduct (detailing fair processes followed, and outcomes reached). 

4.   Act in good faith towards each other (by being honest and approachable; as well as open and communicative).  Being a good employer, and having a relationship with employees where they feel free to raise issues early on is the best way to resolve problems before they turn into formal grievances.  Regular catch-ups (like weekly or monthly meetings) is a good way of checking in with employees, and letting them know if there are any issues with their conduct or performance. 

5.   Knowing your obligations around the law and the contract you have with your employee is also very important.  This way you are less likely to cause issues which will turn into grievances.  If you are unsure of your obligations, you should seek professional advice. 

Thanks Jaenine, we hope that helps managers of services who might be struggling with this issue. Following due process and keeping accurate records will also support why you have made decisions and how.  Even with the best processes in place, sometimes you cannot completing avoid a grievance but follow professional advice and you can certainly minimise risk of a claim against you or your organisation.

There will be further articles published here supplied by Rainey Collins Law in relation to supporting your employment processes.

Care Technology HCSL

Aged care going digital a raging success!

Receiving emails from our clients who have made the transition from paper-based to digital give us a lot of satisfaction. One provider who had been under DHB monitoring after an audit that didn’t achieve as well as they could have said they saved $100,000 after implementing the HCSL programme.  They had been spending a lot of time researching, writing and submitting corrective actions to audit findings for quite some time.  This doesn’t happen anymore. They have no findings!

Comments which reflect how very easy they found the process of transition reinforce our concept of where possible we opt for one click instead of two in our design processes.  Some client had used other digital packages in the past which they described as cumbersome and clumsy.  Those packages didn’t integrate with other packages so to find all the information needed, staff had to use multiple sources of information.  This made some reluctant to try something new.  Arriving on site at a client one day Gillian was taken to meet two care staff.  Both were very excited to tell her how due to them both having dyslexia, neither had been able to write their own notes before.  Now with the simplicity combined with spell-check in the digital progress notes, they were able to write their own notes.

The co-design of solutions with our clients maintains the philosophy of simplicity being as easy to use as a basic mobile phone or Facebook.

Early on we identified inequity between the resources available to corporate owned multi-site providers and independently or small group owned aged care services. This inequity, in conjunction with shortages of staff led us to work alongside aged care, retirement village and community services to design a one-stop-shop programme and in 2015 HCSL aged care software  went LIVE.  It has continued to be developed since then to a fully cloud based solution.

Clients said they’d like everything in one place. Despite there being other options we were continually pressured to create a NZ specific product that supports not only benchmarking, quality and risk but also all aspects of providing care while incorporating compliance throughout each aspect of the programme.

The integration with Medi-map medication administration systems will further streamline access to resident care information for remote assessment and treatment planning.  More integrations are underway currently to support as seamless flow of resident information regardless of where those needing information to provide care are situated. Clinical records are now accessible and able to be updated from anywhere with an internet / wi-fi connection.

Having been appointed as the step-in temporary manager at Rosewood Resthome and Hospital during the COVID-19 outbreak, Gillian Robinson was able to implement HCSL cloud-based software for telehealth support This programme was literally set up overnight and being used by staff with no training as there simply wasn’t time.  The great test for the system was to note the staff were able to successfully use the digital online care-planning and progress notes without any training other than to be supplied their login.  The uploading of a photograph of a wound for the doctor to review remotely was able to done easily after watching the 5 minute instructional video on ‘how to’.

Community, Disability services and mental health residential services along with retirement villages throughout NZ are now enjoying efficient cloud based records.  To find out how you can use this ready to use, NZ specific programme contact us.