Neonatal Unit Newsletter - Edition 9 - Rchfoundation.com.au
Neonatal Unit Newsletter - Edition 9 - Rchfoundation.com.au
Neonatal Unit Newsletter - Edition 9 - Rchfoundation.com.au
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01<br />
A CELEBRATION OF LIFE<br />
ABOUT US<br />
A Celebration of Life was created in 2002<br />
by parents Chris and Sophie Clarke.<br />
Their d<strong>au</strong>ghter, Madeleine, was born with a severe<br />
case of Strep B and given only a 1% chance of survival<br />
when admitted to the <strong>Neonatal</strong> <strong>Unit</strong> (NNU) at The Royal<br />
Children’s Hospital, Melbourne (RCH). Maddie defied<br />
the odds, thanks to the skill and dedication of the<br />
<strong>Neonatal</strong> medical team and is now a be<strong>au</strong>tiful and happy<br />
big sister to brother James.<br />
In honour of their gratitude to the NNU, A Celebration<br />
of Life was created by Chris and Sophie to assist<br />
specifically with the fundraising requirements of the<br />
NNU and hopefully make possible the equipment,<br />
resources and research that helps to make it one<br />
of the premier NNU’s in Australia, if not the world.<br />
The major fundraising event for the NNU is the Annual<br />
Celebration of Life Gala Ball. Now in its eighth year, this<br />
event has helped to raise thousands of life saving dollars<br />
for the NNU.<br />
A Celebration of Life is recognised as a fundraising entity<br />
for the NNU at The Royal Children’s Hospital, Melbourne<br />
and is coordinated by the RCH Foundation.<br />
A Celebration of Life is more than just a namesake – it<br />
is a statement of truth shared by the NNU team and all<br />
those it exists to support today and in the future.<br />
HOW WE ARE DIFFERENT FROM OTHER<br />
NEONATAL INTENSIVE CARE UNITS<br />
The Royal Children’s Hospital <strong>Neonatal</strong> <strong>Unit</strong> provides<br />
highly specialised care to the sickest newborn infants<br />
from all over Australia and the Pacific Islands.<br />
It supports and treats a UNIQUE group of babies with<br />
UNIQUE needs and is the only <strong>Unit</strong> of its kind that<br />
can assist babies who require treatments not available<br />
at other <strong>Neonatal</strong> <strong>Unit</strong>s in Victoria and in some<br />
cases, Australia.<br />
Each year:<br />
• Over 700 babies are transferred to the NNU by<br />
the Newborn Emergency Transport Service (NETS).<br />
• Over 40% of the babies undergo major surgery.<br />
• Over 300 babies receive artificial ventilation via<br />
mechanical respirators.<br />
• Most of the babies are seen by specialist doctors<br />
from the many medical disciplines available only at<br />
The Royal Children’s Hospital, Melbourne.<br />
• The highly <strong>com</strong>plex paediatric investigative<br />
services including MRI, CT scans, digital angiography,<br />
fluoroscopy, endoscopy, electroencephalography,<br />
metabolic and laboratory tests, echocardiography<br />
and cardiac catheter are not available at many<br />
other hospitals.<br />
OUR ACHIEVEMENTS<br />
In the last decade there have been many achievements<br />
in the care given to babies in the Royal Children’s<br />
Hospital <strong>Neonatal</strong> <strong>Unit</strong>.<br />
Some of the highlights are:<br />
High frequency oscillatory ventilation (HFOV) is a<br />
highly sophisticated form of artificial respiration in<br />
which very sick babies are ventilated at breathing rates<br />
of up to 900 breaths per minute. The <strong>Neonatal</strong> <strong>Unit</strong> was<br />
the first Intensive Care <strong>Unit</strong> in Australia to introduce this<br />
technology in 1992 and this was the result of a careful<br />
and strategic research and training program. We now run<br />
training courses for other intensive care <strong>Unit</strong>s around<br />
the country.<br />
We are the only intensive care unit in the country that<br />
employs High Frequency Jet Ventilation. This technology<br />
is a life saver for babies with the most severe forms of<br />
lung disease.<br />
Together with our colleagues at the Royal Melbourne<br />
Hospital we have led the way in the management of<br />
a rare form of cerebral aneurysm (an abnormality of<br />
arteries and veins in and surrounding the brain) by<br />
interventional radiology thus providing both survival<br />
and favourable out<strong>com</strong>es to many babies who in other<br />
centres would have died.<br />
Our craniofacial surgeons have pioneered a form of<br />
jaw lengthening operations for babies born with facial<br />
abnormalities such as Pierre Robin Sequence.<br />
This surgery has produced stunningly successful<br />
out<strong>com</strong>es and revolutionized the care of these conditions.<br />
Together with our Neurology colleagues we are<br />
investigating ways to improve the out<strong>com</strong>es for the<br />
sickest babies including those with Post<br />
Haemorphragic Ventricular Dilation (<strong>com</strong>monly<br />
occurring in very premature babies) and have pioneered<br />
the use of MRI technology and bedside EEG monitoring<br />
in a neonatal environment.<br />
We provide the best out<strong>com</strong>es in the country for<br />
a condition called Congenital Diaphragmatic Hernia.<br />
This is where a baby is born with a large hole in the<br />
diaphragm resulting in the intestines being present in<br />
the chest thus <strong>com</strong>pressing the lungs. The condition<br />
requires the <strong>com</strong>bined skills of neonatologists,<br />
nurses, cardiologists and surgeons. Our out<strong>com</strong>es<br />
for this previously lethal condition are second to<br />
none in the world. Survival of this condition provides<br />
a normal life for these babies.<br />
Our nursing staff has pioneered the management and<br />
prevention of pain in sick babies and has led the way<br />
in surgical wound care. The nursing staff is continuing<br />
to provide the best care to sick infants round the clock<br />
every day of the year.<br />
We have recently appointed the first Professor of<br />
<strong>Neonatal</strong> Nursing Research in Australia. Our Music<br />
Therapist is looking at ways to improve the quality of<br />
life on the <strong>Neonatal</strong> Intensive Care <strong>Unit</strong> for the sick<br />
babies. We provide a home apnea monitoring service<br />
for babies who are at risk of and for their parents who
are worried about Sudden Infant Death Syndrome.<br />
Most of the advances over the years have been made<br />
possible by the very strong <strong>com</strong>mitment to research<br />
and education by all members of the <strong>Neonatal</strong> <strong>Unit</strong>.<br />
The best care of the sickest infants cannot occur without<br />
the valuable achievements provided through research<br />
and education.<br />
ROYAL CHILDREN’S HOSPITAL<br />
NEONATAL UNIT VISION<br />
The <strong>Neonatal</strong> <strong>Unit</strong> will be<strong>com</strong>e the benchmark of world’s<br />
best practice for the care of the sickest newborn babies<br />
and their families.<br />
ROYAL CHILDREN’S HOSPITAL<br />
NEONATAL UNIT MISSION<br />
The <strong>Neonatal</strong> <strong>Unit</strong> will improve the health<br />
out<strong>com</strong>es for newborn babies by:<br />
• Providing the best and full range of tertiary<br />
and quaternary specialist care for the sickest<br />
babies in Australia and internationally.<br />
• Providing undergraduate and postgraduate<br />
education in medical, nursing and allied<br />
health disciplines.<br />
• Initiating and conducting research to enhance<br />
the clinical care of our patients.<br />
• Providing information, health promotion,<br />
resources, education and advocacy for the<br />
families of our patients.<br />
In order to maintain our mission and<br />
achieve our vision we need to:<br />
• Attract and retain the best medical nursing<br />
and allied health professional staff.<br />
• Establish world’s best practice medical and<br />
nursing care of sick newborn infants.<br />
• Acquire and maintain essential and cutting<br />
edge equipment.<br />
• Improve access to and availability of newborn<br />
intensive care beds.<br />
• Improve the space and the environment in<br />
the clinical areas.<br />
• Improve the facilities for the families of<br />
the babies.<br />
• Improve and maintain the infrastructure and<br />
facilities for research.<br />
• Improve and maintain the infrastructure and<br />
facilities for education.<br />
• Update and improve the <strong>Neonatal</strong> <strong>Unit</strong> website.<br />
Funds raised are used by The Royal Children’s<br />
Hospital <strong>Neonatal</strong> <strong>Unit</strong> to:<br />
1. Purchase and maintain essential and cutting edge<br />
equipment in order to provide the best possible care<br />
for the babies.<br />
2. Improve the bed availability in the <strong>Neonatal</strong> <strong>Unit</strong> by<br />
providing and equipping additional intensive care cots.<br />
3. Helps mantain the brand new <strong>Neonatal</strong> <strong>Unit</strong> which<br />
provides world’s best facilities and environment for the<br />
sickest babies and their families.<br />
4. Support ongoing research and education in the<br />
<strong>Neonatal</strong> <strong>Unit</strong>.
03<br />
DIRECTOR’S REPORT<br />
Dr Rod Hunt<br />
Dr Rod Hunt<br />
The past six months have seen much activity and many<br />
significant changes in the NNU. We have had the busiest<br />
clinical period ever experienced by our unit, admitting 332<br />
of the sickest babies in Victoria, and providing high quality<br />
clinical care to ensure the best possible out<strong>com</strong>es. This<br />
extended period of high demand has placed the incredible<br />
medical and nursing staff of the NNU under great pressure,<br />
and I have been overwhelmingly impressed by how they<br />
continue to rise to the challenge. They really are a fantastic<br />
team to be a part of. Our Allied Health colleagues –<br />
physiotherapists, occupational therapists, speech<br />
therapists, music therapists, psychologists and social<br />
workers – have also worked extremely hard ensuring that<br />
the neurodevelopmental and psychosocial needs of our<br />
patients and their families are met.<br />
Our <strong>Neonatal</strong> Nurse Practitioner, Simonne Jollye,<br />
has recently successfully <strong>com</strong>pleted all the requirements<br />
demanded of her to obtain her registration with the<br />
Nursing Board of Victoria, and continues to provide<br />
excellent care within the NNU. I am sure that Simonne<br />
will inspire other nursing staff to consider a career in<br />
this extended role.<br />
It is with some sadness that we have officially farewelled<br />
our previous Director, Dr Peter McDougall, and our<br />
Nursing <strong>Unit</strong> Manager, Ms Sheri Waldron. Both Peter and<br />
Sheri have been promoted within the organisation to<br />
executive positions and The Royal Children’s Hospital is<br />
very fortunate to retain their experience and dedication.<br />
We look forward to working with them in their new roles as<br />
Executive Director of Medical Services (Peter McDougall)<br />
and Director of Acute Operations (Sheri Waldron).<br />
They have both left big shoes to fill and we are currently<br />
recruiting a new Nurse <strong>Unit</strong> Manager.<br />
On a personal note, I am looking forward to the challenges<br />
and rewards of leading this great team into another period<br />
of change, as we prepare to move into a new Children’s<br />
Hospital at the end of 2011. With this in mind we again<br />
contemplate what will be required to provide the best<br />
medical and nursing care and we humbly look to our many<br />
generous benefactors for ongoing support. We are busily<br />
preparing for our annual Celebration of Life Ball – the 8th<br />
since it’s inception in 2003. It promises to be a great night<br />
of celebration and we look forward to seeing you there.<br />
We also look forward to Opera in the Roses at Cruden Farm,<br />
a very special event on the NNU Calendar. We are very<br />
fortunate to have the ongoing patronage of Dame Elisabeth<br />
Murdoch and are grateful to the event <strong>com</strong>mittee, whose<br />
<strong>com</strong>mitment to <strong>Neonatal</strong> fundraising remains unsurpassed.<br />
With very best wishes,<br />
Dr Rod Hunt, FRACP, MMed, PhD<br />
Director, <strong>Neonatal</strong> Medicine<br />
RCH FOUNDATION<br />
DONOR DEVELOPMENT<br />
MANAGER’S REPORT<br />
DONNA ARANYI<br />
It has been a very busy time for NNU fundraising and I feel<br />
fortunate and privileged to have met and worked with so<br />
many of our fantastic supporters since our last edition of<br />
NNU News. I have enjoyed working with our donors,<br />
raising funds and awareness of the NNU for nearly six<br />
years now (time flies when you’re having fun!), and regard<br />
our achievements as successful and ever growing. Part of<br />
this success is due to the <strong>com</strong>mitment demonstrated by<br />
the staff of the NNU towards fundraising. There have<br />
been many events and activities that have been attended<br />
by NNU staff over the years, and I would like to extend<br />
my deepest thanks to them all for not only representing<br />
the NNU but trusting in the RCH Foundation in a<br />
fundraising partnership.<br />
The NNU is a great example of a hospital department<br />
working hand-in-hand with the RCH Foundation to raise<br />
awareness and funds that support its work, keep it’s<br />
families engaged and empowers it’s supporters through<br />
lasting relationships that are mutually valuable and<br />
successful. I would like to mention the fundraising<br />
<strong>com</strong>mitment of Dr Peter McDougall and Sheri Waldron.<br />
As you now know, both Peter and Sheri have left the NNU<br />
to take up other positions within the RCH. I have lost count<br />
of the number of events that we have attended together<br />
over the years, representing the NNU & RCH Foundation<br />
and making many new friends and donors along the way. I<br />
would like to thank them personally for their unwavering<br />
support and for always “being there” when I have needed<br />
them to assist with fundraising activities. Sheri and Peter<br />
have been at my side, helping me to do my job as a<br />
fundraiser - conducted numerous tours of the NNU,<br />
manned Cashier’s Desks at functions, made speeches, run<br />
BBQ’s, sold raffle tickets and generally supported and<br />
assisted wherever possible. The impression that this<br />
support has made on our donors/supporters/NNU families<br />
has been outstanding and greatly contributed to the<br />
satisfaction and appreciation that they feel when making<br />
the fundraising contribution towards neonatal care. I, too,<br />
have been impressed by them and shall miss their<br />
support. I wish them every success and hope that they<br />
both know how grateful I feel towards them for their<br />
friendship and for their fundraising support over the years.<br />
I look forward to working with Dr Rod Hunt, who has<br />
recently been appointed as Director of the NNU. Rod is<br />
another amazing individual from the NNU and made a<br />
brilliant speech at last year’s Gala Ball. Rod is a great<br />
asset to the NNU Team and also to NNU fundraising, where<br />
he too, has supported on many occasions and possesses<br />
a sincere understanding regarding the importance of donor<br />
relationships and appreciation. Speaking of the Gala Ball,<br />
this year’s Annual A Celebration of Life Gala Ball, will be<br />
held on Thursday 16th September 2010 at the Palladium,<br />
Crown Casino and looks set to be another stunning affair!<br />
Special thanks to Ann Peacock and Crown for their major<br />
sponsorship of this annual event, now in its 8th year! You<br />
will have received information regarding this event with<br />
this edition of NNU News. It is a night for all advocates of<br />
the NNU to <strong>com</strong>e together and celebrate the very special<br />
people and work of this incredible department of the RCH.<br />
This year’s Event Committee, led by Catherine Cervasio,<br />
Helen Reizer, Ian Kirkwood, Craig Douglas, Jo Larsen,<br />
Marie Popple and Shereen Kiddle are working hard to<br />
ensure that this year’s event is another fantastic night and<br />
with year’s theme being “A Celebration of Love”, is sure to<br />
be another special and memorable occasion. We wel<strong>com</strong>e<br />
Matt & Melissa Hetherington as our Special Event Hosts<br />
this year, have exceptional and talented entertainers<br />
performing and a few surprises up our sleeves as well. I<br />
hope to see you there!<br />
I would also like to thank the many NNU families and<br />
supporters that continue to acknowledge the work of the<br />
NNU – you will read about some of them in this edition.<br />
I would like to thank Mrs Freda Symons, who recently<br />
celebrated her 80th Birthday and asked her guests to make<br />
a donation to the NNU in gratitude for the care received by<br />
her Great Grandson Jacob; Pippa Jacobson recently<br />
celebrated her 1st Birthday and raised funds for the NNU,<br />
special thanks to Pippa and her family and friends for their<br />
wonderful fundraising efforts; special thanks to Data 3 who<br />
ran a Staff Trivia Night and raised funds for the NNU; NAB<br />
for conducting a morning tea in support of the NNU;<br />
Domain Charter Group for their ongoing <strong>com</strong>mitment to<br />
NICU Cot Donation Program; Kathryn Duncan and Family<br />
for their ongoing support and the many other <strong>com</strong>panies<br />
and individuals who have supported us.<br />
THANK YOU ALL!<br />
There are so many wonderful people working so hard to<br />
help raise funds and awareness of the work of the NNU at<br />
RCH. There are no words that adequately express our<br />
gratitude…just a knowledge that every cent raised is put<br />
to very good work for the NNU. Thank you to all those who<br />
have never hesitated to lend a hand, offer support, advice,<br />
guidance, a word of <strong>com</strong>fort…I am deeply inspired by all<br />
those who form our neonate family and I look forward to<br />
our continued partnerships and friendships that have been<br />
created as a result.<br />
Please enjoy reading this edition of NNU News – special<br />
thanks to Printhouse Group & DNA Artworks for their<br />
graphic design support and sponsorship of the newsletter<br />
and to all those that made a contribution and shared their<br />
stories with us - you are all truly amazing! Grab a warm<br />
drink, a snugly blanket and find a cosy spot to curl up in<br />
and enjoy all that is on offer in this edition of NNU News.<br />
Till next time, keep warm, take care and I hope to<br />
see you at the Ball with your dancing shoes on!<br />
Donna Aranyi<br />
XXX
UNIT MANAGER’S<br />
REPORT<br />
SHERI WALDRON<br />
Hello everyone,<br />
Sadly, this is my last entry as former Nurse <strong>Unit</strong> Manager<br />
(NUM) of the <strong>Neonatal</strong> <strong>Unit</strong>. I have accepted a new role at<br />
RCH - Director of Acute Operations and Hospital<br />
Performance. This means I oversee the management of<br />
NNU; Paediatric Intensive Care <strong>Unit</strong>; Emergency<br />
Department and Access; the Bed Management and<br />
Elective Surgery Manager and After Hours Coordinators.<br />
A broad role that I am sure will be challenging and<br />
inspiring and one that allows a continuing relationship<br />
with the NNU.<br />
I have worked in the NNU for 15 years, the last 10 have<br />
been as NUM. It has been an absolute joy for me and<br />
from a career perspective I was given extraordinary<br />
opportunities and support during that time through the<br />
highs and not many lows of the NNU history!!<br />
I would like to acknowledge the <strong>Neonatal</strong> Team as a whole<br />
- you are incredible and the reason why I stayed within<br />
the <strong>Unit</strong> for 15 years!! I can only liken it to having an<br />
extended family of nearly 100 staff and I miss not seeing<br />
some of you every day. Your dedication, passion and<br />
<strong>com</strong>mitment to the sickest infants and their families<br />
in Victoria always inspired me and made me proud to be<br />
working with such special people- thank you for making my<br />
time in NNU the best time in my nursing career to date!<br />
My thanks also must extend to the many families who<br />
continue to fundraise on behalf of the <strong>Neonatal</strong> <strong>Unit</strong> and<br />
to our incredible sponsors who have supported us<br />
particularly over the past 8 years with our Annual<br />
Celebration of Life Gala Ball. I look forward to catching<br />
up with some of you at this year’s event on 16th September.<br />
I would also like to acknowledge a few of the staff who<br />
have influenced and supported me over the years.<br />
Dr Peter McDougall - former Medical Director of NNU<br />
who I had the privilege of working with as NUM in the past<br />
10 years - thank you for your mentorship and leadership<br />
of the NNU. Peter was integral to the appointment of<br />
Dr Rod Hunt as an NNU Consultant a few years ago and<br />
it is very exciting that Rod has recently been appointed as<br />
the new Medical Director of the NNU and he will lead<br />
them into the new Royal Children’s Hospital in 2011.<br />
Dr Peter Loughnan - not only for his incredible clinical<br />
wisdom, his uncanny sense of humour - but it has been<br />
his support of both medical and nursing staff over the<br />
years that we all regard him very highly- some people<br />
would go as far as saying they LOVE him!!<br />
To the amazing bedside Nursing Staff, the AUMs - thank<br />
you for your leadership and support of my role and finally<br />
to the newly appointed Education Team - you may be<br />
Carlton and Geelong supporters, but you are doing a<br />
fabulous job, keep up the good work!<br />
With very best wishes,<br />
Sheri Waldron<br />
The Neonate Mates Auxiliary continues to raise important funds for<br />
the <strong>Neonatal</strong> <strong>Unit</strong> (NNU) at the RCH, Melbourne.<br />
Established in 2005, the Neonate Mates Auxiliary is<br />
proud to support the life changing work of this very<br />
special Department within the RCH.<br />
The <strong>Neonatal</strong> <strong>Unit</strong> provides highly specialized care to<br />
the sickest newborn infants from around Australia and<br />
the Pacific Rim. Whilst babies are not born at the RCH,<br />
they are usually transported immediately following birth<br />
via the NETS Team from leading maternity hospitals to<br />
the NNU, which exists to extend treatments to critically<br />
ill newborns.<br />
The life saving and life changing work of the NNU<br />
inspires all members of the Neonate Mates Auxiliary<br />
who are <strong>com</strong>mitted to raising awareness and funds for<br />
this amazing <strong>Unit</strong> within the RCH. The NNU’s mission<br />
“Giving our sickest babies the best chance – first<br />
chance at life” is a motto that also inspires members<br />
of the Neonate Mates Auxiliary and its supporters.<br />
Fundraising is primarily achieved via the conduct of<br />
stalls held at the hospital a few times each year.<br />
In 2010, some of our funds were utilized to purchase a<br />
replacement electrical breast pump for the NNU, something<br />
we know brings great <strong>com</strong>fort and convenience to our new<br />
Mums requiring this type of support on the <strong>Unit</strong>.<br />
We were also very happy to provide<br />
a Mother’s Day Gift – an RCH Auxiliary Overnight<br />
Bag - to each Mum in the NNU on Mother’s Day<br />
this year.<br />
Special thanks to all those that support the Neonate<br />
Mates Auxiliary - new members always wel<strong>com</strong>e!<br />
Please contact Judy Aussems via the RCH<br />
Auxiliaries Office for further information<br />
(03) 9345 5188.<br />
XXX<br />
Neonate<br />
Mates<br />
L-R: Lyn Fleck, Dawn Aranyi, Judy<br />
Aussems and Jane Stumpf.<br />
Share YOUR story in the NNU <strong>Newsletter</strong> and help raise awareness of the<br />
important work of the <strong>Neonatal</strong> <strong>Unit</strong> at The Royal Children’s Hospital, Melbourne<br />
If you have an inpatient story, family celebration,<br />
fundraising event, thank you note or life after the NNU<br />
story that you would like share with our readers, please<br />
email these to donna.aranyi@rch.org.<strong>au</strong> along with<br />
any photos you’d like included. Please ensure photos<br />
are high resolution JPEG or TIFF files.<br />
Feedback regarding the newsletter from parents in the<br />
NNU has been extremely positive and they tell us that<br />
reading stories about babies and families that have<br />
had an NNU experience inspires hope, <strong>com</strong>fort<br />
and a sense of “<strong>com</strong>munity”.<br />
Please help us continue to support<br />
our very special families in this way<br />
– we wel<strong>com</strong>e your contributions!
Loving you...<br />
is easy ’cos you’re be<strong>au</strong>tiful...<br />
The<br />
8th<br />
Gala Ball<br />
THURSDAY 16TH SEPTEMBER 2010<br />
PALLADIUM AT CROWN, SOUTHBANK, VIC<br />
Proudly hosted by Matt and Melissa Hetherington<br />
Inquiries email donna.aranyi@rch.org.<strong>au</strong> Tel (03) 9345 4510<br />
No refunds after 26th August 2010<br />
ENTERTAINMENT<br />
Special LIVE Performance by<br />
Mark Andrew<br />
Australia’s ultimate tribute entertainer,<br />
“celebrating the lurve” as only Austin Powers can!<br />
www.markandrew.<strong>com</strong>.<strong>au</strong><br />
A 90minute Showcase Spectacular by<br />
The Matt Hetherington Band<br />
led by award winning actor and singer<br />
Matt Hetherington - considered one of the<br />
best LIVE acts in Australia!<br />
Sponsored by<br />
Presented by
06<br />
Special Tributes<br />
to Dr Peter McDougall and Sheri Waldron<br />
Memories…like the corners of our mind…<br />
Peter McDougall officially resigned from his<br />
position as Director of NNU on April 30 2010.<br />
He had served in this role for 10 years, having<br />
first returned to The Royal Children’s Hospital<br />
as a Consultant Neonatologist in 1984.<br />
Peter oversaw many changes within the department,<br />
including moves from the 10th floor to the 2nd floor,<br />
the introduction of mechanical ventilation and high<br />
frequency ventilation, a second move from the 2nd floor<br />
to our current position on the 3rd floor, and Peter has<br />
been instrumental in negotiating many positive aspects<br />
of the unit currently being built in the new Royal<br />
Children’s Hospital.<br />
During his tenure, Peter has provided the highest level<br />
of clinical care to the patients in his charge, and set<br />
an exceptional example of what a true clinical leader<br />
and Consultant Physician should be. Many families<br />
are indebted to Peter for the lives of their children,<br />
as evidenced by the many tributes and thank-you’s<br />
that have arrived in the NNU during this time.<br />
His fine example within the RCH was acknowledged in<br />
2009 when he was awarded the RCH Chairman’s Medal.<br />
Beyond his busy clinical <strong>com</strong>mitments, Peter was a<br />
visionary. He had a strong sense of what was required<br />
to ensure that the <strong>Neonatal</strong> <strong>Unit</strong> at The Royal Children’s<br />
Hospital kept its place at the leading edge of this<br />
medical subspecialty. He was a strong advocate for<br />
neonatal research, and recruited and encouraged many<br />
aspiring clinicians who remain within the department<br />
today. Not neglecting his own personal development,<br />
Peter successfully <strong>com</strong>pleted an MBA, acquiring skills<br />
that no doubt underpinned his success as the Director.<br />
These skills and a wealth of clinical and administrative<br />
experience, will continue to serve Peter well as he<br />
steps up to his new promotion as Executive Director<br />
of Medical Services at RCH. We look forward to a<br />
new collaboration with Peter, and wish him every<br />
success in this new role.<br />
It is with great sadness that we had to farewell<br />
Sheri Waldron as Nurse <strong>Unit</strong> Manager from the<br />
NNU in June 2010.<br />
Sheri has been working in the NNU for the past 15<br />
years, the last 10 years as NUM. She has been an<br />
exceptional leader, and the strength and excellence of<br />
our current nursing team are largely due to Sheri’s<br />
efforts in recruitment, mentorship and professional<br />
development of her team. Sheri has set an incredible<br />
example in maintaining the highest standard of clinical<br />
care, and has worked incredibly long hours ensuring<br />
that demands on the nursing team are met. She has<br />
been instrumental in the recruitment, appointment and<br />
support of Victoria’s first <strong>Neonatal</strong> Nursing Practitioner,<br />
Simonne Jollye.<br />
Sheri has promoted the development of many clinical<br />
practice guidelines within the department, through the<br />
appointment of nursing staff dedicated to this important<br />
role. She has also championed development of nurse<br />
education, both within our unit and at a State level<br />
working with other NUM’s to develop a curriculum for<br />
the tertiary <strong>Neonatal</strong> Nursing qualification.<br />
Finally, we will miss Sheri’s good humour and clear<br />
thinking. She has demonstrated a high level of<br />
professionalism in dealing with the many crises<br />
that befall a Newborn Intensive Care <strong>Unit</strong>. We wish<br />
her every success in her new role as Director of<br />
Acute Operations.<br />
Dr Rod Hunt<br />
Michelle Yates, former NNU Nurse Educator and<br />
Clinical Nurse surprised Peter by attending his<br />
final clinical ward round in NNU having been<br />
present at his very first in 1984<br />
So it’s the l<strong>au</strong>ghter…<br />
we will remember…<br />
whenever we remember… the way we were.<br />
Chairman's Medal<br />
The Chairman's Medal is awarded to a nominated<br />
member of staff who has made a major contribution to<br />
the hospital in a particular field. Nominees for this<br />
award are noted for their integrity and professionalism.<br />
They are respected by their colleagues and dedicated to<br />
The Royal Children's Hospital and its <strong>com</strong>munity.<br />
Nominees reflect the hospital's values of unity, passion,<br />
integrity, excellence and respect. Sheri Waldron<br />
Chairman’s Medal Winner 2006; Dr Peter<br />
McDougall Chairman’s Medal Winner 2009.
07<br />
NAB Morning Tea / MADE WITH LOVE...<br />
NAB Morning Tea for NNU at RCH, Melbourne<br />
Steve Webb and his colleagues representing<br />
nabGroup Credit Risk, a small department of<br />
the National Australia Bank’s Head Office in<br />
Melbourne, recently held a Morning Tea in<br />
support of the babies and families of the NNU<br />
at RCH, Melbourne.<br />
Steve explains, “Our department conducts a monthly<br />
fundraising activity, and at the suggestion of one of our<br />
staff, we chose the <strong>Neonatal</strong> <strong>Unit</strong> of the Royal Children's<br />
Hospital for our April fundraising effort. On this<br />
occasion, NAB kindly donated $300 of Haigh's Easter<br />
Eggs that were raffled, and we were delighted to raise<br />
just over $1,100 for the RCH's <strong>Neonatal</strong> <strong>Unit</strong>, a record<br />
for our department! It's a small gesture, but a genuine<br />
one on the part of a small group of staff who<br />
do what we can on a regular basis to give back to the<br />
<strong>com</strong>munity that we are all part of”.<br />
It was the RCH Foundation’s pleasure to wel<strong>com</strong>e<br />
Steve and Gerri McHendrie to present their wonderful<br />
donation to Sheri Waldron in the NNU on 27th June,<br />
where they also enjoyed a brief tour of the NNU.<br />
We are indebted to Steve, Gerri and their generous<br />
colleagues for raising these funds and also learning<br />
more about the work of this very special <strong>Unit</strong> at the<br />
RCH, Melbourne – thank you guys!<br />
Made with love… Mentone Girls’ Secondary College<br />
support the NNU at RCH, Melbourne<br />
The <strong>Neonatal</strong> <strong>Unit</strong> at RCH, Melbourne was the<br />
lucky recipient of sixty baby wraps, which had<br />
been lovingly sewn by students of Year 7B at<br />
Mentone Girls’ Secondary College.<br />
The idea was provided to the S.R.C (Student<br />
Representative Council) by Natalie Stewart and<br />
supported by her teachers, Leah Liakos and<br />
Stephanie Cappuccio, who assisted in the<br />
organization of the project.<br />
The students made the be<strong>au</strong>tiful wraps from material<br />
which was generously provided at a discount from<br />
Carmels Fabrics of Mentone.<br />
On behalf of the staff and babies of NNU, a huge<br />
thank-you to Leah, Stephanie and all the students.<br />
Your time and effort to support our work in this way,<br />
is greatly appreciated. Thank you so much!<br />
Melissa Stewart<br />
Nurse, NNU at RCH, Melbourne<br />
Sheri Waldron with<br />
Steve Webb and Gerri McHendrie
08<br />
Roll Up, Roll Up!<br />
Celebrating Pippa's very special 1st Birthday<br />
As with all children in the NNU family, Pippa was<br />
born in need of urgent medical assistance.<br />
Pippa was born with severe breathing difficulties<br />
c<strong>au</strong>sed by a left sided congenital diaphragmatic<br />
hernia (a hole in the left side of the diaphragm<br />
allowing her stomach, large and small intestine to<br />
herniate into the chest cavity thereby <strong>com</strong>pressing<br />
her lung). Fortunately for us, the RCH is probably<br />
the best place in the world to have this condition.<br />
Due to the amazing staff at the NNU, 4 weeks later<br />
we were able to take a healthy Pippa home. Those<br />
4 weeks were the longest and hardest of our lives,<br />
but we soon learnt our family was one of the lucky<br />
ones, we got off lightly.<br />
As Pippa's 1st birthday drew closer we realised how<br />
quickly life can pass you by, how quickly you forget and<br />
how you can take life for granted. The dawning of Pippa's<br />
birthday was a reality check for us, a time to reflect and<br />
consider how lucky we are and how special she is.<br />
We started to plan a 1st birthday party much like we did<br />
for Pippa's older sister and brother. But soon the emotion<br />
of our earlier reflections took hold and we realised we<br />
wanted to do something different, something we could<br />
do to give back to those that gave us so much.<br />
The carnival theme was born, we organised a ringmaster<br />
(Grandfather!) to conduct proceedings, fairies for face<br />
painting and kids activities and more importantly adult<br />
games - the egg and spoon race, the 3 legged race and<br />
the human card game (corners)!<br />
What was originally planned to be only immediate family<br />
and a few friends quickly grew to 130 people. With the<br />
generous support of friends, family and the local<br />
<strong>com</strong>munity we were able to have raffles, silent <strong>au</strong>ctions<br />
and a live <strong>au</strong>ction conducted by Ted Shackelton of Noel<br />
Jones. It's days like these that you realise 'blood's<br />
thicker than water' - our family was amazing, not only in<br />
organising <strong>au</strong>ction items, prizes, food and drinks but<br />
also in running the day's events. It made our day not only<br />
relaxing but both enjoyable and memorable.<br />
A speech by Pippa's Neonatologist Dr Peter Loughnan<br />
certainly stirred the emotions of those in attendance.<br />
Our final tally raised over $20,000 for the NNU - we<br />
would have been thrilled to raise half as much but this<br />
was just overwhelming. We look forward to presenting<br />
our donation to Dr Rod Hunt at this year's Gala Ball.<br />
We would sincerely like to thank the remarkable staff of<br />
the NNU - we hope they read our story and take heart in<br />
the fact the job they do 'day in, day out' makes a world<br />
of difference to many needy families and we are just<br />
so grateful.<br />
Shane & Justine Jacobson & Families<br />
Dr Peter Loughnan & Pippa
Save the date!<br />
At Cruden Farm<br />
Supporting the <strong>Neonatal</strong> <strong>Unit</strong> at RCH, Melbourne<br />
Proudly patroned by Dame Elisabeth Murdoch AM DBE<br />
And hosted within the EXCLUSIVE grounds of<br />
Cruden Farm, Langawarrin, VIC<br />
Friday 26th November<br />
Midday – onwards<br />
Official Invitations September 2010<br />
Please contact Opera in the Roses Event Committee Chairwoman, Judy Hooper on 0411 407 946 or judith.hooper@gmail.<strong>com</strong><br />
for further information or to be added to our mailing list.<br />
Funds raised at this event support the <strong>Neonatal</strong> Nurse Practitioner (NNP) at the RCH, Melbourne. The NNP is a registered nurse with<br />
clinical expertise in neonatal nursing who has received formal education with supervised clinical experience in the management of sick<br />
newborns and their families. The NNP manages a caseload of <strong>Neonatal</strong> patients with consultation, collaboration and general<br />
supervision from a physician. Utilising the extensive knowledge of pathophysiology, pharmacology, and physiology acquired, the NNP<br />
exercises independent judgement in the assessment, diagnosis and initiation of certain delegated medical processes and procedures. As<br />
an advanced practice neonatal nurse the NNP is additionally involved in education, consultation and research at various levels.<br />
The establishment of the NNP role within the NNU at RCH further optimisse the care of infants and their families through the<br />
integration of nursing and medical roles at an advanced level. The NNP position will en<strong>com</strong>pass the promotion of evidence based<br />
nursing care through research, promote <strong>au</strong>tonomy, professional control and personal achievement for the clinical nurses who possess<br />
high level <strong>com</strong>munication skills and clinical expertise to promote professional nursing practice at this advanced level.<br />
A quote from Dr Rod Hunt, Director NNU<br />
“Our NNP, Simonne Jollye, the first NNP appointed in Victoria, has settled in and is a tremendous asset to our team. Her enthusiasm and dedication<br />
to her work will certainly inspire other <strong>Neonatal</strong> Nurses to expand their fields of practice. We are indebted to Judy Hooper and the Opera in the Roses<br />
Event Committee, it’s supporters and Dame Elisabeth Murdoch – event Patron, for raising the funds that help to make this vital position a reality”.<br />
This year’s event is not to be missed – tickets strictly limited,<br />
book early to avoid disappointment!
10<br />
Sponsor Profile<br />
Sunrise Plastics<br />
Interview with Richard Stumpf<br />
Director Sunrise Plastics<br />
Who is Richard Stumpf, what makes<br />
him tick<br />
I am a married to my wonderful wife Angie and am<br />
Father to our three be<strong>au</strong>tiful children Evan, Ruby both<br />
5 years old and Gabriel who is 3. I enjoy the simple<br />
things in life with my family, holidaying at the family<br />
property on the Murray River, spending the day at the<br />
football, and catching up with other family and friends<br />
and their children. We are also looking forward to<br />
fulfilling our dream of hooking up the caravan and<br />
taking the family on a 12 month trip around Australia<br />
beginning in January 2013. I also believe it is<br />
important to be as generous in life as your means<br />
enable you to be, not just on a financial scale but on a<br />
physical and emotional level as well. Generosity makes<br />
one lift on the inside.<br />
Tell us about Sunrise Plastics.<br />
Sunrise Plastics is a family owned manufacturing<br />
operation located in Boronia at the foot of the<br />
Dandenong Ranges catering predominantly for the rigid<br />
food packaging market. The <strong>com</strong>pany was founded by<br />
my father, Richard Stumpf senior in 1976 and operated<br />
out of small rented premises in Heidelberg West<br />
specialising then in thin wall tooling for the injection<br />
moulding industry. As the business expanded the<br />
operation was relocated to larger premises in Box Hill<br />
in January 1984. Realising the future of Toolmaking in<br />
Australia would be seriously affected bec<strong>au</strong>se of<br />
offshore <strong>com</strong>petitive markets. Sunrise purchased an<br />
adjoining factory to diversify the <strong>com</strong>pany by means of<br />
branching into injection moulding. In August 2000 the<br />
<strong>com</strong>pany again moved to a purpose built facility which<br />
is now our current address.<br />
Any career highlights<br />
After the passing of Richard senior in June 2003 a<br />
career highlight would have to be realising my father's<br />
vision of expansion and adding on phase one of our<br />
extension namely a 1500sqm warehouse in May<br />
2007 followed by phase two being an additional<br />
1000sqm warehouse.<br />
How did you <strong>com</strong>e to support the NNU<br />
at RCH<br />
I first became aware of the NNU at the RCH through<br />
my mother's voluntary work with the Neonate Mate<br />
Auxiliary at the Hospital.<br />
In what ways have you supported the<br />
fundraising needs of the NNU<br />
Sunrise Plastics is proud to have the opportunity to<br />
support to the NNU at the RCH by attending the Annual<br />
Celebration of Life Gala Ball, supporting the Silent<br />
Auction and Main Auction and sponsoring a <strong>Neonatal</strong><br />
Intensive Care Cot on an annual basis. The support<br />
Sunrise Plastics can offer in a financial capacity is our<br />
Richard Stumpf, wife Angie and three children Evan, Ruby and Gabriel<br />
If it is worth doing<br />
every effort has to be<br />
made to do the best you<br />
can or don't bother.<br />
small way of contributing to the truly amazing work that<br />
the staff at RCH undertakes.<br />
How has your involvement and support<br />
made you feel<br />
It was not until the birth of our twins Evan and Ruby in<br />
2005 that I realised the extent and nature of the care<br />
required for newborn babies born with <strong>com</strong>plications.<br />
Fortunately for us our little Ruby required special care<br />
however not to the extent of what the little babies in the<br />
NNU have to endure. I feel privileged to be able to help<br />
in any way possible.<br />
Would you re<strong>com</strong>mend supporting the<br />
NNU to other businesses<br />
Absolutely. A truly worthy c<strong>au</strong>se.<br />
To finish, what’s your favourite quote<br />
and why<br />
“Go Hard or Go Home” would be my catch cry for life.<br />
If it is worth doing every effort has to be made to do the<br />
best you can or don't bother.
11<br />
PATIENT PROFILES<br />
Lucas Clifford<br />
After two attempts, we finally received confirmation<br />
we were having a boy at our 35-week scan, where<br />
it was also discovered that our baby had a blocked<br />
kidney. The doctor assured us it was nothing to<br />
worry about, they would re-assess it when the<br />
baby was two months old and more than likely it<br />
would fix itself.<br />
Tuesday, 9 January came around very fast and just<br />
after 8.00am, Lucas James Jack, was born via caesarean<br />
section. Lucas appeared healthy and we knew his lungs<br />
were working perfectly as he let out a huge scream when<br />
he had his first look at the real world.<br />
The following day, something wasn’t quite right and my<br />
motherly instincts began to take over. Lucas wasn’t<br />
interested in feeding, however the midwives put it down<br />
to the hot weather. There was no air conditioning, so the<br />
rooms were quite hot and apparently babies don’t feed<br />
too well in the heat. Lucas also hadn’t had a bowel<br />
movement except for a few smears, which we thought<br />
was bec<strong>au</strong>se he was not feeding. He was also vomiting<br />
green; the midwives also put that down to mucus.<br />
All the danger signs were there, however there was one<br />
problem…. nobody realised.<br />
We checked out of hospital on the Thursday, with Lucas<br />
being just over 48 hours old. Brendan and I were really<br />
excited and dying to get him home to see our girls.<br />
Whilst the temperature had cooled, Lucas still<br />
wasn’t feeding.<br />
We had a midwife visit us on the Friday, she thought<br />
Lucas looked a little j<strong>au</strong>ndiced and had lost weight. She<br />
arranged for another midwife, who was present at Lucas’<br />
birth, to visit the following day (Saturday) to decide<br />
whether Lucas might need to go under lights, but in the<br />
mean time it was suggested I feed him every 3 hours<br />
and hopefully the j<strong>au</strong>ndice might disappear.<br />
Feeding him 3 hourly was impossible as Lucas wasn’t<br />
hungry. On Friday night Lucas started vomiting green<br />
more frequently and was gagging quite a bit. As a result I<br />
attempted to syringe drops of milk into his mouth. Nothing<br />
like this had happened when our girls were born, I knew<br />
something was wrong. I couldn’t sleep; I sat up in bed<br />
and watched the clock, watching the minutes tick by.<br />
Every minute that ticked by was another minute Lucas<br />
hadn’t fed. At 4 am I couldn’t take it any longer, Brendan<br />
rang our local hospital and spoke to a midwife who said<br />
this didn’t sound right and to <strong>com</strong>e up straight away.<br />
Dr Nick Theiss was the pediatrician that was on call and<br />
as soon as he saw Lucas they took him and put him in an<br />
incubator. They removed his clothes and inserted a nasal<br />
gastric tube up his nose. We knew Lucas was sick but<br />
never realised how sick he actually was. Brendan asked<br />
Dr Nick to give us the best and worst case scenarios.<br />
They were: Best Case: Bowel Obstruction; Middle Case:<br />
Hirschsprungs Disease; Worst Case: Cystic Fibrosis.<br />
We were then told that he had to be flown to Melbourne<br />
with NETS (<strong>Neonatal</strong> Emergency Transport Service) as<br />
soon as possible. Dr Nick was straight on the phone<br />
trying to see where he could get Lucas a bed, with the<br />
choices either The Royal Children’s Hospital or Monash<br />
Medical Center. Dr Nick was hoping he could get Lucas<br />
a bed at the Children’s Hospital. He told us his gut<br />
feeling was that Lucas had Hirschsprungs Disease and if<br />
this was confirmed, he would be operated on as soon as<br />
he arrived at the hospital.<br />
Oh my God! We couldn’t believe it! We just sat there in<br />
tears and total shock.<br />
We arrived at the hospital about five minutes after Lucas<br />
and it was a big eye opener. It was a place that I never<br />
wanted to see the inside of and here we were on the 2nd<br />
floor, inside the <strong>Neonatal</strong> Intensive Care <strong>Unit</strong> (NICU).<br />
Brendan and I were just numb. Our poor little man was<br />
supposed to be home in his bassinette wrapped in his<br />
bunny rug and here we were. On arrival, the doctors<br />
advised their need to run some preliminary tests in order<br />
to determine Lucas’ condition. Brendan went with the<br />
doctors and surgeon Dr Joe Crameri to find out what it<br />
was that was making our little man so sick, while I sat in<br />
the waiting room. At about 10:30pm the surgeon came<br />
out and told us he believed it was Hirschsprungs Disease,<br />
he also thought it was low down in the bowel and as a<br />
result, a biopsy would be taken the following day (Monday).<br />
The biopsies were performed and the results returned<br />
very quickly - Lucas had Hirschsprungs Disease.<br />
We were then told that Lucas would need to have a bowel<br />
operation, so that he would be able to have bowel<br />
movements. They explained that Hirschsprungs Disease<br />
is when a section of the baby’s bowel has dead nerves<br />
and doesn’t work; in simple terms the poo is unable to<br />
travel straight through to the anus. It stops where the<br />
dead nerve endings start and c<strong>au</strong>ses a blockage.<br />
They explained that the lower in the bowel, the more<br />
favourable the operation. If the section of bowel was too<br />
high up, Lucas would have to have a stoma and bag to<br />
rest the bowel and then have further surgery a few<br />
months later. We wouldn’t find out for sure until Lucas<br />
was operated on but they were silently confident that it<br />
was low down in this case. In the mean time, he would<br />
have rectal washouts.<br />
The next day, Lucas was moved to Room 1 where there<br />
were a lot less machines and the majority of babies were<br />
in cots not incubators. It was so much easier to see<br />
Lucas in a cot rather than an incubator. Being in Room 1<br />
meant Lucas’ wash outs began.<br />
We were t<strong>au</strong>ght how to wash Lucas out with a catheter<br />
and saline. After watching the nurses perform this twice,<br />
we then had to perform it ourselves every eight hours;<br />
the nurses did it in the early hours of the morning.<br />
This procedure would be done up until the operation and<br />
at this stage Dr Joe Crameri was saying the operation<br />
would be performed anywhere from one month to three<br />
months of age depending on Lucas’ weight gain.<br />
They explained they would rather operate on Lucas<br />
when he was bigger.<br />
When Lucas started feeding he was given small amounts<br />
of 20mls and slowly it was increased to 70mls. There<br />
was a little trouble with getting Lucas to take the breast<br />
milk from a bottle and often nurses would just syringe it<br />
through his nasal tube straight to his stomach.<br />
There was a day there that we thought, "is he going to<br />
make it through" He seemed to be doing so well, he<br />
was drinking from the breast and they had taken him off<br />
the drip but then he went downhill really fast. They took<br />
him off his feeds and put the drip straight back in.<br />
Millions of little bubbles had formed in his stomach.<br />
I found this really hard to handle and they suggested that<br />
we go home and have a rest. I went home to bed and<br />
cried and cried and cried. It seemed to be two steps<br />
forward and one step back. You’d get your hopes up and
12<br />
PATIENT PROFILES<br />
Lucas Clifford<br />
they would be dashed by the next day… and then some<br />
days everything was fine again, which we found out.<br />
They called us early the next morning and said, “Can<br />
you please <strong>com</strong>e in as soon as you can, Lucas did really<br />
well over night, and he’s back off the drip and can be<br />
breastfed again.”<br />
After speaking to Dr Joe Crameri, we were given a date<br />
for the operation it was Wednesday, 7 February. We had<br />
to be at the hospital at 7.00am for Lucas’ operation. We<br />
couldn’t wait! We knew that as soon as Lucas had this<br />
operation that he would be a normal little baby. The<br />
hardest bit was handing Lucas over to the surgeons. He<br />
was out of our hands and in the hands of a specialist<br />
team of about 6 people. They reassured us everything<br />
would be fine but also had to tell us about the things that<br />
could go wrong.<br />
distended. The surgeon wasn’t happy and decided<br />
to take Lucas back off his feeds until it went down,<br />
and then they would slowly increase them again.<br />
That wasn’t what we wanted to hear.<br />
It was a couple of days before Lucas was back<br />
feeding again and everything was looking good.<br />
The doctors on their morning rounds were very happy<br />
with Lucas’ progress, although his stomach was still<br />
a little distended. Finally on the Monday I arrived at the<br />
hospital to hear that I could breast feed Lucas and if<br />
they went well throughout the day, we could take him<br />
home. I couldn’t ring Brendan quick enough.<br />
So it looked like we were going home. We were finally<br />
back on the road to Warrnambool, we could not wait<br />
to get home and for everything to be normal again.<br />
No more Melbourne! No more hospitals! And no more<br />
washouts…so we thought.<br />
Almost three years later, we have found ourselves back<br />
at the RCH. Lucas and his big sister Sienna, had a<br />
blocked kidney and would need to have a pyeloplasty<br />
and a stent. Both operations have gone well and we are<br />
still going through a process of tests to determine<br />
whether the operations were a success. I have no doubt.<br />
We would like to thank The Royal Children's Hospital<br />
- we will be forever grateful to them for taking care of<br />
Lucas, not once but twice and also his sister Sienna, for<br />
helping them be<strong>com</strong>e two happy and healthy little kids.<br />
Carla and Brendan Clifford<br />
Brendan and I sat in the car for most of the operation<br />
and then we went up and waited in the Waiting Room.<br />
Finally, after four hours Lucas was out and in Recovery.<br />
We rushed in there to see him and were taken aback a<br />
little, as it didn’t look like him. Lucas was very swollen.<br />
Brendan lifted back Lucas’s blanket really slowly. We still<br />
didn’t know whether they were able to do a pull through<br />
surgery or whether they had to do a stoma. When the<br />
blanket was peeled back there was no bag! We were<br />
ecstatic! We left the room to text everyone the good<br />
news and speak to the surgeon Dr Joe, who told us<br />
Lucas had the best possible out<strong>com</strong>e. We were then<br />
taken to the 4th floor, the surgical floor, where Lucas<br />
would spend the week recovering from his operation.<br />
The nurses who were looking after Lucas explained that<br />
he wasn’t allowed to be fed until he had a bowel<br />
movement, which could be days. Generally two to three.<br />
So we were quite surprised when we arrived the next day<br />
for the nurses to tell us that Lucas had already had a<br />
bowel movement and was allowed to start 20 ml feeds.<br />
They slowly increased it over that day and then the<br />
following day they allowed me to breastfeed. Day 3<br />
became a setback when Lucas’ stomach became<br />
PHOTOS L-R: Photo 01: Lucas in Intesive care ;<br />
Photo 02: Lucas after kidney surgery;<br />
Photo 03: Brendan with Lucas;<br />
Photo 04: After bowel surgery with dad;<br />
Photo 05: After kidney surgery;<br />
Photo 06: Carla & Lucas at the ICU in the NNU;<br />
Photo 07: Sienna after kidney surgery;<br />
Photo 08: Paris, Sienna & Lucas;<br />
Photo 09: Sienna before surgery in day unit;<br />
Photo 10: Carla & Lucas.
RCH <strong>Neonatal</strong> Intensive Care<br />
<strong>Unit</strong> Cot Donations -<br />
5000 good reasons to lend<br />
your support….<br />
Photo Baby Thomas, NNU @ RCH 2007<br />
Make a lasting contribution to excellence in <strong>Neonatal</strong> care by donating a <strong>Neonatal</strong> Intensive Care <strong>Unit</strong> Cot<br />
in the <strong>Neonatal</strong> <strong>Unit</strong> at The Royal Children’s Hospital, Melbourne.<br />
On average, the operational cost of one<br />
<strong>Neonatal</strong> Intensive Care <strong>Unit</strong> Cot is $250,000 per annum.<br />
There are 5000 good reasons to justify the availability of these MOBILE LIFE SUPPORT CENTRES<br />
- the moment a baby in distress requires specialized treatment, cost should no longer present a factor<br />
- every baby’s life is precious and priceless and deserves the “very best chance – first chance at life”.<br />
We ask that you individually, as a family, as a <strong>com</strong>pany or even as a group of friends consider a 12 month <strong>Neonatal</strong> Intensive Care <strong>Unit</strong> Cot<br />
sponsorship of $5,000 which will ensure the maintenance of our current cots with the most advanced and life saving equipment available.<br />
Your kindness and support will be recognized with the placement of an individually engraved plaque, dedicated in the name<br />
of the sponsor/family/ <strong>com</strong>pany, which is mounted on the Cot for the duration of the donations.<br />
Your donation will help to ensure the <strong>com</strong>fort and care of our sickest babies.<br />
Please contact Donna Aranyi at The Royal Children’s Hospital Foundation on (03) 9345 4510 for further information – thank you for your support!
14<br />
Elise Sneddon Foundation<br />
Annual AFL Grand Final Family Day<br />
Elise Sneddon Foundation<br />
Annual AFL Grand Final Family Day<br />
Saturday 25th September 2010<br />
1:00pm til 5:30 pm<br />
The Kidz Playshak<br />
216-230 Blackshaws Road,<br />
Altona North, Vic<br />
Great day out for whole family!<br />
Fun activities for all ages!<br />
Watch the game LIVE in the cosy Lounge!<br />
Proudly sponsored by Crayola Australia<br />
Bookings/further information, please contact Kerryn Sneddon 0409 132 654<br />
or Robert Sneddon on 0423 022 312
15<br />
The Charlotte Duncan Award 2010<br />
The secret of my success<br />
The Charlotte Duncan Award has been<br />
established in Charlotte’s memory to raise<br />
funds for the <strong>Neonatal</strong> <strong>Unit</strong> at Melbourne’s<br />
Royal Children’s Hospital. Charlotte was born<br />
on September 8th, 2008 with a brain injury,<br />
the c<strong>au</strong>se of which is unknown. She died on<br />
September 17th, aged nine days.<br />
The care and support offered to Charlotte<br />
and her family was exemplary and<br />
highlighted the work the hospital does caring<br />
for young babies.<br />
Determined that this was going to be something<br />
more than a bad experience, Charlotte’s family,<br />
through their business, Celapene Press, established<br />
the Charlotte Duncan Award, an award for a short<br />
story written for readers aged between 9 and 12<br />
years. In the past 2 years, we have raised over $900<br />
which has been donated to the <strong>Unit</strong>.<br />
Congratulations to Sharon Hammad whose<br />
story, The secret of my success, won the 2010<br />
Charlotte Duncan Award.<br />
Second prize -<br />
Marian McGuinness for Invisible Gran<br />
Third prize -<br />
Liliane Grace for Sam and<br />
the knight suit<br />
Celapene Press<br />
Commendation - Peta Biggin for<br />
The best scarf in the world, a diary<br />
Copies can be ordered at:<br />
www.celapenepress.<strong>com</strong>.<strong>au</strong> or contact<br />
Kathryn Duncan on 0409 933 930.<br />
The Secret of My Success<br />
by Sharon Hammad First Prize - Charlotte Duncan Award 2010<br />
I stand on the block, my toes gripping the edge. It slopes<br />
forward, designed to tip me off. Bright blue water<br />
stretches like a tarp<strong>au</strong>lin below me.<br />
The tang of chlorine tickles my nostrils. I shiver. My skin<br />
erupts in goosebumps and hairs stick up, thick as<br />
coconut on a lamington.<br />
Liam's spit bubbles at the corner of his mouth as his lips<br />
stretch over his teeth. His stare is as intense as sunlight<br />
passing through a magnifying glass. If I were a leaf,<br />
I'd catch fire. Out of the corner of my eye, I see his<br />
thumb and forefinger form the letter 'L'. L is for loser.<br />
The loser is me.<br />
In Liam's case, L is for lucky, not bec<strong>au</strong>se he is the best<br />
swimmer in the school or bec<strong>au</strong>se his name is in the<br />
newspaper all the time. Liam is lucky bec<strong>au</strong>se his mum<br />
is always around. She even works in the school canteen.<br />
I haven't seen my mum since she went away when I was<br />
a baby. Liam's mum obviously cares about him a lot<br />
more than my mum cares about me.<br />
Every week we have swimming lessons. Our coach<br />
marches up and down the side of the pool yelling, 'Blow,<br />
blow, breathe'. Every time I try, my arms and legs thrash<br />
about as though I am fighting off the Loch Ness monster.<br />
Water splashes everywhere it shouldn't - especially on<br />
my coach.<br />
He's too busy getting Liam ready for the next Olympics<br />
to bother with me. He sends me to the baby pool to<br />
practise kicking. I practise being a Mexican-walking-fish<br />
instead. And when Liam sees me, he practises making<br />
my life miserable.<br />
'Zo-ey Ze-ro,' is his favourite chant. The other kids at<br />
school join in. The name repeats over and over in my<br />
head so that when I go to bed at night, I count zeros<br />
instead of sheep.<br />
One day, in a desperate attempt to stop Liam tormenting<br />
me, I put my name down for a race in the school<br />
swimming carnival. It had the opposite effect. 'Zo-ey<br />
Ze-ro. She's no he-ro. She will sink be-fore you blink,'<br />
he sang.<br />
As the carnival came closer, I knew I was in big trouble. I<br />
had to learn to swim. Fast. And I had to learn to swim<br />
fast. But how<br />
Then, I had an idea. If I could get Dad to go to the<br />
gym next door to the pool, I could get him to take me<br />
with him...<br />
'Dad, have you noticed how your belly sticks out over<br />
your trousers How do you know if your shoelaces are<br />
undone You could fall over and break your neck.<br />
Then who would look after me You should exercise<br />
more. I know, you could join the gym.'<br />
That part was simple. The <strong>com</strong>plicated part was figuring<br />
out how to learn to swim without having lessons.<br />
Besides, the blow-blow-breathe method hadn't worked<br />
for me.<br />
Before he left me at the pool, Dad asked the lifeguard if<br />
she would please make sure I didn't drown. The lifeguard<br />
was a grumpy old lady who looked as though she<br />
couldn't save a stamp from an envelope. She had a<br />
hooky nose and teeth missing when she opened her<br />
mouth to yell at someone. The way she blew her whistle<br />
and pointed her long, bony finger, she wasn't there for<br />
people to have fun. I decided to stay as far away from her<br />
as I could.<br />
I lay in the water and watched the little kids having<br />
lessons. They l<strong>au</strong>ghed even though the water splashed<br />
up their noses and made them cough. With their tiny<br />
goggles on, they looked like blowflies. They weren't<br />
afraid to dive into the deep end of the pool either.<br />
While everyone watched the cute little kids, no-one<br />
watched me. I copied everything they did. I hung onto<br />
the edge to kick my legs. I turned my head to the side to<br />
take breaths. I blew bubbles with my face in the water.<br />
Yet every time I tried to swim, my body behaved like a<br />
pet rock.<br />
Then, one day the lifeguard shoved a pair of flippers at<br />
me. 'Take these.'<br />
I scanned them suspiciously. They were perfectly<br />
ordinary-looking orange and blue flippers.<br />
'I thought they'd help me do ballet,' I said.<br />
The lifeguard shrugged. 'It's not my swimming carnival<br />
next week.'<br />
'How did you know'<br />
The lifeguard's grin resembled a piano keyboard.<br />
'Try them.'<br />
I had to squish my toes inside the flippers to get them<br />
on and I nearly tripped over when I started to walk.
16<br />
The Charlotte Duncan Award 2010<br />
The secret of my success CONTINUED<br />
'They're a bit tight but they'll do the job,' she said.<br />
'They've worked for everyone else.'<br />
'Who'<br />
The lifeguard tapped the side of her nose with her<br />
knobby finger. 'That's confidential, I'm afraid. If I were to<br />
tell you, the flippers might lose their magic powers.'<br />
'What powers'<br />
'I've got to get back to work now.' She was still smiling<br />
as she walked away.<br />
At first, I thought the story of the flippers was a practical<br />
joke. Everyone else teased me, why not the lifeguard<br />
But when I wore the flippers, I seemed to stay afloat and<br />
move faster through the water. I could concentrate on<br />
turning my head to take a breath and I could co-ordinate<br />
my arms better.<br />
Slowly, I began to swallow less water and I didn't need to<br />
thrash about to stop myself from sinking. I could make it<br />
nearly all the way to the end of the lane without a rest,<br />
and I would float up to the surface whenever I dived<br />
under water. If the flippers were doing all the work, why<br />
should I care<br />
Unless, of course, I wasn't allowed to wear them in the<br />
race. I found out when I arrived at the swimming carnival<br />
this morning. Well, how would I know if I've never swum<br />
in a race before<br />
So here I am, at the start of the race, realising I've made<br />
the biggest mistake of my life. I feel like I'm standing<br />
high on a rocky cliff and the water is a river far below.<br />
Without the magic flippers, I know I can't swim a stroke.<br />
So it looks as though I'll be called Zoe Zero for the rest of<br />
my life.<br />
I step down, ready to drop out of the race, when I see the<br />
lifeguard standing a little way off. She smiles her<br />
piano-keys smile and taps the side of her nose.<br />
I'm not sure what she is trying to tell me. Only I wonder if<br />
... I can swim without the flippers. If I walk away now, I<br />
will never know.<br />
My legs trembling, I step back onto the block. Liam is<br />
grinning as if he has already 'On your mark. Get set.' Pop!<br />
goes the starting pistol.<br />
I dive into the pool and something wonderful happens.<br />
It's as if I am wearing the magic flippers. I can feel them<br />
squishing my toes, and when I kick, my body glides<br />
through the water as if my feet are propellers. The magic<br />
flippers work whether I wear them or not!<br />
When I reach the end of the pool, the spectators are<br />
cheering wildly. Liam has won the race, but the crowd<br />
is cheering for me.<br />
Afterwards, Liam's mum congratulates me. 'I thought<br />
Liam said you couldn't swim very well, Zoe. You did a<br />
great job today. I'm proud of you.'<br />
Maybe if my mum knew, she'd be proud of me too.<br />
Now I can swim, I don't need the magic flippers any<br />
more so I give them back to the lifeguard. It's funny how<br />
she tosses them into the basket with all the other<br />
flippers, as if they're not really magic after all.<br />
Of course, no-one must ever know the secret of my<br />
success. One thing is for sure: no-one will ever call me<br />
Zoe Zero again.<br />
Fifth Avenue Collection Jewellery<br />
Stephanie Damon<br />
In 2003, our first born, Stephanie, spent many<br />
weeks in the <strong>Neonatal</strong> <strong>Unit</strong> at The Royal Children’s<br />
Hospital, Melbourne.<br />
Five days after Steph was born, she became very ill with<br />
ecoli bacterial meningitis. Meningitis is a very severe<br />
virus that can turn a healthy person into a very sick one<br />
in a matter of hours, days. Well that’s what happened to<br />
Steph. A healthy baby born with no problems and only<br />
days later was in the <strong>Neonatal</strong> <strong>Unit</strong> at RCH, fighting for<br />
her life. If it wasn’t for the tremendous doctors and<br />
nurses in the <strong>Unit</strong>, Steph wouldn’t be here today.<br />
Stephanie is now 6 ½ years old and has a very<br />
energetic, determined nature about her; understandably,<br />
she had to fight for her life at such a young age. As first<br />
time parents, my husband P<strong>au</strong>l and I were <strong>com</strong>pletely<br />
overwhelmed with the whole situation. The nurses were<br />
absolutely fantastic and made us feel ‘at home’ as much<br />
as possible in the <strong>Neonatal</strong> <strong>Unit</strong>. We drove to the<br />
hospital everyday from Narre Warren to be by Steph’s<br />
side and any changes, the doctors and nurses would<br />
always inform us, whether positive or negative.<br />
It was whilst reading a recent edition of <strong>Neonatal</strong> News,<br />
that I thought I would like to do a fundraiser for the <strong>Unit</strong>.<br />
I am an independent jeweller for Fifth Avenue Collection<br />
Jewellery and last week I had an open house at home<br />
and lots of ladies came and purchased the gorgeous<br />
jewellery I had on display. I mentioned to all the ladies<br />
that 10% of sales for the day would be donated to the<br />
NNU at RCH as a personal gesture of thanks for the care<br />
that Steph received all those years ago…The day was a<br />
great success and I am happy to donate these funds in<br />
the hope that they will help the NNU in some way or<br />
another, I know every dollar counts!<br />
I would like to continue to do this with every Fifth Avenue<br />
Collection open house booked through me from now on<br />
and warmly invite anyone interested to contact me for<br />
further information. From the simplest earring to the<br />
most sophisticated neckpiece, Fifth Avenue Collection<br />
has the astonishing ability to influence a room with its<br />
look! Our collection is renowned for its affordable<br />
quality, highlighting a durable finish of gleaming gold or<br />
rich rhodium, solid 14K gold posts, genuine Swarovski<br />
crystal, the hardness and be<strong>au</strong>ty of triple quality cubic<br />
zirconia, lustrous pearls and natural gemstones from<br />
around the world. And adding to its excellence, our<br />
collection is nickel and lead free. Fifth Avenue<br />
Collection, be<strong>au</strong>tiful by day, breathtaking by night!<br />
Supporters are also wel<strong>com</strong>e to view over 4,000 pieces<br />
online at www.fifthavenuecolection.<strong>com</strong>/ydamon<br />
- I’m sure you will be impressed!<br />
Thanks again to the <strong>Neonatal</strong> <strong>Unit</strong> for it’s amazing<br />
support and management of Steph’s earliest needs -<br />
P<strong>au</strong>l & I will be forever grateful and we hope that our<br />
fundraising efforts serve to make a difference in some<br />
small way – it’s what we can do to help!<br />
Kind regards,<br />
Yolanda Damon<br />
Stephanie today
17<br />
<strong>Neonatal</strong> Nurse of the Year 2010<br />
Celina Derose<br />
This year’s worthy recipient of the <strong>Neonatal</strong> Nurse<br />
of the Year is Celina Derose.<br />
This award is in memory of a very special <strong>Neonatal</strong> Nurse.<br />
Each year, all staff working in the NNU are invited to<br />
nominate a member of our team for this award. This year<br />
there were 17 nominations for our nurses.<br />
Celina has worked in the NNU for many years. Her<br />
nomination <strong>com</strong>ments included statements highlighting<br />
the fact that she has been a great mentor and preceptor for<br />
junior or new staff. Clinically, her skills are very sound.<br />
She is has a very professional demeanour that makes her<br />
approachable and kind, which extends to the parents and<br />
families that she engages with on a daily basis.<br />
Celina continues to be a strong advocate for her nursing<br />
colleagues voicing any clinical issues and offering<br />
support to the nurses she works with. She also<br />
demonstrates advocacy for the parents of the infants that<br />
she looks after.<br />
I have had the pleasure of working with Celina for many<br />
years, and I am delighted that she has been recognised by<br />
her colleagues for this Award. Well Done Celina!<br />
Sheri Waldron<br />
Where Are They Now Life after the NNU….<br />
Hello my name is Abbie, I was delivered via<br />
emergency caserean at 12:20am on the 30th June<br />
1988 at the Royal Women’s Hospital, Melbourne.<br />
I was 8 weeks early, weighing 795 grams and<br />
33cm long.<br />
I had a condition called Oesophageal Atresia & Trach<br />
Oesophageal Fistula. This is a congenital abnormality in<br />
which part of the oesophagus is missing and doesen't<br />
join to the stomach, just ending in a pouch.<br />
I was baptised at The Royal Women’s Hospital by<br />
the Reverend before being transfered to The Royal<br />
Children’s Hospital, Melbourne.<br />
Later that day, Drs Spencer Beasley (Surgeon) and<br />
Peter McDougall (NNU Consultant) <strong>com</strong>pleted the<br />
surgery to repair the Trach Oesophageal Fistula,<br />
which was successful.<br />
Two and half months later on the 12th September<br />
1988 they <strong>com</strong>pleted a second operation to repair the<br />
Oesophageal Atresia. After spending 3 months in<br />
hospital I got to go home weighing 5 pounds.<br />
As a consequence, I have lived a normal happy and<br />
healthy life. As a child I loved animals, in my teenage<br />
years I was horse mad and had a pony and attended<br />
Pony Club in my local area.<br />
In 2008, my husband and I married in Cairns, on the<br />
beach at Palm Cove. Five months later we wel<strong>com</strong>ed a<br />
healthy baby boy, Michael David on the 1st of May<br />
2009 weighing 7.7pound. He is now 13 months old,<br />
a bubbly little chatter box.<br />
I would like to thank Drs Spencer Beasley &<br />
Peter McDougall and all staff in the NNU for your<br />
expertise and wonderful care and for providing me<br />
“the best chance – first chance” at life.<br />
Abbie Guzzi nee Salter<br />
Support an NNU Fundraising Event in 2010!<br />
Will’s Memory Fundraising Dinner 17th July contact Michelle Ferguson • willsmemory@hotmail.<strong>com</strong><br />
Annual Celebration of Life Gala Ball 16th September contact RCH Foundation • donna.aranyi@rch.org,<strong>au</strong><br />
Elise Sneddon Foundation AFL Grand Final Family Fun Day 25th September contact Rob & Kerryn Sneddon • elisefoundation@optusnet.<strong>com</strong>.<strong>au</strong><br />
Family Bush Dance 16th October contact Rebecca Grieve • ryanandbec@hotmail.<strong>com</strong><br />
Opera in the Roses 26th November contact Judy Hooper • judith.hooper@gmail.<strong>com</strong>
18<br />
WORDS OF THANKS FROM THE FAMILIES OF THE NNU<br />
Thank you for your amazing care, friendliness and<br />
professionalism when looking after our son. You are all<br />
a credit to your profession – special thanks to all the<br />
nurses in Room 2 for their love & special care.<br />
- Dave, Kate, Indi & Mason<br />
Thanks so much for looking after our special miracle,<br />
Sebastian, through his first month of life. Words cannot<br />
express how grateful we are that he was given the best<br />
chance at life due to people like you. He continues to<br />
improve in baby steps each and every day and he is<br />
currently working hard on trying to roll over!<br />
We are so proud of our brave, little, precious miracle.<br />
Thanks for the greatest Mother’s Day gift of all…<br />
- Olivia, Matt, Aidan & Sebastian<br />
We thank the doctors, nurses, social workers and<br />
pastoral carers and all involved for the enormous effort<br />
you gave to help save our baby son Lucas. Words cannot<br />
express how we feel about your kindness and the care<br />
that you provided to our family. Thank you all very much<br />
and God Bless you.<br />
- Elizabeth, Getu, Lucas & Families<br />
Finding words to thank you isn’t easy but perhaps these<br />
heartfelt words will help to show your thoughtfulness will<br />
always be remembered with more gratitude that you<br />
could ever know. Thank you for all your help and support.<br />
- Anish, Jessica & Jay<br />
Thank you ever so much for your genuine and loving<br />
care that you gave our baby Billy whilst he was in the<br />
NNU. An extra big thank you to Hamish and Joey who<br />
gave much needed support and understanding to<br />
myself and Glenn.<br />
- Brayley, Glenn, Grace & Billy<br />
We would like to express our love and gratitude to the<br />
amazing NNU Team who cared for Levi in the first few<br />
weeks of his life. Special thanks to L<strong>au</strong>ra, Megan &<br />
Mary for their care and also Andrew & Michael, Levi’s<br />
Surgeons. Lots of love –<br />
- Tim, Edith, Josiah, Daniel, Andrew & Levi<br />
Thank you for saving my brother Levi!<br />
- Daniel<br />
Thank you for looking after our brother Levi and making<br />
him better.<br />
- Andrew & Josiah<br />
Thank you so much for helping our little angel to get<br />
better. Forever in our hearts.<br />
- Jewell & Family<br />
Thank you for your support and guidance over the last<br />
six months. I have learnt more than I ever expected to,<br />
so a BIG thank you to you all. You all do such an<br />
AMAZING job!<br />
- Belinda<br />
Thank you to all of the nurses, doctors and midwifes in<br />
Room 1 of the NNU for taking care of me.<br />
- Love Baby Lachlan, Ron & Sue<br />
Many thanks for all the care and attention that you gave<br />
not only to Cooper but to both his Father & I during<br />
Cooper’s stay. You all made our time in the NNU as<br />
stress free as possible and we appreciated it greatly.<br />
To Cooper’s doctors, thank you both for your care and<br />
thoroughness at diagnosing Cooper. Thank you for being<br />
so approachable and willing to answer seemingly silly<br />
questions on my behalf. You made a scary time for me<br />
bearable. And to the nurses who cared for Cooper, thank<br />
you for treating him so well and making me feel so<br />
relaxed and included. As strange as this sounds, we will<br />
look back on our time in the NNU at RCH fondly and<br />
remember you all. Thank you ALL so much.<br />
- Peter, Lorerelle & Cooper<br />
Thank you for looking after our brother William. x<br />
- Emma & Lily<br />
Words can never express the gratitude, love and<br />
appreciation we feel towards you all. Your dedication to<br />
the job literally saved Cooper’s life and for that, we will<br />
be eternally grateful. Your professionalism, empathy and<br />
support assisted us to cope with the arising situation<br />
and we could not have asked for a nicer group of<br />
professionals to be caring for Cooper. You are ALL<br />
wonderful individuals and do a wonderful job!<br />
There will never be enough thanks in this world for<br />
what you have done for us. God Bless you all.<br />
- Cooper, Georgia, Leigh & Ella<br />
Thank you so much for everything you did to help our<br />
Hamish. Words cannot express our gratitude for all your<br />
care and support.<br />
- Love Philip, Christine, Lachlan & Hamish<br />
To everyone that was involved in the care of our babies<br />
Charlie & Thomas – thank you for everything that you<br />
have done. For being so patient, approachable and ready<br />
to answer all of our questions. It was <strong>com</strong>forting to know<br />
that whenever we entered the NNU, we would be greeted<br />
by smiling faces, who were genuinely concerned for us<br />
and our babies. Peter and Rod, thank you for taking the<br />
time to speak with us personally – we relly appreciated<br />
your approachable, calm, forthright and confident<br />
manner. You should be VERY proud of your Team.<br />
Please know that your kindness and professionalism<br />
will never be forgotten.<br />
- Charlie’s Mum & Dad and brother Riley x<br />
Yee-Hay!<br />
Grab your partner by the hand…<br />
NNU families, friends and supporters are invited to attend a Family Bush Dance<br />
to help raise funds for the NNU at RCH, Melbourne.<br />
When: Saturday 16th October from 6pm • Where: Yarraville Guide Hall, Clare Street, YARRAVILLE VIC<br />
Who: Families & Friends of NNU<br />
Come along an enjoy a great night’s entertainment and FUN for all the family!<br />
Further information, please contact Event Organizer - Rebecca Grieve (ex NNU Mum) via ryanandbec@hotmail.<strong>com</strong>