August 2013 - Tasmania Medicare Local

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August 2013 - Tasmania Medicare Local

AUGUST 2013Tasmania Medicare LocalGeneral PracticemattersURGENTMEDICALALERTThe DHHS has alerted TasmaniaMedicare Local to cases where thePriorix-Tetra vaccine has not beenreconstituted, meaning that only thediluent in the syringe has been given.Priorix-Tetra presents as a packof 10, with 10 syringes containingwater for injections on one side ofthe pack and 10 vials on the otherside of the pack containing a pelletfor reconstitution.Please ensure all immunisationproviders in your practiceare aware that Priorix-Tetra isreconstituted prior to administrationas per the product information (seeadvice at www.tasmedicarelocal.com.au/news/preparingpriorix-tetra-informationsheet).All practice staff involvedin immunisation should be madeaware of this requirement, and aprocess put in place to inspect bothvial and diluent prior to vaccination –even where the vaccine is preparedin advance of the immunisationencounter.For any other enquiries, contactthe DHHS CommunicableDiseases Prevention Unit on6222 7666.General Practice VacanciesGonorrhoea: TasmanianTrends, Tests and TreatmentThere has been a significant increase in notifications ofgonorrhoea in Tasmania this year. In the first half of 2013there have already been 40 cases compared to 35 casesin all of 2012.Notifications came from all three regions of the state with all but twocases being diagnosed in men. More than half of cases were symptomatic,commonly with urethritis or proctitis.Male patients presenting with symptoms should have throat, rectal and urethral swabsfor microscopy, culture and sensitivities. Many patients are comfortable with self-collectedswabs –eg anal swabs for men who have sex with men. Females are usually screenedwith throat and First Void Urine testing for PCR Chlamydia and Gonorrhoea, although ifsymptomatic, endocervical swabs for PCR and m/c/s should be taken. In addition, bloodtesting for syphilis and HIV serology with consent may be appropriate.In asymptomatic individuals in whom the diagnosis is suspected, throat and rectal swabsare necessary, as well as first pass urine for gonorrhoea and chlamydia PCR testing.Best practice is to test and treat on the same day.Treatment is 500mg IM ceftriaxone AND 1g oral azithromycin.Treatment guidelines are available at the Melbourne Sexual Health Centre website atwww.mshc.org.au/Please ask the patient to return for results and to arrange contact tracing. Contact tracingis crucial. Untreated cases are potentially infectious for up to 12 months and oral sex isan important mode of transmission. The Australasian Contact Tracing Manual providesuseful guidance and is available at www.ctm.ashm.org.au/. Dr Louise Owen can becontacted on 6233 3557 for any assistance.Laboratories, acting under the Public Health Act, will notifyDHHS of cases of notifiable STIs.The Sexual Health Service offers a free public serviceMonday to Friday in Devonport, Launceston, Burnie(for all northern appointments, call 6336 2216) andHobart (6233 3557). Walk-in appointments are alsoavailable every Thursday morning at 60 Collins Street,Hobart. No Medicare card is required.Tasmania Medicare Local continues to provide an up-to-date register of general practice and otherprimary care vacancies at www.tasmedicarelocal.com.au/primary-care-vacanciesContentsIn the SouthIn the North WestEducationResourcesClick on the links above togo directly to the sections.Tasmania Medicare Local acknowledges the financial and other support of the Australian Government Department of Health and Ageing


General PracticemattersEducationCough WorkshopCough is one of the most common respiratory symptoms seen in general practice. Theunderlying causes of cough are varied and may indicate a raft of conditions includingchronic obstructive pulmonary disease (COPD) and lung cancer.Cancer Australia along with Monash University and Lung Foundation Australia invitesall GPs to attend a free interactive workshop on implementing two new key clinicalguidelines within your local general practice setting.Thursday 10 October 2013, 6.30pm to 9.00pm, Hobart (venue to be confirmed)Two new evidence-based guidelines are available to help GPs investigate respiratorysymptoms that may indicate lung cancer or COPD and help to manage symptomsrelated to COPD:• Investigating symptoms of lung cancer: a guide for GPs, available atwww.canceraustralia.gov.au/publications-and-resources/canceraustralia-publications/investigating-symptoms-lung-cancer-guide-gps• COPD-X concise guidelines for primary care (due for publication in August 2013)For more information, contact Dr Samantha Chakraborty atsamantha.chakraborty@monash.edu or call 03 9902 4983Clinical e-Audit:CVD Risk isnow liveThe disease CVD risk Clinicale-Audit CVD risk-assessment andlipid-modifying therapy, has beenrereleased as an online product andreplaces the previous desktop versionthat was retired in April.The updated Clinical e-Audit nowincludes reference to the firstAustralian guidelines for themanagement of absolutecardiovascular disease risk,implemented in 2012, which providea single preventive approach toCVD in Australia. GPs can reviewthe importance of assessing andmanaging CVD risk to optimisepatient outcomes.This activity is recognised by theRACGP QI&CPD Program for 40(Category 1) points and the ACRRMPD Program for 30 PRPD points.GPs can register forClinical e-Audit activities atwww.nps.org.au/clinical_auditsGeneral PracticeEducation Day,Melbourne 2013HealthEd invites all general practitioners toits Education Day on Saturday 24 Augustfrom 8.30am to 6.30pm at The SpotTheatre, University of Melbourne (ParkvilleCampus). The seminar is approved for 16Category 2 CPD points or for 40 Category1 CPD points (optional ALM).Topics being covered in this year’sprogram:• child and adolescent health• men’s health• cardiovascular disease and diabetes• mental health, drug and alcohol issues• pain• new developments• eHealth and internet fraud,osteoporosis and commondisorders of the nail.For further information regardingtopics, speakers, workshops andcost, download the brochure atwww.healthed.com.au/seminar/24-august/ Registrations may be madeat www.healthed.com.au or call1300 797 794.Children’sContinenceWorkshops inHobartCommunity ProviderAwareness SessionWednesday 28 August11.45am to 3.00pmPresenters: Lewina Schrale, SeniorPhysiotherapist, Paediatric ContinenceClinic, Royal Hobart Hospital, andFiona O’Keeffe, Paediatric ContinenceClinic Royal Hobart HospitalDeveloped for: teachers / teacheraides, GPs, continence nurses / RNs,allied health professionals, childhooddisability support persons, others withan interest in children’s continencee.g. after school careCost: $55 incl GSTManagement of Bladder andBowel Dysfunction in ChildrenTwo workshops in Hobart with DrJanet Chase (PhD), ContinencePhysiotherapistThursday 29 and Friday 30 August2013Day 1: Paediatric ContinenceUpdateWho should attend: Healthprofessionals with expertise and / orinterest in the management of childrenwith bladder or bowel dysfunction –doctors, physiotherapists, occupationaltherapists, continence nursesCost: $110 incl GSTDay 2: Skills Workshop forPhysiotherapistsWho should attend: Physiotherapistswith expertise and / or interest in themanagement of children with bladderor bowel dysfunctionCost: $55 incl GSTFor further information or toregister, please contact CherieHazlitt (Senior PaediatricPhysiotherapist) atcherie.hazlitt@dhhs.tas.gov.au orvisit www.tasmedicarelocal.com.au/events/for-health-professionalsGeneral Practice matters August 2013 6


General PracticemattersResourcesRACGP ResourcesRACGP now has the following resources available online:The Patient Treatment Report for veterans enrolled on the Coordinated Veterans’ Care(CVC) Program is available on Health Professional Online Services.A new educational resource, Managing Emergencies and Pandemics in GeneralPractice: A Guide for Preparation, Response and Recovery provides clinically relevanthealth information and emergency management advice that supports GPs and theircommunities.The National Guide to a preventive health assessment for Aboriginal and Torres StraitIslander people (2nd edition) (National Guide) and the Guidelines for preventive activitiesin general practice (8th edition) (Red Book) are available at no charge for all RACGPmembers and stakeholders in a new user-friendly and interactive, online format.A limited number of printed copies of the Red Book will be available for a small costfrom September 2013.Further clinical guidelines to assist GPs can be found atwww.racgp.org.au/your-practice/guidelines/Feedback?If you would like to comment onany aspect of the General Practicematters newsletter, please emailinfo@tasmedicarelocal.com.auor phone 6270 6900.We are always looking for waysto improve our communication topractices.General practice vacanciesGeneral practice vacancies are availableonline at www.tasmedicarelocal.com.au/primary-care-vacanciesEducational EventsEvent information is available online atwww.tasmedicarelocal.com.au/eventsTasmanian Health OrganisationGeneral Practice Liaison Officers (GPLOs)TasmaniaMedicare LocalofficesSouth / CentralLevel 4, 172 Collins StreetHobart TAS 7000GPO Box 1827Hobart TAS 7001t (03) 6270 6900f (03) 6224 5284NORTHLevel 5, 11 High StreetLaunceston TAS 7250PO Box 2086Launceston TAS 7250t (03) 6331 9296f (03) 6334 2443NORTH WESTLevel 1, 11 Alexandra RoadUlverstone TAS 7315PO Box 358Ulverstone TAS 7315t (03) 6425 0800f (03) 6425 0888info@tasmedicarelocal.com.auwww.tasmedicarelocal.com.au1300 365 169Tasmania Medicare Local acknowledges thefinancial and other support of the AustralianGovernment Department of Health and AgeingDr Annette BarrattDr Liz WebberDr Beth MulliganDr Keith McArthurTHO SouthRoyal Hobart HospitalWeb www.dhhs.tas.gov.au/hospital/royal-hobarthospital/gp_liaisonEmail gplo.south@dhhs.tas.gov.auPhone 0418 138 383THO SouthRoyal Hobart HospitalWeb www.dhhs.tas.gov.au/hospital/royal-hobarthospital/gp_liaisonEmail gplo.south@dhhs.tas.gov.auPhone 0418 528 192THO NorthLaunceston GeneralHospitalEmail beth.mulligan@dhhs.tas.gov.auPhone 0419 321 240THO North WestNorth West RegionalHospitalWeb www.dhhs.tas.gov.au/tho/nw/information_for_gpsEmail keith.mcarthur@dhhs.tas.gov.auPhone 6430 6990Disclaimer While every reasonable effort has been made to ensure that the information given in this newsletter is accurate, Tasmania Medicare Local willnot accept liability, any injury, loss or damage arising directl or indirectly from any use of or reliance on this information.General Practice matters August 2013 8

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