Korero Hauora Health Talk - Taranaki District Health Board

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Post Graduate ComplexMaternity Care Course HelpsDevelop Clinical PracticeBy Sue Shands, RN, MidwifeMy name is Sue and I amemployed by Taranki DHB as acore midwife. Earlier this yearI decided that I needed to upskill and gain some tertiaryqualifications. My nursing andmidwifery qualifications hadbeen gained many years agoin the hospital setting, so thiswas going to be a huge step.My interest focused on the postgraduate complex maternitycare course run over twotrimesters at Victoria University.This course consisted of twopapers, one, which focusedon intensive, clinical orother workplace experience,discussed and developed withthe help of a mentor. The other,focusing on midwifery practicein the complex maternity caresetting. This would involveplacements in clinical areasother than my usual setting, fiveof which would require me togo to the Capital Coast DistrictHealth Board (CCDHB).As a midwife, I see morewomen with underlying comorbiditiesevery day. I felt thiscourse would not only assistme in gaining valuable tools toenhance my clinical practice,but could help me in gainingconfidence and leadershipqualities.I must admit after the firstschool and course introductionI thought I was mad to evenattempt this. This was verymuch out of my comfort zone,what was I thinking? I had neverwritten an essay nor done anyformal research, my computerskills were very basic. My onlysalvation was the fact that sixwomen out of the eight of usin the course felt the same.Maybe there was some hope!The first, most important step,was to find a mentor. I wasvery fortunate to have TaranakiDHB’s clinical midwife specialistBelinda Chapman to fulfil thisrole. Without her guidanceand expertise I would have notbeen able to complete thiscourse.My placements in Wellingtonincluded, Delivery Suite/HighDependency Unit, NeonatalIntensive Care, Women’sAssessment Clinic and MaternalFetal Medicine. My placementsin Taranaki DHB included theIntensive Care Unit, EmergencyDepartment, Diabetic Clinicand secondary care follow upthrough our Antenatal Clinic.I loved the diversity of allmy clinical placements andthoroughly enjoyed goingback to the acute clinical areas,as this is where I have spentmost of my time practising as anurse. I had a set of goals that Ihoped to achieve within theseplacements and the staff weremore than willing to help me toachieve them.Part of the course included thefollow-up of three women, oneof whom was a follow-through,throughout her pregnancy andbirth. I had the pleasure ofmeeting a delightful womanwhom I shall call ‘Carol’. Carolwas pregnant with her thirdchild and had been handedover to secondary care as shehad developed a conditioncalled isoimmunisation (Rhincompatibility). Due to thecomplications associatedwith this disease, it was likelythat Carol would be requiredto travel to Wellington forintrauterine blood transfusionsand possible preterm delivery.My placements allowed me todiscuss the procedure in depthwith Carol as well as be presentfor one of these procedures.Carol was booked for anelective caesarean sectionat 36/40 gestation and I wasable to prepare her for theatreand be there for the birth ofher baby. The continuity ofmidwifery care in this high riskcondition was of great comfortto Carol and her husband.This has been a great journeyfor me and my knowledgeand clinical skills have beengreatly enhanced. I have amuch better understandingof evidence based practiceand how to apply this to myrole as a midwife. I feel well onmy way to gaining my QualityLeadership in March next yearand would strongly recommendthis course to other midwives.292011 Korero Hauora - Health Talk
Baby Friendly Hospital InitiativeBy Deb Wright, RN, Lactation Consultant, IBLCL (International Board Certified LactationConsultant)“The midwives in the maternity ward were so patient and understanding. I was reallynervous with our first baby and they did everything you could think of to support andassist me – especially with breast feeding. I can’t thank them enough for being sogood to us.”As part of my role as Lactation Consultant I have undertaken the IBCLC papers andremained current by way of re-certification. This led to me driving the successfulimplementation some years ago of a project, assisted by my enthusiastic andsupportive colleague Nicky Gordon (Midwife) to establish Taranaki’s Baby FriendlyHospital Initiative (BFHI).Breastfeeding lays a foundation for good health in infancy, childhood and into adultlife. Here in Taranaki we support and encourage the establishment of breastfeeding.The BFHI assists all maternity hospitals to become centres of breastfeeding support.This initiative is endorsed by the World Health Organisation and United Nations ChildFund.BFHI has been adopted in many countries. Where hospitals have been designated asbaby friendly the standard of care for all mothers and babies has been raised. Moremothers are breastfeeding their babies ands child health has improved as a result.Staff at our baby friendly centres in Taranaki provide assistance to breastfeedingmothers by adopting practices that protect, promote and support breastfeeding. Staffalso ensure that mothers who decide not to breastfeed are provided with informationand support.A baby friendly hospital adopts the Ten Steps To Successful Breastfeeding whilstproviding good care before, during and after birth, treating every mother with respectand supporting her with factual information. A baby friendly hospital also agrees notto accept free or low cost breast milk substitutes, feeding bottle or teats.Taranaki Base Hospital Maternity, Neo Natal, Hawera and Elizabeth R (Stratford)Units have again sustained BFHI status after accreditation in July 2011.New Zealand Breastfeeding Authority is responsible for implementingBFHI throughout NZ and for awarding certificates of accreditation.Staff in Hawera(left), Stratford (middle) and Taranaki Base (right)receive BFHI Certificate in October 2011.2011 Korero Hauora - Health Talk30
Page 1 and 2: Korero HauoraHealth TalkA celebrati
Page 4 and 5: We Bid Farewell to a Nursing Stalwa
Page 8 and 9: Lara Puketapu-Collins, Ward 1, in o
Page 10: Post Graduate Study Leads to Nurse
Page 13 and 14: Clinical practice developmentflouri
Page 15 and 16: Clinical Practice continues to deve
Page 17 and 18: Leadership and Compassion in the Th
Page 19 and 20: Thoughts on Attaining my Post Gradu
Page 21 and 22: Risky Crossings:The perceptions and
Page 23 and 24: Specialist Clinical Nurse - Exercis
Page 25: Becoming a Midwife in TaranakiBy Gr
Page 29 and 30: A Time to Celebrateour professionsI
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Page 33 and 34: Time to CareBy Kareen McLeod, Nurse
Page 35 and 36: Ongoing InitiativesNurse Entry to P

Korero Hauora Health Talk - Taranaki District Health Board

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