Implementa)on	
  of	
  Health	
  Assistants	
  in	
  Nursing	
  	
  
	
  A	
  Victorian	
  Regional	
  Healthcare	
  Exper...
Located 70km South West Melbourne on Corio Bay Waterfront
Largest employer in the region – Employ 6,000+ staff
Total 1026 ...
Barwon South West Region
Aims
The Victorian Government is committed to building and maintaining a
high quality and sustainable health system
By pro...
Project Steering Group & Governance
•  Utilising the methodology and key leanings from the Austin –
Bendigo Health pilot p...
Pilot Wards
Extensive Consultative Process
• Ward implementation committees
• Workshops – Team work, Supervision & Delegat...
Staff & Consumer Communication
•  Newsletters – FAQ’s
•  ‘Look Book’ in each pilot ward for those who do not
access comput...
Evaluation & Data Collection
Pre Implementation
Nursing Staff Satisfaction Survey
Consumer Satisfaction Survey
Data Collec...
VET Education Provider
Tender process was undertaken
‘The Gordon’ TAFE - Education Partner
•  Established shared delivery ...
Recruitment
•  Local Media Advertising
•  Information Sessions
Included The Gordon TAFE, Nurse Unit Managers (NUM), Projec...
Clinical Support Nurse Role
•  Essential
•  Commenced prior to HAN
•  Presented Delegation and Supervision education
sessi...
Education &Training
2 Week study block
Shared delivery
1 Week Clinical Placement
Weekly Study Days February – May
Monthly ...
Clinical Placement
1 Week Clinical Placement
•  Clinical Support Nurse as well as TAFE Facilitator
supported the Trainees
...
HAN Progress
•  Achieved all competencies
•  Undertaking Constant Patient Observer (CPO)
shifts
•  Trialling variable shif...
Where to from here?
Is there a place for the HAN in our workforce?
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Sue Smith, Barwon Health - Implementation of HAN Pilot Project – A Victorian Regional Experience

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Sue Smith, Barwon Health delivered the presentation at the 2014 Assistants in Nursing Conference.

The 2014 Assistants in Nursing Conference focused on strategic nursing workforce planning and development of a suitable model of care for the AIN role, looking at a variety of implementation approaches from pilot sites and services who have established the role; addressing challenges around appropriate training, mentorship, scope of practice and role evaluation.

For more information about the event, please visit: http://bit.ly/asstnursing14

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Sue Smith, Barwon Health - Implementation of HAN Pilot Project – A Victorian Regional Experience

  1. 1. Implementa)on  of  Health  Assistants  in  Nursing      A  Victorian  Regional  Healthcare  Experience  
  2. 2. Located 70km South West Melbourne on Corio Bay Waterfront Largest employer in the region – Employ 6,000+ staff Total 1026 beds across 21 sites 426 Acute at The Geelong Hospital About Barwon Health and Our Region
  3. 3. Barwon South West Region
  4. 4. Aims The Victorian Government is committed to building and maintaining a high quality and sustainable health system By providing additional support for nursing teams, the introduction of Health Assistants (Nursing) aims: • To improve patient care and outcomes • Enable registered nurses to focus on the more complex clinical tasks and improve patient and staff satisfaction (and staff retention) • To positively respond to the increasing demand and pressures facing Victoria’s health workforce •  To part of the solution to improve retention and keep our most skilled and experienced nurses in the workforce
  5. 5. Project Steering Group & Governance •  Utilising the methodology and key leanings from the Austin – Bendigo Health pilot program Barwon Health introduced this pilot program mid 2013 •  Project Steering group formed to provide leadership to the pilot program •  Executive Support •  Project Manager •  ANMF Representation •  Nurse Unit Managers •  Nursing Staff from pilot wards •  Workforce Partnership (HR) Representation •  Education & Training •  Allied Health Representation •  Consumer Representation •  Patient Service Attendant (PSA)
  6. 6. Pilot Wards Extensive Consultative Process • Ward implementation committees • Workshops – Team work, Supervision & Delegation • 22 Bed Surgical / ENT / Plastics • 32 General Medical (Respiratory) • 22 Bed Medical • Rapid Assessment Unit (RAPU - 14 beds) • Geriatric Evaluation & Management (GEM -8 beds) Agreed Task List - Specific to each Ward • 2 HAN allocated to each unit • Task list slightly different for each pilot ward
  7. 7. Staff & Consumer Communication •  Newsletters – FAQ’s •  ‘Look Book’ in each pilot ward for those who do not access computers •  Information sessions – All staff (Most effective) •  Patient Brochures •  Local Media •  Barwon Health Magazines
  8. 8. Evaluation & Data Collection Pre Implementation Nursing Staff Satisfaction Survey Consumer Satisfaction Survey Data Collection Ward demographics Quality and Safety Workforce and work environment Cost & Efficiency External Evaluation in progress
  9. 9. VET Education Provider Tender process was undertaken ‘The Gordon’ TAFE - Education Partner •  Established shared delivery model between The Gordon and Barwon Health •  Gordon facilitators and educators are familiar with Barwon Health and clinical areas •  Emphasis on face to face tuition Guaranteed pathways The Gordon – Deakin Partnership Diploma of Nursing – Bachelor of Nursing, (formalised July 2014)
  10. 10. Recruitment •  Local Media Advertising •  Information Sessions Included The Gordon TAFE, Nurse Unit Managers (NUM), Project Team 90 attended information session •  Applicants completed numeracy & literacy test 75 potential applicants sat the test NUM & The Gordon both involved in selection process 40 Application received 19 Candidates met all selection criteria 16 were interviewed Group Exercise & One to One interview
  11. 11. Clinical Support Nurse Role •  Essential •  Commenced prior to HAN •  Presented Delegation and Supervision education sessions for all clinical areas •  Prepares newsletters for pilot ward staff information •  Developed an information folder for the HANs •  Weekly debriefing and reflection sessions with HANs •  Provides support for Nursing Staff and Patient Service Assistants (PSAs) •  Regular meetings with Nurse Unit Managers
  12. 12. Education &Training 2 Week study block Shared delivery 1 Week Clinical Placement Weekly Study Days February – May Monthly Study Day June – December Internal education opportunities Simulation based training Dementia and Delirium management
  13. 13. Clinical Placement 1 Week Clinical Placement •  Clinical Support Nurse as well as TAFE Facilitator supported the Trainees •  Inpatient Rehab •  Orthopaedic, •  Neurology & Stroke Rehab •  Palliative Care & Geriatric Assessment What we learnt Some aspects of this Clinical Placement was confronting Perhaps Residential Aged Care may have been an option Would consider a 2 week placement for future programs
  14. 14. HAN Progress •  Achieved all competencies •  Undertaking Constant Patient Observer (CPO) shifts •  Trialling variable shifts •  4 of 6 interested in continuing a career in Nursing
  15. 15. Where to from here? Is there a place for the HAN in our workforce?

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