North East Valley DGP eNews

No 1425: July 30, 2014
eNews is a weekly electronic newsletter sent to all GP practices (with email addresses) within the NEV catchment. The aim is to provide up to date information relevant to GPs and to disseminate the latest activities and resources from the division. All feedback and enquiries welcome and should be addressed to Patty Marshall. You can also visit our website at: http://www.nevdgp.org.au/.
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In this issue:

Editorial                                                A Word from the Editor       

Chronic Disease Management            Chronic Kidney Disease and Cardiovascular Risk Reduction          

Professional Development                 CPD events   

Information Management                  Medical Director, Best Practice Computer Tips

Items of interest                                  RACGP Pandemic Flu kit, GP Network News

Men’s Health                                        Tune In Now 

News for Practice Staff                       Infection Control newsletters          

Women’s Health                                  Optimising patient fertility webinar

Positions vacant/wanted                  

Fun stuff                                              

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A Word from the Editor

Nurses time and health assessments still not resolved

This is week 5 that this issue has remained unresolved. The AMA is still in negotiations with the Department as outlined in a Medical Observer article on Tuesday July 30, 2014.

 

Associate Professor Brian Owler, President of the AMA, in regard to paid time for nurse involvement with health assessments, has insisted that it has stood firm “in its calls on the government and the department to sort out the mess – with results”. It added, “that there will be sound unequivocal advice on the health assessments and, yes, the practice nurse time can be counted toward the health assessments”.

 

Great news and we applaud the AMA insistence on this issue, and hope yet again, this issue will be resolved, but from our perspective the issue will not have been fully resolved until there is unambiguous confirmation from Medicare.

Meanwhile MBS Item Interpretation Hotline (132 105) advised today (Wednesday July 30, 2014), that they are not answering questions on whether nurse time can be counted in time-based health assessments. Instead they are advising that queries should be addressed in writing to the Department of Health.

 

Week 6 – where will it be? Stay tuned!

 

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Chronic Disease Management

Chronic Kidney Disease and Cardiovascular Risk Reduction

Part two of ThinkGP Chronic Disease Series. Chronic Kidney Disease (CKD) continues to be a major burden of chronic diseases managed in our practices with 10% of all adults presenting with CKD, and 80% having at least one risk factor for CKD.
In this interview, Renal Physician Craig Nelson discusses a patient's absolute risk of a cardiovascular event with CKD, known risk factors and how to calculate figure that can be discussed in managing that risk down.
Click here to watch the video.

 

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Continuing Professional Development

Surgical Office Skills (SOS) for GP’s

Thursday 14 August 1pm to 8pm at Royal Australasian College of Surgeons, 250-290 Spring Street (corner Latrobe Street), East Melbourne.

See here for Flyer and Registration Form.

 

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Information Management

Please Note: We will be attempting to align the Medical Director and Best Practice hints from now on. In the short term this will mean that some MD hints will be repeats until the BP hints catch up. Sometimes though, we may even publish 2 MD hints to cover us for changes to MD…

or from BP for that matter.

I (Noel) have almost finished a BP version of “Scriptwriting Hints” which will be available for BP users in the coming weeks.

 

Medical Director Tip - Adding to favourites (repeat)

Frequently prescribed drugs can be added to your “Favourites”.

1.      Prescribe an item and fill out the Dose, Frequency and Instructions panels

2.      Click in the “Add to favourites” box.

3.      The next time you wish to prescribe that medication click on the Rx button and the “Favourites” are displayed. If you click on the + sign or right click to prescribe, the “Favourites” are not displayed.

 

This week’s MD problem - Batch printing of prescriptions

Question: Can I print more than one patient’s script at a time?

Answer: Yes, you can. This is known as batch printing. It is particularly useful when you have a heap of scripts to write for an aged care facility.

1.      Open a patient’s record and prepare a script. Press <F2> to close the previous patient’s record and select a new patient. You will be presented with a prompt to Print Now, Print Later or Discard. Select Print later.

2.      Continue to work your way through the scripts for each patient, remembering that when closing each patient record make sure that you select the Print later option.

3.      Once finished all the scripts close all patient records by clicking on the Close this patient’s record button – if prompted to add to the patient’s Progress Notes click on the No button.

4.      From the Clinical menu select Prescriptions… and then Batch print. Click on the Filter button and select the scripts to be printer by Doctor and Date. This ensures that only those scripts that you wish to print will be printed.

5.      Click on the Print button and all the unprinted scripts will now be printed. While this is happening go and do something more useful than watching a printer churn out the scripts.

 

Best Practice Tip - Adding to favourites

Frequently prescribed drugs can be added to your “Favourites”.

1.      In the New Rx window click the Add button.

2.      In the Search for window type in the drug name and highlight it.

3.      Click in the Add to favourites box.

4.      The next time you wish to prescribe that medication click open the New Rx window and click on the “Favourites” radio button and select the dose for that particular medication

 

Best Practice problem - Printing stored prescriptions (Batch printing)

Question: Can I print more than one patient’s script at a time?

Answer: Yes, you can. This is known as printing stored prescriptions. It is particularly useful when you have a heap of scripts to write for an aged care facility.

1.      Open a patient’s record and prepare a script. As you close the patient’s record you will be presented with a prompt to Print them now, Store for printing later or Discard them. Select Store for printing later.

2.      Continue to work your way through the scripts for other patients, remembering that when closing each patient record make sure that you select the Store them for printing later option.

3.      Once finished all the scripts close all patient records. From the Clinical menu select Stored prescriptions (or press <F9>). Click on the Select doctor drop down list and select the scripts to be printer by a particular doctor (you). This ensures that only your scripts will be printed.

4.      Click on the Print button and all the unprinted scripts will now be printed. While this is happening go and do something more useful than watching a printer churn out the scripts.

 

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Items of Interest

RACGP Pandemic Flu kit

The second edition of the RACGP Pandemic Flu kit is now available here.

 

GP Network News

This week’s edition can be found here.

 

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Men’s Health

Tune In Now

Free online toolkit to help practitioners to ‘have the conversation’ about depression and anxiety with men. Developed by Homelessness Australia. To learn more or use the toolkit visit Tune In Now.

 

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News for Practice Staff

Infection Control newsletters

Margaret Jennings is a Microbiologist Infection Control Educator & Consultant to General Practice. She writes monthly newsletters on various topics around infection control and they contain really useful information.

 

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Women’s Health

Optimising patient fertility webinar

Thursday 4 September 7.30-8.00pm AEST

Join Dr Magdalena Simonis and Associate Professor Kate Stern as they explore the crucial role general practitioners (GPs) play in educating patients about fertility. This webinar will discuss fertility issues and preconception planning, with a focus on practical scenarios and case studies. The webinar will include:

·         Suggestions on how to opportunistically discuss fertility with female and male patients

·         Assisting patients to develop a reproductive life plan

·         Responding to patient concerns and life circumstances, such as being ‘socially infertile’

·         Dealing with fertility issues and referrals to specialist care.

Register here.

 

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Positions vacant/wanted

Please note: only new ads or resubmitted ads will be posted here. All other ads can be found on the website

 

Positions vacant

Doctors

Bundoora - Female GP with Mandarin/Cantonese speaking skills wanted to work part-time in a DWS position. Tel: 0433 155 451.

 

Carlton - Full Time/Part Time VR GPs wanted (flexible hours). We are a group of female medical practitioners running a high-quality, family-orientated general practice, with a practice manager, practice nurse and allied health personnel onsite (podiatrist, dietitian, psychologist and women’s physio) plus on-site pathology. The practice is fully computerised and accredited. Phone 9380 4655, Email carltonmedical@bigpond.com, Web www.carltonmedicalcentre.com.au

 

Greensborough Road Surgery is currently seeking a Full-Time GP, approx 8 sessions pw. A position is available for an enthusiastic GP to join our team in a modern, well-equipped 10-doctor practice, offering high-quality care in an experienced and supportive environment. Private billing, computerised, 2.5 full-time nurses, (clinical CVC, and CDM.)  Contact Ann McCormack (03) 9435 0711 or email grs@grs.net.au or see www.grs.net.au.

 

North East After Hours GP Clinic - Austin Health is seeking an Expression of Interest from General Practitioners who would like an opportunity to work casual shifts in our clinic which is attached to the Austin Emergency dept. We offer competitive rates and our opening hours are: Monday to Friday: 7pm – 11pm; Saturday: 2pm – 8pm; Sunday: 4pm – 10pm.

To register your interest please contact Hana Wellington – Practice Manager hana.wellington@austin.org.au  Tel: (03) 9469 3627.

 

Northern Suburbs - Modern and well equipped practice seeking full time VR GP's, great support from nursing and allied health, in house pathology.  Partnership available for the right candidate.  Genuine enquiries most welcome.  Please contact Medprac@outlook.com.

 

West Heidelberg - GP wanted to join a solo GP practice, part time or full time. Please call 0435 815 187 or email lathaherath@hotmail.com.

 

Practice Staff

Bundoora - Div 1 Nurse to work part-time (Tuesday and Thursday) in a busy Practice. Good remuneration and friendly environment. Tel: 0433 155 451.

 

Craigieburn - Experienced Practice Nurse required for busy medical centre.  Two days per week, additional hours may be available.  Fully computerised practice. Award rates. Contact Leanne craigieburncentralmedical@gmail.com.

 

Northcote - Division 1 Nurse. An old, established, solo, fully computerised practice with warm and friendly atmosphere is seeking a Division 1 Nurse to work Monday, Wednesday and Friday from 9 am to 1 pm - total 12 hours. Salary: Award Rates. Contact details: Neelam Berera on 0411 196 940 (mobile).

 

Reservoir - Summerhill Medical Centre is seeking Full Time/Part Time Div 1 Nurses (flexible hours) to join a well-established practice of over 18 years. The practice is going through an unprecedented growth and is located in an ideal location only 15min from the CBD and in a shopping complex that will soon have Aldi, Coles, Kmart and IGA. The practice is computerised and accredited. Phone John on 0403 178 141 or email - summerhill@iinet.net.au.

 

West Heidelberg - Div 1 GP nurse wanted to join a solo GP practice. Initialy 22 hours per week. Please call 0435 815 187 or email lathaherath@hotmail.com.

 

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Humour

Bless Australians and their sense of humour
These were posted on an Australian tourism website, and the answers are the actual responses by the website officials, who obviously have a great sense of humour (not to mention a low tolerance threshold for cretins!)
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Q: Does it ever get windy in Australia? I have never seen it rain on TV, how do the plants grow? (UK). 
A: We import all plants fully grown, and then just sit around watching them die.
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Q: Will I be able to see kangaroos in the street? (USA) 
A: Depends how much you've been drinking.
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Q: I want to walk from Perth to Sydney - can I follow the railroad tracks? (Sweden)
A: Sure, it's only three thousand miles. Take lots of water. 
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Q: Are there any ATM's (cash machines) in Australia? Can you send me a list of them in Brisbane, Cairns, Townsville and Hervey Bay? (UK) 
A: What did your last slave die of?
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Q:  Which direction is North in Australia? (USA) 
A: Face south, and then turn 180 degrees. Contact us when you get here and we'll send the rest of the directions. 
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Q: Are there supermarkets in Sydney and is milk available all year round? (Germany) 
A: No, we are a peaceful civilization of vegan hunter/gatherers. Milk is illegal.
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Q: Do you celebrate Christmas in Australia? (France) 
A: Only at Christmas.
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Q: Will I be able to speak English most places I go? (USA) 
A: Yes, but you'll have to learn it first.

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And remember

 

            The only reason they say 'Women and children first' is to test the strength of the lifeboats – Jean Kerr.