North East Valley DGP eNews

No 1438: October 29, 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/.
To subscribe to eNews click on subscribe. To be removed from the eNews distribution list click on Unsubscribe

 

In this issue:

Editorial                                                A Word from the Editor       

Aged Care                                             Aged Care Report Card, The National Ageing Research Institute

Professional Development                 CPD events   

Immunisation                                       Ebola guidelines and resources for healthcare workers

Information Management                  Medical Director, Best Practice Computer Tips

Items of interest                                  Acute Bronchitis Infections: navigating treatment options and patient expectations, Abuse and violence - Working with our patients in general practice, GP Network News

News for Practice Staff                       APNA newsletter, Nurse practitioner scholarships

Women’s Health                                  Seminar on Pregnancy, Neonatal and Infant issues, Sexual and Reproductive Health Factsheets

Positions vacant/wanted                  

Fun stuff                                              

--------------------------------------------------------------------------------------------------------------

A Word from the Editor

There will be no eNews next week – next edition November 12th.

 

Back to top

--------------------------------------------------------------------------------------------------------

Aged Care

Aged Care Report Card launched

A website for consumers to rate nursing homes located nation-wide has been launched. Aged Care Report Card enables consumers to rate nursing homes from one to five on the criteria of staff presence, nursing care, friendliness, quality of food, activities, cleanliness and environment, and management. The site aims to help potential residents and their relatives choose an aged care facility.

 

The National Ageing Research Institute (NARI)

Click here to see the NARI events in November.

 

Back to top

--------------------------------------------------------------------------------------------------------

Continuing Professional Development

Best Practice Management of Alcohol and Other Drugs Conference

Saturday 8 November 9.30am-3pm (9am registration) at Amora Hotel Riverwalk Melbourne, 649 Bridge Rd, Richmond. Alcohol and Drug Conference Flyer.

 

Australian Doctor's Rural Seminar

Saturday 8th & Sunday 9th November at Sofitel, Gold Coast.

This two-day seminar is packed with an array of educational opportunities including Australian experts providing updates on key general practice areas such as Dermatology, Diabetes, Mental Health and many more! For more information and registration click here.

 

Prostate Cancer detection, prevention of Cervical Cancer and the management of Visible Haematuria

Tuesday 11 Nov 6:30-9pm at Jack Brockhoff Lecture Theatre, level 3, Smorgon Family Building, Peter MacCallum Cancer Centre, St Andrews Place, East Melbourne. Register here.

 

Infection Control Update ...plus Towards Primary Health Networks

Tuesday, 11 November - 6:30pm-9pm at The Treacy Centre, 126 The Avenue, Parkville. For Primary Care Nurses. See here for more information and registration.

 

Clinical Vaccinology Update (CVU) 
Wednesday November 12, 12-5pm and 5.30-9.00pm
 at Monash University Caulfield Campus.
 Jim Buttery and the Monash Immunisation team have put together an excellent program of local and interstate speakers, addressing current vaccine topics and special interest areas. The program details and booking form is now open via our Melbourne Vaccine Education Centre (MVEC) website. The evening session will be facilitated by NEVDGP Chair, Dr Peter Eizenberg.

 

Lung cancer summit

Friday 14th November 9am-4.30pm at RACV Club, 501 Bourke St, Melbourne. A clinician-led forum for reviewing data about diagnosis, treatment and system factors impacting care of lung cancer patients in Victoria. See flyer.

 

Back to top

---------------------------------------------------------------------------------------------------------

Immunisation

Ebola guidelines and resources for healthcare workers

The Victorian Department of Health has issued ebola virus guidelines and a response plan for Victorian healthcare workers. Workers must contact the Department of Health to notify a suspected ebola case, by calling 1300 651 160, 24 hours a day. The site also has posters that can be displayed in waiting rooms. See here.

 

Back to top

---------------------------------------------------------------------------------------------------------

Information Management

Medical Director Tip - Review button in Progress Notes

This allows you to record the review as a time interval, by selecting the interval type (days, weeks, months or years) and setting the period of time for the interval:

·         clicking on Review p.r.n. adds the abbreviation “p.r.n” to the review section in the progress notes.

·         Add to recall database allows you to add an entry into the Patient Recall System for the review – this gives the recall reason as “Review”.

Note: It is recommended that you only add to the recall data base if the period for the review of more than 1 month.

 

This week’s MD problem - Turning off Save in PMH in Reason for contact

Question: I use MD and I record a reason for contact by selecting the Reason button in the Progress Notes. It always defaults to Save in PMH and I can’t change it. It annoys me as sometimes I am so rushed I click OK and I am cluttering up my Past History with “trivial” detail. Can you help?

Answer: Yes, we can save you the 1˝ seconds it takes to uncheck the Save in PMH box (I know all those 1˝ seconds add up for the busy GP).

1.      Don’t have a patient record open,

2.      Tools >Options >Progress Notes

3.      Remove tick from Save in PMH

You can also turn it off when prescribing – less of an imperative and not recommended as you are more likely to want to save in a “reason” in past history when prescribing:

·         Open patient record

·         Tools >Options >Prescribing

·         Remove tick from Save in PMH

 

Best Practice Tip - Review button in Today’s notes

This allows you to record the review as a time interval, by selecting the interval type (days, weeks, months or years) and setting the period of time for the interval.

Note:

Clicking on Review p.r.n. adds the abbreviation “p.r.n” to the review interval in Today’s notes.

 

 

 

 

 

 

Best Practice problem - Turning off “Add to Past history” in Reason for contact

Question: I use BP and I record a reason for visit by selecting the Reason for visit button in Today’s notes. It defaults to Add to Past history. I am so rushed I click Save and I am cluttering up my Past History with “trivial” detail. Can you help?

Answer: There is a Preference setting to do this for you for the 4 dialogue boxes where there is the Add to Past history option:

Diagnosis window       Procedure window      Reason for visit window          Past History window

We can save you the 1˝ seconds it takes to uncheck the Add to Past history checkbox (I know all those 1˝ seconds add up for the busy GP).

1.      Don’t have a patient record open

2.      Setup >Preferences >Clinical

3.      Remove the tick(s) from Always ‘Add to Past history’ checkbox(es)

Note: You can also turn it off when prescribing – less of an imperative and not recommended as you are more likely to want to save in a “reason” in past history when prescribing:

1.      No patient record open

2.      Setup >Preferences >Clinical  - Remove tick from “Always Add to PMH”

 

 

Back to top

---------------------------------------------------------------------------------------------------------

Items of Interest

Acute Bronchitis Infections: navigating treatment options and patient expectations

In Australia the overuse of antibiotics in managing acute upper respiratory tract infections has led to a rise in microbial resistance. Despite not being recommended for treatment of viral infections, GPs are often challenged by patients' requests for antibiotics. ThinkGP presents this sponsored interview with Dr Stephen Cala - a respiratory and sleep physician - discussing appropriate management plans for patients presenting with acute upper respiratory infections such as bronchitis. Click here.

 

Abuse and violence - Working with our patients in general practice

Recommended as necessary reading developed by general practitioners (GPs) and experts to ensure that the content is the most valuable and useful for health practitioners.  Known as the White book this is an important aid for those who teach students or any postgraduates involved in healthcare.

 

GP Network News

This week’s edition can be found here.

 

Back to top

---------------------------------------------------------------------------------------------------------

News for Practice Staff

APNA newsletter

Latest APNA newsletter available here.

 

Nurse practitioner scholarships

The Department of Health is offering nurse practitioner scholarships for Victorian nurses and midwives to undertake a clinical master’s program that leads to endorsement as a nurse practitioner. See here for applications and updated guidelines. Contact: dan.schiftan@Health.vic.gov.au  for further information.

 

Back to top

---------------------------------------------------------------------------------------------------------

Women’s Health

Seminar on Pregnancy, Neonatal and Infant issues

Saturday 15 November 9am-1:15pm (registration: 08:30am) at The Royal Children’s Hospital, Ella Latham Lecture Theatre. The Royal Children’s Hospital and Royal Women’s Hospital are hosting this seminar for GPs, shared maternity care affiliates, community nurses and midwives. Registration.

 

Sexual and Reproductive Health Factsheets

Women’s Health in the North has produced a series of fact sheets that provide a snapshot of the sexual and reproductive health status of women in the northern Melbourne region. The factsheets provide data about fertility, contraception, unplanned pregnancy, sexually transmitted infections, cervical screening, HPV immunisation, Female Genital Cutting (FGC) and sexual assault, and are available here.

 

Back to top

---------------------------------------------------------------------------------------------------------

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.

 

headspace Collingwood - currently seeking part-time or sessional GPs. A position is available for an enthusiastic and compassionate GP/s to join our team which consist of Psychiatrists, Psychologists, Social Workers, Occupational Therapists, Youth Workers, Alcohol and Drug Counsellors and specialist Div 1 nurses. GPs with an interest in one or more of the following: mental health, sexual health, drug and alcohol, nutrition and with a genuine interest in young people between the ages of 12 to 25 should apply. To find out more and obtain a position description, please contact Janina De Silva, Practice Manager on 9417 0150 or jdesilva@headspacecollingwood.org.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.

 

Ivanhoe Medical Clinic – an opportunity exists for VR GP to join this modern, computerized medical clinic. Large supportive group (12 GPs), FT nurses, CDMs, no A/Hs, friendly, flexible, mixed billing. Good remuneration. Contact:- Dr.Stephen Smith – 9499 1245.

 

South Morang Medical Centre seeking VR GP – would suit male wanting part-time afternoon sessions and some Sat am.  Contact Wendy Reichstein (9436 4222) or email southmorang@smmc.com.au.

 

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

Coburg – Casual receptionists required to join our Customer Service Team. As the first point of contact to patients and visitors, you will play a vital role in the Practice with your key responsibilities being meeting and greeting patients, answering the phone calls and making appointments, processing payments, managing patient records and general administration duties. Email your resume to jskmedicalgroup@gmail.com.

 

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.

 

Eltham - Practice Nurse required for a friendly, busy computerised accredited General Practice. Must have a min of 2 years Practice experience; be competent with Medical Director, Microsoft Excel & Word and knowledge of MBS billing and chronic disease management desirable. Hours: 8:30am to 3pm -Thurs & Friday and alt Wed. (Possibility to extend hours). Please send resume to The Practice Manager, 700 Main Road, Eltham or email: df@elthamclinic.com.au.

 

Heidelberg - Practice Nurse required by Mount Street Medical Centre. Previous experience in General Practice or RDNS is desirable. Two days per week – Wednesday and Friday, 8:30am to 5:00pm with a view to increase to three days per week. See here for more detail or contact Janina De Silva, Manager on (03) 9459 1100 or email mtstmedical@bigpond.com for a position description (Monday and Friday).

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.

 

Positions wanted

Locum/Assistant available NOW, any session, anywhere, anytime even with short notice; Competent experienced VR GP, minimum fee $220 per hour plus travel allowance plus GST; Phone 0412 188 332.

 

Back to top

-----------------------------------------------------------------------------------------------------------

Humour

An Irish Miracle

At last, confirmation of Murphy’s Law‚ with a wonderful Irish explanation

Murphy drops some buttered toast on the kitchen floor and it lands butter-side-up. He looks down in astonishment, for he knows that it's a law of nature of the universe that buttered toast always falls butter-side-down.

So he rushes round to the presbytery to fetch Father Flanagan.

He tells the priest that a miracle has occurred in his kitchen. But he won't say what it is, so he asks Fr. Flanagan to come and see it with his own eyes.

He leads Fr. Flanagan into the kitchen and asks him what he sees on the floor.

"Well," says the priest, "it's pretty obvious. Someone has dropped some buttered toast on the floor and then, for some reason, they flipped it over so that the butter was on top."

"No, Father, I dropped it and it landed like that!" exclaimed Murphy

"Oh my Lord," says Fr. Flanagan, "dropped toast never falls with the butter side up. It's a miracle. Wait... it's not for me to say it's a miracle. I'll have to report this matter to the Bishop and he'll have to deal with it. He'll send some people round; to interview you, take photos, etc."

A thorough investigation is conducted, not only by the archdiocese but by scientists sent over from the Curia in Rome. No expense is spared. There is great excitement in the town as everyone knows that a miracle will bring in much need tourism revenue.

Then, after 8 long weeks and with great fanfare, the Bishop announces the final ruling.

"It is certain that some kind of an extraordinary event took place in Murphy's kitchen, quite outside the natural laws of the universe. Yet the Holy See must be very cautious before ruling a miracle. All other explanations must be ruled out.

Unfortunately, in this case, it has been declared 'No Miracle' because they think that Murphy may have buttered the toast on the wrong side!"

 

Back to top

-----------------------------------------------------------------------------------------------------------

 

And remember

 

            The definition of a will? (It's a dead give-away.)