North East Valley DGP eNews

No 1439: November 12, 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                                                Banyule Community Health receives two awards for excellence  

Professional Development                 CPD events   

Immunisation                                       Emergency Management web page, Surplus vaccinations

Information Management                  Medical Director, Best Practice & General Computer Tips

Items of interest                                  My Cancer Care Record, GP Network News

Men’s Health                                        Prostate cancer

Mental Health                                      NEV Mental Health Nurse Program, Physical Health and Serious Mental Illness

News for Practice Staff                       APNA newsletter

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

Positions vacant/wanted                  

Fun stuff                                              

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A Word from the Editor

Banyule Community Health receives two awards for excellence

The General Practice Award 2014 - Special congratulations to the General Practice team at BCH on this great achievement. 
The Vic Minister for Health, David Davies MP, awarded Banyule Community Health General Practice the inaugural General Practice Award 2014 in recognition of the General Practice team’s exemplary care to the most vulnerable members of our community. The Award recognizes leadership and innovation in building capacity across the sector, empowering individuals to manage their healthcare, and tailoring support to better meet the needs of vulnerable communities. The Award was judged by an expert and independent panel from the AMA, RACGP & Department of Health, chaired by Dr Harry Hemley.

Banyule Community Health was also awarded Primary Health Service of the Year by the Minster for Health, Hon. David Davis on Monday 13th October 2014 at the Victorian Public Healthcare Awards, & were finalists in 2013.

 

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Continuing Professional Development

GP Forum - Primary Health Network information session – for those practices in the Darebin area

You are invited to an informative evening, over dinner, with Dr Norman Swan who will facilitate the discussion where there will be plenty of opportunities to ask questions, raise concerns and provide input into the development of a Submission to form your local Primary Health Network for the North Western Melbourne region. We have the opportunity to shape the future of Primary Health Networks.
GPs, PMs and interested nurses in the Darebin area are invited to this get together to define the challenge and work towards a solution that meets the diverse needs of our Region.

Tuesday, 18th November 6.30pm onwards at Darebin Arts Centre, Grevillea Room, cnr of Bell Street & St Georges Road, Preston.
Please note that refreshments will be served during the evening. RSVP: to events@swmml.org.au or by fax to (03) 8742 4211.

Minor Surgery for General Practitioners

Saturday 8 and Sunday 9 November at Skills Laboratory, RACS Skills & Education Centre, Royal Australasian College of Surgeons, Corner of Spring Street and Lonsdale Street, Melbourne.

This program aims to enhance the surgical skills required for minor surgical procedures most likely to be carried out by GPs in rural or remote settings where specialists are not readily available.

For more information and registration click here.

 

Resistant hypertension

In this ThinkGP video interview, Professor Vlado Perkovic of the George Institute of Global Health describes the two major risk factors in calculating absolute cardiovascular risk; resistant hypertension and chronic kidney disease (CKD).

 

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Immunisation

Emergency Management web page

This site from the Victorian Department of Health provides updates on the current situation of the Ebola Virus Disease globally. This site has some great resources including a response plan, posters, a presentation that can be used for staff and a pictorial guide that can be used to help communicate with patients. Click here.

 

Surplus vaccinations

Due to changes with new vaccines on the National Immunisation Program schedule, the Department of Health have a limited number of haemophilus influenza type b (Hiberix ®) and meningococcal C (NeisVac-C ®) vaccines available for order.  While stock lasts, these government funded vaccines can be ordered and administered to refugees and asylum seekers to complete catch-up schedules.  Please note, the expiry date for the Hiberix ®vaccine is June 2015 and for NeisVac-C® is Nov 2015.  These arrangements will only apply while stock of these vaccines last and prior to expiry dates.  To place an order for these vaccines, please contact Ted Jamieson on 1300 882 008 or email immunisation@health.vic.gov.au.

 

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Information Management

Medical Director Tip - Forcing Reason for contact

It is particularly important to record the “Reason for contact” for every contact with a patient. This can be enforced so that you can’t close a patient record until a reason for contact is selected.

No patient record open:

·         Tools >Options >Clinical tab – check the Mandate entering a reason(s) for contact box. Save.

If you only view a patient record (no notes or measurements recorded) you don’t get the prompt – this is a good thing!

 

This week’s MD problem - Where do I record cannabis use

Question: We have a lot of patients who are cannabis users. Unlike smoking and alcohol there seems to be no place to record this. Where do I record this?

 

Answer: You could include this in the Comments: section of the Smoking assessment or under Social history but this is free text and tends to get lost. Many templates include Family and Social history so the latter method may be effective. It could also be added under Warnings but you may feel this inappropriate. If you want Cannabis use as a searchable item then you would create a New item under Past History – the coded item is “Cannabis use” or type “Drug” and a list of Drug abuse coded items appear, including Amphetamines, Cannabis, Ecstasy and Opiates.

 

 

 

 

 

Best Practice Tip - Forcing “Reason for visit”

You are able to set one of the Options so that a patient record cannot be closed without recording a “Reason for visit”. This may seem harsh but it ultimately leads to better record keeping. Such a move, however, should be discussed and approved at a clinical meeting.

1.      From the front screen (no patient record open), Setup >Preferences >Clinical

2.      Click on the 3rd checkbox: “Enforce entry of Reason for Visit when closing patient record

3.      Click on Save & Close.

 

Best Practice problem - Where to record cannabis use

Question: We have a lot of patients who are cannabis users. Unlike smoking and alcohol there seems to be no place to record this. Where do I record this?

 

Answer: There are 2 places where you could record this:

1.      When adding to the patient’s Social history you could use the On screen comment: box. The comment would then appear in red in the patient screen.

2.      You could use Diagnosis in Today’s notes and type in “Cannabis” which then gives you a variety of cannabis options.

 

3.      Select the appropriate item from the pick list, make it Active and decide if you want this to be included in summaries or record as “Confidential”.

 

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Items of Interest

My Cancer Care Record

This is a new resource that aims at assisting people affected by cancer to store their personal health and medical information in one place. It also provides people with tips on questions and information they might ask of their health professionals and supports them to record and recall specific details or instructions that can be hard to remember.

The resource is appropriate for patients with any type of cancer and is intended to be used across any health service. Click here.

 

GP Network News

This week’s edition can be found here.

 

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Men’s Health

Prostate cancer

Prostate cancer is the most commonly diagnosed cancer in Australia, with one in five Australian males being diagnosed with the disease by the age of 85.
In this newly released guide, ThinkGP considers important points for discussion when advising a patient upon the potential benefits, risks and uncertainties of prostate cancer testing. 

 

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Mental Health

NEV Mental Health Nurse Program

The Division has been advised that it was successful in its recent appeal for additional sessions for the Mental Health Nurse Program. As a consequence NEV is now opening the program to additional GP referrals. If you or any of your colleagues in the practice have need of some excellent support for patients experiencing MH problems all at no cost, contact Ken Luxmoore (program coordinator) on 0407 528 055.

 

Physical Health and Serious Mental Illness Forum

Why are people with mental illness dying early and what can we do about it? You are invited to meet with the Medical Director, Assoc Prof Richard Newton and the Manager, Sharon Sherwood of the North East Area Mental Health Service to examine the clinical issues and directly express your views on how GPs and NEAMHS can work more collaboratively to improve the physical health of mentally ill patients. See flyer.

 

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News for Practice Staff

APNA newsletter

Latest APNA newsletter available here.

 

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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.

 

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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.

 

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.

 

Fitzroy North - Experienced practice nurse required by Northside Clinic, a general practice that specialises in HIV management, sexual health and GP services for the GLBTI Community. Three days per week Monday - Wednesday 8.30am - 5.00pm. Contact Roslyn Borg, Manager on (03) 9485 7714 or email roslyn.borg@northsideclinic.net.au for a position description.

 

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.

 

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Humour

A woman, looking at herself in the mirror, says to her husband “I’m so fat and ugly, I really need a compliment right now?”

Her husband replies “Your eyesight is good”.

 

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And remember

 

            Why do they sterilize the needle for lethal injections?