No 0816: May 22nd, 2008
eNews is a weekly electronic newsletter sent to all GP practices
(with email addresses) within the
Aged Care Gastroenteritis and Acute Illness in Residential Care Facilities
Professional Development CPD events
HMR Increased
use of generics but reduced funding for public education
Immunisation Budget
Changes to GPII, Immunisation Handbook, Gardasil,
Oral RotaTeq® administration
Information
Management includes Medical Director tips and New on the
Web
Items of
interest World No Tobacco Day, NEMICS
Annual Forum, Changes to Outpatients
at The Northern Hospital, Northern Health 2008 Surveys, GP Network News
News for
Practice Staff Preventing Osteoporosis and Reducing Fracture Risks, A whole of practice
team approach to triage in General Practice
Women’s Health GP Interventions to Improve Childhood Outcomes, The New Royal Women’s Hospital
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For GPs who provide medical care to Aged Care Home residents: Gastroenteritis in residential care facilities: preventing/identifying & managing dehydration and Acute illness in residential aged care facilities. Speaker: Associate Professor Michael Woodward, Head of Aged & Residential Care Department Austin Health
Tuesday
27 May 7.00pm - 9.00pm Registration/Light refreshments 6.30pm. At
For
further information call
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For medical practitioners, practice nurses and pharmacists. What’s new in the 9th edition immunisation handbook and changes to the March 1 Immunisation Schedule. Speaker: Dr Peter Eizenberg. 4 category 2 CPD points, 2 CPE points (pharmacists). Visit www.nevdgp.org.au under CPD Calendar for flyer.
Wednesday
4 June at John Scott Meeting House, La
Meetings are held each Tuesday starting at 12.30 in the
Lecture Theatre, Ground Floor, Pathology Building, Repatriation Hospital,
Austin Health, West Heidelberg. Lunch is provided. Course Leader: Dr Vin Nursey
Phone: 9457 1736
May 27 - Anaphylaxis - Dr Jim Goutzamanis
For full term Tuesday lecture program click here
Department
of Clinical Pharmacology - “Rhabdomyolysis, Postural Symptoms, Nausea. ?
Linked”
Speakers:
Dr Jesselyn Lim, Clinical Pharmacology Registrar, Professor Albert Frauman,
Head – Dept. of Clinical Pharmacology & Dr Chris O’Callaghan, Clinical
Pharmacologist
Wednesday
28 May, 2008 12:10pm at John Lindell Lecture Theatre, Level 4,
- Enrolment for Semester 2 OH&S qualifications open on 2nd June, close end June.
- Our OH&S programs are now available nationally via distance learning
If you have queries in regards to the above or any training questions please don't hesitate to contact James Strahan, Swinburne University on 03 9214 5070
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“The Government’s Budget decision to cut funding for a Generic Medicines Public Awareness Campaign from $20 million to $5 million is extremely disappointing,” said Mr Mark Hurley, Chairman of the Generic Medicines Industry Association. The campaign was an essential part of the PBS reforms and was aimed at informing and educating consumers and healthcare professionals about the safety, quality and effectiveness of generic medicines, the benefits of generic medicines for consumers and how generic medicines contribute to maintaining the affordability of the Pharmaceutical Benefits Scheme (PBS). By cutting back on the funding for the campaign, the Government is limiting the information consumers have about their medicines, how they act in the body and what they need to pay for them.
A Home Medicines Review is an ideal tool for educating your patients on the
correct use of their medication, particularly as the use of generic medicines
increases. There are templates for Home Medicines Reviews on most of the
prescribing software, but if you need any help in utilising this program,
please call Jenny Gowan , HMR facilitator at
Northern & NEVDGP on 9416 7689 or M
0417 506 944
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The changes:
·
The latest budget announcement saw the removal
of the GPII SIP (General Practice Immunisation Incentive Service Incentive Payment).
This means GPs will no longer receive the payment of $18.50 for each complete
schedule encounter at 2, 4, 6, 12 months and at 4 years. This will take effect
1st October 2008. Eligible services
given up to and including 30th September 2008 will receive the SIP as long
as the notification is received by ACIR before the end of December 2008 (actual
due date to be announced when Medicare Australia arranges their times).
·
The Maternity Immunisation Allowance, $236.70 ( a
separate payment to the Baby Bonus) will now be split into 2 payments, the
first remaining at 18 – 24 months and the second at 4years 3 months – 5 years. The children affected by the change
are:
1) those born from July 2008 onwards
2) those born from Jan 08 to June 08
who have not claimed the MIA by 31 Dec 08.
The 9th Edition also provides a summary at the beginning of the handbook on all the changes from the previous handbook.
What’s new? Here is a sample
• The front and back covers fold out to reveal tables. The front cover has ‘Adverse events following immunisation’ and the back cover has ‘Effects of diseases and the side effects of vaccines’. This includes information on new vaccines recently added to the National Immunisation Program
• Additional tables and practical tools have been provided to help with catch-up immunisation requirements for children and adults
• Injection techniques and more photos for angle of vaccine administration
• Management of anaphylaxis: 1:10 000 adrenaline is no longer recommended; 1:1000 adrenaline is now the recommended unit dose
• New tables and recommendations for groups with special vaccination requirements
The Australian Immunisation Handbook 9th Edition is available in hard copy and on-line at http://www.immunise.health.gov.au
Catch-up ceases on the 30th June 2009
The national Gardasil vaccine catch-up
program for girls and women aged 13 years to 26 years will cease on 30 June
2009. All eligible females will need to have completed their course of three
doses of Gardasil by 30 June 2009 in order to be eligible for free vaccine. In
order to be eligible for the free vaccine program, girls and women commencing
the course of vaccine will need to be given dose one of Gardasil vaccine in
December 2008. Girls and women (other than girls in Year 7 of secondary school)
who have either not started a Gardasil vaccine course or who have not completed
their vaccine course, will have to purchase vaccine doses on prescription after
30th June 2009.
Do not repeat earlier doses of
Gardasil vaccine
If the recommended time intervals have
been exceeded, give the missing dose(s) as soon as practicable, making efforts
to complete the schedule within 12 months but observing the minimum intervals.
Refer to The Australian Immunisation Handbook 9th Edition, 3.7 Human
Papillomavirus chapter.
Providers are reminded to administer oral RotaTeq to all babies at the two, four and six month immunisation visits. The first dose of RotaTeq should be given no later than the end of the 12th week of age, the second dose no later than the end of 28th week and the third dose by the end of 32nd week of age. There is no RotaTeq catch-up for babies who are late for their first immunisations and older than 12 weeks of age. They should not receive any RotaTeq vaccine doses.
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Select the Immunisation tab and when the Vaccination window opens:
1. Press the Tab key twice to jump to Type: type in GARD (instead of scrolling through the long list of vaccination names). Press the down arrow once and GARDASIL will appear.
2. Press the Tab key once to jump to Site: type D so that Deltoid IM, left side appears
3. Press the Tab key once to jump to Sequence: type 1 (2, or 3).
4. Press the Tab key once to jump to Batch No: the batch number should appear.
5. Press Alt + M – this will take you to the Recall window – add a recall for the 2nd or 3rd injection and press Save. Press Save again to save the vaccination.
Question: How do I bulk inactivate patients not seen for last x no. of years?
Answer: This can only be done in MD3 at this stage.
1. Close any patient file.
2. Search >Patient…
3. Click on “Not seen since” and change the date to 3 years ago (or 4 if you are nervous) and click on Search.
4. Once the search is complete click on the Inactivate patients at the bottom of the screen.
1. New documents in the PEN section:
·
Get Ahead, Get a Cat – May 2, 2008 article by
· PEN User Guide – from PEN computers
· Pre-installation Checklist – from PEN Computers
All found in the PEN section
2. Immunisation hints for Gardasil – found under Practice Manager/Nurse support – Hint No 2
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As many smokers make the decision to quit this year on
World No Tobacco Day, some will turn to their GP or practice nurse for support.
Using the 5As approach to cessation and a referral to Quitline (when
appropriate) is an effective way of helping patients to give up smoking without
taking additional time from the standard consultation. Quit
Tuesday
17th June 2008, 5pm – 7.15pm. The NEMICS forum is an opportunity to
inform healthcare workers and the community of work being undertaken in
improving cancer services in the region. Professor David Currow, CEO Cancer
Neurosurgery Clinic: Closing end of June, appointments after this time will be cancelled and the referral will be sent back to the GP. Patients can be referred to ARMC, SVH, Western and RMH.
Neurological Diagnostic Clinic: Dr Nicholas Crumps is taking over from Dr Roberts. His role is to perform only EMG and NCS. Referrals for EEG are to be directly sent to Austin Repatriation Medical Centre. He is currently booked to mid August 2008.
Please, please, please fax them back! We are trying to develop a strategy to improve the ongoing difficulties with timely and adequate communication and need your help. Good news is that an electronically generated Discharge Summary is on it's way this year. Please give me a call if you have any questions or need a copy of the survey on 8405 8815 or leonie.griffiths@nh.org.au.
This edition contains Health Spared Big Cuts – in Federal Budget, General Practice and the Federal Budget, Use Health Fund to Build Medical Training. Full version.
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Preventing Osteoporosis and Reducing Fracture Risks –
Invitation to Practice Nurses
Dr
A whole of practice team approach to triage in General
Practice - 10 places still available
Invitation to Practice Managers, Practice Nurses and Receptionists -
Facilitator Ms Judy Evans, an experienced practice nurse and principal partner
of walkerevans consulting. This session will be held on Thursday 5th June, 6:30pm to
9:00pm. At Melbourne City
Mission Training Room, Judge Book Nursing Home,
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An overview of use of psycho social screening in the antenatal and postnatal
woman and breast feeding issues. Presenters: Dr Matthew Robson psychiatric
registrar, Kerri McEgan,Nurse Unit Manager, Lactation and mercy@home
Tuesday
3rd June 2008 7pm to 9pm (refreshments from 6.30pm) at Lecture Theatre,
Level 4,
From 9:00am on Sunday 22nd June, the new Royal Women’s Hospital
will be operational and accepting women and newborn babies. The new hospital is
located on the corner of
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Please
note: only new ads, paid ads or resubmitted ads will be posted here. All other
ads can be found on the website
North East After-Hours Clinic - Expressions of Interest Invited. Austin
Health is seeking an Expression of Interest from GPs who would like an
opportunity to work flexible shifts in our established North East After Hours
Clinic. Located in
Ivanhoe
Medical Clinic - sessions for PT VR GP. Modern, large group with
supportive colleagues and full time nurses, computerised, CDMs, mixed billing,
flexible, friendly, no A/H, good remuneration. Contact Dr.Stephen Smith or
Dr.David Doig on 03 9499 1245.
Doutta
Galla Community Health Service (DGCHS), Coordinator
- Client Services / Reception Full-time (with some flexibility). DGCHS is a
leading community health service committed to servicing a diverse group of
clients including newly arrived migrants and people with complex needs. DGCHS
provides a busy medical, dental and allied health practices. As the Client
Services Coordinator you will provide leadership and direction to client
services staff in the day-to-day operations of the four main DGCHS sites and be
responsible for rostering of staff including managing absences. For further
information and to obtain a detailed position description please email
Applications close Wednesday 28 May 2008. Anne Lennard, General Manager, Dental
& Client Services anne.lennard@dgchs.org.au.
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Morris and his wife Esther went to the state fair every year, and every year Morris would say, "Esther, I’d like to ride in that helicopter".
Esther always replied, "I know Morris, but that helicopter ride is fifty dollars -- and fifty dollars is fifty dollars".
One year Esther and Morris went to the fair, and Morris said, "Esther, I'm 85 years old. If I don't ride that helicopter, I might never get another chance."
Esther replied, "Morris that helicopter is fifty dollars -- and fifty dollars is fifty dollars".
The pilot overheard the couple and said, "Folks I'll make you a deal. I'll take the both of you for a ride. If you can stay quiet for the entire ride and not say a word I won't charge you! But if you say one word, it's fifty dollars."
Morris and Esther agreed and up they went.
The pilot did all kinds of fancy manoeuvres, but not a word was heard. He did his daredevil tricks over and over again, but still not a word.
When they landed, the pilot turned to Morris and said, "By golly, I did everything I could to get you to yell out, but you didn't. I'm impressed!"
Morris replied, "Well, to tell you the truth, I almost said something when Esther fell out, but you know -- fifty dollars is fifty dollars."
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