North East Valley DGP eNews

No 0903: February 12, 2009
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                                              Division Responds to Bushfire Emergency    

Further Bushfire Related Articles     Medicare Australia - temporary arrangements, Paediatric Review Private Clinic, Children affected by bushfires, Nurse-On-Call Bushfire Health and Counselling Line, Access to blood glucose meters, strips and other diabetic supplies, Resources for people affected by fires, Professionals and for Practitioners, Fire Affected Pharmacies

Chronic Disease Management          Life! Taking Action on Diabetes – becoming a facilitator, GPs can help patients achieve New Year’s resolutions, OzDAFNE Support Day

Professional Development               CPD events     

HMR                                                    HMR meeting:  Identifying medication related problems in older persons  

Information Management                includes General Computer Tip, Medical Director Tips and New on the Web

Items of interest                                Bowel Cancer - Electronic submission of NBCSP forms        

Mental Health                                    New Mental Health Service at Mitcham Private Hospital                 

News for Practice Staff                     Practice Managers and Nurses Network Meeting, Nursing in General Practice Program          

Paediatrics                                         Healthy Kids Check    

Women’s Health                                Ovarian Cancer Awareness Month                

Positions vacant/wanted                            

Fun stuff                                                        

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Division Responds to Bushfire Emergency

Dear GPs & Practice staff,

 

Firstly, a big thank you to all those GPs & staff who have contacted the Division to offer their services over the past few days, and to those practices close to the disaster area who have risen so magnificently to this tragic circumstance.

I understand that by Monday evening nearly 100 doctors were available at the Whittlesea coordination area. Our regular conversations with those practices close to Kinglake suggest that the intensity has slowed somewhat and that the huge amount of resources being made available is having a substantial effect.

There may be other questions that have not yet been touched on in writing, but on which the Division may have additional information, eg. Free bereavement or psychiatric services. If you have any issues or requests at all feel free to contact us on 9496 4333.

For your information:

·        GPs who may wish to assist should contact the Rural Workforce Agency (RWAV) on 9349 7800. RWAV are coordinating all GP support offers

·        Nursing staff should contact Kate at the Whittlesea Coordination Centre on 0417 533 181 if they wish to help

·        Consumable supplies are readily available at Whittlesea & other centres supplied by McFarlane & government

·        Additional ATAPS Counselling vouchers are expected to be made available in coming days

·        Supplies for Diabetics are available from Diabetes Vic on 1300 136 588

·        Script pads might be useful if you are required to attend

We will keep you informed on any important developments as they occur.

 

Ken Mansbridge

CEO

 

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Further Bushfire Related Articles

Medicare Australia - temporary arrangements

Medicare Australia has put some temporary arrangements in place to assist communities and health professionals access medical assistance and payments in natural disaster areas. Hospital staff, health professionals, pharmacists or other support services wanting to confirm Medicare card numbers for billing, PBS claiming or administrative purposes can call Medicare and staff will assist these callers by providing Medicare numbers. Staff have also been advised that if pharmacists are calling to obtain a Medicare number to enable a PBS prescription to be supplied, they can advise pharmacists to use the Medicare Special Number for Pharmacists. Residents who have lost property or belongings in the Victoria bushfires are advised that they can obtain a temporary Medicare card number from any Medicare office or through contacting Medicare Australia on 13 20 11. Medicare offices in and near the state's bushfire disaster zones remain open.
It is anticipated that health professionals will relocate to fire affected areas to provide emergency medical support to those most in need. If a health professional has an unrestricted and current provider number, they can provide services from another location using this provider number for up to two weeks.

 

Paediatric Review Private Clinic

The Royal Children’s Hospital wish to extend an offer of paediatric medical review in their private suites for children involved in the bushfire regions. Time has been set aside specifically for a clinic solely dedicated to this purpose. In the first instance, pending demand, this is likely to be a Wednesday morning session. If further sessions are required, there is the possibility of an after hours clinic. Please note, we are not an emergency facility however can see children in a private 'outpatient' capacity for any needs relating to their health.

If GP's need specialised paediatric support, they may contact the Paula Denny, Practice Manager, on 9345 6439 to ensure children are seen promptly. All private consultations for these children will be rebated fully. Please do not hesitate to contact Paula to discuss this offer of assistance further. 

 

Children affected by bushfires

Guidelines for parents and caregivers from the Australian Psychological Society

 

Nurse-On-Call Bushfire Health and Counselling Line

Victorian Minister for Health Daniel Andrews today announced a new service through Nurse-on-Call for victims of the Victorian bushfires, frontline relief workers and volunteers seeking counselling after the tragic events of the weekend. Members of the public can contact the Nurse-on-Call service on 1300 60 60 24 and speak to a registered nurse, who can provide general health advice and can then transfer the call to a trained mental health professional. DHS has engaged the services of psychologists, mental health nurses, social workers and occupational therapists to assist in telephone counselling, and is also encouraging health services to send their staff to bushfire-affected areas to assist with face-to-face counselling and other health services. The full media release is available online.

 

Access to blood glucose meters, strips and other equipment such as needles and syringes for fire affected areas

Patients with diabetes in fire affected areas who need urgent replacement of blood glucose meters and strips are advised to contact Diabetes Australia - Vic on 1300 136 588 for rapid replacement. Diabetes Australia -Vic will also provide rapid replacement of NDSS cards to ensure access to subsidised blood testing strips, syringes, needles and access to pump supplies.

 

Resources for people affected by fires:

Traumatic Events, the Media and Your Child

Coping with a major personal crisis

When Children Learn about Trauma

 

Resources for Professionals:

Critical Incidents Stress Management & demobilisation resource Guide

Is This Person Suffering Grief or Trauma or Traumatic Grief?

Understanding reactions to critical incidents at work (for workers affected by their work with people affected by the fires)

 

Resources for Practitioners

Trauma first response and recovery and Trauma and mental health: frequently asked questions can be found on the Australian Centre for Post Traumatic Health website

 

Fire Affected Pharmacies

The Pharmacy Guild of Australia has confirmed that the pharmacies at Wondong, Kinglake and a depot in Marysville are still standing despite initial reports that they had been destroyed. Maurice Sheehan, director of the Guild’s Victorian branch, reported that Wondong Pharmacy was still operating despite some technical difficulties and said it was important that any pharmacists operating in the affected areas had a fire plan, had backed up patient records offsite and assisted patients who had lost everything with emergency supplies. Reports indicate the enormous support other pharmacies are offering affected pharmacies throughout Northern & North East Valley Divisions. The Pharmaceutical Society of Australia (PSA) offers counselling and support 24 hours a day via the Pharmacists Support Service  on 0419 222 656 for pharmacists affected by the fires.

 

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Chronic Disease Management        

Life! Taking Action on Diabetes – briefing day for health professionals interested in becoming a facilitator

Training to become a Life! Program facilitator training will take place on 26 and 27 March. Please encourage health professionals who have expressed interest in becoming a facilitator to attend the briefing day on Thursday 5 February at the Rydges Hotel, Exhibition Street, Melbourne. Further information is available by contacting Owen Pietsch, Program and Accreditation Coordinator on 9667 1773 or OPietsch@diabetesvic.org.au.

 

GPs can help their patients achieve their New Year’s resolutions - and reduce their risk of type 2 diabetes

As we all know, the New Year is a time for people to consider making resolutions to quit smoking, lose weight, drink less alcohol, eat better or increase their physical activity. However, keeping these resolutions or finding the support that is required to make sustainable lifestyle change can be difficult. That’s where Lifestyle Modification Programs (LMPs), including the Life! Program, can assist GPs to support their patients to achieve their goals. Making and sustaining these lifestyle changes can help people to reduce their risk of type 2 diabetes. Resources to promote LMPs and the Life! Program to support New Year’s resolutions are available from the Division website or call 9496 4333

 

OzDAFNE Support Day

DAFNE (Dose Adjustment for Normal Eating) is a 5 day self management course for people with type 1 diabetes. For those not familiar with the DAFNE principles, Diabetes Australia – Vic is inviting you to an OzDAFNE Support Day where you can learn the principles of DAFNE to be better equipped to support your patients. Dates for 2009: Wednesday 18 Feb, Wednesday 20 May, Wednesday, 19 Aug & Thursday 19 Nov from 9am - 5pm at Diabetes Australia – Vic. Cost: $50.00. To register your interest in this program, email dharvey@diabetesvic.org.au or phone 03 9667 1772

 

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CPD

Term 1 GP Lecture Program

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

February 17 - Hepatitis C - Dr Paul Gow

For full term Tuesday lecture program click here

 

St Vincent’s GP education: GP Workshop in Skin Cancer Basic Techniques: a hands-on practical workshop

Saturday, 2nd May, 8.45 am-4pm. Strictly 28 places only so get in early. Accommodation deal available at Metropole Apartments for rural GPs and/or families. See www.svhm.org.au/gp for flyer or contact Paul Williamson on 9288 2986 or paul.williamson@svhm.org.au

 

RACGP Masterclass on Leadership,

19-21 March in Sydney. The masterclass program and registration form can be downloaded from the RACGP website at www.racgp.org.au/masterclass

 

Online activity – Implementing Lifestyle Changes

The RACGP, in collaboration with the Heart Foundation, has launched a new online learning activity to assist GPs and other primary health care professionals to tackle key behavioural/lifestyle risk factors that impact on the health of our patients: smoking, nutrition, alcohol and physical activity.

The learning activity is available at www.gplearning.com.au. Category 1 QA&CPD points apply for GPs.

 

If not dieting - Health Professionals Training Program

7-8 May 9am-5pm The Person Centred Approach to Healthy Weight Management: helping people achieve and maintain a healthy weight. Flyer

 

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HMR

HMR meeting:  Identifying medication related problems in older persons

Wednesday 4 March, 6.30pm for 7pm start. At Northern Division Training room

Prof Michael Woodward Director Aged Care Austin Hospital, Mr Rohan Elliott, Aged Care Pharmacist, Austin Hospital  

Light meal provided. RSVP Cherry Braine 9416 7689

HMR or medication issues contact Dr Jenny Gowan 0417 506 944. Click here for flyer.

 

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Information Management

General Computer Tip - Finding music clips using YouTube

Why should kids have all the fun? YouTube can be used to find some great music clips. You may want to find Bob Dylan singing  Subterranean Homesick Blues.

1.   From your browser open YouTube – www.youtube.com

2.   In the Search box type: bob dylan subterranean

3.   Click on the video clip picture and away you go – there is even a button for full screen mode. There is also a list of related video clips.

For extra benefit it doesn’t take much to wire your PC into your amplifier and then you can really lift the roof with good quality stereo sound! Then you can have a YouTube party. For the more sedate of you type verdi four seasons into the search box.

 

Medical Director Tip - Adding Differential diagnoses as Reason for Contact

Sometimes you want to record your “educated guesses” for a patient condition, for example you suspect Parkinson’s disease. In Progress Notes click on the Reason button.

1.   Click on the Differential Diagnosis box.

2.   Type in “Park” and then double click on “Parkinson’s Disease”, then click OK.

3.   Type in “Drunk” and then double click on “Drunken Behaviour”, then click OK.

      This will place the following into your Progress Notes:

      Reason for visit:

      ? Parkinson's disease                                                            

      ? Drunken Behaviour

4.   Once you have exhausted the possible diagnoses click on Close.

Be careful not to click on OK again as that will duplicate the differential diagnosis.

 

This weeks IM problem - Recording Head Circumference

Question: Where do you record the head circumference of a baby?

Answer: You use the percentile charts.

Clinical menu/Percentile Charts…/Record – this allows you to record Length (cm), Weight (kg) and Head Circumference (cm).

 

New on the Web

1.      Bush fire related articles. Under Latest News

 

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Items of Interest

Bowel Cancer - Electronic submission of NBCSP forms to national register

NBCSP forms can now be submitted electronically. Called ‘Smart Forms’, they can be accessed at here. The completed form can be saved to your computer, printed out and/or submitted electronically to Medicare Australia via a secure Internet connection. Please ensure you read the instructions provided thoroughly before attempting to submit electronically. Manual forms are also still available. The information payment amount for each GP Assessment Form has been increased from $6.60 to $7.70 (GST inclusive). Standard GP attendance items apply to consultation with Program participants.

 

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Mental Health

New Mental Health Service at Mitcham Private Hospital

Mitcham Private Hospital has provided a boost to the availability of mental health services in Melbourne’s East, with the introduction of mental health services. 

Click here for the Media Release

 

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News for Practice Staff

Practice Managers and Nurses Network Meeting

Thursday March 19, 6.30 pm – 9:00 pm at John Scott Meeting House. Flyer

 

Nursing in General Practice Program

The NiGP Practice Nurse Training Calendar is back on line with professional development opportunities for your practice nurses. Please view the Education for Nurses in General Practice page on the GPV website. Practice Nurse Training Subsidy Information is available here. Email Janina for subsidy application forms or call 9496 4333

 

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Paediatrics

Healthy Kids Check – letter to parents

The Hon. Nicola Roxon MP, Minister for Health and Ageing has sent a letter to the parents/carers of children between 2 and 5 years of age, identified from the Medicare Australia client database advising them of the availability of the Healthy Kids Check. The purpose of the letter is to raise awareness of the availability of the Check. The letter includes information about immunisation. The letter encourages carers to see a GP or immunisation clinic for the 4-year-old vaccines.

 

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Women’s Health

February is Ovarian Cancer Awareness Month

For a variety of events promoting the awareness of ovarian cancer visit www.ovariancancer.net.au or call Ovarian Cancer Australia on 1300 660 334

 

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Positions vacant/wanted

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

 

MediStaff recruitment specialists - Need help sourcing staff for your practice? MediStaff is part of a large healthcare staffing network which has offices across Australia. Providing permanent and temporary staffing solutions for all roles within the General Practice setting, MediStaff also operates one of the largest Locum agencies in Australia. Call 1300 661 733 or email info@medistaff.com.au for all you staffing needs.

 

Positions vacant

Doctors

Darebin Community Health – East Reservoir - GP required full time or part time at the East Reservoir site of Darebin Community Health Service. This is a salaried position with flexible work hours, salary packaging and excellent facilities. We are seeking a compassionate, dedicated GP to join our team.  We have Practice Nurses, Refugee Health nurse, a Practice Manager and friendly colleagues. The practice is accredited and computerised. Please contact Vanessa Hogarth our Practice Manager on 8470 1109 to discuss further or email your resume to Vanessa.hogarth@dch.org.au.

 

Northcote – F/T- P/T VR GP or Subsequent Trainee GP position. Fully accredited, computerised, long established doctor owned practice in a new purpose built facility with a fabulous work environment. Ancillary Health, Pharmacy and Pathology  services on site. Inquiries Diane Cronin (Practice Manager) 9481 1214. Visit our website www.doctorsofnorthcote.com

Practice Staff

Bundoora – Practice Nurse Div 1 P/T required for busy family practice for 16-20 hours/week. Experience in Immunisation, Health Assessments and Care Plans preferred but not essential. Contact Jan Allen, Practice Nurse Coordinator, Andrew Place, on 9467 1444.

 

Northcote -  RN Div 2  part time position 4 days per week is now available for a busy general practice in a new purpose built facility with a fabulous work environment. Inquiries Diane Cronin 9481 1214 or visit our website www.doctorsofnorthcote.com

                                                      

Northern Suburbs - Part time medical receptionist required for solo practice in Northern suburbs. Must be experienced and reliable. Available for approx 20+ hours per week. Please phone 9460 1083 from 9 - 1 pm Monday to Friday.

Positions wanted

North Eastern Area - Division 1 nurse looking to work part time in private practice in the north eastern area. Has recently completed Level 2 First Aid course, & has had varied office administration experience, besides nursing experience. Please contact Judy on 0407 714 712

 

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Humour

More church bulletins - These sentences (with all the BLOOPERS ) actually appeared in church bulletins or were announced in church services: 

·        Irving Benson and Jessie Carter were married on October 24 in the church. So ends a friendship that began in their school days.

·        A bean supper will be held on Tuesday evening in the church hall. Music will follow.

·        At the evening service tonight, the sermon topic will be 'What Is Hell?' Come early and listen to our choir practice.

·        Eight new choir robes are currently needed due to the addition of several new members and to the deterioration of some older ones.

·        Scouts are saving aluminium cans, bottles and other items to be recycled. Proceeds will be used to cripple children. 

 

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And remember

 

            the trouble with doing something right the first time is that nobody appreciates how difficult it was.