North East Valley DGP eNews

No 1020: June 17, 2010
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:

Aged Care                                             Austin Health Fast Track X-Ray       

Chronic Disease Management            Supermarket Tours   

Professional Development                 CPD events   

HMR                                                      PPIs - their place, long term effects and other GI issues    

Information Management                  Medical Director Tips

Items of interest                                  Cancer Resource for Primary Health Care Professionals, HeaD-ON, Multilingual information on vitamin D, Health Independence Programs, GP Network News          

News for Practice Staff                       Mandatory Reporting For Health Professionals, UNE Partnerships Practice Manager Development, e-learning Training Package to support Medicare Item 10997   

Paediatrics                                           Waiting rooms incubate bugs, Do you have a patient that stutters?         

Positions vacant/wanted                            

Fun stuff                                                        

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Aged Care

Reminder: Austin Health Fast Track X-Ray

This service is only available for residents of Aged Care homes for non-urgent, plain x-rays.  Ultrasound and CT Scans are NOT available through this service. The service is not suitable for patients who have had a fall and are now non-weight bearing, as patients are not seen in the Emergency Department unless the reporting radiologist has a clinical concern. Should you have any questions, please contact Dr. Wendy Fisher, GP Liaison Officer, Austin Health at wendy.fisher@austin.org.au or 9496 2681 (Monday and Tuesday).

 

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Chronic Disease Management

Supermarket Tours

Diabetes Australia – Vic organises supermarket tours in metropolitan and regional areas to help make shopping for food easier. As part of the two hour tour, local dietitians show you how to accurately read and understand food labels, select healthy food alternatives and identify products that are appropriate for people with diabetes. Participants will receive a show bag with the Diabetes Australia Healthy Shopping Guide, information sheets and other useful information. A tour is taking place at Safeway, Arthur Street, Eltham on Tuesday 13 July 2010 at 10.00am. Cost: $10 members and $15 for non-members. Limited bookings are available for each tour. To make a booking, contact the Diabetes Info and Advice Line (DIAL) on 1300 136 588.

 

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Continuing Professional Development

Making the Connection - The interplay between mental health & chronic disease

Wednesday 23 June 7- 9:30pm (Registration/meal: 6:30). A workshop for GPs, Practice Managers & Practice Nurses, presented by Dr Lisa Engel at John Scott Meeting House, La Trobe University [Map]. [Application Form]

 

CPR Update

Tuesday 20th July 6.30pm – 9.30pm (dinner from 6.15pm) For GPs, practice staff and practice nurses. As part of RACGP QA&CPD Program, GPs have until the end of this year to complete an accredited CPR course. This course meets the requirements for CPR training and has 5 Category 2 RACGP points attached. Flyer.

 

Term 2 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. Tea and Coffee provided. Course Leader: Dr Vin Nursey Phone: 9457 1736

June 22 - Endometriosis - Dr Emma Readman

For full term Tuesday lecture program click here.

 

Austin Health - Division of Medicine Grand Round

Clinical Case Discusion: Hypokalaemia, Hypophosphataemia & Acute Renal Failure (Nephrologists don’t do things by HHARF). Speaker: Dr Matthew Davies, Nephrology Advanced Trainee

Wednesday 23rd June, 12:30pm at John Lindell Lecture Theatre, Level 4, Lance Townsend Building, Opposite Medical Library. Lunch is now at 1.15pm outside the Lecture Theatre.

 

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Home Medicines Review

PPIs - their place, long term effects and other GI issues

Wednesday 7 July, 7pm-9pm (Dinner from 6.30pm) at John Scott Meeting House, La Trobe University, BUNDOORA (Entry via Car Park 7). Enquiries to Cherry Braine on Tel. 8480 4606. RSVP by FaxBack. Click here for flyer.

 

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Information Management

 

Medical Director Tip - Quick check of unactioned results in the holding file

You are able to quickly check which results haven’t been checked in the holding file.

  1. No patient record open:
  2. Investigations >Results…
  3. Click on the Unchecked button and this will display a list of unchecked patients

By double clicking a patient you can then action the result with No action required, Discuss result or Return urgently.

 

This weeks IM problem - Importing an anaphylaxis action plan

Question: I have not been able to locate an anaphylaxis plan. A majority of parents come in requesting this and in colour. Can we work together if we must to put together one as a template. This is a far larger request than the asthma plan.

Answer: I have located a couple for you and these are found at ASCIA, the peak professional body of Clinical Immunologists and Allergists in Australia and New Zealand (www.allergy.org.au) – you can download two plans: EpiPen Action Plan for Anaphylaxis Personal 696.58 Kb and Anapen Action Plan for Anaphylaxis Personal 489.25 Kb 

You can download these single sided colour sheets from the site and if you wanted, import them into the Patient Leaflets of Medical Director (no need for us to work on creating a template).

  1. Open the Action Plan and save to the desktop
  2. Open the Patient Education Leaflets in MD
  3. Click on the red + sign and select New Category – rename as Action Plans
  4. Click again on the red + sign and select New Leaflet, then from Files of type: select PDF Document (*.pdf)
  5. Navigate your way to the desktop and select the saved action plan and click on Open – this will both open and save the action plan

This action plan is now available to all MD users on your network – you only have to train everyone to find it!!

 

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Items of Interest

Cancer Resource for Primary Health Care Professionals

Funded by the Australian Government and freely available, eviQ is a web based repository providing cancer treatment information to health professionals.  Information is accurate, standardised, evidence based and unbiased. Used extensively in the hospital setting, eviQ now includes a primary care area.  This point of care resource, designed to assist the busy GP or nurse includes, but is not limited to information on treatment protocols, side effects, safety alerts, clinical considerations, interactions, clinical devices, MBS item numbers, useful links, safe handling of cytotoxics, and coming soon, an opioid conversion calculator.  There are communication templates also available for use between specialist and GP; these can be accessed from the primary care home page. To register, follow link www.eviQ.org.au (registration is free). If you would like any further information, please contact Natalie Cook natalie.cook@cancerinstitute.org.au.

 

HeaD-ON

Does your patient suffer from recurrent headaches or migraines and co-morbid depressive symptoms? If so then your patient may like to receive treatment for their headaches and depression via a research project run through Monash University and Southern Health. HeaD-ON is a randomized control trial of CBT designed for individuals suffering from chronic headache and co-morbid depression. For further information, or to refer a patient, please contact the HeaD-ON team on 9594 1483.

 

Multilingual information on vitamin D

Victorians may be at risk of vitamin D deficiency, especially in winter. At-risk groups include people with naturally very dark skin and people who cover their skin for religious or cultural reasons. The Victorian Department of Health, SunSmart and other key stakeholders have released a new resource on vitamin D for health professionals and community workers. Information sheets on vitamin D are also available in eight languages from SunSmart. Click here for more information.

 

Health Independence Programs (HIP)

A program supporting the transition from hospital to home and preventing the need for a hospital presentation. Tel: 1300 131 470. Click here for more information.

 

GP Network News

This week’s edition includes: AMA seeks more detail and engagement on health reform; Practice nurse funding changes:  AMA practice manager survey; AMA position statement – doctors and preventative care; Use of antiviral medication for influenza in 2010; New waist measurement resources for general practice.

 

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News for Practice Staff

Mandatory Reporting For Health Professionals

Australia’s new national registration and accreditation scheme commences on 1 July 2010. From this date, a new national law - the Health Practitioner Regulation National Law Act 2009 - will come into effect.  Please view these frequently asked questions:-  What is notifiable conduct? Who is required to report? How can health services prepare for mandatory reporting?

 

UNE Partnerships Practice Manager Development

There’s an opportunity to enrol in one of the practice management qualifications before the end of the financial year (30 June 2010) and receive FREE a copy of the well respected textbook: Management: theory and practice 4th edition, Kris Cole. (RRP $90). For more information regarding UNE Partnerships Practice Manager Development Program see here. Click here for: 2010 Enrolment Form or call 1800 288 622 for further information.

 

e-learning Training Package to support Medicare Item 10997

As of close of business Friday 21 May, free access to this package is no longer available. If you registered before 1 May 2010, you will be able to continue accessing the package until 30 June 2010. For eligible users who registered on 1 May or after, you will have access to the package until 31 August 2010. If you would like to register for the package, access is now available for $121 (GST inclusive). If you would like a CD-ROM to accompany the online access, the cost is $127 (GST inclusive). http://www.rcna.org.au/about/about_rcna.

 

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Paediatrics

Waiting rooms incubate bugs

  • Please ask parents / patients to leave all unwell relatives at home when coming to hospital, to help reduce spreading infections within Emergency and Outpatients Departments.
  • Cough / sneeze etiquette and hand-washing techniques are two important ways people can protect themselves and others from influenza.  The DoH has illustrated posters for your waiting rooms showing how to reduce the spread of infection when coughing and sneezing, and how to wash hands effectively.  See here or call 1300 650 172.
  • RCH GP website (Kids Connect): www.rch.org.au/kidsconnect/clinical.cfm?doc_id=8612
    to find the DoH guidelines for the minimum period of exclusion from school (etc) for children after and during an infectious disease. 

 

Do you have a patient that stutters aged between 2 and 6 years?

The Murdoch Children’s Research Institute is developing effective treatments for children who stutter. Your patient may be eligible to participate. There will be no cost for assessment or treatment. Treatment is available at the Murdoch Children’s Research Institute, Royal Children’s Hospital, Parkville.  For more information you or the child’s parents can contact Kylie Farnsworth tel 03 9345 4752 / kylie.farnsworth@mcri.edu.au. All enquiries are confidential.

 

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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 - VR GP required for established 25-year-old practice.  P/T, mixed billing, relocation incentive available.  Ph Ken Dickinson 03 9467 5433.

 

Ivanhoe - VR GP Full time or Part time required to work in this GP operated accredited medical centre. A friendly and supportive team environment in this computerised medical centre with allied health, nursing staff and radiology on site. No A/H’s flexible working hours family friendly. Please contact John or Ken on 03 9497 1188

 

Kensington - GP, Full and Part-Time sessions available at Doutta Galla Community Health Service. Attractive salary, hours/days are flexible, no weekends and attractive remuneration package. Practice hours are Mon-Fri 8.30am-6pm. A friendly and professional supportive team environment in this computerised accredited medical centre with allied health, dedicated nursing staff and three mental health nurses on staff. For enquires please contact Janina De Silva on (03) 8378 1600 or email Janina.desilva@dgchs.org.au.

Positions wanted

GP Locum available - Experienced VR / FRACGP doctor available for short term locums for inner north / northeast suburbs from July 5th . Please call John 0419 353 501 for details.

 

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Humour

Explanation of Tools

DRILL PRESS: A tall upright machine useful for suddenly snatching flat metal bar stock out of your hands so that it smacks you in the chest and flings your beer across the room, denting the freshly- painted vertical stabilizer which you had carefully set in the corner where nothing could get to it.

WIRE WHEEL: Cleans paint off bolts and then throws them somewhere under the workbench at the speed of light. Also removes fingerprints and hard-earned calluses from fingers in about the time it takes you to say, 'Oh shit'

ELECTRIC HAND DRILL: Normally used for spinning pop rivets in their holes until you die of old age.

SKILL SAW: A portable cutting tool used to make studs too short.

HACKSAW: One of a family of cutting tools built on the Ouija board principle. It transforms human energy into a crooked, unpredictable motion, and the more you attempt to influence its course, the more dismal your future becomes.

TABLE SAW: A large stationary power tool commonly used to launch wood projectiles for testing wall integrity.

BAND SAW: A large stationary power saw primarily used by most shops to cut good aluminum sheet into smaller pieces that more easily fit into the trash can after you cut on the inside of the line instead of the outside edge.

PLIERS: Used to round off bolt heads. Sometimes used in the creation of blood-blisters.

BELT SANDER: An electric sanding tool commonly used to convert minor touch-up jobs into major refinishing jobs.

HAMMER: Originally employed as a weapon of war, the hammer nowadays is used as a kind of divining rod to locate the most expensive parts adjacent the object we are trying to hit.

 

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And remember

 

…how would we measure hail without golf balls?