The Nursing Leadership Group (NLG) is the recognised voice of aged care nursing. The following article written by the NLG which includes HCSL’s very own Director, Gillian Robinson BN, RN has been published in the Nursing Praxis – Journal of Professional Nursing Special Issue: Nursing response to COVID-19 in Aotearoa New Zealand
The coming of age: Aged residential care nursing in Aotearoa New Zealand in the times of COVID-19
For years aged care nursing has been largely overlooked and marginalised from mainstream healthcare. COVID-19 brought both aged residential care and nursing into sharp focus for Aotearoa New Zealand. This paper provides a commentary on the work of executive nurses within the Nursing Leadership Group of the New Zealand Aged Care Association as COVID-19 spread into some ARC facilities in early 2020 and threatened the health and wellbeing of many residents and nurses. The group influenced the agenda and implementation of policies for Aged Residential Care and brought the voice of nursing and residents of aged care to the forefront at national and regional levels.
CLICK BELOW TO DOWNLOAD THE FULL ARTICLE.
Frances Hughes, PhD, RN, Clinical Director, Oceania, Auckland Anna Blackwell , PGDip, RN, Nursing Director/Owner, Cook Street Nursing Care Centre, Palmerston North Tanya Bish, MN(Hons), BCom, RN, Clinical Director, Metlife Care, Auckland Cheyne Chalmers, MMgt, RN, Chief Operating Officer, Ryman Healthcare, Christchurch Katherine Foulkes, PGDip, RN, Clinical Services Director, Bupa, Auckland Lynda Irvine, RN, Head of Clinical Services, Summerset Group Holdings Ltd, Auckland Gillian Robinson, BN, RN, Director, Health Care Compliance Solutions Ltd, Christchurch Rhonda Sherriff, RN, Managing Director, Chatswood Retirement Village, Christchurch Virginia Sisson, PGCert, RN, Operations Manager, The Selwyn Foundation, Auckland
Reference: Hughes, F. A., Blackwell, A., Bish, T., Chalmers, C., Foulkes, K., Irvine, L., Robinson, G., Sherriff, R., & Sisson, V. (2021). The coming of age: Aged residential care nursing in Aotearoa New Zealand in the times of COVID-19. Nursing Praxis in Aotearoa New Zealand, 37(3), 25-29.
http://13.235.116.174/wp-content/uploads/2021/12/The-coming-of-age.webp300300AgedCarehttp://13.235.116.174/wp-content/uploads/2024/08/HCSL-Color-Logo.svgAgedCare2021-12-23 10:48:362024-09-23 10:37:48The coming of age: Aged residential care nursing in Aotearoa New Zealand in the times of COVID-19
http://13.235.116.174/wp-content/uploads/2024/09/merry-christmas-1.webp300300AgedCarehttp://13.235.116.174/wp-content/uploads/2024/08/HCSL-Color-Logo.svgAgedCare2021-12-15 09:21:242024-09-23 09:48:08Merry Christmas and Happy New Year
As you will be aware, assisted dying will be legally available in New Zealand from November 7 when the End-of-Life Choice Act 2019 comes into effect.
The introduction of assisted dying means that a person with a terminal illness who meets the eligibility criteria can request medication to relieve their suffering and end their life.
The Act sets out the legal framework and a high-level process for accessing assisted dying, including strict eligibility criteria and safeguards.
Assisted dying is not a replacement for palliative care or health care services more generally. It provides another option for people with a terminal illness in certain circumstances.
Assisted dying remains illegal until 7 November 2021. The Ministry of Health will be responsible for the Act and has an implementation programme underway to implement the assisted dying service.
This may impact hospitals, care facilities and retirement villages across the country in an entirely new way, so we at Healthcare Compliance Solutions Ltd have been following the Ministry of Health’s guidance along the way, to ensure our policies and procedures help our new and existing clients through the process, as best as possible.
If you would like to learn more about how Healthcare Compliance Solutions can help you and your orgnisation.
http://13.235.116.174/wp-content/uploads/2024/09/End-of-Life-Choice-Act-implementation.webp300300Allionhttp://13.235.116.174/wp-content/uploads/2024/08/HCSL-Color-Logo.svgAllion2021-10-29 11:29:002024-09-23 10:57:59End of Life Choice Act implementation – 7th Nov 2021
Gillian Robinson – HCSL Director was recently featured in the latest copy of Lead Magazine. Giving you an insight in to Gillian herself and what had lead her to where she is today, and where to next.
“HCSL has been incredibly easy to navigate since we went live on the system on the 1st of October. Our team have people with varying levels of technology literacy and the ease of this system has meant that staff are more confident to use technology and see how it can help to improve time management by not having to double or triple up on written documentation.”
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I am very happy to endorse your system as the information is invaluable for CNMs to analyse the data/information and make informed decisions on best practice and innovation to decrease hazards, improve outcomes, and mitigating factors for resident welfare. I’m pleased you are delving into the data to the level you are, as it’s time saving for sites in many respects, and so easy to dice and slice the information to get the trends.
CNM’s used to spend hours just writing up the collective information before the analysis, so this system is hugely time saving.
We are very pleased to have recently been granted 4 year MOH Certification! No corrective actions and three Continuous Improvements.
This follows on from a fully attained Partial Provisional Audit that was required prior to opening our two new wings earlier this year with no corrective actions.
Make no mistake! HCSL policies, software and support have played a major part in these accomplishments. The HCSL software we use means we have easy access to information in real time.
I started working with Gillian of HCSL shortly after I took on the role of Facility Nurse Manager at Bethsaida Retirement Village six years ago. The facility was not using Healthcare Compliance Solutions policies at the time and perhaps this was reflected in the previous audit results.
Gillian is always responsive to emails and phone calls which is critical when timely advice is required.
The HCSL regular newsletters are interesting with relevant and up to date information on issues affecting aged care.
Gillian is a lovely person to deal with. She is thoughtful, professional, pragmatic and I have always found her to be keen to help, with practical advice on any issues that might arise in the management of a retirement facility.
I thoroughly recommend HCSL to all aged care facilities.
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The New Zealand Aged Care Association Education Trust is planning the next series workshops with a focus on the revised Health and Disability Sector Standards 2021.
The standards will be mandated and implemented from February 2022.
There are significant changes to these standards and compliance will be a challenge for many facilities.
Gillian Robinson.
Our very own Gillian Robinson, Director Healthcare Compliance Ltd and Nursing Leadership Group member will be keynote presenter and will discuss how you can adjust policies and processes on your site to meet the new and revised standards. Her presentation will also cover how you implement the necessary standards and what education staff will require to meet the standards. This will include governance and operational challenges.
Rhonda Sheriff, NZACA Clinical Advisor will present on Managing current staffing challenges that include staff shortages in ARC. With the borders closed, immigration challenges, pay anomalies and increasing workloads, now more than ever we are facing staffing difficulties in our sector. Let’s identify strategies that help mitigate risk in our sector and ensure safe care delivery to residents.
Rhonda Sherrif
The workshops are planned for the following dates:
Tauranga – Wednesday, 24 November 2021 – Cubro Head Office
Dunedin – Monday, 29 November 2021 – The Forsyth Barr Stadium
Christchurch – Tuesday, 30 November 2021 – Tait Technology Centre
Wellington – Monday, 6 December 2021 – Te Rauparaha Arena
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Right now there are a lot of discussions happening around New Zealand asking “Can employees in aged care be required to get the vaccine?” Associate Jaenine Badenhorst of Rainey Collins Law has cleared up some of the confusion, with some of the below facts, as of September 07th 2021.
In Brief
Under the New Zealand Government’s vaccine campaign, it is not mandatory for employees to be vaccinated against the Covid-19 virus. Employers can therefore not require their employees to be vaccinated, unless it is necessary for health or safety reasons for a particular role.
If an employee works in a role where the risk of exposure to Covid-19 is higher and/or the consequences of contracting Covid-19 is more serious, the role may demand employees who are vaccinated to fill it. Due to the likely risk to the Health and Safety of aged individuals, it is highly likely to be reasonable for employers to require aged care worker roles to be filled be vaccinated individuals.
Health and Safety Laws
Persons conducting a business or undertaking (PCBUs) owe duties, under the Health and Safety at Work Act (“the HSW Act”) to ensure, as far as is reasonably practicable, the Health and Safety of its workers, patrons, customer and clients.
Covid-19 poses a risk to the Health and Safety of others, and therefore PCBUs are required to undertake a risk assessment in their particular work environment, so that they can implement safeguards and protocols to eliminate or reduce that risk.
Health and Safety risk assessments must be done in consultation with workers, unions, and other relevant representatives.
If a Health and Safety risk assessment of a particular role indicates that vaccination is necessary to comply with Health and Safety obligations, an employer may require whomever fills that role, to be vaccinated.
It is important to note that rather than any ‘employee’ requiring vaccination, it is the particular ‘role’ that requires a vaccinated employee to carry it out.
When is vaccination likely to be required for the performance of a role?
Under the COVID-19 Public Health Response (Vaccinations) Order 2021, some work at the border can only be done by vaccinated workers. Employers in this case need not do individual Health and Safety risk assessments, as all work covered by the Order must only be done by vaccinated workers.
It is possible further Orders could be made to require other roles to be filled only by vaccinated individuals. In the absence of an Order, it will be up to each PCBU to make a decision for their work place, based on the Health and Safety risk assessments they have completed.
At present, PCBUs in the aged care sector will have to individually assess each role to determine whether it should to be filled by a vaccinated person for Health and Safety reasons.
Health and Safety risk assessments will typically require vaccination if a role involves a high likelihood of exposure to Covid-19 in the workplace and/or significant consequences to others in regular contact with the individual performing that role. Examples will include roles where employees have lots of contact with customers and clients or other employees, especially where contact will be with vulnerable people.
Workers in aged care roles are likely to have contact with many individuals each week, and these individuals are likely to be more seriously affected by the impacts of Covid-19 if they contract it. It is therefore highly likely that many aged care worker roles will require vaccinated individuals to fill them, so that PCBUs are compliant with their obligations under the HSW Act.
In each case, however, the PCBU must assess the risk on a case by case basis. It is also important for the PCBU to consult with the workers in these roles, to help the PCBU assess the risk and ways to best eliminate or minimise it.
Recruiting new employees:
An employer may require vaccination for new employees, however this must be reasonable for the particular role.
Additionally, employers must take care to ensure they are not unlawfully discriminating under the Human Rights Act or affecting the right to refuse medical treatment under the New Zealand Bill of Rights Act.
Does an employee have to tell their employer if they have been vaccinated?
If an employee refuses to inform their employer of their vaccination status, the employer may assume that employee is not vaccinated in order to manage its Health and Safety obligations. If an employer makes this assumption, it must inform the employee of its intention to do so, and what the possible consequences may be.
What if vaccination is refused?
If an employee refuses vaccination following a risk assessment that identifies it as necessary for the employee’s role, an employer may consult with their employee to change their work arrangements, duties or leave, or restructure their work or employment conditions.
Redundancy or dismissal should be considered as final options after changes to the employee’s duties or redeployment to other roles have been considered. Without consideration of all reasonable alternatives, dismissal of an employee who refuses to be vaccinated will nearly always be unjustified.
Any changes, dismissals, or risk assessments must be carried out in good faith.
If there are concerns in your business in relation to employees receiving the Covid-19 vaccination, it is wise to speak with a professional experienced in the area.
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