Instructions

1. Instructions • This presentation will help Physiotherapy students and other interested parties by giving them an introduction to the Physiotherapy Department of Wodonga Regional Health Service (WRHS) before their clinical placement. • There are a number of hyperlinks within the presentation that will take you to specific areas. All slides however can be viewed by going through one after the other. • Students should note the expectations that WRHS Physiotherapy Department has of them in terms of professional behaviour. • We hope you enjoy your placement at WRHS. We look forward to meeting you.

2. Welcome Wodonga Regional Health Service Allied Health Undergraduate Physiotherapy Student Placement Information

3. Welcome to Wodonga Regional Health Service • Wodonga Regional Health Service • Allied Health Teams • Physiotherapy Team • Clinical Education • Professional Behaviour

4. Aim: To provide quality, cost effective hospital and community based health care services to meet the health needs of those communities in North Eastern Victoria and South Western New South Wales with relationship to the City of Wodonga and the City of Albury. • WRHS is proud of the culture it has maintained since its origins in the 1950’s. As a Health Service that has grown from the community it has retained a strong sense of community service. • WRHS fosters an environment with a strong sense of teamwork, integrity, accountability and respect.

5. Allied Health Teams • Acute Team • Community Rehabilitation Team • Community Health and Health Promotion Team • Inpatient Rehabilitation • Rural and Allied Health Team • Pain Management Program • Hospital Admission at Risk Program (HARP) • Post Acute Care

6. Acute Team • Acute Unit 22 beds, including a 5 bed high dependency unit. Provides more intensive Nursing following medical or surgical procedures. • General Unit 32 beds, general medical or surgical patients often elective admissions. • Obstetric Unit One of the largest units in Rural Victoria catering for an estimated 1600 births each year.

7. Inpatient Rehabilitation • Inpatient rehabilitation program servicing a 10 bed ward • Aims to assist clients to achieve optimum independence and quality of life • Offers an integrated care program including Allied Health, Medical and Nursing care

8. Community Rehabilitation Team • Multidisciplinary team which aims to enable clients who are disabled, frail, chronically ill or recovering from traumatic injury to achieve and retain optimal functional independence. • General rehabilitation • Falls Prevention • Cardiac rehabilitation • Pulmonary rehabilitation • Upper limb/hand therapy clinic

9. Community Health/Health promotion Team • Multidisciplinary team providing outpatient services to enable Victorian residents suffering from a range of conditions to achieve and maintain optimal functional independence. • Involved in the delivery of a variety of health promotion activities including Diabetes Education, New parents Group, Chronic diseases self management and Aquatic physiotherapy.

10. Rural and Allied Health Team • Provides a range of professional services to people of all ages having difficulty staying at home independently • Comprehensive service which supports and liaises with clients, carers and community service providers • Services are usually provided in the clients home and aim to restore maximum independence. • RAHT operates in Wodonga, the shires of Towong and Indigo, and the Kiewa Valley.

11. Pain Management Program • Provides timely and efficient intervention to individuals, which meets best practice and uses a multi disciplinary and consumer focused approach. • Three week residential cognitive behavioral modification and physical reactivation program based on the biopsychosocial model of chronic pain and conducted by an interdisciplinary team.

12. Physiotherapy Team

13. SueB.App.Sc.(Phys) • Director of Allied Health • Over 20 years experience • Experience in both metropolitan and rural settings • Areas of special interest include rehabilitation, gerontology and chronic disease management

14. JohnGrad Dip Phys • Pain Management Program • Trained in England and has worked extensively overseas including England and Canada • Accredited McKenzie therapist • Has special interest in sport physiotherapy • Physiotherapist to local soccer team

15. LiesaGrad Dip Phys • Works in Rehabilitation • Trained in England and has extensive experience in England and Canada • Trained in Bobath techniques for neurological deficits • Special interest areas include lymphodema and neurology

16. SallyB.App.Sc.(Phys) • Rural Allied Health Team Physiotherapist • Graduated from The University of Sydney in 2001 • Experience in Continence and Women’s Health, Falls and Balance, Intensive Care, Cardiothoracic surgery/rehabilitation, Rural/Remote Physiotherapy • Special interest in Continence and Women’s Health and Rural/Remote Health

17. JanaB.App.Sc.(Phys) • Inpatient rehabilitation and obstetric wards • Has been employed at WRHS for many years and has worked on all available rotations • On several WRHS committees • Special interest area is obstetrics • Completed Certificate IV in workplace assessment in training and involved in staff training for multiple areas.

18. Anna B.Science(Physiotherapy) • Community Rehabilitation Team • General rehabilitation and co-ordinates Cardiac Rehabilitation Program • Varied experience in England and Canada including TMJ clinics • 8 years in private practice • Special interest areas include: Psychosocial aspects of physiotherapy Orthopaedics • Compliance with exercise

19. Lyn (Div II Nurse, AHA) • Extensive allied health assistant experience • Previous nursing background • Allied Health Assistant for Acute and Community Health programs • Hydrotherapy Leader Certificate.

20. SimoneB. Physiotherapy (Hons), PhD • Part time Community Rehabilitation Team co-ordinating Pulmonary Rehabilitation Program • Runs Fit for Birth classes • Special interest areas include rehabilitation, exercise therapy, chronic disease factors influencing adherence and self management with health interventions, antenatal and postnatal exercise.

21. IsabelB.Physiotherapy • Completed degree at Charles Sturt University, Albury • Extensive experience in sports coaching • Interested in sports physiotherapy, Pilates and dry needling • Hobbies include sports, music and outdoor activities

22. LucasB Physiotherapy • Grade one physiotherapist • Completed Physiotherapy Degree at Charles Sturt University (Albury) 2004 • Employed at WRHS since 2005 • Rotating through: acute (medical and surgical) wards, community rehab, community health and Tallangatta Health Service

23. CarolynB. Physiotherapy • Grade One Physiotherapist. • Graduated from LaTrobe University Bundoora 2005 • Currently working in Hospital Admission Risk Program (HARP) - Chronic Disease Management, Post Acute Care, Community Rehabilitation, Tallangatta Health Service outpatients • Main Areas of Interest: Community Rehabilitation; Women's Health; Good coffee

24. BrettB.Physiotherapy • Community Health Physiotherapy • Graduated Charles Sturt University (Albury) 2003 • Patient No-Lift trainer • Semi Automatic Emergency Defibrillator (SAED) trainer • Manual Handling trainer • Physiotherapy students Contact person • Areas of Interest: Rehabilitation and Musculoskeletal • Involved in Chronic Diseases Self Management

25. Pam BartelRN / Div 2 • Allied Health Assistant • Extensive allied health assistant experience • Comes from a nursing background • Area of special interest includes exercise rehabilitation for older people

26. AnneB. App Sc. Physiotherapy, B. App Sc. OT, Post grad Dip Manip. Therapy, Grad cert continence and Pelvic floor rehab. • Sessional Physiotherapist in continence Clinic. • Areas of special interest: • Men's health • Women's Health • Continence • Self empowerment of our patients

27. JeffRN DIV2/AHA • Extensive experience in Medical and Rehabilitation nursing. • Interests – walking aids and Rehabilitation equipment. • Hobbies – Pushbike riding and tournament poker.

28. Melanie B. Physiotherapy • Completed Bachelor of Physiotherapy at Charles Sturt University in 2007 • Major undergraduate placements at St. George Hospital, Westmead Rehab Centre and John Hunter Children's Hospital • Areas of interest include women's health, obstetrics and rehabilitation • Experience working with a variety of local sporting teams

29. JamieB.App.Sc.(Physio) • Trained at Cumberland University (Sydney) • Working in the Community Rehabilitation Centre • Coordinates Falls and Balance Program • Has an interest in aged care and rural health.

30. Clinical Education at WRHS • Philosophy • Student focused learning • Student responsibilities

31. Philosophy The concept of the clinical educator being a facilitator rather than an information giver is fundamental to clinical education at WRHS. Consequently the primary goal of clinical education is to facilitate student learning and engender in students a passion for lifelong learning. Clinical educators are therefore challenged to keep students in the centre of and actively engage them in the learning process. The skill of lifelong learning, which fosters competent and independent practice, is particularly vital for practitioners destined to work in rural areas. Rural practitioners are often isolated from peers, have barriers to accessing professional development and therefore rely more fully on their intrinsic reflective abilities to improve their practice. While on placement at WRHS students are encouraged to be active participants in their learning and are provided with opportunities to be involved in the structuring of their own learning activities and to take control of their own learning. Fundamental to effective learning is the learning environment; at WRHS every effort is made to create a student friendly learning environment, so that students will be comfortable and gain maximum benefit from their clinical placement.

32. Student Focused Learning • The clinical education program at WRHS aims to be student focused. • Students are involved in determining the structure and content of the placement depending upon their individual learning needs. • Clinical educators are aware of students’ varied learning styles and accept that teaching is a creative activity that will vary according to the learning style of the student. • Ongoing constructive and timely feedback is provided to students throughout their placement. • Procedures are established for gathering regular feedback from students, both formally and informally. Students experiencing difficulties should feel comfortable in the knowledge that a process exists for approaching the clinical educator with their concerns.

33. Student Responsibilities • Students should be aware of their individual learning needs. Prior to commencing placement you should reflect on your strengths and weaknesses and identify those areas which would most benefit from assistance. • Students are required to be aware of their preferred learning style and preferred learning strategies and be able to provide input into the structure of learning activities while on placement. • Students are required to be able to accept and act upon constructive feedback provided by the clinical educator. • Students are strongly encouraged to ask questions and seek reassurance as they test skills at putting theory into practice. • Students are strongly encouraged to maintain a learning journal while on placement to engender reflective practice skills, identify gaps in knowledge and to track growing competence. • Students are expected to be able to approach the clinical educator with any concerns while on placement. If their concern relates to the clinical educator they should approach the senior physiotherapist.

34. Professional Behaviour • Punctuality • Dress standards • General tidiness • Student rapport with patients and colleagues • Respect for patient’s dignity • Consideration of legal issues • Documentation

35. Punctuality • Arrive at clinic 5 minutes prior to start time, to allow you to put your belongings in your locker and be ready to start on time. • In the event that you are delayed, or unable to attend due to sickness telephone reception (6051 7400) and inform staff of your estimated arrival time and advise of any action that is required to minimise inconvenience to your clients.

36. Dress Standards • University uniform to be worn at all times and must be neat, clean and tidy, never stained or crushed • Closed in shoes are an Occupational Health and Safety requirement • University ID card must be worn at all times • Bracelets, bangles, rings with stones are not to be worn • Watches may be worn but are preferably removed during patient treatment and hand washing • Fingernails are to be short and clean • Hair shoulder length or longer must be tied back • Men may have a beard or be clean shaven, no stubble • As a consideration to our patients facial jewellery is preferably removed

37. General Tidiness • Wherever you are working in the hospital, always leave treatment areas clean and safe. • When treatment is completed pull curtains back, remove any soiled linen, tissues etc and return pillows to the head of the treatment table. • Wipe the bed with antibacterial solution after each patient. • Return any equipment you have used during treatment to where you found it.

38. Rapport with patients and colleagues • The patient will primarily view the student as their physiotherapist. • The student will demonstrate an understanding of the limitations to a patient’s lifestyle that their illness or disability will cause. • The student will monitor the patient’s tolerance to treatment and respond to their reports of distress. • The student will be able to liaise with other healthcare professionals to ensure the patient’s needs are met. • The student will treat all other healthcare workers with courtesy and respect.

39. Patient Dignity • Respect patients’ personal choices eg dress, religious and / or cultural belief system. • Refrain from questioning the patient about their condition in waiting or reception areas. • Ensure curtains are pulled when appropriate. • Only disrobe the patient as necessary. • Use towels or blankets to drape the patient as necessary to preserve dignity. • Respect patients choices in relation to treatment.

40. Legal Issues • Always obtain informed consent from the patient prior to proceeding with any assessment or treatment procedure. • Informed consent requires an explanation of the intervention and the possibility of any positive or negative reactions. • Only discuss the patient’s case with the clinical supervisor or those directly involved in the patient’s care. • Ensure all documentation is completed in a timely and accurate manner.

41. Documentation • Complete medical records legibly and accurately using black pen • Complete medical records in a timely manner, preferably on the day of the physiotherapy intervention • All medical record entries to be signed and dated by student and countersigned by clinical supervisor • Complete discharge or referral letters with guidance as required

42. Contact Us • If you have any further questions contact: • Jamie Saines (Acting Senior Physiotherapist) Ph: (02) 6051 7400 • Brett McRitchie (Clinical co-ordinator) Ph: (02) 6051 7400