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15-16 September - Auckland

Midwifery Presenter: Cheyne Chalmers Hospital: C&C DHB Key contact person for this project Margot Mains, margot.mains@ccdhb.org.nz phone 04 385 5999 ex 5408. 15-16 September - Auckland. KEY PROBLEMS.

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15-16 September - Auckland

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  1. MidwiferyPresenter: Cheyne ChalmersHospital: C&C DHBKey contact person for this project Margot Mains, margot.mains@ccdhb.org.nz phone 04 385 5999 ex 5408 15-16 September - Auckland

  2. KEY PROBLEMS • In absence of organisational workforce or education strategy, senior nursing/ midwifery roles evolved to meet individual service needs. • This resulted in lack of clarity, equity and role ambiguity. • Key drivers – equity across services, clarity of roles

  3. INNOVATIONS IMPLEMENTED • Improved access to: • professional leadership & support • clarity of senior roles/reporting lines Achieved through: 1. Developed 4 roles: • Clinical Nurse/Midwife Educator • Clinical Nurse/Midwife Specialists • Nurse/Midwife Lecturers • Nurse Clinicians

  4. INNOVATIONS IMPLEMENTED 2. PDU - focused education & professional development - collaborative and responsive to services - revenue opportunities from education - expected efficiencies from preparation of courses, administration and coordination time - Positions approved & ready to advertise 3. Contribute to rostered clinical hours (seniors at point of patient care) & ensures patient centred & specialty practice across continuum. Makes structure affordable 4. Anticipated saving of $519,674 pa. Reduced turnover of nurses targeted at $126,800 pa.

  5. OUTCOMES SO FAR • Savings • Turnover • Provide numerical evidence that the changes have made an improvement for patients or staff – e.g. a before and after chart, trend line (2 slides maximum) • Unhappy senior nurses/midwives retained their professionalism • What impact on patient or staff safety during the process?

  6. LESSONS LEARNT • Put processes in place for sign off of PD’s • Clear process and communication at every stage • Respected facilitator • Include all roles (didn’t include coordinators, team leaders, IV, CPR, Manual Handling etc) • Have clear and short timeframes (3 months)

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