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3 September 2009 - Brisbane

Valuing our Internal Bureau Presenter: Denise Kivell Director of Nursing Hospital: Fury dkivell@middlemore.co.nz +64 9 2760059. 3 September 2009 - Brisbane. KEY PROBLEMS. Inconsistent levels of skill/staff unable to meet the services requirements Mismatch of skill

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3 September 2009 - Brisbane

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  1. Valuing our Internal BureauPresenter: Denise Kivell Director of NursingHospital: Furydkivell@middlemore.co.nz +64 9 2760059 3 September 2009 - Brisbane

  2. KEY PROBLEMS • Inconsistent levels of skill/staff unable to meet the services requirements • Mismatch of skill • Demand and reliance on External Bureau exceeding financial limits

  3. AIM OF THIS PROJECT Improve the quality of the internal bureau and match demand with resources by: • Strategic approach with sustainable change • Sector wide • Invest in the infrastructure

  4. KEY CHANGES IMPLEMENTED • Increased profile of the Bureau –built on infrastructure-”dedicated Bureau manager” • Increased Internal Bureau with focused recruitment • Bureau Nurse Educator-0.4 FTE-increased rate of compliance with competence portfolios for nurses, & merit steps for HSW • Learning and orientation package • Developed a permanent resource team of RN & HCA with roster flexibility • Modified Onestaff rostering to enable better reporting-localised units eg ICU, EC

  5. Nursing Bureau for FURY (Internal and External)

  6. Nursing Vacancies

  7. Sick leave-% of Leave workedNB:H1N1 Influenza-May

  8. OUTCOMES SO FAR

  9. LESSONS LEARNT • Invest in your internal bureau as an extension of your services Reference: DHB NZ/Nurse Execs NZ/Mid Central Health Report to MOH 2001

  10. Courage & commitment

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