Monthly Archives: April 2019

Health leader brings experience, commitment to role of facilitating change

It’s really heartening when you discover health professionals who are passionate about their career. Jacqui Allen’s career as a nurse spans over three decades, yet her passion for nursing remains ubiquitous in her latest role as a redesign facilitator at Eastern Health.
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“I’m so passionate about leadership, improving patient care and improving systems for staff to work within,” says Allen. “I think any opportunity you have to broaden your knowledge or experience, why not lap it up?” Allen’s aptitude for change and development has acted as a guiding principle. Moving through the ranks from general nurse to educator to nurse manager, she’s continually embraced new challenges and thrived on opportunities to improve workplace practices. In her role as nurse manager at Box Hill Hospital, she successfully transformed a staffing shortage into a situation where people were drawn to the environment.

The quote, “leadership drives culture and culture drives strategy and improvement” is so true,” says Allen. “When I left this role, there were people waiting for a position and that was achieved simply by improving the work culture.” The skills and knowledge Allen has acquired from nursing have provided the quintessential framework for this role, the objective being to facilitate improved performance and quality patient care across Eastern Health.

“It’s about increasing the capability of staff across the whole system, so that they then have the knowledge and skills to do the improvement work themselves,” says Allen. “It’s really a coaching and support role.” Improvement methodology informs much of Allen’s work. The methodology is used to structure improvement work by identifying the core problem, isolating issues and wastes in the system, and formulating an ideal state and process for accomplishing better outcomes.

“You need to have a really clear problem statement upfront,” says Allen. “And you can’t do improvement work without measuring it to know if you’ve made a difference. This is critical.” Allen was drawn to her role as a redesign facilitator to expand upon an already impressive resume and to explore new challenges. Working across more than sixty different wards and programs, she’s grateful to have gleaned a broader perspective of health outside of the emergency department where she’s spent much of her career.

One of the larger programs of work that Allen has been involved in is the productive ward program, which focuses on improving the direct nursing care time for patients. The wards are highly organised with patient journey boards that snapshot every patient’s journey from admission through to discharge. There are also performance boards, visible to both staff and patients, which contain each ward’s performance data. The redesign team is also involved in leadership walk-rounds to ascertain what’s working for staff and where support might be needed.

“As a result, nursing teams have improved the quality of patient care and patients’ overall experience of care”, says Allen.

Allen acknowledges that without the input of key stakeholders the improvement work couldn’t be achieved and sees firsthand how beneficial the support and coaching is for staff.

Allen never planned for her career to take this pathway but revels in the opportunities serendipity has offered.

“What I find really rewarding is that I can influence at both a strategic and an operational level,” says Allen.. “I love to learn and develop, and in redesign work you can always do that.”

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Week in picturesphotos

Week in pictures | photos ORANGE: Orange Mountain Wines co-owner Terry Dolle is expecting to start picking grapes earlier this year following plenty of rain and warmer-than-average temperatures. Picture: STEVE GOSCH.
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ORANGE: Rohanne Tiefel with her twins Dominic and Lucas who were born at Orange Health Service last month. Picture: STEVE GOSCH.

PARKES: Jacques Labuschagne, Parkes Shire Mayor Ken Keith, Bridgette Johnston and Angus Whyllie disembark from yesterday’s Elvis Express.

PORT LINCOLN: Eight ball player Dylan Vonderwall has been selected to represent South Australia in the junior eight ball national championships and will compete in the Gold Coast from January 11 to 14. Picture: HARRY FISH.

TASMANIA: Members of the Burnie Highland Pipe Band play at Music Among the Tombstones, a unique musical event at the Penguin General Cemetery. Picture: STUART WILSON.

WIMMERA COPPING: Horsham Rural City Counil parks and gardens worker Brodie Mines cools off while watering plants in Horsham Botanic Gardens. Picture: PAUL CARRACHER

WIMMERA: Matt Adlington inspects burnt banksias on his Mt Talbot farm as fire rages behind. Picture: PAUL CARRACHER

WIMMERA: NSW crews from the Albury area arrive to fight Little Desert fire late on Saturday. Picture: PAUL CARRACHER.

WIMMERA: The Mt Talbot fire on Wednesday, as seen from Toolondo. Pictures: PAUL CARRACHER.

BATHURST: Bathurst Woodies’ John McMahon said the group is cashed up thanks to grants which will allow the club to expand its premises in Dorman Place. Picture: BRIAN WOOD.

BATHURST: Tamsyn McCabe had a ball at Bathurst PCYC’s school holiday activity workshops yesterday while receiving instruction from Bathurst Fire and Rescue NSW senior firefighter Peter Worrad. Picture: CHRIS SEABROOK.

CARRIETON: James Fels bit the dust, was swept off his feet and thrown into the dirt again in the Second Division Bull Ride at Carrieton Rodeo. He picked himself up and walked away. Picture: CHELSEA ASHMEADE.

CESSNOCK: Japanese football star Keisuke Honda holds Ally the Wombat from Hunter Valley Zoo at the Samurai Blue’s farewell function in Cessnock on Thursday. Picture: KRYSTAL SELLARS.

CESSNOCK: Japanese football star Keisuke Honda holds Ally the Wombat from Hunter Valley Zoo at the Samurai Blue’s farewell function in Cessnock on Thursday. Picture: KRYSTAL SELLARS.

CESSNOCK: The Japanese national football team, the Samurai Blue, contested a pre-Asian Cup friendly against Auckland City FC at Cessnock Sportsground on January 4. Picture: KRYSTAL SELLARS.

CLARE: Enjoying the school holidays and warm summer days are Molly McMurray, Nikita Morgan, Alice McMurray, Jazmine Liddy and Rosie McMurray at The Valleys Lifestyle Centre, watched by pool lifeguard Carl Whitehead.

DUBBO: A car suspended on a guy wire after a car crash on Thursday morning. Picture: HANNAH SOOLE.

DUBBO: Quest property manager Steve Hornby at Wylde Fire Indian Restaurant, which has been left empty and abandoned by owners. Picture: HANNAH SOOL.

TASMANIA: Tankers from Rubicon, Port Sorell and Wesley Vale fighting the fire with assistance from a helicopter on Browns Creek Road. Picture: JASON HOLLISTER.

LAKE MACQUARIE: Australia day Citizen of the Year nominee Grace McLean. Picture: GEORGIA OSLAND.

LAKE MACQUARIE: BMX at the Lake Macquarie BMX Track.

LAKE MACQUARIE: Joseph Powell of the US sailing at Belmont. Picture: DARREN PATEMAN.

LITHGOW: Motorists were proceeding with caution through flash flooding in western Main Street.

TASMANIA: Devonport Cup runner Second Dozen and trainer Adam Trinder, of Spreyton, are all smiles ahead of the big race. Picture: MEG WINDRAM.

NEWCASTLE: Tamara Gazzard, Lucy Shepherd and Sarah Coffee ready for the Paper Cut’s latest free interactive performance.

NEWCASTLE: Chris Plain, Sarah Morrison and Jodie Plain at Uluru with The Star. Picture: DEANO MORRISON.

NEWCASTLE: Nobbys Surf Life Saving Club Ducks 4 Dollars Breanna Blick of Broadmeadow, and Kylie Rolston of Stockton. Picture: MARK CONNORS.

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Asian Cup match between Australian Socceroos and Kuwaitpictures, photos

Asian Cup 2015 | pictures, photos MELBOURNE: Ali Hussain Fadhel of Kuwait celebrates after he scored the opening goal during the match. Picture: Getty Images.
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MELBOURNE: Tim Cahill of Australia celebrates after scoring a goal during the 2015 Asian Cup match between the Australian Socceroos and Kuwait at AAMI Park. Picture: Getty Images.

MELBOURNE: Ivan Franjic of Australia heads the ball over the top of Sultan Alenezi of Kuwait. Picture: Getty Images.

MELBOURNE: Tim Cahill of Australia celebrates scoring his first goal in the first half. Picture: Getty Images.

MELBOURNE: Massimo Luongo of Australia celebrates after scoring a goal. Picture: Getty Images.

MELBOURNE: Australia’s Massimo Luongo (right) is congratulated by teammates Robbie Kruse (centre) and Tim Cahill (right) after scoring against Kuwait. Picture: Getty Images.

MELBOURNE: Massimo Luongo of Australia is congratulated by Tim Cahill after scoring a goal. Picture: Getty Images.

MELBOURNE: Massimo Luongo of the Socceroos is congratulated by Tim Cahill and his teammates after scoring a goal. Picture: Getty Images.

MELBOURNE: Massimo Luongo of Australia heads the ball through for a goal. Picture: Getty Images.

MELBOURNE: Ali Hussain Fadhel of Kuwait beats Tim Cahill (right) and goalkeeper Mathew Ryan of the Socceroos to score the first goal during the match. Picture: Getty Images.

MELBOURNE: Mile Jedinak of the Socceroos is congratulated by his teammates after scoring a goal. Picture: Getty Images.

MELBOURNE: Mile Jedinak of Australia celebrates after he scored a penalty. Picture: Getty Images.

MELBOURNE: Kuwait’s Amer Almatoug Alfadhel fights for the ball against Australia’s James Troisi (left) and Izaz Behich (right) during their Asian Cup Group A soccer match Picture: REUTERS.

MELBOURNE: Massimo Luongo of the Socceroos celebrates after scoring a goal. Picture: Getty Images.

MELBOURNE: James Troisi of the Socceroos celebrates after scoring a goal. Picture: Getty Images.

MELBOURNE: Australian coach Ange Postecoglou celebrates after Australia defeated Kuwait. Picture: Getty Images.

MELBOURNE: Ali Hussain Fadhel of Kuwait celebrates with his teammates after scoring the first goal. Picture: Getty Images.

MELBOURNE: Ali Hussain Fadhel of Kuwait celebrates with his teammates after scoring the first goal during the 2015 Asian Cup match between the Australian Socceroos and Kuwait. Picture: Getty Images.

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Shark feeds on whale off South Coast beach: Video

SOURCE:Illawarra Mercury
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RELATED CONTENT:Shark sighting closes Warilla beach

Shark attack on beached whale closes Broulee Beach: PHOTOS/VIDEO

Diver dodges sharks to rope whale

Rare footage has been captured of a shark feeding off a dead whale just metres from a popular South Coast holiday beach.

Sharks had been circling South Broulee and three neighbouring beaches after a humpback whale died near the coast this week.

The whale drew sharks, which in turn drew hundreds of onlookers who gathered on the rocks around the beach to catch a glimpse of some of the ocean’s apex predators in action.

Michael James captured footage of one tearing into the whale by attaching his waterproof Go-Pro camera to a Go-Pro rod and submerging it next to a bobbing shark tail.

The South Broulee sighting is just one of several in NSW this summer.

Chris Neff, a shark management policy researcher and lecturer at the University of Sydney, said it was unlikely more sharks were about and instead attributed growing concerns to recent sightings in Sydney, which meant more attention was being paid to shark incidents.

Sydney’s iconic Bondi Beach was closed twice this week and three times in November after sightings of sharks several metres long.

In December, a fishermanfilmed a 2.5-metre great white shark in Lake Macquarienear Newcastle.

On Thursday, Wollongong lifeguards spotted three mature hammerhead sharks off the coast near the Wollongong Golf Club, just metres from the popular surf beach.

Surfing instructor Nick Squires was teaching a group of children including his own eight-year-old son to surf when he saw the shark doing laps of the beach.

“I had just pushed my son on to a wave, and probably about three metres away from me on the inside of me, it was at least seven foot, a little shark just cruised past me,” Mr Squires told ABC Radio.

“I yelled out to the kids and, as soon as it sensed I’d seen it, it went really fast out to sea. If it was there to be sinister it had every opportunity to be.”

Similar sharks were also spotted this week around Shellharbour, near Warilla Beach and the Windang-Port Kembla bight.

Dr Neff said it was important to keep in mind that most interactions between humans and sharks did not result in a shark attack, and that most shark attacks were not fatal.

He recommended anyone who saw a shark while swimming should maintain eye contact while trying to get back to shore as quickly as possible.

“Sharks are opportunistic biters so you don’t want to do anything that gives them the opportunity, like turn around and swim away,” Dr Neff said. “You want to keep eye contact and let it know you’ve seen it.”

He said it would take less than a week for swimmers to be back at beaches even after an attack.

“In 2009, Sydney’s shark summer, even with a bite at Bondi, beach attendance was up 23 per cent on the year before.”

South Broulee and neighbouring beaches were expected to reopen at 9am Saturday.

SOURCE: Illawarra Mercury

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Charlie Hebdo terrorist crisis comes to dramatic climax as special forces kill gunmen in Dammartin and Porte de Vincennes

Live coverage of the terrorist attacks’It’s a war!’: bloody end to terror crisisAl-Qaeda directed Paris attackFrance terror attack timeline
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Dammartin-en-Goele, France: Three gunmen and four hostages are dead after the Charlie Hebdo terrorist crisis came to a dramatic climax on Friday, with simultaneous special forces raids ending two sieges amid explosions and sustained gunfire.

The men believed to have carried out the sieges were killed by police, including the Kouachi brothers behind Wednesday’s Hebdo massacre, and a man believed to be their close friend, Amedy Coulibaly, who shot dead four hostages at a kosher supermarket in Paris.

Hayat Boumeddiene, 26, Coulibaly’s girlfriend, took part in the grocery store siege in east Paris but escaped and is still at large, the BBC reports.

Coulibaly and Boumeddiene are suspects in the killing of a policewoman earlier this week, which authorities had denied was linked to the Hebdo killings.

Barely 48 hours after the Charlie Hebdo massacre Paris had faced two hostage sieges involving Islamist terrorists.

The Kouachi brothers were pinned down for most of Friday by police at a family-run printing business in the small town of Dammartin-en-Goele 40km north of the French capital – after reportedly taking a hostage on their way into the building.

Then around lunchtime Coulibaly, an associate of the Kouachis, attacked the  kosher store in Paris’ inner east wielding an assault rifle, and taking up six hostages including a young child.

Four hostages were killed reportedly shot dead by Coulibaly before police ended the siege.

The four people were “likely” killed by the gunman at the start of the hostage-taking, the prosecutor leading the investigation said.

Pointing to the “state of the bodies” and Coulibaly’s own remarks in an French television interview from the scene, prosecutor Francois Molinssaid it seemed “no hostage was killed during the assault” by police that ended the siege.

A member of Al-Qaeda’s Yemen branch has said the terror group directed the Hebdo massacre.

The Dammartin raid

At sunset, about 5pm, explosions and shots rang out over the fields around Dammartin.

Fairfax was told that there was a loud detonation from the building then a series of 30-40 gunshots, followed by another big explosions, a flash of light and smoke.

An army helicopter flew in and dropped special forces at the building, and there were small flashes of light visible on the building’s roof – either small arms fire or torches.

A few minutes later there was another detonation, more flashes – and then it was over, within a minute, with army, police and special forces moving around the building without apparent urgency.

According to early reports, the Kouachi brothers died in the attack and the hostage was rescued alive.

The Dammartin siege

Earlier, on Friday morning, Said and Cherif Kouachi had reportedly hijacked a woman’s car in a town to Paris’ north-east, and she alerted police.

Police chased the car down a motorway towards the capital, until it reached a roadblock, where gunfire was exchanged.

The men then left the motorway and turned onto an industrial estate on the edge of the small town of Dammartin-en-Goele.

They stopped at a small family printing business and according to several reports took one of the employees hostage.

However, one TV station reported that the Kouachi brothers didn’t have a hostage, but that the employee hid inside a cardboard box and communicating with police.

Other reports said that the employee was a hostage first before managing to escape and then hide.

The details are yet to be confirmed with police.

At 9.25am three helicopters including a large army helicopters hovered motionless over the town.

Armed and flack-jacketed police blocked all access to the town, waving vehicles away from access roads off the adjacent highway.

Fairfax was warned by one officer not to approach the town.

“It is very dangerous here,” we were told.   Post by Farid Bara.

The small town of Dammartin-en-Geoele, population 8500, is set among picturesque green fields.

A string of emergency vehicles sped through the roadblock into the town, including an ambulance and convoys of police.

An army tank was also spotted on the road leading to the town, which is only a few kilometres from Charles de Gaulle airport.

Flights into the airport were restricted for fear the men might be carrying weapons capable of hitting low-flying aircraft.

Police told locals to close their blinds and stay away from windows.

According to one media report a police negotiator had made contact with the gunmen and they expressed a desire for martyrdom.

Deputy mayor Thierry de Chevalier said there were more than 1000 students in three schools in the town, who were being kept in their classrooms until they could be evacuated to safety.

He said the printing plant where the hostage had been taken was a small family business, whose employees included the company director, his wife and adult child.

The Porte de Vincennes siege

Meanwhile, as the Dammartin siege developed, Coulibaly, 32, armed with two guns took hostages at a kosher supermarket in eastern Paris after a shootout.

He was armed with an automatic weapon, one eyewitness said. “He immediately went into the supermarket and began shooting,”

Four hostages were killed.

Authorities told local residents to stay indoors and police went from shop to shop telling them to close their shutters.

The attacker reportedly told police “you know who I am”.

Police had named him as a suspect in the killing of a policewoman in the south of Paris on Thursday.

They also named his accomplice as Hayat Boumeddiene, 26.

Coulibaly was said to be a “close friend” of the Kouachi brothers.

There are reports he made phone calls to friend during the siege to urge them to carry out further attacks.

He was reportedly, like Cherif Kouachi, a member of the so-called Buttes Chaumont network, based in a northern Paris neighbourhood: petty criminals, usually Muslim, who had been radicalised by Islamic preachers to recruit jihadists and fight against US forces in Iraq. The group regularly met in parks in Paris.

The Porte de Vincennes raid

At sunset, at the same time as the action in Dammartin,  explosions were heard at this site of the Porte de Vincennes siege.

Police raided the building.

AFP was reporting that the raid left five dead, including the gunman.

Two police were also reportedly injured.

President Hollande is expected to address the nation at 8pm, local time.

More to come

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