From Taumarunui to the Tropics - College of Nurses ... Taurmarunui to the Tropics.pdf · next...
Transcript of From Taumarunui to the Tropics - College of Nurses ... Taurmarunui to the Tropics.pdf · next...
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From Taumarunui to the
Tropics
“Discovering the
Dreamtime”
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Acknowledgements
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Some background
• Current Popn 25 million
• Six states with six state parliaments
• Each with diffferent constitutions
• 10 territories outside each state
• ATSI Popn 800,000
• Australian Aboriginal languages consist
of around 290–363 languages
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So to the tropics this
kiwi ventured …..
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Whats up Weipa?
• History?
• Set up as a mining
town in 1968
• Bauxite rich land
• Popn 4600+ in area
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Weipa and
Napranum
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The role of the RAN/RNP • Ante/Post Natal
• Child Health
• Primary Health
• Emergency
• Community
• Pharmacy
• Laboratory
• Radiology
• Ambulance
• Mortuary
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Navigating the Pathway
to NP Practice??
• 2 pathways NMBA
• Masters of NP Pathway One vs
• Pathway Two-
• demonstrating competence
against NPS
• Then there’s the
….Credentialling Process
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Next adventure….
Remote Nurse Practitioner
Warmun
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Whats Up Warmun??
• History?
Set up in 1901 as a
ration station to stop
the poisoning of food of Aboriginal locals
• Popn 400
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The Warmun Mob
•
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Unique Issues affecting
remote area nurses?
Is the Outback for YOU ????
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The Remote NP Role?
• Isolating
• Unpredictable
• Frightening
• Challenging
• Life changing
• Rewarding (experiences, friendships
formed & remuneration)
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Remuneration??• Accomodation/AC/Internet/Travel in
& out
• $139,000 Permanent/Fixed term contract
• $35,000 25% call loading
• $20,000 On call availability
• $13,000 District Allowance
• 4 weeks leave
• Every 12 weeks 1 extra weeks leave
• $5000 Annual retention bonus
$200,000 + BUT…………..
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All in a RNPs days work
• 7pm Calf degloving/avulsion-RFDS
• 2.am Stab wound –Suturing
• 4am Suicide –CPR-Grief Support-site security-troubleshooting-transportation to mortuary
• 11am STEMI-stabilisation-road transfer
• 6 pm-Prem Labour 23/40 twins APH-stabilisation-RFDS
AND at the same time in the community an attempted suicide-hanging
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So what guides your remote
isolated practice?
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And don’t leave home
without….
• An open mind
• A sense of humour
• A generalist knowledge/clinical skill
set
• ED skills are awesome but…..
• Primary health skills are a bonus!
RESEARCH RESEARCH RESEARCH
Your contract location and its history
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Australia’s
Indigenous
Peoples…..
Sad
Broken
Traumatised
Marginalised
WHY?
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The impact of history of
the treatment of
indigenous
Australians
This Kiwi NPs take on
things…
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History and Health
Impacts on Weipa and
Warmun
• Stolen wages
• Forcible movement from lands
• Stolen generations
• Closure of stations/housing
programmes
• Alcohol Management Plans
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Stolen Wages
From 1898 until the early 1970s, it was
illegal to pay wages to Indigenous people in
Queensland, under the Aborigines Protection
Act .
In Queensland, Jubilee Jackson
worked as a stockman near Mt Garnet
for 60 years from the age of ten. His
pay was a small amount of pocket
money at rodeo time.
The rest was held in the QAA trust
account.
When he died in 1967 there was only
$99 in his government controlled
account.
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Roy
The 'coloured boys' rarely got full meal breaks. When they did, they ate outside with the animals. They didn’t get showers, but bathed in the horse troughs. While others were sleeping, they tended to the horses, often curling into their swags at midnight before the next day’s 4am start.“We were nothing more than animals”.
During his 10 years as a stockman, Roy received no wages. He heard people talk about money, but had never seen it – let alone held it. 1970
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Forcible “Relocation”“Beds are Burning”
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Closure of Stations
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Remote Housing Programmes
?Doomed to fail remote
communities
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The Stolen generations1871-1970’s
“Chief Protector” the legal guardian of all Aboriginal
and half caste child until the age of 21years
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Alcohol
Management
Plans
Dry Communities
Restriction
Prohibition
Punishment
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Indigneous Australians are moving
ahead.
As proud, positive, empowered and
strong people
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NAPRANUM VENTURES
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Highlights of our Tropics
adventures ???
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Company on my
contracts!
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Aboriginal and
Torres Strait
Culture
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Best sunsets
in the world
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•
Site Seeing
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Croc Free
Swimming!
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Trans-Tasman Rivalry and the
making of lifelong friends!!
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My learnings?
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Hmmmm• Working remote is a lifechanging
experience BUT
• There’s is no place like home
• NZ is quite progressive in cultural and health reform BUT
• Australia funds rural and remote health well (we can learn from them! )BUT you just cant fund your way to health and wellbeing…
• Education, empowerment and self determination is the only way forward (they can learn a lot from us!)
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Hope this might inspire a
Trans-Tasman adventure!!
Thanks for your time
Cheers!