RNA Forum 2020 Part 5
The fifth and final presentations for RNA’s Forum 2020 featured presentations from regional NSW and the current RNA Chairperson.
Refugee Health – 2020 COVID challenges in a rural area
Michele Greenwood, CNC. Mid North Coast Local Health District NSW.
RNA Competency Framework – who are we?
Sandy Eagar, Nurse Manager NSW Refugee Health Service
RNA Forum 2020 Part 3: Health navigation and liaison services for people of refugee background.
The third webinar in RNA’s Forum 2020 series focused on health navigation and liaison and featured presentations by refugee health nurses from VIC and QLD discussing how their services support people of refugee background to better access the Australian healthcare system.
Nurse Navigation Refugee Health Project
Heather Roberts, CNC Vulnerable Communities, Darling Downs HHS, QLD
Refugee Health Nurse Liaison Position
Chiedza Malunga, Team Leader Monash Refugee Health and Wellbeing, Monash Health, VIC
RNA Forum 2020 Part 2: Models of refugee health nursing in primary care settings
The second webinar in RNA’s Forum 2020 series focused on refugee health nursing in primary care, with two presentations from refugee health nurses from QLD and NSW.
Capacity Building in Primary Care – what does it take?
Meryl Jones, Nurse Unit Manager and Nancy Weatherford, Clinical Nurse with Mater Refugee Health Service, Brisbane QLD
GP Collaborative Model of Care
Nyari Garakasha, Clinical Nurse Specialist, Multicultural Health Service Illawarra Shoalhaven Local Health District
What does advanced practice in refugee health nursing look like?
Merilyn Spratling, Refugee Health Nurse Coordinator and Nurse Practitioner at EACH Social and Community Health in Melbourne gives an overview of advanced practice in refugee health nursing. This presentation at the RNA Forum 2019 was the prelude to a workshop where attendees contributed to the development of a scope of practice for refugee health nurses in Australia, a body of work still currently in progress.
You can watch the video or listen as audio only via the button below.
The Humanitarian Settlement Program one year on
Each state and territory (except Northern Territory) reports on the challenges and opportunities in their region brought about by the change to the Humanitarian Settlement Program which commenced in November 2017.
Models of care
Overview Of Current Refugee Health Services In ACT:
ACT expects 300 Humanitarian arrivals in the 2017 year. It is not known how many remain in ACT, however, once they initially resettle. From Jul to Dec 2016 there were 216 Humanitarian arrivals.
Most Humanitarian arrivals are seen by a regional GP clinic. Some are referred directly to Companion House, an NGO that assists survivors of Torture and Trauma, that has a dedicated medical service for refugee background clients. Companion House offers a wholistic service to survivors of torture and trauma, ostensibly those seeking asylum and also people who have been granted a humanitarian visa or are sponcered by their family.
Companion House also offers torture and trauma counselling. English teachers or other services, such as MACH nurses and also community members also refer to Companion House. Often these ad hoc referrals are when the care of the client becomes more complex than the usual GP clinic client. Catch up Immunisations are also provided by both Companion House and GP services.
Companion House also assists those seeking Asylum by providing pro bono medical care, some counselling, some community development activities and also with some government funded and some community funded, i.e via donations, migration assistance.
Companion House offers initial screening to people newly arrived in Australia.
There are 6 GP’s and one paediatric registrar, who work one to two session per week.
There is no fee for service, clients are bulk billed, or if they don’t have medicare they are not charged. Companion House provides an intensive, supported service and employs a patient logistician to keep a record of all external clients and reminds and prompts clients when they have an external appointment, arranging transport when possible.
ROLE OF REFUGEE HEALTH NURSES:
Companion House has a midwife, Women’s Health Nurse and a Nurse lead Liver Clinic. Nurses all work part time, with an equivalent of 1.2 nurse load FTE per week. I.E 6 and a half nurse days per week.The nurses in the service offer pap screening, nutrition education, midwifery, child health and immunisation services, as well as general primary health care and education,and access to the public health dentist. There is also a nurse lead hepatitis clinic, co-ordinating care of people living with chronic hepatitis. One of the nurses there is an NPC, studying at James Cook University ( via distance obviously)
Russell G, Harris M, Cheng I-H , Kay M, Vasi S, Joshi C, Chan B, Lo W, Wahidi S, Advocat J, Pottie K, Smith M, Furler J (2013) Coordinated Primary Health Care for Refugees: A Best Practice Framework for Australia Refugee Health Plan 2011-2016 NSW Government – Policy Document Page 4.
Harris MF, Zwar NA (2007) Care of patients with chronic disease: the challenge for general practice. The Medical Journal of Australia 187(2), 105–107.
Victorian Refugee Health Program (2015 ) https://www2.health.vic.gov.au/primary-and-community-health/community-health/population-groups/refugee-health-program
Primary Health Branch Guidelines for the Refugee Health Nurse Program Updated October 2008 https://www2.health.vic.gov.au/primary-and-community-health/community-health/population-groups/refugee-health-program
NSW Refugee Health Service (2013) Refugee Health Nurse Program: Information for General Practitioners and Other health Professionals. http://www.swslhd.nsw.gov.au/refugee/pdf/refugee-health-nurse-program-gp-other-health-web.pdf
Government of Victoria (2008) Primary Health Branch Guidelines for the Refugee Health Nurse, http://www.health.vic.gov.au/pch/refugee/nurse_program.htm.
Jacqui Robson, (2011) ‘EACH’ – Refugee Health Nurse Program evaluation project 2011 Victoria www.health.nsw.gov.au.
Phillips C, Smith M, Kay M, Casey S (2011) The Refugee Health Network of Australia: towards national collaboration on health care for refugees Medical Journal of Australia, August, 195(4) 185:186.
Refugee Health Nurse Standards of Practice
Refugee Health Nurse Standards of Practice workshopped by RNA members at the first RNA National Forum in November 2017, and further developed by the Steering Committee of RNA, with support and assistance from Professor Liz Halcomb.
Best practice guidelines for immunising a person of refugee background in a primary care setting.
RNA webinar – May 2017
South Australian immunisation calculator
Vitamin B12 deficiency in refugees
This article outlines important information for those working with populations of refugee background regarding testing, clinical manifestations and management of vitamin B12 deficiency.