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Nurse Clinician Rosani Yayit
HMDP Fellowship in Management of Patients with Spinal Injuries/ Disorders

 

Nurse Clinician Rosani Yayit from CGH concluded her month-long attachment in spinal nursing at John Hopkins Hospital, Baltimore, USA, on 17 March. She shares with us the many insights she gained at the hospital. 

  • Care of patients with spinal injuries/disorders.
  • Pre- and post-surgical management
  • Patient and family education
  • Multi-disciplinary team approach and discharge management.

She returns to Singhealth with a vision "I hope to work alongside spinal surgeons to set up a spinal unit in SingHealth as well as form spinal workshops or support groups to extend help to patients suffering from spinal injuries.”

 

SNM Thea Lye Fong
HMDP Fellowship in Emergency Nursing

 

SNM Thea Lye Fong, Senior Nurse Manager from the A&E Department at CGH, called her 6-week HMDP attachment an invaluable experience. She was attached to the Emergency Department in Sir Charles Gairdner Hospital (SCGH) in Perth, Australia.

 

Thanks to the assistance of Ms Judy Wenban, Nurse Manager of the hospital’s Emergency Department, SNM Thea was able to observe and learn about SCGH’s management of medical and trauma emergency as well as other aspects of their activities.

 

Back home on 9 December 2005, SNM Thea suggests CGH or the nursing department could consider emulating SCGH’s strengths:

  •  The Emergency Department has a structured and comprehensive clinical teaching procedure for both medical and nursing. The Nurse Clinician specialists and Staff Development nurses plan, organise, teach and coach all staff daily.

  •  As for nursing manpower, 95% are registered nurses and 5% are enrolled nurses. Ideally, our Emergency Department should also have more registered nurses

SSN Joyce Lim Soo Ting
HMDP Fellowship in Paediatric Diabetics Nursing 

For 13 weeks, SSN Joyce Lim Soo Ting, Diabetes Resource Nurse KKH, was attached to several diabetes departments and institutions in Australia. They are Princess Margaret Hospital in Perth, Royal Children’s Hospital in Melbourne and Children’s Hospital at Westmead in Sydney.

 

Upon her return, numerous recommendations were proposed:

  •  Comprehensive insulin pump therapy programme for patients and parents and/or nursing staff.
  • Teacher’s seminar to create diabetes awareness and provide information to care for a “student with diabetes”.
  • Formalise a children’s diabetes support group that provides educational activities to age-specific children and parental support initiatives for long-term diabetes management.
  • Proposal for a dedicated paediatric diabetes service team to provide holistic care.

 “With a multi-disciplinary team of dedicated and experienced members, adapting the services from Australia’s model of care will be more feasible in providing high quality diabetes care,” she added.


SSN Yu Xia
HMDP Fellowship in Acute and Chronic Pain Management

 A two-month placement in different centres in Perth showed SSN Yu Xia of CGH how well-established and organised the pain management system is over there. She was also struck by the authority their nurses have over patients’ pain management and how well-informed the public and patients are with regard to the nature of pain, its causes and treatment modalities.

 

Inspired, she has put forward suggestions to CGH on its future pain management system: 

  • Registered nurses should participate more actively in a patient’s pain management. For example, they can be trained to manage post-operative pain and play more active roles in managing acute pain in wards.
  •  More appropriate reading materials should be developed to increase a patient’s awareness of pain management.
  •  Develop and formulate a cognitive behaviour therapy programme for patients with chronic pain to manage their pain more effectively.
  •  Send more nurses for further training and further updates to improve the quality of pain management.

 “What is being practised in Perth now will be the future of our pain management in CGH,” concluded SSN Yu.