Latest / 360 with Katie Woolf / Katie Woolf spoke with Nursing Union NT Branch Secretary Cath Hatcher
Transcript
- 0:00Speaker 1: Now joining us on the line is Hatcher from the
- 0:03Speaker 1: Nursing and midwif Reunion here in the Northern Territory. Good
- 0:06Speaker 1: morning to you Cash.
- 0:09Speaker 2: Good morning Katie Kass.
- 0:11Speaker 1: We have been here in quite a bit over recent
- 0:13Speaker 1: days and I guess throughout this year because we know
- 0:16Speaker 1: that we've now had three code yellows at Royal Darwin Hospital.
- 0:21Speaker 1: Kas from the nurses perspective, how are things going at
- 0:24Speaker 1: the moment?
- 0:27Speaker 2: Terrible. The whole of the NT is in crisis, not
- 0:31Speaker 2: just World Darwin or Palmerston Hospital and not so much
- 0:38Speaker 2: the other public health system but the remote and rural
- 0:42Speaker 2: and remote areas of the NT. Everyone's in crisis. No
- 0:46Speaker 2: one can get staff to work and it's putting more
- 0:50Speaker 2: of an impact on Royal Darwin from the top end,
- 0:54Speaker 2: with services being in the remote areas in crisis too. Chath.
- 1:00Speaker 1: What is causing this?
- 1:06Speaker 2: I think some of the extra work that's been impacted
- 1:10Speaker 2: on the Royal Darwin of recent months is some of
- 1:14Speaker 2: the non government organizations not being able to recruit or
- 1:21Speaker 2: retain staff and therefore this is impacting on services and
- 1:27Speaker 2: more influx of patients from the remote areas into Darwin well.
- 1:33Speaker 1: So we're seeing more of those remote patients obviously having
- 1:36Speaker 1: to travel into the likes of Darwin to get the
- 1:39Speaker 1: medical treatment that they require. Chas it sounds as though
- 1:43Speaker 1: that's having an impact then not only on the Royal
- 1:47Speaker 1: Darwin Hospital, but also the Palmerston Hospital.
- 1:53Speaker 2: I believe though but not as much in the Palmerston.
- 1:56Speaker 2: So there's also about sixty patients are non acute in
- 2:02Speaker 2: the Royal Darwin and Palmerston Regional Hospitals that really need
- 2:08Speaker 2: services in the community at age care facilities and dis facilities,
- 2:14Speaker 2: and there's no beds in that area. So some of
- 2:17Speaker 2: those sixty patients have been occupying beds greater than one
- 2:21Speaker 2: hundred days in both the Palmerston and the Royal Darwin Hospital,
- 2:28Speaker 2: so that's impacting on beds. So we need some more
- 2:34Speaker 2: age care beds, more NDS facility beds in the community,
- 2:39Speaker 2: and we need a purpose built dementia type facility in
- 2:45Speaker 2: the territory which we don't have.
- 2:49Speaker 1: I guess to talk about what is happening right now,
- 2:52Speaker 1: I know that the NT News is today reporting that
- 2:56Speaker 1: Royal Darwin Hospital was forced to repurpose award last month
- 3:00Speaker 1: to deal with a massive influx of mental health patients.
- 3:02Speaker 1: In the emergency department as well. How big an impact
- 3:06Speaker 1: is the influx of mental health patients having.
- 3:12Speaker 2: It is, they have had an increase over the last
- 3:17Speaker 2: four to six months. They're looking into why that is happening.
- 3:23Speaker 2: It's not just COVID, but they haven't got the data
- 3:31Speaker 2: to us for me to really nail do down and
- 3:35Speaker 2: exactly what is happening. But yes, they haven't have had
- 3:39Speaker 2: enough beds in the mental health inpatient facility, so they
- 3:43Speaker 2: have had to close off one half of a ward
- 3:48Speaker 2: and make another mental health inpatient unit within the Tower
- 3:53Speaker 2: block of Royal Darwin Hospital to accommodate the extra patients.
- 4:00Speaker 1: Cather when you talk then about some of the mental
- 4:03Speaker 1: health patients that have been through the emergency department and
- 4:06Speaker 1: obviously the fact that they've then had to go into
- 4:09Speaker 1: another half of a ward but probably aren't in you know,
- 4:13Speaker 1: purpose built facility that realistically is you know, is equipped
- 4:18Speaker 1: to deal with mental health patients. I mean, are nurses
- 4:23Speaker 1: concerned for their safety or are they feeling okay at
- 4:26Speaker 1: this point.
- 4:28Speaker 2: Well, they're putting nurses into that half award in the
- 4:31Speaker 2: main block that have got experience with mental health or
- 4:35Speaker 2: mental health background. And then therefore the doctors are also
- 4:40Speaker 2: seeing them as well, So the other half of that
- 4:45Speaker 2: ward did have concerns initially, but they don't have any
- 4:50Speaker 2: concerns now. They're quite happy that they're there and that
- 4:56Speaker 2: they are stable enough not to impact on the other
- 5:01Speaker 2: half that would bryan their patients and staff.
- 5:05Speaker 1: Cass. I know that there has been sort of a
- 5:08Speaker 1: lot of people wondering whether the staffing of the Howard
- 5:12Speaker 1: Springs facility falling under the Northern Territory Health Department rather
- 5:16Speaker 1: than the OSMA, you know, the way that it had
- 5:19Speaker 1: previously been managed, whether that was going to have an
- 5:22Speaker 1: impact on our hospitals. Do you feel as though it has.
- 5:28Speaker 2: It definitely has. In the beginning of the year, the
- 5:33Speaker 2: Antique government said that it wouldn't impact, but it certainly has.
- 5:37Speaker 2: They've had a number of and I don't know the
- 5:40Speaker 2: actual figures, but they definitely have had a number of
- 5:44Speaker 2: staff who have gone across to the Howard Springs facility
- 5:49Speaker 2: with a better level like sorry, I'm just trying to
- 5:58Speaker 2: find my right way. They've gone an increase in their qualification,
- 6:04Speaker 2: they've got an increase in their level of pay, and
- 6:10Speaker 2: it's a level of experience that you know they may
- 6:13Speaker 2: never get again within their careers. So yes, that has
- 6:16Speaker 2: impacted on particularly four areas Emergency department, I see you,
- 6:24Speaker 2: mental health, dialysis and Theater and surgical area of wal Darwin.
- 6:31Speaker 1: Chass, how many staff? Do you have any idea of
- 6:35Speaker 1: the number of staff that have gone across really to
- 6:38Speaker 1: work out there and Howard Springs that we've then lost
- 6:41Speaker 1: to the hospital.
- 6:42Speaker 2: No, no, no, Unfortunately I don't have that number, but
- 6:48Speaker 2: I'm guessing at around twenty pea patient, sorry, twenty staff approximately,
- 6:55Speaker 2: maybe a bit more, maybe a bit less.
- 6:57Speaker 1: Chass. You said right at the start of this interview,
- 7:00Speaker 1: is that the reality is that we're at chrisis point.
- 7:05Speaker 1: What's your message for the government today.
- 7:10Speaker 2: They need to find better beds and facility for those
- 7:19Speaker 2: non acute patients within Royal Darwin Hospital, those sixty patients
- 7:24Speaker 2: that have been there greater than one hundred days. They
- 7:26Speaker 2: need to either talk with the private sector about finding building,
- 7:34Speaker 2: maybe buying some houses that they can accommodate three or
- 7:37Speaker 2: four clients within their houses to get them out of
- 7:40Speaker 2: the acute beds facility of Royal Darwin. We need to
- 7:45Speaker 2: really cut back and look at the basics and staff
- 7:50Speaker 2: appropriately within the Emergency Department, ICU theater and the mental
- 7:56Speaker 2: health which they are recruiting, advertised and recruiting, but they
- 8:02Speaker 2: are struggling to find staff to come into the facility.
- 8:06Speaker 2: The emergency department nurses always say to us that they're
- 8:11Speaker 2: quite happy when a code yellow is called because things
- 8:15Speaker 2: do progress and double bunking is ceased and patients that
- 8:22Speaker 2: perhaps could be accommodated somewhere else apart from being in
- 8:26Speaker 2: the acute Royal Darwin Hospital Palmerston Hospital beds they accommodated
- 8:33Speaker 2: then somewhere else. But it's it's the sitting at over
- 8:40Speaker 2: one hundred percent capacity all the time for Royal Dahen
- 8:43Speaker 2: Hospital is not a good thing. Their last couple of
- 8:47Speaker 2: years and even before COVID they were sitting around one
- 8:51Speaker 2: hundred and twenty to one hundred and thirty percent capacity.
- 8:54Speaker 2: Now they're sitting around one hundred and forty percent capacity.
- 8:59Speaker 2: We also need to find out why there's an increase. Well,
- 9:02Speaker 2: we know that there's an increase. We referral and transfer
- 9:06Speaker 2: rate from communities that needs to be sourced and worked
- 9:11Speaker 2: out why So I believe last month an increase of
- 9:16Speaker 2: thirty eight percent coming from remote into world Darwin Hospital
- 9:21Speaker 2: and that's impacting all of those areas as.
- 9:24Speaker 1: Well, Kats, I tell you what it sounds like. Our
- 9:28Speaker 1: nursing staff, our medical staff, all of the support staff
- 9:31Speaker 1: out there are doing it pretty tough, and it's some
- 9:34Speaker 1: really hard work that is going on right from those
- 9:38Speaker 1: remote areas right into the Northern Territory or into our
- 9:42Speaker 1: urban centers at the hospital here in Darwin and Palveston.
- 9:47Speaker 2: Yeah, the pressure on the system is at the moment unsustainable,
- 9:51Speaker 2: and their staff are exhausted and they're feeling like, you know,
- 9:56Speaker 2: their jobs at risk, their registrations at risk. They're trying.
- 10:01Speaker 2: They're very dedicated workers within the health system that they
- 10:06Speaker 2: are near breaking point and they just want to give
- 10:09Speaker 2: the best care to their patients, but they feel incompromised.
- 10:14Speaker 2: They're continuously working double shifts and regular over time. But
- 10:19Speaker 2: that's going to hit and come to a breaking point
- 10:24Speaker 2: at some stage soon, Chess.
- 10:26Speaker 1: If something is not done here, what's going to happen?
- 10:32Speaker 2: Well, I think staff are going to leave, They're going
- 10:35Speaker 2: to go into state if they're not going to get
- 10:37Speaker 2: that support and the extra staff, which really I'm not
- 10:42Speaker 2: too sure where they're going to get the extra staff
- 10:45Speaker 2: because when I speak to my cohorts within the other
- 10:48Speaker 2: states and territories, they're in very similar circumstances because other
- 10:53Speaker 2: staff are being utilized, as we know, in Howard Springs
- 10:57Speaker 2: or Alice Springs quarantine facilities giving vaccines contact tracing. So
- 11:03Speaker 2: I know the government is working very hard to get
- 11:06Speaker 2: those clinical staff in those three areas back to the
- 11:12Speaker 2: forefront of the world, Darwin and the Palmerston hospitals particularly,
- 11:18Speaker 2: but also Alice Springs as well. But it is putting
- 11:23Speaker 2: a big compromise of this COVID and the vaccine and
- 11:27Speaker 2: the contact tracing right around Australia with lack of staff
- 11:33Speaker 2: on the foreground in the hospitals.
- 11:37Speaker 1: Well, I'll tell you what, kath Hatcher, we really appreciate
- 11:41Speaker 1: your time this morning. I think that it's a really
- 11:43Speaker 1: important discussion that needs to be had. We do want
- 11:47Speaker 1: all of our staff at the hospitals and in those
- 11:49Speaker 1: remote areas, all of our health staff, particularly our nurses
- 11:53Speaker 1: and doctors and the support staff there to know that
- 11:56Speaker 1: we think they're doing a tremendous job under what is
- 11:58Speaker 1: very difficult circumstances and we thank them for the work
- 12:01Speaker 1: that they do.
- 12:04Speaker 2: Yeah, And if I can just say to your audience
- 12:06Speaker 2: that if you feel that you need to see a doctor,
- 12:09Speaker 2: please go to your GP first and utilize their expertise
- 12:15Speaker 2: and trying not to go to the emergency departments.
- 12:20Speaker 1: Good call, Kath. I really appreciate you talking to me
- 12:23Speaker 1: this morning. Kath Hatcher, thanks so much for your time.
- 12:26Speaker 2: Thank you, Katie, thank you.
- 12:28Speaker 1: That's Kath Hatcher, the head of the Australian Nursing Amy
- 12:32Speaker 1: BEF reunion here in the Northern Territory. Pretty explosive stuff,
- 12:37Speaker 1: I mean, she says that we are at crisis point
- 12:40Speaker 1: and we need to really make some changes.