Latest / 360 with Katie Woolf / Australian Nursing & Midwifery Federation NT Branch Secretary Cath Hatcher says we need to reduce hours required from health staff per patient to reduce burnout as the staffing crises continues
Transcript
- 0:00Speaker 1: Joining me on the line right now to talk a
- 0:02Speaker 1: little bit more about the growing number of flu cases
- 0:05Speaker 1: in the Northern Territory, which, as we heard just a
- 0:07Speaker 1: short time ago from the Australasian College of Emergency Medicine,
- 0:11Speaker 1: was putting pressure on the Northern Territories health system and
- 0:14Speaker 1: in particular highlighted the critical staffing shortages. Joining me on
- 0:18Speaker 1: the line right now is the Australian Nursing and Midwiffre
- 0:21Speaker 1: Federation NT Branch Secretary Kath Hatcher. Good morning to you, Cath.
- 0:27Speaker 2: Oh, good morning, Katie.
- 0:28Speaker 1: Good to hear from you. I haven't spoken to you
- 0:30Speaker 1: for a little while, Cath. I know you've been very busy.
- 0:34Speaker 2: Yes, it's probably been about three months, Katie.
- 0:37Speaker 1: I think, yeah, it has been a little while. And Kath,
- 0:41Speaker 1: I know that you know that our staff at Territory
- 0:44Speaker 1: hospitals are always incredibly busy, but we know that certainly
- 0:48Speaker 1: the surge in flu cases or influenza cases having a
- 0:52Speaker 1: big impact right now. We spoke a bit earlier this
- 0:54Speaker 1: morning to the Australasian College of Emergency Medicine and they'd
- 1:00Speaker 1: said that it's it is having an impact on our
- 1:03Speaker 1: emergency wards at the moment.
- 1:07Speaker 2: Yes, if it's not impact with patients coming into the hospital,
- 1:11Speaker 2: it's actually staff being furloughed or sick with the flu.
- 1:16Speaker 2: So now we're kind of almost over the COVID and
- 1:19Speaker 2: the staff and patients coming in with COVID. Now there's
- 1:24Speaker 2: no rest for the wicked, so to speak. And now
- 1:27Speaker 2: the flu season is up and running and we're in
- 1:30Speaker 2: the thick of it, and with the staff very very
- 1:34Speaker 2: busy in those areas and on the wards with flucases
- 1:39Speaker 2: also COVID patients still, and with the nurses and midwives
- 1:44Speaker 2: and other stuff off sick with the flu as well.
- 1:48Speaker 1: So just how you know, like how tough is it
- 1:51Speaker 1: in the hospitals at the moment, Cass.
- 1:54Speaker 2: I don't think it's been has eased at all since
- 1:58Speaker 2: the COVID pandemic gets started. I mean, we were certainly
- 2:02Speaker 2: under the pump before COVID started, being quite huge and
- 2:09Speaker 2: almost in crisis space at times throughout the COVID and
- 2:14Speaker 2: now we've seen some little eaves and then something else
- 2:17Speaker 2: comes around the corner. So I am sorry for those nurses, midwives,
- 2:23Speaker 2: doctors and adellied health that are working clinically on the
- 2:26Speaker 2: floor and they aren't getting any rest at all. They've
- 2:31Speaker 2: got huge workloads and they're tired and fatigued.
- 2:36Speaker 1: And then we also heard last week throughout the estimates
- 2:39Speaker 1: process that there had been fourteen hundred odd staff leave
- 2:45Speaker 1: the Health Department over the last over the last year.
- 2:48Speaker 1: I believe it was, so it's quite a large number.
- 2:50Speaker 1: I know that some of those were indeed based out
- 2:53Speaker 1: at Howard Springs. Some of those though within our hospitals
- 2:55Speaker 1: and Allied Health systems CAS are we seeing a lot
- 3:01Speaker 1: of nurses leaving the territory at the moment.
- 3:06Speaker 2: With our member numbers with the Australian Nursing and with
- 3:09Speaker 2: wire free federations, definitely there is more increase being transferred
- 3:15Speaker 2: into state to other unions within our counterparts. But also
- 3:20Speaker 2: there's a bigger number that are canceling their membership and
- 3:25Speaker 2: compared to what are coming back into the territory from
- 3:29Speaker 2: other states, So we've got a bit of movement within
- 3:32Speaker 2: the states. I think the nurses and midwives are exhausted
- 3:36Speaker 2: and they're just needing some downtime. And while they're having
- 3:40Speaker 2: some maybe three or six or twelve months away from
- 3:44Speaker 2: their profession, they're not wanting to keep their membership going
- 3:47Speaker 2: because it's an extra added cost. So that is probably
- 3:54Speaker 2: more happening because there's a lot of nurses and midwives
- 3:57Speaker 2: that are not members with us in the Union and
- 4:00Speaker 2: the territory.
- 4:01Speaker 1: Yeah right, Kat, Do you have any idea, like on
- 4:03Speaker 1: the numbers when you talk about those that are you know,
- 4:07Speaker 1: are no longer registering or are transferring into state.
- 4:13Speaker 2: I would, but I don't have that number at the
- 4:15Speaker 2: tip of my fingers. At the moment. It's definitely more
- 4:20Speaker 2: going out or canceling or transferring into state than what's
- 4:25Speaker 2: actually coming in. But the overall numbers, so to speak,
- 4:29Speaker 2: aren't going down. We're getting new members that are currently
- 4:33Speaker 2: in the Northern Territory itself, so we're still maintaining our numbers.
- 4:39Speaker 2: But that just some more leaving or transferring out.
- 4:44Speaker 1: Yeah, it is. It must be difficult. You know, our
- 4:47Speaker 1: healthcare professionals do a tremendous job, and there is no
- 4:50Speaker 1: doubt that then there is a lot of stress over
- 4:53Speaker 1: the last couple of years and it continues to be
- 4:55Speaker 1: the case. Kat, How tough is it at the moment
- 4:59Speaker 1: for our nurse inside our hospitals. I know that we've
- 5:02Speaker 1: heard in some cases we're seeing patients in corridors. It
- 5:06Speaker 1: must be pretty busy.
- 5:09Speaker 2: Definitely, and a huge colhor of the nurses and midwives
- 5:13Speaker 2: across the territory are in the novice or the learning mode.
- 5:19Speaker 2: They're coming out of Charles Dalwin University. They're doing their
- 5:22Speaker 2: grad year or in that first couple of years of
- 5:25Speaker 2: doing their grad year. The ones that tend to be
- 5:28Speaker 2: leaving or transferring out or having some furlough because they
- 5:34Speaker 2: want some downtime and they're fatigued, are more of the
- 5:38Speaker 2: mid range to the well sorry company in the right
- 5:44Speaker 2: name at the moment. So the ones that have been
- 5:47Speaker 2: you know, maybe seven or plus years in nursing or
- 5:50Speaker 2: midwire free, you're very experienced, and they're you know, having
- 5:55Speaker 2: to look after and help the graduate nurses and midwives.
- 6:00Speaker 2: So they are extra pressure. Not that that's a great strain,
- 6:04Speaker 2: but they do need help and assistance. They might not
- 6:08Speaker 2: make the layout of that ward or that particular unit,
- 6:12Speaker 2: and there's extra stress. So that the wards on their
- 6:16Speaker 2: rosters have more novice nurses and midwives just puts extra strain.
- 6:22Speaker 2: But I do know that majority there coming out of
- 6:25Speaker 2: Charles dal And University are getting employment within the territory.
- 6:32Speaker 1: Well that is good. To hear, and I think the
- 6:34Speaker 1: more of those you know, of those graduates that we
- 6:37Speaker 1: can keep in the Northern Territory, obviously, the better KAS
- 6:40Speaker 1: we did. Also when we spoke to doctor Stephen Gorley,
- 6:45Speaker 1: the NT Chair of the Australasian College for Emergency Medicine
- 6:48Speaker 1: a bit earlier this morning, he said that there does
- 6:51Speaker 1: need to be some workforce strategies put in place, maybe
- 6:54Speaker 1: a review of recruitment and retention when it comes to
- 6:58Speaker 1: our healthcare staff. Do you feel that it is the
- 7:01Speaker 1: same when it comes to our nurses.
- 7:05Speaker 2: Yes, absolutely, and I've recently spoke to the Health Minister
- 7:09Speaker 2: about this, that we need to know to grow our
- 7:12Speaker 2: own in the territory. We need to be able to
- 7:15Speaker 2: retain those more experienced nurses that we already have here,
- 7:21Speaker 2: and we need to look at the ratios or the
- 7:25Speaker 2: nursing ours per patient day, per nurse per patience and
- 7:31Speaker 2: making sure that they haven't got that huge pressures on
- 7:35Speaker 2: each staff member with the number of patients that they have,
- 7:39Speaker 2: so we don't burn our staff out, and that we
- 7:42Speaker 2: keep them happy and that their rostering are happy and
- 7:46Speaker 2: therefore you'll overall keep and retain stuff.
- 7:50Speaker 1: And kat Any response from the Health Minister about that
- 7:53Speaker 1: or any commitment.
- 7:55Speaker 2: She's fully aware of what's going on, but I've probably
- 7:58Speaker 2: enlightened her to a few more areas. But she knows
- 8:03Speaker 2: that the nurses and midwifree union members don't want the
- 8:07Speaker 2: wage frees and that we're looking at more of a
- 8:10Speaker 2: percentage rather than the wage frees and the ten percent
- 8:15Speaker 2: sorry ten thousand dollar bonus compared to other states, compared
- 8:19Speaker 2: to within the territory with non government organizations are giving
- 8:25Speaker 2: their enterprise agreements a percentage wage increase. So she fully
- 8:30Speaker 2: realizes that we need to also look at the nursing
- 8:35Speaker 2: hours per patient day to make sure it's safe workloads,
- 8:39Speaker 2: to making sure that everyone is safe, the patients are
- 8:42Speaker 2: getting the due care that is required, and that the
- 8:46Speaker 2: pressures on the staff are better and not huge amounts,
- 8:52Speaker 2: and that we're able to retain them not having them
- 8:55Speaker 2: leave the territory.
- 8:56Speaker 1: Well, otherwise it's going to be really difficult, isn't it
- 8:59Speaker 1: for us to actually attract people from other states if
- 9:01Speaker 1: the working conditions and you know, the pay is better
- 9:05Speaker 1: in other locations.
- 9:07Speaker 2: Absolutely, and you know we can't compete with New South Wales.
- 9:10Speaker 2: They recently gave their staff a three thousand dollars bonus
- 9:15Speaker 2: retention bonus. I don't know that the NT government can
- 9:21Speaker 2: compete with that, but we do. We need need some
- 9:24Speaker 2: more flexible job share, flexible working arrangements and to keep
- 9:30Speaker 2: our staff happy and then they'll stay here, but also
- 9:33Speaker 2: at the same time growing our own here in the
- 9:36Speaker 2: territory and hopefully that impacts with a better working, safe,
- 9:42Speaker 2: more experienced nurses in the next five years. Yeah.
- 9:46Speaker 1: Well, Hatcher, it is always good to catch up with you.
- 9:49Speaker 1: I really appreciate you having a chat with me this morning.
- 9:52Speaker 2: You're very welcome, Katie, and thank you listeners.
- 9:54Speaker 1: Thank you