{"id":9259,"date":"2022-04-26T13:50:50","date_gmt":"2022-04-26T03:50:50","guid":{"rendered":"https:\/\/metronorth.health.qld.gov.au\/staff-news\/?p=6176"},"modified":"2022-10-28T08:32:47","modified_gmt":"2022-10-27T22:32:47","slug":"improving-patients-surgical-journey","status":"publish","type":"post","link":"https:\/\/metronorth.health.qld.gov.au\/extranet\/newsletters\/news-at-the-royal\/improving-patients-surgical-journey","title":{"rendered":"Improving Aboriginal and Torres Strait Islander patients\u2019 surgical journey"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-size:cover;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><div id=\"attachment_6232\" style=\"width: 610px\" class=\"wp-caption alignright\"><img decoding=\"async\" aria-describedby=\"caption-attachment-6232\" class=\"size-full wp-image-6232 lazyload\" data-src=\"https:\/\/metronorth.health.qld.gov.au\/staff-news\/wp-content\/uploads\/sites\/25\/2022\/04\/atsi-surgery-b.jpg\" alt=\"ATSI surgery patient\" width=\"600\" height=\"400\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 600px; --smush-placeholder-aspect-ratio: 600\/400;\" \/><p id=\"caption-attachment-6232\" class=\"wp-caption-text\">RBWH Nurse Navigator for Aboriginal and Torres Strait Islander Health, Yashni Kander, Algon Naylor, RBWH patient, and RBWH Cultural Capability Officer Geoff Binge<\/p><\/div>\n<h4>A new pre-surgery health and wellness check initiative is underway at the Royal Brisbane and Women\u2019s Hospital (RBWH) producing significant improvements in surgery attendance for Aboriginal and Torres Strait Islander patients across the state.<\/h4>\n<p>RBWH experienced high rates of surgical appointment cancellations, also known as Failure to Attend, on the day of surgery by Aboriginal and Torres Strait Islander patients. Hospital staff worked together to investigate the barriers contributing to cancellations and developed the pre-surgery health and wellness check.<\/p>\n<p>The program was trialled during a six month period in mid-2020, resulting in a 45.5 per cent decrease in surgery cancellations compared to that time the previous year.<\/p>\n<p>RBWH Nurse Navigator for Aboriginal and Torres Strait Islander Health Yashni Kander consults with each patient seven and three days prior to their scheduled surgery.<\/p>\n<p>\u201cThe pre-surgery health and wellness check strengthens cultural and clinical support for the patient during their surgical journey by addressing transport issues, language barriers, health literacy concerns and confirms the patient\u2019s physical condition and ability to attend surgery,\u201d Yashni said.<\/p>\n<p>\u201cI am able to link patients with support services including the Aboriginal and Torres Strait Islander Hospital Liaison Service and attend surgical appointments with the patient if needed.<\/p>\n<p>One patient who benefitted from the pathway was Algon Naylor from Hope Vale in far north Queensland. He travelled over 2,000 kilometres to RBWH for perioperative eye surgery. The long journey involved 24 hours of combined travel by car to Cooktown, a small plane flight to Cairns and onwards to a large commercial flight to Brisbane.<\/p>\n<p>RBWH Cultural Capability Officer Geoffrey Binge said the Failure to Attend and Discharge Against Medical Advice rates often stem from the long distances required to travel for patients from rural and remote communities.<\/p>\n<p>\u201cPatients can experience a long journey and these travel obstacles to attend surgery appointments can result in patients deciding not to travel to RBWH at all. Their illness can manifest and become quite serious requiring urgent care and treatment,\u201d Geoffrey said.<\/p>\n<p>\u201cThis is the main reason why the program is so successful. The Aboriginal and Torres Strait Islander hospital liaison and nurse navigator support the patient through their entire hospital journey.\u201d<\/p>\n<p>Algon said he was pleased with his experience and felt supported by the health and wellness check.<\/p>\n<p>\u201cIt helped me a lot. The nurse navigator and ophthalmologist were very good at arranging everything for me,\u201d Algon said.<\/p>\n<p>He encouraged others to use the service.<\/p>\n<p>\u201cDon\u2019t be afraid to come down for surgery, the doctors and nurses are very good here,\u201d Algon said.<\/p>\n<p>To find out more watch the video RBWH Aboriginal and Torres Strait Islander Health and Wellness, email <a href=\"mailto:Yashni.Kander@health.qld.gov.au\">Yashni.Kander@health.qld.gov.au<\/a><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>A new pre-surgery health and wellness check initiative is underway at the Royal Brisbane and Women\u2019s Hospital (RBWH) producing significant improvements in surgery attendance for Aboriginal and Torres Strait Islander patients across the state. <\/p>\n","protected":false},"author":53,"featured_media":10582,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_searchwp_excluded":"","footnotes":""},"categories":[176],"tags":[],"class_list":["post-9259","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news-at-the-royal"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.2 - 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