Ngāti Porou Oranga

Welcome to Ngāti Porou Oranga’s webpage, hosted by My Health Hub, for the recordings of matauranga sessions.

Ngāti Porou Oranga is a subsidiary of Te Runganganui o Ngāti Porou, and provides health services to the Ngāti Porou East Coast region of the North Island. They are one of the smallest Primary Health Organisations (PHO) in New Zealand, with the only Māori owned and operated hospital in the world (Te Puia Springs Hospital – sitting at the heart of the East Coast).
The enrolled population of Ngāti Porou Oranga is over 10,000 and approximately 50% of this population is rural. The proportion of Māori enrolled is around 83%. The population is primarily serviced through six clinics, and services are also provided through its hospital at Te Puia Springs.

We understand the challenges for this rural community accessing suitable matauranga and value working in partnership with them.

Recorded matauranga sessions to view:

Whanau Oranga Service 

Held on: 10 September 2026

Presented by: Min Vette, Whanau Oranga Service, Ngati Porou Oranga

Topic covers:
the range of services provided to support our community

 

Managing Distressed and Challenging Behaviours: De-escalation and Personal Protection

Held on: 10 September 2026

Presented by: Lexx Karauria – Ngati Porou Oranga 

Topic covers:

• What is Distressed and Challenging Behaviours?
• PCBU obligations and employee rights
• Proactive interventions
• Communication
• Non- verbal communication, Body language
• Self-defence & the law
• Personal protection – last resort.

 

Tūporeariki Team 

Held on: 20 August 2026

Presented by: Cora Lambert, Kelly Burns and Team – Tūporeariki, Te Kura Huna Trust 

Topic covers:

Te Kura Huna Trust presentation

Topics covered:
• Knowing what Tūporeariki is
• Recognising when to use
• Introduction to the team
• Knowing when, where and how to connect
• Know pathways for whānau
• Knowing why it matters

 

Te Oranga Hinengaro

Held on: 13 August 2026

Presented by: Hine Haig, Interim General Manager, Te Oranga Hinengaro, Ngāti Pōrou Oranga

Topic covers:

Services offered by the Whakapapa of Te Oranga Hinengaro
• Adult Mental Health
• Te Wai O Rongo – Alcohol & Other Drugs
• Tipu Hou
• Child & Adolescent Mental Health
• Mana Ake Tairawhiti
• He Wā Haumaru
• Te Hiringa Matua – Pregnancy & Parenting
• Te Whatu Aho Rua – Primary Mental Health

Nātī Pēpi Midwives

Held on: 6 August 2026

Presented by: Vicky Henry & Ruth Chisholm, Clinical Midwives, Te Puna Whaiao Midwives, Ngati Porou Oranga 

Topic covers:

• Case loading
• Te Puna Wai Birthing Unit
• Best Practice in Early Pregnancy
• Midwifery Documentation and Referrals

 
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Diabetes for Practice Nurses

Held on: 30 July 2026

Presented by: Kasey Brown, Gisborne

Topic covers:
  • Basic understanding of diagnosis of the different types
  • How to start the management of diabetes
  • When to start insulin
  • How to start insulin
  • Up-titrating insulin

Ngā Kaihau Waiū – A Māori Philosophy of Wellbeing

Held on: 23 July 2026

Presented by: Curtis Bristowe, Pou Tikanga, GM Horouta Whanau Ora, Gisborne

Topic covers:
• Exploring the significance of Ngā Kaihau Waiū and the importance of our very first relationship.
• Examining the foundational concepts of Mana, Tapu, Mauri and Wairua through a Māori worldview.
• Understanding how Tikanga provides the ethical framework that sustains and protects holistic wellbeing.
• Introducing Ngā Pēhipēhi, traditional Māori ethical principles that promote respectful relationships, personal responsibility, and collective wellbeing.
• Reflecting on how these principles can strengthen culturally safe and person-centred clinical practice.

Tairawhiti Fracture Liaison Service – Fragility Fracture Identification & Prevention

Held on: 2 July 2026

Presented by: Maree Donaldson Fracture Liaison Service Co-ordinator / Fall Prevention Nurse Te Ara Tiaki Pakeke ( Healthy Aging ) Service Tairawhiti District

Topic covers:
• Bone Health screening, why it is important
• Osteoporosis Diagnosis & Treatments
• Bisphosphonates – First line treatment in NZ
• Non-bisphosphonate treatments

Endometriosis

Held on: 25 June 2026

Presented by: Deborah Bush, MNZM, QSM, Director EPP Coaching and Consulting.

Topic covers:
• Background
• Aetiology and symptoms
• Differential diagnosis
• Patient’s journey: bell ringers
• Early intervention
• Treatment and Management
• Chronic Pelvic Pain

The Menstrual Cycle as Vital Sign

Held on: 18 June 2026

Presented by:  Dr Brandi Shah, General Practice Physician, Ngati Porou Oranga

Topic covers:
• Review biology and physiology of normal menstrual cycle
• Understand the range of bodily and lived experiences that characterize typical menstruation patterns over the life course
• Improve awareness for when typical (benign) patterns can also cause preventable or treatable suffering that should be recognized and addressed
• Distinguish between benign and atypical/pathologic menstrual-related problems and know when/how to initiate prompt investigation, intervention and person-centred counselling and care coordination.

Kai to build Wāhine Toa

Held on: 11 June 2026

Presented by: Helen Gibbs, Dietitian/Director, Diet Consulting, Dunedin

Topic covers:
• Improving diet for the whole whānau 1 mouthful at a time.
• Tackling misinformation, disinformation and the power of influencers.
• What are the core messages for good nutrition
• Priorities with switches and swaps.
• Nutritional issues that may need extra support -Iron, Vitamin D, B12
• Food is political – we need to influence policy of parties during this election year.
 
 
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Responding to Acute Deterioration in Older People: Using a clinical reasoning approach

Held on: 4 June 2026

Presented by: Michal Boyd, Nurse Practitioner and Associate Professor, University of Auckland

Topic covers:
• Recognising physical deterioration in frail older people
• Review specific assessment processes for older people
• Review of communication strategies.

Drug interactions in older people

Held on: 28 May 2026

Presented by: John Thwaites, Geriatrician, Medical Clinical Training – Health New Zealand, Te Whatu Ora Canterbury

Topic covers:
• Types of interactions
• Risk factors for adverse events
• Prescribing guidelines

COPD Update

Held on: 21 May 2026

Presented by: Katie Faaiuaso, RN, Nurse Educator, Asthma New Zealand

Topic covers:
• COPD guideline update 2025
• Pharmacological & Non-pharmacological management
• Inhaler technique optimisation
• Exacerbation prevention

Delirium prevention

Held on: 14 May 2026

Presented by: Tracey Hawkes, Occupational Therapist/ Dementia Educator, Older Persons Mental Health, Waitaha Canterbury DHB

Topic covers:
• Causes, recognition and assessment
• Risks, precipitants and contributing factors
• Consequences of delirium

Falls, Fractures and Osteoporosis

Held on: 7 May 2026

Presented by: John Thwaites, Geriatrician, Medical Clinical Training – Health New Zealand, Te Whatu Ora Canterbury

Topic covers:
• Incidence and consequences of falls.
• Management options and case studies.
• Falls prevention in older patients.

Asthma update

Held on: 30 April 2026

Presented by: Katie Faaiuaso, RN, Nurse Educator, Asthma New Zealand

Topic covers:
• Introduction & Asthma NZ referral pathway
• Asthma landscape | Statistics overview
• Pathophysiology and symptom review
• Triggers + risk factors overview
• Diagnostic tools overview
• Pharmacological treatment overview

Spirometry

Held on: 23 April 2026

Presented by: Dianna Gibbs, CPCT Prescribing Pharmacist, Ngāti Porou Oranga

Topic covers:
• Respiratory Anatomy & Physiology
• What does Spirometry Measure?
• Spirometry – the Process
• Spirometry – Interpretation

Wound Assessment – HEIDI

Held on: 26 March 2026

Presented by: Reena Rivera, SCN Wound Care, Te Whatu Ora, Tairawhiti

Topic covers:
• Structured patient assessment – HEIDI
• T-I-M-E wound assessment
• How to choose dressings?
• Resources

Immunisation and pregnancy

Held on: 26 February 2026

Presented by: Phoebe Bint & Lisa Box, Regional Advisor, Immunisation Advisory Centre

Topic covers:
• Reasons for vaccination in pregnancy
• Vaccine safety
• Immune system refresher
• Positive conversations

Childhood immunisation update

Held on: 19 February 2026

Presented by: Jude Young & Kerri Lawrence, Immunisation Advisory Centre, IMAC

Topic covers:
• Why is vaccination important
• Eligibility for funded vaccines
• The National Immunisation Schedule
• Immunisation priorities in NZ
• Understanding barriers to immunisations and addressing myths
• Finding resources to keep you up to date, and to support your conversations

Cold Chain Management

Held on: 12 February 2026

Presented by: Janine Brown, Immunisation Coordinator/PHN Well Child Team Tairāwhiti

Topic covers:
• 10 National Cold Chain Standards
• Three essential cold chain elements – equipment, people, processes
• Record keeping & monitoring
• Cold Chain Accreditation (CCA)
• Immunisation Advisory Centre Courses

Te Ara Pokanga – Bariatric Surgery in New Zealand

Held on: 11 December 2025

Presented by: Dr Jamie-Lee Rahiri, General Surgical Trainee (Yr 2),Te Piringa Kotuku, Tamaki Makaurau

Topic covers:
• Obesity
• Publicly Funded Bariatric Surgery
• Fat Bias & Discrimination
• Counties Manukau – Largest Public Bariatric Service
• Bariatric Tourism
• Weight loss Drugs

Managing complex boundaries in rural communities 

Held on: 4 December 2025

Presented by: Dr Lucy O’Hagan, General Practitioner/ Rata Hauora, Educator, Writer

Topic covers:
 
• Medical council bottom lines. What do they mean in rural practice.
• What are the risks for us and the patient?
• How can we protect patients’ privacy?
• Discussion of complexed and nuanced scenarios.
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Adolescent Depression 

Held on: 27 November 2025

Presented by: Dr Brandi Shah, General Practice Physician, Ngati Porou Oranga

Interactive case review presentation covering:

• PTSD
• Non-suicidal self-harm
• Psychosocial screening
• Screening for suicidality

Demystifying Positive Airway Therapy -Breathing better, Sleeping better

Held on: 20 November 2025

Presented by: Sally Powell, Nurse Practitioner – Sleep Health and Ventilation Consultancy/Sleep Health Services Waitaha

Topic covered: 
• Sleep and wellness
• Sleep Disordered Breathing defining Sleep apnoea, obesity hypoventilation
• Review of PAP treatments -what, who and why?
• Tairāwhiti specific criteria for funded treatment
• Practical tools for supporting CPAP and non-invasive ventilation (NIV) treatments incl NZTA guidelines
• Restless legs syndrome – what, who and why?

COPD Update

Held on: 13 November 2025

Presented by: Katie Faaiuaso, RN, Nurse Educator, Asthma New Zealand

Topic covered: 
• COPD review – key statistics, pathophysiology and symptoms
• Risk factors and triggers
• Common medications and inhaler demonstration and Action plans

Asthma

Held on: 6 November 2025

Presented by: Sue Jones, Teletriage Nurse, Whakarongorau & GP Asthma Clinic Nurse

Topic covered:
• Definition and diagnosis of Asthma
• Difference between Asthma and COPD
• Medications and treatment of Asthma
• Management of Asthma in Primary Care
• Resources 

Pre-Diabetes Screening & Management

Held on: 30 October 2025

Presented by: Solita Donnelly, Accredited Diabetes Nurse Specialist, RN Prescriber, Aotearoa Diabetes Collective

Topic covered:
• Early screening & management helps prevent or delay Type 2 diabetes
• Managing modifiable risk factors reduces both diabetes and cardiovascular risk
• Focus on sustainable lifestyle changes — healthy eating, regular movement, and modest weight loss (5–10%)
• High-risk groups benefit from targeted prevention and support
• Combine lifestyle, pharmacotherapy, and local resources for best outcomes 

 

Diabetes Annual Review

Held on: 16 October 2025

Presented by: Solita Donnelly, Accredited Diabetes Nurse Specialist, RN Prescriber, Aotearoa Diabetes Collective

Topic covered:
 
• What is a Diabetes Annual review?
• Why do we do them?
• How to do a good quality DAR

 

Diabetes Annual Update

Held on: 9 October 2025

Presented by: Kasey Brown,Clinical Pharmacist Prescriber, Long Term Conditions, NPO

Updates:

• Empagliflozin for Heart Failure
• Semaglutide and Tirzepatide
• Insulin updates
• Continuous Glucose Monitoring (CGMS)
• Kidney Disease
• Managing Diabetes during intercurrent illness
• Foot infections and DARs

Integrating Best Practice Contraceptive Care

Held on: 18 September 2025

Presented by: Dr Brandi Shah, Ngati Porou Oranga

Topic covers:

• Apply shared decision-making best practices to meet patients’ reproductive health needs and priorities.
• Implement evidence-based guidelines to determine patients’ medical eligibility for different contraceptive methods.
• Integrate patient-centered principles, shared decision-making and guidelines to support patients’ contraceptive decisions at initiation, management, and discontinuation.

Rural Health Services – Vascular assessments

Held on: 11 September 2025

Presented by: Jackie Atkins & Jenn Boyle, Specialty Clinical Nurses Rural Health, District Nursing Service, Tairawhiti DHB

Topic covers:

• Overview of Rural Health services & referral criteria
• Why vascular assessments are performed
• ABPI & TBPI and results
• Management of venous & arterial insufficiency 

CVRA assessment update

Held on: 4 September 2025

Presented by: Lydia Albejay, Ngati Porou Oranga

Topic covers:

  • Target groups (who should be tested)
  • Pathway for CVRA
  • NPO policy and procedure
  • Follow up CVRA/ recalls 

Peadiatrics – Ezcema & Dermatitis

Held on: 28 August 2025

Presented by:  Kellie Deans & Jane Edwards PEADS CNS, Tairāwhiti DHB

Topic includes:

  • Brief overview of eczema, management and control
  • Physical and psychological impact of eczema
  • What/where to access resources for whanau
  • Paediatric Outreach Nursing Service referral criteria

Peadiatrics – Rheumatic Fever Update

Held on: 21 August 2025

Presented by:  Dr Dr Shaun Grant, Paediatrician, Tairāwhiti DHB

Topic includes:

• Update on understanding and diagnosis of Rheumatic fever.
• Rheumatic heart disease screening on the East Coast.
• What can we do for our tamariki and rangatahi?

ADHD and Neurodevelopmental diversity

Held on: 14 August 2025

Presented by:  Dr Catherine Crofts, Clinical Pharmacist, Public Health Researcher, Locum Pharmacist – AUT Tāmaki Makaurau

Topic includes:

• Recognise the neurobiological foundation of ADHD and other neurodevelopmental conditions
• Identify some of the clinical and public health implications of ADHD
• Consider the lived experience of ADHD across diverse populations
• Identify practical strategies to support individuals with ADHD

Assisted Dying

Held on: 7 August 2025

Presented by:  Georgie Beard, Nurse Practitioner, Ngati Porou Oranga

Topic includes:

• Legal and ethical overview
• Assisted dying care pathway
• Responding when a person raises assisted dying

Atrial Fibrillation

Held on: 31 July 2025

Presented by:  Tracy Low, Cardiology Nurse Practitioner, Tairāwhiti Health New Zealand

Topic includes:

• Clinical application of AF-CARE management model
• Updates in stroke prevention and anticoagulation
• Compare rate Vs rhythm strategies
• Integrate co-morbidity and equity-focused care.

Heart Failure

Held on: 24 July 2025

Presented by:  Kirsten Willock, Cardiology Nurse Practitioner, Tairāwhiti Health New Zealand

Topic includes:

• Overview of HF
• Diagnosing HF
• Why the emphasis on LVF with rEF
• Pharmacological Therapy
• Working together

Child Protection

Held on: 17 July 2025

Presented by:  Georgie Beard, Nurse Practitioner, Ngati Porou Oranga

Topic includes:

  • Different forms of abuse and neglect
  • What to look for with child abuse and neglect
  • What to do about it when you have a concern.

The Health and Disability Commission (Code of Health and Disability Services Consumer’s Rights)

Held on: 15 May 2025

Presented by:  Jessica Buddendijk, Aged Care Advisor

Topic includes:

• Understanding the Code of Rights and responsibilities as a healthcare provider
• Privacy Act and Health Information Privacy Code – what you must do
• How to encourage choice and independence, including informed consent

Infection Prevention & Control for General Practice

Held on: 8 May 2025

Presented by: Ruth Barratt, Vector Consulting

Topic includes:

• Principles of infection prevention and control in the practice setting
• Meeting the RNZCGP Quality Framework Foundation Standard
• How to meet compliance with NZS 8134:2021 Ngā paerewa – section 5

Anaemia in Primary Care

Held on: 10 April 2025

Presented by:  Dr Tom Sapsford, Haematologist, Te Whatu Ora Waitemata

Topic includes:

• Understand the causes and types of anaemia
• Learn diagnostic approaches and interpretation of lab results
• Explore treatment options
• Discuss patient-centred care and monitoring strategies

Immunisations for Pregnancy and Measles 

Held on: 27 February 2025

Presented by:  Renee Stewart, Midlands Regional Advisor, IMAC

Topic includes:

• Why vaccination is important
• What diseases to protect against in pregnancy
• When to vaccinate
• Resources available

Thyroid Disorders – Hypothyroidism and Hyperthyroidism 

Held on: 20 February 2025

Presented by: Rosemary Hall, Endocrinologist, University of Otago

Topic includes:

• Differential diagnoses
• Management plans
• Case studies

The Immunisation Schedule & Cold Chain

Held on: 13 February 2025

Presented by: Janine Brown, Immunisation Coordinator/PHN Well Child Team Tairāwhiti

Topic includes:

• The immunisation schedule
• Our local imms stats where we are at
• Cold Chain

Pertussis – The ins and outs

Held on: 30 January 2025

Presented by: Dr Kiriana Bird, Medical Director, Specialist GP, Ngati Porou Oranga

Topic includes:

• Update of Pertussis outbreak in NZ
• Key messages for Pertussis management
• Notification process & where to find information
• Ngati Porou Immunisation Strategy

Self Care at the end of the year

Held on: 12 December 2024

Presented by: Elle Cradwick, Mental Health Educator, Big Chats

Topic includes:

• Define & discuss self-care
• Look at its importance in our professional roles
• Complete a cheat sheet
• Introduce several tools for your kete

Gout – Part 3 – Update on gout management – recorded webinar

Held on: 5 December 2024

Presented by: Prof Nicola Dalbeth, Rheumatologist, Te Toka Tumai & Uni of Auck

Topic includes:

• Clinical Gout update
• New resources to support effective gout management

 

Gout – Part 2 – Having the conversation about Gout with whanau – recorded webinar

Held on: 28 November 2024

Presented by: Susan Reid, Director, Health Literacy NZ

Topic includes:

• different ways you can have a conversation about gout with whānau
• how to build understanding of the real causes of gout
• how these causes can be treated to avoid attacks and prevent other health impacts of gout

 

Understanding Gout – recorded webinar part 1

Held on: 21 November 2024

Presented by: Professor Nicola Dalbeth Professor, University of Auckland, Rheumatologist, ADHB

Topic includes:

• Māori whānau and Pacific people’s kidney function & uric acid
• Treatment to prevent gout attacks using long term medicine.
• Why focusing on food and drink alone will not address the underlying causes of gout
• Health risks of the high-dose pain relief used to treat gout attacks.

 

Deprescribing and Hyperinsulinaemia 

Held on: Thursday 14 November 2024

Presented by: Dr Catherine Crofts, Clinical Pharmacist, Lecturer Pharmacology AUT

Topic includes

• Journey from deprescribing to understanding hyperinsuliaemeia
• Why we need to support the use of SGLT-2 inhibitors
• Concerns about GLP-1 agonists for weight loss
• Why we need to move to an insulin-focused model for all forms of diabetes mellitus

Diabetes related foot disease 

Held on: Thursday 7 November 2024

Presented by: Michele Garrett, Professional Leader Podiatry Te Whatu Ora Waitemata & Claire O’Shea, Podiatrist Te Whatu Ora Waikato

Topic includes

• What is diabetes foot disease
• What can we do about it
• Management of risk factors
• Foot screening
• Management of diabetes foot disease

 

Monogenic diabetes and LADA 

Held on: Thursday 31October 2024

Presented by: Rosemary Hall, Endocrinologist, University of Otago

Topic includes

• When to suspect another type of diabetes
• What other types of diabetes do we need to think about?
• How do we investigate for other types of diabetes?
• How does the type of diabetes affect management?

Diabetes Update 

Held on: Thursday 24 October

Presented by: Kasey Brown, Clinical Pharmacist Prescriber, Long Term Conditions, Ngati Porou Oranga

Topic includes:

  • Continuous Glucose Monitoring (CGM) Pharmac funding – sensors only
  • Automated Insulin Device (AID) Pharmac funding – sensors plus insulin pump
  • Insulins: Ryzodeg and Penmix30/Penmix50/Mixtard30
  • Caresens Testing Machine
  • Update: Diabetes Prescribers Conference & discussion on DAR processes

Diabetes Management & Dexamethasone use in palliative care 

Held on: Thursday 26 September

Presented by: Dr Anna Meuli, Clinical Director, Hospice Tairawhiti

Topic includes:

• Effects of Dexamethasone use in Palliative Care
• Principles & progression of Diabetes Management in Palliative Care
• Emotional and Communication Considerations
• Hospice Tairawhiti Team introduction

 

 

Diabetes Management & Dexamethasone use in palliative care 

Held on: Thursday 26 September

Presented by: Dr Anna Meuli, Clinical Director, Hospice Tairawhiti

Topic includes:

• Effects of Dexamethasone use in Palliative Care
• Principles & progression of Diabetes Management in Palliative Care
• Emotional and Communication Considerations
• Hospice Tairawhiti Team introduction

 

 

Management of Pain in Palliative care 

Held on: Thursday 19 September

Presented by: Dr Anna Meuli, Clinical Director, Hospice Tairawhiti

Topic includes:

• Concept of total pain – Te Whare Tapa Wha model
• Pharmacological & non-pharmacological approaches to pain management
• WHO analgesic ladder
• Overview & discussion of most used opioids
• Adjuvant medications

 

 

 Tō tātou Reo advance care planning – rua 

Held on: Thursday 12 September

Presented by: Jane Goodwin, Prog Manager Advanced Care Planning Health NZ

Topic includes:

• Shared goals of care
• Serious illness conversation guide
• Examples & impact of the tools in action

 

 

Management of nausea and vomiting in palliative care 

Held on: Thursday 5 September

Presented by: Joy Cairns, Clinical Nurse Specialist, Hospice Tairawhiti

Topic includes:

• 4 Goals of Nausea Assessment and Management
• Possible nausea causes
• Pharmacological & Non-pharmacological Management Strategies

 

 

The 3 D’s – Depression, Dementia and Delirium 

Held on: Thursday 29 August

Presented by: Dr Michal Boyd, Honorary Assoc. Professor, University of Auckland

Topic includes:

• Dementia types; characteristics & management
• Depression in the elderly
• Causes and consequences of delirium
• Nursing management and care

 

Tō tātou Reo advance care planning – kotahi

Held on: Thursday 22 August

Presented by: Jane Goodwin, Advance Care Planning Programme Manager, Te Whatu Ora

Topic includes:

• What is advance care planning
• Legalities and common questions
• Benefits of advance care planning
• The different tools and resources to support whānau

Sleep Health

Held on: Thursday 15 August

Presented by: Sally Powell,Nurse Practitioner, Masters of Health Sciences

Topics include:

• Wellness and Good Sleep Relationship
• Causes of sleep deprivation and lost sleep opportunity
• Assessing sleep issues
• Common sleep disorders

 

Bladder Management for RN’s

Held on: Thursday 8 August

Presented by: Janet Thackray

Topics include:

• What is a normal bladder
• Main types of bladder problems
• Common causes
• How to manage bladder problems

 

Bowel Cancer

Held on: Thursday 1 August

Presented by: Victoria Thompson, Nurse Support Coordinator, Bowel Cancer NZ

Topics include:

• What is Bowel Cancer?
• Stats & figures
• Signs, symptoms & risks
• Screening in NZ
• Treatment options in NZ
• Research, & upcoming interventions

Intro to NZ ambulance sector CPGs for non-ambulance health professionals

Held on: Thursday 11 July

Presented by: Kris Gagliardi, Critical Care Paramedic, and Assistant Clinical Director, St John

Topics include:

• What are the Clinical Procedures and Guidelines (CPGs) and how are they are developed?
• Clinical practice levels within ambulance services
• The new NZCPG app
• Key aspects for Ngāti Porou Oranga

Management of acute asthma 

Held on: Thursday 4 July

Presented by: Kris Gagliardi, Critical Care Paramedic, and Assistant Clinical Director, St John

Topics include:

• What is Asthma
• Pathophysiology
• Determining severity
• Treatment

Out of Hospital approaches to analgesia & sedation

Held on: Thursday 27 June

Presented by: Kris Gagliardi, Critical Care Paramedic, and Assistant Clinical Director, St John

Topics include:

  • General approach to analgesia
  • Common analgesics used in the out-of-hospital setting
  • Approaches to sedation

Acute stroke dx management and hospital destination

Held on: Thursday 20 June

Presented by: Kris Gagliardi, Critical Care Paramedic, and Assistant Clinical Director, St John

Topics include:

• What is stroke?
• Key aspects of the current stroke pathway
• Stroke assessment tools (FAST)
• Out-of-hospital treatment for stroke
• Transport considerations and hospital destination
• Thrombolysis (in-hospital)
• Recent and future developments in stroke care, including imaging and clot retrieval

Advanced De-escalation

Held on: Thursday 13 June

Presented by: Elle Cradwick, Mental Health Educator

Topic includes:

• Neurological underpinnings of the stress response system
• The escalation cycle
• How to present as calm – what not to do
• Strategies for debriefing

Antimicrobial Stewardship

Held on: Thursday 6 June

Presented by: Ben Harris, Medical Microbiology Scientist

Topic includes:

• Appropriate AB use & what is misuse?
• Antibiotic stewardship failures
• Microbiome
• General tips & points to ponder

Pragmatic paediatric prescribing

Held on: Thursday 30 May

Presented by: Jane Key, Senior Lecturer/Mātanga Tapuhi NP, School of Nursing Massey University

Topic includes:

Content of this presentation included:
• Children ARE different
• General principles of paediatric prescribing
• Prescribing for common conditions:
– Coughs and Colds
– Pre-school wheeze
– Asthma

Paediatric pain management

Held on: Thursday 23 May

Presented by: Jane Key, Senior Lecturer/Mātanga Tapuhi NP, School of Nursing Massey University

Topic includes:

• What is pain?
• Why is pain different in children
• How do we manage pain in children

Paediatric Gastroenteritis

Held on: Thursday 16 May

Presented by: Jane Key, Senior Lecturer/Mātanga Tapuhi NP, School of Nursing Massey University

Topic includes:

• Gastroenteritis in children
• Recognition
• Hydration Assessment
• Evidence Based Interventions
-Rehydration therapies | Adjunct therapies
-Parental advice

Management of fever in children

Held on: Thursday 9 May

Presented by: Jane Key, Senior Lecturer/Mātanga Tapuhi NP, School of Nursing Massey University

Topic included:

• What is fever & why do we get them?
• How do antipyretics work?
• When to give antipyretics?
• When to worry?
• Fever myths & fever phobia?
• When does fever cause febrile convulsions?

Spotting the sick child versus the “really” sick child

Held on: Thursday 2 May

Presented by: Jane Key, Senior Lecturer/Mātanga Tapuhi NP, School of Nursing Massey University

Topic included:

• Approach to the paediatric Patient
• Forming an initial impression
• The consultation
• Sifting Paediatric Differentials
• Child Protection Concerns
• Case Studies

Vaccine safety

Held on: Thursday 29 February

Presented by: Kirsty Basher, Immunisation coordinator/Team Leader Te Whatu Ora, Te Matau a Maui

Topic will include:

• Vaccine Life Cycle
• Anaphylaxis Signs and Symptoms
• Reporting AEFI in New Zealand
• Vaccine related adverse events
• Vaccine errors & what to do
• Pre-vaccination screening
• Surveillance

Cold Chain Management

Held on: Thursday 22 February

Presented by: Janine Brown, Well Child

Topic will include:
• NZ National Standards for management of cold chain
• Essential Cold Chain Elements
• Equipment
• Monitoring
• Managing Stock
• Cold Chain Breaches
• People
• Cold Chain Accreditation

 

Vaccine Preventable Diseases

Held on: Thursday 15 February

Presented by: Kirsty Basher, Immunisation coordinator, Te Whatu Ora, Te Matau a Māui

Topic will include:

• Pertussis
• Pneumococcal
• Measles
• Meningococcal
• HPV
• Influenza
• Covid-19
• BCG

NZ Immunisation Schedule

Held on: Thursday 8 February

Presented by: Janine Brown, Immunisation Coordinator/SRO/PHN Well Child Team

Topic will include:

• History of Immunisation
• NZ Immunistion Schedule
• Immunisation Priorities
• Improving Immunisation coverage
• Aotearoa Immunisation Register (AIR)
• Resources

Bronchiolitis

Held on: Thursday 30 November

Presented by: Nora Dunphy – Respiratory Paediatric CNS

Topic will include:

• Cause
• Risk factors for more serious disease
• How Bronchiolitis affects the pēpi
• Assessing severity
• Bronchiolitis Management
• When to refer to secondary care
• Preventing respiratory illness

A guide to managing Pre School Wheeze (PSW) & Asthma

Held on: Thursday 23 November

Presented by: Sue Parkes, Paediatric Respiratory Nurse Educator

Topic will include:

• Triggers | Signs & symptoms in under 2’s
• What is wheeze | Causes of wheeze
• Bronchioloitis under 2’s | Viral induced wheeze
• Red Flags – when to ask for help
• How to ease the coughing spasms | Foreign Body
• What is Pre-school Asthma
• Relievers age 2+ | BURST Therapy
• Use of Spacers; Use of masks
• Types of inhalers | AIR/SMART Therapy
• Asthma action plans | School Asthma Management Plan (SAMP)

 

COPD following the guidelines

Held on: Thursday 16 November

Presented by: Sue Jones, Teletriage Nurse, Whakarongorau

Topic will include:

• Diagnosis
• Management of the chronic disease
• Management of Exacerbation

 

Asthma

Held on: Thursday 9 November

Presented by: Sue Jones, Teletriage Nurse, Whakarongorau

Topic will include:

• What it is
• How it is managed
• Changes in the NZ Asthma Guidelines 2020
• Patient issues

Pathophysiology, lifestyle and DARS

Held on: Thursday 2 November

Presented by: Kasey Brown, Clinical Pharmacist

Topic will include:

• Hypoglycaemia
• Diabetic ketoacidosis
• Hypersosmolar hyperglycaemic state

Managing T1DM in primary care

Held on: Thursday 26 October

Presented by: Dr Rosemary Hall, Endocrinologist

Topic will include:

• Pathophysiology of T1DM
• Diagnosis of T1DM
• Management – including the use of CGM, pumps, automated insulin delivery
• Discussion on approach to T1DM in Tairāwhiti

Pathophysiology, lifestyle and DARS

Held on: Thursday 19 October

Presented by: Dr Elina Kiuru |Kasey Brown, Clinical Pharmacist

Topic will include:

• Basic Pathophysiology of Type 2 diabetes
• Lifestyle advice and modifications
• Metformin and sulphonylureas
• Diabetic annual review

Diabetes updates including Liraglutide/Dulaglutide and Empagliflozin

Held on: Thursday 12 October

Presented by: Dr Elina Kiuru

Topic will include:

• What do the new Type 2 Diabetes guidelines look like?
• What does that mean for our whanau?
• What is clinical inertia and how our team can overcome it?
• Why do targets matter?
• What are the modern diabetes medicines and why our patients should be on them?

Sepsis – The Phantom Menace

Held on: Thursday 5 October

Presented by: Dr Paul Huggan, Acute Medicine & Infectious Disease Physician

Topic will include:

• Sepsis – what is it really?
• Impact & burden of sepsis
• Pathophysiology of sepsis
• Recognition & action, whole process approach.
• Post sepsis syndrome

Hypertension

Held on: Thursday 28 September

Presented by: Daman Kaur, Nurse practitioner with specialist interest in cardiology 

Topic will include:

• What is Hypertension
• Risk factors
• Diagnosis
• Treatment options

Acute Coronary Syndrome

Held on: Thursday 21 September

Presented by: Daman Kaur, Nurse practitioner with specialist interest in cardiology 

Topic will include:

• Assessment; what does ACS look like?
• Diagnosis and Differential Diagnoses
• Treatment of ACS

Atrial Fibrillation & Flutter

Held on: Thursday 14 September

Presented by: Daman Kaur, Nurse practitioner with specialist interest in cardiology 

Topic will include:
• Normal conduction system of the heart
• What is AF and what is Flutter?
• What do they look like on ECG
• Diagnosis and treatment options

Heart Failure

Held on: Thursday 7 September

Presented by: Daman Kaur, Nurse practitioner with specialist interest in cardiology 

Topic will include:
• HF- Definition and diagnosis of HF
• Trajectory of HF
• Pillars of HF therapy
• Who is at risk
• What can we do

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