1 00:00:00,080 --> 00:00:02,560 Speaker 1: Now, in April this year, it was reported that the 2 00:00:02,600 --> 00:00:06,720 Speaker 1: Neonatal Intensive Care Unit at Royal Darwin Hospital was no 3 00:00:06,800 --> 00:00:10,639 Speaker 1: longer treating children born before thirty two weeks gestation because 4 00:00:10,680 --> 00:00:13,160 Speaker 1: of a lack of staff. Now, at the time, the 5 00:00:13,240 --> 00:00:16,360 Speaker 1: Health Department had said with no time frame for when 6 00:00:16,360 --> 00:00:19,400 Speaker 1: it would be caring for younger babies. Again, well, they 7 00:00:19,440 --> 00:00:22,119 Speaker 1: had no time frame, but the department chief Executive Officer, 8 00:00:22,360 --> 00:00:25,560 Speaker 1: doctor Marco Bressino, had said that because of the volume 9 00:00:25,680 --> 00:00:29,520 Speaker 1: and level of patient care required in the NIKU at 10 00:00:29,600 --> 00:00:33,239 Speaker 1: Royal Darwin Hospital, that the department had temporarily adjusted the 11 00:00:33,320 --> 00:00:38,000 Speaker 1: acceptance criteria, downgrading from critical or clinical I should say, 12 00:00:38,040 --> 00:00:42,280 Speaker 1: service level six to level four. Now, we'd spoken to 13 00:00:42,320 --> 00:00:45,320 Speaker 1: the Secretary of the Nursing and midwif Reunion, Cath Hatcher, 14 00:00:45,400 --> 00:00:47,280 Speaker 1: about this, but it seems that some of the info 15 00:00:47,640 --> 00:00:50,760 Speaker 1: that she'd been given may not have been entirely accurate. 16 00:00:50,840 --> 00:00:53,760 Speaker 2: Kath joins me on the line right now. Good morning 17 00:00:53,800 --> 00:00:54,000 Speaker 2: to you. 18 00:00:54,120 --> 00:00:56,440 Speaker 3: Cas Oh, good morning Katie. 19 00:00:56,840 --> 00:00:57,120 Speaker 2: Kath. 20 00:00:57,160 --> 00:00:58,800 Speaker 1: At the time, I know you'd said that there was 21 00:00:58,840 --> 00:01:03,400 Speaker 1: only one nurse aten hospital with the specialist qualifications to 22 00:01:03,560 --> 00:01:06,640 Speaker 1: care for babies in neonatal intensive care. 23 00:01:07,280 --> 00:01:08,480 Speaker 2: Is that the case. 24 00:01:10,040 --> 00:01:14,800 Speaker 3: No, it isn't so. The information that I had received 25 00:01:15,560 --> 00:01:22,640 Speaker 3: through one of the reliable professionals there on the sixth 26 00:01:22,640 --> 00:01:28,440 Speaker 3: floor at the NIKU department was incorrect, or maybe I 27 00:01:28,600 --> 00:01:32,480 Speaker 3: interpret it to be incorrect, But I would like to 28 00:01:32,520 --> 00:01:36,800 Speaker 3: make an apology for the NIKU nurses or Neonatal Intensive 29 00:01:36,880 --> 00:01:41,640 Speaker 3: Care Unit nurses at will Darwin Hospital and to the 30 00:01:41,680 --> 00:01:45,640 Speaker 3: medical staff and to the wider community of Darwin that 31 00:01:46,280 --> 00:01:49,760 Speaker 3: the information or statement that I had made about that 32 00:01:49,920 --> 00:01:54,600 Speaker 3: six weeks ago was totally incorrect. And they assure me 33 00:01:55,240 --> 00:01:59,680 Speaker 3: that there is thirty two qualified ventilated nurses out of 34 00:01:59,720 --> 00:02:03,440 Speaker 3: the fifty three current nursing staff in the NICU unit 35 00:02:04,080 --> 00:02:09,639 Speaker 3: who can facilitate and care for the babies requiring intubation 36 00:02:09,960 --> 00:02:15,080 Speaker 3: and caring for those extreme premature infants from twenty four 37 00:02:15,120 --> 00:02:20,359 Speaker 3: weeks gestation and beyond, and that there are also five 38 00:02:20,680 --> 00:02:24,920 Speaker 3: near natologists. And I'm also led to believe that you 39 00:02:25,000 --> 00:02:30,280 Speaker 3: said it. They were downgraded to a level four unit 40 00:02:30,440 --> 00:02:34,560 Speaker 3: and they've been increased to a level five until they 41 00:02:34,600 --> 00:02:40,000 Speaker 3: get a permanent neonatologist or not a permanent sorry wrong wording, 42 00:02:40,440 --> 00:02:45,320 Speaker 3: the head of neonatologists to be appointed, then they will 43 00:02:45,400 --> 00:02:49,560 Speaker 3: go back up to a level six again. So yeah, 44 00:02:49,680 --> 00:02:52,799 Speaker 3: so it's business as usual, PADI. That's good to hear 45 00:02:53,840 --> 00:02:57,680 Speaker 3: it is, and they can care for those real premature 46 00:02:57,880 --> 00:03:01,799 Speaker 3: babies from the twenty four weeks or even sometimes twenty 47 00:03:01,840 --> 00:03:06,040 Speaker 3: three weeks and beyond. And the ones that have always 48 00:03:06,280 --> 00:03:09,919 Speaker 3: needed to and will currently go into stay are those 49 00:03:10,040 --> 00:03:15,919 Speaker 3: that are requiring surgery immediately after birth. They might have 50 00:03:16,680 --> 00:03:19,280 Speaker 3: their heart on the wrong side of the chest, or 51 00:03:19,360 --> 00:03:24,960 Speaker 3: their major blood vessels all a bit twisted or something, 52 00:03:25,080 --> 00:03:32,200 Speaker 3: and they will usually go still inside mum as a 53 00:03:32,240 --> 00:03:36,800 Speaker 3: pregnant woman and down to either Melbourne or wherever they 54 00:03:36,840 --> 00:03:40,640 Speaker 3: can get the best care for that mother and baby. 55 00:03:40,720 --> 00:03:45,160 Speaker 3: And when mum has the baby, then they're ready on 56 00:03:45,360 --> 00:03:51,120 Speaker 3: standby to do that emergency to emergency surgery on the 57 00:03:51,200 --> 00:03:55,240 Speaker 3: infant that we cannot do and have never been able 58 00:03:55,280 --> 00:03:57,920 Speaker 3: to do here in Royal Dalen Hospital. 59 00:03:58,400 --> 00:04:02,120 Speaker 1: Well, catch that sounds like it's would use and and 60 00:04:02,160 --> 00:04:04,760 Speaker 1: you know, and while those numbers that we initially have 61 00:04:04,880 --> 00:04:08,040 Speaker 1: may have been incorrect, it sounds like we have got 62 00:04:08,120 --> 00:04:12,440 Speaker 1: plenty of staff there able to care for the premi babies. 63 00:04:12,440 --> 00:04:15,000 Speaker 1: And I know that for any territory in listening, that 64 00:04:15,160 --> 00:04:17,760 Speaker 1: is going to be something that you know, that gives 65 00:04:17,760 --> 00:04:20,120 Speaker 1: them that peace of mind if they are pregnant that 66 00:04:20,200 --> 00:04:23,080 Speaker 1: should their baby arrive early, that they are able to 67 00:04:23,120 --> 00:04:25,000 Speaker 1: get that care that's needed here in the end to 68 00:04:25,120 --> 00:04:27,120 Speaker 1: But if they need to go into state, that is 69 00:04:27,160 --> 00:04:27,919 Speaker 1: also an option. 70 00:04:29,200 --> 00:04:33,960 Speaker 3: Absolutely, And I'm sorry if I put some scare factor 71 00:04:34,080 --> 00:04:39,360 Speaker 3: into the community with the mothers and the babies, and 72 00:04:38,839 --> 00:04:42,919 Speaker 3: the mothers that are you know, just pregnant or heavily 73 00:04:43,040 --> 00:04:47,120 Speaker 3: pregnant and somewhere in between, that the will In Hospital 74 00:04:47,400 --> 00:04:52,240 Speaker 3: has the best care and the great staff and medical 75 00:04:52,279 --> 00:04:55,359 Speaker 3: staff to look after their infant if it happens to 76 00:04:55,400 --> 00:04:58,159 Speaker 3: be born early. 77 00:04:58,440 --> 00:05:00,480 Speaker 2: Yeah, well, no, I'm pleased hear that. 78 00:05:00,640 --> 00:05:04,479 Speaker 1: A big shout out to those staff at the NICU ward. 79 00:05:04,720 --> 00:05:07,880 Speaker 1: I know that they must do an incredibly tough job 80 00:05:08,000 --> 00:05:10,440 Speaker 1: to be really hard, you know when those some of 81 00:05:10,480 --> 00:05:13,479 Speaker 1: the little bubs born so early. I'm so cap Just 82 00:05:13,520 --> 00:05:17,480 Speaker 1: tell us again because I know that a few months ago, definitely, 83 00:05:17,520 --> 00:05:21,040 Speaker 1: it was being reported that they'd been downgraded from clinical 84 00:05:21,080 --> 00:05:23,320 Speaker 1: service level six to a level four. 85 00:05:23,360 --> 00:05:25,440 Speaker 2: But you're saying that they've now gone back up to 86 00:05:25,520 --> 00:05:26,640 Speaker 2: a five. Is that right? 87 00:05:27,680 --> 00:05:32,440 Speaker 3: Apparently that time as a level four was as a 88 00:05:32,520 --> 00:05:35,800 Speaker 3: small intrment. I don't know how long it lasted four 89 00:05:36,000 --> 00:05:39,640 Speaker 3: but it was very short lived and they were able 90 00:05:39,680 --> 00:05:42,800 Speaker 3: to go back to a level five and they can 91 00:05:43,120 --> 00:05:46,440 Speaker 3: still carry on as business as usual. And I'm told 92 00:05:46,480 --> 00:05:49,040 Speaker 3: by the chief nurse and move a free officer that 93 00:05:49,120 --> 00:05:52,479 Speaker 3: they'll go back to a level six once they get 94 00:05:52,520 --> 00:05:59,359 Speaker 3: ahead of a neonatology department and they'll be able to 95 00:05:59,440 --> 00:06:03,279 Speaker 3: go therefore, with the medical part of the unit, go 96 00:06:03,440 --> 00:06:04,520 Speaker 3: back to a level six. 97 00:06:05,279 --> 00:06:07,520 Speaker 2: And Cap, how nurses feeling about that. 98 00:06:09,800 --> 00:06:14,599 Speaker 3: I think they're very excited that they are working at 99 00:06:14,640 --> 00:06:20,240 Speaker 3: the full capacity and that hopefully this apology will lay 100 00:06:20,960 --> 00:06:25,360 Speaker 3: any stress that I've impacted on them. About six weeks ago, 101 00:06:25,480 --> 00:06:29,080 Speaker 3: I'm sure that they were already having mental and physical 102 00:06:29,120 --> 00:06:34,279 Speaker 3: exhaustion anyway, caring for those beautiful little babies in the 103 00:06:34,360 --> 00:06:42,480 Speaker 3: niku and having someone from responsible union official saying that 104 00:06:42,680 --> 00:06:47,640 Speaker 3: it was totally the opposite and once again my apologies 105 00:06:47,680 --> 00:06:47,919 Speaker 3: for that. 106 00:06:48,160 --> 00:06:51,240 Speaker 1: So Cap, I will say, though usual, I will say, 107 00:06:51,279 --> 00:06:53,960 Speaker 1: though we certainly you know, we reached out to the 108 00:06:53,960 --> 00:06:57,400 Speaker 1: Health Minister at the time as well, and also had 109 00:06:57,440 --> 00:07:01,920 Speaker 1: reached out to the department and weren't provided response. So 110 00:07:02,120 --> 00:07:04,359 Speaker 1: I will say that you know that I would have 111 00:07:04,440 --> 00:07:08,240 Speaker 1: expected that they would have provided some level of detail 112 00:07:08,600 --> 00:07:09,159 Speaker 1: as well. 113 00:07:10,280 --> 00:07:14,120 Speaker 3: Yeah, definitely, yeah, but maybe they were too busy to 114 00:07:14,200 --> 00:07:17,360 Speaker 3: comment at the time or were unable to get the 115 00:07:18,560 --> 00:07:20,119 Speaker 3: full story at the time. 116 00:07:20,440 --> 00:07:23,840 Speaker 1: Not here maybe Heykasa, how are things going more broadly 117 00:07:24,280 --> 00:07:27,080 Speaker 1: with some of the numbers staffing wise across the Northern 118 00:07:27,160 --> 00:07:29,600 Speaker 1: Territory at the moment when it comes to our nurses. 119 00:07:31,920 --> 00:07:35,680 Speaker 3: Right across the territory, it has improved over the last 120 00:07:36,200 --> 00:07:43,520 Speaker 3: few months to increase of fourteen percent extra as permanent staff, 121 00:07:44,200 --> 00:07:48,880 Speaker 3: and then there's about a small decrease in the amount 122 00:07:48,960 --> 00:07:54,120 Speaker 3: of agency staff that are being utilized, and there is 123 00:07:54,200 --> 00:07:58,040 Speaker 3: still a small or certain areas. You know, some areas 124 00:07:58,040 --> 00:08:01,320 Speaker 3: are doing okay for stuff, but certainly will Darwin, there's 125 00:08:01,360 --> 00:08:06,520 Speaker 3: still got some areas that need more staff, whether it's casual, pool, 126 00:08:06,800 --> 00:08:10,800 Speaker 3: agency or permanent staff. But some of the areas are 127 00:08:10,800 --> 00:08:15,000 Speaker 3: still doing it tough with low numbers. You're not to 128 00:08:15,040 --> 00:08:19,640 Speaker 3: their full capacity of stuff, so there's still some big 129 00:08:19,760 --> 00:08:25,960 Speaker 3: over time and hours on already what they do a 130 00:08:26,000 --> 00:08:27,160 Speaker 3: full time shifts. 131 00:08:27,240 --> 00:08:30,440 Speaker 1: Yeah, yeah, cath I really appreciate you coming on this morning. 132 00:08:30,480 --> 00:08:33,120 Speaker 1: I know that you know that the nurses in the 133 00:08:33,200 --> 00:08:36,720 Speaker 1: NIKU would appreciate you know the apology that you've provided 134 00:08:36,760 --> 00:08:40,120 Speaker 1: as well. Somebody's just messaged through and said this Union 135 00:08:40,200 --> 00:08:43,360 Speaker 1: lady is very gracious and completely owning her error. I 136 00:08:43,400 --> 00:08:47,720 Speaker 1: wish everybody would do that when something goes wrong. So look, 137 00:08:48,080 --> 00:08:52,560 Speaker 1: it's you know, I know that sometimes we're provided detail 138 00:08:52,840 --> 00:08:53,679 Speaker 1: at different. 139 00:08:53,400 --> 00:08:55,280 Speaker 2: Points it may or may not be correct. 140 00:08:55,600 --> 00:08:59,320 Speaker 1: And yeah, I'm sure that those nurses would appreciate you 141 00:08:59,360 --> 00:09:00,480 Speaker 1: coming on either this morning. 142 00:09:01,640 --> 00:09:03,959 Speaker 3: I hope so. And thank you very much for having 143 00:09:04,040 --> 00:09:05,199 Speaker 3: me Katie anytime. 144 00:09:05,280 --> 00:09:08,240 Speaker 1: CAAs greatly appreciate it. Thank you, We'll talk to you 145 00:09:08,280 --> 00:09:08,880 Speaker 1: again soon