Tag Archives: cairns

Nursing in the Tropics: Experience the Lifestyle! (circa 2002)

Today on Twitter, out of the blue, Mick Blair reminded me of a twenty-year-old poster.

Sometime in the early 2000s (2001 or 2002, I think) my local health service went on a recruitment drive titled, “Nursing in the Tropics: Experience the Lifestyle!”.

The poster featured ten nurses.

Nine of the nurses are female and doing stuff.

One of the nurses is male and just standing around not obviously participating in a task. That nurse is me. However, to be fair, I may have been reflecting on-, or planning for-, something important. I don’t know. It was a long time ago. Don’t judge me man. 😬

Anyway, I was pleased to be reminded of the campaign poster today, and wanted to plonk it here on the website for nostalgia’s sake and so I can find it again PRN.

Nursing in the Tropics: Experience the Lifestyle! Cairns Health Service District poster (circa 2002)

One More Thing

The “Nursing in the Tropics: Experience the Lifestyle!” campaign ran its course many years ago. There is a fresher, funkier campaign in its place. Check out the Cairns and Hinterland Hospital and Health Service (CHHHS) #HealthUpNorth hashtag on social media, and/or check out the CHHHS careers page: cairns-hinterland.health.qld.gov.au/careers

I’ve been working here since the mid-90s (actually working, not just standing there like I am in the poster), and it’s good. The people are what makes it great, but the climate and user-friendliness of living in a compact city with world-class attractions and an international airport on its doorstep help too. Working in Cairns was, and remains, a quality of life decision that I’ve never regretted.

End Notes

That’s it. As always, feel free to leave feedback via the comments section below.

Sincere thanks to Mick Blair for the tweet/nostalgia trip. 🙂

Paul McNamara, 8 August 2022

Short URL: meta4RN.com/tropics

Surfing the Omicron Wave

There isn’t much in the way of surf in Cairns because the Great Barrier Reef is – ahem – a great barrier. Nevertheless, this year heaps of people who live and work in Cairns showed how skilled they are at big-wave-surfing.  

The Queensland borders did not open until Monday 13 December 2021. This allowed every adult who wanted to get vaccinated the opportunity to do so. Comparing what happened locally to what’s happened elsewhere around the world, it’s clear that having more than 90% of the adult population with some vaccination coverage before opening the borders made a huge difference to how high and long the Cairns omicron wave has been.  

In Cairns our COVID-19 omicron wave started slowly. There was just a trickle of COVID-19 positive people who required hospitalisation either side of Christmas 2021. From early in the New Year the omicron wave behaved more like a tsunami. The wave came in much faster and was much larger than most of us had anticipated. It was pretty scary. Two thirds of the way through January some of us were worried about drowning. At that stage we had three wards 100% dedicated to caring for COVID positive patients, plus a smattering of positive people in other wards and in ICU.

Much to our relief the wave crested and crashed nearly as quickly as it arrived. At the end of the first week of February we still had three COVID-dedicated wards, but they weren’t quite as full or as intense as the week before. A week later we were down to one ward 100% dedicated to COVID. A week after that we had zero wards 100% dedicated to COVID; positive patients were being nursed in negative-pressure rooms as per pre-pandemic practice. Amazing.

In Queensland, especially in Cairns, we know we’ve been very fortunate compared to many people and places in the world, but that doesn’t diminish the admiration I have for all the big-wave-surfers at work. Don’t forget, as argued previously [here] , they are NOT heroes – they are health professionals. Heroes tend to be blokes who are big, boofy and fictional. People in the hospital working with COVID patients are mostly women who are not-big, not-boofy and they are real lanyard-and-PPE-wearing nurses, ward clerks, cleaners, wardies, physios, doctors, specchies, OTs, security and catering peeps.

Despite the lack of practice we have with waves in Cairns there are heaps of really good big-wave-surfers here. This is evidenced by how gracefully and expertly they surfed the omicron wave. 🏄‍♀️

Not All Good News

It would be disrespectful not to acknowledge that it’s not an entirely good news story. The wave has diminished in size and strength, but has not disappeared yet. Also, some of the people who were hospitalised with COVID during this period have a very slow, difficult pathway towards recovery. Poignantly, twenty seven local people did not survive COVID during this period. Their families and friends are in our thoughts.  

End Notes

Data Sources: The hospital/ICU numbers were released every few days via internal “Team Brief” emails and/or via social media – these were the sources of the data used to create the chart above.

Thanks for reading. If you know someone who has surfed that omicron wave I’d be grateful if you make sure they get to see their portrait above. 🙂 🏄‍♀️

As always, feedback is welcome in the comments section below.

Paul McNamara, 22 February 2022

Short URL: meta4RN.com/surfing

Queensland COVID-19 Data Compared with Similar-Sized Populations (an amateur pre-border opening baseline)

This is a December 2021 update to data presented in an August 2020 presentation and blog post called Liaison in the Time of #COVID19. It is worth doing it now, I reckon, because the borders will open in a couple of weeks, and Queensland will become one of those rare places who have had the luxury of successfully suppressing the pandemic long enough to allow the population to be vaccinated. Well, those who trust and follow the science, that is.

As noted on previous blog posts [here & here], Queensland’s population is much bigger than Australia’s smaller states/territories (which are all well-under 3 million), but falls a long way short of Australia’s two largest states (which are both well-over 6 million).

So, on population alone (ie: with cavalier disregard to geography, housing density, culture or climate) it is better to compare the 5 million-ish Queensland population to the 5 million-ish populations of Ireland, New Zealand, Norway and Singapore.

Please interrogate the comparative data collated in the table below.

IrelandNew ZealandQueenslandNorwaySingapore
Population 5 011 5005 126 3005 236 1725 415 1665 450 000
Total COVID-19 Cases573 90511 7232 130269 433266 049
Active COVID-19 Cases*6 00816*12 255
COVID-19 Cases in Hospital5786114246993
COVID-19 Cases in ICU117*06962
COVID-19 Deaths5 6522271 092726
% 1st Dose COVID-19 Vaccine91.319486.578.796
% 2nd Dose COVID-19 Vaccine89.778776.471.196
Data as @ 01/12/21
* = number not reported online [][][][][] vaccine % of eligible people (ie: 12yo +)

I do not take my good fortune of living and working in Queensland for the last two years for granted.

It is important to reinforce the obvious: this data comparison is not some sort of macabre competition. The death stats alone remind us that COVID-19 is not a game – as of 01/12/21 WHO report 262,178,403 confirmed cases of COVID-19, including 5,215,745 deaths. On a brighter note, WHO report that as of 28 November 2021 a total of 7,772,799,316 vaccine doses have been administered.

Think Global. Act Local.

Now, let’s look at how we have been faring in FNQ.

As of 01/12/21 Cairns and Hinterland has had 75 COVID-19 cases (none currently), and no deaths . We have been incredibly fortunate.

As of 01/12/21 over 177 000 vaccine doses have been administered in Cairns and Hinterland [source], but there is a bit of variation between the local government areas – as below [source]:

% 1st Dose COVID-19 Vaccine% 2nd Dose COVID-19 Vaccine
Cairns87.9 76.0
Cassowary Coast (Innisfail)85.371.0
Douglas85.575.3
Mareeba75.663.0
Tablelands (Atherton)84.572.5
Yarrabah63.243.5
FNQ vaccination rates of people aged 15+ as @ 28/11/21

Shaded part of map = these LGAs: Cairns, Cassowary Coast, Douglas, Mareeba, Tablelands, Yarrabah.

So What?

I don’t have the qualifications to tell you what all this data means. I certainly don’t have the skills or qualifications to use it to predict future data.

However, I do have the skills to collate and report data from reliable sources.

I intend to revisit this data before I shut down the meta4RN blog in September 2022, and compare how we fare after the borders open compared to the December 2021 baseline data collated above.

Data Sources 

FNQ Data
COVID-19 vaccination – Geographic vaccination rates – LGA https://www.health.gov.au/resources/collections/covid-19-vaccination-geographic-vaccination-rates-lga

Queensland
Population https://www.qgso.qld.gov.au/statistics/theme/population/population-estimates/state-territories/qld-population-counter
COVID Cases & Vaccines https://www.qld.gov.au/health/conditions/health-alerts/coronavirus-covid-19/current-status/urgent-covid-19-update

New Zealand
Population https://www.stats.govt.nz/topics/population 
COVID Cases https://www.health.govt.nz/our-work/diseases-and-conditions/covid-19-novel-coronavirus/covid-19-data-and-statistics/covid-19-current-cases
COVID Vaccines https://www.health.govt.nz/our-work/diseases-and-conditions/covid-19-novel-coronavirus/covid-19-data-and-statistics/covid-19-vaccine-data 

Ireland 
Population https://www.cso.ie/en/releasesandpublications/ep/p-pme/populationandmigrationestimatesapril2021/ 
COVID Cases https://covid19ireland-geohive.hub.arcgis.com 
COVID Vaccines https://covid19ireland-geohive.hub.arcgis.com/pages/vaccinations 

Norway
Population https://www.ssb.no/en/
COVID Cases https://www.vg.no/spesial/corona/
COVID Vaccines https://www.vg.no/spesial/corona/vaksinering/norge/ 

Singapore 
Population https://www.singstat.gov.sg/modules/infographics/population
COVID Cases https://covidsitrep.moh.gov.sg
COVID Vaccines https://www.moh.gov.sg/covid-19/vaccination 

End

As always, feedback is welcome via the comments section below.

Paul McNamara, 2 December 2021

Short URL: meta4RN/baseline

Addit

The @CairnsHelp swing tag QR code (brochures are so last century)

In the grand old tradition of “see one, do one, teach one”, here is a two-and-a-half minute video which hopes to spark some ideas on how we share information.

The video above tells the story. No need to read below unless you’re especially curious.

Background/Elaboration

Back in 2012 I picked-up a Health Roundtable  Innovation Award in the “Improving Quality of Patient Care” stream for Deploying complex information via a QR Code. However, it wasn’t until the COVID-19 pandemic kicked-in and, in keeping with public health advice, every cafe, bar, restaurant and retail outlet required customers to check-in that QR code use became as endemic as a virus.

In April 2021 I stumbled across linktree, and thought it was a cool way to collate all my social media stuff in one place (here: linktr.ee/meta4RN).

Soon afterwards, I thought it would be a cool way to collate a list of Cairns organisations that I refer to and/or recommend when at work. The first incarnation was intentionally short, but at the recommendation of Anton Saylor – an Aboriginal & Torres Strait Islander Hospital Liaison Officer – we added a lot of agencies to the list. Anton said something like, “Brother, some of my mob have complex lives. Let’s make sure they have access to the services they need.” That’s how linktr.ee/CairnsHelp got started.

I used QR Monkey to make the QR code because it’s free, and allows a logo/text box to be inserted into the code as a label. Tina Jenkins – an Executive Support Officer – kindly made 16 laminated swing tags featuring the QR code above. With our “home made” swing tags we conducted a small trial amongst colleagues, and surveyed them after a couple of weeks [results]. With the modest survey results in hand, the idea was pitched to the executive to print swing tags so other staff and the people they support would have easy access to the CairnsHelp list. These things take a while, of course, but it was approved that we print a couple of hundred swing tags (we used lotsa printing) for a broader trial of the QR Code.

We are not limited to using the QR code/CairnsHelp link on swing tags. Richard Oldham – a Clinical Nurse Consultant with Mental Health – has suggested a trial of wall posters in waiting rooms and the like. There have been other ideas too. For instance, it’s really handy to include the https://linktr.ee/CairnsHelp link when sending an SMS or email.

I’m planning to form a small representative committee to review the CairnsHelp content before Christmas, and every 6 months thereafter, to keep the content up to date.

That’s where we’re at in October 2021. I’m still in the process of distributing the swing cards and getting the idea out there. There’s been a fair bit of interest. As much as I’d love to chat about it with people all day, my paid job is to provide clinical support and education. It’s more time efficient and sensible if I just plonk the info here on the interwebs, and pass-on the link to let people find out about it when and if it suits them. See one. Do one. Teach one.

Share & Repurpose PRN

Maybe there will be people in other services who will find the idea handy to borrow and repurpose for their area. That’s cool with me. You are free to copy and redistribute the material in any medium or format, and remix, transform, and build upon the material. I would appreciate attribution, and a similar approach to free sharing.

This info by Paul McNamara is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Based on a work at https://meta4RN.com/brochures.

Kicking Myself/A Suggestion For You

I really wished I thought of this BEFORE printing the swing tags. Frustratingly, some older/cheaper phones still struggle with QR codes, so it would be sensible to print the URL below the QR Code to quickly and easily overcome that [example].

Of Course I’m Not Representing The Organisation That Employs Me

There is a brief glimpse of my work name tag on the video. Does that mean I am representing the organisation that employs me? No. Of course not. It’s a ridiculous question to ask. It’s like asking whether I represent the views of the Pope and the Catholic church just because I used to be an altar boy. (source: McNamara, 2012, Number 13)

I am not ashamed of where I work, and I am grateful that the organisation allowed me to progress the idea. That encouragement deserves a respectful nod, which is why I left the glimpse of my work ID tag in the video.

However, I am very careful not to conflate my amateur little Saturday-morning YouTube/TikTok videos and blog post as anything to do with “official business”. You should not conflate the two either.

End

That’s it.

If you have any suggestions or feedback, please add them to the comments section below.

Thanks for watching/reading.

Paul McNamara, 23 October 2021

Short URL: meta4RN.com/brochures

Cairns Nursing and Midwifery Awards 2020

To celebrate the World Health Organisation declaring 2020 as the International Year of the Nurse and Midwife, Cairns and Hinterland Hospital and Health Service (CHHHS) established an inaugural award celebration which is proudly sponsored by the Far North Queensland Hospital Foundation (FNQHF)

The awards were established to formally recognise the excellence in nursing and midwifery across CHHHS.

There were more than 100 very competitive nominations across all five categories which were short-listed by a committee, and then were assessed against the criteria by a judging panel that included:
Debra Cutler, Executive Director Nursing & Midwifery Services, CHHHS
Tony Williamson, Chief Executive Officer, FNQHF
Andrea O’Shea, Director of Nursing and Midwifery, Cairns Services
Tracey Morgan, Director of Nursing and Midwifery, Rural and Remote Services

Award winners were announced on 12th May 2020 to coincide with International Nurses Day via an online event – the physical distancing/social distancing requirements of the COVID-19 pandemic did not allow a face-to-face presentation at the time. On Monday 3rd of August we finally had the opportunity to present winners of the Nursing and Midwifery awards with their trophies in person.

The five award winners are:

Excellence in Workforce – Alison Weatherstone

Alison is the Midwifery Unit Manager at Innisfail’s Maternity Department. Alison’s nomination outlined an outstanding commitment to improving work environments to ensure a safe, collaborative and collegial workplace.

Excellence in Clinical Practice – Therese Howard

Therese is a Sexual Health Nurse with Tropical Public Health Services and was nominated for her commitment and advocacy in her work with the Queensland Health Syphilis Register. Therese has dedicated the last 10+ years of her career doing this work and has done so in a respectful, friendly, supportive and efficient manner.

Excellence in Education – Paul McNamara

Paul is the Clinical Nurse Consultant with Consultation Liaison Psychiatry Services and demonstrates an outstanding commitment to teaching and learning. A familiar face on the CHHHS Facebook page with his “Clean hands, clear head” initiative, Paul dedicates a lot of his time educating and supervising colleagues whilst also keeping up with his Instagram/Twitter/Facebook page meta4RN.

Excellence in Leadership – Kelly Pollock

Kelly is the Nurse Unit Manager at Tablelands Community Health. Since Kelly has started in her role, she has inspired the team to develop their skills in the area of patient centred care so they can offer the best practice for patients and community clients.

Excellence in Research – Bronwyn Hayes

Bronwyn is the Clinical Nurse Consultant Transplant Coordinator for CHHHS and integrates knowledge and evidence into practice to improve patient outcomes. In 2016, Bronwyn completed her PhD with her thesis focused on workforce issues in Australian and New Zealand haemodialysis units.

L-R: Kelly Pollock, Paul McNamara, Bronwyn Hayes, Alison Weatherstone, Debra Cutler, Tony Williamson and Therese Howard

Four Notes

  1. Many thanks to those who generously took the time to nominate me and my colleagues – it was genuinely surprising to be nominated, and was very humbling and gratifying to be recognised. Thank you.
  2. A huge thank you too to the Far North Queensland Hospital Foundation who supplied the trophies and the prize of enrolment, flights and accommodation at next year’s Australian College of Nursing’s National Nursing Forum.
  3. The text above is a slightly altered copy and paste of emails that were sent in May following the online presentation and August after the in-person presentation. I’m plonking it here on the blog so that it is searchable/able to be found in future… after all, if it’s not googleable, did it really happen?
  4. Would have I created this blog post if I wasn’t amongst the award winners? I don’t know – maybe. It’s ‘on-brand’ to promote nurses/nursing recognition via this blog: I have made a habit of celebrating Nurses on the Australia Day Honours list in recent years (see here). That said, it does feel like a bit of a brag, but it is something I’m proud of, not ashamed of.

End

That’s it. Thanks for reading – as always, you are welcome to leave feedback in the comments section below.

Paul McNamara, 28 August 2020

Short URL meta4RN.com/awards

Australian Clinical Supervision Association (ACSA) inaugural Cairns Local Members Meeting

The Australian Clinical Supervision Association (ACSA) inaugural Cairns Local Members Meeting will be held on 22 November 2018. I’ve been asked to be guest speaker. It is planned as an interactive session accompanied by visual cues to give the discussion a bit of structure. Consequently, the transcript/dialogue of the presentation can not be included here, but I have included a cut-down YouTube version below [scroll down].

The visual presentation itself doesn’t use powerpoint slides. It uses the much prettier (and free!) platform Prezi instead.

This page serves as a one-stop directory to the online resources used to support the discussion, and as an easy way for me to find the presentation. 🙂

As previous visitors to meta4RN.com will readily recognise, I’m recycling and combining a lot of old ideas for the session (there’s that self-plagiarism vs groovy remix of favourite old songs thing again), so this list below is ridiculously self-referential:

Care goes in. Crap goes out. Ian Miller @ The Nurse Path, 30 May 2017
thenursepath.blog/care-goes-in-crap-goes-out

Emotional Aftershocks (the story of Fire Extinguisher Guy & Nursing Ring Theory) meta4RN.com/aftershocks

First Thyself (the core source of info for the visual aspects of this presentation) meta4RN.com/thyself

Football, Nursing and Clinical Supervision (re validating protected time for reflection and skill rehearsal) meta4RN.com/footy

Nurses, Midwives, Medical Practitioners, Suicide and Stigma (re the alarming toll of those who undertake emotional labour) meta4RN.com/stigma

Nurturing the Nurturers (the Pit Head Baths and clinical supervision stories) meta4RN.com/nurturers

Queensland Health (2009) Clinical Supervision Guidelines for Mental Health Services [PDF]

Sample Clinical Supervision Agreement (no need to reinvent the wheel – start with a wheel that works and tailor it to your needs) meta4RN.com/sample

Prezi

Click to access the presentation.

You Tube Version

Link: https://youtu.be/fYKl7W8RFBo

End

That’s it. Thanks for visiting.

As always, please feel free to leave comments in the section below.

Paul McNamara, 15 November 2018

Short URL: meta4RN.com/ACSA

 

Top 5 Tips for #ACMHN2018 Delegates

In October 2018 hundreds of mental health nurses will descend on Cairns for the 44th ACMHN International Mental Health Nursing Conference. As part of pre-conference publicity ACMHN have put their “Top 5 Tips for #ACMHN2018 Presenters” online [link].

That got me thinking that it might be helpful to have some “Top 5 Tips for #ACMHN2018 Delegates”, ie:  a local mental health nurse’s suggestions on what to do when you’re NOT at the conference. FNQ (Far North Queensland) is worth exploring – be sure to tack-on some rest and recreation time before and after the conference.

With no further ado, please read on…

Top 5 Places for a Drink

Mondo www.mondoonthewaterfront.com.au
Mondo is my favourite place for afternoon drinks or lunch. It’s a 500m walk from the conference venue. The location is fantastic, with views across Trinity Inlet and nearly always a cool breeze.
Local’s tip: If you do decide to eat here try the sizzling fajita. Yum!

Hemingways www.hemingwaysbrewery.com
Hemingways opened in June 2018, and sits in a beautifully restored/repurposed dockside cargo shed. It has an industrial chic look and feel about it, and they make their own beers on site. Hemingways is less that 200m from the conference venue… stumbling distance 🙂
Local’s tip: craft beer not your thing? the AIX Rosé is delicious!

Salt House salthouse.com.au
A 10 minute walk from the conference venue, Salt House has a new deck that overlooks the marina and a larger area where there is often live music. It’s cool and casual, and a favourite with the after-work crowd.
Local’s tip: have the Bloody Mary oyster shooter!

RSL www.cairnsrsl.com.au
Do you have an image of a RSL as a dingy old place full of dingy old people? Forget it! From the conference venue take a 10-15 minute stroll along the lively, cosmopolitan esplanade to take a seat at the light and breezy bar with tilt-up windows.
Local’s tip: the bar’s resident willy wagtail is called Russell

Vine Room www.facebook.com/thevineroomurbanprovedore
Situated just across Florence Street from the RSL, Vine Room is an open air, slightly elevated spot for an afternoon/evening drink. Watch the dive trips come in from the reef with a cool beverage.
Local’s tip: if you’re with 3 or 4 others grab one of their platters for a nibble

Top 5 Places to Eat

Fusion www.fusionartbar.com.au
Less than 200m from the conference venue, this groovy little place is great for just a drink, but the food is too yummy to miss. My favourites are the tapas dishes, which the friendly staff will match to your wines if you ask them to.
Local’s tip: the specials are nearly always amazing!

Splash www.splashrestaurant.com.au
This seafood restaurant on The Nard (local speak for “The Esplanade”) is a great spot to watch the world go by while eating delicious things. It’s a 10-15 meander from the conference venue.
Local’s tip: the seafood chowder is a delicious and surprisingly cheap meal; if you want to treat yourself have the Morton Bay Bugs in garlic butter

Iyara www.facebook.com/IyarabySakare
The best Thai restaurant in Cairns is also on The Nard, but is a bit harder to find than the others. Look for the casual and fun Courtyard at street level. The door to the stairs taking you up to Iyara is to the right of the entrance to Courtyard. It’s a very good restaurant, and if you’re seated on the balcony you’ll be able to see the blinking lights of the shipping channel snaking out to sea.
Local’s tip: the starter that has a prawn, lime and peanuts wrapped in a betel leaf is fantastic!

Tha Fish www.thafish.com.au
Situated on the boardwalk of The Pier, Tha Fish overlooks the marina – it’s a 5-10 minute walk from the conference venue. Great food, great wine list and great service.
Local’s tip: order from “tha fish list” where you choose from one of 5 fishes and one of 5 cooking styles

Ochre ochrerestaurant.com.au
If you found Mondo you can find Ochre – it’s just another 50m or so along the boardwalk that fronts Trinity Inlet. A creative menu using lots of native Australia ingredients. Classy!
Local’s tip: if there are two or more of you have a tasting platter (be sure to include the salt and pepper quail)

Top 5 Things to Do in Cairns

The Lagoon/Boardwalk www.cairns.qld.gov.au/esplanade
The boardwalk is a nice stroll, and well used by locals and visitors alike. If you do the whole thing it connects Hemingways to the mangroves near the airport, but that’s not much fun in full sun. Around sunrise or sunset it’s pretty nice though.
Local’s tip: there are a couple of avenues of large trees that converge at the lagoon – go via the shade if it’s sunny!

Rusty’s Markets www.rustysmarkets.com.au
The markets are a couple of blocks from the conference venue fronting both Grafton and Sheridan Streets. They markets are well-worth a visit on a Friday, Saturday or Sunday. There’s a bit of standard hippy bling near the Grafton Street entrance, but the cool stuff is the food in the middle and Sheridan Street end of the markets.
Local’s tip: buy a few tropical fruits you’ve never tried before – the stallholders are generous with showing/telling you how to eat them

The Tanks www.tanksartscentre.com
If there’s a show on at The Tanks that coincides with your trip to Cairns get there. Tank 5 is a fantastic venue to see bands/other acts. If there are no live shows that appeal sus-out any art exhibitions. The Tanks are about $10-15 in an Uber or $20-25 in a taxi from the conference venue. There’s also a bus (see below).
Local’s tip: the botanic gardens are next door if you’re doing a day trip

The Beaches travelnq.com/cairns-beaches
It shits me when people say Cairns doesn’t have a beach. It doesn’t have a beach in the CBD, but then neither does Sydney. But you don’t hear people say Sydney doesn’t have a beach. The nine Cairns beaches are all north of the city. If you don’t have a hire car, take the sunbus to the beaches of your choice: www.sunbus.com.au/cairns
Local’s tip: stinger season usually starts in November, but they can come early some years.

The Red Arrow www.cairns.qld.gov.au
For a sweat-inducing but beautiful walk head to The Red Arrow near The Tanks/botanic gardens. Green exercise is better for mental health than gym-based exercise, and when you’re puffing for breath looking down on the airport/city from Mount Whitfield you’ll notice a smile pass over your lips between gasps.
Local’s tip: your accom provider may be able to provide a bike for you to get there – if so you can do the whole trip on designated bike tracks away from nasty killer cars [maps here]

Top 5 Trips out of Cairns

Great Barrier Reef www.cairnsattractions.com.au
You can see the Great Barrier Reef from outer space or from a boat from Cairns or Port Douglas. Boat trips are much cheaper than rocket trips, but it’s worth paying a bit extra for one that goes to the outer reef – that’s where the cool stuff is. Snorkelling is pretty easy unless you’re very unfit.
Local’s tip: don’t pre-book your trip, watch the day-to-day weather forecasts before booking – ideally you’ll go on a day when the wind is 10kmh or less.

Daintree Rainforest/Cape Tribulation www.destinationdaintree.com
You can do this as a day trip in a hire car easily. Here’s my special secret itinerary which, until now, I’ve only ever shared with family and friends: 

Wake up early. An early start means you beat the tourist buses heading up to the Daintree. It doesn’t have to be a pre-dawn take-off, but this is written as if you’re in the car and driving at 7:00am(ish) – if you’re not on the road before 8:00am you’re too late.

Drive north up Sheridan Street/Captain Cook Highway. If you didn’t get proper coffee before you left town, too bad: get it in the Daintree instead.

You’ll drive past all the suburban beach turnoffs and Palm Cove in the way out of town. Relax. By leaving early you can see any of them on the way back.

Drive through Ellis Beach. About 15-20 minutes later you’ll see the signs/parking area for Rex Lookout. Stop there for photos and fresh air. Lovely.

Keep driving north, don’t turn off to Port Douglas: keep going towards Mossman. If you’re REALLY desperate for coffee you can try your luck in Mossman, but it’s better to keep driving. 

20-30 minutes later you’re at the ferry that crosses the Daintree River. Get a return ticket, and officially start to relax. You’ve beaten the traffic. You’re in a lovely part of the world.

You’ve crossed the river now. Chill. Soon after you get off the ferry you’ll see the sign pointing to Florence Lookout on the right. Take the turn. Take some photos.

Now you’re less than half an hour away from stopping for breakfast. Keep driving north until you get to Thornton Beach. There’s a place next to the beach that makes good coffee and breakfast. You can take your time.

Along the way there a free boardwalks. Take the time to walk along all of the free ones. There’s a commercial boardwalk/skywalk thingy too. You’ll see it advertised. It’s good, but so are the free boardwalks. You can choose to go on the paid boardwalk/skywalk on the way back if you want to.

Putter your way to Cape Tribulation. There are lovely beaches there – check with a local on whether it’s safe to get in the sea (irukandji likely to be a bigger risk than crocs).

Take your time. Late brunch/early lunch in Cape Trib. Soon the tourist buses will start arriving. You don’t care, you’re turning around and leaving Cape Trib now.

Enjoy the drive south. Turn -off/stop wherever you want. Make sure you stop in at that tropical fruit ice-cream place you saw on the way up.

After you’ve crossed the river again, plan to drop into Mossman Gorge on the way home. If you couldn’t swim before, you can here: fantastic clear, cold, croc-free fresh water.

How’s the time going? You’ll be time to have a look at Port Douglas: make sure. to get photos @ Four Mile Beach, somewhere down the other end of Macrossen Street near the Courthouse Hotel. Hang a right, and go up to the lookout. 

Take your time driving home. Be sure to stop at Rex Lookout again (the light has changed, it looks different, there may be hang-gliders). 

Do you have time to stop at Ellis Beach? It’s more about the beach than anything else.

Do you have time to stop at Palm Cove? It’s more about the bars and restaurants than anything else, but there is a nice jetty for a walk, and an irukandji net to allow safe(ish) swimming. 

There a few more beaches on the way back to Cairns. They all have different looks/qualities, visit whichever you like: most are only 10 minutes off the highway, Yorkeys Knob is more like 15.

That’s it.. 

Have fun! 

Mossman Gorge www.mossmangorge.com.au
Mossman Gorge is beautiful. If you can’t get to The Daintree for whatever reason go here instead – it’ll give you a good taste of the wet tropics with the bonus of cultural context.
Local’s tip: if you’re feeling the heat/humidity pack your togs – the croc-free water is always cool in Mossman Gorge

Port Douglas www.tourismportdouglas.com.au
Port is a pretty town which somehow maintains a small town feel despite all the tourist infrastructure. It’s definitely worth staying in Port for a night or two if you have time.
Local’s tip: the Sunday morning markets and Sunday arvo session at The Courthouse are fun

The Waterfall Circuit www.millaamillaa.com
This is another do-able as a day trip in a hire car thing. It’s lovely up on the tablelands, and a good way to see the good stuff is to ignore the advice of TLC and DO go chasing waterfalls. There’s a map in the link above,
Local’s tip: if you’re up that way definitely drop into the Mungulli Creek Dairy for cheese, chocolate and other yummy stuff

End

That’ll do for now.

My meta4RN website does not accept paid advertising – in fact, I pay a bit more each year to have a website without advertising. This is a prelude to say that my “Top 5 Tips for #ACMHN2018 Delegates” are just my opinion. It’s OK to ignore or disagree with my suggestions or – better still – add your suggestions in the comments section below… if enough people do add their suggestions, I’ll create another category: Top5 Reader Suggestions. 🙂

See you in Cairns for #ACMHN2018!

Paul McNamara
27th August 2018 [Twitter pics/updates on 9th September 2018]
Short URL: meta4RN.com/tips

Sex Essentials – The Fairy Tale

On Friday 18 May 2018 the Cairns Sexual Health Service hosted their seventh Sex Essentials education day for nurses, GPs, youth workers, allied health, Aboriginal and Torres Strait Islander health workers, educators and community workers. These annual education days are famous in FNQ and beyond for being energetic and fun. Each Sex Essentials day has a different theme, the 2018 theme was “The Fairy Tale”.

Regular visitors to meta4RN.com know that I’m a fan of taking health education beyond the classroom/conference walls by using social media. While readily acknowledging that there’s no way to capture the whole day on a web page, hopefully this collation of Tweets gives a taste of the creative, inspiring, fun and educational event that was Sex Essentials – The Fairy Tale:

1.

More info re #SMACC (Social Media and Critical Care) here.
More info re #FOAMed (Free Open Access Meducation) here.
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3.

4.

5.

6.

7.

This is not an exaggeration. For example, watch this short presentation about how FNQ is home to Australia’s first Hep-C free prison here.
Vimeo

AVHEC 2017 – Darren Russell “Keynote 11 – Eliminating Hepatitis C – The Cairns Experience” from ASHM on Vimeo.

8.

You know what bear means, right? If not, have a quick read here.
9.

Sincere thanks to Max for an excellent keynote presentation, and agreeing to this Tweet being in the public domain.
Also, my mistake: that should read cisgender/cisgendered.
10.

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URL to the How Much Do You Know? podcasts: eastsidefm.org/howmuchdoyouknow
16.

URL to Cairns Sexual Health Service: www.health.qld.gov.au/cairns_hinterland/html/shealth
17.

18.

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This session was facilitated by psychologist Suzanne Habib, and drew on the lived experience and generous wisdom of three remarkable people who shared their stories and answered our (sometimes a bit dumb) questions.
22.

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Finishing-Up

For the sake of posterity, here are pics of the program.

Morning

Afternoon
Also for posterity, and by way of thanks to the slightly crazy, but very fun, staff of Cairns Sexual Health Service, here is the way the day started:

More info re Cairns Sexual Health Service here.

Visit the their Facebook page for more photos and info re future Sex Essentials days – health education done right.

End 

As always, comments are welcome in the section below.

Paul McNamara, 19 May 2018

Short URL: meta4RN.com/sex

Mental Health and Cognitive Changes in the Older Adult

This afternoon I’m presenting at Ausmed’s Cairns Nurses’s Conference. The title of the presentation is “Mental Health and Cognitive Changes in the Older Adult”.

The only real point of this blog post is to leave a copy of the powerpoint presentation online, so that those attending the conference can revisit the slides PRN. Here it is:

And here’s the spiel from the Ausmed website
www.ausmed.com.au/course/cairns-nurses-conference

Mental Health and Cognitive Changes in the Older Adult

As we get older, the likelihood of undergoing alterations to brain function is high. This may include normal neurodegenerative changes as well as abnormal deteriorations. Separating normal from dysfunctional degeneration when screening and assessing an older adult is essential for quality nursing care planning. This session will look at:

  • What are normal age-related changes to the brain and consequent behavioural signs?
  • How are these changes different to the onset of mental health disorders such as schizophrenia, psychosis or bipolar disorder?
  • Age appropriate assessment tools for effective mental health assessment
  • Benefits of brief psychosocial interventions
  • What practical behavioural strategies may improve outcomes for a person with a mental health disorder and cognitive changes?

About the presenter:

Paul McNamara has extensive experience providing clinical and educative mental health support in general hospital and community clinical settings. He holds hospital-based, undergraduate and post-graduate qualifications, is Credentialed by the Australian College of Mental Health Nurses (ACMHN), and has been a Fellow of the ACMHN since 2007. Paul is a very active participant in health care social media, and is enthusiastic about nurses embracing “digital citizenship” – more info via his website http://meta4RN.com

ausmed16

End

That’s it. Short and sweet.

I hope this is of some use/interest to those who are attending the conference, and (maybe) some people who are not able to get along.

As always, feedback is welcome in the comments section below.

Paul McNamara, 15 December 2016

Short URL: https://meta4RN.com/Ausmed16

 

Cyclone: Alert, Not Alarmed

Dear Mum and Dad (and anyone else who is interested),

outlookIn a couple of days you may see on the news that a cyclone has spun-up out in the Coral Sea. At the time of writing the cyclone is predicted but not named. The forecast map (see bottom of the page) suggests that Townsville is more likely to cop it than us.

I think it’s a good idea to put you as fully in the picture as I can. We kind of like the way cyclones get named: it seems to give them each a distinct personality. We’ve had a few cross the coast nearby since we moved to Cairns.

katrinaCyclone Katrina mucked around for a couple of weeks, but never got organised enough to cross the coast as a big blow. Katrina did not cause any deaths in Australia, but a man in Vanuatu lost his life in her rough seas, and hundreds of homes in the Solomon Islands were damaged or destroyed. We were OK in Australia.

800px-New_Orleans_ElevationsCyclone Katrina was much more benign than Hurricane Katrina. The other difference is that although Cairns is not a long way above the high tide mark, at least parts of it are not below the high tide mark as New Orleans is. That’s why so many people died because of Hurricane Katrina: it was not the wind, it was the water. That’s true of most cyclone deaths: flooding and drowning is where most danger lies.

CairnsHospital

Cairns Hospital, 165-171 Esplanade

Luckily we do not own a house on the beach front (there’s also the small matter of not having a lazy couple of million dollars lying around). Storm surges that coincide with cyclones can be a bit of a worry, but at least our place is not in a red zone like the local hospital. Feel free to check our address using storm tide surge address search/evacuation maps here or (just in case the council’s website goes offline) here.

justinThere was heaps of flooding after Cyclone Justin: I remember water lying around for days. Justin is responsible for lost lives In Papua New Guinea and a boat at sea. Closer to home an Innisfail boy was electrocuted by power lines bought down by the cyclone, and a lady was caught in a landslide near Townsville. All that rain and the buffeting wind was bad for crops and trees (some of which fell on to homes).

larryAfter Cyclone Larry we did not have power for five days. It’s amazing how often we still automatically reached for the light switch when entering a room. The reflex of a life time of luxury, I guess. Did you know that about 25% of the world’s population does not have electricity? Info about that here. Going a few days without electricity is a nuisance, but we know it will always come back on. We are better-off than many.

steveCyclone Steve made things a bit soggy for a few days too. The Barron Falls were pumping – if we get another cyclone crossing the coast be sure to checkout the webcam here for a view of the falls in full flood – spectacular! All the tourist operators trot out this cliché at this time of year: “You can’t have rainforest without rain!” It is the wet tropics, after all.

yasiCyclone Yasi looked like it was going to give Cairns a shake-up: so much so they even evacuated the hospitals – the biggest hospital evacuation in Australia’s history. Cairns was lucky that Yasi took a slight turn south before crossing the coast: Tully, Cardwell and Mission Beach really copped a belting though. Yasi was a big, powerful cyclone, but did not directly kill anyone. There was one indirect death: a young man suffocated after bringing a generator inside.

header_logoWe are used to preparing for cyclone season. Every year the Cairns City Council issues information about preparing for cyclones – it’s just part of the annual ritual. we have done it 19 times now.

We have enough food to last a few days. We have containers to store water in, if required. We have batteries for the radio, so we can stay informed about what’s going on if the power goes out. We live high above sea level. We take cyclones seriously. We are prepared.

imagesHowever, we don’t take the hyped-up TV coverage seriously. If the TV shows start shipping their main in-studio people up to Cairns for live crosses please switch of the telly. These shows need to create drama and suspense to make the story compelling, but the truth of it that it’s just weather. Weather that we’re used to. Weather that will be nuisance to many and maybe even dangerous to a few. However, the reality is that it will be more dangerous to drive to the airport to pick you up when you next visit than it is to live in a city with strict building regulations. Houses can still sustain major damage of course, but they don’t blow away anymore. Those images of houses completely blown away by Cyclone Tracy are a thing of the past: Tracy changed building codes right across the Australian tropics.

forecastPlease don’t be worried. Please don’t get seduced by the inevitable media hype. I’ll call/text when I can, and give live updates on Twitter using the @WePublicHealth handle if a cyclone comes close to Cairns this week, otherwise i will use my usual @meta4RN handle. The purpose of Tweeting will to be to provide a non-alarmist account of what’s going-on. The mainstream media are not very good at this, so (to borrow a term from Melissa Sweet ) it is up to citizen journalists to do so.

Well, citizen journalists and the Bureau of Meteorology, that is: www.bom.gov.au

Speak soon.

love, Paul

27th January 2014