ORIENTATION INFOBOOK TAIRAWHITI INTERPROFESSIONAL EDUCATION PROGRAMME - Ko Matakerepo - Outside the Learning Centre at Hauora Tairāwhiti ...

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ORIENTATION INFOBOOK TAIRAWHITI INTERPROFESSIONAL EDUCATION PROGRAMME - Ko Matakerepo - Outside the Learning Centre at Hauora Tairāwhiti ...
TAIRAWHITI INTERPROFESSIONAL EDUCATION
              PROGRAMME

          ORIENTATION INFOBOOK

  Ko Matakerepo – Outside the Learning Centre at Hauora Tairāwhiti
ORIENTATION INFOBOOK TAIRAWHITI INTERPROFESSIONAL EDUCATION PROGRAMME - Ko Matakerepo - Outside the Learning Centre at Hauora Tairāwhiti ...
The Tairāwhiti Inter-Professional Education (TIPE) programme is a unique health education
initiative in a rural setting now in its eighth year. TIPE was setup by University of Otago and
Eastern Institute of Technology (EIT) with funding from Health Workforce New Zealand along
with a sister programme run by University of Auckland based in Whakatane as a 3 year
demonstration programme (2012-2014).

The aim was to assess how effective IPE is in training student health professionals to work
together in clinical settings and the long term goal of increasing recruitment and retention
of healthcare professionals in rural and remote locations.

TIPE has grown from strength to strength, with TIPE students also going to Wairoa from 2014.
It has gained approval and further funding for the programme to continue until 2021. We are
now using it as a model to establish further IPE programmes at a new site on the South Island

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ORIENTATION INFOBOOK TAIRAWHITI INTERPROFESSIONAL EDUCATION PROGRAMME - Ko Matakerepo - Outside the Learning Centre at Hauora Tairāwhiti ...
Table of Contents

1. OVERVIEW ............................................................................................................................................. 4
2. KEY STAFF............................................................................................................................................... 5
3. BEFORE YOU GO AND SETTLING IN ....................................................................................................... 5
   a. General Information........................................................................................................................... 5
   b. Getting there ...................................................................................................................................... 6
   c. Accommodation ................................................................................................................................. 6
   d. Transport............................................................................................................................................ 7
   e. Immunisation (Gisborne based students) .......................................................................................... 7
   f. What to bring ...................................................................................................................................... 7
   g. Community Facilities .......................................................................................................................... 8
   h. Becoming involved with the community ........................................................................................... 8
4. THE PROGRAMME IN MORE DEPTH ...................................................................................................... 9
   a. How your time is balanced over the 5 weeks .................................................................................... 9
   b. The First Week ................................................................................................................................... 9
   c. Learning Outcomes ............................................................................................................................ 9
   d. Assessment ...................................................................................................................................... 10
   e. E-learning - EIT Online ...................................................................................................................... 11
   f. Student Status................................................................................................................................... 11
5. BEHIND THE SCENES ............................................................................................................................ 12
   a. Staff behind the scene ..................................................................................................................... 12
   b. Evaluation ........................................................................................................................................ 12
6. GENERAL INFORMATION ..................................................................................................................... 13
   a. Attendance ....................................................................................................................................... 13
   b. Dress code and professional appearance ........................................................................................ 13
   c. Identification .................................................................................................................................... 13
   d. Indemnification ................................................................................................................................ 13
   e. Insurance of student personal property and motor vehicles .......................................................... 14
   f. Security ............................................................................................................................................. 14
   g. Special requirements ....................................................................................................................... 14
7. HEALTH SERVICE, RESOURCES AND FACILITIES ................................................................................... 14
   a. Computers and Internet Connection ............................................................................................... 14
   b. Library .............................................................................................................................................. 14

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c. Stationery ......................................................................................................................................... 14
   d. Phones, photocopiers/fax ................................................................................................................ 15
   e. Personal Health and Wellbeing ........................................................................................................ 15
      •       Health Services while on the programme................................................................................ 15
      •       Counselling ............................................................................................................................... 15
Appendix A: LEARNING OUTCOMES ........................................................................................................ 16
APPENDIX B: PRINCIPLES OF ETHICAL BEHAVIOUR ................................................................................. 20
APPENDIX C: PRE DEPARTURE CHECKLIST & SUGGESTED LIST OF WHAT TO TAKE ................................ 22
APPENDIX D.1: – MAP & ACCOMMODATION (GISBORNE and TDH) ....................................................... 25
APPENDIX D.2: MAP & ACCOMMODATION (WAIROA) ........................................................................... 27
APPENDIX E: 2020 BLOCK DATES ............................................................................................................. 28
APPENDIX F: REIMBURSEMENT FORM FOR PRIVATE VEHICLE TRAVEL TO AND FROM TIPE .................. 29

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ORIENTATION INFOBOOK TAIRAWHITI INTERPROFESSIONAL EDUCATION PROGRAMME - Ko Matakerepo - Outside the Learning Centre at Hauora Tairāwhiti ...
1. OVERVIEW

TIPE will provide you with a fantastic opportunity to work collaboratively with other
disciplines for both professional and personal development. The programme will also focus
on the provision of rural health care, chronic conditions management, and principles of
hauora Māori. It offers the opportunity to be part of a rural community, to experience a
different lifestyle, to meet new and interesting people and to enrich your clinical work. There
are a multitude of experiences available to you in both Gisborne and Wairoa: we encourage
you to make the most of these opportunities.

       Interprofessional education (IPE) “occurs when members from two or more
      professions associated with health or social service are engaged in learning
      with, from and about each other”. IPE fosters patient centred team-based
      health care, where members of different health disciplines work together for
      the patient, as their common goal. Such interprofessional practice has been
      shown to improve both safety and quality of patient care, and especially so
      for those with complex chronic conditions.

The eleven participating health disciplines are senior students in their final year of study –
Dental, Dietetics, Medical, Nursing, Occupational Therapy, Oral Health, Pharmacy,
Physiotherapy, Social Work, Speech Language Therapy and Paramedicine. Each student will
have an individualised placement programme which has been designed to ensure you obtain
good quality clinical experience. This is organised to give you a variety of experiences within
your own discipline, with other disciplines and within a variety of settings, (e.g. rural, chronic
conditions management and hauora Māori).

There are a total of five blocks per year each consisting of 5 weeks duration. Time will be spent
on placements within your own discipline, with other disciplines and doing group activities
and projects.

TIPE pays for one return trip to Gisborne or Wairoa to and from your main clinical location.
Accommodation is provided for all the TIPE students for 5 weeks (duration of the IPE
programme) in the Tairāwhiti District Health Board (TDH) compound or at Wairoa Hospital.
In most cases each student will have their own individual room in a communal setting with a
shared bathroom and kitchen. Any extra weeks accommodation will be at the students
expense. (Hauora Tairāwhiti $150 per week and Wairoa $99)

The Gisborne district (population 45,000 with about 30,000 residing in the city) and Wairoa
(district population of 10,000, town just over 8000) are both known for their warm summers
and mild winters. The locals pride themselves for their hospitality and you will find the local
TIPE staff are all worthy examples of this characteristic.

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ORIENTATION INFOBOOK TAIRAWHITI INTERPROFESSIONAL EDUCATION PROGRAMME - Ko Matakerepo - Outside the Learning Centre at Hauora Tairāwhiti ...
2. KEY STAFF

The following staff will be based in Gisborne and Wairoa and will primarily be your first point
of contact on the programme:

Natasha Ashworth, Programme Leader
Email:      natasha.ashworth@otago.ac.nz
Phone:      06 869 0500 ext 8755 (office)
            022 012 7632 (mobile)

Marty Kennedy, Deputy Programme Leader
Email:      m.kennedy@otago.ac.nz
Phone:      06 869 0500 ext 8755 (office)
            027 511 4757 (mobile)

Rose Schwass, Programme Co-ordinator
Email:       rose.schwass@otago.ac.nz
Phone:       06 869 0500 ext 8554 (office)
             021 279 4352 (mobile)

Janie Thomas, Wairoa Professional Practice Fellow
Email:          Janie.Thomas@hawkesbaydhb.govt.nz
Phone:          021 043 2154 (mobile)

3. BEFORE YOU GO AND SETTLING IN

a. General Information
Your main point of contact before you go to IPE is Amanda Garnett the IPE Programme
Manager. Amanda is based at University of Otago, Wellington in the Department of Primary
Health and General Practice. Amanda will send you a link to on line general information
form.
       Contact Email : amanda.garnett@otago.ac.nz
       Phone: (04) 385 5460 mobile 021 261 7690

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b. Getting there
 •      The programme starts with a noho Marae usually on the Sunday night although
        occasionally this will be on the Monday. We recommend you travel on the Saturday
        before the programme or clinical placement.
 •      Travel arrangements (one return trip to Gisborne or Wairoa from your main clinical
        location and return) will be made and paid for by the IPE programme.
 •      If you choose air travel, return flights from your main clinical location will be booked
        by Programme Manager, Amanda Garnett. Any specific requirements can be
        stipulated on the General Information Form. Gisborne staff endeavour to meet all air
        travel students at the airport upon arrival in order to take them to the
        accommodation. If this is not possible a taxi will be organised and the student
        informed of the situation. Flights will be made for the Saturday before the start of
        the programme. If you’re at a clinical placement in Gisborne or Wairoa before the
        TIPE programme begins you can specify your travel dates.
 •      If you choose private transport, TIPE will reimburse mileage or fuel in accordance with
        UO policies. Please note the preferred method is mileage and can be claimed at 42
        cents per km. Please see Appendix F. Please let us know your anticipated day of arrival
        so a welcome pack can be left for you at the hospital reception.
 •      A map of how to get to the Hauora Tairāwhiti or Wairoa Hospital and
        accommodation is in Appendix D

 c. Accommodation
 •      Accommodation is provided either at Gisborne Hospital, 421 Ormond Rd. or Wairoa
        Hospital, Kitchener St. TIPE pays for your accommodation for the 5 weeks of the
        programme. If you require to stay for extra weeks to comply with your disciplines
        curriculum you will need to pay
        the weekly accommodation
        yourself. ($150 per week for
        Gisborne and $99 for Wairoa). In
        most cases each student will
        have their own individual room in
        a furnished dormitory setting with a shared bathroom and kitchen. Hospital standard
        bed linen is supplied.
                                          Other hospital staff live in the hostel on a
                                          permanent or part time basis please be respectful
                                          of those around you

•       The communal areas at the accommodation are cleaned on regular basis but you are
        responsible for your own room and with others in the accommodation for keeping
        the kitchen areas clean. Previous students have not been respectful of the
        accommodation and rather than instigate a bond system there will be a inspection of
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ORIENTATION INFOBOOK TAIRAWHITI INTERPROFESSIONAL EDUCATION PROGRAMME - Ko Matakerepo - Outside the Learning Centre at Hauora Tairāwhiti ...
accommodation at the end of the programme to ensure that rooms and communal
        areas are in an acceptable state. While at the accommodation you are representing
        your discipline, the programme and your institution.

        Please refer to Appendix D for maps

d. Transport
•   Transport during your time on the programme will be provided during TIPE activities
    only.
•   For some activities a DHB vehicle will be available. Only students who hold a Full New
    Zealand driver’s license will be able to drive. Please note that all the relevant road and
    transport laws apply. You will also be required to comply with DHB policies and
    procedures relating to the use of the vehicles including those relevant to drivers under
    25 years of age. Cars will be inspected at the end of programme to make sure that they
    are in an acceptable state to return to the DHB.
•   Vehicles maybe available for personal use within district during weekends, but you must
    purchase fuel. GPS monitoring is active in all DHB vehicles.
•   Transport will be supplied during the rural placements as no public transport is available.
•   You may not use your own transport during TIPE activities. If you have a specific
    requirement/request contact the Programme Co-ordinator:
       rose.schwass@otago.ac.nz, ph (06) 869 0500 ext 8554; 021 279 4352 (mobile)
•   In Gisborne Red Bus Service provides 2 buses operating to and from the city centre and
    the outer suburbs. No service is provided for rural areas outside the city, or coastal and
    rural townships. Details for the timetables and bus stops can be located at the Gisborne
    District Council Website.
•   Gisborne Taxi services offers a reliable 24/7 service. Credit card and taxi charge accepted.
    Contact 0800 505 555 or (06) 867 2222

e. Immunisation (Gisborne based students)
In accordance with Tairāwhiti DHB policy, students will be required to declare that their
immunisation status is up to date. Be prepared to provide appropriate documentation of
immunisation status at the commencement on the programme if requested.

f. What to bring
•   Clothing suitable for clinical placements, dress appropriately as a trainee health
    professional and wear your student ID. If you have a uniform please bring it. A long dark
    coloured skirt/dress or trousers is recommended for the noho marae experience.
•   Clothing suitable for extracurricular activities. Previous student cohorts have taken part
    in activities such as waka ama, surfing, and tramping to the top of Mt Hikurangi or around
    Lake Waikaremoana.

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•    A sleeping bag (for noho marae and possible tramping trip(optional)) Please refer to
     Appendix D for a list of suggested personnel items.

g. Community Facilities
•    Supermarkets are located in the city centre in Gisborne ( 5 – 10 minute drive)
 •   Lytton shopping centre is the closest to the Gisborne accommodation – a 3 minute walk
     from the TDH main entrance. It has a Four Square, bottle store, bookshop, bakery,
     takeaway, hairdresser, ANZ and Westpac ATM
•    Wairoa has a New World supermarket (approx. 5 minute drive) and Four Square

h. Becoming involved with the community
•    The East Coast community has always had the reputation of being a friendly and
     welcoming community. Activities and placements within the programme will allow you
     to interact in community activities, and events calendars with local organisations will
     keep you informed of upcoming events.
•    Tairāwhiti and Wairoa offer a range of activities and opportunities during your placement
     for playing sport – team or individual, recreation or exploring the region. Weekends are
     free to use at your own discretion although as part of appreciating “rural aspects”
     interaction with the community is encouraged as much as possible. There may be some
     optional weekend activities scheduled e.g. waka ama and/or tramps to Mt Hikurangi or
     Lake Waikaremoana.
•    Tairāwhiti and Wairoa offer a wide variety of things to see and do. Please see The Out
     East site http://www.outeast.co.nz and the www.newzealand.com websites.

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4. THE PROGRAMME IN MORE DEPTH

a. How your time is balanced over the 5 weeks

  All students have individualized placement programmes provided. This is organised to give
  you a variety of experiences within your own discipline, with other disciplines and within a
  variety of settings, (e.g. rural chronic conditions management, hauora Maori). See the
  Programme Co-ordinator if you have any queries: rose.schwass@otago.ac.nz, ph (06) 869
  0500 ext 8554, 021 279 4352 (mobile)

                     Tairāwhiti Interprofessional Education
                                   Programme

                                                                       Home clinical placements
                              25%
                                                                       Classroom and group activities
                                          55%
                             20%                                       Interprofessional placements and
                                                                       hauora Māori

  b. The First Week
         The programme starts with a stay overnight at a marae in the local area (noho
         marae). Please ensure you have a sleeping bag and suitable clothing. Other details
         about the first week will be sent to you nearer the time.

c. Learning Outcomes
 At the end of the programme, and within a clinical, rural, hauora Māori context, you will be
 able to demonstrate that you have developed advanced skills in, and understanding about:

     1. Interprofessional Communication

     2. Treaty of Waitangi [especially as it influences health and social care in Tairāwhiti]

     3. Hauora Maori [especially as it influences health and social care in Tairāwhiti]

     4. Rural health care [especially as it influences health and social care in Tairāwhiti]

     5. Patient/Client/family-whanau centred approaches [to care]

     6. [Health professional] role clarification and understanding - roles and responsibilities

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7. Team work and team functioning (including negotiating disagreement)

    8. Collaborative leadership (and followership)

    9. Reflection about practice [especially in relation to long term/complex conditions
       management, socially accountable practice]

    10. Coordination and decision-making [in patient/client care]

The programme covers the following Interprofessional (IP) Competency domains

    • Interprofessional communication

    • Role clarification and understanding

    • Reflective practice – incorporating interprofessional principles, values, ethics

    • Teamwork and Team Functioning (including conflict negotiation and resolution)

    • Collaborative leadership (and followership)

    • Coordination and decision making

    For full details on each outcome, refer to Appendix A.

d. Assessment
   During this 5-week IPE module, you will need to complete the following 4 assessment
   tasks. Successful completion of these tasks will meet each discipline’s assessment
   requirements for the 5-week module.

   Time allocation: Assessments 1 and 3 are substantive and run over the whole module;
   Assessments 2 and 3 will require less time and can be completed on a week by week basis.
   Assessment 4 will be awarded a group mark. As a rule of thumb, it may be helpful to think
   of 1 and 4 as together taking around 80% of your time; 2 and 3 together about 20%, but
   none should be onerous and all should reflect your experience.

        1. Assessment one – Clinical diary/logbook; demonstration of satisfactory clinical
        competence

        You will be supplied with a clinical logbook. Take this with you to each of your
        disciplines clinical placements – some items require specific sign off by one of your
        supervisor(s)/preceptors on the day. There are two sections – the first with
        interprofessional (including Hauora Maori) components which is located on the e-
        learning platform Moodle; and the second (hard copy) with discipline-specific tasks.

        Near the end of the five week module :
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a. Ensure you have completed your online entries for your Interprofessional
               reflections on Moodle
            b. Your Clinical Supervisor will review all your log book sections along with
               feedback from your preceptors, and fill in and sign off your discipline-specific
               clinical competence form.

        2. Assessment Two – Rapid Community Appraisal

        Working in nominated small groups, you will need to work together to complete a
        Community Assessment Tool, and prepare a short presentation. As a group you
        present to each other and your Clinical supervisors by the end of Week 1.

        3. Assessment Three – Case work

        During the module, you will be given a Patient scenario (complex case) to work on in
        groups. At the conclusion of the week, you will present your joint management plan
        for your patient as a group to your colleagues and the Clinical supervisor(s)
        responsible for the case.

        4. Assessment Four – Community Education Project

        This education project is the key piece of work you need to complete in groups over
        the course of your 5 weeks together. The project topics have been chosen by a
        particular community in Tairāwhiti and Wairoa as something they would like you to
        do for them.

        From Week 1 you will have time to spend together each week to develop the
        educational project (e.g. a teaching session on a health topic, or an educational
        resource for a particular group). In Week 5 each group will present their resource
        back to the members of the community who have requested the topic and also to
        TIPE staff on the final day of the module.

    e. E-learning - EIT Online
        An e-learning Moodle site EIT Online has been developed for the programme. All
        students are expected to record brief but concise reflections to demonstrate clinical
        learning and experiences. Details on access and how to use this facility will be provided
        before you start the programme.

f. Student Status
• For the purposes of accessing EIT learning resources and facilities, all University of Otago
  students will be enrolled and registered with the EIT system.
• All students are to use the facilities and resources in accordance with EIT policies and
  procedures.

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5. BEHIND THE SCENES

  Your local TIPE programme staff don’t work in isolation. For the programme to work as an
  integral part of the degree course you are each enrolled in, close links with and between
  the University of Otago, Otago Polytechnic and EIT are essential.

 a. Staff behind the scene
         •   TIPE Programme Director (UOW) - Professor Sue Pullon
         •   TIPE Programme Manager (UOW) – Amanda Garnett
         •   Sue chairs the Education Operations Group (EOG) – responsible for liaising with
             each School and collectively ensuring this course meets your degree requirements.
             The Education Operations Group have representatives from each discipline - ◊ Sue
             Pullon – Programme Director and Chair (UOW) ◊ Alison Meldrum – Dental School
             (UO) ◊ Louise Beckingsale – Human Nutrition (UOC) ◊ Sam Murton & Lesley Gray
             – TI Medical Academic Convener (UOW) ◊ Sue Floyd – School of Nursing (EIT
             Hawkes Bay) ◊ Susan Moffat – Oral Health (UO) ◊ Narinder Verna – School of
             Occupational Therapy (Otago Polytech) ◊ Aynsley Peterson – School of Pharmacy
             (UO) ◊ James Windle – School of Physiotherapy (UO) ◊ Karlin Austin – School of
             Social Work (EIT Hawkes Bay) ◊ Tehmina Gladman – Education advisor (UOW)
         •   The EOG reports to a Governance group which comprises of senior representatives
             of each discipline and local stakeholders including Tairāwhiti DHB, Ngati Porou
             Hauora, Turanga Health and Ngati Kahungunu

         Your local TIPE programme staff work with all these people. You are likely to see or
         hear of them at some stage in or around your time at Tairāwhiti.

  b. Evaluation
         Because this programme is unique (and has a sister programme in Whakatane, run
         from the University of Auckland with AUT) it is important it gets evaluated in several
         ways by people independent of the programme. You will be asked to participate in
         some simple evaluation tasks that will help us to continue to develop and improve the
         programme.

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6. GENERAL INFORMATION

a. Attendance
You are expected to attend all activities scheduled for you on the course. The Tairāwhiti and
Wairoa community, your clinical supervisors and many other local health professionals and
Co-ordinators have put a great deal of effort into organising a carefully integrated mix of
clinical placements and experiences for you to learn in. Please be respectful of the effort and
dedication that has been put in on your behalf by:

       •   attending all activities
       •   dressing appropriately as a trainee health professional arriving on time, clearly
           introducing yourself and wearing your student ID
       •   respecting patient confidentiality at all times (especially in any social situations)
       •   avoiding leaving part way through any patient encounter (e.g. a consultation or
           treatment session) unless specifically asked to do so
       •   thanking your preceptor (and other staff/community members as appropriate) as
           you leave
       •   If for any reason you are unwell or have a need for an unavoidable absence, please
           contact Rose Schwass or Natasha Ashworth urgently. : rose.schwass@otago.ac.nz,
           ph (06) 869 0500 ext 8554,or Natasha.ashworth@tdh.org.nz 022 012 7632
           (mobile), 06 869 0500 ext 8755

b. Dress code and professional appearance
•   Dress standards should be appropriate to the functions being performed, occupational
    health and safety requirements, cultural diversity, local community standards and
    climate.
•   Healthcare professionals are held in high esteem. As such, patients and the community
    expect a certain standard of dress and grooming. Make sure you look professional and
    comfortable.
•   Be clean and tidy, and adhere to necessary personal hygiene standards.
•   Ensure mobile phones are switched off when seeing patients

c. Identification
You are required to wear a supplied DHB identification at all times. Your student status allows
you to undertake supervised clinical activity in an approved clinical attachment and
environment.

d. Indemnification
The University and EIT will provide financial protection for claims against a student
participating in an approved clinical placement or electives. If a claim is made against a
student in relation to their activities whilst participating in an approved clinical placement or
elective and the claim was not brought about or contributed to by any dishonest, fraudulent,
Tairawhiti Interprofessional Education Programme Orientation Infobook 2020                      13
criminal, malicious or deliberate act or omission by the student, the University and EIT will
 provide a legal support and where necessary meet the cost of such a claim. Note that some
 disciplines have additional specific indemnity relating to placements, and this will be
 applicable during your IPE experience. For queries, see Programme Leader:
 natasha.ashworth@otago.ac.nz

 e. Insurance of student personal property and motor vehicles
 Students are required to have their own individual insurance cover for all personal items. If
 you have a vehicle it is your responsibility to ensure your vehicle is appropriately registered
 and insured. It is also your responsibility to ensure you are appropriately licensed.

 f. Security
•       It is your responsibility to ensure your personal belongings are secured and safely locked
        away. Minimise the amount of money, jewellery and valuables that you carry on you.
•       You need to be aware of personal and professional security issues in the workplace. Speak
        to the Programme Co-ordinator or the Programme Leader if you have any concerns; notice
        anything unusual or anyone acting suspiciously.

 g. Special requirements
 It is important that you notify the Programme Co-ordinator or the Programme Leader of any
 special requirements you may have in relation to your TIPE experience (eg. medical condition,
 disability, religious/or cultural requirements). rose.schwass@otago.ac.nz, ph
         (06) 869 0500 ext 8554, 021 2794352 (mobile)

7. HEALTH SERVICE, RESOURCES AND FACILITIES

 a. Computers and Internet Connection
•       You will have access to computers in the Learning Centre during your IPE experience. You
        are required to use these resources with due care. (Policies for DHB’s and the
        University/EIT/Otago Polytechnic will apply when accessing the internet)
•       Internet access through wireless connection will be available in the student
        accommodation.

 b. Library
    •    You will have access to the TDH library facilities and resources. The TDH librarian is
         available to assist you. TDH library facilities are available Monday – Friday 8:30am –
         5:30pm.
 c. Stationery
    •    Basic paper and photocopying resources are provided. There are local stationery stores
         where you can purchase items. You are welcome to take your own.

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d. Phones, photocopiers/fax
•   Work place phones, photocopiers/fax are for work use only.
•   Seek permission for use and guidance where appropriate.

e. Personal Health and Wellbeing

•   Health Services while on the programme
    As students of the TIPE programme, you are entitled to fully funded access to primary
    health care services during the course of the programme. Should you require any of these
    services? See Programme Co-ordinator. rose.schwass@otago.ac.nz, ph (06) 869 0500 ext
    8554.

•   Counselling
    Should you require the services of a counsellor, confidential service is available for
    students. See Programme Co-ordinator. rose.schwass@otago.ac.nz, ph (06) 869 0500 ext
    8554, 021 2794352 (mobile)

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APPENDICES
Appendix A: LEARNING OUTCOMES
Tairāwhiti Interprofessional education (TIPE) programme: Core Intended Learning
Outcomes – updated 2019

    •   Interprofessional (IP) Competency domains

    •   Interprofessional communication
    •   Role clarification and understanding
    •   Reflective practice – incorporating interprofessional principles, values, ethics
    •   Teamwork and Team Functioning (including conflict negotiation and resolution)
    •   Collaborative leadership (and followership)
    •   Coordination and decision making

At the end of the programme, and within a clinical, rural, hauora Māori context, the student
will be able to:

1. Interprofessional Communication

    a. Demonstrate effective communication in a culturally safe, empathetic respectful and
       responsive manner with patient/clients/whanau/peers and colleagues.

    b. Demonstrate effective oral, written and presentation communication skills in routine
       and complex situations

2. Treaty of Waitangi

a. Demonstrate an understanding of the special relationship between Maori and the Crown
   under the Treaty of Waitangi.

3. Hauora Maori

    a. Demonstrate principles of cultural safety, competency and literacy within the health
       environment.

    b. Demonstrate appropriate engagement and interaction with Maori patients, whanau
       and the community.

    c. Identify and apply appropriate Hauora Maori models within clinical and public health
       environments.

    d. Demonstrate knowledge and appreciation of the role of diverse health disciplines in
       Maori health and the capacity to work in an interdisciplinary team in Maori health

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APPENDICES

4. Rural health care

    a. Demonstrate understanding of the characteristics of rural communities, including the
       benefits and challenges of living rurally

    b. Demonstrate knowledge and appreciation of rural community values and their
       influence on health, and health and social care

    c. Understand the importance of interprofessional collaborative practice (IPCP) in
       supporting rural patients, and health and social care professionals who live and work
       rurally

    d. Understand key rural health challenges so as to be able to work together in the best
       interests of the whānau and wider community.

5. Patient/Client/family-whanau centred approach

    a. Demonstrate the ability to seek input, share information and advocate for
       patients/clients’ participation in clinical decision making, in ways that maximise
       patients/clients safety, independence, cultural needs and quality of life and health

    b. Establish and maintain collaborative working relationships with patients/clients and
       their families/whanau

6. Role clarification and understanding - roles and responsibilities

    a. Demonstrate the ability to clearly explain own health professional role and
       responsibilities, and level of knowledge and judgement to patients/clients and their
       families /whanau

    b. Demonstrate the ability to respect, value and explain the roles and responsibilities of
       the other health professionals you work with to patients/clients and their families
       /whanau

    c. Demonstrate an understanding of the concepts of professional and interprofessional
       accountability, and associated legal and ethical issues

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APPENDICES

7. Team work and team functioning (including negotiating disagreement)

    a. Demonstrate the ability to contribute to effective team functioning (including
       appropriate leadership, delegation, documentation) to improve collaboration, in the
       interests of patient safety and quality of care.
    b. Demonstrate the ability to effectively negotiate and resolve disagreement within a
       learning group.
    c. Respond to differences of opinion within an interprofessional team in the interests of
       potential positive outcomes.

    d. Demonstrate (where appropriate to the level of learning), the ability to participate in
       effectively negotiating and resolving disagreement between providers,
       patients/clients/ family/whanau (including the ability to raise and/or challenge
       differences of opinion in the interests of patient safety and quality of care).

8. Collaborative leadership (and followership)

    a. Establish and maintain collaborative working relationships with student and clinician
       colleagues in other health disciplines and within their own discipline
    b. Demonstrate the ability to lead a small group where appropriate, taking the needs of
       the group members into account, and working collaboratively with the group
       members.
    c. Demonstrate the ability to participate as a member of a small group where
       appropriate, taking the needs of the group members into account and working
       collaboratively with the leader.

9. Reflective practice

    e. Recognise the value of interprofessional learning (IPL) and interprofessional
       collaborative practice (IPCP) as a socially-accountable response to contemporary
       contextual drivers of health care.
    f. Recognise the value of interprofessional learning (IPL) and the need for
       interprofessional collaborative practice (IPCP) in caring for those with long term
       and/or complex health and/or social situations
    g. Recognise and value the roles and skills of all members of the health team in the
       delivery of care.
    h. Demonstrate ability to identify and reflect critically on own perspectives in relation to
       a team

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APPENDICES

10. Coordination and decision-making

    a. Recognise effective communication strategies in teams in relation to the
       acceptability, quality and safety of clinical and professional outcomes.
    b. Recognise when to consult with, refer and/or fully collaborate with other health care
       professionals
    c. Understand the importance of, and start to establish purposeful networks within the
       health and social care community.

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APPENDICES
APPENDIX B: PRINCIPLES OF ETHICAL BEHAVIOUR

Access to medical/health records

        •   Access to medical records (records pertaining to the patient’s health recorded by
            any discipline) and patient information is limited to those patients that you are
            providing care to, and who have consented to being seen by you.

Documenting on medical records

        •   Follow instructions at clinical placements.
        •   You should always comply with established quality and privacy standards.

Confidentiality

        •   The University and EIT places very high importance on maintaining patient
            confidentiality and privacy. Patient trust is critical to providing high quality health
            care.
        •   It is your responsibility to ensure that information pertaining to a person’s
            condition and treatment is kept secure. As a student, you may only access specific
            clinical records with the authorization and supervision of your supervisor.
        •   You are obliged to adhere to the Health Information Privacy Code. In accordance
            with this, no information contained within any assessments will identify
            client/consumers/whanau/communities as well as health team members/staff.
            Confidentiality requires not only protecting the name of individuals/groups but
            also their locality/specific unique situation. Please obtain the patient or if
            applicable the families consent to use his/her medical information in a
            presentation. Confidentiality must be assured.
        •   Whilst on clinical placement you have a duty to maintain the confidentiality of all
            information that comes to you in the course of providing care to patients. Health
            care professionals (and students under the supervision of the health care
            professional) who have a legitimate therapeutic interest in the care of the patient
            may generally have access to the information they need to know in order to
            provide appropriate care and treatment. Consent to the sharing of information in
            these circumstances will generally be implied. At the commencement of the
            outplacement you may be required to sign a declaration of confidentiality. This
            form states that you will regard and maintain all information gained in the course
            of your placement directly or indirectly relating to patients, clients, staff,
            operational or procedure and policy matters as confidential.
        •   Discussions involving patient, client or employee details with other employees or
            members of the public should be avoided unless they are part of your duties.
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APPENDICES

        •   You will have had many discussions in your course about confidentiality. There are,
            however, some specific aspects of rural practice that may cause problems. In
            smaller communities anonymity is rare, therefore news can travel fast. You must
            take care when:
                o Sharing medical information with the health team to support a patient
                  and their family
                o Sharing information or making future care arrangements at the reception
                  desk
                o Conducting any discussion of patients in a telephone conversation o
                  When walking out of the clinic talking with your supervisor you may find
                  you are talking about a patient in the waiting room.
                o Discussion about patients’ condition and management with your
                  supervisor is vital for your education, but you need to exercise care about
                  where this happens. In the consulting room, with the door shut is
                  acceptable, but the tearoom may have members of staff present who are
                  family members of the patient.
                o Avoid patient/specific clinical information of any kind on Facebook, no
                  photos of patients or whanau without proper consent, only share clinical
                  information in the correct manner via Moodle (secure environment)
                o Never assume it is safe to talk about a patient

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APPENDICES

APPENDIX C: PRE DEPARTURE CHECKLIST & SUGGESTED LIST OF WHAT TO TAKE
   Items                  Are you clear?                                                               Tick
   Documentation          Have you completed the online form.

   Travel and             Have you received and confirmed your flight arrangements? Local
   Transport              Tairāwhiti staff endeavour to meet all air travel students at the
   1. Flying              Gisborne airport to transport them to the accommodation. If this is not
                          possible a taxi will be organised and the student informed. Wairoa
                          students will fly to Gisborne and transport to Wairoa will be arranged.
                          Upon arrival report to the hospital/ED reception to obtain your arrival
                          pack and access to the accommodation. A hospital map is in Appendix
                          D
   2. Taking your car     If you are driving, have you got an up to date map? Make sure you check
                          weather conditions. A map and directions to Tairāwhiti DHB or Wairoa
                          Hospital is in Appendix D. Upon arrival report to the hospital/ED
                          reception to obtain your arrival pack and access to the accommodation.
                          Obtain a re-imbursement form to ensure you get reimbursed for travel
                          costs. This may need to be accompanied by a bank deposit form or
                          supporting evidence of the bank account. Eg: copy of a bank statement

   Immunisation           Are your immunisations up-to-date and are you able to provide
                          appropriate documentation of current immunisations.
   What to pack           Clinical – Appropriate to the functions being performed, occupational
                          health and safety requirements, cultural diversity, local community
   (Refer to       the
                          standards and climate. Uniforms should be worn if appropriate.
   suggested list of
   what to take)          Leisure – Pack leisure wear including sports shoes, swimwear and
                          clothing suitable for outdoor activities. Also a sleeping bag for the noho
                          marae and hiking equipment (optional) eg day pack, headlamp and
                          thermal wear. A long dark coloured skirt/dress or trousers for going
                          onto the marae.
   Communication          How will you most easily communicate with home? Mobile reception is
                          variable in Tairāwhiti. Wireless internet is available in all the
                          accommodation.
   TIPE                   Some pre reading will be available on EIT Online. You will be notified of
                          your sign on before you go to Tairāwhiti. Have you signed on?

NB: This list was initially drafted by previous IPE students
Item                                Quantity       Comment
Laptop                              1
Cellphone                           1
Towels                              2

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APPENDICES

Linen                              Set            Optional – as hospital linen is supplied
Blankets                           2              Optional
Pillow                             1              Optional
Shower Jandals                     1              Optional
Toiletries                         Set            Soap/shampoo/ toothbrush/paste etc.
Medicines                                         If applicable
Uniform                            1              2nd uniform optional
Clinical equipment eg watch,       1              Essential
stethoscope
Name/Student Badges                1              All
Clothes hangers                    10             Optional
Laundry Basket & Powder            1              Optional (Powder can be purchased later)
Clothes pegs                       12             Optional
Multi plug (electrical)            1              Useful if you want to use several appliances at once
Sports clothing & footwear         1              Useful for activities
Swimming togs                      1              Optional
Sleeping Bag                       1              Needed for Noho Mare (sleepover)
Ear plugs                          1              Optional (Handy at Noho Marae)
Camera                             1              Optional
Driver’s License                   1              Essential
Vaccination History                1              Gisborne students only
Day Pack                           1              Useful for day trips & short hikes
Wind breaker                       1              Optional
Raincoat and/or umbrella           1              Optional
Sunglasses                         1              Optional
Headphones                         1              Optional
High visibility vest               1              For those exercising at night
Cap/sunhat/sunscreen               1              Especially in summer months
Beanie/scarf/gloves/slippers       1              Optional – especially useful in winter months
Warm clothes                       Quantity       For winter months
USB Drives                         1              Optional
Stationery                         Selection      Small quantity only
Permanent Marker                   1              Useful to name food items etc.
Food storage ties                  Several        To reseal open packets
Food Storage containers            2              Optional
Tidy clothes                       Quantity       For those who don’t have a uniform – enough
                                                  respectable dress for being at work eg shirts, dress
                                                  trousers, tidy easy to walk in shoes

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APPENDICES
                                                  For those with a uniform -useful when working outside
                                                  of normal clinical placements

Socks                              Quantity

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APPENDICES

APPENDIX D.1: – MAP & ACCOMMODATION (GISBORNE and TDH)
Directions for accommodation into Gisborne. Accommodation for the programme is situated onsite at
Tairāwhiti District Health Hospital, 421 Ormond Rd, Gisborne

Upon arrival into Gisborne at the 1st roundabout intersection (Lytton Road) turn left, continue straight till you
approach the T section with the Hospital directly in front of you (shown in Fig 1 below). Turn left onto Back
Ormond Road and right to enter Gate 1 as shown in Fig 2. Turn right and follow road straight through to the
accommodation.

                                                       Fig 2 – Hospital Map

Fig 1 – Gisborne Map

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APPENDICES

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APPENDICES

APPENDIX D.2: MAP & ACCOMMODATION (WAIROA)

        Map showing directions from SH2 to Kitchener St and Wairoa Hospital

        Wairoa Hospital                                            Francis Kimball Hostel Building

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APPENDIX E: 2020 BLOCK DATES

                   2020 Blocks               Start                           Finish

                  Block 1          Monday 2nd March            Friday 3rd April
                  Tairāwhiti &
                  Wairoa

                  Block 2          Monday 20th April           Friday 22nd May
                  Tairāwhiti &
                  Wairoa

                  Block 3          Monday 6th July             Friday 7th August
                  Tairāwhiti &
                  Wairoa

                  Block 4          Monday 24th August          Friday 25th September
                  Tairāwhiti &
                  Wairoa

                  Block 5          Monday 12th October         Friday 13th November
                  Tairāwhiti
                  only

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APPENDIX F: REIMBURSEMENT FORM FOR PRIVATE VEHICLE TRAVEL TO AND
FROM TIPE

                      Reimbursement Claim Form - Non Staff

Attach ORIGINAL Receipts/Paid Invoices to the back of this form.
Claims MUST be authorised by HoD/PVC/Delegated Authority in all cases.
Please provide a bank account number (please attach deposit slip)

Claimant Name
Student Number

 Reason      for       Items claimed               Date          of   Account code     Amount      GST
 Expenditure                                       Receipt                             (s)         Y/N

Claim for use of Private Motor Vehicle on University Business:

 Trip Date             Destination and Purpose of Trip                                          Km Run

                                                                                   Total KM
 Account Code:                                                                 Rate per KM
 (Dissection 3371)                              NB: No GST claimed on mileage claims TOTAL

                                              TOTAL REIMBURSEMENT CLAIM

 Claimant’s Signature
 Approver’s (HoD/Delegated        Authority
 Signature):
 Approver’s Name:
 Cost Centre Name:                                                                    Date:

Upon Completion of this form, the signed form needs to be returned to the Accounts Payable Office,
Financial Services
Division.
Or Fax to: 03 479 7996
Or Scan the completed and signed form and email to:accounts@otago.ac.nz

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