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The national EPICCNZ - eLearning Programme Induction to Critical Care - has just launched. These 10 modules are for staff working in adult critical care in NZ. They were developed as part of the national Critical Care expansion funding. More info here: youtube.com/watch?v=05S77z…

The modules are written by experts after national consultation with ICUs across the country. They can be accessed through your local eLearning platform.

Because of our deteriorating patient programme, led by Alex Psirides' hard, hard work, you’re less likely to get a cardiac arrest in hospital, and more likely to meet a friendly rapid response team with a trolley if your vitals decline. 9/26

Alex Psirides Part 3: this is some really innovative stuff. 1: nurses coming into NZ. In 2021/2022 the NZNO was screaming for more nurses – critical shortages everywhere. We already had an incredibly unrepresentative nursing workforce. 15/26

Alex Psirides Our nursing workforce was second only to Ireland in being overseas-trained in 2021 (I don’t like the OECD’s “foreign” here but that’s what they use). We rely on sources abroad. 16/26

Alex Psirides However, in 2022/2023, the numbers of internationally qualified nurses (IQNs) entering Aotearoa suddenly soared after our borders opened. 17/26

Alex Psirides Where did they come from? (And importantly, for later, where do they go?) Data show the majority of new IQNs entering ANZ are originally trained in India, *not* the Philippines as once used to be the case. 18/26

Alex Psirides But they aren’t coming directly from India – it appears the vast majority are leaving terrible conditions in the NHS. 19/26

Alex Psirides And many of our new nurses are not staying. Australian data show large increases in ANZ nurses granted registration in Australia in the last two years. Nearly tripling in 2022/23. 20/26

Alex Psirides The majority of these nurses putting their documents together to get to Australia are internationally qualified. There is a flow of nurses from the Global South to the UK NHS, then to Aotearoa, then right on to Australia in search of better conditions. It’s hopscotch. 21/26

Alex Psirides (Sidenote: yep, Brexit. Before 2016/17 the NHS relied on EU nurses. After Brexit, this source disappeared and increasingly unscrupulous NHS recruiters turned in many cases to countries on the WHO “red list” – countries with domestic workforce shortages. Africa, Pacific.)

Alex Psirides Smart people, especially nurses, say we need to work on our culture. We can’t compete with Australian money, but we can on workplace culture – where people feel respected, and able to work at their full scope. This we can achieve. 22/26

The cognitive dissonance in NAP7 makes my head hurt. Especially ‘duration of CPR >1hr’ in a patient who was not for CPR.

It’s been 7 years but I think I’ve found a worthy successor.

Oh, and this.