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March 27, 2025 14 mins

This week on iHeartSA we take a look at improving security in SOUTH AUSTRALIA’s regional health system, and how YOUR local hospital is keeping staff and patients safe. We speak to the Australian nursing and Midwifery Federation, the Health Minister, and Member for Narungga.

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Speaker 1 (00:01):
Hi. I'm Jackie Loom with iHeart Essay. This week we're
looking into improving security in South Australia's regional health system
and how your local hospital is keeping staff and patients
safe and Speaking with Australian Nursing and Midwifery Federation CEO
Elizabeth Dbar's last year, she explained the introduction of twenty

(00:21):
four to seven security for several hospitals and there's a
few that are still crying out for help.

Speaker 2 (00:26):
We're open to all measures that would bring about a
shift or a change that would see our members versus
the midwives of those locations and indeed the patients and
visitors who are also experiencing these issues being safe and
confident that they can that they can receive and give

(00:48):
care in a safe and appropriate environment.

Speaker 1 (00:50):
Of course, we're super excited that this has come to fruition.
We do want to continue advocating though as well. For
the rest of the state. There's a few other problem areas.
Are they still being looked into as well.

Speaker 2 (01:02):
Certainly, and I'm glad you've touched on that. Look. I
couldn't be more proud of the nurses and midwives. That's
the port PERI and Molaroo Hospitals. They've done a magnificent
job in advocating in their areas, and we're very grateful
for the broader community as well who've jumped on board
and provided essential support in this campaign. Look sadly, there

(01:23):
are other areas. We have had some successes which already
in other areas such as Wyler and Portagusta, Port Lincoln
and matt Gambia. Now we've got Port Piri and Molaroo
coming on board, so that's great. But yes, you're absolutely
spot on. There are other areas that are suffering very badly,

(01:46):
I would say, and still haven't had resolution in those areas.
And two that really spring to mind that this is
not exclusive, mind you, but the two that really do
spring to find are very Hospital and also the murray
Bridge hospitals. Both of those have very very challenging client groups.

(02:07):
And I believe that there are some other areas as
well that we need to pay some attention to, but
those two in particular spring to mind. We will certainly
support our members in those locations and continue to work
to achieve similar results there as well.

Speaker 1 (02:21):
Yeah, and yeah, very grateful to be in a position
as such as I am a platform such as this
to spread the word.

Speaker 2 (02:28):
Absolutely, last, but not least, we're very grateful to the media,
yourself included as part of that, because getting that message
out there, I think has been absolutely integral to supporting
this campaign and achieving this result. And ultimately it's a
win for everyone because nurses and midwife this state we

(02:48):
want to provide a safe, quality care can't do that
when we're looking over our shoulder wondering whether we're going
to be hit and nor is it a safe environment
for patients and other visitors and other health professionals too.
So thank you for your support because it has been
absolutely essential to getting that word out there and getting shift.

Speaker 1 (03:09):
Since this interview, murray Bridge Hospital and Riverland General have
both had twenty four to seven security installed, but despite
the guards taking up their posts, code black calls from
frightened health workers have still risen for nine of the
ten Local Health Network hospitals across the state. Recent data
showing essay health staff call for urgent security on average

(03:29):
forty times per day. ANMF Associate Professor Jackie Wood explains
why the stats may have jumped.

Speaker 3 (03:36):
The implementation of the twenty four hour security is crucial
to ensuring safety of the start and patients. Currently, we
have seen security in place a regional hospitals such as
the Riverland, murray Bridge, Port Pirie, Wallaroo and Port Lincoln.
We are also been advocating for other hospitals in the
regional areas that might still need that level of protection. Yeah, boards,

(04:00):
but we still need to do.

Speaker 1 (04:02):
More right right so, as far as the numbers are
going of incidents, you guys were advocating very strongly for
the security in Port period after a very violent incident
that made all the papers and everything. Since the security
has come on board, what are the numbers looking like
now with incidents code blacks compared to what they were prior.

Speaker 3 (04:21):
The feed that we're getting from members, violent incidents are
continuing in some of the regional areas. Many of our
staff are reporting that even though they've seen the introduction
of security guards, one guard isn't enough to safety restrain
patients on their own. You know, implementing security alone, we

(04:41):
find is not enough. You know, you've got to manage
the escalating risks. You need to have all staff trained
in de escalation. You need support of the management, you
need review of the infrastructure that out there. Some of
our country hospitals are quite old and you need to
update the infrastruc Actually, you know, it's important to empower

(05:02):
our staff to expect a safe work environment. No one
should go to work and be verbally or physically abused.
It's not acceptable, and the staff do need to stand
up and say this isn't this isn't part of my job,
this isn't why I come to work, and we need
to stop that.

Speaker 1 (05:20):
Well, nine of the ten local Health network hospitals across
the state have actually reported that code black calls have
gone up, which is really worrying. So do you believe it? Yeah,
why do you believe this is? You know, is it
because there isn't enough guard power or do you just
think that people are just getting a little unruly.

Speaker 3 (05:39):
Look, I think it's probably both. It is the wait times.
You know, people get very annoyed when they go into
an emergency department and they may be low on the
list be seen by a doctor, and the waiting room
may have twenty thirty patients in there, and so when

(05:59):
you've got very long way and you're not feeling well
or your loved ones not well, people's emotions get very heightened.
You know, there's more drugs out in the areas, so
you know, people are using drugs and alcohol, so you know,
and that can lead to violence.

Speaker 1 (06:18):
And obviously we have you know a bit of a
crisis in terms of the amount of doctors that we
have around the place, particularly in regional areas as well.
Do you believe that if we fixed that sort of
problem as well, should that be the first point of call,
because then we won't have these waitlists, as you say,
and that may help.

Speaker 3 (06:36):
It's staffing as a whole. It's not just medical, it's
nursing as well. Quite often we hear that the hospitals
are short staff of nursing and medical. So that is
one thing that does need to be addressed, you know,
because the weight times can be quite challenging in some
of the hospitals. The hospitals are getting busier and busier.

(06:58):
There's reduced numbers of GPS in the regional areas as well,
and so the community relies on their local hospital to
provide that care.

Speaker 1 (07:08):
Yeah. I just want to touch on another statistic as well,
So Local Northern Local Health Network code black spiked at
two hundred and eleven for twenty twenty four compared to
forty five in twenty twenty one, So you know that
is a massive jump. Of course, Wallaroo Hospital having some
problems around the place as well. What should be the

(07:29):
next course of action?

Speaker 3 (07:30):
Then with this statistics, it's very hard because it depends
on and relies on staff reporting incidences. We have been
advocating very strongly with our members to report all incidents,
is even potential incidents of aggression towards them.

Speaker 1 (07:49):
So possibly then back in twenty twenty one they weren't
reporting as much. Is that what you're.

Speaker 3 (07:53):
Saying, That's right. They may not have been reporting that,
So now they're reporting, they're saying it's not a set
and they're reporting it. Yeah, that just maybe one reason
why you've seen an increase in statistics.

Speaker 1 (08:06):
As far as you know, moving forward as the A
and m F and your ten point plan, where is
that sitting at the moment.

Speaker 3 (08:11):
The ten point plan is being implemented across most areas
and we've seen positive steps to forward on this. Many
hospitals have set up working groups, which is great progress. However,
we still have some regions where full implementation is delayed
due to budget restraints. For example, securing additional resources for

(08:32):
adequate staffing training of all the staff that's very important
as part of the ten point plan, and the equipment
often faces financial limitations.

Speaker 1 (08:43):
We'll have more after the break hard essay I heard essay,
welcome back. This week we're looking into how regional hospitals
and local health networks are ensuring the safety of staff
and patients. So I found out there has been a
rise in code blanks called it the majority of regional

(09:04):
hospitals around our regions over the past twelve months, particularly
in the York and Northern LHN as such. Yorktown is
this week playing host to a parliamentary inquiry into health services.
Member for Narunga Fraser Ellis telling the ABC several hospitals
are under pressure with a host of issues playing part well.

Speaker 4 (09:22):
Here.

Speaker 5 (09:22):
The biggest challenge and it's across government, it is just
the provision of suitably qualified health professionals. There is an
incredible difficulty getting into see a GP regional health clinics.
There's an incredible way at a lot of emergency departments
around the area and a lot of that stems back
to getting qualified professional health practitioners out into regional South

(09:42):
Australia to staff our hospitals and health clinics.

Speaker 1 (09:44):
Wallarou hospitals come under fire in recent days due to
a misdiagnosis and security concerns, or while the emergency department
struggles with overcrowding.

Speaker 5 (09:53):
So Wallery is the only hospital that services a Copper
Coast region and I would argue should be the biggest
hospital in our local health network and a major hospital
in the regional South Australia. But currently it sits at
a twenty one bed hospital for a community in its
direct catchment area in excess for fourteen or fifteen thousand people,
and one that welcomes five hundred thousand visitors every year.
It is a comically undersized hospital. Evidence to the fact

(10:15):
that it's undersized is that half a decade ago the
co located private hospital shut because of the difficulties people
are having and getting admitted, and the six or seven
beds at that hospital that private hospital had remained in
place and the public hospital is now using them without funding.
So you often see the Wallery hospital is that capacity
at twenty six beds, when an actual fact that's funded
by the bureaucracy for twenty one and that's evidence in

(10:38):
itself that it's not big enough and needs to be
drastically improved in size and scope.

Speaker 1 (10:42):
He says there's also a push for Port Pirie to
be kicked out of the way and LHN and moved
into the Flinders and Upper North network.

Speaker 5 (10:49):
The York and Northern Local Health Network is one of
the more difficult ones, or is the most difficult one
to manage. So we have sixteen hospitals in our health
network and it services roughly seventy six people. The Slender's
and Upper North one directly next door has seven health
services and forty five thousand people. So it's apples and
Orange is trying to compare the two. And if we

(11:09):
were to move period across, that'd make eight and fifteen.
It'd still be a different job, but it'd be a
bit more even, and they'd have a slightly easier task
in trying to recruit. And I just think it would
make it a more even job for the health networks
across the state.

Speaker 1 (11:21):
In November last year, there was an incident where two
nurses were changed by a patient with a knife at
Yorktown Hospital. Mister Ellis says security concerns are piling up everywhere.

Speaker 5 (11:31):
Is it a growing concern. I think it's fair to
say with the proliferation of different substances out there, it's
becoming a bigger issue for people that are working particularly
after ours and on call. I thinks with a very
few staff there after ours nowadays, thankfully to the credit
of the LHM, and they have since been to the
Yorktown Hospital and upgraded the security features with swipe cards.
I believe that say nurses can lock themselves in the

(11:53):
room a rooms a bit easier, but it shouldn't take
an incident like that to trigger action. It should, you know,
it should be providing a safe work for them right
from the get go.

Speaker 1 (12:02):
Off the back of a reported ryans in code blank
declarations across the state, our journalist Maria Gabar spoke to
Minister for Health Chris Picton about the reintroduction of a
safety campaign.

Speaker 4 (12:12):
Unfortunately, some patients, some people who come into our public
hospitals are threatening to staff but also to other patients,
which is completely unacceptable behavior. No one should be able
to be tolerated if they're going to be violent or
threatening to incredible healthcare staff, doctors and nurses or other patients.

(12:32):
That's why we're relaunching a campaign in terms of making
clear to the community that that violence or intimidation to
our frontline healthcare heroes is completely unacceptable. We've developed this
campaign working with our frontline staff listening to some of
the stories that they've heard about some of the outrageous
behavior from some minority of patients, and we want to

(12:56):
make get this message through to people in the community
that we need to look after our healthcare workers so
that they can look after us. Unfortunately, there has been
increased in terms of the number of code blacks, and
this is where staff raise the alarm about the behavior
of somebody who's come into our public hospital system. We
have had to increase security across our public hospital system.

(13:19):
But all that can be prevented if people actually respect
and don't threaten and don't take violence against our healthcare workers.
And that's what this campaign is all about. So will
we see a TV ad campaign?

Speaker 5 (13:32):
Is that how it's going to work? Will we see
things on TV?

Speaker 4 (13:34):
What we hear it on the radio?

Speaker 1 (13:35):
How will it work?

Speaker 4 (13:36):
This is a TV and radio and an online campaign
and involves some pretty hard hitting vision of the sort
of things that unfortunately our doctors and nurses and ambos
have to confront sometimes on a daily basis. These have
been taken from real stories and real experiences, and they
involve real healthcare workers in these ads, and unfortunately some

(14:00):
of what they unfortunately have to face from some patients
who show completely unacceptable behavior. So we will be airing
this campaign demonstrating those behaviors and making very clear that
that sort of abuse of our frontline healthcare staff will
not be tolerated. The other thing to make clear that
this campaign does is that they carry very significant penalties.

(14:25):
Parliament has passed laws that say that if you abuse,
or threaten or have violence against healthcare workers, and that
is treated even more seriously than the public at large,
and it carries greater penalties as well.

Speaker 1 (14:38):
That's it for this week. Don't forget you can hear
iHeart Essay and the iHeart app or wherever you get
your podcasts. I'm Jackie Limb. Join us again next week
for more of the stories you want to hear. iHeart Essay,
the Voice of South Australia, My Heart ess
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