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DCCM Patient and Family Information

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Visiting Information

We are open 24/7 365 days a year but the DCCM is closed to visiting during the morning ward round which occurs between 8.30am - 11am.  The afternoon ward round that occurs between 4pm and 5 pm and the night ward round between 9pm and 11pm.  You may be asked to leave briefly during these ward rounds.  Visiting between 10pm and 8.30am is by arrangement only.

Visiting is generally limited to next-of-kin or close friends and no more than 2 may be with the patient at a time. Patient care takes priority and visiting may not be possible when some procedures are being undertaken.

Waiting rooms are provided in the Level 8 gallery nearby. Overnight accommodation is not permitted in this area, but limited accommodation is available on-site at the Te Whare Awhina  (Ph. 09 307 4949 ext 25830) or nearby off-site at Domain Lodge (Ph. 09 308 0161).

Children are permitted to visit, but as there are hazards present, please supervise children at all times to ensure their safety.

To reduce risk of infection, please clean your hands with alcohol gel before and after visiting the patient area. Flowers are not permitted in the patient area as they may be an infection risk.

Refreshments

Refreshment vending machines are available in the Level 8 gallery, and there are food and beverage outlets on Level 5 open 8am - 8pm daily.

Charges

If a patient is not eligible for public funded healthcare in New Zealand then there will be a charge for intensive care and high dependency services (except if the admission is due to accidental injury and eligible for ACC).

DCCM Information Pamphlets

We have developed the following information pamphlets that are available on the unit but can be downloaded and printed by clicking on the links below:

Visiting Information
What do we tell the kids?
Coping with your relatives admission to DCCM
Recovering After Surgery
Percutaneous Tracheostomy (under development)

We have also developed some information leaflets regarding the following conditions:
Traumatic Brain Injury
Sub Arachnoid Haemorrhage
Brain Death


About DCCM

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What is critical care?

Critical care is the specialist care given to patients with sudden and potentially reversible life-threatening diseases or injuries. This can include following accidents, operations, severe infections or a coma. Critical care is divided into two areas; intensive care, where the sickest patients are cared for, and high dependency, where patients who are not well enough to return to general wards are cared for.

About our department

The Department of Critical Care Medicine (DCCM) is one of the leading critical care units in New Zealand, located on the 8th floor of Auckland City Hospital.  We provide intensive and high dependency care for patients over the age of 15 for all conditions except heart, lung and blood vessel surgery.  Our specialist areas of intensive care include liver, kidney and pancreas transplantation and neurological conditions.  Intensive care for heart, lung and vascular surgery is provided by the Cardiothoracic and Vascular Intensive Care Unit.

The unit is open 24 hours-a-day, 365 days-a-year and is staffed by a large team of experienced doctors, nurses and allied health professionals.  We have 24 beds in total - 18 are open bed spaces, and the remaining 6 are isolation side rooms.

We have over 14001200 admissions per year of which 75% are emergency and 25% elective. The median length of stay in DCCM is 1.5 days, however patients may require a prolonged stay.

Patients may be admitted to Critical Care from the emergency department,Emergency Department, hospital wards, operating theatre or following transfer from another hospital or intensive care unit.

The history of intensive care medicine

Modern intensive care medicine began with the use of prolonged artificial ventilation during the poliomyelitis epidemics of the 1950s and the recognition that the intensive nursing care necessary to treat these patients successfully was best provided in a separate area of the hospital with its own staff, equipment and organisation.

Intensive care began early in New Zealand – it seems likely that Dr Matthew Spence began the first intensive care unit in the southern hemisphere in 1958 at Auckland Hospital. The Department of Critical Care Medicine (DCCM) is the descendant of that first ICU. The special requirements of the work and attributes of its practitioners led to the founding of the Australian and New Zealand Intensive Care Society (ANZICS) by Dr Spence and Dr Wright from Sydney in 1975.

 

Information for Medical staff

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Information relating to orientation, education, journal club, rosters and useful clinical information is curently being developed on our Hippo intranet site and further content will be added shortly. site. 

Current Thursday Teaching Programme

DCCM Thursday Teaching Programme

Registrar Orientation

Registrar orientation can be accessed here

 

Further content will be added shortly.

Committee meeting dates 2017

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DSWed 22 Grafton Grafton 

Committee

Time

February

March

April

MayJuneJuly

Community and Public Health Advisory Committee (CPHAC)

10am

 Wed 29 WDHB  Wed 21 WDHB 

Disability Support Advisory Committee (DiSAC)

1.30 - 4pm

 

 Wed 29 DS

  Wed 21 DS 

Hospital Advisory Committee (HAC)

1.30 - 4.30pm

 Wed 15 Grafton

Wed 26 Grafton

 Wed 7 GraftonWed 19 Grafton

Board meeting

10am

Wed 22 Feb Grafton Wed 5 GraftonWed 17 GraftonWed 28 Grafton 

Committee

Time

 

August

September

OctoberNovemberDecember

(CPHAC)

10am

  Wed 13 WDHB  Wed 6 WDHB

(DiSAC)

1.30 - 4pm

  Wed 13 DS  Wed 6
DS

(HAC)

1.30 - 4.30pm

 Wed 30 Grafton Wed 11 Grafton

Wed 22
Marion Davis Library Grafton

 

Board meeting

10am

 Wed 9 GraftonWed 20 Grafton Wed 1
Grafton 
 Wed 13 Grafton

Six weekly meeting cycle

Week 1 – ADHB Finance, Risk and Assurance Committee and HAC.
Week 2 – WDHB Audit and Finance Committee and HAC.
Week 3 – MHAC or CPHAC and DiSAC*.
Week 4 – ADHB Board.
Week 5 – WDHB Board.
Week 6 – No regular meetings scheduled.

Venues

WDHB – Waitemata District Health Board, Boardroom, Level 1, 15 Shea Tce, Takapuna.
Grafton – A+ Trust Room, Clinical Education Centre, Level 5, Auckland City Hospital.
DS – Auckland Deaf Society, Terrace Boardroom, 164 Balmoral Road, Auckland.

 

 

Volunteer

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We appreciate the difference our volunteers make to patients and the public. The service is run by a co-ordinator who organises all the volunteer activities, recruitment, training, education and allocation of staff for those located in the Volunteer Centre. Centre. Please see the volunteering position descriptions below.

Auckland DHB offers fixed roles. For position descriptions please scroll down.

Regarding Corporate Volunteering:  Unfortunately weThereare not able to offer short-term, single day volunteering for groups or individuals. Please check our frequently asked questions FAQ's before you put in your application.also externally run volunteer services which are listed at the bottom of this page

There are also externally run volunteer services which are listed at the bottom of this page

 

Auckland DHB volunteer positions

For further information please contactLindy Lely by email.

**To apply for the musicians posting at Te Whetu Tawera please contact Julie Hagan at jhagan@adhb.govt.nz or ring on 021 270 2114 mobile.

Volunteer position descriptions

Administration volunteers

From time-to-time, administration volunteers are required to support a staff member or to work in the Volunteer Centre. This role is supportive and requires a helpful and practical attitude. The desired skills are:

  • General office skills (filing, photocopying, data entry, taking phone messages and responding to emails).
  • Competence with computers.
  • Keeping brochures and booklets updated.
  • Special projects.

Shift information: Flexible, to suit your lifestyle

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Administration Volunteer: WRITER for monthly newsletter 

This role is to assist the volunteer manager in putting the monthly Auckland DHB volunteers' newsletters together. This newsletter has a large readership within Auckland DHB and therefore we are looking for a person with creative writing skills and experience with page design. 

Shift information: Flexible to suit your lifestyle. 

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Blue Coats Ambassador Service

Can you relate to coming into the hospital, not knowing where to go to see a loved one or how to get to an appointment? Become a beloved Blue Coat and help make a difference to how we meet and greet visitors and patients at Auckland City Hospital and Greelane Clinical Centre. If your warm smile and lifetime experience to customer service and people skills are second to none, become part of our team! We ask that you commit to a minimum of two shifts per week for one year, as it can take some time to become familiar with the site. We aim to have a strong, committed team.

Shift information:

Auckland City Hospital             

Monday to Friday        

  • 09:00am - 12.30pm                                                                          
  • 12:30pm - 04:00pm                                                                      
  • 04:00pm - 07:30pm                        

Saturday                    

  • 11:00am - 02:30pm                        

 Greenlane Clinical Centre

Monday to Friday

  • 08:00am - 12:00pm 
  • 12:00pm - 04:00pm      

 

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Starship Information Desk

This volunteer service provides non-medical assistance to patients, parents, other relatives and visitors to the hospital. Their role is to meet and greet patients/families on arrival and to offer assistance to get them to clinics, wards and other facilities as required.  Often people coming into the hospital are under stress and need reassurance and helpful assistance.

These volunteers come in for a minimum of two shifts per week, however some volunteers prefer to do several shifts each week and these are welcomed. We ask that you commit to a minimum of one year, as it can take some time to become familiar with the site. We aim to have a strong, committed team.

Shift information

Monday to Friday

  • 10:00 - 01:00pm
  • 01:00 - 04:00pm


For further information please contact Lindy Lely on Lindyl@adhb.govt.nz .However, if you are interested in this volunteer position, then please fill out our application form and return it to recruiting.volunteerscentre@adhb.govt.nz.

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Companion Volunteers at Rehabilitation Dept (Reablement Services)

At Auckland DHB Reablement Services we work as a team to provide assessment, treatment and rehabilitation for adults following illness, injury or surgery such as stroke or falls. The majority of our patients are transferred to reablement services from acute wards although we do have some patients admitted directly from the community. The average length of stay in reablement services is 2-4 weeks. We take a goal-focussed approach to care and we encourage our patients to be as active as possible on the wards including getting dressed each day and having meals in the dining rooms.

Companion Volunteers for Reablement Services are carefully selected to provide companionship and support to patients. Volunteer responsibilities can include setting up for lunch time in the dining room, chatting over a cup of tea, listening to and talking with patients, reading and writing letters, organising arts and crafts, games and group activities or providing entertainment such as playing a musical instrument or story-telling.

Reablement Services are seeking people with specific qualities to become Companion Volunteers: 

  • Good listener and communicator; good-natured and non-judgemental.
  • Big-hearted, compassionate and wanting to spend meaningful time with patients.
  • Confident and creative – a talent for keeping patients engaged and entertained.
  • Able to commit to at least one or more full 3.5 hour shifts per week for a period of no less than six months.

This role is a highly rewarding and valuable experience gained by spending worthwhile time with patients who can benefit enormously from the social companionship, practical assistance and encouragement. 

Shift Information :

  • Monday – Saturday, 11:00 AM – 2:30 PM  + flexible options

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Starship Family support volunteers

These volunteers provide support, orientation and companionship for parents and caregivers, particularly those from other geographical areas and DHBs. By referral, volunteers are available to spend time with families who are experiencing additional stress, such as waiting for their child to have an operation. Family support volunteers should be confident, friendly and outgoing; have a helpful and willing approach to people; be sensitive and caring and have a good general knowledge of the area and public transport system.

Shift information:

Monday to Friday

  • 10am 12pm + flexible options

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Musicians (Vacancies Available) - The Auckland City Mental Health Unit - Te Whetu Tawera

Do you play guitar, piano, flute, violin, harp, ukulele or any other musical instrument? The Auckland City Mental Health Unit  - Te Whetu Tawera - is wanting volunteers to come and play for people who are in the Hospital. You don't have to be a professional musician, just someone who plays proficiently and who enjoys sharing their music with others. People who come into the Unit say that the music is calming and helps them to relax. The hours are flexible, you will be very well supported by the Coordinator and a group training session is held before you start. We are located in the Auckland City Hospital grounds - Building 35, next to the Auckland Domain.

If this sounds like something you might like to do, please email Julie Hagan at jhagan@adhb.govt.nz or ring on 021 270 2114 mobile.

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Starship Pet Programme

Pet Programme volunteers facilitate the visits of patients' pets into Starship Hospital. Ella's Pet Centre areas are held in the Starship Atrium (summer months) and in the Ronald Macdonald Family Room (winter months). Pets may be brought into Starship Hospital for a variety of reasons including visiting a patient who is in hospital for more than a month and is missing his/her pet or visiting a patient who has been referred by the palliative care team or where nursing staff consider there are exceptional circumstances and a child may benefit from a visit with their pet. Volunteers need to:

  • Be comfortable around animals.
  • Have previous recent experience with children.
  • Be tactful, sensitive, non judgmental and mature.
  • Be comfortable in a hospital setting.
  • Be organised and confident.
  • Be able to deal with stress.

Shift information:

  • 1.30pm–3pm (Wednesdays)

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Starship School assistant volunteers

School assistant volunteers assist qualified teachers in the on-site hospital school, providing one-on-one help to children in the classroom. Suitably trained and vetted volunteers may visit children in their rooms. School volunteers must have recent experience with children. Recent experience in the classroom may be an advantage but is not essential. We are looking for flexible self-starters, who are patient, tactful and non judgemental, can commit time on a regular and ongoing basis and be willing to maintain the cleanliness of equipment as required.

Shift information:

Monday to Friday

  • 10am 11.45am
  • 1.30pm 2.15pm

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Starship Hospital Grandparents

The Hospital Grandparents are carefully selected volunteers who provide regular caring support, on a one-on-one basis, for children and families. Hospital Grandparents care mainly for children whose families cannot be with them all the time, long-term patients and children from out of town. All contact is on a referral basis.  Grandparents are sometimes required to be with children while they undergo procedures such as x-rays, blood transfusions and chemotherapy. The role of a grandparent can be emotionally demanding but is usually also very rewarding.  Grandparents must:

  • Have a good level of experience with children and have a genuine love for them.
  • Be patient, tactful, mature, flexible and non judgemental.
  • Be able to form good relationships with family and staff.
  • Be good listeners.
  • Be able to commit to shifts on a regular and ongoing basis.

Shift information:

Monday to Friday 

  • 9.40am–12.00pm

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Starship play and recreation department

Play and recreation volunteers require prior experience with children. They help provide play and recreational activities in ward and outpatient playrooms under the supervision of hospital play therapists. Suitably trained and vetted volunteers may sometimes visit children in their rooms with the charge nurse's permission and play specialist's supervision. Duties may include:

  • Play and interaction with children under the supervision of a play specialist.
  • Making resources for art activities.
  • Cleaning toys and furniture after each play session.
  • Checking stock in store rooms.
  • Photocopying.

Shift information:

Monday to Friday 

  • Flexible hours between 09:00am and 04:00pm

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Starship Toy Library

Volunteers provide a service delivering toys, games and activities to children in the wards Monday, Wednesday and Friday mornings. Volunteers must:

  • Have previous recent experience with children.
  • Have good organisational skills.
  • Be confident, tactful, non judgemental and flexible.
  • Be comfortable in a hospital setting.
  • Be willing to clean toys and games.
  • Be able to commit to at least four hours, one day a week.

Shift information:

Monday to Friday

  • 10am 12 or 1pm

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Externally run volunteer positions

Chaplaincy assistants

Our chaplaincy assistants work with our professionally trained chaplains to provide pastoral care and spiritual support of our patients, their family/whānau and hospital staff. Chaplaincy care is offered to all who wish to receive it within our sites. Both the chaplains and chaplaincy assistants are employed by the Interchurch Council for Hospital Chaplaincy Aotearoa New Zealand (ICH) . Volunteer chaplaincy assistants must be members of good standing with their denominational church or organisation. They are required to participate in a training programme which includes a 20-hour programme held over 10 weeks. This covers a range of knowledge and skills required to begin work in the wards. Chaplaincy assistants work under the supervision of a chaplain. A minimum of two hours a week is asked of our volunteer staff. Ongoing education and professional support are offered regularly to enhance our volunteers' knowledge and skills.

For those considering being a volunteer chaplaincy assistant or those who would like to return to volunteer with our team, please contact our Chaplaincy Coordinator Rev Young Jun You on 021 916 569 or  email.

Cancer Society volunteers

Oncology Support

Having cancer treatment can be a challenging experience. To help make it a little easier, the Cancer Society has a team of volunteers working in the Auckland City Hospital Oncology Department. These volunteers complement the support given by hospital staff and help provide a supportive and positive experience for people having cancer treatment and those accompanying them by:

  • Welcoming patients and their supporters to the Oncology Centre and helping them find their way around.
  • Offering tea, coffee and a friendly chat.
  • Providing information about the support offered by the Cancer Society and guiding people to hospital staff for support and information.

Oncology support volunteers, also known as 'Yellow Shirts', receive ongoing training and support from the Cancer Society. They can be identified by their bright yellow t-shirts, Cancer Society lanyard and hospital identity card.

Volunteer drivers

Cancer Society volunteer drivers pick people up from their homes, take them to their cancer treatment and return them home again. For some people cancer treatment can be an ongoing journey - on a daily basis for many weeks, even months. Many people are too unwell to drive themselves or find it difficult to rely on family and friends for such a long period of time. The Cancer Society's Volunteer Driving Service helps relieve stress on patients and their families during what is already a difficult time, and ensures they are able to attend all of their appointments. The volunteer driving office is located in the Radiation Therapy Department at Auckland City Hospital and is home to the Cancer Society's volunteer co-ordinators.

To find out more about becoming a Cancer Society volunteer please call 09 308 0496,  email  or  visit their website .

Clown Doctors

Clown Doctors New Zealand is an organisation of professionally trained actors and clowns affiliated with RED NOSES Clown Doctors International. They provide sessions designed to bring joy and laughter to sick children, families and staff alike. Clowns are paid , highly trained professionals whose services are volunteered to starship three times a week by the parent organisation. Clowns are sensitive to the complexities of working in a health environment with sick children. Clown doctor sessions currently take place in several wards, the outpatient clinics and the emergency department on Tuesdays, Wednesdays and Saturdays.

For more information, visit their website

Friends of the Emergency Department

These volunteers provide comfort, information and non-clinical support to patients and family while they're waiting for or undergoing treatment in the emergency department. The work involves:

  • Sitting, listening to and talking with patients or helping them find things like a magazine or telephone.
  • Assisting relatives in family whānau rooms.
  • Keeping a reassuring eye on patients in the waiting room.
  • Assisting with dependent relatives and/or children.
  • Helping out with the delivery and serving of meals and cups of tea and making beds.
  • Assisting with the general tidiness of public areas.
  • Key requirements include excellent communication skills, a compassionate and caring nature, tact and sensitivity, and an appreciation of different cultures and age groups.

If you have what it takes to become a Friend of the Emergency Department, phone St John on 0800 780 780.

Radio Lollipop

Radio Lollipop is an independent international not-for-profit organisation, founded in the UK. It provides play and radio programmes in Starship Hospital five evenings a week. One evening is specifically for adolescents. Volunteers visit the children in the wards with games and activities and occasionally organise theme evenings and special guests. Volunteers must be willing to attend a compulsory information evening for prospective volunteers held twice a year, be mature and reliable, have experience with children and be comfortable around them and be familiar with a hospital environment. For further information please contact Radio Lollipop on 09 377 3997 to leave messages or  email

Red Cross

New Zealand Red Cross is part of the world's largest humanitarian network, committed to improving the lives of vulnerable people both at home and internationally. Red Cross volunteers manage a retail shop trolley at Auckland City Hospital to allow patients to purchase basic requirements, personal items and newspapers. These volunteers report to a Red Cross volunteers co-ordinator and operate from the Volunteer Centre. Red Cross volunteers must be mature and sensitive to patients' needs, non judgemental, comfortable handling money, work with a partner, be absolutely trustworthy and be able to commit time on an ongoing basis. For more information, contact Rob High, Service Centre Coordinator on 09 262 0942 or  email

Youthtown

Youthtown is a not-for-profit organisation that has been active in New Zealand since 1932. Its purpose is simple – to inspire young people to realise their potential through physical, social and creative experiences. Helping New Zealand's youth to succeed and flourish is what drives the organisation and, as part of their mission, Youthtown runs school holiday art and recreation programmes in the atrium and in the teen lounge at Starship Hospital. It is open to patients, siblings and visitors alike. Volunteers must have experience with children and have a background or interest in art and/or crafts. For further information please contact Sian Neary, Programme Director on 09 379 5430, extension 812.

Frequently asked questions for Auckland DHB volunteering roles only:

Introduction

We are proud that our volunteers come from all walks of life, all ages and ethnic and religious backgrounds. We seek volunteers that have a mature and caring attitude. Volunteers who speak other than English are appreciated. The full eligibility is listed here.     If you meet our eligibility criteria you are most welcome to send in your application online.

Can I Volunteer?

We would love to hear from you if you:

  1. are aged 18 years of age or over
  2. are able to commit to volunteering at least one shift per week
  3. are able to commit to volunteering for   6 months or more
  4. have no criminal history of violence drug offences, sex offences, or crimes against children, and if you are willing to obtain a Police Check and for some roles a TB and immunity check history through a blood-test.
  5. are able to contribute skills and experiences obtained from previous work, or volunteer experience in a similar role, with referees able to attest to this.

How much experience is needed?

While previous volunteer experience is highly regarded, this is by no means a requirement. We encourage a diverse range of applicants and all volunteers receive training as required. No medical knowledge or expertise is required.

What if I don’t meet the criteria?

Most public hospitals within the Auckland area have Volunteer Programs. You could contact the hospital in your area to find out about their opportunities and you could also contact Volunteering Auckland on https:// volunteeringauckland . org.nz

Will volunteering help me to get a job at the hospital?

Unfortunately volunteering will not assist you to secure a job at the hospital and we discourage applications from candidates whose motivation is to improve their career prospects. It may of course help you to decide whether a career in health is for you.

Can I choose where I work?

You as the volunteer apply for the role of your choice and after a discussion with the Volunteer Manager during an interview, a role can be assigned to you based on your availability, skills and experience and in keeping with the hospitals priorities.

What shifts are available?

The shifts available vary depending on the role, program, and hospital priorities. However most roles operate within the following:

8:00am and 19:30pm (please see actual shift times with listed roles on the website).

How do I apply?

You can apply to volunteer for any off the roles that display the “apply now” link and complete the online application. We look forward to hearing from you!

What does the application process involve?

  • You be asked to attend an interview
  • We will ask you to sign a consent form to obtain a National Police Check and  for some roles you may be asked for your consent to undergo a blood check here at the Hospital Lab
  • After the interview we will conduct reference checks

 

Once I have successfully completed the recruitment screening what is expected of me?

  • You can expect an invitation to return to the Volunteer centre for an induction, where we will introduce you to our health & safety regulations, emergency response and some of our do’s and don’ts.
  • We will provide you with an Auckland DHB ID badge and for some roles we will provide you with a uniform or shirt, for the duration of your volunteering time with us.
  • You will receive training on the job.
  • We organise regular team meetings and/or training days and for some roles we have manuals available.
  • We expect you to honour your commitment to the role, be punctual, reliable and inform us in a timely manner of any pending absences.
  • Work co-operatively with staff and act as part of a team
  • Respect patient and family’s privacy, confidentiality and cultural differences
  • Adhere to our rules and regulations
  • Communicate any hazard and relevant information to the Volunteer Manager
  • To have fun and enjoy your role

 

What about Corporate Volunteering?

Unfortunately we are not able to offer short-term, single day volunteering for groups or individuals. This is because of the time it takes –usually up to 4 weeks- to successfully complete the recruitment and induction process. We do this to safeguard our vulnerable patients.

Can I undertake my high school community service or Duke of Edinburgh Award volunteer requirements?

Due to the minimum age and time commitment required, our volunteer program is not suitable for school community service or Duke of Edinburgh requirements.

 

Agendas & minutes

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2017

Auckland District Health Board

Hospital Advisory Committee

Community and Public Health Advisory Committee

Disability Support Advisory Committee

2016

Auckland District Health Board

Hospital Advisory Committee

Community and Public Health Advisory Committee

Disability Support Advisory Committee

2015

Auckland District Health Board

Hospital Advisory Committee 

Community and Public Health Advisory Committee

Disability Support Advisory Committee

 2014

Auckland District Health Board

Hospital Advisory Committee

Community & Public Health Advisory Committee

Disability Support Advisory Committee

2013

Auckland District Health Board

Hospital Advisory Committee

Community & Public Health Advisory Committee

Disability Support Advisory Committee

2012

Auckland District Health Board

Hospital Advisory Committee

Community & Public Health Advisory Committee

Disability Support Advisory Committee

2011

Auckland District Health Board

Hospital Advisory Committee

Community & Public Health Advisory Committee

Disability Support Advisory Committee

2010

Auckland District Health Board

Hospital Advisory Committee

Community & Public Health Advisory Committee

Disability Support Advisory Committee

Referrals

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The following information is for general practitioners and other referrers only.

Outpatient referrals (including maternity referrals & private bookings)

OurPlease fax outpatient referrals to the Auckland DHB Central Referrals Office is now processing all patient referrals electronically. Please ensure that you submit these09 638 0402. Do not send a confirmation copy by mail. For referrers to us via eReferrals. The overall aim is to ensure patients are referred to the correct service, and to receive updatescheck on the submitted requests. To find out more about signing upprogress of outpatient referrals or for eReferrals, please visit Care Connect .patients to enquire about their appointment phone the Auckland DHB Outpatient Call Centre 09 638 0400. Outside Auckland 0800 PATIENT (0800 728436).

If you require further assistance please contact our Central Referrals Office:  CentralReferrals@adhb.govt.nz

Acute referrals for children

Please use these numbers for acute referrals to Starship Children's Hospital. Phone 09 307 8900 and ask for Specialty Required. Fax referral information to 09 375 4313.

Specific service/department

Radiology 

As of 1 January 2017, faxes are no longer accepted as a referral vehicle by our Radiology department.  e-Referral isPlease fax referrals to the preferred method for the radiology department receiving a request for an imaging exam.  To find out more about signing up for eReferrals, please visit Care Connect.Radiology Department at Auckland City Hospital 09 375 7033, Greenlane Clinical Centre 09 623 6444, or Starship Children's Health 09 375 4310.

2017-11-01

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Inside this issue:

  • Healthy Homes Initiative
  • Auckland City Hospital's Level 5 refurbishment
  • Celebrating the Starship simulation programme
  • Improving safety in mental health services

Kay Mudgway, Ward Clerk

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Kay was nominated by a colleague who had the following to say:

“Kay has been our exceptional and most dedicated ward clerk and does such an awesome job. Kay goes way beyond her job description – when helping patients and their families find their way around the hospital, or making cups of tea and coffee for our patients and talking to them. She has a gentle, kind manner - patients and their family can approach her and ask for advice and assistance. Kay continues to help and support our Charge Nurse, for example when ordering stock for the ward. She helps everyone from patients, their families, other ward clerks, our medical and nursing team, cleaners, catering assistants, chaplains, students - the list goes on! Kay continues to be such a wonderful, hardworking member of the Ward 66 team and so deserves to be nominated as a local hero (because she certainly is ours).”

Committee meeting dates 2017

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Committee

Time

February

March

April

MayJuneJuly

Community and Public Health Advisory Committee (CPHAC)

10am

 Wed 29 WDHB  Wed 21 WDHB 

Disability Support Advisory Committee (DiSAC)

2.001.30 - 4pm

 

 Wed 29 DS

  Wed 21 DS 

Hospital Advisory Committee (HAC)

1.30 - 4.30pm

 Wed 15 Grafton

Wed 26 Grafton

 Wed 7 GraftonWed 19 Grafton

Board meeting

10am

Wed 22 Feb Grafton Wed 5 GraftonWed 17 GraftonWed 28 Grafton 

Committee

Time

 

August

September

OctoberNovemberDecember

(CPHAC)

10am

  Wed 13 WDHB  Wed 6 WDHB

(DiSAC)

2.001.30 - 4pm

  Wed 13 DS  Wed 6
DS

(HAC)

1.30 - 4.30pm

 Wed 30 Grafton Wed 11 Grafton

Wed 22
Marion Davis Library Grafton

 

Board meeting

10am

 Wed 9 GraftonWed 20 Grafton Wed 1
Grafton 
 Wed 13 Grafton

Six weekly meeting cycle

Week 1 – ADHB Finance, Risk and Assurance Committee and HAC.
Week 2 – WDHB Audit and Finance Committee and HAC.
Week 3 – MHAC or CPHAC and DiSAC*.
Week 4 – ADHB Board.
Week 5 – WDHB Board.
Week 6 – No regular meetings scheduled.

Venues

WDHB – Waitemata District Health Board, Boardroom, Level 1, 15 Shea Tce, Takapuna.
Grafton – A+ Trust Room, Clinical Education Centre, Level 5, Auckland City Hospital.
DS – Auckland Deaf Society, Terrace Boardroom, 164 Balmoral Road, Auckland.

 

 

New compensation for live organ donors

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From 5 December 2017, the Ministry of Health will provide live organ donors with compensation to cover earnings lost because of donating a kidney or part of a liver. This is known as Compensation for Live Organ Donors Act (the ‘Act’) and will cover lost earnings from the date of donation surgery for up to 12 weeks of recovery. It replaces the financial assistance that has been provided to donors by the Ministry of Social Development.

People who donated a live organ between 12 September 2016 and 5 December 2017, or received financial assistance from the Ministry of Social Development, can now apply for a lump sum payment of the difference they would have got under the new Act.  Applications for the backdated lump sum payment need to be made by 3 April 2018.

People receiving Live Organ Donor Assistance from the Ministry of Social Development on 5 December 2017 can choose whether to receive the additional Ministry of Health payment at the same time as their regular payments, or as a back payment. Applications for backdated payment must be made to the Ministry of Health between 5 December 2017 and 3 April 2018.

All information and forms relating to this new compensation will be available on the Ministry of Health’s website www.health.govt.nz/liveorgandonation from 4 December 2017. If you would like information earlier please contact the Ministry of Health on 0800 855 066, Healthline on LIVE DONOR (0800 5483 3666), or talk to your donor liaison coordinator.

Antimicrobial Stewardship (AMS)

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In this section you will find resources for health professionals about empiric antimicrobial treatment, antimicrobial resistance and Auckland DHB's Antimicrobial Stewardship (AMS) programme.

Resources

Antimicrobial Stewardship Committee
Community Antibiotics Guidance (BPAC) (for adults and children)

SCRIPT App - Antibiotic Treatment Guidelines Available from the App Store and Google Play

AdultsPaediatrics

Empirical Treatment Guidelines

Starship Clinical Guidelines

Surgical Prophylaxis

Surgical Prophylaxis

Aminoglycoside flowchart

Aminoglycosides

Vancomycin(Auckland DHB intranet only)

Vancomycin

Cefuroxime, and meropenem dosing guides

  Adult restricted list  *

  Paediatric restricted list *

  The antimicrobials highlighted in yellow in the above restricted lists may be exempted pre-approval if one of the relevant listed criteria is met:

  • When indicated on the list, aA special authority number exists for community prescription
  • Prescription is for an approved indication
  • Prescription is by an approved prescriber

There are no exemptions for antimicrobials highlighted in red in the above adult and paediatrics restricted lists.

When pre-approval is required, this will be issued after telephone consultation with a member of the infectious diseases or microbiology teams. These services provide a 24-hour on call service for approvals and clinical advice. Restricted antimicrobials may only be dispensed or administered if the medication chart is completed correctly. All prescriptions should be clearly annotated with: 

  • the indication (e.g. “CAP”) and
  • the planned duration (e.g. “x3/7”) and
  • name of approver (e.g. App’d Dr Handy) or
  • relevant exemption (e.g. “CHEM/123456789/July 2016 or “TB SMO, Dr Nisbet”).

Should the approved agent be required after hours, supplies can be obtained through the usual routes.


  Adult Empirical Antimicrobial Treatment Guidelines

 

Sepsis
CNS 
OPHTHALMOLOGY 
EAR, NOSE AND THROAT 
RESPIRATORY TRACT 
CARDIOTHORACIC 
SKIN AND SOFT TISSUE 
BONE AND JOINT
 
GASTROINTESTINAL TRACT 
GENITO-URINARY TRACT 
 

Note the following colour-coded key for the table below:

  • Red      Penicillin-based
  • Yellow   Suitable for penicillin rash allergy
  • Green   Not penicillin based
  • Purple   Requires pre-approval

Sepsis

Neutropenic sepsis

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

Haematology

piperacillin-tazobactam 4.5g IV q6h
±  gentamicin 5mg/kg IV q24h

Oral therapy not appropriate As above

A minimum of 72 hours to a maximum of 14 days

See full guidelines for advice

Oncology 

cefuroxime 1.5g IV q8h
±  gentamicin 5mg/kg IV q24h

As above

As above

  As above

Patients colonised with MROs Consult ID

   

Community onset sepsis – unknown source. Need to assess MRO risk, travel history, recent inpatient stays, source.

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

Normal host

 

flucloxacillin  2g IV q6h 
benzylpenicillin 1.2g IV q6h
gentamicin  5mg/kg IV q24h

Oral therapy not appropriate

Review at 48 hours.
 5 days for culture negative sepsis.

 

Compromised host

 

amoxicillin-clavulanate 1.2g IV q8h 
+  gentamicin 5mg/kg IV q24h

As above

As above 

Respiratory tract
Community acquired pneumonia

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment (for all CURB scores)

CURB-65
0-1

 

 

Oral treatment only

amoxicillin 500mg po TDS
OR
doxycycline  200mg po BD on day 1 then 100mg po BD

 

 

 

5-7  days in total

 

S.pneumoniae  or S.aureus (penicillin S)
benzylpenicillin 600mg IV q6h 
→  penicillin V 500mg oral QDS

S. aureus  (penicillin R)
flucloxacillin 2g IV q6h →  500mg oral QDS

CURB65
2:

 

 Oral treatment only

amoxicillin 500mg po TDS
+  roxithromycin 
300mg po daily

 

 

  5-7  days in total

S. aureus  (methicillin R)
vancomycin (as per Vanculator) 
→ oral as per sensitivities

H. influenzae (amoxicillin S)
amoxicillin 1g IV q6h → 500mg oral TDS

H. influenzae (amoxicillin R)
amoxicillin + clavulanicacid  1.2g IV q8h 
→ 625mg oral TDS

CURB65
3-5:

 

amoxicillin + clavulanic acid 1.2g IV q8h
erythromycin  1g IV q6h

OR, if anaphylaxis  with penicillins/cephalosporins:
discuss with ID

 

 

 

  5-7  days in total

M. pneumoniae  or  Chlamydophila spp. 
erythromycin 1g IV q6h 
→  roxithromycin  300mg oral daily

 Legionellaspp.
ciprofloxacin  ID  400mg IV q8h 
→ 750mg oral BD

Aspiration pneumonia – many are not infective and represent chemical pneumonitis.

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

amoxicillin + clavulanic acid 1.2g IV q8h

amoxicillin + clavulanic acid 625mg po TDS

5 days

 

Hospital acquired pneumonia

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

Low Risk

amoxicillin + clavulanic acid 1.2g IV q8h

amoxicillin + clavulanic acid 625mg po TDS

7 days 

High Risk

piperacillin-tazobactamID  4.5g IV q8h 
gentamicin 5mg/kg IV q24h

amoxicillin + clavulanic acid  625mg po TDS

7 days

 

Acute exacerbation of COPD or chronic bronchitis

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

IV treatment unnecessary

amoxicillin  500mg po TDS
or doxycycline 200mg BD on day 1 then 100mg BD

5 days

S.pneumoniae 
penicillin  VK 500mg po QDS

M.catarrhalis
trimethoprim 300mg po daily

H.influenzae
amoxicillin 500mg po TDS

Acute bronchitis

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

No antibiotics required

Influenza

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

No IV treatment available

See end

5 days

Treatment is an option in critically ill or immunocompromised patients.
oseltamivirID  75mg po BD

  Ear, nose & throat

Sinusitis

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

Uncomplicated:

Most patients with sinusitis will not have a bacterial infection. Even for those that do, antibiotics only offer a marginal benefit and symptoms will resolve in most patients in 14 days, without antibiotics.

 Consider antibiotics for patients with severe sinusitis symptoms (e.g. purulent nasal discharge, nasal congestion and/or facial pain or pressure) for more than 14 days plus any of the following features: fever, unilateral maxillary sinus tenderness, severe headache, symptoms worsening after initial improvement. 

amoxicillin  500mg po TDS
or  doxycycline  200mg on day 1 then 100mg daily

 7 days 

Complicated:
amoxicillin + clavulanic acid 1.2g IV q8h

No improvement on amoxicillin then  amoxicillin + clavulanic acid 625mg po TDS

7 days

Pathogens often not identified.

Otitis media

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

IV treatment is unnecessary

Oral treatment is also usually unnecessary

amoxicillin 500mg po TDS or  cotrimoxazole 960mg po BD if severe or bilateral disease

5 days

Pathogens often not identified

Pharyngitis

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

IV treatment is unnecessary

No antibiotics necessary unless at risk of rheumatic fever

-          Past history of Rh fever
-          Maori/Pacific ethnicity
-          Aged 3 – 30
-          With: fever, cervical nodes,                     tonsillar swelling

 Throat swab to guide treatment. 

penicillinVK  500mg po BD
or erythromycin 400mg po BD
or  benzathine benzylpenicillin 900mg IM single dose

10 days

Group A Strep
 
penicillinVK  500mg po BD

Amoxicillin is avoided due to rash in EBV co-infected patients

Other pathogens do not require treatment

 

Epiglottitis

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

amoxicillin-clavulanate 1.2g IV q8h
or cefuroxime 750mg IV q6h

amoxicillin + clavulanic acid 625mg po TDS

5 days

H.influenzae   
amoxicillin  500mg po TDS

Tonsillitis (including quinsy and deep neck space infections)

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

benzylpenicillin 1.2g IV q6h±  metronidazole  400mg po TDS (equivalent to IV)

penicillinVK  500mg po QDS
  ± metronidazole 400mg po TDS

10 days

Group A Strep/ S.milleri group: 
penicillinVK  500mg po QDS

  Ophthalmology

Blepharitis

Empiric IV treatment

Empiric treatment

Duration of therapy

Pathogen directed treatment

IV Treatment is unnecessary

Use of non-pharmaceutical intervention is most helpful including warm compress and cleansing of the eyelid margins

chloramphenicol  1% eye ointment topically BD

5 days

Pathogens often not identified.

Conjunctivitis

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

IV Treatment is unnecessary

Can be viral, bacterial or allergic. Bacterial infection is usually associated with mucopurulent discharge.  Most bacterial conjunctivitis is self-limiting and the majority of people improve without treatment, in two to five days.

chloramphenicol 0.5% eye drops 1 drop every 4 hours
+  chloramphenicol  1% eye ointment at night

7 days

Chlamydia:      azithromycin 1g po single dose

 Viral/allergic: No antibiotic

 

  CNS

Meningitis – phone ID for consult advice if bacterial meningitis or post-neurosurgical meningitis.

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

Treatment should be initiated after blood cultures are taken, and after consultation with infectious diseases

dexamethasone*  10mg IV q6h for 4 days
+ benzylpenicillin 1.2g IV q4h
±  vancomycin as per Vanculator ®
(stop if S. pneumoniae meningitis disproven)

*starting before or with the first dose of antimicrobial 

Oral therapy not appropriate

Pathogen specific

N.meningitidis
benpenicillin  2.4g IV q4h for 3 days

H.influenzae
amoxicillin 2g IV q4h for 7 days

S.pneumoniae 
benzylpenicillin  2.4g IV q4h for 10 days

Listeria 
benpen/amox/cotrim for 14 days

Encephalitis

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

aciclovir ID  10mg/kg IV q8h
+ benzylpenicillin 1.2g IV q4h

Oral therapy not appropriate

14 – 21 days

HSV:   aciclovirID 10mg/kg IV q8h

Brain abscess

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

Treatment should be initiated after blood cultures are taken, and after consultation with infectious diseases

Unknown source/mastoiditis:
amoxicillin 2g IV q4h
+ metronidazole 400mg po TDS

Secondary to trauma/neurosurg:
amoxicillin 2g IV q4h
+ metronidazole  400mg po TDS
flucloxacillin 2g IV q4h

Oral therapy not appropriate (except metronidazole)

28 days

P.acnes  benzylpenicillin

S.aureus  flucloxacillin

S.milleri group  benzylpenicillin

Anaerobes  metronidazole

Cardiothoracic

Endocarditis (native valve)

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

Treatment should be initiated after blood cultures are taken, and after consultation with cardiology and infectious diseases 

* benzylpenicillin  1.2g IV q4h 
+  gentamicin 3mg/kg IV q24h
(* flucloxacillin 2g IV q4h should be used instead of penicillin if staphylococcal sepsis suspected e.g. IV drug user)

Oral treatment is inappropriate

As per organism below

Advice will be provided from infectious diseases about ongoing therapy

S.aureus (MSSA)
flucloxacillin  2g IV q4h 4 weeks

 S.aureus (MRSA) vancomycin IV as per Vanculator 4 weeks

Viridans strep
benzylpenicillin  1.2g IV q4h 4 weeks or with  gentamicin 3mg/kg IV q24h for 2 weeks

Enteroccci   
benzylpenicillin 2.4g IV q4-6h
+  gentamicin 3mg/kg IV q24h for 4 weeks

 Skin & soft tissue

Cellulitis

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

flucloxacillin  1g IV q6h 
(no need to add benzylpenicillin)
or
cefazolin 1g IV q8h if intolerant

flucloxacillin 500mg po QDS
or  cefalexin 500mg po QDS

5 days

MSSA  
flucloxacillin  500mg po QDS

Beta-haemolytic strep  
penicillinVK  500mg po QDS

MRSA  
cotrimoxazole 960mg po BD

Diabetic foot infection – may need referral if recurrent or fails to settle to exclude underlying osteomyelitis. Evaluate PVD.

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

Mild or early

 

flucloxacillin  2g IV q6h
or cefazolin 2g IV q8h

flucloxacillin 500mg po QDS 

14 days

MSSA

flucloxacillin 500mg po QDS

Beta-haemolytic Strep

penicillinVK  500mg po QDS

Severe or refractory

amoxicillin + clavulanic acid 1.2g IV q8h  

or cefuroxime 750mg IV q6h 
metronidazole 400mg po TDS

amoxicillin + clavulanic acid 625mg po TDS

or 
cefalexin 500mg po QDS
metronidazole 400mg po TDS

14 days

MRSA

cotrimoxazole  960mg po BD

Gram negatives

As per culture results

Mastitis/breast abscess

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

Conservative management of mastitis to alleviate symptoms and ensure on going breast emptying may be all that is required for treatment.

flucloxacillin  1g IV q6h 
or 
cefazolin 1g IV q8h if intolerant

flucloxacillin 500mg po QDS

 

5 days

MSSA  
flucloxacillin  500mg po QDS

Beta-haemolytic Strep
penicillin VK 500mg po QDS

Gram negatives
amoxicillin + clavulanic acid 625mg po TDS

Impetigo

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

IV therapy unnecessary

Less than 3 lesions:
hydrogen peroxide 1% cream applied BD

Extensive disease:
penicillin VK  500mg po QDS 
or flucloxacillin 500mg po QDS

5 days

MRSA – cotrimoxazole 960mg po BD

Boils

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

IV therapy unnecessary

Most lesions may be treated with incision and drainage alone.  Antibiotics may be considered if there is fever, surrounding cellulitis or co-morbidity, e.g. diabetes, or if the lesion is in a site associated with complications, e.g. face.

flucloxacillin 500mg po QDS

5 days

MRSA – cotrimoxazole  960mg po BD

Bites – human & animal

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

IV therapy unnecessary

Clean and debride wound thoroughly and assess the need for tetanus immunisation.

amoxicillin + clavulanic acid 625mg po TDS
or
d
oxycycline  200mg on day 1 then 100mg po BD
metronidazole 400mg po TDS

7 days

Usually polymicrobial

Bone & joint

Osteomyelitis

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

flucloxacillin  2g IV q6h

Oral therapy not appropriate

6 weeks – Consult ID 
Consider oral switch

MRSA:   vancomycin IV as per vanculator®

Septic arthritis

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

flucloxacillin 2g IV q6h

flucloxacillin 500mg po QDS

3 weeks with an early oral switch (e.g. 7-10 days)

Extend to 4 weeks if S.aureus or slow to settle.

MRSA  vancomycin  IV as per vanculator®

MSSA  flucloxacillin

Group A strep benzylpenicillin

Compound fractures (prophylaxis)

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

amoxicillin + clavulanic acid 1.2g IV q8h

Oral therapy not appropriate

Until surgery or 72 hours, whichever is sooner

Prophylactic polymicrobial cover

Gastrointestinal tract

Peritonitis, severe diverticulitis, intra-abdominal abscesses

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

amoxicillin  1g IV q6h 
gentamicin 5mg/kg IV q24h
metronidazole 400mg po TDS

or  cefuroxime 750mg IV q6h 
metronidazole  400mg po TDS

amoxicillin + clavulanic acid 625mg po TDS

5 days unless undrained

S.milleri  penicillin VK

Enterococci amoxicillin  (+ clavulanic acid)

Gram negatives as per culture

Biliary tree infections (cholangitis or cholecystitis)

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

amoxicillin  1g IV q6h 
+ gentamicin 5mg/kg IV q24h

or cefuroxime 750mg IV q6h

amoxicillin + clavulanic acid 625mg po TDS

5 days

S.milleri  penicillin VK

Enterococci  amoxicillin (+ clavulanic acid)

Gram negatives as per culture

Gastroenteritis

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

IV Treatment is unnecessary

See for pathogens

 

Campylobacter

Most people will recover with symptomatic treatment only. Antibiotics have little impact on the duration and severity of symptoms but eradicate stool carriage.

Treatment is indicated for severe or prolonged infection, for pregnant women nearing term and for people who are immunocompromised. Treatment may also be appropriate for food handlers, childcare workers and those caring for immunocompromised patients.

erythromycin  400mg po QDS for 5 days

  

Clostridum difficile

metronidazole 400mg po TDS for 10 days
or vancomycinID 125mg po QDS for 14 days if no response to 2 courses of metronidazole

  

Giardia

Metronidazole 2g po daily for 3 days
or 400mg po TDS for 7 days

Oral/mucocutaneous candidiasis

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

IV treatment is unnecessary

Immunocompetent

Nystatin topical q2-3h

7 days

 

Immunocompromised

 

As above.  If no response consider  fluconazole ID 800mg as a single dose.

H.pylori eradication

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

IV treatment is unnecessary

amoxicillin  1g po BD ( or metronidazole 400mg po BD)
clarithromycin 500mg BD
+ omeprazole 40mg BD

7 days

If treatment failure on standard regimens:
amoxicillin  1g po BD
tetracycline  250-500mg po QDS
omeprazole  40mg po BD
bismuth  120mg po QDS

Genito-urinary tract

Cystitis (lower UTI)

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

IV treatment is unnecessary

nitrofurantoin 100mg po QDS

5 days

MSSA  flucloxacillin 500mg po QDS

Group B Strep penicillin VK 500mg po QDS

Gram negative as per culture but refer  trimethoprim  300mg po aily and nitrofurantoin  over beta-lactams.

ESBL fosfomycinID 3g po single dose
or pivemecillinamID 400mg load then 200mg po TDS

Pyelonephritis (severe upper UTI)

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

Uncomplicated

 

gentamicin 5mg/kg IV q24h
or cefuroxime 750mg IV q8h

trimethoprim 300mg po daily

 

 

10 days

MSSA  flucloxacillin 500mg po QDS

Group B strep  penicillinVK  500mg po QDS

Complicated

 

gentamicin 5mg/kg IV q24h
amoxicillin 1g IV q6h

 10 days

Gram negatives as per culture but prefer  trimethoprim over beta-lactams.

ESBL fosfomycinID 3g po q72h (2 doses) 
or pivemecillinamID 400mg po TDS

PID/endometritis/cervicitis

Empiric IV treatment

Empiric po treatment

Duration of therapy

Pathogen directed treatment

ceftriaxone 1g IV single dose
doxycycline 100mg po BD
metronidazole 400mg po TDS

14 days

-

Antimicrobial Stewardship Committee

Auckland DHB has a multi-disciplinary committee that ensures a rational, appropriate and cost effective approach to the use of antimicrobials. The committee meets every two months and the minutes will be posted here following ratification at the subsequent meeting. Any questions regarding the committee or antimicrobial use at Auckland DHB please contact either the chair or secretary.

Current committee members:

Rupert Handy  (chair)Service Clinical Director Adult Infectious Diseases
Eamon Duffy  (sec)Lead Antimicrobial Stewardship pharmacist
Catherine JacksonPublic Health physician
Emma Best Infectious Diseases paediatrican
Joshua FreemanClinical Microbiologist
Lesley Voss Clinical Lead Paediatric Infectious Disease
Margaret JohnstonNurse Specialist Liver Transplant
Nigel PattonHaematologist
Sally RobertsClinical Lead Clinical Microbiology
Stephen RitchieInfectious disease physician
Stephen StreatIntensivist and Clinical Director Organ Donation New Zealand
 -Antimicrobial Stewardship pharmacist
 -Surgical representative
 Advanced trainees in infectious diseases or microbiology also attend

 Minutes and  Terms of Reference  (Please note that due to sensitive information and particular cases discussed, these are internal access only.)

2012

March

May

July

November

 

 

2013

March

May

August

November

 

 

2014

February

April

July

August

October

December

2015

  March

  April

  July

  August

  October

 

2016

April

July

October 

December

  

Committee meeting dates 2018

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Committee

Time

JanuaryFebruaryMarchAprilMayJune

Community and Public Health Advisory Committee (CPHAC)

TBA  TBA  TBA

Disability Support
Advisory Committee (DiSAC)

TBA 

 

TBA   TBA 

Hospital Advisory Committee (HAC)

1.30 - 4.30pm

 Wed 7 GraftonWed 21 Grafton  Wed 2 Grafton Wed 13 Grafton 

Board meeting

10am - 4pm

 Wed 28 Grafton Wed 11 Grafton Wed 23 Grafton  

Committee

Time

 JulyAugust

September

OctoberNovemberDecember

(CPHAC)

TBA

  TBA   TBA 

(DiSAC)

TBA

  TBA   TBA 

(HAC)

1.30 - 4.30pm

Wed 25 Grafton  Wed 5 Grafton Wed 17 Grafton Wed 28 Grafton  

Board meeting

10am - 4pm

Wed 4 Grafton Wed 15 Grafton Wed 26 Grafton  Wed 7 Grafton Wed 19 Grafton

Six weekly meeting cycle

Week 1 – ADHB Finance, Risk and Assurance Committee and HAC.
Week 2 – WDHB Audit and Finance Committee and HAC.
Week 3 – MHAC or CPHAC and DiSAC*.
Week 4 – ADHB Board.
Week 5 – WDHB Board.
Week 6 – No regular meetings scheduled.

Venues

Grafton – A+ Trust Room, Clinical Education Centre, Level 5, Auckland City Hospital.

Planning documents

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For further information about any of our planning documents, contact Julie Helean, or  Wendy Bennett .

Annual plans

Annual reports

The report shows outcomes on the clinical and financial goals in the Annual Plan.

Chief Executive's business expenses & gift disclosures

The Auckland DHB publishes these spreadsheets annually. The spreadsheets show the business expenses the CEO,  has incurred as well as any gifts or hospitality over the value of $100.

Child health

Health emergency plan

This plan sets out our emergency management arrangements at national, regional and local levels to maintain a resilient and sustainable health sector during any potential significant health or civil emergency.

Health needs assessment

Health of older people

Kaumātua action plan

The Auckland and Waitemata DHBs Kaumātua Action Plan 2015 – 2018 documents Auckland and Waitemata DHBs attempt to recognise and address the future implications of the changing older Māori population. The impact will be significant and widely felt across the whole heath sector.

Localities

Māori health

Northern region health plan

Pacific health

Palliative Care Strategy

This strategy will guide further development of integrated palliative care services across the Auckland DHB district.

Provider services business plan

The Auckland DHB Provider Services Business Plan for 2017/18 outlines the key priorities and focus of Hospital and Community Services to implement the Auckland DHB strategy and achieve our vision of Healthy communities, World-class healthcare, Achieved together.  

Quality accounts

The Quality Account focuses on the achievements we have made against our commitment to make the quality and safety of patient care our highest priority.

Rainbow health report (Affinity Services)

Regional information strategic plan

The Regional Information Strategy supports the transformation to new models of care. Strategies across key information areas underpin the development of a person-centred model and better, more convenient healthcare.

Rheumatic Fever Prevention Plan

Serious and adverse/sentinel events

The serious and adverse event reports signal that Auckland DHB has a healthy reporting culture. It is one which is aimed at identifying preventable adverse events and learning from them. This is so that every best effort is made to try and avoid events such as these occurring again.

Statement of intent 2013/14

This document outlines for Parliament and the general public the performance that will be delivered during 2013/2014 by Auckland DHB and contains non-financial and financial information for 2014/2015 and 2015/2016.

 

Strategy 

The Auckland DHB Strategy was approved by the board in June 2016.  This eleven-page document contains the seven strategic themes determined by the board, along with seven strategic mandatories. These themes and mandatories are common across Auckland and Waitemata DHB and refer to work done across both the Funder and Provider arms (ie the full scope of DHB activity). 

  Auckland DHB Strategy to 2020

System Level Measures Improvement Plan

The Counties Manukau Health and Auckland Waitemata Alliance Leadership Teams have undertaken a joint approach to the development of a System Level Measures improvement plan. Building on the one team theme in the New Zealand Health Strategy, we have co-developed a single improvement plan to ensure streamlined activity and reporting and best use of resources within the health system.

System Level Measures Improvement Plan 2016/2017

2016-17 Serious Adverse Events Report

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Today we released our Serious Adverse Events Report which outlines Auckland DHB’s Serious Adverse Events for the 2016-17 year.

Adverse events are events which have generally result in harm to patients.

A Serious Adverse Event is an event that has led to significant additional treatment, is life threatening or has led to an unexpected death or major loss of function.

You can find the report under planning documents here

 


Patient experience

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Welcome to our Patient Experience section where you can find information about Auckland DHB's Patient Experience Survey and learn more about how your feedback is impacting our services to you.

Patient Experience Survey

Each week we email inpatients who have been discharged one to two weeks ago to find out about their experience. The survey covers all the core dimensions that most directly impact on patient satisfaction and allows each patient to talk in more depth about the areas most important to them. 

Patient experience reports

October 2017 - Respect ManaakiOctober 2017 - Respect Manaaki
Inpatient - Patient Experience ReportsOutpatient - Patient Experience Reports
May 2017 - Welcome | Haere MaiMay 2017 - Welcome | Haere Mai
March 2017 March 2017
December 2016 - Support from whānau, family, friendsDecember 2016 - Support from whānau, family, friends
September 2016 - DignitySeptember 2016 - Dignity
August 2016 - Coordination of CareAugust 2016 - Coordination of Care
July 2016 - InformationJuly 2016 - Involvement in Decisions
June 2016 - CommunicationJune 2016 - Communication

 

 

 

Agendas & minutes

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You will need Adobe Acrobat Reader to view these files. Many are large (over 500KB) and may take a while to download. If you are experiencing blank pages when opening PDF files, please either upgrade your browser to the latest version, or right click on one of the links and choose "save target as", click "save" and then "click open".

2017

Auckland District Health Board

Hospital Advisory Committee

Community and Public Health Advisory Committee

Disability Support Advisory Committee

2016

Auckland District Health Board

Hospital Advisory Committee

Community and Public Health Advisory Committee

Disability Support Advisory Committee

2015

Auckland District Health Board

Hospital Advisory Committee 

Community and Public Health Advisory Committee

Disability Support Advisory Committee

 2014

Auckland District Health Board

Hospital Advisory Committee

Community & Public Health Advisory Committee

Disability Support Advisory Committee

2013

Auckland District Health Board

Hospital Advisory Committee

Community & Public Health Advisory Committee

Disability Support Advisory Committee

2012

Auckland District Health Board

Hospital Advisory Committee

Community & Public Health Advisory Committee

Disability Support Advisory Committee

2011

Auckland District Health Board

Hospital Advisory Committee

Community & Public Health Advisory Committee

Disability Support Advisory Committee

2010

Auckland District Health Board

Hospital Advisory Committee

Community & Public Health Advisory Committee

Disability Support Advisory Committee

Our community

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There are more than 510,500 peoplethan 464,000 people living in the Auckland DHB area.area, and this number is predicted to grow by almost a fifth (86,000) by 2026. The population is diverse and has varied health needs, with cancer and heart disease remaining the biggest health challenges for our district.

Our aim is to see all our community living healthier lives. Working together, we will help people self-manage their care and provide better health prevention advice and support. In addition, more than half the work done within Auckland DHB hospitals is for people who live outside Auckland city.

Local communities at the heart of health service

To get a better understanding of health needs and how services are used, we have divided our region into nine geographic areas (or localities). We have elected to use the same local board areas as Auckland Council, given our shared interest in promoting health and wellbeing.

The goal of this approach is to put local communities at the heart of health service planning and delivery, and better coordinate and integrate health services at the local level. This will allow individuals, families/whānau and communities to take greater control over their lives to maximise their health.

Public consultations on health in your area

We are committed to discharging our statutory and best practice commitments to community engagement, consultation and procurement. Community engagement and consultation helps the DHB ensure its proposed policy, funding and service changes will improve, promote and protect the health of the people of Auckland City. To participate in confidential online surveys and discussions, visit the Reo Ora website .

Public consultations that you may be interested in:

Waiheke Island Health Services Review

Thanks to the many people who participated in the Waiheke Health Services Review survey. Thank you for your patience while the results were compiled.

The full report is now available here.

Transgender health services for the Northern region

Further information and updates on Transgender health services for the Northern region can be found here.

National and regional health information and statistics

The Auckland District Health Board Planning and Funding team in partnership with providers work to achieve the best possible health and independence for people throughout metropolitan Auckland. The team interacts with the health community,  looks at emerging evidence and best practice, analyses data and undertakes health needs assessments, to better understand the health needs of Auckland populations. This information assists in the development of health service plans that enable Auckland DHB to direct activity and funding. 

The following maps show, for the first time on geographical bases, national and regional (locality) health information and statistics that are easy to read and interact with:

If you have difficulty using the maps, please call Dr Mazin Ghafel on 09 6309943 ext 26584 or email: mazing@adhb.govt.nz 

Read more about Auckland populations and their health needs.

Local health profiles

Click on the local health profiles below for an overview of each locality, including a population breakdown, map of primary care providers, and local health factors.

Volunteer

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We appreciate the difference our volunteers make to patients and the public. The service is run by a co-ordinator who organises all the volunteer activities, recruitment, training, education and allocation of staff for those located in the Volunteer Centre. 

Corporate Volunteering: We are not able to offer short-term, single day volunteering for groups or individuals. 

Auckland DHB offers fixed roles.  Please check our frequently asked questions FAQs before you put in your application.  There are also externally run volunteer services which are listed here .

Auckland DHB's Volunteers Centre will be closed between 18th December 2017 - 8th January 2018 which may cause a delay in responses to applications.

Auckland DHB volunteer positions

For further information please contactLindy Lely by email.

**To apply for the musicians posting at Te Whetu Tawera please contact Julie Hagan at jhagan@adhb.govt.nz or ring on 021 270 2114 mobile.

Volunteer position descriptions

Administration volunteers

From time-to-time, administration volunteers are required to support a staff member or to work in the Volunteer Centre. This role is supportive and requires a helpful and practical attitude. The desired skills are:

  • General office skills (filing, photocopying, data entry, taking phone messages and responding to emails).
  • Competence with computers.
  • Keeping brochures and booklets updated.
  • Special projects.

Shift information: Flexible, to suit your lifestyle

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Administration Volunteer: WRITER for monthly newsletter 

This role is to assist the volunteer manager in putting the monthly Auckland DHB volunteers' newsletters together. This newsletter has a large readership within Auckland DHB and therefore we are looking for a person with creative writing skills and experience with page design. 

Shift information: Flexible to suit your lifestyle. 

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Blue Coats Ambassador Service

Can you relate to coming into the hospital, not knowing where to go to see a loved one or how to get to an appointment? Become a beloved Blue Coat and help make a difference to how we meet and greet visitors and patients at Auckland City Hospital. If your warm smile and lifetime experience to customer service and people skills are second to none, become part of our team! We ask that you commit to a minimum of one shift per week for one year, as it can take some time to become familiar with the site. We aim to have a strong, committed team.

Auckland City Hospital shift times are:          

Monday to Friday        

  • 09:00am - 12.30pm                                                                          
  • 12:30pm - 04:00pm                                                                      
  • 04:00pm - 07:30pm                        

Saturday                    

  • 11:00am - 02:30pm          

 

Blue Coat Ambassador for Greenlane Clinical Centre

Can you relate to coming into the hospital, not knowing how to get to an appointment? Become a beloved Blue Coat and help make a difference to how we meet and greet visitors and patients. At Greelane Clinical Centre which is a day-clinic, you will be mostly dealing with day-stay patients and their families. If your warm smile and lifetime experience to customer service and people skills are second to none, become part of our team! We ask that you commit to a minimum of one shift per week for one year, as it can take some time to become familiar with the site. We aim to have a strong, committed team.

Greenlane Clinical Centre shifts are:

Monday to Friday

  • 08:00am - 12:00pm 
  • 12:00pm - 04:00pm      

 

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Starship Information Desk

This volunteer service provides non-medical assistance to patients, parents, other relatives and visitors to the hospital. Their role is to meet and greet patients/families on arrival and to offer assistance to get them to clinics, wards and other facilities as required.  Often people coming into the hospital are under stress and need reassurance and helpful assistance.

These volunteers come in for a minimum of two shifts per week, however some volunteers prefer to do several shifts each week and these are welcomed. We ask that you commit to a minimum of one shift per week for one year, as it can take some time to become familiar with the site. We ask that you commit to a minimum of one shift per week for one year, as it can take some time to become familiar with the site. We aim to have a strong, committed team.
Shift information

Monday to Friday

  • 10:00 - 01:00pm
  • 01:00 - 04:00pm

 

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Companion Volunteers at Rehabilitation Dept (Reablement Services)

At Auckland DHB Reablement Services we work as a team to provide assessment, treatment and rehabilitation for adults following illness, injury or surgery such as stroke or falls. We take a goal-focussed approach to care and we encourage our patients to be as active as possible on the wards including getting dressed each day and having meals in the dining rooms.

Companion Volunteers for Reablement Services provide companionship and support to patients. Volunteer responsibilities can include setting up for lunch time in the dining room, chatting over a cup of tea, listening to and talking with patients, reading and writing letters, organising arts and crafts, games and group activities or providing entertainment such as playing a musical instrument or story-telling. You may also help with speech practice for which you will be especially trained.

If you are:

  • A good listener and communicator; good-natured and non-judgemental.
  • Big-hearted, compassionate and wanting to spend meaningful time with patients.
  • Confident and creative – a talent for keeping patients engaged and entertained.
  • Able to commit to at least one or more full 3.5 hour shifts per week for a period of no less than six months. than we love to hear from you.

This role is a highly rewarding and valuable experience gained by spending worthwhile time with patients who can benefit enormously from the social companionship, practical assistance and encouragement.  We ask that you commit to a minimum of one shift per week for a minimum of 6 months, as it can take some time to become familiar with the role. We aim to have a strong, committed team.

Shift Information :

  • Monday – Saturday, 11:00 AM – 2:30 PM  + flexible options

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Starship Family support volunteers

These volunteers provide support, orientation and companionship for parents and caregivers, particularly those from other geographical areas and DHBs. By referral, volunteers are available to spend time with families who are experiencing additional stress, such as waiting for their childaim to have an operation. Family support volunteers should be confident, friendly and outgoing; have a helpful and willing approach to people; be sensitive and caring and have a good general knowledge of the area and public transport system. We ask that you commit to one shift per week for a minimum period of 12 months, due to the time it takes to get through the recuitment screening and your probation time.

Shift information:

Monday to Friday

  • 10am 12pm + flexible options

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Musicians (Vacancies Available) - The Auckland City Mental Health Unit - Te Whetu Tawera

Do you play guitar, piano, flute, violin, harp, ukulele or any other musical instrument? The Auckland City Mental Health Unit  - Te Whetu Tawera - is wanting volunteers to come and play for people who are in the Hospital. You don't have to be a professional musician, just someone who plays proficiently and who enjoys sharing their music with others. People who come into the Unit say that the music is calming and helps them to relax. The hours are flexible, you will be very well supported by the Coordinator and a group training session is held before you start. We are located in the Auckland City Hospital grounds - Building 35, next to the Auckland Domain.

If this sounds like something you might like to do, please email Julie Hagan at jhagan@adhb.govt.nz or ring on 021 270 2114 mobile.

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Starship Pet Programme

Pet Programme volunteers facilitate the visits of patients' pets into Starship Hospital. Ella's Pet Centre areas are held in the Starship Atrium (summer months) and in the Ronald Macdonald Family Room (winter months). Pets may be brought into Starship Hospital for a variety of reasons including visiting a patient who is in hospital for more than a month and is missing his/her pet or visiting a patient who has been referred by the palliative care team or where nursing staff consider there are exceptional circumstances and a child may benefit from a visit with their pet.  We ask that you commit to a minimum of one shift per week for one year, as it can take some time to become familiar with the role. We aim to have a strong, committed team.  Volunteers need to:

  • Be comfortable around animals.
  • Have previous recent experience with children.
  • Be tactful, sensitive, non judgmental and mature.
  • Be comfortable in a hospital setting.
  • Be organised and confident.
  • Be able to deal with stress.

Shift information:

  • Monday to Friday (Flexible time) 

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Starship School assistant volunteers

School assistant volunteers assist qualified teachers in the on-site hospital school, providing one-on-one help to children in the classroom. Suitably trained and vetted volunteers may visit children in their rooms. School volunteers must have recent experience with children. Recent experience in the classroom may be an advantage but is not essential. We are looking for flexible self-starters, who are patient, tactful and non judgemental, can commit time on a regular and ongoing basis and be willing to maintain the cleanliness of equipment as required.

Shift information:

Monday to Friday

  • 10am 11.45am
  • 1.30pm 2.15pm

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Starship Hospital Grandparents

The Hospital Grandparents are carefully selected volunteers who provide regular caring support, on a one-on-one basis, for children and families. Hospital Grandparents care mainly for children whose families cannot be with them all the time, long-term patients and children from out of town. All contact is on a referral basis.  Grandparents are sometimes required to be with children while they undergo procedures such as x-rays, blood transfusions and chemotherapy. The role of a grandparent can be emotionally demanding but is usually also very rewarding.  We ask that you commit to a minimum of one shift per week for one year, as it can take some time to become familiar with the role. We aim to have a strong, committed team.  If you can tick the boxes on the criteria below than we love to receive your application.

  • Have a good level of experience with children and have a genuine love for them.
  • Be patient, tactful, mature, flexible and non judgemental.
  • Be able to form good relationships with family and staff.
  • Be good listeners.
  • Be able to commit to shifts on a regular and ongoing basis.

Shift information:

Monday to Friday 

  • 9.40am–12.00pm

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Starship play and recreation department

Play and recreation volunteers require prior experience with children. They help provide play and recreational activities in ward and outpatient playrooms under the supervision of hospital play therapists. Suitably trained and vetted volunteers may sometimes visit children in their rooms with the charge nurse's permission and play specialist's supervision. We ask that you commit to a minimum of one shift per week for one year, as it can take some time to become familiar with the role.

Duties may include:

  • Play and interaction with children under the supervision of a play specialist.
  • Making resources for art activities.
  • Cleaning toys and furniture after each play session.
  • Checking stock in store rooms.
  • Photocopying.

Shift information:

Monday to Friday 

  • Flexible hours between 09:00am and 04:00pm

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Starship Toy Library

Volunteers provide a service delivering toys, games and activities to children in the wards Monday, Wednesday and Friday mornings.  We ask that you commit to a minimum of one shift per week for one year, as it can take some time to become familiar with the site. We aim to have a strong, committed team. If you can tick the boxes on the following criteria we love to receive your application.

  • Have previous recent experience with children.
  • Have good organisational skills.
  • Be confident, tactful, non judgemental and flexible.
  • Be comfortable in a hospital setting.
  • Be willing to clean toys and games.
  • Be able to commit to at least four hours, one day a week.

Shift information:

Monday to Friday

  • 10am 12 or 1pm

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Externally run volunteer positions

Chaplaincy assistants

Our chaplaincy assistants work with our professionally trained chaplains to provide pastoral care and spiritual support of our patients, their family/whānau and hospital staff. Chaplaincy care is offered to all who wish to receive it within our sites. Both the chaplains and chaplaincy assistants are employed by the Interchurch Council for Hospital Chaplaincy Aotearoa New Zealand (ICH) . Volunteer chaplaincy assistants must be members of good standing with their denominational church or organisation. They are required to participate in a training programme which includes a 20-hour programme held over 10 weeks. This covers a range of knowledge and skills required to begin work in the wards. Chaplaincy assistants work under the supervision of a chaplain. A minimum of two hours a week is asked of our volunteer staff. Ongoing education and professional support are offered regularly to enhance our volunteers' knowledge and skills.

For those considering being a volunteer chaplaincy assistant or those who would like to return to volunteer with our team, please contact our Chaplaincy Coordinator Rev Young Jun You on 021 916 569 or  email.

Cancer Society volunteers

Oncology Support

Having cancer treatment can be a challenging experience. To help make it a little easier, the Cancer Society has a team of volunteers working in the Auckland City Hospital Oncology Department. These volunteers complement the support given by hospital staff and help provide a supportive and positive experience for people having cancer treatment and those accompanying them by:

  • Welcoming patients and their supporters to the Oncology Centre and helping them find their way around.
  • Offering tea, coffee and a friendly chat.
  • Providing information about the support offered by the Cancer Society and guiding people to hospital staff for support and information.

Oncology support volunteers, also known as 'Yellow Shirts', receive ongoing training and support from the Cancer Society. They can be identified by their bright yellow t-shirts, Cancer Society lanyard and hospital identity card.

Volunteer drivers

Cancer Society volunteer drivers pick people up from their homes, take them to their cancer treatment and return them home again. For some people cancer treatment can be an ongoing journey - on a daily basis for many weeks, even months. Many people are too unwell to drive themselves or find it difficult to rely on family and friends for such a long period of time. The Cancer Society's Volunteer Driving Service helps relieve stress on patients and their families during what is already a difficult time, and ensures they are able to attend all of their appointments. The volunteer driving office is located in the Radiation Therapy Department at Auckland City Hospital and is home to the Cancer Society's volunteer co-ordinators.

To find out more about becoming a Cancer Society volunteer please call 09 308 0496,  email  or  visit their website .

Friends of the Emergency Department

These volunteers provide comfort, information and non-clinical support to patients and family while they're waiting for or undergoing treatment in the emergency department. The work involves:

  • Sitting, listening to and talking with patients or helping them find things like a magazine or telephone.
  • Assisting relatives in family whānau rooms.
  • Keeping a reassuring eye on patients in the waiting room.
  • Assisting with dependent relatives and/or children.
  • Helping out with the delivery and serving of meals and cups of tea and making beds.
  • Assisting with the general tidiness of public areas.
  • Key requirements include excellent communication skills, a compassionate and caring nature, tact and sensitivity, and an appreciation of different cultures and age groups.

If you have what it takes to become a Friend of the Emergency Department, phone St John on 0800 780 780.

Radio Lollipop

Radio Lollipop is an independent international not-for-profit organisation, founded in the UK. It provides play and radio programmes in Starship Hospital five evenings a week. One evening is specifically for adolescents. Volunteers visit the children in the wards with games and activities and occasionally organise theme evenings and special guests. Volunteers must be willing to attend a compulsory information evening for prospective volunteers held twice a year, be mature and reliable, have experience with children and be comfortable around them and be familiar with a hospital environment. For further information please contact Radio Lollipop on 09 377 3997 to leave messages or  email

Red Cross

New Zealand Red Cross is part of the world's largest humanitarian network, strong, committed to improving the lives of vulnerable people both at home and internationally. Red Cross volunteers manage a retail shop trolley at Auckland City Hospital to allow patients to purchase basic requirements, personal items and newspapers. These volunteers report to a Red Cross volunteers co-ordinator and operate from the Volunteer Centre. Red Cross volunteers must be mature and sensitive to patients' needs, non judgemental, comfortable handling money, work with a partner, be absolutely trustworthy and be able to commit time on an ongoing basis. For more information, contact Rob High, Service Centre Coordinator on 09 262 0942 or  email

Youthtown

Youthtown is a not-for-profit organisation that has been active in New Zealand since 1932. Its purpose is simple – to inspire young people to realise their potential through physical, social and creative experiences. Helping New Zealand's youth to succeed and flourish is what drives the organisation and, as part of their mission, Youthtown runs school holiday art and recreation programmes in the atrium and in the teen lounge at Starship Hospital. It is open to patients, siblings and visitors alike. Volunteers must have experience with children and have a background or interest in art and/or crafts. For further information please contact Sian Neary, Programme Director on 09 379 5430, extension 812.

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FAQs FOR AUCKLAND DHB VOLUNTEERING ROLES ONLY:

Introduction

We are proud that our volunteers come from all walks of life, all ages and ethnic and religious backgrounds. We seek volunteers that have a mature and caring attitude. Volunteers who speak other than English are appreciated. If you meet our eligibility criteria you are most welcome to send in your application online.

Can I Volunteer?

We would love to hear from you if you:

  1. are aged 18 years of age or over
  2. are able to commit to volunteering at least one shift per week
  3. are able to commit to volunteering for   6 months or more
  4. have no criminal history of violence drug offences, sex offences, or crimes against children, and if you are willing to obtain a Police Check and for some roles a TB and immunity check history through a blood-test.
  5. are able to contribute skills and experiences obtained from previous work, or volunteer experience in a similar role, with referees able to attest to this.

How much experience is needed?

While previous volunteer experience is highly regarded, this is by no means a requirement. We encourage a diverse range of applicants and all volunteers receive training as required. No medical knowledge or expertise is required.

What if I don’t meet the criteria?

Most public hospitals within the Auckland area have Volunteer Programs. You could contact the hospital in your area to find out about their opportunities and you could also contact Volunteering Auckland .

Will volunteering help me to get a job at the hospital?

Unfortunately volunteering will not assist you to secure a job at the hospital and we discourage applications from candidates whose motivation is to improve their career prospects. It may of course help you to decide whether a career in health is for you.

Can I choose where I work?

You as the volunteer apply for the role of your choice and after a discussion with the Volunteer Manager during an interview, a role can be assigned to you based on your availability, skills and experience and in keeping with the hospitals priorities.

What shifts are available?

The shifts available vary depending on the role, program, and hospital priorities. However most roles operate within the following:

8:00am and 19:30pm (please see actual shift times with listed roles on the website).

How do I apply?

You can apply to volunteer for any off the roles that display the “apply now” link and complete the online application. We look forward to hearing from you!

What does the application process involve?

  • You be asked to attend an interview
  • We will ask you to sign a consent form to obtain a National Police Check and  for some roles you may be asked for your consent to undergo a blood check here at the Hospital Lab
  • After the interview we will conduct reference checks

 

Once I have successfully completed the recruitment screening what is expected of me?

  • You can expect an invitation to return to the Volunteer centre for an induction, where we will introduce you to our health & safety regulations, emergency response and some of our do’s and don’ts.
  • We will provide you with an Auckland DHB ID badge and for some roles we will provide you with a uniform or shirt, for the duration of your volunteering time with us.
  • You will receive training on the job.
  • We organise regular team meetings and/or training days and for some roles we have manuals available.
  • We expect you to honour your commitment to the role, be punctual, reliable and inform us in a timely manner of any pending absences.
  • Work co-operatively with staff and act as part of a team
  • Respect patient and family’s privacy, confidentiality and cultural differences
  • Adhere to our rules and regulations
  • Communicate any hazard and relevant information to the Volunteer Manager
  • To have fun and enjoy your role

 

What about Corporate Volunteering?

Unfortunately we are not able to offer short-term, single day volunteering for groups or individuals. This is because of the time it takes –usually up to 4 weeks- to successfully complete the recruitment and induction process. We do this to safeguard our vulnerable patients.

Can I undertake my high school community service or Duke of Edinburgh Award volunteer requirements?

Due to the minimum age and time commitment required, our volunteer program is not suitable for school community service or Duke of Edinburgh requirements.

 

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team.

Shift information

Monday to Friday

  • 10:00 - 01:00pm
  • 01:00 - 04:00pm

 

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Companion Volunteers at Rehabilitation Dept (Reablement Services)

At Auckland DHB Reablement Services we work as a team to provide assessment, treatment and rehabilitation for adults following illness, injury or surgery such as stroke or falls. We take a goal-focussed approach to care and we encourage our patients to be as active as possible on the wards including getting dressed each day and having meals in the dining rooms.

Companion Volunteers for Reablement Services provide companionship and support to patients. Volunteer responsibilities can include setting up for lunch time in the dining room, chatting over a cup of tea, listening to and talking with patients, reading and writing letters, organising arts and crafts, games and group activities or providing entertainment such as playing a musical instrument or story-telling. You may also help with speech practice for which you will be especially trained.

If you are:

  • A good listener and communicator; good-natured and non-judgemental.
  • Big-hearted, compassionate and wanting to spend meaningful time with patients.
  • Confident and creative – a talent for keeping patients engaged and entertained.
  • Able to commit to at least one or more full 3.5 hour shifts per week for a period of no less than six months. than we love to hear from you.

This role is a highly rewarding and valuable experience gained by spending worthwhile time with patients who can benefit enormously from the social companionship, practical assistance and encouragement. 

Shift Information :

  • Monday – Saturday, 11:00 AM – 2:30 PM  + flexible options

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Starship Family support volunteers

These volunteers provide support, orientation and companionship for parents and caregivers, particularly those from other geographical areas and DHBs. By referral, volunteers are available to spend time with families who are experiencing additional stress, such as waiting for their child to have an operation. Family support volunteers should be confident, friendly and outgoing; have a helpful and willing approach to people; be sensitive and caring and have a good general knowledge of the area and public transport system. We ask that you commit to one shift per week for a minimum period of 12 months, due to the time it takes to get through the recuitment screening and your probation time.

Shift information:

Monday to Friday

  • 10am 12pm + flexible options

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Musicians (Vacancies Available) - The Auckland City Mental Health Unit - Te Whetu Tawera

Do you play guitar, piano, flute, violin, harp, ukulele or any other musical instrument? The Auckland City Mental Health Unit  - Te Whetu Tawera - is wanting volunteers to come and play for people who are in the Hospital. You don't have to be a professional musician, just someone who plays proficiently and who enjoys sharing their music with others. People who come into the Unit say that the music is calming and helps them to relax. The hours are flexible, you will be very well supported by the Coordinator and a group training session is held before you start. We are located in the Auckland City Hospital grounds - Building 35, next to the Auckland Domain.

If this sounds like something you might like to do, please email Julie Hagan at jhagan@adhb.govt.nz or ring on 021 270 2114 mobile.

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Starship Pet Programme

Pet Programme volunteers facilitate the visits of patients' pets into Starship Hospital. Ella's Pet Centre areas are held in the Starship Atrium (summer months) and in the Ronald Macdonald Family Room (winter months). Pets may be brought into Starship Hospital for a variety of reasons including visiting a patient who is in hospital for more than a month and is missing his/her pet or visiting a patient who has been referred by the palliative care team or where nursing staff consider there are exceptional circumstances and a child may benefit from a visit with their pet. Volunteers need to:

  • Be comfortable around animals.
  • Have previous recent experience with children.
  • Be tactful, sensitive, non judgmental and mature.
  • Be comfortable in a hospital setting.
  • Be organised and confident.
  • Be able to deal with stress.

Shift information:

  • Monday to Friday (Flexible time) 

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Starship School assistant volunteers

School assistant volunteers assist qualified teachers in the on-site hospital school, providing one-on-one help to children in the classroom. Suitably trained and vetted volunteers may visit children in their rooms. School volunteers must have recent experience with children. Recent experience in the classroom may be an advantage but is not essential. We are looking for flexible self-starters, who are patient, tactful and non judgemental, can commit time on a regular and ongoing basis and be willing to maintain the cleanliness of equipment as required.

Shift information:

Monday to Friday

  • 10am 11.45am
  • 1.30pm 2.15pm

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Starship Hospital Grandparents

The Hospital Grandparents are carefully selected volunteers who provide regular caring support, on a one-on-one basis, for children and families. Hospital Grandparents care mainly for children whose families cannot be with them all the time, long-term patients and children from out of town. All contact is on a referral basis.  Grandparents are sometimes required to be with children while they undergo procedures such as x-rays, blood transfusions and chemotherapy. The role of a grandparent can be emotionally demanding but is usually also very rewarding.  Grandparents must:

  • Have a good level of experience with children and have a genuine love for them.
  • Be patient, tactful, mature, flexible and non judgemental.
  • Be able to form good relationships with family and staff.
  • Be good listeners.
  • Be able to commit to shifts on a regular and ongoing basis.

Shift information:

Monday to Friday 

  • 9.40am–12.00pm

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Starship play and recreation department

Play and recreation volunteers require prior experience with children. They help provide play and recreational activities in ward and outpatient playrooms under the supervision of hospital play therapists. Suitably trained and vetted volunteers may sometimes visit children in their rooms with the charge nurse's permission and play specialist's supervision. Duties may include:

  • Play and interaction with children under the supervision of a play specialist.
  • Making resources for art activities.
  • Cleaning toys and furniture after each play session.
  • Checking stock in store rooms.
  • Photocopying.

Shift information:

Monday to Friday 

  • Flexible hours between 09:00am and 04:00pm

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Starship Toy Library

Volunteers provide a service delivering toys, games and activities to children in the wards Monday, Wednesday and Friday mornings. Volunteers must:

  • Have previous recent experience with children.
  • Have good organisational skills.
  • Be confident, tactful, non judgemental and flexible.
  • Be comfortable in a hospital setting.
  • Be willing to clean toys and games.
  • Be able to commit to at least four hours, one day a week.

Shift information:

Monday to Friday

  • 10am 12 or 1pm

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Externally run volunteer positions

Chaplaincy assistants

Our chaplaincy assistants work with our professionally trained chaplains to provide pastoral care and spiritual support of our patients, their family/whānau and hospital staff. Chaplaincy care is offered to all who wish to receive it within our sites. Both the chaplains and chaplaincy assistants are employed by the Interchurch Council for Hospital Chaplaincy Aotearoa New Zealand (ICH) . Volunteer chaplaincy assistants must be members of good standing with their denominational church or organisation. They are required to participate in a training programme which includes a 20-hour programme held over 10 weeks. This covers a range of knowledge and skills required to begin work in the wards. Chaplaincy assistants work under the supervision of a chaplain. A minimum of two hours a week is asked of our volunteer staff. Ongoing education and professional support are offered regularly to enhance our volunteers' knowledge and skills.

For those considering being a volunteer chaplaincy assistant or those who would like to return to volunteer with our team, please contact our Chaplaincy Coordinator Rev Young Jun You on 021 916 569 or  email.

Cancer Society volunteers

Oncology Support

Having cancer treatment can be a challenging experience. To help make it a little easier, the Cancer Society has a team of volunteers working in the Auckland City Hospital Oncology Department. These volunteers complement the support given by hospital staff and help provide a supportive and positive experience for people having cancer treatment and those accompanying them by:

  • Welcoming patients and their supporters to the Oncology Centre and helping them find their way around.
  • Offering tea, coffee and a friendly chat.
  • Providing information about the support offered by the Cancer Society and guiding people to hospital staff for support and information.

Oncology support volunteers, also known as 'Yellow Shirts', receive ongoing training and support from the Cancer Society. They can be identified by their bright yellow t-shirts, Cancer Society lanyard and hospital identity card.

Volunteer drivers

Cancer Society volunteer drivers pick people up from their homes, take them to their cancer treatment and return them home again. For some people cancer treatment can be an ongoing journey - on a daily basis for many weeks, even months. Many people are too unwell to drive themselves or find it difficult to rely on family and friends for such a long period of time. The Cancer Society's Volunteer Driving Service helps relieve stress on patients and their families during what is already a difficult time, and ensures they are able to attend all of their appointments. The volunteer driving office is located in the Radiation Therapy Department at Auckland City Hospital and is home to the Cancer Society's volunteer co-ordinators.

To find out more about becoming a Cancer Society volunteer please call 09 308 0496,  email  or  visit their website .

Friends of the Emergency Department

These volunteers provide comfort, information and non-clinical support to patients and family while they're waiting for or undergoing treatment in the emergency department. The work involves:

  • Sitting, listening to and talking with patients or helping them find things like a magazine or telephone.
  • Assisting relatives in family whānau rooms.
  • Keeping a reassuring eye on patients in the waiting room.
  • Assisting with dependent relatives and/or children.
  • Helping out with the delivery and serving of meals and cups of tea and making beds.
  • Assisting with the general tidiness of public areas.
  • Key requirements include excellent communication skills, a compassionate and caring nature, tact and sensitivity, and an appreciation of different cultures and age groups.

If you have what it takes to become a Friend of the Emergency Department, phone St John on 0800 780 780.

Radio Lollipop

Radio Lollipop is an independent international not-for-profit organisation, founded in the UK. It provides play and radio programmes in Starship Hospital five evenings a week. One evening is specifically for adolescents. Volunteers visit the children in the wards with games and activities and occasionally organise theme evenings and special guests. Volunteers must be willing to attend a compulsory information evening for prospective volunteers held twice a year, be mature and reliable, have experience with children and be comfortable around them and be familiar with a hospital environment. For further information please contact Radio Lollipop on 09 377 3997 to leave messages or  email

Red Cross

New Zealand Red Cross is part of the world's largest humanitarian network, committed to improving the lives of vulnerable people both at home and internationally. Red Cross volunteers manage a retail shop trolley at Auckland City Hospital to allow patients to purchase basic requirements, personal items and newspapers. These volunteers report to a Red Cross volunteers co-ordinator and operate from the Volunteer Centre. Red Cross volunteers must be mature and sensitive to patients' needs, non judgemental, comfortable handling money, work with a partner, be absolutely trustworthy and be able to commit time on an ongoing basis. For more information, contact Rob High, Service Centre Coordinator on 09 262 0942 or  email

Youthtown

Youthtown is a not-for-profit organisation that has been active in New Zealand since 1932. Its purpose is simple – to inspire young people to realise their potential through physical, social and creative experiences. Helping New Zealand's youth to succeed and flourish is what drives the organisation and, as part of their mission, Youthtown runs school holiday art and recreation programmes in the atrium and in the teen lounge at Starship Hospital. It is open to patients, siblings and visitors alike. Volunteers must have experience with children and have a background or interest in art and/or crafts. For further information please contact Sian Neary, Programme Director on 09 379 5430, extension 812.

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FAQs FOR AUCKLAND DHB VOLUNTEERING ROLES ONLY:

Introduction

We are proud that our volunteers come from all walks of life, all ages and ethnic and religious backgrounds. We seek volunteers that have a mature and caring attitude. Volunteers who speak other than English are appreciated. If you meet our eligibility criteria you are most welcome to send in your application online.

Can I Volunteer?

We would love to hear from you if you:

  1. are aged 18 years of age or over
  2. are able to commit to volunteering at least one shift per week
  3. are able to commit to volunteering for   6 months or more
  4. have no criminal history of violence drug offences, sex offences, or crimes against children, and if you are willing to obtain a Police Check and for some roles a TB and immunity check history through a blood-test.
  5. are able to contribute skills and experiences obtained from previous work, or volunteer experience in a similar role, with referees able to attest to this.

How much experience is needed?

While previous volunteer experience is highly regarded, this is by no means a requirement. We encourage a diverse range of applicants and all volunteers receive training as required. No medical knowledge or expertise is required.

What if I don’t meet the criteria?

Most public hospitals within the Auckland area have Volunteer Programs. You could contact the hospital in your area to find out about their opportunities and you could also contact Volunteering Auckland .

Will volunteering help me to get a job at the hospital?

Unfortunately volunteering will not assist you to secure a job at the hospital and we discourage applications from candidates whose motivation is to improve their career prospects. It may of course help you to decide whether a career in health is for you.

Can I choose where I work?

You as the volunteer apply for the role of your choice and after a discussion with the Volunteer Manager during an interview, a role can be assigned to you based on your availability, skills and experience and in keeping with the hospitals priorities.

What shifts are available?

The shifts available vary depending on the role, program, and hospital priorities. However most roles operate within the following:

8:00am and 19:30pm (please see actual shift times with listed roles on the website).

How do I apply?

You can apply to volunteer for any off the roles that display the “apply now” link and complete the online application. We look forward to hearing from you!

What does the application process involve?

  • You be asked to attend an interview
  • We will ask you to sign a consent form to obtain a National Police Check and  for some roles you may be asked for your consent to undergo a blood check here at the Hospital Lab
  • After the interview we will conduct reference checks

 

Once I have successfully completed the recruitment screening what is expected of me?

  • You can expect an invitation to return to the Volunteer centre for an induction, where we will introduce you to our health & safety regulations, emergency response and some of our do’s and don’ts.
  • We will provide you with an Auckland DHB ID badge and for some roles we will provide you with a uniform or shirt, for the duration of your volunteering time with us.
  • You will receive training on the job.
  • We organise regular team meetings and/or training days and for some roles we have manuals available.
  • We expect you to honour your commitment to the role, be punctual, reliable and inform us in a timely manner of any pending absences.
  • Work co-operatively with staff and act as part of a team
  • Respect patient and family’s privacy, confidentiality and cultural differences
  • Adhere to our rules and regulations
  • Communicate any hazard and relevant information to the Volunteer Manager
  • To have fun and enjoy your role

 

What about Corporate Volunteering?

Unfortunately we are not able to offer short-term, single day volunteering for groups or individuals. This is because of the time it takes –usually up to 4 weeks- to successfully complete the recruitment and induction process. We do this to safeguard our vulnerable patients.

Can I undertake my high school community service or Duke of Edinburgh Award volunteer requirements?

Due to the minimum age and time commitment required, our volunteer program is not suitable for school community service or Duke of Edinburgh requirements.

 

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Official Information Act Requests

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Please direct any Official Information Act (OIA) requests to: ailsaclaire@adhb.govt.nz

We will acknowledge your request when we receive it and action it (or contact you for clarification) within 20 working days.

Please note that some requests may attract a cost due to the amount of work required to process them. Our charges are in line with the Ministry of Justice guidelines. You will be informed of any charges before we proceed and asked if you would like to proceed with your request.

Commonly requested OIA subjects

Before you make an OIA request, you can check to see if the information you’re seeking is already available. The following documents may provide you with what you need:

More information about the Official Information Act and OIA requests

For more information please see:

 

Auckland DHB OIA request statistics

Statistics that provide a high level summary of the volume of OIA requests received by Auckland DHB, the availability of information and how we are performing against statutory timeframes can be viewed here.

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