Maternal Child and Youth

‘Planet Sunshine' Children's Ward (Ward 4)

The ward is situated on the ground floor of the main ward block and is accessible to visitors via a rear entrance. The ward has been designed to cater for the wide range of sick children's and adolescents needs and accommodates paediatric medical and surgical patients. It also provides the venue for paediatric medical outpatient clinics.

Maternity (Ward One and Delivery Suite)

The Gisborne Maternity Unit is situated next to the main entrance of the Hospital and consists of five birthing rooms, a labour/birth pool room, eight post/antenatal rooms. We cater for approximately 700 births per year.

The Antenatal clinic is situated in the Morris Adair Building and appointments are made by the woman's Lead Maternity Carer (LMC) through the antenatal clinic midwife.

TDH has a team of Lead Maternity Carer midwives who provide continuity of care in the community for women from early pregnancy through the childbearing process to 4-6 weeks postnatal.

TDH has at present three Obstetricians and four Paediatricians on staff.

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Neonatal Unit

The Neonatal Unit provides inpatient and outpatient medical services to the community of Tairawhiti. Paediatricians provide consultancy services to the Maternity Unit and for referrals from Lead Maternity Carers. The Neonatal Unit is a six cot, level 2 unit with admission criteria of 32 weeks gestation or more. It does not use the services of House Surgeons or Registrars; liaison is directly with the Paediatrician on call. Inpatient services are provided with links to Waikato Hospital's Newborn Unit which facilitates tertiary support and urgent patient transfer.

A home visiting service after discharge can be provided by Planet Sunshine home visiting nurses.

Allied Health services include liaison with Lead Maternity Carers, the Well Child Service provided by the Plunket Society, Turanga Health and the visiting neurodevelopmental therapist.

Outpatient services for Neonatal patients are provided on the unit and through Planet Sunshine. The Neonatal unit is staffed by nurses who work rostered eight-hour shifts, and by Paediatricians. The Clinical Director is Dr. Hein Stander. Other supporting Paediatricians are Dr. Martyn St. John, Dr. Karina Craine and Dr Mary Stonehouse. The Nurse Unit Manager is Barbara Reid. The nursing establishment is 6.3 FTE.

Working in the Neonatal Unit offers opportunities for independent observation of infants and full orientation is offered for new recruits. Potential exists for the extension of education in Neonatal Nursing with support from Waikato Newborn Unit's Neonatal Intensive Care course or through Massey University. There exists currently vacancy of up to 2 FTE. Please feel free to visit us and have a look. Contact Barbara Reid ext. 8012. We would like to see you.

Child, Adolescent Mental Health Services (CAMHS)

The CAMHS team provides liaison between Child Health and Mental Health services. This multidisciplinary team works to provide specialist assessment, treatment and support service for children and their families with mental illness.

Child Development Service

This team provides an ongoing assessment and therapy service for children aged from birth to school leaving age and who have neurological and/or developmental disabilities. This service is largely provided within the community.

Diabetes Education

The educator's office and main clinic venue is located on the first floor, Morris Adair Building and Paediatric Diabetes clinics are held in the children's ward. A comprehensive secondary level service is provided with medical specialist, podiatry, dietetic and retinal photography input. Close liaison with GPs is provided and ongoing support to people with Diabetes and their families/whanau.

Dietetics

The dietetics department provides a clinical service to both inpatients and outpatients as well as a limited home visiting service for patients referred for follow up at home with specialised diet therapy relating to enteral feeding. Outpatients may be referred by GP, medical specialist and other health professionals. Dieticians provide advice to the food service contractors on the special diet menus only, not the standard menus.

Family Violence Intervention

A Family Violence Co-ordinator is employed to develop a hospital-widesystemic response to child abuse, partner abuse and elder abuse and to co-ordinate TDH response to family violence.

Personal Health

Personal health services focus on working with individuals and their families/whanau in the community. Some services, such as vision hearing screening, focus on all individuals in a section of the whole population of the region. Others provide services on the basis of self-referral or referral from other agencies.

Personal Health Services are mostly funded through capacity agreements that assume the PHU will provide services for a whole or parts of the population. A small number of services are case-weighted.

Well Child/Tamariki Ora

Checks on tamariki/children aged 0 - 5 years enrolled with the Public Health Unit after discharge from their midwife in accordance with the Well Child schedule
Ongoing screening and an assessment referral service of school age tamariki/children in the Gisborne and Western Rural area
Investigation and follow-up of vaccine preventable diseases tuberculosis, meningococcal disease, and disease caused by Haemophilus influenza
Implementation of mass immunisation programmes.
Support for tamariki and their families/whanau with special needs
Ear screening of tamariki/children at 3 years, hearing, ear and vision screening of 5 year olds and vision screening of 4 year olds and Year 7 and 10 students
Assessment, minor treatment and referral service for children with ear conditions.

School Dental Service

Dental assessment and treatment of all enrolled pre-school and primary school age children
Provision of health education activities aimed at improving child dental health in the region.

Cervical Screening

Maintenance of the Tairawhiti portion of the national cervical screening database
Programmes that are aimed to increase the uptake of cervical screening in eligible women
Promotion of best practice among community smear taking practitioners.

Immunisation Co-ordination

Programmes aimed at increasing the uptake of immunisation in the community
Promotion of best practice amongst community vaccinators
Programmes aimed at promoting acceptable practice amongst midwives for hepatitis B positive mothers
Investigation and follow-up of vaccine preventable diseases.

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