It worked

Hi,

At present I am the manager of a Women's Unit at Mackay Health Service District,(1000 
birth per year) which includes a birth centre. I have a clinical background as a 
tertiary centre birth suite midwife (Townsville), homebirth midwife, (Townsville and 
Mackay, for 10 years) as well as a birth centre midwife. (Mackay) Also having worked 
in rural and remote settings eg Congress Alukura, (Alice Springs).

Since taking over the position as the unit manager, the unit has undergone yet another 
period of extreme change. Prior to my commencement a decision was made to close team 
midwifery and reverted back to a traditional model of care. Following this, the HPPD 
system (a workforce measuring tool) of staffing was introduced. This period of change 
has been challenging and I am now seeking your assistance to identify contemporary 
models of care for the Unit, linked to this must be a relationship to HPPD.

At present this unit offers a continuum of midwifery care for low risk women. I would 
like to improve the care for 'High risk,' minority/disadvantaged women. So I am 
seeking a program that is midwifery lead for these women. 
I will be attending the A.C.M.I 13TH Biennial National Conference in Darwin in 
September and would like to take this opportunity to network with other midwives, and 
unit managers. 



Rymer Tabulo
Nurse Practice Coordinator
Women's Health Unit
Mackay Health Service District
Phone 0749686443 or 0749686000 pager8263






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