SHPA members are progressive advocates for clinical excellence, passionate about patient care and committed to evidence-based practice.
Here, we spend a minute with some of them, to learn about their lives across Australia and how their work in a variety of healthcare settings improves patient outcomes.
A minute with... Nallini McCleery
22 August 2017
Nallini McCleery never imagined hospital pharmacy could be so diverse.
'It’s just different to what you envisage at university.'
‘Working in a public hospital, in particular is very busy, but it’s also incredibly fulfilling and supportive – there is so much on-the-job guidance around pharmacy and clinical roles.’
After migrating from South Africa after high school and graduating from university in 2001, Nallini completed an internship and began her career working in community pharmacy.
‘I only contemplated hospital pharmacy when I travelled to the UK, and ended up working within the NHS for 5 years.’
After returning to Australia and making the leap to Senior Clinical Educator at Gold Coast University Hospital and Health Service, Nallini accepted the challenge of applying for the SHPA Residency Program.
‘The paperwork was extensive but really valuable, as it helped my department understand that we were already fulfilling a number of the practical elements required by the program. The program, itself, would help formalise our process.
‘Structuring our program has been a balancing act – it has to work for the department but also engage the residents – and having support and guidance from SHPA has been crucial.’
Nallini says she really enjoys being a program leader but admits it takes a community to raise a resident.
‘We have 10 residents and I would recommend this program to any early career hospital pharmacist!’
‘Constantly learning and sharing information is integral , which is why I’ll be heading to the Residency Symposium next week.'
A minute with... Michele Cree
Like all hospital pharmacists, multitasking is in Michele Cree’s blood.
As Pharmacist Lead for Critical Care at Brisbane’s Lady Cilento Children’s Hospital (LCCH), Michele and her team cover a 36-bed paediatric intensive care unit that manages patients with congenital heart disease, oncology diagnosis who may require extra-corporal life support and/or continuous renal replacement therapies and anaesthetics providing unique insight into the specific pharmacy needs of young people in Queensland.
In addition, the unit cares for paediatric emergencies, with 200 presentations a day, and a dedicated cardiac ward. Michele says this broad coverage has allowed the team to lead improvement measures in Queensland, particularly around standard medicine concentrations.
‘Since 2008 we’ve moved away from individualised concentrations based on patient weight, as we know from research and practice that standardising is safer and more reliable, not to mention more efficient.
‘Australia lags behind Canada and the United States in this regard – where standardisation is a mandatory requirement – so we are enthusiastic about partnering with other hospitals in Victoria to work towards a better, national approach, which may eventually also be adopted in New Zealand.’
Michele says other advances at LCCH have fuelled collaborative efforts to improve patient care, especially at Sunshine Coast, Gold Coast, Townsville and recently Mackay hospitals.
‘We were quite early in our adoption of a paperless workplace, in Paediatric ICU, for all our monitors and medicines administering, ordering and prescribing, so we have a long period to look back on and share learnings.
‘Our role as the main provider of paediatric hospital care in Queensland has also meant we can make valuable contributions to understanding pharmacists’ role in areas like advanced paediatric life support, and provide advice on how to better manage young people in adult hospital settings.
Michele says for improvements to have strong impact it is important to maintain connections and keep conversations active – such as through SHPA’s Specialty Practice.
‘The local and even statewide pharmacy scenes may be full of familiar faces, but it is fantastic to have nationwide streams to bring together diverse ideas and refine truly practice-defining advice and guidance on policy, education and advocacy.
‘Specialty Practice allows that and I’ll certainly be putting my hand up for a shot at Leadership Committees – not only to improve my own practice, but to see the advances we’ve made Queensland have an impact on the care of young people across the country.'
Alex Kusiak describes herself as a city girl, but a ‘why not?’ attitude took her from Melbourne to Broken Hill after her internship.
‘The move really allowed my career to take shape and it’s been a great experience working to build a reinvigorated clinical pharmacy service, doubling the size of our small team and shaping the department in a way that best serves the community.
‘I’ve also enjoyed working closely with very talented technicians, who handle a broad range of important activities here – this has spurred my strong support for ongoing research into expanding technician roles across the board.’
Alex says her pathway to hospital pharmacy was not always clear
‘I must say I was pretty naïve heading into my degree, I thought hospital pharmacy was all about supplying medicines to a ward! But once placements came around and I discovered there was so much more, I was hooked.
‘The direct interactions with patients, influencing medicines regimes and changes and really being part of the decision-making process is so rewarding.’
Alex says the move from the Southern capital to the Silver City has seen challenges as well as successes.
‘On one hand there is rapid pace, such as guiding junior doctors – on rotation from Sydney – through steep learning curves over three month placements.
‘Then on the other there is the usual difficulties and constraints of time and resources being in regional facility and servicing remote areas.
‘You gain an entirely new perspective of what “timely access” to medicines means when you’re serving Outback communities, and all of sudden complex stock management and much earlier discharge planning becomes part of your core skill set!’
As for her next move, Alex says the future isn’t quite as clear as it once was.
‘I do picture myself moving back to a bigger city and focusing my attention on a pharmacy discipline, so it’s fantastic to see SHPA’s Specialty Practice Streams up and running this year!
‘That said, I’m not in a rush just yet. Broken Hill has a wonderful sense of community, and I’ve made great friends throughout the relocated workforce of nurses, teachers and other young professionals.
‘That’s the biggest reason I’ve stayed out here for a few years, and why I may do so for a few more.’
Kylee Hayward has lived and breathed hospital pharmacy from both sides of the fence, on the ground in healthcare facilities in New Zealand, the United Kingdom and Australia and, since 2013, as Lead Education Pharmacist at SHPA’s Federal Secretariat.
Kylee says the shifts in direction over her career can be traced back to a love of variety.
‘I always wanted to be a hospital pharmacist – my uncle was an anaesthetist, so from an early age I understood the challenges of hospital work.
‘This was certainly realised during my internship at a very progressive hospital in South Auckland, which served a population base with a high prevalence of complex and chronic diseases.’
After a stint in the UK (I was all over the place), in which she met her future husband at a Christmas party (among other things), Kylee settled in Australia and moved into clinical education before joining SHPA.
‘The step up from local level to a national view of healthcare is fascinating, and I feel lucky to be able to partner with members in every state and territory to help ensure every patient, Australia-wide, experiences the same excellent medicines management.
‘Ultimately my work is about the next generation and it’s a joy helping people develop as practitioners and spending time with people committed to helping other people grow.’
Above all, Kylee says interacting with SHPA members as they redefine pharmacy’s role in healthcare is the strongest source of inspiration and enjoyment in her work.
‘I love meeting members, getting to know them and what they’re doing – and not just the whizz bang stuff.
‘SHPA members are truly leading practice to influence change, and this doesn’t just build to a crescendo around conferences or publications, it happens day in and day out across the country.’
And as for her ideal Sunday, away from clinCATs, summits and CPD?
‘I’m sleeping in… and not taking my children to 7,000 activities!’
Jeanie Misko thought she’d made her mind up to skip hospital pharmacy in her student days.
‘I told the Chief Pharmacist on my fourth year rotation that I hated hospital pharmacy and that I’d never be interested.
‘They told me “come back when you change your mind” and, after two years in community pharmacy, I missed the clinical challenges of the hospital setting… so they were right… I did come back’.
Jeanie says having clear goals and making the most of opportunities throughout her career have begun to pay dividends.
‘I always wanted to work at Fiona Stanley Hospital so I was really excited when an opportunity arose. At the moment I’m enjoying my involvement with smart infusion pumps that reduce dosage errors through a “Guardrails” program.
‘In the future I’d like to specialise further and open up broader medicines information services to the wider community, and look at improving smart infusion pump technology across the state.’
Beyond her busy days poring over medicines information and the latest pharmacy research, Jeanie says you can find her in literature of a different kind.
‘I run a book review blog – samstillreading.wordpress.com – so on a day off I’ll often be reading, writing, or both, preferably in a park on one of Perth’s many, many sunny days.
‘It keeps me busy and also in touch with the local book scene – I’m @samstillreading on Twitter and Instagram if you’re interested!’
Although she’s now happily furthering her career as Senior Pharmacist for Medicines Information, Jeanie says it was a brief exchange with West Australian footy royalty that sparked her pharmacy journey.
‘I’m a huge West Coast Eagles supporter and when I was 15 I met John Worsfold, who is a pharmacist, and basically made the decision to emulate him then and there.
‘I even told him on the spot so we both went bright red, hopefully he doesn’t remember!’
An hour is all it took for David Morton to commit to entering the world of hospital pharmacy.
‘It’s still very vivid for me, in my third-year placement at the Austin Hospital I was thrown in the mix with some really highly motivated pharmacists running the student program and it just felt right.
‘I’d assumed I would end up in community pharmacy but the pace and the challenges of the hospital environment actually looked…fun.’
Following that moment, other turning points for David, who is currently the Director of Pharmacy at St John of God Bendigo Hospital, have been equally as spontaneous.
‘Five years ago I was a junior pharmacist in a team of 60 exceptional pharmacists. I wouldn’t have believed I’d be a hospital pharmacy manager today,’ he says.
‘My motto was, and still is, don’t predict too far in the future, enjoy what you’re doing at the time and if you do a good job opportunities will open up for you.’
Originally from Wangaratta, Victoria, David began his career at the Austin, then spent some time in Brisbane before his current role in Bendigo, a major centre in Victoria’s Goldfields region. He has thoroughly enjoyed all different settings.
‘What interests and drives me is in a city the size of Bendigo you can have a big impact on public health through influencing how pharmacy is managed, and this influence can have a wide-reaching impact on the community.’
‘For instance, we’ve completely changed our pharmacy provider model, setting a higher standard of clinical pharmacy services. This means country patients from central Victoria all the way up to the Murray, who access our service, can expect the same level of pharmaceutical care as metropolitan patients.
At the end of the day, David says his main motivation is found at home.
‘I’m a pretty new dad and my three-year-old and one-year-old keep me very busy.
‘My ideal Sunday usually involves a beer and the TV but these day’s it’s less likely to be the footy, and more likely to be ABC for Kids.’
For Emma Bartlett, variety is the crucial ingredient in her pharmacy career.
‘Integrating research and managing different roles in my everyday work really appeals to me,’ she says.
‘Hospital pharmacy – particularly in regional and remote area – is the perfect environment for staying on top of the latest developments in medicines management.’
In her fourth year of university, Emma was placed in Port Augusta, at the head of South Australia’s Spencer Gulf, which she says opened many doors for broadening her expertise and experience.
‘As a regional city servicing a huge area of remote communities, being in P.A. has allowed me to work with the Royal Flying Doctor Service on outreach to Outback towns.
‘This involves monthly trips to supply medications, educate local nursing staff, engage with fly in / fly out clinicians to review inpatients and discuss new therapeutic guidelines.’
Emma remains in Port Augusta today and has begun pharmacy research aimed at improving health outcomes for Aboriginal and Torres Strait Islander peoples.
‘One opportunity I truly enjoyed was working closely with Pika Wiya Health Service to collect information for my internship project “Learning From Aboriginal Experiences Of Infection Management In a Regional Hospital.”
‘An area of focus for the service is improving the supply of and compliance with medicines and, in my intern year, I conducted a project looking at patients that self-discharge to follow and understand what factors affect their medicines use at home.’
When she’s not working Emma, who was born and raised in Keith in South Australia’s south east, is usually in the great outdoors, making the most of desert state’s dramatic landscape.
‘All around Port Augusta there is spectacular scenery – my pick of the bunch is Devil’s Peak near Quorn, where a reasonably difficult hike is rewarded with incredible views.’
Ashleigh Boatman says it was seeing her education come alive that attracted her to hospital pharmacy.
‘At uni I loved learning all about bloods and disease processes and, in the hospital pharmacy setting, I could put this knowledge into practice much more easily.’
Hailing from Ararat in Victoria, today Ashleigh is the only oncology pharmacist on the wards at Dubbo Base Hospital, an environment that sees her closely integrated into multi-disciplinary teams at an exciting time for the region.
‘People travel to us from as far as Bourke and Cobar Lightning Ridge near the Queensland border, sometimes driving over four hours each way for one appointment, so we have great determination to improve access in the region, starting with a pilot RVAC (remote video assisted chemotherapy) clinic in Coonabarabran in April.
‘Serving such a large catchment area, we’re working to expand staff and clinical capacity with a 5-10 year goal that all patients can still receive pharmacy services outside Dubbo.’
After prepping for patient discharges and managing complex complementary cancer treatments, Ashleigh says she enjoys the lifestyle on the Western Plains.
‘Dubbo is a perfect fit – it’s large enough that it has everything I need, but small enough so there’s no congestion… I can always get a park!
‘It’s also incredibly easygoing. Lots of people are in the same situation as me, so it is very easy to meet people and make friends.’
Outside the working world, Ashleigh describes her ideal afternoon as in a sunny park reading a book under a tree, ‘although maybe not right now, because all I’m reading at the moment are my pharmacy journals!’