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‘Absolute nightmare’ – patients left waiting in soiled beds at North Shore emergency department

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Patients are waiting in soiled beds at North Shore Hospital’s emergency department and nurses say conditions are so bad it feels feral.

One hundred and twenty nurses have written to Health NZ chief executive Dale Bramley, saying the ED is in its own state of emergency.

Health NZ had failed to plan properly for winter and had not hired the nurses it had agreed to, the letter said.

North Shore ED charge nurse Jean Classey told RNZ the ED had been so busy it felt “feral”, with people unable to even fit in the waiting rooms.

It was hard seeing people crammed into corridors, and brightly lit public spaces with no privacy.

Sometimes incontinent people were waiting in wet beds until nurses could find a space to change them, she said

“It’s an absolute nightmare. It feels like we’re at war,” she said.

Classey, like all the nurses in this story, is a NZ Nurses Organisation delegate which gives them some protection for speaking out.

The vast majority of nurses in the department signed the letter to Bramley.

Health NZ said it had a winter plan running that was helping, but the emergency departments at North Shore and Waitakere Hospitals were having their busiest ever winter.

Between them, there had been nearly 14,000 patients through the doors in July, it said.

But the nurses’ letter said the crisis was “entirely predictable.”

“Health New Zealand failed to adequately plan for winter demand, placing patients and staff at unnecessary risk,” it said.

Some of the problems outlined included:

  • patients waiting 90 minutes to be triaged
  • heart scans that should be done immediately, taking hours
  • patients waiting more than 50 hours in the ED for a bed in the hospital
  • patients missing essential medications
  • patients left in soiled beds in overcrowded corridors
  • the department at 300 percent capacity at times.

Health NZ had agreed to hire 25 nurses for the department but only nine had come, the nurses said.

Line of grey heads

Nurses spoken to be RNZ said it was often impossible for people to get privacy in the ED when they were feeling at their worst.

Sharon Franklin-Smith said she sometimes looked down to see a line of grey heads – people in their 80s or 90s – being cared for in the corridor.

That meant a lack of dignity and respect.

“That’s someone’s mother, grandmother and it breaks my heart, it absolutely breaks my heart.” she said.

Jean Moor has been a nurse for 35 years and said it was the worst she had seen it.

Nurses were juggling caring for their own patients, keeping an eye on those waiting, and trying to organise assessments and treatments.

“You’re running, you’re constantly working really hard, your brain is in overdrive,” she said.

Like many of the nurses she often got home hoping no one had died because they had not got the care they needed.

Health NZ starts some hiring

The day after it received the letter, Health NZ announced Friday it had started recruitment for 50 new nurses for North Shore and Waitakere Hospitals – both are operated by Health NZ’s Waitematā district.

Nine would be for the North Shore emergency department.

Health NZ group director of operations Brad Healey said in a statement that Health NZ would also hire 10 nurses and 14 health care assistants that would be in a central team to be dispatched where needed in the hospitals.

“The additional staff in the centralised nursing team gives us greater flexibility to respond to surges in demand and also cover unplanned leave,” he said.

The organisation’s winter plan had helped care for more patients in the community and moved people quickly through the hospitals to free up space – but the demand this season had been much higher than previous years, he said.

Healey said the hospitals has “amazing staff” and he hoped the recruitment would ease the load.

Chief executive Dale Bramley said last week seriously ill people should always still go to an emergency department where they will get priority care.

But the North Shore ED nurses said nine new nurses announced Friday was not enough.

Health NZ had earlier agreed to 25 but had so far only hired nine, as part of a recruitment go-slow, they said.

The department now needed even more to cope with the numbers through the doors, the nurses said.

Health NZ did not respond to RNZ’s request about the letters detailed claims about care in the department.

RNZ

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Bangladesh searches for New Zealand teen missing at sea

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Rescue teams are searching for a New Zealand teenager missing after a boat carrying him and three other people capsized in Bangladesh, officials say.

Albert, 16, whose surname was withheld by police, went missing after the boat overturned in rough waters on Tuesday morning (all times local) near an estuary off Cox’s Bazar on the country’s southeastern coast.

Do you know more? Email iwitness@rnz.co.nz

The other three New Zealanders on the boat were rescued by fishermen nearby.

“The Coast Guard is searching for the boy while a helicopter is conducting an aerial search. Fishermen have also been alerted about the missing teenager,” an official told AFP on condition of anonymity as he was not authorised to speak to the media.

Rescue efforts have been hampered by rough conditions in the Bay of Bengal, he added.

The boat the family had been travelling on.
The boat the family had been travelling on.

999 NATIONAL EMERGENCY SERVICE BANGLADESH / SUPPLIED

Mohammad Ali, the officer-in-charge of Cox’s Bazar police station, said the four had been on a trip when the boat met with an accident.

Local media reports said the four were from the same family but officials were unable to confirm that information immediately.

– AFP

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Man charged with human trafficking accused of deceiving staff recruited from overseas

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A man charged with human trafficking and migrant exploitation is accused of deceiving staff recruited from overseas by promising them they would be paid for all hours they worked.

One of the staff – who was recruited from India – is alleged to have been paid 36 hours per week despite working a minimum of 54 hours.

The man, listed as a company director, is also accused of failing to pay staff for working public holidays, inciting staff to breach conditions of work visas and altering employment agreements to reduce the pay rates.

RNZ earlier revealed a Christchurch man, who has interim name suppression, faced 35 charges under the Crimes Act and Immigration Act.

Do you know more? Email sam.sherwood@rnz.co.nz

Immigration New Zealand (INZ) earlier confirmed the charges, which relate to 11 complainants, include allegations of “trafficking in persons and migrant exploitation”.

Court documents seen by RNZ reveal the man, aged in his 50s, faces three charges of arranging, organising or procuring the recruitment of a person into New Zealand “knowing that recruitment involved one or more acts of deception”.

Two of the complainants were from India, and the third from Saudi Arabia.

The court documents say the defendant recruited them knowing that the terms and conditions of their employment would be “materially different” from what was promised verbally and in their individual employment agreement “namely that all hours he worked would be paid by the employer”.

The man also faces charges of supplying information to an immigration officer knowing that it was false or misleading, inciting or procuring people to breach the conditions of their work visas, and failing to pay minimum wage.

He also faces two charges of obtaining by deception by altering the original terms of an employment agreement to reduce pay rates.

One court document says that between November 2020 and June 2022 the man is accused of employing at least five people before their visas were approved.

INZ national manager of investigations Jason Perry earlier told RNZ the charges related to the alleged exploitation of 11 people.

“Trafficking in persons and migrant exploitation are serious offences that can have a significant impact on victims. INZ is committed to identifying, investigating and prosecuting this offending where there is sufficient evidence to do so.”

Perry said the charges followed a “complex investigation” by INZ’s immigration compliance and investigations team.

“As the matter is now before the courts, we are unable to make any further comment on the allegations, evidence, or the defendant at this time.

“INZ encourages anyone who suspects migrant exploitation or trafficking in persons offences being committed to report it so it can be assessed and investigated.”

rnz

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New Zealand’s ATM dead zones

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New Zealand’s network of ATMs has shrunk in recent years, and some parts of the country now do have any cash machines at all.

RNZ research shows there are now just over 1000 access points for cash around the country, at which there may be more than one ATM. About half of the just over 3000 ATMs are owned by non-bank providers.

But there are some places where there is no ATM anywhere near. People living on Great Barrier Island, in Haast, Tuatapere, Omarama and Milford Sound all have to travel a long way to access a cash machine.

From Haast, they might have to drive 144km, from Omarama it is about 30 kilometres to Twizel, and in Tuatapere 48km.

At the Hard Antler Bar and Restaurant in Haast, a staff member said people would get cash out from a local shop or gas station if they needed it. “It would be nice to have one but we manage just fine without. Being so far away from shops we have no need anyway.”

In a Haast community group, residents said it was not a huge problem. “If you live off venison, crayfish, veggies from your garden and coffee you don’t need any cash,” said one.

Others said it was a potential security problem to have an ATM. “ATMs are bad news for small out of the way quiet towns. It puts them in line for serious robbery… plus it requires being topped up a lot which costs a lot which is then passed on to you, the person withdrawing,” said another.

Across the country, about 725,000 people live at least 5km from the nearest ATM as the crow flies, 372,162 more than 10km, 200,629 more than 15km and 301 more than 75km.

New Zealand Banking Association chief executive Roger Beaumont said there was a range of factors taken into account when banks were thinking about where to locate ATMs.

“That would probably include things like customer demand for the service, and the practicality of cash in transit services reaching those locations.”

The Reserve Bank has been consulting on its plans for cash. It wants 95 percent of people living in urban areas to have walking-distance access to a free cash point.

It has identified 24 rural settlements it says need cash services, including Ngakawau, Ongaonga, Omakau, Owaka, Whangaroa and Taipa, Te Araroa, Cheviot, Rotheram, Waikari, Kimbolton, Kawhia, Balfour, Ohai, Woodlands, St Andrews, Glenavy, Nuhaka, Tuia, Hampton, Kurow, Taharoa, Harihari, Fox Glacier and Ross.

Some of those areas already have limited ATM access.

University of Otago economist Murat Ungor said it was a significant problem that some areas of the country did not have ATMs.

“Research and practical evidence show that people cannot always simply find other solutions, and the burden of doing so falls unevenly on those who are already vulnerable.

“The Reserve Bank has stated that the cash system is not fully meeting the public’s needs and that a significant increase in the quantity and quality of cash services is required, especially in rural areas.

“The assumption that people would find other ways is challenged by the realities in these communities. Research shows that 72 percent small businesses would be adversely affected if cash were unavailable. In towns like Palmerston, the only ATM charges a prohibitive $2.80 fee, and businesses have no local way to deposit cash, forcing them to drive long distances, like to Dunedin, just to bank their takings.”

He said research focused on rural towns confirmed that declining access was a bigger disadvantage for older people, people who were disabled, on low incomes or with limited transport.

“The Reserve Bank’s own Community Cash Trial in Waipukurau, where the nearest ATM was 50km away, proves the system is failing and needs intervention. Beyond practicality, cash remains essential for cultural practices like koha at tangihanga and for local fundraising functions something digital currency cannot easily replicate. The evidence is clear: these are not isolated inconveniences, but systemic failures that risk excluding communities from full participation in the economy.”

rnz

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