Vaxxed documentary team rallies behind actual child killers

In an astonishing video posted by Vaxxed producer Del Bigtree, today, the producers of the anti-vaccination documentary rallied support for the Alberta parents who were recently convicted over the death of their child:

Bigtree 8 video Vaxxed child killers

David and Collet Stephan were found guilty, in April 2016, of “failing to provide the necessaries of life” to their toddler, Ezekiel:

A packed Lethbridge, Alta., courtroom erupted with emotion on Tuesday afternoon, after two parents accused of letting their son die from bacterial meningitis were found guilty.

David Stephan, 32, and Collet Stephan, 36, were charged a year after their nearly 19-month-old son Ezekiel died in March 2012, under Section 215 of the Criminal Code which deals with “failing to provide the necessaries of life.”

Watch the video, here:

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Posted in abuse, anti-vaccination, anti-vaccination dishonesty | Tagged , , , , , , , , , | 4 Comments

AVN president Tasha David vilifies public health hero with offensive slurs

Dr Paul Offit is a global public health hero:

Paul A. Offit, MD is the Director of the Vaccine Education Center at the Children’s Hospital of Philadelphia as well as the Maurice R. Hilleman Professor of Vaccinology and a Professor of Pediatrics at the Perelman School of Medicine at the University of Pennsylvania. He is a recipient of many awards including the J. Edmund Bradley Prize for Excellence in Pediatrics from the University of Maryland Medical School, the Young Investigator Award in Vaccine Development from the Infectious Disease Society of America, and a Research Career Development Award from the National Institutes of Health.

Dr. Offit has published more than 150 papers in medical and scientific journals in the areas of rotavirus-specific immune responses and vaccine safety. He is also the co-inventor of the rotavirus vaccine, RotaTeq, recommended for universal use in infants by the CDC; for this achievement Dr. Offit received the Luigi Mastroianni and William Osler Awards from the University of Pennsylvania School of Medicine, the Charles Mérieux Award from the National Foundation for Infectious Diseases; and was honored by Bill and Melinda Gates during the launch of their Foundation’s Living Proof Project for global health.

Because Dr Offit is a global public health hero, to anti-vaccination activists he is the devil incarnate.

A little over two months ago I published a post in which I showed how anti-vaccination activists had dishonestly edited a video from Dr Offit to infer that Dr Offit was advocating that the state should have the right to remove unvaccinated children from their parents’ custody: see Antivaxers call for execution of public health hero.

Dr Offit was not advocating anything of the sort:

On March 26 2016, the anti-vaccination website, Vaxxter, shared this lie on its Facebook page. Vaxxter turned Dr Offit’s statement – that the state will defend a child’s rights to access health care, when their parents will not –  into a claim that Dr Offit is advocating for the state to remove children of anti-vaccinationists.

The dishonest anti-vaccination post has been doing the rounds again in the last few days. And the same abuse and violent rhetoric is also doing the rounds.

On June 18 2016, president of the anti-vaccine Australian Vaccination-skeptics Network,  Tasha David*, shared the dishonest post to her Facebook profile, adding her own words:

What a scumbag!

But, “scumbag” wasn’t the worst of it; leading Canberra antivaxer, Shayla Plosko joined in:

Shayla Plosko Will he die already? Asshole! 😠

Tasha Dāvid He would make a great anti-Christ 😡

Shayla Plosko He is one.

Tasha Dāvid You are so right lol

Shayla Plosko He reminds me of the war criminals and the likes of Henry Kissinger the same kind of evil vibe.

David 81 Offit scumbag antichrist asshole die already profile June 18 2016

Of course, this is rather timid compared to the usual death threats and other violent rhetoric which are regularly leveled against Dr Offit, always incited by anti-vaccine lies about what they believe he has said, rather than what he has actually said. The leaders of the anti-vaccination movement know that this is a tried-and-true tactic to whip up the hate in their acolytes.

So, why is it important to highlight David’s ugly Facebook post, right now?

Well, Tasha David is the president of the AVN (an anti-vaccine organisation which rightly has a public health warning against its name, forever); a person who has lamented the use of precisely this type of awful behaviour in the past.

From July 2012, before she was the AVN president:

David 84 NCV blog post quote July 2012

From March 2015, when she was already AVN president:

David 83 Daily Mail quote March 2015

We find that David only derides this offensive behaviour when her ilk is the perceived target; when David can make hay from any perceived oppression. This, she has learnt from Meryl Dorey.

Why is it important to highlight David’s ugly Facebook post, right now?

Tasha David, as the AVN president, is at the forefront of fundraising activities being conducted by the AVN, so as to raise money for (reportedly pro bono) legal counsel for a planned High Court challenge against the Commonwealth’s No Jab No Pay legislation. This is just one post of many:

David 85 UA AVN High Court challenge June 9 2016

Why is it important to highlight David’s ugly Facebook post, right now?

Tasha David and her AVN are at the forefront of the promotion of the anti-vaccination, anti-chemtrails, political micro-party, the Health Australia Party:

AVSN 34 HAP promote April 28 2016

Why is it important to highlight David’s ugly Facebook post, right now?

Tasha David and her AVN are at the forefront of the push to have the dishonest, Andrew Wakefield anti-vaccination documentary, Vaxxed, brought to Australia. David even traveled to the US, to meet the Vaxxed team, on the AVN’s members’ dime:

AVSN 33 May 3 2016 Vaxxed photo Bigtree post

Why is it important to highlight David’s ugly Facebook post, right now?

Because, this is only the latest in a long history of threats, abuse and intimidation, used against public health advocates and professionals by the anti-vaccination movement.

On May 30 2016, Tasha David was championing the outrageous behaviour of anti-vaccination activists at the Telethon Kids immunisation seminar, held in Perth:

David 78 UA May 30 2016 Dhu Wilyman Telethon Kids

David was also using the official AVN Facebook page (one of them) to name and congratulate the activists:

AVSN 32 Telethon Dhu Wilyman May 30 2016

We must remember that Shawn Dhu, named by David in many posts, is the same person who made violent threats against me, on video. Dhu also threatened journalist, Cathy O’Leary.

On June 1 2016, the public officer of the AVN, Meryl Dorey, also congratulated the disruptive, intimidating anti-vaccination activists:

AVN 7188 Dorey June 1 2016 tweet proud of protestors at Telethon

As noted above, this violent rhetoric, and its incitement, can be traced back to antivax leaders such as Dorey and, in the US, Barbara Loe Fisher. Dorey has a long history of vilifying doctors as rapists, and researchers as the equivalent to paedophiles.

Dorey also has a pastime of lying about Dr Offit, and wishing harm upon him; she has been doing it for years, along with the other leaders of the AVN, regardless of how many times she is corrected. This is default behaviour for the AVN. David is just continuing the tradition.

Veteran AVN member, and former committee member, Jane Beeby – another supporter of the Health Australia Party – has always desired harm upon those with whom she disagrees.

On June 19 2016, commenting in the Bring Vaxxed to Australia/New Zealand Facebook group, on another of the very same posts vilifying Dr Paul Offit, Beeby reverted to form once more:

Beeby 42 Vaxxed Offit give him the shot he deserves June 19 2016

All of the above is why it is important to highlight Tasha David’s ugly Facebook post, right now.

Especially, right now.

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*Tasha David was contacted for a response and/or opportunity to retract her comments and offer an apology. David deleted the post from her profile; but, no response was provided by 17oo hours today, as requested.

Posted in abuse, anti-vaccination, anti-vaccination dishonesty, Anti-vaccine thugs, australian vaccination network, AVN, hypocrisy, meryl dorey, mobbing, Public mobbing, skeptic, stop the australian vaccination network, Tasha David, vaccination | Tagged , , , , , , , , , , , , , , , | 3 Comments

More violent rhetoric and threats from the anti-vaccination movement

Yesterday I posted a video in which anti-vaccination activist Shawn Dhu threatened me with physical violence. I’ll include that video at the end of this post, as well as a new video in which Dhu threatens journalist Cathy O’Leary of The West Australian newspaper. Also included at the end of this post is a video of highlights of the atrocious behaviour of anti-vaccination activists at the Perth immunisation seminar, which was held on May 30 2016, and comments from those who champion them.

Today, June 11 2016, there are more examples of violent rhetoric from Australian anti-vaccination groups. There is a reason we keep highlighting this violent behaviour: it has real-world consequences.

This morning, in Anti-Vaccination Australia, Frank Vazquez of South Australia suggested that an anti-vaccination member “shoot” her mother who was demanding that she have travel vaccines before accepting an overseas holiday as a present:

Vazquez 162 AVA June 11 2016 shoot the cunt and OP timestamped

This is Frank Vazquez, taken from a June 7 2016 public Facebook post:

Vazquez 163 tshirt

In another Australian anti-vaccination group – Bring Vaxxed to Australia/New Zealand also this morning, an image was posted by Chris Bell, in which it is advocated that a selected health advocate should be punched in the face.

Among those listed in the image include infectious diseases expert Dr Paul Offit, California Senator Dr Richard Pan, and law professor Dr Dorit Reiss. The sustained vitriol – including death threats – that these individuals have received from anti-vaccination activists is hideous and frightening:

Vaxxed 10 punch one in the face June 11 2016

Vaxxed 10 punch cont

Vaxxed 10 punch cont 2

Given the escalation of this violent rhetoric over the past couple of years it no longer a fantasy that threats of violence will be carried out. We have already seen a NSW Northern Rivers mayor assaulted by an anti-fluoride activist.

This behaviour has escalated due to incitement from anti-vaccination leaders like Judy Wilyman, Andrew Wakefield, Meryl Dorey, Del Bigtree, Barbara Loe Fisher, Sherri Tenpenny, and Neil Z Miller.  It is time they started calling their crackpot acolytes into line, instead of profiting from the hive of rage they have fraudulently created.

A perfect example of this incitement to violent rhetoric, from Wakefield, comes from a support page for the anti-vaccination documentary, Vaxxed.

On June 10 2016, replying to a Wakefield quote which invokes imagery of mobs with pitchforks at the windows of politicians, Wakefield achieves his desired effect; veteran antivax activist Erwin Alber –  the creator of the VINE Facebook page – advocates the lynching of politicians:

Vaxxed 11 Erwin Alber noose lamppost Wakefield pitchforks

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From June 11 2016. This video is an excerpt of a late-night, 43-minute public video which was uploaded to Facebook by antivaxer Shawn Dhu. Dhu continues his unhinged threats against Reasonable Hank:

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From June 11 2016. This video is an excerpt of an early-morning public video which was uploaded to Facebook, by anti-vaccination activist and Del Bigtree acolyte, Shawn Dhu; Dhu threatens journalist Cathy O’Leary:

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From June 9 2016. Dhu’s  previous threat against Reasonable Hank:

From June 11 2016. This is the response from anti-vaccination activist, naturopath Brett Smith – also the proprietor of an organic food supermarket, in Sydney – to the threats from Shawn Dhu in the video directly above. Smith condones Dhu’s behaviour, joking about the threats:

Brett Smith 303 Dhu threat video tweet poor hank

Smith has, of course, previously joked about death threats I have received from Frank Vazquez. From March 6 2016, Smith also claimed it is “karma” that I receive death threats:

Brett Smith 241 death threats hilarious

Brett Smith 241 death threats karma

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On June 1 2016, Meryl Dorey, the public officer of the Australian Vaccination-skeptics Network, publicly applauded the behaviour of anti-vaccination activists who disrupted the May 30 2016 immunisation seminar:

AVN 7188 Dorey June 1 2016 tweet proud of protestors at Telethon

From May 30 2016. President of the AVN, Tasha David, champions the disruptive and abusive crowd from the Telethon Kids seminar:

David 76 VCA May 30 2016 Dhu Wilyman Telethon

From May 30 2016. This video highlights the appalling behaviour of the anti-vaccination activists, including Judy Wilyman and Shawn Dhu:

Thanks to The West Australian newspaper for editing this highlights reel.

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Posted in abuse, anti-vaccination, anti-vaccination dishonesty, Anti-vaccine thugs, australian vaccination network, AVN, Judy Wilyman, meryl dorey, mobbing, Public mobbing, skeptic, stop the australian vaccination network, Tasha David, violence | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | 5 Comments

Shawn Dhu posts video threats of assault against Reasonable Hank

Shawn Dhu is a Perth resident and anti-vaccination activist who shot to fame recently for his abhorrent behaviour at the Perth Telethon Kids immunisation seminar. Dhu intimidated, defamed, interrupted, and filmed immunisation experts as they attempted to answer questions from the audience. Dhu was widely congratulated by the Australian anti-vaccination community, including the University of Wollongong’s anti-vaccination PhD, Judy Wilyman, who was also a part of the howling antivax mob at the Perth seminar.

Last night, on June 9 2016 at 2213 hours, Dhu uploaded a public video to Facebook in which he made explicit and direct threats of physical assault towards me. Dhu has previously confessed to having an extensive criminal record. It is believed that he is still on a good behaviour bond, or similar, as admitted by himself in another of his online videos (at 10:55 min).

This video is an excerpt of Dhu’s public video, and contains the threats of physical assault:

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Posted in abuse, anti-vaccination, anti-vaccination dishonesty, Anti-vaccine thugs, australian vaccination network, AVN, Judy Wilyman, meryl dorey, public health, Public mobbing, skeptic, stop the australian vaccination network, violence | Tagged , , , , , , , , , , , , , , | 9 Comments

Baby-cracking chiropractor Ian Rossborough has conditions imposed on registration

Anti-vaccine chiropractor Ian Rossborough – world-famous for his video in which he cracked the back of a four-day-old, premature baby – has had conditions imposed on his registration:

Rossborough 30 4 day old baby crack YT video Jan 9 2016

Rossborough’s registration now includes the following conditions, published since a hearing was conducted into his professional conduct some days ago:

Limitations on practice

1.The practitioner must not undertake any chiropractic treatment of patients under age of 2 years and must meet the Chiropractic Board of Australia’s (the Board’s) specific requirements in relation to this condition.
For the purposes of this condition chiropractic treatment of patients under the age of 2 years also includes assessment, undertaking a diagnosis/clinical impression, formulating and implementing a management plan, monitoring or reviewing care and facilitating coordination or continuity of care.

2.The practitioner must not undertake any spinal manipulative therapy of the spine on patients between the age of 2 years and over and up to the age of 6 years.

3.In the event that the practitioner undertakes chiropractic treatment of patients between the ages 2 years and over and up to the age of 18 years, the practitioner must comply with the supervision conditions as set out below.

Attend for supervision:

4.The practitioner must be supervised by another registered chiropractor in relation to chiropractic treatment and must meet the Board’s specific requirements in relation to this:

For the purposes of this condition, ‘supervision’ is defined as a professional relationship in which a skilled registered chiropractor (the supervisor) reviews the practitioner’s (the supervisee’s) files relating to the treatment of patients between the ages of 2 and over and up to and to the age of 18 years, as chosen by the supervisor.

The supervisor and supervisee will discuss the supervisee’s diagnosis of these patients, selection of treatments and techniques applied to these patients, alternate treatment options, and provision of informed consent to these patients and/or their legal guardians.

5.The supervision should comprise a minimum of weekly sessions with each session being of a minimum of two hours duration.

6. The supervisor will be approved by the Board.

7. In the event that an approved supervisor is no longer willing or able to provide the supervision required the practitioner must cease providing care to patients between the ages of 2 and over and up to and to the age of 18 years immediately and may not resume treating patients between the ages of 2 and over and up to the age of 18 years until a new supervisor has been appointed and approved by the Board.

8. Within 7 days of the notice of the imposition of these conditions, the practitioner is to provide written acknowledgement that AHPRA may obtain information and/or reports from the supervisor for the purposes of monitoring compliance with this condition.

9. Within fourteen days of the notice of the imposition of these conditions, the practitioner is to provide to AHPRA, on the form provided, the details of any and all places of practice, together with, where relevant, confirmation from the Senior Practice Manager/Senior Partner/proprietor/owner (the senior person) at each and every place of practice that they have sighted a copy of these conditions.

10. With each and every subsequent place of practice the practitioner must, within seven days of the commencement of practice, provide to AHPRA the details of the subsequent place of practice together with written confirmation, where relevant, from the senior person at each and every subsequent place of practice that they have sighted a copy of these conditions.

11. With each and every subsequent alteration to these conditions the practitioner must, within seven days of the notice of alteration of these conditions, provide to AHPRA, written confirmation from the senior person, where relevant, at each and every place of practice that they have sighted a copy of the altered conditions.

12. Unless expressly provided for within a condition, all costs associated with compliance with these conditions are at the practitioner’s own expense.

Undertake an audit of practice

13. The practitioner must submit to an audit of his patient records (the audit), including any supporting records, within 7 days of the notice of the imposition of these conditions and thereafter on a 3 monthly basis, by permitting an auditor (the auditor) approved by the Board to attend any and all places of practice (public and private) for the purpose of the audit and permitting the auditor to provide a report in relation to the findings of the audit. The audit and the audit report are to focus on the practitioner’s compliance with the condition not to undertake any chiropractic treatment of babies and children up to the age of 2 years and not to undertake any spinal manipulative therapy of the spine on patients between ages of 2 years and over and up to the age of 6 years. The practitioner must meet the Board’s specific requirements in relation to this.

Other conditions

14. Within 7 days of the notice of the imposition of this condition, the practitioner must:

a. Make contact with a Board approved auditor and establish a written audit plan (the audit plan) outlining the form the audits will take and how the areas of concern for the Board will be addressed. The audits will take the form determined by the auditor.

b. Provide to AHPRA a copy of the audit plan, together with written confirmation from the approved auditor that they have read these conditions and agree to undertake the audits as outlined in the audit plan.

15. Within fourteen days of the notice of the imposition of these conditions, the practitioner is to provide written acknowledgement to AHPRA that AHPRA will seek reports from the auditor. These reports will be provided to the Board and will be obtained after each and every audit.

16. The costs of the audit(s) and subsequent report(s) are the responsibility of the practitioner.

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Listen to ABC Radio National’s Background Briefing episode, The Chiro Wars: the thorough investigative report which forced regulators to take this seriously.

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Some may recall Rossborough’s train-wreck interview on Network Ten:

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Anti-vaccine chiropractors 70 – Paul Calladine

Today’s anti-vaccine chiropractor comes to us via antivax chiropractor Simon Floreani, of the Chiropractors’ Association of Australia (a past-president no less), whom we thank for alerting us to today’s subject.

Paul Calladine is a registered chiropractor who runs a business called Lyons Road Family Chiropractor, in Sydney:

Calladine 1 profile chiro business Lyons Road Chiropractic

Calladine 2 AHPRA rego

Calladine uses his Facebook profile – as well  as his Facebook page – to conduct his business, and to promote chiropractic:

Calladine 2 chiro profile collection

Most of today’s examples come from Calladine’s profile. Due to the overwhelming amount of outrageous posts made on his profile, the accumulation of evidence had to be pulled up short. With the exception of one post, all of the evidence from Calladine’s profile comes from after March 7 2016, which is the date of the most recent admonition from the Chiropractic Board of Australia. There is just too  much to include.

That exception, posted on February 16 2016, appears to show Calladine promoting and supplying a product which he promotes as a cancer-killing agent:

Calladine 32 cancer crank cure ginger tea contact for concentrate profile

There are other outrageous chiropractic claims made on Calladine’s profile.

On April 13 2016, Calladine shared this article which claims that chiropractic adjustments are a treatment for cancer:

Calladine 2 chiro adjustments prevent cancer

On April 7 2016, Calladine claimed that chiropractic adjustments are a treatment for ear infections:

Calladine 2 chiro profile ear infections

On March 19 2016, Calladine claimed that chiropractic adjustments are a treatment for depression:

Calladine 2 chiro profile adjustments for depression

Calladine’s profile is packed with anti-vaccination claims and posts. It is worth reiterating, right now, the March 7 2016 statement from the Chiropractic Board of Australia:

The Board is concerned about a number of practitioners who are making claims in advertising that there is a relationship between manual therapy (e.g. manipulation) for spinal problems and achieving general wellness or treating various organic diseases and infections; or that spinal problems may have a direct role in various organic diseases and infections. There is insufficient scientific evidence to support these claims.

Of particular concern is the number of treatment claims in advertising relating to infants and children. Claims suggesting that manual therapy for spinal problems can assist with general wellness and/or benefit a variety of paediatric syndromes and organic conditions are not supported by satisfactory evidence. This includes claims relating to developmental and behavioural disorders, ADHD, autistic spectrum disorders, asthma, infantile colic, bedwetting, ear infections and digestive problems.

Chiropractors should not display, promote or provide materials, information or advice that is anti-vaccination in nature and should not make public comment discouraging vaccination.

The Code of conduct for chiropractors notes that all chiropractors have a responsibility to promote the health of the community through disease prevention and control, education and, where relevant, screening.

On May 5 2016, Calladine shared this anti-vaccine article which tells lies about reported deaths from the measles vaccine:

Calladine 3 profile measles deaths

On April 27 2016, Calladine shared the latest anti-vaccine lies about the CDC whistleblower:

Calladine 5 CDC austism vax profile

On April 24 2016, Calladine shared this conspiracy theory asserting that there has been a cover-up regarding vaccines being a cause of autism:

Calladine 8 vax autism profile

On April 13 2016, Calladine posted the anti-vaccine lies regarding the Amish, vaccines and autism:

Calladine 9 Amish autism

On April 12 2016, Calladine promoted the anti-vaccination activist and film producer, Del Bigtree, as though Bigtree was a legitimate source of vaccine information:

Calladine 10 Bigtree profile

On April 11 2016, Calladine shared this anti-vaccine image from Natural News:

Calladine 11 vax don't work profile

On April 11 2016, Calladine shared this image and quote from ant-vaccination activist, Jim Carrey, as though Carrey was a reputable source of vaccine information:

Calladine 13 Carrey profile

On April 7 2016, Calladine promoted the disreputable anti-vaccine documentary, Vaxxed:

Calladine 19 MMR CDC profile

On April 4 2016, Calladine shared this anti-vaccine conspiracy theory image asserting that fugitive Poul Thorsen is still publishing research:

Calladine 20 Thorsen CDC profile

On April 3 2016, Calladine promoted the anti-vaccine film, Vaxxed, and its director and star, the demonstrable fraud and liar, Andrew Wakefield:

Calladine 21 Wakefield Vaxxed profile

On April 2 2016, Calladine promoted the anti-vaccination musings of Donald Trump:

Calladine 23 Trump vax autism profile

On March 28 2016, Calladine promoted the alleged anti-vaccination musings of Vladimir Putin:

Calladine 25 Putin exposes vax profile

On March 27 2016, Calladine promoted the anti-vaccine film, Vaxxed:

Calladine 26 Vaxxed profile

On March 26 2016, Calladine promoted the anti-vaccine film, Vaxxed:

Calladine 28 Vaxxed profile

On March 23 2016, Calladine shared a post from US anti-vaccination activist and chiropractor, Deed Harrison, which asserts that vaccines cause autism:

Calladine 29 Wakefield Deed Harrison profile

On March 23 2016, Calladine shared this ridiculous anti-vaccination image which asserts that vaccines contain cancer, among other lies about vaccine ingredients:

Calladine 30 TAC cancer is ingredient in vax profile

On March 23 2016, Calladine shared this post which asserts that vaccines cause autism:

Calladine 31 vax cause autism studies profile

On March 17 2016, Calladine shared this anti-vaccination article which proves only that he does not know the difference between a reported “adverse event and a “side-effect”:

Calladine 32 autism side effect profile

Calladine’s profile promotes various non-evidence-based cancer treatments.

On May 1 2016, Calladine promoted the use of baking soda as a cancer cure:

Calladine 4 cancer crankery profile

On April 25 2016, Calladine promoted the use of magnets* to kill cancer cells:

Calladine 7 magnets profile

On April 11 2016, Calladine promoted the anti-vaccination, crank-cancer-cure documentary series, The Truth About Cancer:

Calladine 14 TAC profile

On April 10 2016, Calladine promoted baking soda as a cancer cure:

Calladine 16 cancer crankery profile

On April 2 2016, Calladine promoted turmeric as a cancer treatment:

Calladine 24 turmeric cancer crankery profile

Calladine is also very concerned about chemtrails. There is no comment which could explain the promotion of this conspiracy theory by a regulated health practitioner.

April 11 2016:

Calladine 12 chemtrails profile

March 27 2016:

The thing is what are they dropping? Only bad chemicals.

Calladine 27 chemtrails profile

The following shows a variety of other outrageous health claims made on Calladine’s profile.

On April 26 2016, Calladine promoted homeopathy:

Calladine 6 homeopathy profile

On April 11 2016, Calladine shared this  Zika virus conspiracy theory from anti-vaccination activist, Cyndi O’Meara:

Calladine 15 Zika conspiracy O'Meara profile

On April 10 2016, Calladine promoted baking soda as a natural cure for kidney diseases:

Calladine 17 kidneys baking soda profile

On April 7 2016, Calladine publicly told readers to cease taking their statin medication, or to refuse taking statins:

Calladine 18 never take statins profile

On April 2 2016, Calladine promoted the use of colloidal silver. One positive to come out of this is that at least we can state that he holds no anti-Smurfist ideology:

Calladine 22 colloidal silver profile

Calladine’s business Facebook page is mostly devoid of anti-vaccination propaganda;  this shows us he is well aware of the many admonitions from the Chiropractic Board of Australia. His Facebook page is, however, filled with many claims surrounding the treatment of subluxations and other non-specific conditions.

On July 17 2016, Calladine shared this anti-vaccination article which asserts that vaccines cause autism:

Calladine 34 page vax autism

On April 7 2016, Calladine claimed that chiropractic extends one’s longevity:

Calladine 33 page chiro claims add years to life

And, finally, we find the usual testimonials. These are illegal; even the ones from family members, and those Calladine re-shared on his page:

Calladine 41 testimonials

Calladine 40 testimonial

Calladine 42 testimonials

The following addenda contain excerpts from the Chiropractic Board of Australia’s codes, guidelines, and social media policy from which the reader may wish to choose when lodging any complaint about Paul Calladine and Lyons Road Family Chiropractor.

Thanks for reading.

*Blankets: how do they work?

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Addendum 1

Code of conduct for chiropractors.

1.2 Professional values and qualities

[Practitioners] have a duty to keep their skills and knowledge up to date, refine and develop their clinical judgement as they gain experience, and contribute to their profession.

All practitioners have a responsibility to recognise and work within the limits of their competence, scope and areas of practice. Areas of practice vary according to different roles; for example, health practitioners, education providers, researchers and managers will all have quite different competencies and scopes of practice.

2.1 Providing good care. Introduction

a appropriately assessing the patient, taking into account their history (history includes relevant psychological, social and cultural aspects), views and conducting an appropriate physical examination

b ensuring that the diagnosis/clinical impression is appropriate, relevant, justifiable and based on sound clinical reasoning

d formulating and implementing a reasonable management plan (including providing treatment/care and advice and, where relevant, arranging investigations and liaising with other treating practitioners)

2.2 Good practice

a recognising and working within the limits of the chiropractor’s competence and scope and area of practice, which may change over time

b maintaining adequate knowledge and skills to provide safe and effective care, including providing treatment/care and advice and where relevant, arranging investigations and liaising with, or referring to, other health professionals

e considering the balance of benefit and harm in all clinical management decisions

g providing treatment/care options based on the best available information and practising in an evidence-based context and not being influenced by financial gain or incentives

h ensuring that services offered are provided with the best possible skill, care and competence

m ensuring that the chiropractor’s personal views do not adversely affect the care of their patients, and

n evaluating practice and the decisions made and action taken in providing good care.

3.4 Confidentiality and privacy

b seeking consent from patients before disclosing or sharing information

g ensuring that all staff are aware of the need to respect the confidentiality and privacy of patients and refrain from discussing patients in a non-professional context

j ensuring that use of social media and e-health is consistent with the practitioner’s ethical and legal obligations to protect privacy

3.5 Informed consent

b providing an explanation of the treatment/care recommended, its likely duration, expected benefits and cost, any alternative(s) to the proposed care, their relative risks/benefits, as well as the likely consequences of no care

c obtaining informed consent or other valid authority before undertaking any examination or investigation, providing treatment/care (this may not be possible in an emergency) or involving patients in teaching or research, including providing information on material risks

3.6 Informed financial consent

a ensuring that any financial agreement is based on the clinical needs of the patient

3.7 Children and young people

b placing the interests and wellbeing of the child or young person first

d ensuring informed consent to providing care for children involves the patient’s parent and/or guardian being provided with clinically relevant information for the chiropractic management of the child; unless a chiropractor judges that a child is of sufficient age and mental and emotional capacity to give their own consent to a service and relevant state and territory laws are complied with

e ensuring that risks of care and alternatives to care are sufficiently explained as these are essential elements of informed consent

4.1 Use of diagnostic and therapeutic modalities in chiropractic practice

a a full and thorough assessment of patients using tools, tests and procedures that are appropriate for the gathering of information necessary to form a reasonable diagnosis or clinical impression

c only using diagnostic tools, tests and procedures in accordance with established protocols for their appropriate use

d evaluating and reporting the data obtained in a contextual way to ensure that a reasonable and relevant diagnosis/clinical impression is formed, and that appropriate and necessary care is provided

e when using tools, tests and procedures in formulating a diagnosis/clinical impression, management plan and/or for prognostic purposes, the tools used should be for conditions where there are demonstrated acceptable levels of reliability and validity, and

f not misrepresenting the clinical value or significance of the findings of any tool, test or procedure.

5.1 Respect for colleagues and other practitioners

b acknowledging and respecting the contribution of all practitioners involved in patient care

6.4 Public health matters

a understanding the principles of public health, including health education, health promotion, disease prevention, and control and screening

b participating in efforts to promote the health of the community and being aware of obligations in disease prevention, including screening and reporting notifiable diseases where relevant

6.5 Provision of care in a healthcare facility

Good practice involves:

a seeking permission to access and provide care

b adhering to and following the policies and procedures of the facility

c communicating effectively with other practitioners involved in the management of the patient

d keeping the the facility informed of any care

e ensuring professional indemnity insurance (PII) coverage to cover care in that facility, and

f keeping adequate records.

9.6 Advertising

a complying with the National Board’s Advertising guidelines and relevant state and territory legislation and Commonwealth law.

b making sure that any information published about services is factual and verifiable

10.2 Chiropractors’ health

c understanding the principles of immunisation against communicable diseases

_____________________________________

Addendum 2

Guidelines for advertising regulated health services

6.2 Prohibited advertising under the National Law

Section 133 of the National Law prohibits advertising that:

– is false, misleading or deceptive or is likely to be so
– offers a gift, discount or other inducement to attract a user of the health service without stating the terms and conditions of the offer
– uses testimonials or purported testimonials
– creates an unreasonable expectation of beneficial treatment, and/or
– encourages the indiscriminate or unnecessary use of health services.

Maximum penalty—

a in the case of an individual—$5,000; or

b in the case of a body corporate—$10,000.

6.2.1 Misleading or deceptive advertising

Section 133 of the National Law states:

1 A person must not advertise a regulated health service, or a business that provides a regulated health service, in a way that –

a Is false, misleading or deceptive or is likely to be misleading or deceptive

Eg:

– mislead, either directly, or by implication, use of emphasis, comparison, contrast or omission

– only provide partial information which could be misleading

– imply that the regulated health services can be a substitute for public health vaccination or immunisation

– advertise the health benefits of a regulated health service when there is no proof that such benefits can be attained, and/or

– compare different regulated health professions or practitioners, in the same profession or across professions, in a way that may mislead or deceive.

6.2.2 Gifts and discounts

Section 133 of the National Law states:

1 A person must not advertise a regulated health service, or a business that provides a regulated health service, in a way that –

b Offers a gift, discount or other inducement to attract a person to use the service or the business, unless the advertisement also states the terms and conditions of the offer

Advertising may contravene the National Law when it:

– contains price information that is inexact

– contains price information that does not specify any terms and conditions or variables to an advertised price, or that could be considered misleading or deceptive

– states an instalment amount without stating the total cost (which is a condition of the offer), and/or

– does not state the terms and conditions of offers of gifts, discounts or other inducements.

6.2.3 Testimonials

Section 133 of the National Law states:

1 A person must not advertise a regulated health service, or a business that provides a regulated health service, in a way that –

c Uses testimonials or purported testimonials about the service or business

6.2.4 Unreasonable expectation of beneficial treatment

Section 133 of the National Law states:

1 A person must not advertise a regulated health service, or a business that provides a regulated health service, in a way that –

d Creates an unreasonable expectation of beneficial treatment

6.2.5 Encouraging indiscriminate or unnecessary use of health services

Section 133 of the National Law states:

1 A person must not advertise a regulated health service, or a business that provides a regulated health service, in a way that –

e Directly or indirectly encourages the indiscriminate or unnecessary use of regulated health services

Advertising may contravene the National Law when it:

– makes use of time-limited offers which influence a consumer to make decisions under the pressure of time and money rather than about their health care needs.

_____________________________________

Addendum 3

Social media policy

When using social media, health practitioners should remember that the National Law, their National Board’s code of ethics and professional conduct (the Code of conduct) and the Guidelines for advertising regulated health services (the Advertising guidelines) apply.

Registered health practitioners should only post information that is not in breach of these obligations by:

– complying with professional obligations
– complying with confidentiality and privacy obligations (such as by not discussing patients or posting pictures of procedures, case studies, patients, or sensitive material which may enable patients to be identified without having obtained consent in appropriate situations)
– presenting information in an unbiased, evidence-based context, and
– not making unsubstantiated claims.

Additional information may be available from professional bodies and/or employers, which aims to support health practitioners’ use of social media. However, the legal, ethical, and professional obligations that registered health practitioners must adhere to are set out in the National Boards’ respective Code of conduct and the Advertising guidelines.

___________________________________________

 

Posted in abuse, anti-vaccination, anti-vaccination dishonesty, Anti-vaccine thugs, australian vaccination network, AVN, chiropractic, Conspiracy theory, Health Care Complaints Commission, Immunisation, meryl dorey, public health, skeptic, stop the australian vaccination network, vaccination | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , | 7 Comments

Antivaxer Savage bailed in NZ and asking for donations

Thanks to the man himself we now have an update on the whereabouts and latest happenings on the anti-Semitic, homophobic, white-supremacist, xenophobic, anti-vaccination activist, Christopher William Savage. This man is a hero of the Australian (and global) anti-vaccination movement who has been championed by Meryl Dorey and her Australian Vaccination-skeptics Network:

Savage 303 CM image

Image courtesy The Courier Mail.

As reported by Cindy Wockner of The Courier Mail, Savage had previously fled Bali, narrowly avoiding arrest for allegedly practising alternative medicine sans qualifications, by providing intravenous magnesium and chelation (DMSO) infusions. He had also fled Australia, where there is a current investigation into his alleged practices here.

Savage ended up in New Zealand, where a public health warning was issued after he allegedly landed a customer in the emergency department of a local hospital.

It was known that a warrant was issued for Savage’s arrest, in April/May 2016, in New Zealand; there was only speculation as to Savage’s whereabouts and current status of freedom, or otherwise. This has now been answered by Savage.

In a public post, today – since deleted from many Facebook fora – in the Vaccine Resistance Movement Facebook group, Savage published a call for funds. Savage also stated that he would offer to supply his therapeutic goods in return for funds:

PLEASE HELP ME STAY OUT OF PRISON

After helping a vaccine injured person at no charge he turned against me and complained to NZ police. I have been arrested and charged with a serious criminal offence that carries a penalty of up to 5 years imprisonment. (Assault with a weapon) I am currently on bail to appear in Hastings Court (NZ) on 27 June 2016. I have secured a Barrister for $300 per hour which is very cost effective. Please help me pay for the legal fees which are instrumental to help me stay out of prison. For example my barrister is making submissions to change the charge to a more appropriate one that I would be happy to plead guilty for. I don’t want to spend huge amounts of money and I am not asking for money to do that. For Australian donors any amount of AUD$100 I will send you 1 litre of Ancient Magnesium Oil with Boron and Sulphur and overseas AUD$130 to show my appreciation. For bank transfer Account name LEGAL FEES BSB 484799 Account number 200766186 and for paypal please send to chriswsavage@me.com Thankyou.

Savage 301 VRM public post call for funds

Savage also published his May 30 2016 bail notification, showing that his next court date is on June 27 2016. The bail notification also includes the charge leveled against Savage:

Assault person with stab/cutting instrument

Savage 302 VRM post bail doc

Savage 297 bail notific May 30 2016

There will be further updates about Savage’s case as they come in.

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Posted in abuse, anti-vaccination, anti-vaccination dishonesty, Anti-vaccine thugs, australian vaccination network, AVN, hypocrisy, meryl dorey, public health, skeptic, stop the australian vaccination network | Tagged , , , , , , , , , , , | 2 Comments

Chiropractic Board approved non-accredited nutrition course from anti-vaccine activist

Sunshine Coast businessperson Cyndi O’Meara – who owns the business called Changing Habits – has been expanding her reach since featuring in this blog, in 2013, for her anti-vaccination activism and wellness evangelism; her Facebook fans alone have increased in number from around 22,000 to over 100,000 in under three years.

There can be no doubt that O’Meara is an anti-vaccination activist. She comes from a family steeped in anti-vaccine, chiropractic vitalism. Her late sister, Lisa Lovett, was a chiropractor who wrote an anti-vaccination book which is still available on O’Meara’s website. Here is a snippet of Lovett’s book to give you an idea of its claims:

O'Meara 61 Lovett excerpt SIDS

Lovett also left a large bequest to the anti-vaccination organisation, the Australian Vaccination-skeptics Network. From Meryl Dorey’s 2009 newsletter:

O'Meara 18 Lovett AVN bequest

O’Meara has removed various anti-vaccination items from her fora, in what we can only understand to be public relations moves. An episode of the Up For a Chat podcast which featured in my 2013 post has been removed from the website. As a reminder, these are some of the claims made by O’Meara and her anti-vaccine colleagues in that now deleted episode number 23:

But, back to the podcast, which also links to the AVN and the anti-vaccine NVIC. I admit I only listened to the first half-hour. I couldn’t take any more damage. Among the points made by O’Meara were:

  • people are mean for questioning her about anti-vaccination misinformation
  • some people do still die of Measles – so what
  • the plague was sent for a purpose, to weed out the weak – soz lol
  • it’s okay for some to die because of the survival of the fittest – soz lol
  • it’s a dog-eat-dog world – soz lol
  • SIDS, asthma, ADHD are all on the rise because of vaccines – can’t be a coincidence
  • have you seen how many people are losing their hair now – can’t be a coincidence
  • one of the co-hosts refused Gardasil for her daughter, due to information provided by O’Meara – come on Queenslanders, let the Qld HQCC know about this unregistered health practitioner
  • one of O’Meara’s pregnant friends refused immunisation for her baby due to information provided by O’Meara. O’Meara sent the friend to Viera Scheibner, and the friend acted on that information – again, come on Queenslanders, let the Qld HQCC know about this unregistered health practitioner

O’Meara says she is pro-choice. She is all about educating. She went to university. She reads lots of books. She reads lots of articles. She sent someone to Viera Scheibner. She cites the AVN and the NVIC. Her information dissuaded associates from immunising their children. She is okay with that.

O'Meara 15 Wellness Couch anti-vaccine episode

Gone from O’Meara’s website FAQs is this section on childhood immunisation. This was still available in July 2015, so it has been deleted since then:

I suggest you go to the following websites and get on their newsletters or subscribe to their magazines.

The Australian one is www.avn.org.au (Australian Vaccination Network), they have a fabulous magazine, which is full of info on naturally bringing up your children, natural birth etc.

The USA one is www.NVIC.com (National Vaccination Information Centre). This was started by a Mum, who’s 2 year old was vaccinated had a severe reaction and is now Autistic and brain damaged. She has many articles that link Autism to Vaccination as well as many other interested topics. If you can get a copy of one of her talks they are most interesting.

O'Meara 38 website vaccine info AVN NVIC

Not deleted from O’Meara’s website is this 2009 article written by the AVN, in which Wakefield is cited, as well as an article claiming that thimerosal in vaccines (which is not even present in Australian vaccines) will result in brain damage:

According to Dr. Andrew Wakefield, Executive Director of Thoughtful House and a co-investigator of the project, “What is particularly concerning is that in spite of the recommendation to remove Thiomersal from vaccines a decade ago, millions of people, many of them children and pregnant mothers, are about to get mercury in their shots. Thiomersal is still routinely used in Hepatitis B and numerous other vaccines world-wide.”  The implications for Australia’s new national campaign which is targeting pregnant women as its first recipients are frightening.

The Australian Vaccination Network, a national vaccine safety and health lobby group, urges the Federal government and Minister Roxon to err on the side of caution when it comes to administering untested vaccines containing mercury to those who are the most vulnerable.

This 2009 anti-Gardasil article is also still published on O’Meara’s website:

O'Meara 63 2009 anti Gardasil MS

And still published on O’Meara’s website is this 2015 article which claims that vaccines cause autism:

O'Meara 54 Dec 2015 vax cause autism

As stated above, O’Meara has antivax pedigree. In August 2014 O’Meara was championed on the AVN Facebook page by Meryl Dorey; and O’Meara let fly with her antivax fear-mongering in a comment below the post:

O'Meara 28 AVN post SCD

O'Meara 27 SCD antivax Vit K

In September 2015, O’Meara was publicly championing the AVN on their other Facebook page:

O'Meara 39 congrats AVSN on senate inq

O’Meara also made a submission (Number 83) to the No Jab No Pay Senate Inquiry. She later had her name redacted from the updated public version. This is the version which was published, initially:

O'Meara 40 senate subm 2015

O’Meara is a member of the rabid antivax group, Anti-Vaccination Australia. In December 2015 she joined in with Erwin Alber to denigrate one of her own friends who is an emergency doctor:

O'Meara 44 AVA drs delusional stupid

Also in December 2015, in AVA, O’Meara joined in with other conspiracy theorists to claim that Australia is a “testing ground” for new vaccines, before they are brought onto the worldwide market:

UW 11 Bernie Smith AVA O'Meara

Only last month – on April 4 2016, in AVA – O’Meara promoted US anti-vaccination ideologue Anne Dachel, citing a quote from Dachel which defends the demonstrable crook, Andrew Wakefield:

O'Meara 50 AVA April 4 2016 quote Dachel

Over on O’Meara’s profile it doesn’t get any better –  if, by “doesn’t get any better” we mean, “descends into a callousness beyond what is acceptable for any health service provider”.

On November 30  2015, O’Meara shared this anti-vaccine meme which uses the image of baby Riley Hughes – against the wishes of Riley’s mum and dad – in which the real, documented death of Riley, from whooping cough, is fraudulently compared to the death of another baby, from SIDS, with the false claim being made that vaccines cause SIDS:

O'Meara 49 Riley image

On December 10 2015, O’Meara promoted this quote from Barbara Loe Fisher, the grand dame of US anti-vaccinationism:

O'Meara 47 BLF

O'Meara 48 BLF 2

On January 30 2016, O’Meara promoted the CDC whistleblower manufactroversy as though it is a real thing:

O'Meara 46 CDC Swann

On February 1 2016, O’Meara shared this excruciatingly embarrassing post from the deranged, anti-Semitic, homophobic conspiracy website, The Crazz Files. This image really speaks for  itself:

O'Meara 45 CRazz Files Raibow

On O’Meara’s Changing Habits Facebook page, things are marginally better. Business is business, after all. In between the reams of recipes, and the sale of Changing Habits chopping boards and Changing Habits cooler bags, O’Meara still likes to endanger public health.

On May 3 2016, O’Meara promoted the consumption of raw milk:

O'Meara 51 raw milk May 3 2016

But, that wasn’t the first time O’Meara promoted the consumption of raw milk; she did it on December 29 2015:

O'Meara 53 raw milk Dec 2015

And this potentially deadly nutritional advice brings us – finally – to today’s subject.

From Facebook, O’Meara tells us that a Changing Habits online nutrition course is approved by the Chiropractors’ Association of Australia (and, therefore, the Chiropractic Board of Australia) with an allocation of 25 FLA hours:

O'Meara 55 CAA CBA course

That’s correct: O’Meara promotes an online nutrition course for which she claims the following, on various fora. On her website it is also claimed:

This program has been assessed by Chiropractor’s Association of Australia (National) Ltd, a body recognized by the Chiropractic Board of Australia, and allocated 25 Formal Learning Activity Hours

O'Meara 56 website course CAA CBA

In her newsletter, the link to the Chiropractors’ Association of Australia and its formal learning hours allocation is repeated:

We have achieved so much in a short amount of time, including international accreditation, as well as approval through the Chiropractic Association of Australia (CAA) as a formal learning activity.

O'Meara 59 email course CAA

But, even more startling, is the “international accreditation”, cited by O’Meara. On her website’s FAQs, O’Meara makes this revelation [my bold]:

The Online Nutrition Course is accredited through the International Accreditation and Recognition Council (IARC).  IARC accreditation means that the course has been specifically assessed against the IARC quality criteria in the areas of course delivery, assessment, content and administration.   In general terms, accreditation gives students satisfaction that a framework for excellence in education exists.

However, the Changing Habits Online Nutrition Course is not an Australian VET accredited course.  At this stage Changing Habits Education has decided against accrediting the course.

O'Meara 57 website course not Australian VET accredited

You read that correctly: O’Meara’s online nutrition course, for which the Chiropractic Board of Australia allocates 25 FLA hours, via the Chiropractors’ Association of Australia, is not an Australian VET accredited course.

O’Meara’s course has accreditation from IARC, which is a non-government education management association. That’s it:

Who is the International Accreditation and Recognition Council?

Founded in 1999, the International Accreditation and Recognition Council (IARC) is a not-for-profit education management association run by an elected committee.  IARC provides opportunities for quality focussed like-minded institutions and educators to network and collaborate, functioning to outline benchmarks for excellence in education.

The council’s primary purpose is to provide a simple recognition and accreditation system for distinguishing quality, post secondary education. This includes, but is not limited to, vocational, distance, adult and continuing education in the international education industry. As IARC is a global organisation, we operate independently from government.

And how much is this course for your bog-standard punter? Oh boy:

$5997

O'Meara 57 website course cost

Once again the Chiropractors’ Association of Australia brings the chiropractic profession, and its regulator, into disrepute. Once again we find that the CAA can’t cut that antivax cord with which it was born.

We’ll keep you updated with the next round of stern actions taken by the Chiropractic Board of Australia.

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Posted in abuse, anti-vaccination, anti-vaccination dishonesty, Anti-vaccine thugs, australian vaccination network, AVN, chiropractic, Conspiracy theory, Immunisation, meryl dorey, public health, skeptic, stop the australian vaccination network, vaccination | Tagged , , , , , , , , , , , , , , , , , , , , , , , | 3 Comments

Anti-vaccine nurses and midwives 18 – Satya Cetinich: New South Wales

Satya (Sattie) Cetinich is a registered nurse and registered midwife from New South Wales:

Cetinich 1 public photo profile

Cetinich 2 AHPRA rego RN MW

Cetinich has been a member of the rabid anti-vaccination Facebook group, Unvaccinated Australia, for almost one year:

Cetinich 2 UA member

On September 5 2015, Cetinich identified herself as an anti-vaccine midwife who does not pressure parents into immunising their newborn babies:

Cetinich 38 UA Sept 5 2015 Supel MW no vax pressure

Cetinich 39 UA Sept 7 2015 MW non vax cont

On May 18 2016, Cetinich responded angrily to a video of a child receiving multiple immunisations. The video was uploaded by conspiracy theorist Joe Mekhael; Mekhael alleging that “ATTEMPTED MURDER” was taking place:

Cetinich 18 UA May 18 2016 child catch up vax OP Mekael MURDER

Cetinich also called in her husband to share the video [*note: examples of the misogyny practised in UA will feature at the end of this post, in which ugly, sexual slurs are leveled at Victorian Health Minister, Jill Hennessy, by Cetinich’s husband and other members of UA]:

Cetinich 19 UA May 18 2016 catch up vax chid

On March 22 2016, Cetinich stated that she is returning to work as a midwife, and has her GP signing a letter for her to avoid required workplace immunisations:

Cetinich 20 March 22 2016 RN work vax OP

Cetinich 21 March 22 2016 GP letter work vax MW

On March 4 2016, Cetinich advised another member to take unvaccinated children overseas, whilst also promoting the use of homeoprophylaxis in lieu of immunisation:

Cetinich 3 UA unvaxed child overseas OP

Cetinich 4 UA unvaxed child Bali homeoprophylaxis

On January 21 2016, Cetinich repeated lies which were being spread by Tanya Hammond and her supporters, that provaxers are responsible for police raids which were conducted on the Hammond house:

Cetinich 5 UA OP Hammonds

Cetinich 6 UA Hammonds

On January 12  2016, Cetinich advised against the maternal whooping cough booster, and lied about the vaccine’s safety profile, as well as the vaccine’s ability to shed:

Cetinich 7 UA advising against WC pregnancy booster

On December 19 2015, Cetinich spread lies about the ability of childhood vaccines to shed:

Cetinich 8 UA shedding xmas

Cetinich 9 UA shedding xmas

Cetinich 10 UA shedding xmas

On December 18 2015, Cetinich advised another member against tetanus immunisation for a puncture wound, and claimed she was “bullied” into giving her son the tetanus vaccine for a puncture wound from a rusty nail; Cetinich stated she would refuse the tetanus immunisation for her child in the future:

Cetinich 11 UA Dec 18 2015 bullrout tetanus booster

On December 11 2015, the story of anti-vaccination activist Lucia Guzzardi lying to hospital medical practitioners about future immunisations for her baby – who was hospitalised due to whooping cough – featured in The Age. Guzzardi posted in Unvaccinated Australia on December 10 2015:

Cetinich 24 Dec 10 2015 Guzzardi baby WC OP

Cetinich 25 UA Dec 10 2015 Guzzardi OP cont

Anti-vaccination activists rallied around Guzzardi, accusing medical personnel of being bullies for showing deep concern about this unvaccinated baby:

Cetinich 26 UA Dec 102015 Guzzardi WC cont

On December 10 2015, Cetinich advised Guzzardi to “block out what the doctors are saying.” Cetinich also told Guzzardi that she doesn’t “need to listen to it”. Cetinich told Guzzardi  that her baby is better off for having contracted whooping cough:

Cetinich 27 UA Dec 10 2015 Guzzardi WC don't listen to doctors

On December 2-3 2015, Cetinich, along with another registered nurse and registered midwife Joanne Howard, vilified the practices of colleagues, based only on a report from another anti-vaccinationist. Cetinich also joined in with deregistered enrolled nurse and unregistered alternative health practitioner Louisa Kenzig, in promoting the use of homeopathy for asthma:

Cetinich 12 UA MW bully OP

Cetinich 13 UA MW bully Joanne Howard

Cetinich 14 UA MW bully Kenzig

On November 26 2015, Cetinich denigrated the evidence-based whooping cough immunisation information provided by Dr Rachel Heap and the Northern Rivers Vaccination Supporters:

Cetinich 17 UA November 25 2015 hate Rachel Heap page WC info

On November 25 2015, Cetinich argued that vaccines do not provide immunity; a common anti-vaccination trope:

Cetinich 15 UA vaccines do not give immunity

On September 30 2015, Cetinich sought immunisation advice from the anti-vaccination group, and claimed that children need to be detoxed after immunisation:

Cetinich 28 UA Sept 30 2015 advice for detoxing from vaccines

On September 17 2015, Cetinich argued that a vomiting child’s immunisation status is not clinically relevant. The child had presented in the emergency department of a hospital:

Cetinich 29 UA Sept 17 2015 ED vomiting child vaccines doctors

On September 13-14 2015, Cetinich mocked the potential lethality of measles infections. Cetinich also stated that she regretted allowing her son to receive a tetanus vaccination for a puncture wound caused by a rusty nail:

Cetinich 30 UA Sept 13 2015 measles vax immune system OP

Cetinich 31 UA Sept 13 2015 measles vax tetanus rusty nail

On September 12 2015, Cetinich, along with anti-vaccination activists Meryl Dorey –  of the Australian Vaccination-skeptics Network (which has a public health warning against it) – and Stephanie Messenger, told lies about vaccine adverse reactions:

Cetinich 32 UA Sept 12 2015 Dorey Messenger OP

Cetinich 33 UA Sept 12 2015 Dorey Messenger

On September 8 2015, Cetinich, in response to an email from Federal Shadow Health Minister Catherine King, claimed that the science is not settled on the overwhelming safety and efficacy of public immunisation programs:

Cetinich 34 UA Sept 8 2015 Catherine King OP

Cetinich 35 UA Sept 8 2015 Catherine King

On September 8 2015, Cetinich argued that vaccines are a “100%” trigger for autism:

Cetinich 36 UA Sept 8 2015 vax autism OP

Cetinich 37 UA Sept 8 2015 vax autism

On September 3 2015, Cetinich states that the rusty nail which caused the penetrating wound to her son – for which she reluctantly agreed to a tetanus vaccination – had penetrated her son’s bottom by 4 cm:

Cetinich 40 UA Sept 3 2015 tetanus rusty nail 4 cm into bottom

*On March 23-25 2016. the admins of Unvaccinated AustraliaTrent Wiseman, Emma Wiseman, Olivier Vles, Giselle Vles, Brett Smith, Lucas Jackson Kelly, Steve Kefalinos, and Brittany Smith – allowed this vile, misogynistic attack on Victorian Health Minister Jill Hennessy to be posted, by Gita Brigham. Repugnant comments were added by fake account, Zoe Trump, and Petar Cetinich. It remains published in the UA group to this day:

Cetinich 22 March 23 Peter Jill Hennessy miss piggy Gita Brigham

Cetinich 23 March 25 2016 Trump Brigham miss piggy Jill H

The following addenda contain excerpts from the Nursing and Midwifery Board of Australia’s competency standards, codes, guidelines, and social media policy from which the reader may wish to select for inclusion in any complaint against Satya Cetinich, which can be lodged here.

Thanks for reading.

_____________________________________

Addendum 1

National competency standards for the midwife (PDF)

Legal and professional practice

Competency 1

Functions in accordance with legislation and common law affecting midwifery practice

Element 1.1

Demonstrates and acts upon knowledge of legislation and common law pertinent to midwifery practice.

Element 1.2

Complies with policies and guidelines that have legal and professional implications for practice.

Element 1.3

Formulates documentation according to legal and professional guidelines.

Element 1.4

Fulfils the duty of care in the course of midwifery practice.

Competency 2

Accepts accountability and responsibility for own actions within midwifery practice.

Element 2.1

Recognises and acts within own knowledge base and scope of practice.

Element 2.2

Identifies unsafe practice and takes appropriate action.

Element 2.3

Consults with, and refers to, another midwife or appropriate health care provider when the needs of the woman and her baby fall outside own scope of practice or competence.

Element 2.4

Delegates, when necessary, activities matching abilities and scope of practice and provides appropriate supervision.

Element 2.5

Assumes responsibility for professional midwifery leadership functions.

Midwifery knowledge and practice

Competency 3

Communicates information to facilitate decision making by the woman.

Element 3.1

Communicates effectively with the woman, her family and friends.

Element 3.2

Provides learning opportunities appropriate to the woman’s needs.

Element 3.3

Plans and evaluates care in partnership with the woman.

Competency 4

Promotes safe and effective midwifery care.

Element 4.1

Applies knowledge, skills and attitudes to enable woman centred care.

Element 4.2

Provides or supports midwifery continuity of care.

Element 4.3

Manages the midwifery care of women and their babies.

Competency 5

Assesses, plans, provides and evaluates safe and effective midwifery care.

Element 5.1

Uses midwifery knowledge and skills to facilitate an optimal experience for the woman.

Element 5.2

Assesses the health and well being of the woman and her baby.

Element 5.3

Plans, provides, and is responsible for, safe and effective midwifery care.

Element 5.4

Protects, promotes and supports breastfeeding.

Element 5.5

Demonstrates the ability to initiate, supply and administer relevant pharmacological substances in a safe and effective manner within relevant state or territory legislation.

Element 5.6

Evaluates the midwifery care provided to the woman and her baby.

Competency 6

Assesses, plans, provides and evaluates safe and effective midwifery care for the woman and/or baby with complex needs.

Element 6.1

Uses a range of midwifery knowledge and skills to provide midwifery care for the woman and/or her baby with complex needs as part of a collaborative team.

Element 6.2

Recognises and responds effectively in emergencies or urgent situations.

Midwifery as primary health care

Competency 7

Advocates to protect the rights of women, families and communities in relation to maternity care.

Element 7.1

Respects and supports women and their families to be self determining in promoting their own health and well–being.

Element 7.2

Acts to ensure that the rights of women receiving maternity care are respected.

Competency 8

Develops effective strategies to implement and support collaborative midwifery practice.

Element 8.1

Demonstrates effective communication with midwives, health care providers and other professionals.

Element 8.2

Establishes, maintains and evaluates professional relationships with other health care providers.

Competency 9

Actively supports midwifery as a public health strategy.

Element 9.1

Advocates for, and promotes midwifery practice, within the context of public health policy.

Element 9.2

Collaborates with, and refers women to, appropriate community agencies and support networks.

Competency 10

Ensures midwifery practice is culturally safe.

Element 10.1

Plans, implements and evaluates strategies for providing culturally safe practice for women, their families and colleagues.

Competency 11

Bases midwifery practice on ethical decision making.

Element 11.1

Practises in accordance with the endorsed Code of Ethics and relevant state/ territories and commonwealth privacy obligations under law.

Competency 12

Identifies personal beliefs and develops these in ways that enhance midwifery practice.

Element 12.1

Addresses the impact of personal beliefs and experiences on the provision of midwifery care.

Element 12.2

Appraises and addresses the impact of power relations on midwifery practice.

Competency 13

Acts to enhance the professional development of self and others.

Element 13.1

Assesses and acts upon own professional development needs.

Element 13.2

Contributes to, and evaluates, the learning experiences and professional development of others.

Competency 14

Uses research to inform midwifery practice.

Element 14.1

Ensures research evidence is incorporated into practice.

Element 14.2

Interprets evidence as a basis to inform practice and decision making.

____________________________________

Addendum 2

National competency standards for the registered nurse (PDF)

Professional practice

Relates to the professional, legal and ethical responsibilities which require demonstration of a satisfactory knowledge base, accountability for practice, functioning in accordance with legislation affecting nursing and health care, and the protection of individual and group rights.

1 Practises in accordance with legislation affecting nursing practice and health care

1.1 Complies with relevant legislation and common law

1.2 Fulfils the duty of care

1.3 Recognises and responds appropriately to unsafe or unprofessional practice

2 Practises within a professional and ethical nursing framework

2.1 Practises in accordance with the nursing profession’s codes of ethics and conduct

2.2 Integrates organisational policies and guidelines with professional standards

2.3 Practises in a way that acknowledges the dignity, culture, values, beliefs and rights of individuals/groups

2.4 Advocates for individuals/groups and their rights for nursing and health care within organisational and management structures

2.5 Understands and practises within own scope of practice

2.6 Integrates nursing and health care knowledge, skills and attitudes to provide safe and effective nursing care

2.7 Recognises the differences in accountability and responsibility between registered nurses, enrolled nurses and unlicensed care workers

Critical thinking and analysis

Relates to self-appraisal, professional development and the value of evidence and research for practice. Reflecting on practice, feelings and beliefs and the consequences of these for individuals/ groups is an important professional bench- mark.

3 Practises within an evidence-based framework

3.1 Identifies the relevance of research to improving individual/group health outcomes

3.2 Uses best available evidence, nursing expertise and respect for the values and beliefs of individuals/groups in the provision of nursing care

3.3 Demonstrates analytical skills in accessing and evaluating health information and research evidence

3.4 Supports and contributes to nursing and health care research

3.5 Participates in quality improvement activities

4 Participates in ongoing professional development of self and others

4.1 Uses best available evidence, standards and guidelines to evaluate nursing performance:

4.2 Participates in professional development to enhance nursing practice

4.3 Contributes to the professional development of others

4.4 Uses appropriate strategies to manage own responses to the professional work environment

Provision and coordination of care

Relates to the coordination, organisation and provision of nursing care that includes the assessment of individuals/ groups, planning, implementation and evaluation of care.

5 Conducts a comprehensive and systematic nursing assessment

5.1 Uses a relevant evidence-based assessment framework to collect data about the physical socio-cultural and mental health of the individual/group

5.2 Uses a range of assessment techniques to collect relevant and accurate data

5.3 Analyses and interprets assessment data accurately

6 Plans nursing care in consultation with individuals/groups, significant others and the interdisciplinary health care team

6.1 Determines agreed priorities for resolving health needs of individuals/groups:

6.2 Identifies expected and agreed individual/group health outcomes including a time frame for achievement

6.3 Documents a plan of care to achieve expected outcomes

6.4 Plans for continuity of care to achieve expected outcomes

7 Provides comprehensive, safe and effective evidence-based nursing care to achieve identified individual/group health outcomes

7.1 Effectively manages the nursing care of individuals/groups

7.2 Provides nursing care according to the documented care or treatment plan

7.3 Prioritises workload based on the individual/group’s needs, acuity and optimal time for intervention

7.4 Responds effectively to unexpected or rapidly changing situations

7.5 Delegates aspects of care to others according to their competence and scope of practice

7.6 Provides effective and timely direction and supervision to ensure that delegated care is provided safely and accurately

7.7 Educates individuals/groups to promote independence and control over their health

8 Evaluates progress towards expected individual/group health outcomes in consultation with individuals/groups, significant others and interdisciplinary health care team

8.1 Determines progress of individuals/groups toward planned outcomes

8.2 Revises the plan of care and determines further outcomes in accordance with evaluation data

Collaborative and therapeutic practice

Relates to establishing, sustaining and concluding professional relationships with individuals/groups. This also contains those competencies that relate to nurses understanding their contribution to the interdisciplinary health care team.

9 Establishes, maintains and appropriately concludes therapeutic relationships

9.1 Establishes therapeutic relationships that are goal directed and recognises professional boundaries

9.2 Communicates effectively with individuals/groups to facilitate provision of care

9.3 Uses appropriate strategies to promote an individual’s/group’s self-esteem, dignity, integrity and

9.4 Assists and supports individuals/groups to make informed health care decisions

9.5 Facilitates a physical, psychosocial, cultural and spiritual environment that promotes individual/group safety and security

10 Collaborates with the interdisciplinary health care team to provide comprehensive nursing care

10.1 Recognises that the membership and roles of health care teams and service providers will vary depending on an individual’s/group’s needs and health care setting

10.2 Communicates nursing assessments and decisions to the interdisciplinary health care team and other relevant service providers

10.3 Facilitates coordination of care to achieve agreed health outcomes

10.4 Collaborates with the health care team to inform policy and guideline development

____________________________________

Addendum 3

Nursing and Midwifery Board of Australia Codes and Guidelines.

Code of Professional Conduct for Nurses in Australia

1 Nurses practise in a safe and competent manner.

2 Nurses practise in accordance with the standards of the profession and broader health system.

Conduct Statement 2

Nurses practise in accordance with the standards of the profession and broader health system

Explanation

1 Nurses are responsible for ensuring the standard of their practice conforms to professional standards developed and agreed by the profession, with the object of enhancing the safety of people in their care as well as their partners, family members and other members of the person’s nominated network. This responsibility also applies to the nurses’ colleagues.

2 Nurses practise in accordance with wider standards relating to safety and quality in health care and accountability for a safe health system, such as those relating to health documentation and information management, incident reporting and participation in adverse event analysis and formal open disclosure procedures.

3 Nurses practise and conduct themselves in accordance with laws relevant to the profession and practice of nursing.

Conduct Statement 3

Nurses practise and conduct themselves in accordance with laws relevant to the profession and practice of nursing

Explanation

1 Nurses are familiar with relevant laws and ensure they do not engage in clinical or other practices prohibited by such laws or delegate to others activities prohibited by those laws.

2 Nurses witnessing the unlawful conduct of colleagues and other co-workers, whether in clinical, management, education or research areas of practice, have both a responsibility and an obligation to report such conduct to an appropriate authority and take other appropriate action as necessary to safeguard people and the public interest.

4 Nurses respect the dignity, culture, ethnicity, values and beliefs of people receiving care and treatment, and of their colleagues.

5 Nurses treat personal information obtained in a professional capacity as private and confidential.

6 Nurses provide impartial, honest and accurate information in relation to nursing care and health care products.

Conduct Statement 6

Nurses provide impartial, honest and accurate information in relation to nursing care and health care products

Explanation

1 When nurses provide advice about any care or product, they fully explain the advantages and disadvantages of alternative care or products so individuals can make informed choices. Nurses refrain from engaging in exploitation, misinformation or misrepresentation with regard to health care products and nursing care.

2 Nurses accurately represent the nature of their services or the care they intend to provide.

3 Where a specific care or a specific product is advised, nurses ensure their advice is based on adequate knowledge and not on commercial or other forms of gain. Deceptive endorsement of products or services or receipt of remuneration for products or services primarily for personal gain, other than remuneration in the course of a proper commercial relationship, is improper.

7 Nurses support the health, wellbeing and informed decision-making of people requiring or receiving care.

8 Nurses promote and preserve the trust and privilege inherent in the relationship between nurses and people receiving care.

Conduct Statement 8

Nurses promote and preserve the trust and privilege inherent in the relationship between nurses and people receiving care

Explanation

1 An inherent power imbalance exists within the relationship between people receiving care and nurses that may make the persons in their care vulnerable and open to exploitation. Nurses actively preserve the dignity of people through practised kindness and respect for the vulnerability and powerlessness of people in their care. Significant vulnerability and powerlessness can arise from the experience of illness and the need to engage with the health care system. The power relativities between a person and a nurse can be significant, particularly where the person has limited knowledge; experiences pain and illness; needs assistance with personal care; belongs to a marginalised group; or experiences an unfamiliar loss of self-determination. This vulnerability creates a power differential in the relationship between nurses and persons in their care that must be recognised and managed.

4 Nurses fulfil roles outside the professional role, including those as family members, friends and community members. Nurses are aware that dual relationships may compromise care outcomes and always conduct professional relationships with the primary intent of benefit for the person receiving care. Nurses take care when giving professional advice to people with whom they have a dual relationship (e.g. a family member or friend) and advise them to seek independent advice due to the existence of actual or potential conflicts of interest.

9 Nurses maintain and build on the community’s trust and confidence in the nursing profession.

Conduct Statement 9

Nurses maintain and build on the community’s trust and confidence in the nursing profession

Explanation

1 The conduct of nurses maintains and builds public trust and confidence in the profession at all times.

2 The unlawful and unethical actions of nurses in their personal lives risk adversely affecting both their own and the profession’s good reputation and standing in the eyes of the public. If the good standing of either individual nurses or the profession were to diminish, this might jeopardise the inherent trust between the nursing profession and the public necessary for effective therapeutic relationships and the effective delivery of nursing care.

3 Nurses consider the ethical interests of the nursing profession and the community when exercising their right to freedom of speech and participating in public, political and academic debate, including publication.

10 Nurses practise nursing reflectively and ethically.

Conduct Statement 10

Nurses practise nursing reflectively and ethically

Explanation

1 Nurses practise nursing reflectively and ethically, in accordance with the Code of Ethics for Nurses in Australia, in order to learn from experience and contribute to personal and professional practice.

2 Nurses develop and maintain appropriate and current quality nursing advice, support and care for each person requiring and receiving care and their partners, families and other members of their nominated social network. This responsibility also applies to colleagues of nurses.

3 Nurses evaluate their conduct and competency according to the standards of the nursing profession.

4 Nurses contribute to the professional development of students and colleagues.

5 Nurses participating in research do so in accordance with recognised research guidelines and do not violate their duty of care to persons receiving nursing care.

6 Nurses advise employers and any persons in their care of any reduction in their capacity to practise due to health, social or other factors, while they seek ways of redressing the problem.

_____________________________________

Code of Ethics for Nurses in Australia

1 Nurses value quality nursing care for all people.

2 Nurses value respect and kindness for self and others.

3 Nurses value the diversity of people.

4 Nurses value access to quality nursing and health care for all people.

5 Nurses value informed decision-making.

Value Statement 5

Nurses value informed decision-making

Explanation

Nurses value people’s interests in making free and informed decisions. This includes people having the opportunity to verify the meaning and implication of information being given to them when making decisions about their nursing and health care. Nurses also recognise that making decisions is sometimes constrained by circumstances beyond individual control and that there may be circumstances where informed decision making cannot always be fully realised.

6 Nurses value a culture of safety in nursing and health care.

Value Statement 6

Nurses value a culture of safety in nursing and health care

Explanation

Valuing a culture of safety involves nurses actively engaging in the development of shared knowledge and understanding of the crucial importance of safety in contemporary health care. Nurses who value a culture of safety appreciate that safety is everyone’s responsibility. Nurses support the development of risk management processes and a practice environment designed to reduce the incidence and impact of preventable adverse events in health care. Nurses also support the open disclosure of any adverse events to any person affected during the course of their care.

7 Nurses value ethical management of information.

8 Nurses value a socially, economically and ecologically sustainable environment promoting health and wellbeing.

________________________________________

Addendum 4

Code of professional conduct for midwives

Midwives practise competently in accordance with legislation, standards and professional practice

1 Midwives practise in a safe and competent manner.

Conduct statement 1

Midwives practise in a safe and competent manner

Explanation

1 Midwives are personally accountable to the woman and her infant(s); their employer and their profession for the provision of safe and competent midwifery care. It is the responsibility of each midwife to maintain the competence necessary for current practice. Maintenance of competence includes participation in ongoing professional development to maintain and improve knowledge, skills and attitudes relevant to practice in a clinical, management, education or research setting.

2 Midwives practise in a manner that recognises the woman’s right to receive accurate information; be protected against foreseeable risk of harm to themselves and their infant(s); and have freedom to make choices in relation to their care.

3 Midwives practise within the scope of midwifery, according to the International Confederation of Midwives Definition of the Midwife (2005).

6 Midwives make known to an appropriate person or authority any circumstance that may compromise professional standards, or any observation of questionable, unethical or unlawful practice, and intervene to safeguard the individual if the concern is unresolved.

2 Midwives practise in accordance with the standards of the profession and broader health system.

Conduct statement 2

Midwives practise in accordance with the standards of the profession and broader health system

Explanation

1 Midwives practise in partnership with the woman, and in accordance with the standards of the profession (e.g. the Board-approved National competency standards for the midwife), to provide safe and effective midwifery care.

2 Midwives practise in accordance with wider standards relating to safety and quality in midwifery care and accountability for a safe health system, such as those relating to health documentation and information management, incident reporting and participation in adverse event analysis and formal open disclosure procedures.

3 Midwives practise and conduct themselves in accordance with laws relevant to the profession and practice of midwifery.

Conduct statement 3

Midwives practise and conduct themselves in accordance with laws relevant to the profession and practice of midwifery

Explanation

1 Midwives are familiar with relevant laws and ensure they do not engage in practices prohibited by such laws or delegate to others activities prohibited by those laws.

2 Midwives practise in accordance with laws relevant to the midwife’s area of practice.

3 Midwives witnessing the unlawful conduct of colleagues and other co-workers, whether in midwifery practice, management, education or research, have both a responsibility and an obligation to report such conduct to an appropriate authority and take other action as necessary to safeguard people and the public interest.

6 Midwives who are employees support the responsible use of the resources of their employing organisations.

4 Midwives respect the dignity, culture, values and beliefs of each woman and her infant(s) in their care and the woman’s partner and family, and of colleagues.

5 Midwives treat personal information obtained in a professional capacity as private and confidential.

Conduct statement 5

Midwives treat personal information obtained in a professional capacity as private and confidential

Explanation

The treatment of personal information should be considered in conjunction with the Guidelines to the National Privacy Principles 2001, which support the Privacy Act 1988 (Cwth). Many jurisdictions also have legislation and policies relating to privacy and confidentiality of personal health information including midwifery care records.

1 Midwives have ethical and legal obligations to treat personal information obtained in a professional capacity as confidential. Midwives protect the privacy of each woman, her infant(s) and family by treating the information gained in the relationship as confidential, restricting its use to professional purposes only.

6 Midwives provide impartial, honest and accurate information in relation to midwifery care and health care products.

Conduct statement 6

Midwives provide impartial, honest and accurate information in relation to midwifery care and health care products

Explanation

1 When midwives provide advice about any care or product, they fully explain the advantages and disadvantages of alternative products or care so individuals can make informed choices. Midwives refrain from engaging in exploitation, misinformation or misrepresentation with regard to health care products and midwifery care.

2 Midwives accurately represent the nature of the midwifery care they intend to provide.

3 Where specific care or a specific product is advised, midwives ensure their advice is based on adequate knowledge and not on commercial or other forms of gain. Midwives refrain from the deceptive endorsement of services or products.

Midwives practise within a woman-centred framework

7 Midwives focus on a woman’s health needs, her expectations and aspirations, supporting the informed decision making of each woman.

Conduct statement 7

Midwives focus on a woman’s health needs, her expectations and aspirations, supporting the informed decision making of each woman

Explanation

1 Midwives ensure the mother and her infant(s) are the primary focus of midwifery care.

2 Midwives support the health and wellbeing of each woman and her infant(s), promoting and preserving practices that contribute to the woman’s self-confidence and the wellbeing of the woman and her infant(s).

4 Midwives support informed decision making by advising the woman and, where the woman wishes, her partner, family, friends or health interpreter, of the nature and purpose of the midwifery care, and assist the woman to make informed decisions about that care.

6 Midwives advocate for the protection of the rights of each woman, her infant(s), partner, family and community in relation to midwifery care.

8 Midwives promote and preserve the trust and privilege inherent in the relationship between midwives and each woman and her infant(s).

Conduct statement 8

Midwives promote and preserve the trust and privilege inherent in the relationship between midwives and each women and her infant(s)

Explanation

1 Midwives promote and preserve the trust inherent in the woman-midwife partnership.

2 An inherent power imbalance exists within the relationship between each woman and midwives that may make the woman and her infant(s) in their care vulnerable and open to exploitation. Midwives actively preserve the dignity of people through practised kindness and by recognising the potential vulnerability and powerlessness of each woman being cared for by midwives. The power relativities between a woman and a midwife can be significant, particularly where the woman has limited knowledge, experiences fear or pain, needs assistance with personal care, or experiences an unfamiliar loss of self-determination. This vulnerability creates a power differential in the relationship between midwives and each woman in their care that must be recognised and managed.

9 Midwives maintain and build on the community’s trust and confidence in the midwifery profession.

Conduct statement 9

Midwives maintain and build on the community’s trust and confidence in the midwifery profession

Explanation

1 The conduct of midwives maintains and builds public trust and confidence in the profession at all times.

2 The unlawful and unethical actions of midwives in their personal lives risk adversely affecting both their own and the profession’s good reputation and standing in the eyes of the public. If the good standing of either individual midwives or the profession were to diminish, this might jeopardise the inherent trust between the midwifery profession and women, as well as the community more generally, necessary for effective relationships and the effective delivery of midwifery care.

3 Midwives consider the ethical interests of the midwifery profession when exercising their right to freedom of speech and participating in public, political and academic debate, including publication.

Midwives practise midwifery reflectively and ethically

10 Midwives practise midwifery reflectively and ethically.

Conduct statement 10                  

Midwives practise midwifery reflectively and ethically

Explanation

1 Midwives practise midwifery reflectively and ethically, practising in accordance with the Code of ethics for midwives in Australia, in order to learn from experience and contribute to personal

2 Midwives develop and maintain appropriate and current midwifery advice, support and care for each woman in their care and her infant(s) and family.

3 Midwives evaluate their conduct and competency according to the standards of the midwifery profession.

____________________________________

Code of ethics for midwives

1 Midwives value quality midwifery care for each woman and her infant(s).

Value statement 1

Midwives value quality midwifery care for each woman and her infant(s)

Explanation

At the heart of valuing quality midwifery care is valuing each woman, the process of childbirth, the woman- midwife partnership, and the mother-baby relationship. This involves midwives assisting each woman during pregnancy, birth and the early postnatal period, providing support, advice and care according to individual needs. The woman-midwife partnership focuses on the health and midwifery needs of the woman, her infant(s) and her partner and family. Midwives have a responsibility not to interfere with the normal process of pregnancy and childbirth unless it is necessary for the safety of the women and infant(s). Quality midwifery care also necessitates midwives being accountable for the standard of care they provide; helping to raise the standard; and taking action when they consider, on reasonable grounds, the standard to be unacceptable. This includes a responsibility to question and report unethical behaviour or treatment.

2 Midwives value respect and kindness for self and others.

3 Midwives value the diversity of people.

4 Midwives value access to quality midwifery care for each woman and her infant(s).

5 Midwives value informed decision making.

Value statement 5

Midwives value informed decision making

Explanation

Midwives value people’s interests in making free and informed decisions. This includes each woman having the opportunity to verify the meaning and implication of information being given to her when making decisions about her maternity care and childbirth experience. Midwives also recognise that making decisions is sometimes constrained by circumstances beyond individual control and that there may be circumstances where informed decision making cannot always be fully realised

6 Midwives value a culture of safety in midwifery care.

Value statement 6

Midwives value a culture of safety in midwifery care

Explanation

Valuing a culture of safety involves midwives actively engaging in the development of shared knowledge and understanding of the importance of safety – physical, emotional, social and spiritual – as a crucial component of contemporary midwifery care. Midwives who value a culture of safety support reasonable measures, processes and reporting systems designed to reduce the incidence and impact of preventable adverse events in the provision of midwifery care. They also support the open disclosure to women of any adverse events affecting them or their infants during the course of their care

7 Midwives value ethical management of information.

Value statement 7

Midwives value ethical management of information

Explanation

The generation and management of information (including midwifery care records and other documents) are performed with professionalism and integrity. This requires the information being recorded to be accurate, non-judgemental and relevant to the midwifery care of the woman and her infant(s). All midwifery documentation is a record that cannot be changed or altered other than by the addition of further information. A notation in a record or a document used for midwifery care communication can have a powerful positive or negative impact on the quality of care received by a woman and her infant(s). These effects can be long-lasting, either through ensuring the provision of quality care, or through enshrining stigma, stereotyping and judgement in maternity care decision making and maternity care provision experienced by a woman and her infant(s).

The ethical management of information involves respecting people’s privacy and confidentiality without compromising health or safety. This applies to all types of data, including clinical and research data, irrespective of the medium in which the information occurs or is stored. Personal information may only be shared with the consent of the individual or with lawful authorisation.

8 Midwives value a socially, economically and ecologically sustainable environment promoting health and wellbeing.

Value statement 8

Midwives value a socially, economically and ecologically sustainable environment, promoting health and wellbeing

Explanation

Midwives value strategies aimed at preventing, minimising and overcoming the harmful effects of economic, social or ecological factors on the health of each woman, her infant(s), family and community. Commitment to a healthy environment involves the conservation and efficient use of resources such as energy, water and fuel, as well as clinical and other materials.

_________________________________________

Addendum 5

Social Media Policy

When using social media, health practitioners should remember that the National Law, their National Board’s code of ethics and professional conduct (the Code of conduct) and the Guidelines for advertising regulated health services (the Advertising guidelines) apply.

Registered health practitioners should only post information that is not in breach of these obligations by:

  • complying with professional obligations
  • complying with confidentiality and privacy obligations (such as by not discussing patients or posting pictures of procedures, case studies, patients, or sensitive material which may enable patients to be identified without having obtained consent in appropriate situations)
  • presenting information in an unbiased, evidence-based context, and
  • not making unsubstantiated claims.

Additional information may be available from professional bodies and/or employers, which aims to support health practitioners’ use of social media. However, the legal, ethical, and professional obligations that registered health practitioners must adhere to are set out in the National Boards’ respective Code of conduct and the Advertising guidelines.

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Anti-vaccine nurses and midwives 17 – Elizabeth Gregg: Queensland

Elizabeth (Libby) Gregg is a registered nurse and registered midwife from Queensland. As late as December 2015 Gregg included her nursing and midwifery qualifications on her Facebook profile:

Gregg 3 profile nursing studied_censored

Gregg 4 AHPRA rego both

Gregg first came to our attention on the Facebook page of Stop the Australian (anti) Vaccination Network, on September 3 2014.  Gregg called on the Almighty to come to the defence of Meryl Dorey and the Australian Vaccination-skeptics Network – which had, earlier in 2014, earned a public health warning from the HCCC – as well as other public health menaces who were being scrutinised by the NSW Health Care Complaints Committee:

Gregg 1 SAVN OP HCCC parliamentary committee hearings into false misleading health advice

Gregg 1 on SAVN page Sept 3 2014

Gregg has publicly shared antivax and other misinformation on her Facebook profile.

On April 18 2015, Gregg promoted the discredited anti-vaccination activist, Tetyana Obukhanych:

Gregg 23 April 18 2015 profile antivax

On April 14 2015, Gregg shared this anti-vaccination blog post:

Gregg 24 April 14 2015 profile antivax

On April 2 2015, Gregg shared this crank cancer cure YouTube video:

Gregg 25 profile cancer cure crank April 2 2015

Gregg is also a long-term member of the rabidly anti-vaccine, secret Facebook group, Vaccine Choice Australia (formerly Vaccine Free Australia):

Gregg 2 member VCA VFA

On February 19 2016, Gregg advised the mother of a one-week-old baby that breast-milk will provide all the protection needed by the baby against any pathogens the baby might encounter:

Gregg 26 VCA Feb 19 2016 breastfeed no vax OP

Gregg 27 VCA Feb 19 2016 breastfeed no vax

On February 5 2016, Gregg advised a parent that she should report an unsubstantiated hunch of vaccine injury – a facial droop – to her doctor as a “significant reaction”:

Gregg 28 VCA Feb 5 2016 face droop OP

Gregg 29 VCA Feb 5 face droop vax

On November 25 2015, Gregg advised another VCA member to get tested for Lyme disease, for a skin rash:

Gregg 31 VCA Nov 25 2015 Lyme OP

Gregg 32 VCA Nov 25 2015 Lyme

On June 3 2015, Gregg claimed that there is a conspiracy in which Facebook, and other platforms, censors anti-vaccination misinformation from the disgraced Andrew Wakefield:

Gregg 33 VCA June 3 2015 Wakefield truth shut down Russel Brand allowed

On April 19 2015, Gregg joined in with AVN president Tasha David, and registered nurse Aleena Noad, in taking up the “winning” fight against pro-immunisation forces:

Gregg 34 VCA April 19 2015 antivaxers deluded OP Noad

Gregg 35 VCA April 19 2015 David Ghandi Noad antivaxers deluded

Gregg 36 April 19 2015 Noad David Ghandi antivaxer fight

On April 19 2015, Gregg continued the call-to-arms as above, this time invoking divine providence:

Gregg 37 VCA April 19 2015 bible quote fight

On April 17 2015, Gregg called on divine intervention coming to the aid of another non-immunising parent:

Gregg 38 VCA April 17 2015 praise god delivered from poisons

On April 14 2015, Gregg claimed that she had been misquoted when she appeared in this blog post, in getting her facts wrong about the now-defunct religious exemption to immunisation:

Gregg 39 VCA April 14 2015 religious exmeption misinfo

On April 11 2015, Gregg wrongly claimed that immunisation was to become mandatory. Gregg also wrongly cited the Nuremberg Code, which pertains to a set of ethics in relation to human experimentation, not public immunisation:

Gregg 40 VCA April 11 2015 Nuremburg Code

On March 27 2015, Gregg advised anti-vaccinationists – including Rixta Francis – who were seeking to use religious and other exemptions to avoid immunising their children. As noted, above, Gregg’s claims about religious exemptions were wrong then – even before religious exemptions were removed – and they remain wrong now that religious exemptions are defunct. The only religious exemptions that were available were for Christian Scientists:

Gregg 41 VCA March 27 2015 religious exemption OP

Gregg 42 VCA March 27 2015 religious exemption misinfo

On March 17 2015, Gregg advised prayer in lieu of medication which was prescribed for a child by a medical professional:

Gregg 43 VCA March 17 2015 photos prayer dr cream OP

Gregg 44 VCA March 17 2015 prayer Tx

On February 20 2015, Gregg was clear about her knowledge of the Nursing and Midwifery Board’s codes of conduct pertaining to the provision of anti-vaccination misinformation:

Gregg 20 2015 VFA midwives

On March 25 2014, Gregg cited her position as an employee of Queensland Health in advising other anti-vaccinationists about workplace immunisation policies:

Gregg 12 VFA 2014 OP

Gregg cited her refusal to receive recommended workplace immunisations and included alleged conversations she had with her employer:

Gregg 13 VFA 2014

Gregg cited religious discrimination as a defence. Gregg also advised others to cite religious reasons, as opposed to safety and efficacy concerns about the immunisation, as a more successful ploy in avoiding workplace immunisation:

Gregg 14 VFA 2014

Gregg then corresponded with NSW anti-vaccination activist Bronwyn Hancock, and appeared to provide to Hancock a copy of the Queensland Health workplace immunisation policy:

Gregg 15 VFA 2014

Gregg also stated she was to begin studying law, in July 2014, so as to fight against workplace immunisation policies:

Gregg 16 VFA 2014

Gregg advised another person to take legal action against Queensland Health for unsubstantiated harm arising from a Hepatitis B immunisation:

Gregg 17 VFA 2014

Gregg finished off by listing her religious and biblical objections to immunisation, which includes the following:

Vaccines are Satan’s latest plan to taint and change human DNA.

Gregg 18 VFA 2014

Gregg 19 VFA 2014

The following addenda contain excerpts from the Nursing and Midwifery Board of Australia’s competency standards, codes, guidelines, and social media policy from which the reader may wish to select for inclusion in any complaint against Elizabeth Gregg, which can be lodged here.

Thanks for reading.

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Addendum 1

National competency standards for the midwife (PDF)

Legal and professional practice

Competency 1

Functions in accordance with legislation and common law affecting midwifery practice

Element 1.1

Demonstrates and acts upon knowledge of legislation and common law pertinent to midwifery practice.

Element 1.2

Complies with policies and guidelines that have legal and professional implications for practice.

Element 1.3

Formulates documentation according to legal and professional guidelines.

Element 1.4

Fulfils the duty of care in the course of midwifery practice.

Competency 2

Accepts accountability and responsibility for own actions within midwifery practice.

Element 2.1

Recognises and acts within own knowledge base and scope of practice.

Element 2.2

Identifies unsafe practice and takes appropriate action.

Element 2.3

Consults with, and refers to, another midwife or appropriate health care provider when the needs of the woman and her baby fall outside own scope of practice or competence.

Element 2.4

Delegates, when necessary, activities matching abilities and scope of practice and provides appropriate supervision.

Element 2.5

Assumes responsibility for professional midwifery leadership functions.

Midwifery knowledge and practice

Competency 3

Communicates information to facilitate decision making by the woman.

Element 3.1

Communicates effectively with the woman, her family and friends.

Element 3.2

Provides learning opportunities appropriate to the woman’s needs.

Element 3.3

Plans and evaluates care in partnership with the woman.

Competency 4

Promotes safe and effective midwifery care.

Element 4.1

Applies knowledge, skills and attitudes to enable woman centred care.

Element 4.2

Provides or supports midwifery continuity of care.

Element 4.3

Manages the midwifery care of women and their babies.

Competency 5

Assesses, plans, provides and evaluates safe and effective midwifery care.

Element 5.1

Uses midwifery knowledge and skills to facilitate an optimal experience for the woman.

Element 5.2

Assesses the health and well being of the woman and her baby.

Element 5.3

Plans, provides, and is responsible for, safe and effective midwifery care.

Element 5.4

Protects, promotes and supports breastfeeding.

Element 5.5

Demonstrates the ability to initiate, supply and administer relevant pharmacological substances in a safe and effective manner within relevant state or territory legislation.

Element 5.6

Evaluates the midwifery care provided to the woman and her baby.

Competency 6

Assesses, plans, provides and evaluates safe and effective midwifery care for the woman and/or baby with complex needs.

Element 6.1

Uses a range of midwifery knowledge and skills to provide midwifery care for the woman and/or her baby with complex needs as part of a collaborative team.

Element 6.2

Recognises and responds effectively in emergencies or urgent situations.

Midwifery as primary health care

Competency 7

Advocates to protect the rights of women, families and communities in relation to maternity care.

Element 7.1

Respects and supports women and their families to be self determining in promoting their own health and well–being.

Element 7.2

Acts to ensure that the rights of women receiving maternity care are respected.

Competency 8

Develops effective strategies to implement and support collaborative midwifery practice.

Element 8.1

Demonstrates effective communication with midwives, health care providers and other professionals.

Element 8.2

Establishes, maintains and evaluates professional relationships with other health care providers.

Competency 9

Actively supports midwifery as a public health strategy.

Element 9.1

Advocates for, and promotes midwifery practice, within the context of public health policy.

Element 9.2

Collaborates with, and refers women to, appropriate community agencies and support networks.

Competency 10

Ensures midwifery practice is culturally safe.

Element 10.1

Plans, implements and evaluates strategies for providing culturally safe practice for women, their families and colleagues.

Competency 11

Bases midwifery practice on ethical decision making.

Element 11.1

Practises in accordance with the endorsed Code of Ethics and relevant state/ territories and commonwealth privacy obligations under law.

Competency 12

Identifies personal beliefs and develops these in ways that enhance midwifery practice.

Element 12.1

Addresses the impact of personal beliefs and experiences on the provision of midwifery care.

Element 12.2

Appraises and addresses the impact of power relations on midwifery practice.

Competency 13

Acts to enhance the professional development of self and others.

Element 13.1

Assesses and acts upon own professional development needs.

Element 13.2

Contributes to, and evaluates, the learning experiences and professional development of others.

Competency 14

Uses research to inform midwifery practice.

Element 14.1

Ensures research evidence is incorporated into practice.

Element 14.2

Interprets evidence as a basis to inform practice and decision making.

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Addendum 2

National competency standards for the registered nurse (PDF)

Professional practice

Relates to the professional, legal and ethical responsibilities which require demonstration of a satisfactory knowledge base, accountability for practice, functioning in accordance with legislation affecting nursing and health care, and the protection of individual and group rights.

1 Practises in accordance with legislation affecting nursing practice and health care

1.1 Complies with relevant legislation and common law

1.2 Fulfils the duty of care

1.3 Recognises and responds appropriately to unsafe or unprofessional practice

2 Practises within a professional and ethical nursing framework

2.1 Practises in accordance with the nursing profession’s codes of ethics and conduct

2.2 Integrates organisational policies and guidelines with professional standards

2.3 Practises in a way that acknowledges the dignity, culture, values, beliefs and rights of individuals/groups

2.4 Advocates for individuals/groups and their rights for nursing and health care within organisational and management structures

2.5 Understands and practises within own scope of practice

2.6 Integrates nursing and health care knowledge, skills and attitudes to provide safe and effective nursing care

2.7 Recognises the differences in accountability and responsibility between registered nurses, enrolled nurses and unlicensed care workers

Critical thinking and analysis

Relates to self-appraisal, professional development and the value of evidence and research for practice. Reflecting on practice, feelings and beliefs and the consequences of these for individuals/ groups is an important professional bench- mark.

3 Practises within an evidence-based framework

3.1 Identifies the relevance of research to improving individual/group health outcomes

3.2 Uses best available evidence, nursing expertise and respect for the values and beliefs of individuals/groups in the provision of nursing care

3.3 Demonstrates analytical skills in accessing and evaluating health information and research evidence

3.4 Supports and contributes to nursing and health care research

3.5 Participates in quality improvement activities

4 Participates in ongoing professional development of self and others

4.1 Uses best available evidence, standards and guidelines to evaluate nursing performance:

4.2 Participates in professional development to enhance nursing practice

4.3 Contributes to the professional development of others

4.4 Uses appropriate strategies to manage own responses to the professional work environment

Provision and coordination of care

Relates to the coordination, organisation and provision of nursing care that includes the assessment of individuals/ groups, planning, implementation and evaluation of care.

5 Conducts a comprehensive and systematic nursing assessment

5.1 Uses a relevant evidence-based assessment framework to collect data about the physical socio-cultural and mental health of the individual/group

5.2 Uses a range of assessment techniques to collect relevant and accurate data

5.3 Analyses and interprets assessment data accurately

6 Plans nursing care in consultation with individuals/groups, significant others and the interdisciplinary health care team

6.1 Determines agreed priorities for resolving health needs of individuals/groups:

6.2 Identifies expected and agreed individual/group health outcomes including a time frame for achievement

6.3 Documents a plan of care to achieve expected outcomes

6.4 Plans for continuity of care to achieve expected outcomes

7 Provides comprehensive, safe and effective evidence-based nursing care to achieve identified individual/group health outcomes

7.1 Effectively manages the nursing care of individuals/groups

7.2 Provides nursing care according to the documented care or treatment plan

7.3 Prioritises workload based on the individual/group’s needs, acuity and optimal time for intervention

7.4 Responds effectively to unexpected or rapidly changing situations

7.5 Delegates aspects of care to others according to their competence and scope of practice

7.6 Provides effective and timely direction and supervision to ensure that delegated care is provided safely and accurately

7.7 Educates individuals/groups to promote independence and control over their health

8 Evaluates progress towards expected individual/group health outcomes in consultation with individuals/groups, significant others and interdisciplinary health care team

8.1 Determines progress of individuals/groups toward planned outcomes

8.2 Revises the plan of care and determines further outcomes in accordance with evaluation data

Collaborative and therapeutic practice

Relates to establishing, sustaining and concluding professional relationships with individuals/groups. This also contains those competencies that relate to nurses understanding their contribution to the interdisciplinary health care team.

9 Establishes, maintains and appropriately concludes therapeutic relationships

9.1 Establishes therapeutic relationships that are goal directed and recognises professional boundaries

9.2 Communicates effectively with individuals/groups to facilitate provision of care

9.3 Uses appropriate strategies to promote an individual’s/group’s self-esteem, dignity, integrity and

9.4 Assists and supports individuals/groups to make informed health care decisions

9.5 Facilitates a physical, psychosocial, cultural and spiritual environment that promotes individual/group safety and security

10 Collaborates with the interdisciplinary health care team to provide comprehensive nursing care

10.1 Recognises that the membership and roles of health care teams and service providers will vary depending on an individual’s/group’s needs and health care setting

10.2 Communicates nursing assessments and decisions to the interdisciplinary health care team and other relevant service providers

10.3 Facilitates coordination of care to achieve agreed health outcomes

10.4 Collaborates with the health care team to inform policy and guideline development

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Addendum 3

Nursing and Midwifery Board of Australia Codes and Guidelines.

Code of Professional Conduct for Nurses in Australia

1 Nurses practise in a safe and competent manner.

2 Nurses practise in accordance with the standards of the profession and broader health system.

Conduct Statement 2

Nurses practise in accordance with the standards of the profession and broader health system

Explanation

1 Nurses are responsible for ensuring the standard of their practice conforms to professional standards developed and agreed by the profession, with the object of enhancing the safety of people in their care as well as their partners, family members and other members of the person’s nominated network. This responsibility also applies to the nurses’ colleagues.

2 Nurses practise in accordance with wider standards relating to safety and quality in health care and accountability for a safe health system, such as those relating to health documentation and information management, incident reporting and participation in adverse event analysis and formal open disclosure procedures.

3 Nurses practise and conduct themselves in accordance with laws relevant to the profession and practice of nursing.

Conduct Statement 3

Nurses practise and conduct themselves in accordance with laws relevant to the profession and practice of nursing

Explanation

1 Nurses are familiar with relevant laws and ensure they do not engage in clinical or other practices prohibited by such laws or delegate to others activities prohibited by those laws.

2 Nurses witnessing the unlawful conduct of colleagues and other co-workers, whether in clinical, management, education or research areas of practice, have both a responsibility and an obligation to report such conduct to an appropriate authority and take other appropriate action as necessary to safeguard people and the public interest.

4 Nurses respect the dignity, culture, ethnicity, values and beliefs of people receiving care and treatment, and of their colleagues.

5 Nurses treat personal information obtained in a professional capacity as private and confidential.

6 Nurses provide impartial, honest and accurate information in relation to nursing care and health care products.

Conduct Statement 6

Nurses provide impartial, honest and accurate information in relation to nursing care and health care products

Explanation

1 When nurses provide advice about any care or product, they fully explain the advantages and disadvantages of alternative care or products so individuals can make informed choices. Nurses refrain from engaging in exploitation, misinformation or misrepresentation with regard to health care products and nursing care.

2 Nurses accurately represent the nature of their services or the care they intend to provide.

3 Where a specific care or a specific product is advised, nurses ensure their advice is based on adequate knowledge and not on commercial or other forms of gain. Deceptive endorsement of products or services or receipt of remuneration for products or services primarily for personal gain, other than remuneration in the course of a proper commercial relationship, is improper.

7 Nurses support the health, wellbeing and informed decision-making of people requiring or receiving care.

8 Nurses promote and preserve the trust and privilege inherent in the relationship between nurses and people receiving care.

Conduct Statement 8

Nurses promote and preserve the trust and privilege inherent in the relationship between nurses and people receiving care

Explanation

1 An inherent power imbalance exists within the relationship between people receiving care and nurses that may make the persons in their care vulnerable and open to exploitation. Nurses actively preserve the dignity of people through practised kindness and respect for the vulnerability and powerlessness of people in their care. Significant vulnerability and powerlessness can arise from the experience of illness and the need to engage with the health care system. The power relativities between a person and a nurse can be significant, particularly where the person has limited knowledge; experiences pain and illness; needs assistance with personal care; belongs to a marginalised group; or experiences an unfamiliar loss of self-determination. This vulnerability creates a power differential in the relationship between nurses and persons in their care that must be recognised and managed.

4 Nurses fulfil roles outside the professional role, including those as family members, friends and community members. Nurses are aware that dual relationships may compromise care outcomes and always conduct professional relationships with the primary intent of benefit for the person receiving care. Nurses take care when giving professional advice to people with whom they have a dual relationship (e.g. a family member or friend) and advise them to seek independent advice due to the existence of actual or potential conflicts of interest.

9 Nurses maintain and build on the community’s trust and confidence in the nursing profession.

Conduct Statement 9

Nurses maintain and build on the community’s trust and confidence in the nursing profession

Explanation

1 The conduct of nurses maintains and builds public trust and confidence in the profession at all times.

2 The unlawful and unethical actions of nurses in their personal lives risk adversely affecting both their own and the profession’s good reputation and standing in the eyes of the public. If the good standing of either individual nurses or the profession were to diminish, this might jeopardise the inherent trust between the nursing profession and the public necessary for effective therapeutic relationships and the effective delivery of nursing care.

3 Nurses consider the ethical interests of the nursing profession and the community when exercising their right to freedom of speech and participating in public, political and academic debate, including publication.

10 Nurses practise nursing reflectively and ethically.

Conduct Statement 10

Nurses practise nursing reflectively and ethically

Explanation

1 Nurses practise nursing reflectively and ethically, in accordance with the Code of Ethics for Nurses in Australia, in order to learn from experience and contribute to personal and professional practice.

2 Nurses develop and maintain appropriate and current quality nursing advice, support and care for each person requiring and receiving care and their partners, families and other members of their nominated social network. This responsibility also applies to colleagues of nurses.

3 Nurses evaluate their conduct and competency according to the standards of the nursing profession.

4 Nurses contribute to the professional development of students and colleagues.

5 Nurses participating in research do so in accordance with recognised research guidelines and do not violate their duty of care to persons receiving nursing care.

6 Nurses advise employers and any persons in their care of any reduction in their capacity to practise due to health, social or other factors, while they seek ways of redressing the problem.

_____________________________________

Code of Ethics for Nurses in Australia

1 Nurses value quality nursing care for all people.

2 Nurses value respect and kindness for self and others.

3 Nurses value the diversity of people.

4 Nurses value access to quality nursing and health care for all people.

5 Nurses value informed decision-making.

Value Statement 5

Nurses value informed decision-making

Explanation

Nurses value people’s interests in making free and informed decisions. This includes people having the opportunity to verify the meaning and implication of information being given to them when making decisions about their nursing and health care. Nurses also recognise that making decisions is sometimes constrained by circumstances beyond individual control and that there may be circumstances where informed decision making cannot always be fully realised.

6 Nurses value a culture of safety in nursing and health care.

Value Statement 6

Nurses value a culture of safety in nursing and health care

Explanation

Valuing a culture of safety involves nurses actively engaging in the development of shared knowledge and understanding of the crucial importance of safety in contemporary health care. Nurses who value a culture of safety appreciate that safety is everyone’s responsibility. Nurses support the development of risk management processes and a practice environment designed to reduce the incidence and impact of preventable adverse events in health care. Nurses also support the open disclosure of any adverse events to any person affected during the course of their care.

7 Nurses value ethical management of information.

8 Nurses value a socially, economically and ecologically sustainable environment promoting health and wellbeing.

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Addendum 4

Code of professional conduct for midwives

Midwives practise competently in accordance with legislation, standards and professional practice

1 Midwives practise in a safe and competent manner.

Conduct statement 1

Midwives practise in a safe and competent manner

Explanation

1 Midwives are personally accountable to the woman and her infant(s); their employer and their profession for the provision of safe and competent midwifery care. It is the responsibility of each midwife to maintain the competence necessary for current practice. Maintenance of competence includes participation in ongoing professional development to maintain and improve knowledge, skills and attitudes relevant to practice in a clinical, management, education or research setting.

2 Midwives practise in a manner that recognises the woman’s right to receive accurate information; be protected against foreseeable risk of harm to themselves and their infant(s); and have freedom to make choices in relation to their care.

3 Midwives practise within the scope of midwifery, according to the International Confederation of Midwives Definition of the Midwife (2005).

6 Midwives make known to an appropriate person or authority any circumstance that may compromise professional standards, or any observation of questionable, unethical or unlawful practice, and intervene to safeguard the individual if the concern is unresolved.

2 Midwives practise in accordance with the standards of the profession and broader health system.

Conduct statement 2

Midwives practise in accordance with the standards of the profession and broader health system

Explanation

1 Midwives practise in partnership with the woman, and in accordance with the standards of the profession (e.g. the Board-approved National competency standards for the midwife), to provide safe and effective midwifery care.

2 Midwives practise in accordance with wider standards relating to safety and quality in midwifery care and accountability for a safe health system, such as those relating to health documentation and information management, incident reporting and participation in adverse event analysis and formal open disclosure procedures.

3 Midwives practise and conduct themselves in accordance with laws relevant to the profession and practice of midwifery.

Conduct statement 3

Midwives practise and conduct themselves in accordance with laws relevant to the profession and practice of midwifery

Explanation

1 Midwives are familiar with relevant laws and ensure they do not engage in practices prohibited by such laws or delegate to others activities prohibited by those laws.

2 Midwives practise in accordance with laws relevant to the midwife’s area of practice.

3 Midwives witnessing the unlawful conduct of colleagues and other co-workers, whether in midwifery practice, management, education or research, have both a responsibility and an obligation to report such conduct to an appropriate authority and take other action as necessary to safeguard people and the public interest.

6 Midwives who are employees support the responsible use of the resources of their employing organisations.

4 Midwives respect the dignity, culture, values and beliefs of each woman and her infant(s) in their care and the woman’s partner and family, and of colleagues.

5 Midwives treat personal information obtained in a professional capacity as private and confidential.

Conduct statement 5

Midwives treat personal information obtained in a professional capacity as private and confidential

Explanation

The treatment of personal information should be considered in conjunction with the Guidelines to the National Privacy Principles 2001, which support the Privacy Act 1988 (Cwth). Many jurisdictions also have legislation and policies relating to privacy and confidentiality of personal health information including midwifery care records.

1 Midwives have ethical and legal obligations to treat personal information obtained in a professional capacity as confidential. Midwives protect the privacy of each woman, her infant(s) and family by treating the information gained in the relationship as confidential, restricting its use to professional purposes only.

6 Midwives provide impartial, honest and accurate information in relation to midwifery care and health care products.

Conduct statement 6

Midwives provide impartial, honest and accurate information in relation to midwifery care and health care products

Explanation

1 When midwives provide advice about any care or product, they fully explain the advantages and disadvantages of alternative products or care so individuals can make informed choices. Midwives refrain from engaging in exploitation, misinformation or misrepresentation with regard to health care products and midwifery care.

2 Midwives accurately represent the nature of the midwifery care they intend to provide.

3 Where specific care or a specific product is advised, midwives ensure their advice is based on adequate knowledge and not on commercial or other forms of gain. Midwives refrain from the deceptive endorsement of services or products.

Midwives practise within a woman-centred framework

7 Midwives focus on a woman’s health needs, her expectations and aspirations, supporting the informed decision making of each woman.

Conduct statement 7

Midwives focus on a woman’s health needs, her expectations and aspirations, supporting the informed decision making of each woman

Explanation

1 Midwives ensure the mother and her infant(s) are the primary focus of midwifery care.

2 Midwives support the health and wellbeing of each woman and her infant(s), promoting and preserving practices that contribute to the woman’s self-confidence and the wellbeing of the woman and her infant(s).

4 Midwives support informed decision making by advising the woman and, where the woman wishes, her partner, family, friends or health interpreter, of the nature and purpose of the midwifery care, and assist the woman to make informed decisions about that care.

6 Midwives advocate for the protection of the rights of each woman, her infant(s), partner, family and community in relation to midwifery care.

8 Midwives promote and preserve the trust and privilege inherent in the relationship between midwives and each woman and her infant(s).

Conduct statement 8

Midwives promote and preserve the trust and privilege inherent in the relationship between midwives and each women and her infant(s)

Explanation

1 Midwives promote and preserve the trust inherent in the woman-midwife partnership.

2 An inherent power imbalance exists within the relationship between each woman and midwives that may make the woman and her infant(s) in their care vulnerable and open to exploitation. Midwives actively preserve the dignity of people through practised kindness and by recognising the potential vulnerability and powerlessness of each woman being cared for by midwives. The power relativities between a woman and a midwife can be significant, particularly where the woman has limited knowledge, experiences fear or pain, needs assistance with personal care, or experiences an unfamiliar loss of self-determination. This vulnerability creates a power differential in the relationship between midwives and each woman in their care that must be recognised and managed.

9 Midwives maintain and build on the community’s trust and confidence in the midwifery profession.

Conduct statement 9

Midwives maintain and build on the community’s trust and confidence in the midwifery profession

Explanation

1 The conduct of midwives maintains and builds public trust and confidence in the profession at all times.

2 The unlawful and unethical actions of midwives in their personal lives risk adversely affecting both their own and the profession’s good reputation and standing in the eyes of the public. If the good standing of either individual midwives or the profession were to diminish, this might jeopardise the inherent trust between the midwifery profession and women, as well as the community more generally, necessary for effective relationships and the effective delivery of midwifery care.

3 Midwives consider the ethical interests of the midwifery profession when exercising their right to freedom of speech and participating in public, political and academic debate, including publication.

Midwives practise midwifery reflectively and ethically

10 Midwives practise midwifery reflectively and ethically.

Conduct statement 10                  

Midwives practise midwifery reflectively and ethically

Explanation

1 Midwives practise midwifery reflectively and ethically, practising in accordance with the Code of ethics for midwives in Australia, in order to learn from experience and contribute to personal

2 Midwives develop and maintain appropriate and current midwifery advice, support and care for each woman in their care and her infant(s) and family.

3 Midwives evaluate their conduct and competency according to the standards of the midwifery profession.

____________________________________

Code of ethics for midwives

1 Midwives value quality midwifery care for each woman and her infant(s).

Value statement 1

Midwives value quality midwifery care for each woman and her infant(s)

Explanation

At the heart of valuing quality midwifery care is valuing each woman, the process of childbirth, the woman- midwife partnership, and the mother-baby relationship. This involves midwives assisting each woman during pregnancy, birth and the early postnatal period, providing support, advice and care according to individual needs. The woman-midwife partnership focuses on the health and midwifery needs of the woman, her infant(s) and her partner and family. Midwives have a responsibility not to interfere with the normal process of pregnancy and childbirth unless it is necessary for the safety of the women and infant(s). Quality midwifery care also necessitates midwives being accountable for the standard of care they provide; helping to raise the standard; and taking action when they consider, on reasonable grounds, the standard to be unacceptable. This includes a responsibility to question and report unethical behaviour or treatment.

2 Midwives value respect and kindness for self and others.

3 Midwives value the diversity of people.

4 Midwives value access to quality midwifery care for each woman and her infant(s).

5 Midwives value informed decision making.

Value statement 5

Midwives value informed decision making

Explanation

Midwives value people’s interests in making free and informed decisions. This includes each woman having the opportunity to verify the meaning and implication of information being given to her when making decisions about her maternity care and childbirth experience. Midwives also recognise that making decisions is sometimes constrained by circumstances beyond individual control and that there may be circumstances where informed decision making cannot always be fully realised

6 Midwives value a culture of safety in midwifery care.

Value statement 6

Midwives value a culture of safety in midwifery care

Explanation

Valuing a culture of safety involves midwives actively engaging in the development of shared knowledge and understanding of the importance of safety – physical, emotional, social and spiritual – as a crucial component of contemporary midwifery care. Midwives who value a culture of safety support reasonable measures, processes and reporting systems designed to reduce the incidence and impact of preventable adverse events in the provision of midwifery care. They also support the open disclosure to women of any adverse events affecting them or their infants during the course of their care

7 Midwives value ethical management of information.

Value statement 7

Midwives value ethical management of information

Explanation

The generation and management of information (including midwifery care records and other documents) are performed with professionalism and integrity. This requires the information being recorded to be accurate, non-judgemental and relevant to the midwifery care of the woman and her infant(s). All midwifery documentation is a record that cannot be changed or altered other than by the addition of further information. A notation in a record or a document used for midwifery care communication can have a powerful positive or negative impact on the quality of care received by a woman and her infant(s). These effects can be long-lasting, either through ensuring the provision of quality care, or through enshrining stigma, stereotyping and judgement in maternity care decision making and maternity care provision experienced by a woman and her infant(s).

The ethical management of information involves respecting people’s privacy and confidentiality without compromising health or safety. This applies to all types of data, including clinical and research data, irrespective of the medium in which the information occurs or is stored. Personal information may only be shared with the consent of the individual or with lawful authorisation.

8 Midwives value a socially, economically and ecologically sustainable environment promoting health and wellbeing.

Value statement 8

Midwives value a socially, economically and ecologically sustainable environment, promoting health and wellbeing

Explanation

Midwives value strategies aimed at preventing, minimising and overcoming the harmful effects of economic, social or ecological factors on the health of each woman, her infant(s), family and community. Commitment to a healthy environment involves the conservation and efficient use of resources such as energy, water and fuel, as well as clinical and other materials.

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Addendum 5

Social Media Policy

When using social media, health practitioners should remember that the National Law, their National Board’s code of ethics and professional conduct (the Code of conduct) and the Guidelines for advertising regulated health services (the Advertising guidelines) apply.

Registered health practitioners should only post information that is not in breach of these obligations by:

  • complying with professional obligations
  • complying with confidentiality and privacy obligations (such as by not discussing patients or posting pictures of procedures, case studies, patients, or sensitive material which may enable patients to be identified without having obtained consent in appropriate situations)
  • presenting information in an unbiased, evidence-based context, and
  • not making unsubstantiated claims.

Additional information may be available from professional bodies and/or employers, which aims to support health practitioners’ use of social media. However, the legal, ethical, and professional obligations that registered health practitioners must adhere to are set out in the National Boards’ respective Code of conduct and the Advertising guidelines.

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