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Day Surgery Nursing and Minor Procedures

  • : Canberra ACT 2600

Includes: Patient Education, Discharge Planning, Anaesthetic Agents, Intra-operative Monitoring, Infection Prevention, Aseptic Technique, Documentation, Legal Issues and much, much more...

Overview

 

The ability of nurses to work safely in fast-paced settings such as Day Procedure Units is reliant on a sound knowledge base that can adapt to any situation, including emergencies, and work efficiently in a team. Highly developed communication skills are vital to ensuring patients are well informed before and after a procedure. Attend this seminar to gain a comprehensive update on this specific area of nursing.

  • Understand how to evaluate a patient for comorbid risk factors
  • Improve your discharge planning, patient education and documentation skills
  • Review different types of anaesthetic agents and intraoperative monitoring
  • Gain confidence on how to safely manage a surgical complication or emergency situation
  • Refresh your prior knowledge of infection prevention and aseptic technique
  • Find out how the law interprets issues such as duty of care and negligence in a day procedure setting

Gain knowledge and apply it to your practice immediately. Book now!

 

Need for Program

 

Nurses who work in day procedure units or practices where minor procedures are performed are often the main point of contact with patients. The correct assessment of a person before a procedure, including identification of risk factors, assists with delivery of patient care that reduces hospital length of stay and improves health outcomes.

This seminar provides an evidence-based update that will assist nurses who care for patients undergoing day surgery and minor procedures to close knowledge and skill gaps relating to their specific area of practice.

It is relevant to nurses who, whether regularly or only occasionally, require knowledge and skills to safely care for patients undergoing day surgery and minor procedures and would be a comprehensive introduction to any nurse considering working in this setting.

Purpose of Program

 

The purpose of this seminar is offer nurses who may work across a range of healthcare settings of varying acuity an opportunity to improve their knowledge and skills when caring for a person undergoing day surgery or minor procedures.

After gaining this information, the learner will be able to appropriately translate the underpinning principles of modern day surgery nursing to the evidence-based nursing management of patients, improving health outcomes.

Learning Outcomes

At the conclusion of this program it is expected that the participants will be able to:

  • Describe modern day procedure nursing practice in Australia, including the various nursing roles and skills required to practise safely in this setting
  • Perform a pre-evaluation risk analysis and implement strategies to ensure patients are well informed about potential risk factors
  • Apply skills in anaesthetic monitoring, infection prevention and aseptic technique to your practice to reduce risks of complications and improve patient safety
  • Understand how the law interprets issues such as duty of care and negligence in a day procedure setting and use this knowledge to safeguard your practice
  • Schedule Day One


    8:30am - Registration and Refreshments


    9:00am

    Introduction to Day Surgery and Minor Procedures

    This two-day seminar will focus on personalising care, and examine the key issues in short time frames in the day surgery and minor procedures setting.

    • Seminar objectives
    • Latest developments in day surgery
    • ADSNA Best Practice Guidelines for Ambulatory Surgery and Procedures 2009

    9:10am

    The Decision to Have Surgery

    The decision to undergo surgery, no matter its indication, should always be made carefully. Like every experience of surgery, the decision-making process will be unique for every patient. In this interactive session you will consider the key issues in regard to:

    • Planned vs emergency surgery
    • Day surgery vs overnight stay
    • Advocating and ensuring informed patients
    • Managing patient expectations

    9:40am

    Pre-admission Clinic

    The decision to undergo surgery, no matter its indication, should always be made carefully. Like every experience of surgery, the decision-making process will be unique for every patient. In this interactive session you will consider the key issues in regard to:

    • Patient assessment and investigations, pre-anaesthetic assessment
    • Patient education and emotional support
    • Consent in pre-admission settings
    • Fasting and preparation instructions, including in GIT surgery
    • Cultural considerations and holistic care
    • Pre-admission over the telephone

    10:30am - Morning Tea and Coffee


    11:00am

    Heading Home - Discharge Planning

    Early planning for discharge is essential for all surgical patients, but may be challenging in fast-paced environments. This session will identify and discuss the opportunities for early discharge planning that may present on admission or at pre-admission.

    • Assessment and prioritising: what you need to know
    • Opportunities to educate the patient and family
    • Preparing the patient for going home and maximising safety
    • Minimum lengths of stay and criteria for discharge home
    • Instructions on when to eat, exercise and return to work
    • Referrals and follow-up care

    12:00pm

    Documentation Essentials

    Appropriate documentation in the day surgery setting is vital to maintaining patient safety. This session will discuss how nurses working in this fast-paced setting can meet requirements for documentation and includes a discussion on frameworks and tools that promote timely and comprehensive record-keeping. Includes:

    • Nursing documentation requirements
    • Clinical pathways and progress notes
    • Variances and clinical events

    12:45pm - Lunch Break and Networking


    1:30pm

    Infection Prevention

    The prevention of infection is a key responsibility in day surgery and perioperative settings. This can be especially challenging in a busy environment. This session reviews the relevant standards in infection prevention and clarifies nursing roles and responsibilities. Includes:

    • Disposable equipment, single use equipment and sterilisation of equipment
    • Standard and additional precautions, special patient groups
    • Modes of transmission, resident and transient flora, infection and colonisation
    • Appropriate use of personal protective equipment (PPE)

    2:15pm

    Aseptic Technique

    Aseptic technique is a key standard in the surgical or perioperative environment, and is based on logical thought and sound scientific values. Discuss the latest in aseptic technique and refresh your prior knowledge.

    • Introduction to the ACORN standards
    • The sterile field and related techniques
    • Handwashing techniques
    • Surgical attire, gloves and gowns, filters and masks

    3:00pm - Afternoon Tea and Coffee


    3:30pm

    Patient Positioning

    Correct patient positioning is essential in the day surgery and perioperative environment, with consideration given to prevention of potential complications. Includes:

    • The need for optimal surgical site access
    • Airway access
    • Care of the respiratory, cardiovascular, nervous, muscular and integumentary systems
    • Positioning of the obese patient

    4:30pm - Close of Day One of Program

    Day Two

    9:00am - Commencement of Day Two


    9:00am

    Comorbid Risks and Minor Procedures

    Preoperative evaluation of comorbid risk factors is likely to ensure an informed patient makes an appropriate decision on the risks and benefits of having surgery. A solid understanding of potential comorbid risk factors will assist nurses to identify and manage potential risks. Includes:

    • Cardiac risk factors in non-cardiac surgery
    • Neurological risk factors in minor procedures
    • State considerations

    9:30am

    Anaesthetics Nursing

    A significant part of the nursing role involves anaesthetics and monitoring of the patient undergoing a procedure. There are many different types of anaesthetics, and also specialty surgical considerations, which impact on monitoring requirements.

    • Anaesthetic agents – inhalational, regional and intravenous anaesthesia; sedatives; neuromuscular blockade and reversal; new anaesthetics
    • Intraoperative medicines including anti-emetics
    • Airway management for rapid sequence induction

    10:30am - Morning Tea and Coffee


    11:00am

    Intraoperative Monitoring & Intraoperative Considerations

    This session will be continuing with anaesthetic nursing considerations and will focus on the following:

    • Anaesthetic considerations for different specialities including cardiac, neurosurgical and orthopaedics
    • Monitoring – cardiac monitoring, capnography, oximetry, arterial and central lines, blood gases, BIS monitoring, new monitoring techniques

    11:45pm

    Recovery - The Post Anaesthesia Care Unit

    The recovery room, or PACU, is an intensive and fast-paced environment. Skills in airway management and monitoring are essential for optimising patient outcomes. This session will cover care of the patient immediately post-anaesthetic and in the second stage of recovery and preparation for the expected and unexpected in the PACU.

    • PONV - nausea and vomiting
    • Pain management in the post-anaesthesia environment
    • Airway management
    • First and second stages of recovery and related criteria
    • Code blues and emergencies - including case discussions
    • Management of complications including haemorrhage (massive blood loss in PACU), pseudocholinesterase deficiency, etc.

    12:45pm - Lunch Break and Networking


    1:30pm

    Preventing Complications Arising from Anaesthesia

    This session will continue to look at anaesthesia and how this relates to nursing care. It will conclude with a troubleshooting session on complications that can occur as a result of anaesthetics.


    2:00pm

    Case Scenario - Anaphylaxis

    This case scenario will illustrate an example of anaphylaxis and how it manifests in the operating room. Includes:

    • Common culprits: neuromuscular blocking agents, antibiotics, induction medicines, latex
    • Type of reactions that occur
    • Early signs of anaphylaxis - what you must know
    • Immediate actions
    • Documentation
    • Follow up action (identifying the cause of the anaphylaxis) for future reference

    2:30pm

    Case Scenario - Malignant Hyperthermia

    Malignant hyperthermia is a pharmacogenetic disorder that relates to the metabolism of muscles. It is usually caused by the administration of potent inhaled anaesthetic agents and/or succinylcholine. It is believed to be a genetic disorder. This case scenario will illustrate an example of malignant hyperthermia and how it manifests in the operating room.

    • Causes of malignant hyperthermia and questions to ask in pre-operative assessment (e.g. family history)
    • The effect of rhabdomyolysis and role of dantrolene
    • Nursing actions and documentation including the malignant hyperthermia trolley
    • Notifying the family

    3:15pm - Afternoon Tea and Coffee


    3:30pm

    Difficult Airway Management

    Maintaining a clear airway is obviously of paramount importance. In this case scenario you will be guided through the assessment of the airway and the actions to take when problems arise. Includes an opportunity to practice different techniques and use different pieces of equipment:

    • Assessment of the airway and identification of the cause of problems
    • Immediate actions
    • Tracheal tubes and airway latency
    • Written criteria for discharge of patients from PACU to ward

    4:30pm - Close of Seminar and Evaluations

    Presenters


    Suzanne Querruel

    Suzanne Querruel

     

    Suzi has been working in the perioperative field for the past decade. Her passion lies in perianaesthesia nursing and has been seeking to advance the field over the past few years. She is a tutor/lecturer for Western Sydney University [WSU] in the Bacheor of Nursing program and WSU The College in their Academic Pathways Programs. She is the unit coordinator at WSU The College for the subjects Health Communication and Skills in Health Science.

    She was previously Anaesthetic Coordinator at Westmead Private Hospital and also has held Sessional Nurse Educator positions at the Australian College of Nursing, Wesley Health Management and the University of Technology, Sydney, Sydney University and The University of Tasmania. She has been a Nurse Educator for Ausmed Education for the past three years and has collaborated program development for the perianaesthesia, perioperative, day surgery and surgical nursing seminars. She has held the position of National Vice President and NSW/ACT President of the Australian Society of Post Anaesthesia & Anaesthesia Nurses [ASPAAN] for two years and has recently seen the transition of ASPAAN to the Australian College of PeriAnaesthesia Nurses [ACPAN].

    Suzi holds a Bachelor of Nursing, Graduate Diploma in Nursing (Anaesthetics & PACU), Masters of Nursing (Education), Certificate IV in Workplace Training & Assessment and a Neuro-Linguistic Programming [NLP] Practitioner Certificate.

    Title
    Day Surgery Nursing and Minor Procedures
    Speciality Classification
    Location
    Type
    Delivery
    Provider Type
    RTO
    Duration
    10 hours
    Start Date
    15-Sep-2016
    End Date
    17-Sep-2016
    CPD
    10 hours
    Fees
    $495.00
    Location
    Canberra ACT 2600
    Venue
    Canberra Ibis Styles Eagle Hawk, 999 Federal Highway
    Posted By
    HealthcareLink