Day Surgery Nursing and Minor Procedures
- : Surry Hills NSW 2010
Includes: Patient Education, Discharge Planning, Anaesthetic Agents, Intra-operative Monitoring, Infection Prevention, Aseptic Technique, Documentation, Legal Issues and much, much more...
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.
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
9:00amIntroduction 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
9:10amThe 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
Not all patients attend pre-admission clinics; however, this stage of the perioperative experience can assist in reducing adverse events and risk. The opportunities pre-admission presents and communicating with patients will be discussed, including:
- 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
11:00amHeading 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
12:00pmComorbid 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
12:45pm - Lunch Break and Networking
1:30pmAnaesthetics Nursing and Intraoperative Monitoring
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
- 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
3:00pm - Afternoon Tea and Coffee
3:30pmSurgical Complications and Emergencies
No matter how minor a procedure is, things can always go wrong. This final session of the day will review some common complications and assist you to feel more confident in an emergency situation. Includes:
- Allergies or reactions to anaesthetic agents and other intraoperative medicines, including anaphylaxis
- Preparing for emergencies - blood, FFP, difficult intubation trolley, difficult airways, malignant hyperthermia
4:30pm - Close of Day One of ProgramDay Two
9:00am - Commencement of Day Two
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)
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
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
10:30am - Morning Tea and Coffee
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
11:45amRecovery - 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, pseudocholinesterase deficiency, etc.
12:45pm - Lunch Break and Networking
1:30pmSurgical Nursing, the Law and Duty of Care
This session will refresh your knowledge of the law and how it relates to the 'Code of Professional Conduct for Nurses in Australia'. In particular you will consider:
- What constitutes a nurse's duty of care?
- What does the law take into consideration when examining a case of professional neglect?
- Role confusion and legal limitations
- How does professional indemnity insurance work and what happens if there is a claim?
- How accountable is an instrument nurse for ensuring the appropriate retrieval of instruments and equipment used within a surgical procedure?
- If a nurse does not perform this role adequately and harm occurs to a patient - who is liable?
2:15pmCase Scenario One - The Surgical Count
This session will look at the case of Glandore vs Langley. It will discuss the implications of the outcome of this case and what it means to everyday surgical nursing practice.
- At law, who is ultimately held responsible in regard to nurse-initiated surgical care?
- For example, if a group of doctors own a clinic, are they considered responsible if a nurse fails in her duty of care?
3:15pm - Afternoon Tea and Coffee
3:30pmCase Scenario Two - Right of a Patient to Be Warned of Material Risks Relating to Surgery
This session will look at the case of Rogers vs Whittaker. It will discuss the implications of the outcome of this case and what it means to everyday surgical nursing practice.
- How much information does a patient have a right to be told about risks relating to elective surgery?
- Who should advise the patient of the risks - only the doctor, or does a surgical nurse have a responsibility to warn of potential risks?
4:20pmQuestions and Clarifications
4:30pm - Close of Seminar and Evaluations
Suzanne is currently working as a sessional tutor/lecturer for the University of Western Sydney, Parramatta Campus, and is unit coordinator for Health Communication at UWS College, Ninmba. Previously she was anaesthetic coordinator at Westmead Private Hospital but relinquished the post to pursue an education role. She is also the NSW President of ASPAAN and holds a Graduate Diploma in Nursing (Anaes and PACU), a Master's of Nursing (Education) and a Certificate IV in Workplace Training and Assessment.
Frances Lalic completed a Diploma in Applied Science (Nursing) at the University of Western Sydney. She was employed by South Western Area Health Service and worked at Fairfield Hospital in a variety of units but predominantly in the Medical/Surgical Wards. She has also worked in the community as a Primary Health Nurse, Child and Family Health Nurse and Palliative Care Nurse. In 2001, having completed a Bachelor of Laws, she commenced working with the Office of the Director of Public Prosecutions. During 2001 she was part of the team that taught Health Law and Ethics at the University of Western Sydney. In 2011 she became a Barrister which included experience in medical negligence. She is currently undertaking a Master of Laws.