Day Surgery Nursing and Minor Procedures
- : Sydney NSW 2000
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:
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
- ACORN Standards for Perioperative Nursing 2016
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. Pre-admission presents many opportunities:
- 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
- What do the standards state? How does your facility rate?
- 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
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: early recognition of the deteriorating patient in the day surgery setting
12:45pm - Lunch Break and Networking
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: the MRSA patient in the day surgery setting
- 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 aseptic field and the surgical conscience: developing situational awareness
- Handwashing techniques
- Surgical attire, gloves and gowns, filters and masks
3:00pm - Afternoon Tea and Coffee
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
- Care of the respiratory, cardiovascular, nervous, muscular and integumentary systems
- Considerations for specific surgical positions
- Positioning of the obese patient
4:30pm - Close of Day One of ProgramDay Two
9:00am - Commencement of Day Two
9:00amComorbid 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
- The patient with diabetes in day surgery
- The chronic pain patient in day surgery
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
11:00amIntraoperative Monitoring & Intraoperative Considerations
This session will be continuing with anaesthetic nursing considerations and will focus on the following [SQ1]:
- Haemodynamic monitoring including blood pressure, ECG, pulse oximetry, arterial & central lines & arterial blood gase
- Awareness monitoring
11:45pmRecovery - 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
- First and second stages of recovery and related criteria
- Management of complications including haemorrhage (massive blood loss in PACU), pseudocholinesterase deficiency, etc.
12:45pm - Lunch Break and Networking
1:30pmPreventing 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.
- Incidence of surgical complications
- Most common complications in the perioperative setting
- Management considerations intraoperatively & postoperatively
- The nursing role in crisis management: how does it differ in the perioperative setting
2:00pmCase 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
- Follow up action (identifying the cause of the anaphylaxis) for future reference
2:30pmCase 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
- The malignant hyperthermia trolley
- Diagnosis, documentation & notifying the family
3:15pm - Afternoon Tea and Coffee
3:30pmDifficult 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
- Documentation for the patient & handover for PACU & DSU/ ward
4:30pm - Close of Seminar and Evaluations
Suzi Querruel 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.