General Surgical and Orthopaedic Nursing
- : Melbourne VIC 3000
Includes: Trends in Surgical Nursing; Postoperative Deterioration; Anaesthetic Risk and Recovery; Consent; Litigation; Orthopaedic Assessment; Joint Replacements and much, much more ...
General Surgical nursing is a fast-paced area of healthcare that requires nurses to be equipped with the latest knowledge. Achieving outcomes such as reduced length of stays, adequate pain management, and patient satisfaction relies on nurses providing evidence-based care across the surgical pathway. This two day seminar will look at:
- General trends in surgical nursing
- A review of types of anaesthetics and their risks
- Surgical pharmacology - an update on common medicines
- Legal topics such as consent, scope of practice and duty of care
- Orthopaedic nursing management
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Need for Program
General nurses, and those working in surgical or acute areas, care for people with a broad range of conditions that require surgical intervention, including orthopaedics. There is a need for nurses to have access to expert nurse mentors and preceptors who can assist them to understand current best-practice in regard to fundamental aspects of surgical care, and care of patients after orthopaedic surgery. Nurses are also required to obtain a minimum of 20 continuing professional development (CPD) hours that relate to their context of practice, in order to comply with mandatory regulatory requirements.
Purpose of Program
The aim of this program is to offer a forum for nurses to learn current best-practice in regard to several fundamental aspects of surgical nursing care. There is a special emphasis on the role of the surgical nurse, early warning signs for patient deterioration, infection prevention, pain management and the specialty of orthopaedic nursing. It will be ideal for all nurses who work in general surgical settings.
Your Learning Outcomes
- Outline the factors that contribute to a patient being considered ‘high-risk’ in regard to surgical procedures
- Examine infection prevention best-practice in relation to surgical nursing
- Contrast the goals of nursing care for a surgical patient experiencing acute pain with those for a patient with chronic pain
- Determine how to assess a person with a joint dysfunction and describe related goals of care
- Schedule Day One
8:30am - Registration and Refreshments
9:00amPost-operative Nursing Care - Recognising Common Complications Early
Our ageing population, coupled with modern technology, means that surgical procedures are considered safe and effective for much older people than previously. Nurses working in busy surgical units will testify that they are increasingly required to care for patients with complex co-morbidities who have the potential to rapidly become unwell. Therefore, a huge emphasis is placed on a surgical nurse’s ability to assess changes to the whole person, not just the “surgical site”. How can we recognise early signs that a patient may be deteriorating following surgery? How can we ensure that we are confident in our knowledge and ability to take the necessary action and prevent complications? This three hour workshop will identify common complications following surgery with a focus on cardiac and respiratory disorders in surgical patients. Includes a 30 minute break for morning tea. Concepts covered:
- Post-operative confusion and likely causes
- DVT and Pulmonary embolism
- Pulmonary edema
- Atrial fibrillation
- Clinical manifestations of the above
- Investigations e.g. chest x-ray, full blood count and electrolytes that will help determine the problem
- Appropriate nursing actions
12:30pm - Lunch Break
What is new and what is now considered best practice? An exploration of the nurse’s role and responsibility in the prevention of infection.
- Revision of the infection–transmission model
- The link between constant vigilance, updated knowledge and the application of infection prevention principles
- Review of standard precautions, e.g. hand washing routines
- Disposable surgical equipment – which ones and under what circumstances can these items be re-used?
- Some waste management essentials
2:20pmMaintaining a Clean Environment
Maintaining high levels of cleanliness is not always easy. This session reviews a range of topics including staff wellbeing and managing outbreaks of infections. This will clarify vital aspects of infection control.
- Review of staff immunisation – how do you know what childhood exposure to infection you have had?
- What infections would prevent you from going to work?
3:00pm - Afternoon Tea and Coffee
3:30pmThe War on Multi-resistant Organisms
The evolution of infections continues to challenge all health staff. This session will look at some of the current causes of concern in regard to infectious diseases.
- What are militant microorganisms?
- Which are the major antibiotic-resistant organisms?
- How can they be reduced or extinguished?
4:15pm - Close of Day One of ProgramDay Two
9:00amComplexity of Pain: Acute vs Chronic Pain
In this introductory session, you will consider the differences between acute and chronic pain and how they influence nursing goals and care. Differentiating acute and chronic pain is essential in determining pain management goals and improving patient outcomes.
- Acute v chronic pain – key differences
- Acute v chronic pain – goals and care
- Factoring in co-morbidities for management: what matters?
- Multi-modal analgesia and delivery systems
- Equipment selection
- Factoring in co-morbidities for management, what matters?
10:30am Morning Tea and Coffee
11:00amReview and Monitoring of Patients
This session will involve problem-based learning and will be highly interactive. It will include:
- Interactive workshops
- Critical-thinking and problem-solving for pain management
- Case studies and case discussions
- Pain monitoring and ongoing assessment
12:45pm - Lunch Break and Networking
1:30pmOrthopaedic Surgical Nursing
Orthopaedic assessment is a specialised skill that is applicable in many areas of nursing. Discussion includes:
- The prevalence and impact of musculoskeletal disorders in Australia
- The core principles of an orthopaedic assessment that are applicable to all patients within general clinical areas
Orthopaedic conditions and procedures have a major impact on the patient's biomedical, functional and psychosocial health status. This part of the session will focus on recognising orthopaedic emergencies:
- Compartment syndrome
- Fat embolism
- Other emergencies
2:45pm - Afternoon Tea and Coffee
3:00pmLow Trauma Fracture Management
Every day more than 40 Australians sustain a hip fracture associated with osteoporosis. A year later, less than half of those original 40 people will be able to walk as well as they did before and 6 or 7 will have died. This session will focus on the prevention and management of low trauma fractures of the hip, shoulder and spine.
- Osteoporosis prevalence and associated fractures
- Treatment for osteoporosis
- Fracture prevention
- Management options for the osteoporotic fracture
3:45pmSurgical Interventions for the Orthopaedic patient
In 2010 there were 35 996 hip replacements and 44 490 knee replacements performed In Australia. This session will focus on the joint reconstruction and arthroplasty procedures from pre-admission through to rehabilitation systems.
- Joint replacements
- Joint reconstructions and arthroplasty
4:15pmFuture Trends in Orthopaedic Patient Management
What are the new and expected developments in orthopaedic surgery and patient management?
- The most recent developments and how this has changed patient management
- Future developments
- Impacts on nursing care and patient outcomes.
4:45pm - Close of Seminar and Evaluations
Michelle Bibby is a Registered Nurse with extensive experience in infection prevention and control. She is a principal partner in Infection Prevention Australia, an infection control consulting service. Michelle has previously worked as the Victorian viral hepatitis educator and is now working with many different healthcare sectors through the consulting service.
Megan Yeomans has been a Clinical Nurse Consultant with over 20 years experience in the field of acute and chronic management with Pain Services at Austin Health. Her qualifications after her Division 1 training at Royal Children's Hospital include a Masters of Science in pain Medicine, Certificate of Pain Management and Graduate Diploma in Training and Development. Megan was an expert contributor to Therapeutic Guidelines version 6, and is again on the expert panel for version 7. She has enjoyed contributing to published research studies and has presented at scientific meetings. Megan has a passion for sharing and learning evidence-based practice in pain medicine and as president for ‘GATE’ - a nursing special interest group in pain management - participates in journal clubs and coordinating education days for metropolitan nurses.
Fran Pearce is currently employed as an Education Coordinator at a large metropolitan teaching hospital. She has extensive experience in orthopaedic nursing, including Orthopaedic Case Management and Nurse Unit Management in both Australia and Northern Ireland. Fran regularly lectures on the topic of orthopaedics and is consistently highly evaluated by those who attend her sessions.
Marea Reading (RN, CTNC, Dip Teaching (Nursing) Grad Dip (Ad Clinical Nursing) M App Sc (Nursing) FACN) is a Registered Nurse with many years teaching experience in the specialty of Cardiothoracic Nursing. Marea held the position of Clinical Nurse Consultant for Cardiothoracics at St. Vincent’s Hospital, Sydney for many years. She has also previously held a conjoint appointment with St. Vincent’s Hospital and the Australian Catholic University in Sydney to conduct the Nursing Practice Units in the Graduate Certificate in Cardiothoracic Nursing. Marea has helped co-ordinate and teach in programmes in Singapore, Hong Kong and Indonesia. Marea continues to be a regular contributor to both the Australian Critical Care Journal and the Intensive and Critical Care Nursing (UK) Journal where she publishes a chest x-ray quiz in each issue