General Surgical Nursing Conference
- : Sydney NSW 2000
If you work in a surgical nursing setting this conference is for YOU. It looks at a range of topics that directly relate to your surgical nursing area of practice. More broadly, the program addresses important contemporary influences that affect surgical nurses. Topics include:
- Relaxation for anxiety and pain in the surgical setting
- Trusting your observations
- Clinical handover using the ISBAR framework
- Making interdisciplinary communication work for you
- Avoiding post-operative surgical complications
- Social media and surgical nursing
- And much, much more ...
8:30AM REGISTRATION FOR DAY ONE
Sue QuerruelFactors Shaping Surgical Nursing Today - What You Need to Know
If you are not at the table you are on the menu… The nature of surgical practice is rapidly changing and it is important that nurses know what these changes will mean for them. This is not only due to technology but also the increasing co-morbidity of patients. This rapid change places much pressure on the need for attention to risk and safety for patients and nurses. The key issues explored in this first session include:
- Factors and trends that have changed surgical nursing
- What are high risk surgeries today?
- Obstacles or opportunities for surgical nurses
Sue QuerruelAnaesthetic Risk and Recovery
The types of anaesthetics and the anaesthetic agents used affect the surgical patient’s level of risk and recovery phase. What implications can this have for nurses caring for patients post-operatively? This interactive session will explore:
- What are the different types of anaesthetics and anaesthetic agents and when are they used?
- Are the risks associated with anaesthetics the same across the lifespan?
- Which factors can have a significant effect on the patient post anaesthetic?
- What observations are vital in the first 24 hours post-surgery following anaesthesia?
10:30 MORNING TEA
Debbie BlanchfieldPreventing Surgical Site Infections (SSIs)
Surgical site infections are common and costly health care associated infections (HAIs). Patient morbidity, mortality and length of stay in hospital are all affected by SSIs. This session looks at SSI prevention and includes:
- Assessment and preparation of the skin prior to surgery
- What are the side effects for antiseptic agents?
- How to select the most appropriate antiseptic agent and its application
- Guidelines for the management of surgical wounds post-operatively
Fiona De SousaPost-operative Prophylaxis? - Antimicrobial Stewardship
Antimicrobial stewardship (AMS) is crucial to counteracting the emergence of restraint bacteria. In the surgical setting, this is of particular importance as traditional practices that routinely use intravenous antibiotics (IVABs) postoperatively are now not always indicated. Knowledge of best practice and a willingness to speak up on inappropriate use of antibiotics represents an opportunity for nurses to improve patient outcomes and reduce harm and cost associated with antimicrobial resistance. This session looks at:
- What evidence now exists regarding antimicrobial resistance?
- Therapeutic Guidelines - putting evidence into practice
- How can nurses speak up if inappropriate use is suspected?
1:00PM LUNCH BREAK
Sue QuerruelRespiratory Complications - Post-operative Considerations
Respiratory complications are one of the main causes of concern during the post-operative period. These complications can include: atelectasis; pneumonia; exacerbation of chronic lung conditions and acute pulmonary oedema. This session includes:
- Do any particular procedures influence the development of respiratory complications?
- Who is most at risk?
- What factors contribute to respiratory complications?
- How to recognise early signs and symptoms
- Nursing care in the immediate post-operative period
3:00 AFTERNOON TEA
Therese CameronPre-Existing Medical Conditions - Diabetes
People with diabetes are at raised risk of requiring surgery. This may interfere with their glycaemic control which has a profound impact on recovery. In order to prevent the cascade of complications associated with diabetes it is essential that informed preparation and post-operative care occurs. This session looks at the recommended Guidelines and includes:
- When to advise that a person with diabetes is not fit for surgery due to their glyacemic state
- Why is the morning list best for a person with diabetes?
- What is the target blood glucose range post-operatively?
- Nil-by-mouth and insulin-glucose solutions
- When should oral medications be stopped and/or reinstated?
4:15 CLOSE OF DAY ONE OF PROGRAMDay Two
9:00AM COMMENCEMENT OF DAY TWO
TBAAssertiveness When Requesting Reviews of Unwell Patients
Interdisciplinary collaboration is increasingly important in modern health care. In any one day a nurse interacts with many health professionals and non-professionals. This may lead to unintended situations which have profound consequences for everyone involved. This session includes:
- A case study which reveals what can go wrong when collaboration fails
- How these situations can be avoided through clear communication
- ISBAR - how does this encourage assertiveness?
TBAStop the Clot: Venous Thromboembolism (VTE) Update
For any hospitalised patient, the risk of VTE is elevated. A common type of venous thrombosis is a deep vein thrombosis (DVT), a blood clot in the deep veins of the leg. If the thrombus embolises and travels to the lungs the risk of pulmonary embolus (PE) - which can be life-threatening - is significant. Nurses are at the forefront of VTE prevention throughout the patient journey. This session will focus on the prevention and nursing management of VTE. Includes:
- Overview of Clinical Practice Guidelines for the Prevention of VTE
- Who should we be most worried about?
- Recognising the signs and symptoms of a DVT and PE
- Evidence for mechanical VTE prophylaxis: eg. anti-embolism stockings and sequential compression devices
10:30 MORNING TEA
Margaret JordanPost-Surgical Pain Management - Medicines for Acute on Chronic Pain
Many surgical patients have chronic conditions which include pain. It can make acute pain management very complicated when pre-existing painful comorbidities are present. This session will discuss this problem and include an update on the appropriate and safe use of medicines to treat this condition.
Sally Sutherland-FraserThinking Outside the ISBAR Coloured Box - Assessment Back to Basics
ISBAR is a useful tool but what does it mean if you are concerned about the patient yet they do not fit into the set parameters? Vital signs and observations are essential clues in the detection of a deteriorating patient and prevention of unnecessary death. However, there are other observations that indicate a person is in decline. Refresh your clinical reasoning by sharpening your observational skills to detect physical deterioration. Includes:
- Exploration of the changes in vital signs, including subtle variations
- Examples of abnormalities include stertorous breathing and tachycardia / bradycardia
- Recognising other physiological markers such as the appearance of visible skin, including wrinkled skin suggestive of dehydration, and reported levels of pain or feelings of pressure and their anatomical locations
- How is drain tube output observed and what does this mean for the whole patient assessment?
1:00PM LUNCH BREAK
Menna DaviesSocial Media and Surgical Nursing - Positives and Pitfalls
The use of social media is being encouraged as a useful and simple way to inform, educate and engage patients, yet its use is fraught with potential legal, ethical and professional issues that need to be well understood. This session will use case studies relating to surgical nursing to explore the positives and pitfalls of using social media. Includes:
- How can social media use promote health outcomes for surgical patients?
- What are common mistakes made by nurses when using social media??
- Where do nurses need to draw the line to avoid potential danger?
- AHPRA social media policy and Codes of Conduct
Kate TeevanMalnutrition and Surgery - A Bad Mix?
Malnutrition can be a contributor to post-operative complications and can often affect patients prior to admission. Some patients may experience further problems from the ongoing trend of over-fasting. These patients may face risks and complications, one being refeeding syndrome. This session looks at:
- Malnutrition - effects on surgical patients
- Hidden malnutrition - patients who do not fit within the usual screen factors
- Refeeding syndrome - who does it effect?
- Is it time to rethink fasting? Problems with over-fasting
- When is enteral or parenteral nutrition recommended?
3:30 AFTERNOON TEA
Dr Judy LovasRelaxation for Anxiety and Pain in the Surgical Setting
There are many reasons why a patient may experience fear and anxiety pre-operatively and post-operatively. For instance, the thought of major physical changes occurring whilst the body is under an anaesthetic or the long road to recovery following surgery may be a source of worry. Nurses also need to know how to de-stress and use relaxation techniques to improve anxiety levels in a fast-paced, stressful career. If nurses understand this need, in turn they can help decrease fear, anxiety and stress levels in patients and improve the patient’s surgical experience. This practical session will demonstrate how evidence-based relaxation can make a difference to patients and nurses.
4:30 CLOSE OF DAY TWO OF PROGRAMThe Goal Need for Program
The increase in surgical procedures in modern society heightens the possibility of adverse, unplanned events. Surgery is risky and this is compounded by the fact that many patients have complex health conditions which compromise their recovery. The demand for fast through-put of patients places more pressure on the quality of care. Knowledgeable and skilled nurses are crucial in these environments. Research has shown the correlation between nursing support systems, including education, and the provision of safe, quality surgical care.Purpose of Program
This program provides you with evidence-based knowledge about modern surgical nursing care to achieve best quality patient outcomes.Your learning outcomes:
Plans of surgical nursing care will result in quality patient outcomes
Risk associated with patient deterioration will be quickly identified and averted
Interprofessional collaboration will be enhanced to minimise adverse events
Patient outcomes will be underpinned by evidence, clinical reasoning and patient preference
Suzanne is currently working as a sessional tutor/lecturer for the University of Western Sydney, Parramatta Campus, and is unit coordinator ... Read More
Debbie Blanchfield is currently Clinical Nurse Consultant in Wound Care for Illawarra Shoalhaven Local Health District. Debbie is a Registered ... Read More
Fiona De Sousa
Fiona De Sousa is a Clinical Nurse Consultant with a Masters of Advanced Practice in Nursing - Infection Control from ... Read More
Therese is a Credentialled Diabetes Nurse Educator currently working at Sydney North Health Network. She has extensive experience in Diabetes ... Read More
Margaret is a clinical pharmacist with experience hospital practice, medicines information, and programs development. Margaret has been involved in the ... Read More
Kate Teevan is an Accredited Practising Dietitian and Nutritionist working both in private practice and at Royal Prince Alfred Hospital, ...Read More
Dr Judy Lovas’ dynamic presentations explain the art and science of evidence-based relaxation therapy. In our increasingly fast-paced world everyone ... Read More
Sally Sutherland-Fraser has more than 30 years’ nursing experience in perioperative practice in Australia, the UK and more recently with ... Read More
Menna Davies' perioperative nursing career spans more than 30 years. She first set foot inside an operating theatre during her ... Read More
To Be Determined