Night Duty Nursing Conference
- : Sydney NSW 2000
Because night duty nurses usually practice in less resourced situations as well as in the dark of night, they experience a range of particular challenges. Attend this conference and learn about:
- How to cope with the demands of shift work
- If you should wake your patient to do a BGL
- How often pressure area care should be done overnight
- What to do when your patient becomes unwell
- How to communicate calmly during conflict
- The recipe for creating a great team
- Self-care and wellbeing strategies and much, much more ….
Don’t miss out on an opportunity to network with like-minded colleagues. Book now!
8:30AM REGISTRATION FOR DAY ONE
Dr Vivien Lane‘I’m on Nights AGAIN!’ - Coping with the Demands of Shift Work
There are few areas in healthcare where resilience is as important than as is the case for nurses who work night duty, often with fewer resources and sicker patients. As well as this, nurses who work regularly or even occasionally at night can often feel a sense of disconnection from their colleagues and perhaps their friends and family. This introductory session will consider:
- What are the problems that confront nurses who work at night in today’s workplace?
- What practical strategies can help to overcome these common challenges?
Wendy BryantShould I Wake My Patient? BGLs & Diabetes Emergencies at Night
Diabetes emergencies can occur for a range of reasons, cause a great deal of anxiety and may be life-threatening. At night, the risk of hypoglycaemia remains high however BGLs may not necessarily be checked at the same frequency as during the day. In this session you will learn about current best-practice nursing care for common diabetes-related emergencies with a focus on hypoglycaemia. Includes:
- How often should a patient's blood glucose be measured over night?
- What are the most common diabetes emergencies and what should I watch for?
- Care of diabetes-related emergencies in the hospital and other settings
- An update on the most common medications used to treat these conditions
10:45 MORNING TEA
Kylie TastulaAsleep or Unconscious? Assessing Neurological Function at Night
The general consensus from nurses is that anything to do with the brain is seen as difficult to understand! At night this can be even more challenging as patients are asleep, which must not be confused with a change in consciousness. Yet, a neurological assessment need not be as hard as it seems. The purpose of this session is to take you through the basics of a neurological assessment, including the Glasgow Coma Scale (GCS). Topics covered include:
- What is the difference between being asleep versus being unconscious?
- What is a GCS and what does this tell you about a patient?
- How often should a person’s neurological function be assessed overnight?
- What else, other than a person’s GCS should be assessed, e.g. limb strength?
- Reporting changes - when must this occur?
Kylie Tastula‘Red Flags’ - What to do When Your Patient Becomes Unwell Overnight
It is not unusual for patients to deteriorate at times when care resources are limited, like at night when, for instance, a nurse is likely to be required to look after more patients with less support, and less staff around. Meanwhile, patients still can become very unwell at any time of the day or night. Using case scenarios, this session will highlight ‘red flags’ of deterioration that you must be able to recognise and look at what actions should take place. Includes:
- What clues or changes in clinical observations may indicate a patient is becoming unwell?
- What immediate assessment should be undertaken when you suspect a patient is deteriorating?
- How should these changes in observations be documented?
- When should I contact a medical officer in a hospital or ambulance in RACF?
1:15PM LUNCH BREAK
Marea ReadingChest Pain at 4 O’Clock in the Morning! What Do I Need to Do?
If your patient reports that they have chest pain at 4am while two of your colleagues are on a break, what would you do next? How would you assess the person? Would you be confident in knowing the cause of the pain? At night time where resources such as staff may be limited, nurses must feel confident that they can correctly assess and act on this serious concern. This interactive session will leave you feeling much more confident that you can answer these questions. Includes:
- What to do when your patient reports they have chest pain
- How to perform a quick cardiovascular assessment
- Types of chest pain revealed
- Latest evidence on the pharmacological and non-pharmacological management of chest pain
Marea ReadingEssential Skills Related to Performing the 12 Lead Electrocardiogram (ECG)
The 12 lead electrocardiogram (ECG) gives a comprehensive picture of the heart’s electrical activity. It is one of the most commonly performed investigations, yet so often it is performed incorrectly which can give very misleading information, and even an incorrect diagnosis. This presentation will:
- List possible reasons for performing an ECG
- Outline the necessary preparation of the patient who is to have a 12 lead ECG recorded
- Stress the importance of placing the chest leads correctly
- Highlight the misinformation that can arise from incorrectly placed chest leads
- Explain why it is important to record:
- The reason/s the ECG is performed
- The medications the patient is taking
3:30 AFTERNOON TEA
Dr Vivien LaneNot Documented, Not Done? A Guide to Writing at Night
If you did not write it - did it ever happen? How do you know if you’re documenting correctly? This session looks at how proper documentation can safeguard your nursing practice and patient safety. Questions to be answered include:
- What are the current guidelines on documentation?
- How does documentation fit into clinical handover?
- What if I accidentally forget to include something in a patient’s notes because I was so tired I couldn’t remember?
- When is the optimal time to document patient observations, clinical pathways or progress notes overnight?
4:30 CLOSE OF DAY ONE OF PROGRAM
9:00AM COMMENCEMENT OF DAY TWO
Debbie BlanchfieldPromoting Skin Integrity in Older Adults
As people age, their skin changes in structure and function. With these changes comes an increased risk of damage to skin integrity. Tears and abrasions can lead to serious problems and infection can readily emerge in exposed areas. This session will examine key concepts to guide your comprehensive nursing assessment of skin in older adults. It will consider common barriers to promoting good skin integrity at night and provide practical solutions to overcoming these. Includes:
- Why does skin change over time?
- How do I assess an older adult's skin integrity?
- Factors that can cause skin to breakdown overnight, e.g. incontinence
- Preventative strategies for skin tears and other causes of breakdown
- A practical guide to choosing correct products for prevention and treatment of skin tears and breakdown
Anne HoolahanLights Out! - Sundowner’s Syndrome
Nurses who work at night may notice that patients or residents with Alzheimer’s disease or dementia may experience mood and behaviour changes in the evening. These changes can often come on quickly, be distressing to watch and can be difficult to manage. This session will consider:
- What is thought to cause Sundowner’s?
- How might Sundowner’s present?
- Who is most at risk and can this risk be averted?
- Does fear, anxiety and stimulation contribute to the problem?
- Basic communication, practical environmental considerations and other solutions to proactively manage Sundowner's
- Strategies for de-escalating and managing aggression in the confused patient
10:30 MORNING TEA
Frances LalicThe Use of Restraint - Whose Need is Being Met?
In confused patients or those who are behaving aggressively at night, the use of restraints may be considered necessary to try and promote sleep and reduce the impact on other patients or residents. However, restraining a person using a device should only be used as a last resort. Only if the risks of not restraining are outweighed by injury or harm may restraint be considered. This session reviews the legal ramifications for the use of restraint and will include:
- What is the legal definition of restrictive practices?
- On whom can restraint be applied and in what circumstance?
- What types of restraint can be used?
- Is restraint an incident and therefore should it be documented?
Frances LalicObtaining Consent At Night - When is The Right Time?
Ascertaining a person’s cognitive ability can be challenging at night, especially if they have been newly admitted or may be an unfamiliar resident or client. At a time when consent is needed for an emergency situation or routine procedure, how can nurses best obtain consent from a person with impaired cognition? This interesting session will draw on legal case studies to consider the following:
- What is consent?
- What is implied consent?
- The role of cognition in the consent process and does this change if people are drowsy?
- Knowing when consent has been withheld and what to do about it
12:30PM LUNCH BREAK
Dr Terry FroggattWalking on Eggshells - How to Communicate During Conflict
Working with difficult people often results in continued conflict. In the healthcare profession where shift work is inevitable, people are tired, and the pressure is on: conflict can sometimes be unavoidable. However, this is likely to be detrimental to your health and wellbeing and can affect patient or client outcomes. Clear communication when faced with hostility and a calm head can help YOU manage conflict better. This interactive session looks at:
- Is it ever possible to avoid conflict with destructive personalities?
- Attack or defend? Working out your stance in a conflictual situation
- Communication is key - when to defuse and when to engage
- What about body language?
- How does self-awareness help give you back control in a conflictual situation?
Dr Terry FroggattWe’re All In This Together - How to Create a Supportive Team Culture when Working Night Duty
Going to work knowing that you’ll be working with a great team can make coming to a shift seem all the more easier. This is especially so when you’re walking out the door as all your friends and family are heading home for the day. As well, working with fewer staff means teams at night need to be cohesive and support each other so that patient outcomes are not comprised. So how do we achieve this? This session will challenge you to look at your role within your team and consider:
- Is there a recipe for a supportive team?
- What makes effective teams achieve so much?
- What sabotages teamwork?
- How to successfully delegate work amongst a team without seeming demanding
- How to show that you support and value the contributions of your team mates
- What are key factors that encourage enthusiasm for shared goals and values?
3:15 AFTERNOON TEA
Shari CoventrySelf-Care and Shift Work
Working at night can be stressful, fast-paced, demanding and often leaves nurses feeling isolated and exhausted. Looking after our patients who are often stressed and anxious means nurses, particularly those who work at night, must be given tools to promote their own emotional health. How can we start and finish each shift feeling renewed and energised? This final and practical session will introduce three techniques that can reduce stress and anxiety so we can be the best version of ourselves when working shift work. We will look at:
- Does our thinking contribute to our stress?
- Will breathing differently make us feel different?
- How can laughter change the way we feel?
4:30 CLOSE OF DAY TWO OF PROGRAM
The Goal Need for Program
Nurses who practice at night may find it more difficult to access education that specifically relates to their work environment. Their challenges may involve reduced availability of resources, increased risk, untoward clinical problems and patients who are sleeping rather than engaging in daytime schedules which makes observation more complex. Evidence-based knowledge of a nurse at night is crucial to confident, safe and effective decision-making.Purpose of Program
The purpose of this education is to provide a program that focuses specifically on the needs of nurses who work regular or occasional night shifts.Your learning outcomes:
Engage in meaningful dialogue with colleagues to improve safety and quality of patients throughout the 24 hour continuum of care
Improve patient safety and reduce errors at night through knowledge of patient assessment best-practice
Provide up-to-date evidence-based clinical care relating to a range of conditions which can be problematic at night
Use information relating to the implications of shift work on nurses’ health and wellbeing to enhance self-care and motivationPresenters
Wendy Bryant is a Credentialled Diabetes Educator with 22 years' experience of specialised diabetes knowledge and skills in the provision ... Read More
Kylie Tastula has worked within the field of neurosciences for the last 15 years, both within Australia and internationally. She ... Read More
Marea Reading is a Registered Nurse with many years teaching experience in the specialty of Cardiothoracic Nursing. Marea held the ... Read More
Terry Froggatt is committed to evidenced-based organisational learning and development. Providing innovative and learner focused seminars and programs which facilitate ... Read More
Shari Coventry is an Internationally Certified Laughter Yoga Trainer, Clinical Hypnotherapist and NLP Practitioner, and has studied many alternative modalities. ... Read More
Frances Lalic completed a Diploma in Applied Science (Nursing) at the University of Western Sydney. She was employed by South ... Read More
Dr Vivien Lane is a nurse clinician specialising in oncology and palliative care, with over three decades’ experience in education, ... Read More
Debbie Blanchfield is currently Clinical Nurse Consultant in Wound Care for Illawarra Shoalhaven Local Health District. Debbie is a Registered ... Read More