Sepsis, Rashes and Superbugs
- : Melbourne VIC 3000
Sepsis, rashes and superbugs are topics of concern to all people. Informed nurses are key to ensuring best patient outcomes. This conference will explore exciting topics and clinical updates relevant to contemporary nursing practice. Includes:
- The wonderful world of the immune system explained
- Sepsis - how and why early detection is essential
- How to describe infectious rashes in adults and children
- How infections can exacerbate chronic illnesses such as COPD and diabetes
- Tips on preventing bloodstream and surgical site infections
- Flesh eating bacteria - managing necrotising fasciitis
- Revealing the secret role of the secret gut
- The bugs of the future and much, much more…
Schedule Day One
8:30AM REGISTRATION FOR DAY ONE
First Thing's First - How to Keep Yourself Safe
The need to maintain personal safety is ever-present where infections are concerned. Not only do we need to stay safe ourselves but we have a duty to ensure that our patients, in any setting, are cared for in a way that minimises their risk of infection. What do you need to know to stay safe and protect yourself from harm? This brief introductory session reviews contemporary protective practices for nurses. Includes:
- Which infections are nurses most susceptible to and how can we prevent these?
- What are the current, required bio-safety measures and what’s changed?
- Where are the weak points in the chain of infection?
To Screen or Not to Screen?
Infection can be admitted into healthcare facilities in many ways. What are your signals for further testing? This session will highlight the importance of screening for infections to improve patients outcomes. Includes:
- How does screening differ from surveillance?
- How are people screened across the lifespan and are certain populations more vulnerable?
- Correct procedure for screening methods, e.g. taking swabs
- Infectious diseases - what needs to be on your radar?
10:15 MORNING TEA
Dr. Susanne Heinzel
The Wonderful World of the Immune System
Novel insights are revealing more and more about the fascinating function of the immune system. How close are we to fully understanding exactly why certain immune cells behave the way they do? Almost like a flick of a switch - what causes the immune system to respond to a pathogen? This session explains:
- How does the immune system fights infections?
- How do vaccines work?
- How we can harvest its power and specificity to combat cancer?
Surviving SEPSIS - The Importance of Early Recognition
Sepsis is a potentially fatal condition caused by a whole-of-body inflammatory response to severe infection. Did you know that sepsis is one of the leading causes of death, globally? Preventing mortality related to sepsis begins with early detection and timely interventions. This session uses case scenarios to explain the pathophysiological mechanisms by which sepsis develops. It will look at how you can detect the early warning signs of sepsis annd assist you in understanding the evidence-based management of this potentially fatal condition, across a range of clinical settings. Includes:
- What is the definition of sepsis?
- What is the relationship between infection and sepsis?
- Early recognition - what are the clinical signs? E.g. an increasing SOFA score
- Why is timely intervention so important?
- In a suspected or a known case of sepsis, what are the main nursing management priorities across a range of clinical settings?
12:45 LUNCH AND NETWORKING
Papule or Pustule? Common Rashes and Assessment tips
Rashes at any age can be challenging to assess. This session will take a look at common causes of rash in adults and children, including some diagnoses not to be missed. Even if you aren't sure what is causing the rash, knowing how to describe and document the rash can aid considerably in diagnosis and monitoring. This interactive session will develop your ability to describe rashes and consider differential diagnoses.
- Assessment of rashes
- Terminology - how to identify and describe the characteristics of a rash
- How to accurately document a rash
- Common causes of rash in adults, and when to be concerned
- Common childhood presentations involving rash
Common Skin Conditions, Diagnosis and Management
Not all rashes are contagious, however many are caused by organisms. Many rashes are misdiagnosed, and therefore treatment is ineffective. The role of patient education is paramount to ensure treatment is effective. Topics for discussion include:
- Viral skin infections
- Viral exanthems
- Bacterial skin infections
- Fungal and yeast infections
- Parasitic rashes
- Eczema and Dermatitis
3:15 AFTERNOON TEA
Fever - Friend or Foe?
Fever or pyrexia, a raised body temperature, has long been associated with the immune system. Infectious diseases caused by viruses and bacteria are often accompanied by a fever. What does a fever indicate and should nurses be concerned about a high temperature? This session considers:
- What are the effects of fever?
- Is a fever always related to an infectious process?
- Up until when is a fever beneficial?
- How should fevers be managed in children and adults?
- What about febrile convulsions?
4:30 CLOSE OF DAY ONE OF PROGRAM
9:00AM COMMENCEMENT OF DAY TWO
Preventing Central Line Associated Blood Stream Infections - CLASBIs
Central Venous Access Devices (CVADs) are essential in many acute care settings. As well, their use in the community is also becoming more frequent. A serious, preventable complication associated with central lines includes infection. Central line associated blood stream infections (CLASBIs) are the most common hospital-acquired infection in Australia. This type of infection may lead to sepsis and seriously compromise the health of an individual. This session reviews key considerations relating to the safe management of CVADs and prevention of CLASBIs. Includes:
- What are central venous access devices (CVCs) and peripherally inserted central catheters (PICCs)?
- How can CLASBIs be prevented?
- Practical approaches to safe management principles for preventing infections, e.g. blood sampling, flushing, medication/fluid administration, dressing and line changes
- Guidelines to take back to your workplace to promote best-practice, ensuring policies and procured are up-to-date
Pathology Interpretation of Infections Made Easy
Once an infection is suspected, pathology plays an important role in diagnosis and treatment. It is crucial that nurses understand the relevance as to why certain blood tests are ordered. As well, a basic understanding of how to interpret these results is likely to improve patient outcomes. This session will discuss relevant case studies to consider the following:
- What are the markers of infection and how does pathology show this?
- Interpreting results - WCC, Neutrophils, CRP etc. - what’s normal and what’s not?
- Lab results that indicate an infection may be improving - what to look for and how often?
10:30 MORNING TEA
Dr. Jenny Gowan
'Not Another Infection’ - Considerations for People with Chronic Diseases
Chronic diseases such as COPD, diabetes and rheumatoid arthritis are known to significantly impact on a person's health. Not only can they leave a person vulnerable to recurrent infections, they can impact the ability to recover from an infection. The prevalence of community and hospital acquired infections pose a great threat to these patients. As such, all nurses are familiar with the following considerations relating to ‘high risk’ patients:
- What makes a person with a chronic disease more susceptible to infections?
- Do common infections such as UTIs, chest infections, thrush and tinea affect people with chronic diseases differently?
- How can these infections exacerbate chronic diseases?
- Are medicines to treat infections prescribed differently?
- When and which vaccinations are most beneficial?
- What should nurses in a range of settings be monitoring to improve outcomes for this group of people?
Associate Professor Louis Roller
Surviving SUPERBUGS - Infections in a World Without Antibiotics
There is a realistic possibility that in the near future, certain types of bacteria will be more than capable of protecting themselves against antibiotics. When this happens, who will protect us? Could this lead to a diabolical disaster - an infection of pandemic proportions? Whilst this often conjures up images of rare or exotic bugs, in a world without antibiotics, could it be common bugs resistant to antibiotics that cause the most havoc? This session will consider the unthinkable:
- What are the emerging pathogens of most concern to humankind?
- What causes antibiotic resistance?
- How can nurses prevent antibiotic resistance?
- Could these superbugs cause a pandemic?
- How would we respond to this type of outbreak?
- Are there alternatives to antibiotics?
- WANTED - the perfect antibiotic…
1:00 LUNCH AND NETWORKING
Preventing 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:
- What are the risk factors for SSIs?
- What are the usual causative organisms?
- What signs may indicate an infection is present?
- How do I assess a wound to determine if a SSI is present?
- Goals of care, dressing selection and management of surgical site infections
- Managing the different surgical preferences for wound products
‘Flesh Eating Bacteria’ - Managing Necrotising Fasciitis
Necrotising fasciitis is an infectious condition that can affect skin, fat and even muscle tissue. While it is relatively rare, it can be fatal and affect a person greatly if it's not identified and treated correctly. Major complications of this bacteria can include loss of limbs. This session looks at:
- What is necrotising fasciitis?
- What types of bacteria can cause this condition?
- Are some people more susceptible to this condition?
- How is the condition best managed?
- Dressings used in this condition and tips and tricks for difficult to dress areas
3:30 AFTERNOON TEA
Dr. Paul Bertrand
The Secret Gut - Unlocking the Key to Infections?
The gut microbiome, a collection of trillions of mostly bacterial microorganisms, is increasingly being recognised as an integral part of the body. More is being revealed about this forgotten organ, particularly in relation to the interplay between the gut and immune health. For instance, is an increase in the use of antibiotics having a negative impact on the balance of the microbiome? This fascinating session will look at what we know about the microbiome. Includes:
- How is the gut microbiome connected to health?
- What role does it play in immune and infections?
- What causes dysbiosis - an imbalance of good and bad bacteria - are these changes related to antibiotic use?
- Practical ways of restoring and maintaining a healthy microbiome
4:30 CLOSE OF CONFERENCE AND EVALUATIONS
The Goal Need for Program
Sepsis is associated with morbidity and mortality and every nurse will be familiar with the decline associated with this condition. The rapidly changing characteristics of infective organisms underlying sepsis combined with antibiotic resistance further compounds the risks faced by vulnerable people. Rashes may be associated with an infectious pathogen and sepsis but this is not always the case. The ability to identify symptoms and those at risk, as well as quickly assessing and managing sepsis are essential skills that all nurses must have to avert unnecessary patient harms.
Purpose of Program
The purpose of this nurses’ conference is to provide current evidenced knowledge about sepsis and rashes including prevention, identification, and management of people with these conditions.
Your learning outcomes:
Patients with a suspected infection will be identified early and appropriate nursing care will be implemented
Prevent sepsis and reduce harm to patients through evidence-based care of common conditions, invasive lines and correct use of personal protective equipment
A patient’s rash will be identified early and any association with sepsis followed through
Antimicrobial stewardship will be applied to avoid the misuse of antibiotics
Joanne Reading is a clinical educator within the 42 bed ICU at the Royal Melbourne Hospital, which also services critically ... Read More
Carol Rosevear is a registered nurse with extensive experience in Infection Control and in managing operating rooms and day procedure ... Read More
Leanne Boase is a Nurse Practitioner with a background in critical care and paediatrics, she currently practices across four GP ...Read More
Jenny, a practicing pharmacist, is a Teaching Associate at Monash University, Melbourne. She is a member of the PSA Branch ... Read More
Associate Professor Louis Roller, PhC, BPharm, BSc, MSc, PhD, DipEd, FPS, FACPP has been an academic at the Faculty of ... Read More
Jan Rice is a Registered Nurse with many years experience in surgical nursing. Jan is a member of the Venous ... Read More
Dr. Paul Bertrand completed his PhD in Pharmacology & Toxicology at Michigan State University (US). He has worked in ... Read More
Gerry has many years of paediatric nursing experience, including 16 years in the Emergency Department of the Royal Children's Hospital ... Read More
Dr. Heinzel is a senior research scientist at the Walter and Eliza Hall Institute of Medical Research in Melbourne and ... Read More