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The Clotting Conference

  • : Melbourne VIC 3001

Overview

 

Attend this two-day conference to refresh your knowledge on prevention and causes of specific types of clots. Inludes:

  • How do you know your patient has a clot?
  • Pathology of clots - not just blood!
  • 'The Clotting Cascade': understanding coagulation and medicines
  • 'Stop the Clot': VTE - (DVT and PE)
  • Pregnancy and Clotting: A Serious Concern
  • Disseminated Intravascular Coagulation (DIC)
  • Varicose veins and phlebitis
  • The correct use of compression socks and stockings

Schedule

 Print Schedule

Day One

8:30AM REGISTRATION FOR DAY ONE
CHAIRPERSON: JO READING


9:00

Presenter: TBA

CLOTTING - A Silent Killer in Our Midst? INTRO

Many thousands of Australians develop clots each year. There are known pathologies that affect or cause clotting and which can be life-threatening. For example, VTE can cause extensive disability as well as death. This has a considerable burden not just at individual level, but also on economic, health and community cost. Nurses and midwives are key practitioners in preventing, identifying and managing these conditions. This introductory session includes:

  • Who is at risk for developing clots and how do we assess this?
  • What advances have been made in recent years to counter the devastation caused by clots
  • Why does the development for VTE remain such a frequent event in hospitals still?
  • How the health system could better deploy nurses and midwives to prevent this problem

9:45

Presenter: Clare Hennessy

What Flows Where? Anatomy and Physiology of Arteries, Veins and Valves

Blood is the living cells that support and maintain our body tissues and is essential for sustaining life. So what do we know about blood and its function? This session will review:

  • What are the components of blood and their roles? e.g. platelets?
  • Principles of blood volume - deoxygenated blood versus oxygenated blood and cardiac output
  • Veins and arteries - including major arteries and veins in the body

10:45 MORNING TEA


11:15

Presenter: Jo Reading

The Clotting Cascade - Understanding Coagulation

Coagulation is a very complex process which under normal circumstances results in the blood clotting. How does this actually happen and why is this so important? This interactive session will help you to understand the series of events that are fundamental to the body’s ability to clot.

12:00

Presenter: Jo Reading

Recognising a Clot - Nursing Signs & Symptoms

Blood clots are a serious, potentially life-threatening clinical condition that must be immediately recognised and assessed if patient outcomes are to be satisfactory. Although there is a widespread awareness of the risk that blood clots may develop, this may not actually translate to being familiar with their exact signs and symptoms. This sessions will go back to basics to help you understand how to perform a detailed assessment for DVT and PE so that you can immediately recognise if should they develop. Includes:

  • What physical signs may indicate a DVT?
  • What changes in clinical observations must make you immediately suspicious of a PE?
  • What comes after assessment?
  • How does immediate and accurate assessment improve patient outcomes?

12:45PM LUNCH BREAK


1:45

Presenter: Jo Reading

Disseminated Intravascular Coagulation (DIC)

DIC is a life-threatening complication of a range of disorders including: injury, blood transfusion, complications of pregnancy and cancer. Although rare, it can be both acute and chronic, making its occurrence relevant to all nurses and midwives. Small clots form in blood vessels resulting in significant organ damage and even death. This session reviews this condition and includes:

  • What are the risk factors for developing DIC?
  • What is the underlying pathophysiology and how does it relate to clots?
  • Signs and symptoms
  • What treatment is available and how are nurses involved in the management of this?
  • What is the prognosis?

2:30

Presenter: Steven Schischka

Clotting Clues... The Role of Pathology

Once a blood clot is suspected pathology forms an important part of diagnosis and treatment. It is therefore crucial that all nurses have an understanding of the reasons why certain blood tests are ordered and how to undertake a basic interpretation of these results. This session will use relevant case studies to help you improve ability to interpret key pathology markers related to clotting. Includes

  • What blood tests are required when a blood clot is suspected?
  • How does pathology help form a diagnosis?
  • A pathologist's guide to basic interpretation - what do all those numbers mean?
  • How can pathology measure the effectiveness of treatment?

3:30 AFTERNOON TEA


3:45

Presenter: Dr Ali Bazargan

Medical Management of Blood Clots - Diagnosis & Interventions

Whilst nurses are crucial in screening and assessing for blood clots, medical management including diagnosis and appropriate interventions help improve outcomes for these patients. This session will look at what happens after a clot is detected. It will include how a medical diagnosis of a blood clot is made and assist you to understand why various interventions are necessary. Includes:

  • Diagnosing deadly clots - ultrasounds, CTPA and VQ scans - what are we looking for and why?
  • Medical interventions of treatment - coiling and filters - when are they indicated?
  • Treatments - long term warfarin and low-molecular weight heparin
  • Other novel interventions and emerging treatments

4:45 CLOSE OF DAY ONE OF PROGRAM


Day Two

9:00AM COMMENCEMENT OF DAY TWO
CHAIRPERSON: JO READING


9:00

Presenter: Fran Pearce

Stop the Clot: Venous Thromboembolism (VTE) Guide for Nurses

For any hospitalised patient, the risk of VTE is elevated. Nurses are at the forefront of VTE prevention throughout the patient journey. This session will provide an evidenced-based update on the rationales and correct use for the prevention of VTE. Includes:

  • Application in practice of NHMRC – NICS Clinical Practice Guidelines for the Prevention of Venous Thromboembolism
  • Practice Guidelines for mechanical VTE prophylaxis: eg. anti-embolism stockings and sequential compression devices
  • Supporting patients receiving chemical prophylaxis

9:45

Presenter: Fran Pearce

Surgery and Clotting - Orthopaedic Perspective

All surgical procedures but especially abdominal, pelvic, thoracic and orthopaedic procedures represent a high risk for VTE. VTE risk is also determined by the duration of surgery, anaesthesia, and postoperative complications and functional restrictions. The long-term sequelae of VTE represents chronic and debilitating conditions such as post-thrombotic syndrome, recurrent VTE, and chronic pulmonary hypertension. This session will discuss:

  • Risk identification and risk reduction strategies from pre-admission to discharge for patients undergoing orthopaedic surgery
  • Extended mechanical and chemical prophylaxis within an orthopaedic perspective

10:45 MORNING TEA


11:15

Presenter: Dr Briony Cutts

Pregnancy and Clotting - A Serious Concern

Pregnant women and new mothers are at risk of developing DVTs and PE. Although some women are known to be more at risk of developing blood clots there are other clotting complications that can emerge which can also be life-threatening. This includes amniotic fluid embolism (AFE). This session looks at some of the common and not-so-common causes of clots associated with pregnancy. Includes:

  • Which women are known to be at risk of developing a DVT or PE?
  • Can blood clots be prevented and if so, what practical best available evidence guides care?
  • The use of anticoagulants during pregnancy - what you need to know
  • What are the features of amniotic fluid embolism?

12:00

Presenter: Jo Reading

Central Venous Access Devices - Preventing Complications

Central Venous Access Devices (CVADS) are essential in many acute care settings. Their use in the community is also becoming more common. The type of catheter involved, it’s placement and management are essential to reduce the risk of complications such as thrombosis as well as promote longevity of lines. This session reviews key considerations relating to the management of CVADs and includes:

  • Review of devices - peripheral cannulas, PICC's & CVC's - what goes where?
  • Catheter selection - choosing appropriate devices
  • Complications - during and following insertion, with a focus on preventing thrombosis
  • Management principles - blood sampling, flushing, medication/fluid administration and dressing and line changes
  • Common troubleshooting tips

12:45PM LUNCH BREAK


1:30

Presenter: Associate Professor Geoff Sussman

Varicose Veins, Phlebitis and the Correct Use of Compression Socks and Stockings Practical/entertaining final session

Gnarled, dilated blood vessels usually visible beneath the skin can have serious health implications, however the deeper veins are usually the source of potentially serious blood clots. Phlebitis refers to inflammation of a vein. Although there is a strong genetic cause of varicose veins certain activities such as prolonged standing can exacerbate them. This entertaining session includes:

  • An update on modern diagnosis and treatments of varicose veins and phlebitis
  • Compression stockings - Guidelines for use:
    • When are they indicated?
    • How should they be fitted?
    • When they should be worn?
    • The correct way to put them on and wear them

2:30

Presenter: Dr Jenny Gowan

Medication Update - Existing and New Oral Anticoagulants

Medications remain one of the cornerstones of preventing and treating blood clots. These medicines that affect the blood and prevent clotting are frequently administered by nurses, yet there are many potential complications of these medicines. Understanding the mechanism of these regularly used medicines is paramount to providing safe patient care. This session will review some important clinical considerations, including the use of reversal agents, associated with these medicines. Includes:

  • Antiplatelet agents e.g. aspirin, clopidogrel
  • Anticoagulant agents e.g. warfarin
  • Evidence for novel classes of anticoagulants

3:30 AFTERNOON TEA


3:45

Presenter: Skye Coote

Ischaemic Stroke - Catastrophic Clotting?

Ischaemic stroke occurs as a result of a blood clot or obstruction to flow to the blood vessels that supply the brain. It is estimated that ischaemic stroke accounts for a huge proportion of all cases of stroke, much more than haemorragic stroke. Due to the huge potential for disability and death as a result of stroke and the impact that early recognition plays to improve outcomes, this session is dedicated to improving your understanding of the following:

  • Overview of haemorrahgic stroke - what is happening in the brain?
  • Common presentations - who is most at risk?
  • Recognising stroke FAST - signs and symptoms and do these vary to other types of stroke?
  • Nursing management - immediate responses that every nurse must know of

4:30 CLOSE OF DAY TWO OF PROGRAM


The Goal Need for Program

Thousands of people each year develop pathological clots although there is extensive literature on the causative factors and prophylaxis. This problem remains a cause for concern as the impact on the individual, health services, economy and community continues to rise. The cornerstone to prevention and better management of these conditions is to ensure that all nurses and midwives have accessible current information which can be readily applied in practice.

Purpose of Program

The purpose of this conference is to provide nurses and midwives with education relating to specific clotting disorders in order to assist in the prevention of disability and premature death.

Your learning outcomes:

People in your care will receive correct evidence-based information about the prevention of DVT/PE

A person in your care, who manifests signs and symptoms of clot pathology with be rapidly assessed and appropriate treatment initiated

Apply your knowledge of anticoagulants medicines across the continuum of treatment to achieve optimum outcomes

Clearly relate nursing practice to your new knowledge and correlate this to improved patient outcomes

Presenters

Geoff Sussman

Geoff Sussman

Geoff Sussman holds a position in the Faculty of Medicine, Nursing and Health Science at Monash University and he has ... Read More

Clare Hennessy

Clare Hennessy

Clare Hennessy has been working as one of two Transfusion Nurse Consultants at Eastern Health since early 2010. Eastern Health ...Read More

Joanne Reading

Joanne Reading

Joanne Reading is a Critical Care Registered Nurse with extensive experience clinically managing a wide array of critically ill patients. ... Read More

Steven Schischka

Steven Schischka

Steve Schischka is the principal scientist at St Vincent’s Pathology Melbourne and has nearly 30 years of experience in pathology ... Read More

Ali Bazargan

Ali Bazargan

Dr Bazargan is a Haematology Consultant at St Vincent’s Hospital. He has broad expertise across the field of benign and ... Read More

Fran Pearce

Fran Pearce

Fran Pearce is currently employed as an Education Coordinator at Austin Health. She has extensive experience in orthopaedic nursing, including ... Read More

Briony Cutts

Briony Cutts

Briony is a specialist physician with expertise and interest in helping women with general medical issues in pregnancy as well ... Read More

Jenny Gowan

Jenny Gowan

Jenny Gowan was the Director of Training and Development at the Pharmaceutical Society of Australia (Victorian Branch) for over 20 ...Read More

Skye Coote

Skye Coote

Skye Coote is a Stroke Nurse Consultant at a Melbourne metropolitan hospital. She has an extensive background in Critical Care ... Read More

To Be Determined

To Be Determined

Title
The Clotting Conference
Speciality Classification
Location
Type
Delivery
Provider Type
RTO
Duration
11 hours
Start Date
12-Sep-2016
End Date
13-Sep-2016
CPD
11 hours
Fees
$671.00 (two days)
Location
Melbourne VIC 3001
Venue
Hotel IBIS - Therry Street, 15-21 Therry Street
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