Leading the way in Critical Care Nursing www.baccnconference.org.uk
Workshop Abstracts 2010
13th – 14th September 2010 Southport Theatre and Convention Centre
Workshop W01 WATER, WATER EVERYWHERE: A WORKSHOP ON INTRAVENOUS FLUIDS
Conference theme: Education Author P. Woodrow1 1 East Kent Hospitals University NHS Foundation Trust Intravenous fluids are widely used in all critical/acute areas. While the crystalloid/colloid debate continues in medical literature, nurses’ awareness of contents and effects of individual fluids is often limited. Following a brief review of physiology of fluid balance, attendees will be divided into 5 groups (or more by duplicating fluids). Each group will each be given a worksheet and different intravenous fluid (0.9% sodium chloride, 5% glucose, Compound Sodium Lactate, a gelatin and a starch). The worksheet will guide identification of pH, contents, relevant other aspects (such as normal serum levels) and ask • • • •
when participants have seen the fluid used, & why? what are its potential benefits? when they have seen avoided, & why? what are its potential problems?
After time for individual group discussions, findings will then be shared through guided plenary feedback.
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Workshop W02 WHY MAJOR TRAUMA PATIENTS (WHO MAKE IT TO HOSPITAL) DIE
Conference theme: Excellence in Practice Author K. Dalley1 1 St George’s Hospital, London It would be easy to assume that non-survivors who suffer major injury die of their injuries and everything that could have been done, has been done in the vast majority of cases. Evidence increasingly suggests, however, that this is not necessarily the case for those who survive to hospital in the UK. Using a case-based approach, this workshop will review the trimodal distribution of deaths in major trauma and the outcome data from the UK and the USA before exploring causes of death and the factors affecting survival (NAO 2010, NCEPOD 2007, Nathens et al 2001). In light of the commitment to set up major trauma centres and networks in England (Darzi 2008, NAO 2010), this session will also share the London experiences as first wave trauma centres and the impact on intensive care provision (Davenport et al 2010).  Reference Information Darzi (2008) High quality care for all: NHS Next Stage Review final report Davenport RA, Tai N, West A, Bouamra O, Aylwin C, Woodford M, McGinley A, Lecky F, Walsh MS, Brohi, K (2010) A major trauma centre is a speciality hospital not a hospital of specialties BJSurgery 97:109-17 Nathens AB, Jurkovich GJ, Maier RV, Grossman DC, MacKenzie EJ, Moore M & Rivara FP (2001) Relationship between trauma center volume and outcomes JAMA 285:116471 National Audit Office (2010) Major Trauma Care in England TSO or www.nao.org.uk NCEPOD (2007) Trauma: Who Cares? www.ncepod.org.uk
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Workshop W03 THE USE OF MULTIDIMENTIONAL SIMULATION TO PROMOTE COMMUNICATION AND COLLABORATION IN PATIENT CARE
Conference theme: Education Author M. Pollard1 1 Exeter Hospital No longer is the delivery of healthcare a solo endeavor. Healthcare policy makers and government regulators have published evidence that multidisciplinary teams increase efficiency and patient safety. Most medical, nursing and allied health curriculum does not prepare the healthcare provider to work with other disciplines in a team environment. Often when these different disciplines are brought together the encounter can lead to communication errors with potential impact on patient safety. Simulation allows for the training of these teams in a safe and realistic environment. Programs can be developed using actual cases encountered by clinical staff. Post-scenario debriefing sessions allow for the development of inter-team communications, role clarification, identifying strengths and areas for improvement, and developing camaraderie. Our facility has used simulation for trainings in advanced cardiac life support, critical care nursing essentials, pediatric emergency team training, operating room emergency situations, obstetrical emergencies, and mock codes. This workshop’s purpose is to discuss methods to incorporate multidimensional simulation activities into education programs. The objectives include sharing activities and training methods we have found successful in our institution, and discussing ways they can be incorporated into other environments to promote staff excellence, engage participation, and improve patient safety.
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Workshop W04 Conversations for end of life
Conference theme: Education Author Sarah E. Shannon, Ph.D., R.N. University of Washington Dr Tracy Long-Sutehall, Senior Research Fellow/NIHR Post Doc Fellow, Faculty of Health Sciences, University of Southampton Dr Maureen Coombs MBE Senior Lecturer, University of Southampton End of life care continues to be an important, sensitive and emotive area of critical care practice. With patient acuity continuing to rise, and chronic health needs adding further complexity to clinical decision making, discussions with patients, families and clinical teams remains a challenge for all. This one hour workshop will increase your awareness, skills and confidence in end of life conversations in the Critical Care setting. Through focus on clinical exemplars of breaking bad news and advanced care planning, didactic teaching, readers’ theatre and role pay will be used to explore and develop strategies to enhance advance care conversations with critically ill patients, families and staff in your team or organisation. In utilising interactive educational processes in a supportive environment, it is important that participants are able to actively engage in the workshop activities in order to maximise learning opportunities.
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Workshop W05 Implementing the Matching Michigan Interventions into everyday clinical practice
Conference theme: Education Author Ms Annette Richardson, Nurse Lead, Matching Michigan, NPSA & Nurse Consultant Critical Care, Newcastle upon Tyne Hospitals NHS Foundation Trust Sarah Goode, Service Improvement Facilitator, Matching Michigan, NPSA This workshop will provide an overview of the Matching Michigan Interventions with a focus on implementing the interventions into everyday practice within ICU. The Technical Interventions include: the importance of ensuring evidence-based CVC insertion and management, the use of a CVC insertion checklist and the rationale for the need of a CVC trolley/pack. The non-technical interventions include: the importance of assembling a unit safety team, staff identifying and learning from incidents, executive/ clinician partnerships, teamwork and communication, and educating staff on the science of safety. We will use a number of approaches to explore how to implement quality improvement within an ICU and throughout the session will advise/ support you to identify opportunities and barriers to improving patient safety in practice.
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Workshop Linet UK Posture and positioning of nursing staff in an Intensive Care Unit: A vibrotactile approach
Author Stephen Wanless, Senior Lecturer, Birmingham City University, Faculty of Health, Dept of Skills and Simulation, Research Fellow (Linet UK) The prevalence of sickness and absence related to manual handling injuries has changed very little over time and if anything it is getting worse costing the National Health Service over 80 million pounds a year (Haslam et al 2007). The most recent figures (2005) state that injuries particularly to the lower back are resulting in staff taking three or more days off sick and the financial costs are estimated to be two billion pounds a year (HSE 2007). The session will review a physical patient handling simulation within an Intensive Care Unit with a real-time motion capture performance in order to allow a user to interact within a virtual world. While following the user’s motions, the simulated character is able to perform the move. Training is clearly a key part of injury prevention and the Health and Safety at Work (1974) and the Management of Health and Safety at Work Regulations (1999) are the main drivers for delivery of training. This validation of transfer of training skills from Virtual Reality environments to the clinical area sets the stage for more sophisticated uses of Virtual Reality in assessment, training and error reduction in the training of moving and handling and motor skills within the healthcare arena. It is axiomatic that professional activity requires competence. The current method of teaching patient handling throughout the UK involves the learner receiving verbal feedback on their performance. The introduction of a haptic feedback suit aims to provide the user with vibrotactile feedback on their performance, highlighting areas of poor posture and positioning by vibrating if they move from the “norm�. It will provide the user with a visualisation which will give them feedback on their posture enabling them to change their behaviour and attitude towards patient handling and assist them in retaining the information longer, moving from novice to expert.
Sponsored by
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We have created a continuum between kinematics and dynamics which follows the users motions as closely as possible, while still remaining physically faithful to the clinical environment. The result allows the user to move a patient in a physically based, virtual world, allowing the user to validate their moving and handling performance.
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Workshop Hill-Rom Early mobility and verticalisation in ICU - breaking the paradigm of bed rest
Author Andreas Schabbach, Director of Strategic Marketing & NPD, International Critical Care & Clinical Changing the paradigm in early mobilisation and verticalisation of critical care patients. Early mobility strategies are vital to preventing complications and achieving accelerated outcomes in the critically ill patient.
Sponsored by
Attend Hill-Rom’s sponsored session in the Marine Suite at 10.45 on 14th September to learn more - and recieve a FREE £20 gift voucher. Also please visit us on stand 26 & 27 for product demonstration and to arrange a free evaluation.
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Workshop Lilly Sponsored Caring for patients with Severe Sepsis
Sponsored by
Author Professor Julie Scholes, University of Brighton Dr Mark Blunt & Dr Joe Carter, Queen Elizabeth Hospital, Kings Lynn During this session Professor Scholes will share with us her thoughts around the honour of being a nurse highlighting the very unique nurse/patient relationship. Drs Blunt & Carter will then update us on the latest thinking regarding treating patients with Severe Sepsis. Due to the limited length of the session our speakers have very kindly agreed to join us on our Stand afterwards for any questions you may have.
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