QRC: 3035 Price One Day : $451 inc. GST Two Days: $693 inc. GST Date 11-12 Dec 2017 Venue Rydges Sydney Central 28 Albion Street, Surry Hills, NW, 2010 CPD Hours 11 Hours 45 Mins The Blood Conference - Sydney 2017 Includes: Tips for Taking Blood; Interpreting Pathology Results; The Clotting Cascade Explained, Anticoagulants; Blood-Borne Pathogens, DVT/PE Prophylaxis and much, much more... Need for Program Blood is essential to human life. However, disorders of the blood are common and manifest in a range of clinical settings. Blood and its components are a precious resource frequently administered by nurses but this is not without risk. A conference that reviews our modern understanding of the physiology of the blood and evidence-based treatments of common disorders is timely. Purpose of Program The purpose of this conference is to provide nurses with an evidence-based update on the role of blood, its components and disorders, so as to improve patient outcomes. Learning Outcomes At the conclusion of this program it is expected that the participants will be able to: Clearly relate nursing practice to knowledge of the blood and correlate this to improved patient outcomes Correlate the pathophysiology of a number of blood disorders to appraise the appropriateness of modern treatments Describe how certain medicines can affect the blood and how nursing actions can minimise risk to improve patient outcomes Implement evidence-based nursing strategies to reduce the incidence of iatrogenic venous thromboembolisms
Program Schedule Day One 8:30AM Registration for Day One 9:00 Welcome and Introductory Comments 9:05 Marea Reading Fuel for Life - Physiology of the Blood Explained Why is blood so crucial to sustaining life? What do we now know about blood and what it actually does? This introductory session will review: What are the principles of blood volume? How does blood relate to tissue oxygenation? What is cardiac output and why is understanding this principle in the context of blood loss so crucial? 10:00 Morning Tea 10:30 Marcella Dean Hit that Vein: a Guide to Drawing Blood Correctly Venipuncture is the collection of blood from a vein. This practical session will arm you with tricks of the trade to improve your technique of this tough skill to master. Build your confidence by reviewing the following: Indications for taking blood A review of the anatomy of veins A look at the best sites for venipuncture Veins to avoid A step-by-step guide to venipuncture 11:15 Marcella Dean You ve Secured the Vein - What s Next? This next session aims to bring nurses up to date on the correct process for when bloods are taken. Once you have found the vein, drawn the blood and filled your tubes, what else needs to happen? Ensure you are up-to-date, safe and aligned with best practice. This session explains: A review of commonly ordered blood tests (APTT, INR, FBE) Drawing order: why does this matter? Correct procedure for labelling blood tubes, filling out request forms etc.
11:45 Pathology Interpretation Made Easy 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 briefly review the role pathology plays in assessing for an infection. Includes: 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? 12:00PM Lunch and Networking 1:00 The Clotting Cascade: Understanding Coagulation Coagulation is a very complex process by which blood clots. 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. 2:00 Stop the Clot: Venous Thromboembolism (VTE) Update For any person that is hospitalised, the risk of VTE is elevated. A common type of venous thrombosis is 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 of VTE and the 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 (e.g. anti-embolism stockings and sequential compression devices) 3:00 Afternoon Tea 3:30 Margaret Jordan Anticoagulants and Anti-Platelet Agents - Food, Drug and Complementary Medicine Interactions Medicines that affect the blood are frequently administered by nurses. Understanding the mechanism of these regularly used medicines is essential. In particular, understanding the potential
for serious food, drug and complementary medicine interactions is paramount if nurses are to improve patient outcomes and prevent adverse drug reactions. This session will review some important clinical considerations with a focus on common drug, food and complementary medicine interactions associated with these medicines. Includes: Warfarin - dangerous interactions you must be aware of Anti-platelet agents - what interactions are most serious? What about new oral anticoagulants (NOACs)? 4:30 Close of Day One of Conference Day Two 9:00AM Commencement of Day Two 9:00 Debra Moss 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 disseminated intravascular coagulation? What is the underlying pathophysiology and how does it relate to the blood? Signs and symptoms What treatment is available and how are nurses involved in the management of this? What is the prognosis? 9:45 Dirty Blood? An Evidence-Based Overview of Sepsis 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. Take a look at how you can detect the early warning signs of sepsis and understand 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 known case of sepsis, what are the main nursing management priorities across a range of clinical settings? 10:45 Morning Tea
11:15 Dr Beverleigh Quested The Three Pillars of Patient Blood Management Patient blood management (PBM) aims to improve patient outcomes. Three pillars guide best practice by improving the patient s management across the medical and surgical settings. This session will set the scene for the afternoon of day two by looking at the three pillars of patient blood management across the pre-, intra- and postoperative phases. Includes: Optimising red blood cell (RBC) mass Minimising blood loss Managing anaemia 11:45 Dr Beverleigh Quested Setting the Standard - Treatment of Blood Disorders with Blood Products Blood and blood products are a crucial resource used in modern healthcare. While this precious resource can save lives, its administration is not without risks. As such, the use of blood and blood products must be safe and evidence-based. This session includes: What are the components of the blood and their relevant roles? How does our blood differ blood products? How can nurses ensure safe transfusion clinical practice? A review of patient blood management guidelines Overview of Standard 7 - Blood and Blood Products How is appropriate use of each component achieved? 12:45PM Lunch and Networking 1:45 Dr Beverleigh Quested Anaemia in the Pre-Operative Patient Anaemia is the most common disorder of the blood, defined as a decrease in the number or quality of red blood cells. Patients who are about to undergo surgery may require a blood transfusion preoperatively. This session will review this common condition and look at the indications for and against this clinical practice. Includes: What are the clinical indicators of anaemia? Common types and overviews of anaemias - does this matter? What are the clinical indicators that may suggest a person requires a pre-operative blood transfusion? Anticoagulation induced bleeding and anaemia - does this affect the patient pre-operatievly? 2:45
REPLACE - Seven Steps to Remember During a Massive Blood Transfusion What do I need to remember during a massive blood transfusion? Well, it's obvious isn t it? Give blood! However, the amount of blood that a person receives during a massive blood transfusion causes a set of complications within itself that need to be addressed concurrently. The acronym 'REPLACE' serves to act as a reminder of the principles involved with managing a patient requiring a massive blood transfusion. This session explains the following: What is a massive blood transfusion? A rationale and an explanation behind each of the 7 management principles required during a massive blood transfusion 3:30 Afternoon Tea 3:45 Representative from the Australian Red Cross Blood Service and a Blood Recipient Giving Blood - How to Save a Life! Did you know that when you donate blood it can be separated into its components and create up to 22 other products? This final session will share an inspirational story of what it means to truly give and receive, closing the conference on a high note. 4:30 Close of Conference and Evaluations Presenters Joanne Reading Joanne Reading is a clinical educator within the 42 bed ICU at the Royal Melbourne Hospital, which also services critically ill patients from the Peter MacCallum Cancer Centre and the Royal Women s Hospital. Joanne holds a Critical Care Graduate Certificate and a Master of Health Science with a focus in education, and is also the author of her own nursing education website called Blogging for your Noggin. With a special interest in all things cardiac and respiratory, Joanne is passionate about ensuring that education not only fosters critical thinking, but is entertaining in the process! Marea Reading Marea Reading is a Registered Nurse with many years teaching experience in the speciality of cardiothoracic nursing. Marea held the position of clinical nurse consultant for cardiothoracic at St. Vincent s Hospital, Sydney for many years. She has also previously held a conjoint appointment with St. Vincent s Hospital and the Australian Catholic University in Sydney to conduct the nursing practice units in the Graduate Certificate in Cardiothoracic Nursing. Marea has helped coordinate and teach in programmes in Singapore, Hong Kong, and Indonesia. Marea continues to be a regular contributor to both the Australian Critical Care Journal and the Intensive and Critical Care Nursing (UK) Journal where she publishes a chest x-ray quiz in each issue.
Marcella Dean Marcella Dean has been employed in the health sector for more than 30 years, initially as a Division 2 nurse and then predominantly in pathology. Within this specialty area she has held a number of positions and undertaken a range of roles including collection, management, staff training, professional supervision and course development within pathology branches, major hospitals and academic settings. Marcella is currently the course coordinator for Certificate IV in pathology at Kangan Institute. Marcella has a diploma in Vocational Education and Training and is passionate about teaching students to become competent and caring collectors. She continues to work part time as a collector, as she believe it is important to stay in touch at the coalface to ensure that the students learning exceeds industry expectations. Debra Moss Ms Debra Moss has over 20 years experience in intensive care nursing, the first ten years as a senior clinical nurse in the UK and in Australia, followed by 14 years as a nurse educator in the intensive care unit at St Vincent s Hospital, Sydney. As a nurse educator, she devised and delivered postgraduate education to nurses working in intensive care who wished to pursue a deeper understanding of how they may care for critically ill patients. Currently, Debra is working as a clinical nurse consultant at the Prince of Wales Hospital, Randwick, Sydney, responsible for supporting and maintaining the Clinical Emergency Response System (CERS) that aims to recognise and treat deteriorating patients at the earliest onset. Debra enjoys delivering clinically focused lectures, using simulation techniques and teaching at the bedside to make learning as enjoyable and meaningful as possible. Representative from the Australian Red Cross Blood Service The Australian Red Cross Blood Service collects, tests, processes and distributes all blood in Australia and has a total annual revenue of $580 million. The Blood Service employs more than 3800 people, with 1970 volunteers, in 83 fixed donor centres and 38 mobile units that visit over 1000 sites annually. As well, they operate four major blood processing centres and two major blood inventory and distribution hubs throughout Australia. Before the Blood Service came into formal existence in 1996, the collection, processing and distribution of blood products throughout the country's health system was managed by individual State and Territory Red Cross Transfusion Services. The establishment of a national blood service has facilitated new levels of national and international co-operation, resulting in improved consistency, quality and safety across Australia. Now a large professional organisation with more than 3,800 employees working in scientific, medical and support services, the Blood Service is remarkable in that its very existence depends on the continued support of more than 520,000 generous Australians who give their time and their blood as a gift or donation. This balance between a volunteer base of blood donors and medical and scientific professionals who manufacture and distribute blood products is one of the characteristic features of the organisation, one that has to be constantly monitored and managed. The unique features of the Australian system are the principle of voluntary non-remunerated donors to support delivery of fresh blood components and the striving for self sufficiency in plasma derivatives. The Blood Service is a division of Australian Red Cross, and subscribes fully to the humanitarian principles that are fundamental to that organisation. Australian Red Cross provides the vital social and professional umbrella under which the Blood Service can carry out its important work with a clear mandate and consistent identity. Beverleigh Quested Dr Beverleigh Quested is a transfusion nurse educator for the Australian Red Cross Blood Service and nursing advisor to the SA Department of Health's BloodSafe program. Beverleigh has a clinical background in transfusion, haematology and bone marrow transplantation. She is actively involved in the transfusion nursing community. In her current role at the Blood Service, she is responsible for the development of a range of educational events, materials, websites, and elearning packages. She is also involved in developing and providing materials for an international aid project in Cambodia with the Australian Red Cross. She chaired the writing group for the revised RCNA and ANZSBT Guidelines for the Administration of Blood Products. She was the RCNA representative on the Australian Standard for Medical Refrigeration equipment for storage of blood and blood products. She has presented at numerous national and international conferences and published in a number of leading journals on blood, death and dying, and assessment of oncology patients. She is the author of two book chapters. Her doctoral thesis explored the outcomes of blood stem cell transplantation, including recipients' recovery.
Margaret Jordan Margaret Jordan is a clinical pharmacist with experience in hospital practice and primary care, medicines information, research, education and programs development in general practice, hospital and aged care settings. Margaret has undertaken research into anticoagulation in aged care, developed and implemented local health district anticoagulant protocols and is an active member of the NSW Clinical Excellence Commission Expert Advisory Committee on Anticoagulants. Franki Collins Franki Collins is the NSW/ACT Community Relations Coordinator, Australian Red Cross Blood Service.