Agenda

CONFERENCE DAY ONE
Thursday 2nd September 2010

DAY ONE | DAY TWO

8:30 Registration and Coffee

9:00 Opening Remarks from Chair
Phyllis Davis, Director Operating Suite, The Prince of Wales Hospital and The Sydney Children's Hospital

9:10 Implementation of the WHO Checklist: Pilot at Mater Newcastle
Allanah Hazelgrove, Nurse Manager, Mater Hospital Newcastle

9:50 Affecting Change in Your Organisation: A Case Study on Implementing the WHO Surgical Safety Checklist in a Private Hospital Setting

• Implementing the checklist in a private hospital
• How we found the problem
• How we got the staff on board
• Implementation of the checklist via a cockpit readout style rather that more paperwork
• Educational DVD

Rose Lyall, Surgical Services Manager, St John of God Healthcare

10:30 Morning Tea

11:00 Re-designing Emergency Surgery

New models of care are emerging for the management of patients requiring emergency surgery. This has been acknowledged by NSW Health which has recently published guidelines for emergency surgery. One model – the acute surgery unit, will be presented and an overview of the guidelines provided.

Dr Patrick Cregan, Chair Surgical Services Taskforce and Professor of Surgery, Nepean Public Hospital

11:40 The Perioperative Nursing Workforce Program (PNWP) in NSW:
Empowering the Perioperative Nurse to Improve Surgical Patient Care

• This presentation will explore a program jointly sponsored and initiated by the NSW Operating Theatre association and the Chief Nursing and Midwifery Officer, NSW Health
• The aims of the PNWP are to make better use of human resources, to improve the way care is provided and thus improve patient outcomes; and to empower perioperative nurses so they are capable of independently improving their working environment
• The program is based on the principles of practice development, which will be explained
• Program participants and some of their PNWP projects will also be discussed

Dr Lois Hamlin, Senior Lecturer, Faculty of Nursing, Midwifery and Health, UTS

12:20 Lunch

1:20 Why is there Anyone but the Patient in the Operating Room - Emerging Technologies

Current and developmental technologies to 'mechanise' the operating room process.

Dr Patrick Cregan, Chair Surgical Services Taskforce and Professor of Surgery, Nepean Public Hospital

2:00 Dealing with Workplace Conflict

This 30 minute presentation, including ten minutes for questions, covers how conflict can be managed within the workplace, the nature of conflict and highlights a range of useful strategies to assist people when dealing with conflict at work.

Steve Rohan-Jones, Company Director, Master Trainer and Consultant, O2C
Charles Bishop, Company Director, Master Trainer and Consultant, O2C

2:40 Afternoon Tea

3:10 Extended Interactive Session: Angels or Demons – Bringing the Best out of your Team and Empowering your Champions

This presentation discusses several local changes that were implemented and evaluated over the past three years in relation to positive benefits of culture change, finding, encouraging and empowering local change champions in the perioperative environment. Leadership is the process of influencing people to confront and embrace change and to master life's difficult challenges. Australians tend to confuse leadership with management – both are important and necessary. Leadership’s major focus is on generating and directing people’s energy; management’s focus is on developing systems for control and coordination.

Key Examples:

1. Changing the culture of staff to change and looking outside the square, holding bay position, Bookings Coordinator (transition to retirement), Perioperative Introduction Program (PIP) coordinator
2. Transforming interview techniques to select the right person for the team
3. Turning a negative incident into a positive outcome (how to respond to a post fire incident)
4. Building teams and models of service delivery

Discussion:

Through an interactive approach the presenters will outline various strategies including, change management principles, inspiring a shared a vision, communicating, cooperating and promoting positive attitudes and performance. Change champions are vital learning leaders for an organisation. We believe we need their energy, ideas, and creativity today more than ever, but we have to learn how to coordinate their unbounded and disruptive zeal. At Redcliffe we embrace the principles of True Colours®
-"The True Colours concept supports teams in understanding personality profiles and enables each team member to work effectively with others and harness their many talents.

Joy Jensen, Theatre NUM, Redcliffe Hospital, QLD Health
Annette McPherson, Nursing Director - Surgical Services, Redcliffe Hospital, QLD Health

4:40 Closing Remarks from Chair

4:50 Networking Drinks

6:30 Official Conference Dinner

CONFERENCE DAY TWO
Friday 3rd September 2010

DAY ONE | DAY TWO

8:30 Morning Coffee

9:00 Opening Remarks from Chair
Dr Lois Hamlin, Senior Lecturer, Faculty of Nursing, Midwifery and Health, UTS

9:10 Clinical Governance in the OR: What, Why and How?

Reports from all over the world have have led the World Health Organisation to estimate that one in ten persons receiving health care will suffer preventable harm. Clinical governance is a systemic approach to maintaining and improving the quality of patient care within a health system. This presentation will explore the concept of clinical governance and how to effectively provide clinical governance in your OR to ensure patient safety.

Phyllis Davis, Nursing Director Operating Suite, The Prince of Wales Hospital and The Sydney Children's Hospital

9:50 Panel Discussion:
Generational Differences in the Workforce

> Different expectations
> Hours for younger surgeons - how to make it work
> Getting the maximum benefit from the workforce you have
> Role substitutions/boundary blurring/surgeon extending
> 4 levels of nurses?
> Shortages

Dr Andrew Ellis, Orthopedic Surgeon, Royal North Shore Hospital and North Shore Private Hospital
Dr Thomas J Hugh, HPB Surgeon, Royal North Shore Hospital, North Shore Private Hospital, Dalcross Private Hospital
Dr Greg Keogh, Director of Clinical Stream, Prince of Wales Hospital
Phyllis Davis, Nursing Director Operating Suite, The Prince of Wales Hospital and The Sydney Children's Hospital
Dr Lois Hamlin, Senior Lecturer, Faculty of Nursing, Midwifery and Health, UTS

10:50 Morning Tea

11:20 Mandatory Reporting – Who, When, With What Protection?

The presentation by the Commissioner of the NSW Health Care Complaints Commission summarises recent legislative changes in response to the former Dr Graham Reeves case in NSW and under the national registration scheme for health practitioners that require registered practitioners and their employers to report risks to the health and safety of patients.

Mandatory Reporting Requirements:

• History of reporting incidents and risk (Campbelltown/Camden inquiry)
• Summary of recent legislative changes
• Who must reports
• What must be reported
• What can be reported voluntarily
• Confidentiality of reporting
• Protection against defamation

Kieran Pehm, Commissioner, NSW Healthcare Complaints Commissioner

12:00 Resistance is Futile: MRO's in the OR

We may well be entering an era where antibiotics are no longer effective. As developments in theatre design and conduct have always paralleled those made in the fields of microbiology and infection control, we may once again need to adapt.

This Presentation will look at;

• What we have learnt from history
• How equipped we are in the OR to deal with this centuries emerging Multi Resistant Micro organisms (MRO’s) and Infectious Diseases
• How we can prevent infection, colonisation and transmission in the OR

Elsie Truter, Tutor, Waiariki Institute of Technology and Theatre Nurse, Southern Cross Q.E Surgical, New Zealand

12:40 Lunch

1:20 Balanced Rostering – Balancing the Needs

• Case for change – A joint Roster Study conducted by HNE Health and NSWNA identifies clearly that our rosters need to change
• Framework for the future – New Roster Guidelines have been developed by HNE Health in collaboration with NSWNA to meet the needs of the three corners of the rostering triangle – the Patients, the Staff and the Organisation
• 3 steps to a Balanced Roster

Keith Drinkwater, Director Staffing Service, Hunter New England Health

2:00 The Emerging Role and Challenges of a Perioperative Nurse Practitioner in Victoria

• The journey
• The benefits for key stakeholders:
  - Patients, periop nurses, the Unit, the doctors, the hospital
• The challenges:
  - Who pays? Workforce issues – boundary blurring, staff adaptability
• The possibilities:
  - Own income, private practice, broader scope of practice

Jenny Furness, Perioperative Nurse Practitioner, St John of God Hospital

2:40 Afternoon Tea

3:10 Premiers Scholarship: Personal Role Evolvement and Professional Development

• Have you an idea that may change patient care?
• Have you met, or know of an operating theatre that does something you think may work for your unit?
• I had one of those dreams, one of those ideas
• With the help of a premiers scholarship I travelled to the USA & UK

This talk will share the process and experience of this wonderful opportunity, that can be had by all.

Tracey Nicholls, Associate Clinical Services Coordinator – Operating Theatre, President OHNNG (Otorhinolaryngology Head & Neck Nurses Group Australia), The Queen Elizabeth Hospital, SA

3:50 Panel Discussion:
Who Pays? Health Funding and Insurance: The Implications for Hospitals

> Private patients in the public sector
> Hidden fees
> Who pays? Why? How much?
> How health funds ‘divi’ up the dollars
> Negotiations with hospitals

James Harrison, Manager of Clinical Services, St Luke’s Health
Ann Felton, Admissions Manager, Royal North Shore Hospital
Alex Demidov, Director Perioperative and Critical Care, Sydney Adventist Hospital
Kirsten Armstrong MEc, FIA, FIAA, Partner Advisor, PricewaterhouseCoopers (Sydney)

4:30 End of Day 2

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