WORKSHOP 1
Rescue Strategies & Care of the Surgical Neonate
CPD 8 Points [CPDE36647]
This dedicated surgical neonate workshop aims to ensure that the neonatal nursing team and junior doctors are well equipped to receive and manage newborns with surgical conditions. The morning sessions are dedicated to lectures, interactive sessions with invited speakers and video demonstrations of common procedures. The evening sessions will have mock scenarios and videos, followed by an interactive discussion regarding the management of specific conditions.
Neonatal nurses, general paediatric nurses, paediatric surgical nurses, and junior doctors.
At the end of the workshop, attendees will be able to
- Outline the general management of various general surgical conditions in the newborn.
- Discuss the challenges of nursing care of neonates with various surgical conditions, e.g. the neonate with abdominal problems.
- Understand the procedures required for appropriate neonatal care of the newborn with surgical problems, e.g. wound management, stoma care.
- Overview of neonatal abdominal and chest surgical conditions
- Preparation to transfer and retrieve surgical infant– Checklists, Briefing, Debriefing
- Anticipating & managing perioperative complications.
- Management of specific conditions:
- CPAM, CDH, Airway malformations
- Gut – NEC, Gastroschisis, Omphalocoele
- Managing Perioperative Pain
- Live discussion based on storyboard scenarios
- Video presentations
TIME | PROGRAMME | SPEAKER | ||
0800 - 0815 | Registration | |||
0815 - 0830 | WELCOMING SPEECH by FAOPS Scientific Chairperson (Assoc. Professor Dr Azanna Ahmad Kamar) Introductory Montage Presentation: Rescue Strategies & Care of the Surgical Neonate |
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0830 - 0930 | HELP ME SURVIVE! An overview of abdominal surgical conditions in the neonate |
MR ANAND A/L SANMUGAM Consultant Paediatric Surgeon Paediatric Surgery Unit, Department of Surgery University of Malaya |
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0930 - 0945 | Kahoot Online Quiz | UMMC Nursing Team | ||
0945 - 1030 | HELP ME BREATHE! Management of Chest Anomalies in Newborns |
ASSOC. PROF DR SHIREEN ANNE NAH Consultant Paediatric Surgeon & Head of Paediatric Surgery Unit, Department of Surgery, University of Malaya. |
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1030 - 1045 | VIRTUAL TEA BREAK | |||
1045 – 1145 | STABILISE ME! Pre- and Post-Operative Nursing Management of the Surgical Neonate |
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1045 - 1115 | Transporting the Surgical Neonate: Briefing, Stabilisation, Retrieval & Debriefing
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DR. HAYMALATHA AP RAJAGAM Nursing Tutor and Neonatal Nurse, Institut Latihan Kementerian Kesihatan Malaysia Sultan Azlan Shah Tanjung Rambutan, Perak |
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1115 - 1145 | The Post-Op Neonate: Anticipating Problems Anticipating problems in the post-surgical neonate & its management (a) hypotension (b) fluid overload (c) infection prevention (d) hypoglycaemia (e) hypothermia |
DR NURDALIZA MOHD BADARUDIN Consultant Paediatric Surgeon & Head of Unit, Paediatric Surgery, Hospital Raja Permaisuri Bainun, Ipoh |
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1145 - 1230 | Breakout Sessions (Facilitator-Led) | |||
GROUP A | GROUP B | GROUP C | GROUP D | |
1145 – 1200 | SCENARIO 1: Stoma Storyboard: Baby with stoma bag |
SCENARIO 1: Stoma Storyboard: Baby with stoma bag |
SCENARIO 1: Stoma Storyboard: Baby with stoma bag |
SCENARIO 1: Stoma Storyboard: Baby with stoma bag |
1200 – 1215 | SCENARIO 2: Silo Storyboard: Baby with silo |
SCENARIO 2: Silo Storyboard: Baby with silo |
SCENARIO 2: Silo Storyboard: Baby with silo |
SCENARIO 2: Silo Storyboard: Baby with silo |
1215 – 1230 | SCENARIO 3: Central line care bundle | SCENARIO 3: Central line care bundle | SCENARIO 3: Central line care bundle | SCENARIO 3: Central line care bundle |
1230 - 1330 | Discussion & Group Presentation (40 minutes) Video Presentation (20 minutes) Video 1: Stoma Care Video 2: Silo Care Video 3: Central Line Bundle |
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1330 – 1415 | VIRTUAL LUNCH | |||
1415 – 1500 | NO PAIN PLEASE!! Assessment & Management of Pain in Surgical Neonates |
MS ELIZABETH EVANS Department of Pain, Sydney Children's Hospital, Randwick, Australia |
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1500 - 1545 | Breakout Sessions (Facilitator-Led) | |||
GROUP A | GROUP B | GROUP C | GROUP D | |
1500 – 1515 | SCENARIO 3 Tracheostomy care |
SCENARIO 3 Tracheostomy care |
SCENARIO 3 Tracheostomy care |
SCENARIO 3 Tracheostomy care |
1515 – 1530 | SCENARIO 4 Drains, Chest tubes |
SCENARIO 4 Drains, Chest tubes |
SCENARIO 4 Drains, Chest tubes |
SCENARIO 4 Drains, Chest tubes |
1530 - 1545 | SCENARIO 5 Nutrition Support - (i) TPN (ii) Perfusor feeding |
SCENARIO 5 Nutrition Support - (i) TPN (ii) Perfusor feeding |
SCENARIO 5 Nutrition Support - (i) TPN (ii) Perfusor feeding |
SCENARIO 5 Nutrition Support - (i) TPN (ii) Perfusor feeding |
1545 - 1645 | Discussion & Group Presentation (40 minutes) Video Presentation (20 minutes) Video 4: Tracheostomy care - suction, emergency changing of tracheostomy & dressing Video 5: Care of Drains & Chest Tubes Video 6: Changing of TPN |
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1645 - 1700 | QUIZ & SUMMARY END OF WORKSHOP |
WORKSHOP 2
Perinatal Autopsy - Learning from the Loss
This workshop will focus on identifying causes of Fetal losses. The speakers will highlight the importance of working up the index cases in such patients. The lectures will provide sample investigation algorithm which may be put to practice. Some actual cases will discussed.
O& G medical officers and junior specialist and paediatric team members working in a neonatal ward
Coming soon...
WORKSHOP 3
Fetal Growth Essentials and Antenatal Surveillance
Abnormal fetal growth is a leading risk factor for stillbirth. It is estimated that as many as 2.6 million stillbirths occur globally, with more than 7100 deaths a day, mostly in developing countries. Many cases of abnormal fetal growth go unnoticed throughout pregnancy and as a result become high risk for perinatal morbidity or mortality.
This workshop is for all clinicians and researchers who seek to improve the quality and safety of maternity care, with a focus on fetal growth surveillance which is central to the wellbeing of mother and baby.
This interactive workshop will help participants understand modern principles of fetal growth surveillance and
- define normal and abnormal growth by customised versus population based growth charts;
- learn standardised fundal height measurement and referral pathways for further investigation;
- understand early and late onset fetal growth restriction and the role of ultrasound and Doppler;
- learn about initiatives that have applied these principles to reduce adverse pregnancy outcome.
- Professor Jason Gardosi (Chair)
Director, Perinatal Institute, UK - Emily Butler
Midwifery Program Manager, Perinatal Institute, UK - Professor Suresh Seshadri
Director, Mediscan Institute, Chennai, India - Dr Nuzhat Aziz
Former GAP Project Lead, Fernandez Hospital, Hyderabad, India - Dr Pallavi Chandra
Senior Obstetric Lead, Fernandez Hospital, Hyderabad, India
Time | Topic | Speaker | |
1 | 1345 | Registration | |
2 | 1400 | Normal and abnormal growth | Jason Gardosi |
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3 | 1430 | Discussion | |
4 | 1440 | Multidisciplinary care pathway | Emily Butler, Jason Gardosi |
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5 | 1510 | Discussion | |
6 | 1520 | Break | |
7 | 1530 | Investigation and Management | Suresh Seshadri |
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8 | 1600 | Discussion | |
9 | 1610 | Implementing fetal growth surveillance | Nuzhat Aziz, Pallavi Chandra |
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10 | 1640 | Plenary Discussion | |
11 | 1700 | Close |
WORKSHOP 4
Quality Improvement: the Basics
CPD 4 Points [CPDE36907]
While Quality Improvement (QI) is gaining a lot of attention in many healthcare systems, good intentions alone are not enough to improve the quality of care.
The science of quality improvement needs to be complemented by the art of quality of improvement such as communicating to influence others, activating their agency and getting leadership support to champion the change to create a culture of continuous learning and improvement.
This workshop is for anyone who is keen to improve the processes and outcomes in their respective areas of work. This workshop will equip participants with the essential QI knowledge, principles and tools that can be applied in their daily work, in both clinical and non-clinical areas, and even personal life.
This workshop addresses three fundamental questions that must be addressed in any QI initiative:
- What is the problem? Many QI efforts have failed despite best efforts by trying to answer the wrong problem.
- What are the root causes of the problem? Just as in clinical medicine, tackling symptoms instead of the underlying pathology often results in recurrence of the problem.
- How do we know that our interventions work? In developing and testing solutions, we need to ensure that they are reliable, sustainable and scalable
- Ms Samantha Chan I-Ling
Assistant Manager, Quality, Safety and Risk Management (QSRM),
KK Women’s and Children’s Hospital
- Mr Bernard Wong Yih Terng
Senior Manager, Quality, Safety and Risk Management (QSRM),
KK Women’s and Children’s Hospital
- Mr Sam Koh Chang Hoe
Manager, Quality, Safety and Risk Management (QSRM),
KK Women’s and Children’s Hospital
- Ms Annellee Camet
Senior Manager, Quality, Safety and Risk Management (QSRM),
KK Women’s and Children’s Hospital
- Ms Pang Nguk Lan
Deputy Group Director, SingHealth DUKE-NUS Institute for Patient Safety and Quality IPSQ)
Chief Risk Officer (CRO) and Director Quality, Safety and Risk Management (QSRM), KK Women’s and Children’s Hospital
- Dr Alvin S M Chang
Clinical Director, Quality, Safety and Risk Management (QSRM) and Senior Consultant, Department of Neonatology, KK Women’s and Children’s Hospital
Time | Topic | Tools | Speaker | |
1 | 0800-0815 | Registration | ||
2 | 0815-0900 | What is the problem? - Identifying problems and opportunities - Verifying problems with data - Selecting problems to work on |
Flowchart | Samantha Chan |
3 | 0900-1000 | Root causes of the problem - Identifying root causes of the problem - Verifying the root causes - Selecting root causes to address |
Tree diagram Pareto chart |
Sam Koh |
4 | 1000-1030 | Break | ||
5 | 1030-1130 | Developing solutions - Piloting solutions for evidence of improvement with data - Using data to look for evidence of sustainability |
PDSA cycles Run charts |
Pang Nguk Lan |
6 | 1130-1230 | Sustaining your gains -Spread -Implementation -The Psychology of change |
- 7 Spreadly Sins - Psychology of change framework |
Alvin Chang |
1230-1345 | Lunch |
WORKSHOP 5
Root Cause Analysis
CPD 4 Points [CPDE36908]
Healthcare is a risky business. In fact, healthcare is said to be more dangerous than some of the high reliability industries around- nuclear power plants, airlines, European railroads etc. The Swiss cheese model alludes to a series of latent failures in processes lead to a catastrophic event, often times leading to permanent disabilities and death.
There is a need to improve reliability in the way healthcare is being delivered to patients. This involves looking at the system and processes involve in creating a conducive environment where healthcare workers will do the right thing reliably even when no one is watching over them in our institutions.
Root cause analysis (RCA) if done correctly, is an important tool one can adopt to ensure identification of contributing factors that addresses the system as a whole. In return, more effective recommendations can be generated. Recommendations that will address the system, rather than the human factor, can offer long-term, stable solutions. High reliability industries had relied on this tool to ensure they remain safe as it create learning opportunities for the purpose of improvement and excellence.
This workshop is meant for everyone who is keen to learn and improve from incidents. This creates many learning opportunities and indeed strengthens further organizational environment and processes to reduce harm in our patients.
At the end of this workshop, learners will be able:
- To understand the principles of RCA
- To be able to conduct an effective and systematic RCA when investigating an incident
- To develop skills at critical analysis of incidents
- To effectively make recommendations for improvement and action
To encourage active participation for a meaningful learning, there will be small group discussions throughout the session. This will enable a more interactive discussion among participants to make this session meaningful.
- Ms Samantha Chan I-Ling
Assistant Manager, Quality, Safety and Risk Management (QSRM),
KK Women’s and Children’s Hospital
- Mr Bernard Wong
Manager, Quality, Safety and Risk Management (QSRM),
KK Women’s and Children’s Hospital
- Mr Sam Koh Chang Hoe
Manager, Quality, Safety and Risk Management (QSRM),
KK Women’s and Children’s Hospital
- Ms Annellee Camet
Senior Manager, Quality, Safety and Risk Management (QSRM),
KK Women’s and Children’s Hospital
- Ms Pang Nguk Lan
Deputy Group Director, SingHealth DUKE-NUS Institute for Patient Safety and Quality IPSQ)
Chief Risk Officer (CRO) and Director Quality, Safety and Risk Management (QSRM), KK Women’s and Children’s Hospital
- Dr Alvin S M Chang
Clinical Director, Quality, Safety and Risk Management (QSRM) and Senior Consultant, Department of Neonatology, KK Women’s and Children’s Hospital
Time | Topic | Facilitators | |
1 | 1345-1400 | Registration | |
2 | 1400-1415 | Introduction to Root Cause Analysis (RCA) | Alvin Chang |
3 | 1415-1430 | Flowcharts | Alvin Chang |
4 | 1430-1515 | Exercise 1- Flowcharts (Breakout rooms) |
Pang Nguk Lan Annellee Camet Sam Koh Samantha Chan Bernard Wong |
5 | 1515-1530 | Break | |
6 | 1530-1540 | Cause and Effects | Alvin Chang |
7 | 1540-1610 | Exercise 2- Cause and Effects (Breakout rooms) | Pang Nguk Lan Annellee Camet Sam Koh Samantha Chan Bernard Wong |
8 | 1610-1620 | Root Cause Statements | Alvin Chang |
9 | 1620-1640 | Exercise 3- Root Cause Statements (Breakout rooms) | Pang Nguk Lan Annellee Camet Sam Koh Samantha Chan Bernard Wong |
10 | 1640-1645 | Making Recommendations | Alvin Chang |
11 | 1645-1700 | Wrap-up | Alvin Chang Pang Nguk Lan Annellee Camet Sam Koh Samantha Chan Bernard Wong |