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Take home messages from 2016 Lunch & Learn Presentations Takes place on the last Tuesday of every month in the Oncology conference room, Dunmanway Day unit

2016 Lunch & Learn Presentations › ... › Lunch-_-Learn-Book-of-Abstracts.pdf · The impetus of Lunch & Learn is to provide a forum whereby nurses can disseminate their findings

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Take home messages from2016 Lunch & Learn Presentations

Takes place on the last Tuesday of every month in theOncology conference room, Dunmanway Day unit

CONTENTS

FOREWORD

Diarmuid Nolan -(Clinical Facilitator ED) - ‘Microsystems: Managing Change’Geraldine Otway - (CNM2 PREASSESMENT CLINIC) PreAssessment IN CUH.Stephanie Mulcair - (CNM2 IMMUNISATION PAEDIATRICS) -the New Primary Childhood Immunisation Schedule

Karen Casey - (CNM2 GA Neruo) Ward - Neurological ObservationsAine Herlihy - (RN 2D) Body Image post TransplantEilish Hawe - (CPC) Nurse Prescribing is it for you? Benefits and Barriers

Sinead Power - (CANCER NURSE. DAFFODIL CENTER) -The Role of the Irish Cancer Society Daffodil Centre CUH. Aine Connolly - (IV CNM) - Implementing PVC Care Bundles in CUHGlen Arrigan - (STROKE CNS) - Thrombolysis for AIS

Vicky Baker - (NURSE TUTOR) - Presentation SkillsClaire Costigan - (SEPSIS CNM) - SepsisBreda Doyle - (ORGAN DONOR NURSE MANAGER) - MY ROLE

Sharon Guiry – (Lung Cancer CNS) - Living beyond Lung Cancer Treatment)Margaret Allen (Oncology Clinical Facilitatior) -ONCOLOGY NURSES ROLE IN THE MANAGEMENT OF CHRONIC PAINDeirdre Feehely (Medical ADON) - Reducing Recovery Collection Times

Sandra Moloney (candidate EPILEPSY ANP) - THE ROLE OF THE CANDIDATE EPILEPSY ANPReema M Anthony (CNM 2, 3A) - Health care professionl’s and patient’s views in discussing sexual wellbeing post stroke

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7

CONTENTS CONTINUED

Elizabeth Murphy CNS - (HIV CNS) - Hiv ScreeningMay Collins - (RGN Dialysis) - Withdrawal from Dialysis, the Ethical PerspectivE

8

AIDEEN SMITH - (RGN Dunmanway Day Unit) - PRE-ASSESSMENT CLINICJennifer Delaney - (Resuscitation Officer) The Importance of Emergency Checklists

9

Nicola Perry - (CNM 2 3D) - Nursing Care of Heart Failure PatientTeresa O’Neill - (Renal CNS) - PRESERVING RENAL FUNCTION

10

Gaye Monahan - (Smoking Cessation Counsellor)- Helping the Health Profession with the Patient who SmokesAlice Madden - (CNS Urology)- Nurse Led Lower Urinary Tract Symptoms Assessment ClinicAnju Menon - (RGN 3A)- URINARY CATHETER CARE BUNDLE IN THE PREVENTION OF CAUTIEmma Bolger - (Haemtology /Oncology Transplant Coordinator- Tour of Stem Cell/Bone Marrow Tranplantation

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Caroline Costelloe - (RGN 3B)- Postop Pain Assessment and Delirium in the Orthopaedic PatientPat McCluskey - (Wound Care ANP) - Heel Pressure Prevention (no PPP)

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Caitriona O’Leary - (Anticoagulant CNM2)- The Role of the anticoagulant clinics in the management ofpatients on non vitamin K oral anticoagulants (NOACs) - Hospital Acquired Thrombosis (HAT)

13

OTHER CONTRIBUTORS14

The importance of a safe, effective, quality service in response to patient need cannot be overemphasised. Here at Cork University Hospital a new Initiative “LUNCH & LEARN” was launched on Tuesday the 26th of January 2016.

This involves four nurses over the course of an hour divided into two 30 minute sessions delivering presentations on research which they have conducted. The impetus of Lunch & Learn is to provide a forumwherebynurses candisseminate their findings to awider audience thus influencing theaudience’sknowledge.Itishopedthatthiswillpositivelyinfluencepatientcareandmotivatecolleaguesto undertake further education.

These sessions are held on the last Tuesday of each month excluding July & August in the Oncology ConferenceRoomonthefirstfloorbytheDunmanwayDayUnit.Lunchisfreeforthosewhoattend.Booking via email to [email protected] by 17.00 on the Thursday prior to the event is necessary. There are only 40 places available for each session (13.00-13.30 & 13.30-14.00) hence early booking is essential. It is necessary to arrive 10 minutes prior to each session to facilitate time to sign in and obtain beverage and food.

This is a hugely positive step for nursing at Cork University Hospital. Quality, safety, research and evidence-based care are fundamental building blocks of a modern health system. Nurses and midwives have a key role in the delivery of healthcare in a rapidly changing healthcare arena.

1

The importance of a safe, effective, quality service in response to patient need cannot be overemphasised. Here at Cork University Hospital a new Initiative “LUNCH & LEARN” was launched on Tuesday the 26th of January 2016.

This involves four nurses over the course of an hour divided into two 30 minute sessions delivering presentations on research which they have conducted. The impetus of Lunch & Learn is to provide a forumwherebynurses candisseminate their findings to awider audience thus influencing theaudience’sknowledge.Itishopedthatthiswillpositivelyinfluencepatientcareandmotivatecolleaguesto undertake further education.

These sessions are held on the last Tuesday of each month excluding July & August in the Oncology ConferenceRoomonthefirstfloorbytheDunmanwayDayUnit.Lunchisfreeforthosewhoattend.Booking via email to [email protected] by 17.00 on the Thursday prior to the event is necessary. There are only 40 places available for each session (13.00-13.30 & 13.30-14.00) hence early booking is essential. It is necessary to arrive 10 minutes prior to each session to facilitate time to sign in and obtain beverage and food.

This is a hugely positive step for nursing at Cork University Hospital. Quality, safety, research and evidence-based care are fundamental building blocks of a modern health system. Nurses and midwives have a key role in the delivery of healthcare in a rapidly changing healthcare arena.

1

This involves three or four nurses over the course of an hour divided into two 30 minute sessions delivering presentations on research which they have conducted, information on their role, department or specialised care innovation. The impetus of Lunch & Learn is to provide a forum whereby nurses can disseminate their findings to a wider audience thus influencing the audience’s knowledge. It is hoped that this will positively influence patient care and motivate colleagues to undertake further education.

The importance of a safe, effective, quality service in response to patient need cannot be overemphasised. Here at Cork University Hospital a new Initiative “LUNCH & LEARN” was launched on Tuesday the 26th of January 2016.

This involves four nurses over the course of an hour divided into two 30 minute sessions delivering presentations on research which they have conducted. The impetus of Lunch & Learn is to provide a forumwherebynurses candisseminate their findings to awider audience thus influencing theaudience’sknowledge.Itishopedthatthiswillpositivelyinfluencepatientcareandmotivatecolleaguesto undertake further education.

These sessions are held on the last Tuesday of each month excluding July & August in the Oncology ConferenceRoomonthefirstfloorbytheDunmanwayDayUnit.Lunchisfreeforthosewhoattend.Booking via email to [email protected] by 17.00 on the Thursday prior to the event is necessary. There are only 40 places available for each session (13.00-13.30 & 13.30-14.00) hence early booking is essential. It is necessary to arrive 10 minutes prior to each session to facilitate time to sign in and obtain beverage and food.

This is a hugely positive step for nursing at Cork University Hospital. Quality, safety, research and evidence-based care are fundamental building blocks of a modern health system. Nurses and midwives have a key role in the delivery of healthcare in a rapidly changing healthcare arena.

1

Organised by L&L committee members. All suggestions by nurses interested in presenting at L&L are welcomeand please contact a committee member if further information required.

It is optimal / advisable to arrive 10 minutes early to facilitate time to sign inand obtain beverage and food.

These sessions were held on the last Tuesday of each month

The importance of a safe, effective, quality service in response to patient need cannot be overemphasised. Here at Cork University Hospital a new Initiative “LUNCH & LEARN” was launched on Tuesday the 26th of January 2016.

This involves four nurses over the course of an hour divided into two 30 minute sessions delivering presentations on research which they have conducted. The impetus of Lunch & Learn is to provide a forumwherebynurses candisseminate their findings to awider audience thus influencing theaudience’sknowledge.Itishopedthatthiswillpositivelyinfluencepatientcareandmotivatecolleaguesto undertake further education.

These sessions are held on the last Tuesday of each month excluding July & August in the Oncology ConferenceRoomonthefirstfloorbytheDunmanwayDayUnit.Lunchisfreeforthosewhoattend.Booking via email to [email protected] by 17.00 on the Thursday prior to the event is necessary. There are only 40 places available for each session (13.00-13.30 & 13.30-14.00) hence early booking is essential. It is necessary to arrive 10 minutes prior to each session to facilitate time to sign in and obtain beverage and food.

This is a hugely positive step for nursing at Cork University Hospital. Quality, safety, research and evidence-based care are fundamental building blocks of a modern health system. Nurses and midwives have a key role in the delivery of healthcare in a rapidly changing healthcare arena.

1

The importance of a safe, effective, quality service in response to patient need cannot be overemphasised. Here at Cork University Hospital a new Initiative “LUNCH & LEARN” was launched on Tuesday the 26th of January 2016.

This involves four nurses over the course of an hour divided into two 30 minute sessions delivering presentations on research which they have conducted. The impetus of Lunch & Learn is to provide a forumwherebynurses candisseminate their findings to awider audience thus influencing theaudience’sknowledge.Itishopedthatthiswillpositivelyinfluencepatientcareandmotivatecolleaguesto undertake further education.

These sessions are held on the last Tuesday of each month excluding July & August in the Oncology ConferenceRoomonthefirstfloorbytheDunmanwayDayUnit.Lunchisfreeforthosewhoattend.Booking via email to [email protected] by 17.00 on the Thursday prior to the event is necessary. There are only 40 places available for each session (13.00-13.30 & 13.30-14.00) hence early booking is essential. It is necessary to arrive 10 minutes prior to each session to facilitate time to sign in and obtain beverage and food.

This is a hugely positive step for nursing at Cork University Hospital. Quality, safety, research and evidence-based care are fundamental building blocks of a modern health system. Nurses and midwives have a key role in the delivery of healthcare in a rapidly changing healthcare arena.

1

This involves three or four nurses over the course of an hour divided into two 30 minute sessions delivering presentations on research which they have conducted, information on their role, department or specialised care innovation. The impetus of Lunch & Learn is to provide a forum whereby nurses can disseminate their findings to a wider audience thus influencing the audience’s knowledge. It is hoped that this will positively influence patient care and motivate colleagues to undertake further education.

The importance of a safe, effective, quality service in response to patient need cannot be overemphasised. Here at Cork University Hospital a new Initiative “LUNCH & LEARN” was launched on Tuesday the 26th of January 2016.

This involves four nurses over the course of an hour divided into two 30 minute sessions delivering presentations on research which they have conducted. The impetus of Lunch & Learn is to provide a forumwherebynurses candisseminate their findings to awider audience thus influencing theaudience’sknowledge.Itishopedthatthiswillpositivelyinfluencepatientcareandmotivatecolleaguesto undertake further education.

These sessions are held on the last Tuesday of each month excluding July & August in the Oncology ConferenceRoomonthefirstfloorbytheDunmanwayDayUnit.Lunchisfreeforthosewhoattend.Booking via email to [email protected] by 17.00 on the Thursday prior to the event is necessary. There are only 40 places available for each session (13.00-13.30 & 13.30-14.00) hence early booking is essential. It is necessary to arrive 10 minutes prior to each session to facilitate time to sign in and obtain beverage and food.

This is a hugely positive step for nursing at Cork University Hospital. Quality, safety, research and evidence-based care are fundamental building blocks of a modern health system. Nurses and midwives have a key role in the delivery of healthcare in a rapidly changing healthcare arena.

1

Organised by L&L committee members. All suggestions by nurses interested in presenting at L&L are welcomeand please contact a committee member if further information required.

It is optimal / advisable to arrive 10 minutes early to facilitate time to sign inand obtain beverage and food.

These sessions were held on the last Tuesday of each month

Take Home Messages from 2016 Lunch and Learn Presentations

Diarmuid Nolan -‘Microsystems: Managing Change’1. Include as many disciplines as possible at the start2. Start by looking at all issues that affect patients and staff, then pick one to change .3. The smallest change can take a lot of effort patience is required .

Geraldine Otway in Pre Admission Assessment CUH.1. We aim to use a friendly, efficient, standardised and supportive approach to assessing pts seen in advance of elective surgery2. We aim to improve patient flow by liaising with the patients health care providers including GP’s, nursing homes, hospitals, nurse specialists and Day of Surgery Unit etc. 3. We aim to build networks with other services and departments to streamline pt’s journey and enhance pt safety from admission (especially vulnerable persons) from admission to discharge

Stephanie Mulcair- on the New Primary Childhood Immunisation Schedule1. The Primary Childhood Immunisation Schedule has changed for babies born on or after the 01st October 2016 with the addition of Meningococcal B and Rotavirus vaccines. These vaccines are given at two and four months of age to protect babies as early as possible from these diseases.

Age Vaccination

2. Immunisation is a simple safe and effective way of protecting people against harmful disease before they come into contact with them in the community. The risks from having these diseases are far greater than the risk of any minor side effects from the immunisation. Immunisation not only protects individuals, but also others in the community by reducing the spread of disease.

3. Influenza vaccine is highly recommended for children >6months of age and adults in at risk groups (ie. Chronic illness, immunosuppression, neurodevelopment disorders see list in immunisation guidelines). Influenza vaccine is also advised for Health care professionals both for their own protection and for the protection of patients who may have a suboptimal response to influenza vaccinations, household contacts of at risk persons, and out of home care givers to at risk persons, and pregnant women who are at increased risk of complications from influenza - it is not a live vaccine and very safe in pregnancy. (ref : immunisation guidelines for Ireland 2016).

2months 6:1+PCV+MenB+Rotavirus(3injectionsandoraldrops)4months 6:1+MenB+Rotavirus(2injectionsandoraldrops)6months 6:1+PCV+MenC(3injections) Norotavirusvaccineonorafter8months0days.12months MMR+MenB(2injections)13months Hib/MenC+PCV(2injections)

2

DiarmuiD NolaN - (CNm3 ED) -‘Microsystems: Managing Change’

GEralDiNE otway - (CNm2 Preassessment Clinic) - Preassessment in CUH

StEPhaNiE mulCair - The New Primary Childhood Immunisation Schedule

Take Home Messages from 2016 Lunch and Learn Presentations

Diarmuid Nolan -‘Microsystems: Managing Change’1. Include as many disciplines as possible at the start2. Start by looking at all issues that affect patients and staff, then pick one to change .3. The smallest change can take a lot of effort patience is required .

Geraldine Otway in Pre Admission Assessment CUH.1. We aim to use a friendly, efficient, standardised and supportive approach to assessing pts seen in advance of elective surgery2. We aim to improve patient flow by liaising with the patients health care providers including GP’s, nursing homes, hospitals, nurse specialists and Day of Surgery Unit etc. 3. We aim to build networks with other services and departments to streamline pt’s journey and enhance pt safety from admission (especially vulnerable persons) from admission to discharge

Stephanie Mulcair- on the New Primary Childhood Immunisation Schedule1. The Primary Childhood Immunisation Schedule has changed for babies born on or after the 01st October 2016 with the addition of Meningococcal B and Rotavirus vaccines. These vaccines are given at two and four months of age to protect babies as early as possible from these diseases.

Age Vaccination

2. Immunisation is a simple safe and effective way of protecting people against harmful disease before they come into contact with them in the community. The risks from having these diseases are far greater than the risk of any minor side effects from the immunisation. Immunisation not only protects individuals, but also others in the community by reducing the spread of disease.

3. Influenza vaccine is highly recommended for children >6months of age and adults in at risk groups (ie. Chronic illness, immunosuppression, neurodevelopment disorders see list in immunisation guidelines). Influenza vaccine is also advised for Health care professionals both for their own protection and for the protection of patients who may have a suboptimal response to influenza vaccinations, household contacts of at risk persons, and out of home care givers to at risk persons, and pregnant women who are at increased risk of complications from influenza - it is not a live vaccine and very safe in pregnancy. (ref : immunisation guidelines for Ireland 2016).

2months 6:1+PCV+MenB+Rotavirus(3injectionsandoraldrops)4months 6:1+MenB+Rotavirus(2injectionsandoraldrops)6months 6:1+PCV+MenC(3injections) Norotavirusvaccineonorafter8months0days.12months MMR+MenB(2injections)13months Hib/MenC+PCV(2injections)

2

DiarmuiD NolaN - (CNm3 ED) -‘Microsystems: Managing Change’

GEralDiNE otway - (CNm2 Preassessment Clinic) - Preassessment in CUH

StEPhaNiE mulCair - The New Primary Childhood Immunisation ScheduleSTEPHANIE MULCAIR - (CNM2 Immunisation Paediatrics) -The New Primary Childhood Immunisation Schedule

DIARMUID NOLAN - (Clinical Facilitator ED) - ‘Microsystems: Managing Change’

Karen Casey – CNM2 – GA Neruo WardNeurological Observations

THE GLASGOW COMA SCALE

The Glasgow coma scale assesses the level of consciousness, thereby the cerebral hemispheres, cranial nerves and certain functions in the medulla and spinal cord.The scale provides an indication of overall brain dysfunction and can detect changes in clinical features which would indicate an increasing in intracranial pressure.

Aine Herlihy – Body Image post Bone Marrow Transplant1. Body image concerns following bone marrow transplant was a real concern for a large proportion of the participants of this study. 2. Female participants, those aged between 17 -30 years old at the time of bone marrow transplant and those diagnosed with graft versus host disease had the greatest body image distress.3. Altered body image did not improve with time and remained a issue for some of the participants of this study for up to 5 years after their bone marrow transplant affecting their physical, psychological and sociological well being.

Eilish Hawe- Nurse Prescribing is it for you? Benefi ts and Barriers1. Nurseprescribingrepresentsasignificantexpansionintheroleofanurseormidwife.2. Therearemanybenefitstobecomingaprescriberbuttherearealsochallengesandbarriersfor potential prescribers.3. Future changes aim to simplify the process of registering and maintaining prescriptive authority and expand the remit of prescribers.

3

KarEN CaSEy - (CNm2 Ga Neuro) - Neurological Observations

aiNE hErlihy - (rGN 2D) - Body Image Post Transplant

EiliSh hawE - (CPC) - Nurse Prescribing is it for you? Benefits and Barriers

Sinead Power- The Role of the Irish Cancer Society Daffodil Centre CUH. 1. Free,confidentialservice,noappointmentorreferralnecessary.ThecentreinCUHisstaffedbytwo experiencedOncologyNurses:ColetteGrantandSineadPowerandvolunteerswhohavebeenspecially trained by the Irish Cancer Society.2. The centre provides a wide range of cancer- related , advice, help & support The Centre provides a wide range of cancer- realted information to patients, relatives, staff members and members of the public3. ThetwoDaffodilCentrebasedinCorkUniversityHospitalandBonSecoursHospitalinCorkreceived 4,255 enquires from members of the public during 2016 Since October 2016, the centre has been providing weekly chemo-education sessions to patients and their relatives. To date, 35 patients and relatives have availed of these sessions.

Aine Connolly – Implementing PVC Care Bundles in CUH

Glen Arrigan- Thrombolysis for AIS1. Stroke is a medical emergency2. Time is Brain3. Thrombolysis is proven to work

Peripheral Venous Cannula Care Bundles

=Don’t put them in.=Get them out.=Look after them properly. CUH IV Services for Nursing conference May 2016

1

To Prevent Prevention Infection

Peripheral Venous Cannula Care Bundles Care Bundles

=Don’t put them in.=Get them out.=Look after them properly. CUH IV Services for Nursing conference May 2016

1

To Prevent Prevention Infection

4

To Prevent Infection

SiNEaD PowEr - The Role of the Irish Cancer Society Daffodil Centre CUH.

aiNE CoNNolly - (iV CNm) - Implementing PVC Care Bundles in CUH

GlEN arriGaN - (Stroke CNS) - Thrombolysis for AIS

SINead Power – (Cancer Nurse, daffodil Centre) -The role of Irish Cancer Society daffodil Center CUH

Vicky Baker- Presentation Skills

Claire Costigan – SepsisThe three take away messages for the sepsis talk are.

1. Sepsis is a time dependent medical emergency just like a heart attack or a stroke. Sepsis claims more lives than Lung Cancer, Breast Cancer, Bowel Cancer and HIV/AIDS combined (hse, 2014). Early sepsis recognition reduces progression of disease and improves survival for patients in hospital with sepsis.2. CUH admissions to GICU with severe sepsis and septic shock are 30% on average. This is in line with international averages. All patient care is reviewed on these cases retrospectively to provide a bench marker of the overall treatment and management of sepsis hospital wide. 3. Early treatment compliance with the sepsis bundle elements is leading to higher survival rates. CUH severe sepsis and septic shock survival rates have trended upwards from 40% - 70% since introducing the sepsis six bundle.

Ms Breda Doyle - RGN, HDip Intensive Care, MSc Nursing Breda Doyle was appointed Organ Donor Nurse Manager to the South/South West Hospital Group in 2015. Ms. Doyle previously worked as Clinical Facilitator in Cork University Hospital where she trained as a general nurse graduating in 1999 and continued to work in the surgical service for a number of years before travelling to Australia and working in the Emergency Department. On returning to Ireland Breda specialised in Intensive Care Nursing and completed a HDip in Intensive Care through UCD and subsequently completed an MSc in Nursing in UCC.

OthereducationalachievementsincludeaCertificateinManagementtogetherwithaCertificateinHealthandSafety(UCD). Breda is an active member of the Irish Association of Critical Care Nurses and has presented at a number of national interdisciplinary conferences and meetings. Breda coordinated the Postgraduate nursing students undertaking the HDip in Intensive and Coronary Care in UCC for many years in the clinical setting before undertaking her current role. She has also been a key member in a number of national projects including the establishment of a nationalcompetencyframeworkforauniversityaffiliatedfoundationprogrammeforICUnurses.

As Organ Donor Nurse Manager the main focus is to champion educational strategies in detection of potential organ donors in ICU amongst healthcare professionals, collaborate with the interdisciplinary intensive care team in donor detection, provide clinical advice and support surrounding potential organ donor patient management and provide a local lead for audit of potential organ donors for the South/South West Hospital Group.

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EndwithimpactüCirclebacktointroductiontopullittogetherüReemphasizecoremessageüIncludecontactnumber,mainreference&thanks

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5

ViCKy BaKEr - (Nurse tutor) - Presentation Skills

ClairE CoStiGaN - (Sepsis CNm) - Sepsis

BrEDa DoylE - (organ Donor Nurse manager) - My Role

Sharon Guiry – (Lung Cancer CNS- Living beyond Lung Cancer Treatment)1. Survivorship programme for those after radical Lung Cancer treatment – it’s an important step towards acknowledging the intense distress some experience & improving same2. Areas that should be addressed include, exercise, fatigue management, smoking cessation, shortness of breath management, monetary & legal advice, diet and changes in relationships(emotional, physical and sexual)3. Benefitsinhavingsuchaprogrammeisfeltbyparticipantsandthemultidisciplinaryteamco-ordinatingsame. ( in CUH physio, Irish cancer Society Nurse and CNS)

Margaret Allen (Oncology Clinical Facilitatior)Oncology Nurses ‘Role in Chronic Cancer Pain Management in the Acute Inpatient setting.

1. DevelopmentofOncologyNurseKnowledgeofchroniccancerpain2. There is scope for the expansion of the role of the nurse in chronic cancer pain management 3. ThedevelopmentoftransitionalmultidisciplinaryresearchapproachonChronicCancerPainmanagementin the acute hospital setting 4. Take Home Message The expansion of the role of oncology nurses in the acute inpatient setting is to provide support and education to cancer survivors on how to effectively communicate and manage chronic cancer pain

Deirdre Feehely (Medical ADON-Reducing Recovery Collection Times)

AnnualisedFinancialBenefit

Ward4A- €116,378 peryearbyreducingCollectiontimesby85minutesaweek

OtherWardsreceivingScheduledAdmissionsWard4D,PaediatricWards,Ward4South

PerioperativeWards:4B,DayCases,3B,2B,GANeuro

ImprovedMorale,EmpoweredStaff,Lesstheatrecancellations,

MoretimeforDirectPatientCare

AnnualisedFinancialBenefit

Ward4A- €116,378 peryearbyreducingCollectiontimesby85minutesaweek

OtherWardsreceivingScheduledAdmissionsWard4D,PaediatricWards,Ward4South

PerioperativeWards:4B,DayCases,3B,2B,GANeuro

ImprovedMorale,EmpoweredStaff,Lesstheatrecancellations,

MoretimeforDirectPatientCare

6

SharoN Guiry - (lung Cancer CNS) - Living Beyond Lung Cancer Treatment

DEirDrE FEEhEly - (medical aDoN) - Reducing Recovery Collection Times

marGarEt allEN - (oncology Clinical Facilitator) -Oncology Nurses Role in the Management of Chronic Pain

Sandra Moloney (candidate Advanced Nurse Practitioner for Epilepsy)

Reema M Anthony(CNM 2, 3A - Health care professionl’s and patient’s views in discussing sexualwellbeing post stroke)

� Currently 2 cANP`s (application for 4)� Epilepsy Nurse Advice Line- mid Nov 2014� Newly Diagnosed- 2 wk follow-up� Women/CUMH - 4 week follow-up� Transition patients- 4 week follow-up� VNS Clinic-nurse led� RASC weekly- (waiting times<4weeks)� Education Clinics- individ & groups� EMU-opened Jan 2015� Outreach Clinics-ongoing

� Currently 2 cANP`s (application for 4)� Epilepsy Nurse Advice Line- mid Nov 2014� Newly Diagnosed- 2 wk follow-up� Women/CUMH - 4 week follow-up� Transition patients- 4 week follow-up� VNS Clinic-nurse led� RASC weekly- (waiting times<4weeks)� Education Clinics- individ & groups� EMU-opened Jan 2015� Outreach Clinics-ongoing

Some HCPs lack motivation, ownership and the confidence and skills to raise sexual wellbeing routinely after stroke, potentially resulting in a sub-optimal experience for their patients.

Normalization of the inclusion of sensitive topics in discussions post-stroke does not seem to need enormous structural changes; rather, simple changes such as information provision and acknowledgement of the issue in standard care policies. The experiences reported by professionals in this study suggest that such policies require attention now. The factors affecting HCPs to discuss sexual wellbeing with patients are variability and complexity.

However, cultural influences and societal values play a substantial role .But by introducing an adequate education programme in regards to sexual health would help to change the complexity of discussing sexuality with our patient's post stroke.

“Let us help our patients to rehab to their fullest level which makes them feel to worthy to live.”

Some HCPs lack motivation, ownership and the confidence and skills to raise sexual wellbeing routinely after stroke, potentially resulting in a sub-optimal experience for their patients.

Normalization of the inclusion of sensitive topics in discussions post-stroke does not seem to need enormous structural changes; rather, simple changes such as information provision and acknowledgement of the issue in standard care policies. The experiences reported by professionals in this study suggest that such policies require attention now. The factors affecting HCPs to discuss sexual wellbeing with patients are variability and complexity.

However, cultural influences and societal values play a substantial role .But by introducing an adequate education programme in regards to sexual health would help to change the complexity of discussing sexuality with our patient's post stroke.

“LLLLeeeetttttt uuuussssss hhhheeeellpppp oooouuuurrrr ppppaaaaaattttttiieeeennnnttttttssssss to rehab to their fullest level which makestttttttttttttthhhhhhhhhheeeeeeeeeeeeeemmmmmmmmmmm ffffffeeeeeel to worthy to livvvvvve.”

Some HCPs lack motivation, ownership and the confidence and skills to

7

(CNM 2, 3A - Health care professional’s and patient’s views in discussing sexual wellbeing post stroke)

SaNDra moloNEy - (Candidate Epilepsy aNP) - The Role of the Candidate Epilepsy ANP

rEEma athoNy - (CNm2 3a) -Health care professional’s and patient’s views in discussing sexual wellbeing post stroke

Sandra Moloney (candidate Advanced Nurse Practitioner for Epilepsy)

Reema M Anthony(CNM 2, 3A - Health care professionl’s and patient’s views in discussing sexualwellbeing post stroke)

� Currently 2 cANP`s (application for 4)� Epilepsy Nurse Advice Line- mid Nov 2014� Newly Diagnosed- 2 wk follow-up� Women/CUMH - 4 week follow-up� Transition patients- 4 week follow-up� VNS Clinic-nurse led� RASC weekly- (waiting times<4weeks)� Education Clinics- individ & groups� EMU-opened Jan 2015� Outreach Clinics-ongoing

� -

Some HCPs lack motivation, ownership and the confidence and skills to raise sexual wellbeing routinely after stroke, potentially resulting in a sub-optimal experience for their patients.

Normalization of the inclusion of sensitive topics in discussions post-stroke does not seem to need enormous structural changes; rather, simple changes such as information provision and acknowledgement of the issue in standard care policies. The experiences reported by professionals in this study suggest that such policies require attention now. The factors affecting HCPs to discuss sexual wellbeing with patients are variability and complexity.

However, cultural influences and societal values play a substantial role .But by introducing an adequate education programme in regards to sexual health would help to change the complexity of discussing sexuality with our patient's post stroke.

“Let us help our patients to rehab to their fullest level which makes them feel to worthy to live.”

Some HCPs lack motivation, ownership and the confidence and skills to raise sexual wellbeing routinely after stroke, potentially resulting in a sub-optimal experience for their patients.

Normalization of the inclusion of sensitive topics in discussions post-stroke does not seem to need enormous structural changes; rather, simple changes such as information provision and acknowledgement of the issue in standard care policies. The experiences reported by professionals in this study suggest that such policies require attention now. The factors affecting HCPs to discuss sexual wellbeing with patients are variability and complexity.

However, cultural influences and societal values play a substantial role .But by introducing an adequate education programme in regards to sexual health would help to change the complexity of discussing sexuality with our patient's post stroke.

“LLLLeeeetttttt uuuussssss hhhheeeellpppp oooouuuurrrr ppppaaaaaattttttiieeeennnnttttttssssss to rehab to their fullest level which makestttttttttttttthhhhhhhhhheeeeeeeeeeeeeemmmmmmmmmmm ffffffeeeeeel to worthy to livvvvvve.”

Some HCPs lack motivation, ownership and the confidence and skills to

7

Elizabeth Murphy CNS - HIV Screening

May Collins - RGN - Dialysis. Withdrawal from Dialysis, the Ethical Perspective

8

Solutions:

Gp test all registered patients?Screen all patients with relevant symptoms in ED on wardsRemember to use 4th generation HIC test to get a window period of 1 month and to repeat the test 1 month later without risky behaviour for that month.

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PBE model used a framework in an attempt to resolve the dilemma.Highlighted pricnciples of autonomy and benefi cence; enabling negotiation between them.Autonomy - informed consent and capacity.Benefi cence - benefi ts and burden of treatment.Importance of ongoing, good communication and information.PBE model demonstrates how it is possible to objectively negotiate solutions while keeping the patient at the centre of all decision making.

ElizaBEth murPhy - (hiV CNS) - HIV Screening

may ColliNS - (rGN Dialysis) - Withdrawal from Dialysis, the Ethical Perspective

AIDEEN SMITH RGN Dunmanway Day Unit, PRE-ASSESSMENT CLINIC

Jennifer Delaney, Acting Resuscitation Offi cerThe Importance of Emergency Checklists

OUTCOME

l For the Organisation:l 1. Increased daily patient capacityl 2. Improved/increased MDT approachl 3. Improved chemo-pharmacy

efficiency & cost-containment

OUTCOME

l For the Organisation:l 1. Increased daily patient capacityl 2. Improved/increased MDT approachl 3. Improved chemo-pharmacy

efficiency & cost-containment

} Less panic} Better team dynamics} Better stocked resuscitation trolleys} Increased staff knowledge of the steps of

dealing with a cardiac arrest } Increased staff confidence} BETTER QUALITY OF PATIENT CARE

} Less panic} Better team dynamics} Better stocked resuscitation trolleys} Increased staff knowledge of the steps of

dealing with a cardiac arrest } Increased staff confidence} BETTER QUALITY OF PATIENT CARE

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aiDEEN Smith - (rGN Dunmanway Day unit) - Preassessment Clinic

JENNiFEr DElaNEy - (Resuscitation Officer) - The Importance of Emergency Checklists

Nicola Perry CNM 2, 3 D- Nursing Care of Heart Failure Patient

Teresa O’Neill Renal CNS

OtherremediesBiventricularpacemakertorecoordinate theactionofthe

rightandleftventriclesinasituationlikeLBBBAsynchronygreatlyreducestheefficiencyoftheheartin

patientswithheartfailure.Coordinatingthetwoventriclesincreasesthehearts

efficiency.Differenttothenormalpacemakerasitonlypacestheright

ventricle.

SurgeryAndFinally

Regularechos,toadjustmedsandcheckprogress

PreservingRenalFunction• ForpatientswithChronicKidneyDisease

(CKD),bealerttorisksofworseningkidneyfunctioninacutelyillpatients.

• Medications:Doseadjustmentofmedicationse.g.reducingB/PmedsorstoppingACEi/ARBmayberequired.Stop/avoiduseofnephrotoxic meds

• CautioususeofContrastdyeforinvestigations• Avoid/treatdehydration

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NiCola PErry - (CNm2 3D) - Nursing Care of a Heart Failure Patient

tErESa o NEill - (renal CNS) - Preserving Renal Function

Gaye Monahan - Smoking Cessation CounsellorHelping the Health Profession with the Patient who Smokes1. 7 out of 10 smokers wish to quit. 2. Smokers are three times more likely to quit when prompted by two or more Health Professionals.3. Smokers are twice as likely to quit when they use the NRT and four times more likely to quit when they use the NRT and the smoking cessation service.

Alice Madden CNS Urology Nurse Led LUTS (Lower Urinary Tract Symptoms) Assessment ClinicBenefits of a Nurse Led LUTS Assessment Clinic1. Partnership in care between the patient, GP and urology department2. Improved communication 3. Shorter waiting times4. Seamless, improved continuity of care 5. Reduced stress and trauma to patient

Anju Menon Staff Nurse 4 AUrinary Catheter Care Bundle in the Prevention of CAUTI

1. A Care Bundle is a simple tool used to improve reliability in care delivery 2. In relation to Urinary Catheter – Points to remember :3. Don’t put them in unless clinically indicated4. Look after them properly5. Get them out ASAP

Emma Bolger- Haemtology /Oncology Transplant CoordinatorTour of Stem Cell/Bone Marrow Tranplantation

STEMCELL/BONEMARROWTRANSPLANTS

STATISTICSFOR2016sofar……..AUTOSWORKEDUP- 17• A/WHarvest- 3• Harvested– 18• Transplanted– 16ALLOSWORKEDUP- 17• Transplanted– 14• A/WTransplant– 2(5th Decand15th Dec)• RelapsedbeforeTransplant–1• RelapsedafterTransplant- 3• RIP- 3

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STEM CELL / BONE MARROWTRANSPLANTS

STATISTICS FOR 2016 so far ......

AUTOS WORKED UP - 17 A/W Harvest - 3 Harvested - 18 Transplanted - 16

ALLOS WORKED UP - 17 Transplanted - 14 A/W Transplant - 2 (5th Dec and 15th Dec) Relapsed before Transplant - 1 Relapsed after Transplant - 3 RIP - 3

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Haematology

GayE moyNihaN - (Smoking Cessation Counsellor) -Helping the Health Profession with the Patient who Smokes

aliCE maDDEN - (CNS urology) -Nurse Led Lower Urinary Tract Symptoms Assessment Clinic

aNJu mENoN - (rGN 3a) - Urinary Catheter Care Bundle in the Prevention of CAUTI

Emma BolGEr - (haematology/oncology transplant Coordinator) -Tour of Stem Cell/Bone Marrow Transplantation

Gaye Monahan - Smoking Cessation CounsellorHelping the Health Profession with the Patient who Smokes1. 7 out of 10 smokers wish to quit. 2. Smokers are three times more likely to quit when prompted by two or more Health Professionals.3. Smokers are twice as likely to quit when they use the NRT and four times more likely to quit when they use the NRT and the smoking cessation service.

Alice Madden CNS Urology Nurse Led LUTS (Lower Urinary Tract Symptoms) Assessment ClinicBenefits of a Nurse Led LUTS Assessment Clinic1. Partnership in care between the patient, GP and urology department2. Improved communication 3. Shorter waiting times4. Seamless, improved continuity of care 5. Reduced stress and trauma to patient

Anju Menon Staff Nurse 4 AUrinary Catheter Care Bundle in the Prevention of CAUTI

1. A Care Bundle is a simple tool used to improve reliability in care delivery 2. In relation to Urinary Catheter – Points to remember :3. Don’t put them in unless clinically indicated4. Look after them properly5. Get them out ASAP

Emma Bolger- Haemtology /Oncology Transplant CoordinatorTour of Stem Cell/Bone Marrow Tranplantation

STEMCELL/BONEMARROWTRANSPLANTS

STATISTICSFOR2016sofar……..AUTOSWORKEDUP- 17• A/WHarvest- 3• Harvested– 18• Transplanted– 16ALLOSWORKEDUP- 17• Transplanted– 14• A/WTransplant– 2(5th Decand15th Dec)• RelapsedbeforeTransplant–1• RelapsedafterTransplant- 3• RIP- 3

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STEM CELL / BONE MARROWTRANSPLANTS

STATISTICS FOR 2016 so far ......

AUTOS WORKED UP - 17 A/W Harvest - 3 Harvested - 18 Transplanted - 16

ALLOS WORKED UP - 17 Transplanted - 14 A/W Transplant - 2 (5th Dec and 15th Dec) Relapsed before Transplant - 1 Relapsed after Transplant - 3 RIP - 3

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Haematology

GayE moyNihaN - (Smoking Cessation Counsellor) -Helping the Health Profession with the Patient who Smokes

aliCE maDDEN - (CNS urology) -Nurse Led Lower Urinary Tract Symptoms Assessment Clinic

aNJu mENoN - (rGN 3a) - Urinary Catheter Care Bundle in the Prevention of CAUTI

Emma BolGEr - (haematology/oncology transplant Coordinator) -Tour of Stem Cell/Bone Marrow Transplantation

CAROLINE COstELLOE – (RGN 3B)Postop Pain Assessment and Delirium in the Orthopaedic Patient

PAt MCCLUskEy – (Wound Care ANP)Heel Pressure Prevention (no PPP)

1. Delirium is characterised as an acute fluctuating onset of confusion, disturbances of attention, disorganised thinking and/or changes in level of consciousness.2. PRISM-M is an assessment tool used to discover the root cause of delirium.

P- painR- rentention of urine or constipationI- infection or immobility S- sleep disturbanceM- metal imbalance or medication E- environmental changes

3. Pain assessment is often difficult in the patient that is suffering from delirium.Pain assessment techniques include: - obtain self-report - search for potential causes of pain - observe patients behaviour - proxy reporting of pain status - an analgesic test dose.

Research has shown that pain is often under-assessed. Assessment tools include: - visual analogue scale - present pain intensity index from the McGill Questionnaire - numerical rating scale - pain assessment in advanced dementia.

l Comprehensive assessment of the patient and their wound(s) is the cornerstoneof wound management

l All patients with open wounds healing by secondary intention must have an openwound assessment chart commenced at first assessment

l Referral to the wound care CNS or ANP should be considered only if the patients woundis not progressing and when the assessment is complete & care plan enacted & documented.

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Gaye Monahan - Smoking Cessation CounsellorHelping the Health Profession with the Patient who Smokes1. 7 out of 10 smokers wish to quit. 2. Smokers are three times more likely to quit when prompted by two or more Health Professionals.3. Smokers are twice as likely to quit when they use the NRT and four times more likely to quit when they use the NRT and the smoking cessation service.

Alice Madden CNS Urology Nurse Led LUTS (Lower Urinary Tract Symptoms) Assessment ClinicBenefits of a Nurse Led LUTS Assessment Clinic1. Partnership in care between the patient, GP and urology department2. Improved communication 3. Shorter waiting times4. Seamless, improved continuity of care 5. Reduced stress and trauma to patient

Anju Menon Staff Nurse 4 AUrinary Catheter Care Bundle in the Prevention of CAUTI

1. A Care Bundle is a simple tool used to improve reliability in care delivery 2. In relation to Urinary Catheter – Points to remember :3. Don’t put them in unless clinically indicated4. Look after them properly5. Get them out ASAP

Emma Bolger- Haemtology /Oncology Transplant CoordinatorTour of Stem Cell/Bone Marrow Tranplantation

STEMCELL/BONEMARROWTRANSPLANTS

STATISTICSFOR2016sofar……..AUTOSWORKEDUP- 17• A/WHarvest- 3• Harvested– 18• Transplanted– 16ALLOSWORKEDUP- 17• Transplanted– 14• A/WTransplant– 2(5th Decand15th Dec)• RelapsedbeforeTransplant–1• RelapsedafterTransplant- 3• RIP- 3

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STEM CELL / BONE MARROWTRANSPLANTS

STATISTICS FOR 2016 so far ......

AUTOS WORKED UP - 17 A/W Harvest - 3 Harvested - 18 Transplanted - 16

ALLOS WORKED UP - 17 Transplanted - 14 A/W Transplant - 2 (5th Dec and 15th Dec) Relapsed before Transplant - 1 Relapsed after Transplant - 3 RIP - 3

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GayE moyNihaN - (Smoking Cessation Counsellor) -Helping the Health Profession with the Patient who Smokes

aliCE maDDEN - (CNS urology) -Nurse Led Lower Urinary Tract Symptoms Assessment Clinic

aNJu mENoN - (rGN 3a) - Urinary Catheter Care Bundle in the Prevention of CAUTI

Emma BolGEr - (haematology/oncology transplant Coordinator) -Tour of Stem Cell/Bone Marrow Transplantation

Caitriona o’Leary – (Anticoagulant CNM2)The Role of the anticoagulant clinics in the management of patients onnon-vitamin K oral anticoagulants (NOACs)

Caitriona o’Leary – (Anticoagulant CNM2)Hospital Acquired Thrombosis (HAT)

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A review of NOACs1. New era in anticoagulation with the introduction of non-vitamin K antagonist oral anticoagulants (NOAC)l Rapid onset of actionl Shorter half lifel Limited drug-drug interactionsl Fixed dosing regimenl No known food interactionsl Predictable anticoagulant effectl No monitoring requiredl No need for frequent dose adjustment

2. Each NOAC has a different dosing regimen depending on therapeutic indication (DVT, Afib). Refer to (summary of product characteristics) SPC for guidelines.

3. Patient education is vital to ensure patients understand their dose in structions on discharge. Re-emphasis the importance of not missing a dose.

1. Hospital Acquired Thrombosis (HAT) is any VTE that occurs during hospitalisation or 90 days after discharge.

2. Hospital-acquired VTE accounts for 2/3 of all VTE and more than 25,000 deaths annually due to HAT (UK). HAT is the most common preventable cause of hospital deaths (PE 10 - 15% of hospital deaths). More people die from VTE than breast cancer, HIV and road traffic accidents combined

3. CUH is currently implementing a new policy for prevention of HAT. As part of this, risk assessment of the patients risk of VTE should be completed within 24hrs of admission and prescription of appropriate thromboprophylaxis if indicated. Know your patient that is at high risk of VTE and take action to prevent it. Patient education about risks, early mobilisation, adequate hydration administration of LMWH and appropriate fitting of TEDs/ Intermittent Pneumatic Compression devices if indicated are a number of ways in which nurses can help prevent VTE on the wards.

Gaye Monahan - Smoking Cessation CounsellorHelping the Health Profession with the Patient who Smokes1. 7 out of 10 smokers wish to quit. 2. Smokers are three times more likely to quit when prompted by two or more Health Professionals.3. Smokers are twice as likely to quit when they use the NRT and four times more likely to quit when they use the NRT and the smoking cessation service.

Alice Madden CNS Urology Nurse Led LUTS (Lower Urinary Tract Symptoms) Assessment ClinicBenefits of a Nurse Led LUTS Assessment Clinic1. Partnership in care between the patient, GP and urology department2. Improved communication 3. Shorter waiting times4. Seamless, improved continuity of care 5. Reduced stress and trauma to patient

Anju Menon Staff Nurse 4 AUrinary Catheter Care Bundle in the Prevention of CAUTI

1. A Care Bundle is a simple tool used to improve reliability in care delivery 2. In relation to Urinary Catheter – Points to remember :3. Don’t put them in unless clinically indicated4. Look after them properly5. Get them out ASAP

Emma Bolger- Haemtology /Oncology Transplant CoordinatorTour of Stem Cell/Bone Marrow Tranplantation

STEMCELL/BONEMARROWTRANSPLANTS

STATISTICSFOR2016sofar……..AUTOSWORKEDUP- 17• A/WHarvest- 3• Harvested– 18• Transplanted– 16ALLOSWORKEDUP- 17• Transplanted– 14• A/WTransplant– 2(5th Decand15th Dec)• RelapsedbeforeTransplant–1• RelapsedafterTransplant- 3• RIP- 3

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STEM CELL / BONE MARROWTRANSPLANTS

STATISTICS FOR 2016 so far ......

AUTOS WORKED UP - 17 A/W Harvest - 3 Harvested - 18 Transplanted - 16

ALLOS WORKED UP - 17 Transplanted - 14 A/W Transplant - 2 (5th Dec and 15th Dec) Relapsed before Transplant - 1 Relapsed after Transplant - 3 RIP - 3

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Haematology

GayE moyNihaN - (Smoking Cessation Counsellor) -Helping the Health Profession with the Patient who Smokes

aliCE maDDEN - (CNS urology) -Nurse Led Lower Urinary Tract Symptoms Assessment Clinic

aNJu mENoN - (rGN 3a) - Urinary Catheter Care Bundle in the Prevention of CAUTI

Emma BolGEr - (haematology/oncology transplant Coordinator) -Tour of Stem Cell/Bone Marrow Transplantation

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OTHER CONTRIBUTORS:

EthNa MittEN - Neurology CNS -

Nurses Knowledge and Perception of Neurological Nursing (POStER)

GERRy allEN - Cardiac aNP – Cardiac Issues

ZOE COuGhlaN - RGN GBR – Ethics and Sedation in Palliative Care

DElPhiNE GOulDiNG - Epilepsy Candidate aNP – Epilepsy

CathERiNE MCGONaGlE - CNS- Pain Management - Pain Management

lOuiSE MuRPhy - RGN Ga Neuro - Early Warning Score

aNN MuRPhy - Colorectal aNP - Colorectal Case Study

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The continued support of our sponsors in providing catering is appreciated.

LUNCH & LEARN Takes place on the last Tuesday of every month in theOncology conference room, Dunmanway Day unit

contact [email protected] if you’reinterested in presenting in future.