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Conference - Delivering effective and efficient Pre Operative Assessment  - 2018

Delivering effective and efficient Pre Operative Assessment - 2018

Date: 17/05/2018

Duration: 1 Day
Start Time: 09:50 - End Time: 16:30
CPD Hours: 7

Conference Overview

The conference now in its 5th year is attended by Nurses, Doctors and Allied Health Professionals, Academics and Senior Managers, Training and Development Professionals, Department Heads, Government leads and national organisations who have an interest in developing Pre Operative practice.

Conference Content

Chair - Kirsten Wheeler, Pre-operative Assessment Service Manager, Stockport NHS Foundation Trust and Vice-Chair – North West Preop Network


Virtual high risk anaesthetic clinics

  • Why a Virtual Clinic?
  • Development of a Virtual Clinic
  • Communication strategy - for service users
  • Teaching strategy for Pre-operative Assessment / Same Day Admission Unit Staff
  • Implementation of a Virtual Clinic
  • The success of a Virtual Clinic

Elizabeth Smith, Senior Charge Nurse, Nurse Lead for Pre-operative Assessment NHS Greater Glasgow & Clyde


American Society of Anaesthetists (ASA) classification addendum tool

  • Background to the American Society of Anaesthetists (ASA) classification system
  • Assessors and scoring systems
  • Lees cardiac risk index
  • Cardiac background and assessment of exercise tolerance
  • New York Heart Association (NYHA) functional limitations scale with description of limiting conditions

Diane Wilson, ANP, Pre-operative Assessment, St Helens and Knowlsey Teaching Hospitals NHS Trust


Improving deferred patient pathway

  • Better communication between Pre Assessment Clinic (PAC) and General Practitioners (GP)
  • Improving education between PAC and GPs
  • Sharing of guidelines
  • Patients centred care
  • Pharmacist as part of PAC team

Dr Rona Carmichael, Consultant Anaesthetist, Aberdeen Royal Infirmary, NHS Grampian


Planning together for an integrated approach: Breast surgery early supported discharge pathway

  • Enhancing the patient pathway through multidisciplinary team working to offer breast cancer surgery patients a safe, holistic, patient centred option for reduced length of stay
  • Working together with other services to integrate and deliver better care to the benefit of the patient and the wider organisation
  • Effective pre operative screening of patients for breast cancer surgery to streamline patient access and ensure appropriate pre operative risk management to enhance patient experience
  • Improving services in response to patient feedback and service user experience

Mrs Heather Lennox, Pre Op Assessment Manager, Pre Op Assessment Service, Northern Health and Social Care Trust, Northern Ireland


Paediatric pre-assessment clinic - a ”Seamless” service

  • Nurse led paediatric pre-assessment clinic including consent and heart and lung auscultation
  • Continuity of care, from outpatient to inpatient
  • Change - Service re-designed
  • Staff training and development
  • Pre-assessment clinic audit results

Dee Wilson, Ward Manager, Children’s ENT and Ophthalmology, Royal Victoria Hospital, Belfast Trust, Northern Ireland


Providing a more efficient Obstructive Sleep Apnoea (OSA) diagnostic and treatment service for pre operative patients

  • Patients with untreated / undiagnosed sleep disordered breathing (SDB) are at an increased risk of perioperative and postoperative complications and it is imperative to have a diagnosis prior to decision to proceed with surgery
  • Patients who were considered a high risk of SDB referred back to General Practitioner to arrange investigation and/or treatment, leading to delay in listing for surgery
  • Patient pathway changed to allow these patients to be referred from the Pre-Operative clinic directly to the Department of Respiratory Physiology and Sleep Department
  • Change process implemented after collaboration with key stakeholders
  • Length of delay of listing patient audited pre and post pathway re-design

Julie Sadler, Pre-op Assessment Nurse Practitioner and Michelle Goodlad, Lead Sleep Physiologist, University Hospitals Coventry and Warwickshire NHS Trust


Frailty in the surgical patient

  • Measuring frailty - using models of frailty and measurement tools to identify surgical patients at risk
  • What is the imapct of frailty on surgical outcomes and post operative mortality?
  • How we can modify frailty to reduce risk in this patient group, using a multidisciplinary approach

Kirstwen Wheeler, Pre Operative Assessment Service Manager, Stockport NHS Foundation Trust



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Professionals training professionals

M&K Update Ltd, The Old Bakery, St Johns Steet, Keswick, Cumbria, CAI2 5AS.

Tel: 017687 73030
Fax: 017687 81099

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