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

  1. Outline the general management of various general surgical conditions in the newborn. 
  2. Discuss the challenges of nursing care of neonates with various surgical conditions, e.g. the neonate with abdominal problems.
  3. Understand the procedures required for appropriate neonatal care of the newborn with surgical problems, e.g. wound management, stoma care.
  1. Overview of neonatal abdominal and chest surgical conditions
  2. Preparation to transfer and retrieve surgical infant– Checklists, Briefing, Debriefing
  3. Anticipating & managing perioperative complications.
  4. Management of specific conditions:
    • CPAM, CDH, Airway malformations
    • Gut – NEC, Gastroschisis, Omphalocoele
  5. Managing Perioperative Pain
  6. Live discussion based on storyboard scenarios
  7. 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
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
  • Necrotising enterocolitis
  • Gastroschisis
  • Omphalocoele
  • Other surgical abdomen conditions
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.
  • Congenital Diaphragmatic Hernia
  • Congenital Pulmonary Airway Malformation
  • Tracheoesophageal Fistula
  • Other pulmonary conditions
1030 - 1045 VIRTUAL TEA BREAK
1045 – 1145 STABILISE ME!
Pre- and Post-Operative Nursing Management of the Surgical Neonate
1045 - 1115

Transporting the Surgical Neonate: Briefing, Stabilisation, Retrieval & Debriefing

  • Stabilisation of the neonate pre-operatively prior transfer to surgical centre and prior OT.
  • Retrieval of the neonate post-surgery (from the OT back to the NICU)
  • Briefing & debriefing
DR. HAYMALATHA AP RAJAGAM
Nursing Tutor and Neonatal Nurse,
Institut Latihan Kementerian Kesihatan Malaysia Sultan Azlan Shah
Tanjung Rambutan, Perak
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  
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
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
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
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

  1. define normal and abnormal growth by customised versus population based growth charts;
  2. learn standardised fundal height measurement and referral pathways for further investigation;
  3. understand early and late onset fetal growth restriction and the role of ultrasound and Doppler;
  4. 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
   
  • Customised assessment
  • Fetal size vs growth velocity
 
3 1430 Discussion  
4 1440 Multidisciplinary care pathway Emily Butler, Jason Gardosi  
   
  • Risk assessment
  • Standardised fundal height measurement
 
5 1510 Discussion  
6 1520 Break  
7 1530 Investigation and Management Suresh Seshadri
   
  • Early and late onset fetal growth restriction
  • Ultrasound and Doppler
 
8 1600 Discussion  
9 1610 Implementing fetal growth surveillance Nuzhat Aziz, Pallavi Chandra  
   
  • Challenges and solutions
  • Evaluation in practice
 
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:

  1. What is the problem? Many QI efforts have failed despite best efforts by trying to answer the wrong problem.
  2. 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.
  3. 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:

  1. To understand the principles of RCA
  2. To be able to conduct an effective and systematic RCA when investigating an incident
  3. To develop skills at critical analysis of incidents
  4. 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