9:00am - Commencement of Day Two
Onus of Responsibility for CPD and Patient Outcomes
There is a continuous debate about who is responsible for CPD. Is it your responsibility or that of the organisation in which you work? This session will review accountability and APHRA guidelines for continuing professional development. It will illustrate this point with two cases associated with inappropriate nursing actions that resulted in excruciating pain and death. It includes:
Case Scenario 1
- A patient suffered a neurological incident and later experienced excruciating pain, but was not reviewed by a medical practitioner until 7 days later.
Case Scenario 2
- A man in a correctional centre complained of generalised epigastric and chest discomfort. He was assessed by a nurse who made treatment decisions. The man subsequently died.
Failing to Use Best-Available Evidence – What Are Your Risks?
As best-practice evidence emerges there are benchmarks from which legal precedents can be determined. It is the responsibility of nurses to ensure that they are following best-practice guidelines when providing care. However, “old practices” are still routinely followed despite their efficacy being no longer proven. This session will look at responsibility and accountability within the context of a case study. It includes:
- Why is it legally advisable for entrenched, unexamined rituals to be replaced by evidence-based practice?
- How do you ensure legal protection through the application of clinical research findings?
- When adverse events occur, does the use of habitual clinical routines constitute a legal defence?
10:30am - Morning Tea
Consent and Refusal of Treatment Across the Lifespan
The process of rightfully obtaining consent is an area of the Law that nurses will often be exposed to. For accountability and safety of practice, nurses must be clear as to what constitutes consent and the circumstances upon which a person is able to make an informed decision to refuse treatment. Having a clear understanding of your patient's rights in consenting and refusing treatment will also support your role as a patient advocate when you witness another member of the healthcare team who is not honouring this patient’s right. Therefore, this session is designed to help you come away feeling confident in your knowledge of this legal aspect of your care and ready to apply this knowledge in your practice. Case scenarios of poor consenting practices will be discussed to demonstrate what exactly is consent and how refusal of treatment can change across the lifespan, with focus on these particular areas:
- Aged Care
- Mental Health
12:30pm - Lunch and Networking
Medicines - Are You Safe?
One of the most common areas of clinical risk relates to the administration of medicines. Knowledge of the legislation that governs medication management is essential for the delivery of appropriate and safe care to patients. In this session, illustrative examples will be used to demonstrate how the safe practice of medicines is interpreted as law and the appropriate actions you need to take if something untoward occurs. It will also include:
- Should you administer medicines if you don't know how they work?
- Are you regularly accessing correct and up-to-date information?
- What are your legal risks in failing to identify inappropriate prescription orders and errors?
- “Medicine Diversion” – what do you do if you suspect misuse of medicines by a colleague?
3:00pm - Afternoon Tea and Coffee
Mandatory Reporting - Your Legal Responsibility
There are several mandatory reporting requirements that affect all nurses; for example, the Standard for Mandatory Notification under the National Law Act, as well as for child protection. It includes:
- Do you know what your responsibilities are?
- What should you do if you suspect a health professional is acting in a manner that is unprofessional and high risk?
- What about suspected abuse to those within the workplace, including patients and colleagues?
Summary and Final Questions
4:15pm - Close of Seminar and Evaluations