Onsite Training

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COURSES DURATION
This program is designed as an update for the registered nurse working in residential care.

The intent of the program is to provide the experienced registered nurse with a comprehensive theoretical review of the assessment and management of acute medical and trauma conditions which may occur in their workplace.

The program encompasses assessment skills, early patient management, and resuscitation theory and practice update.
The aim of this program is to enhance the registered nurse's skill in advanced life support using the Australian Resuscitation Council (ARC) guidelines as a basis for the content of this program, participants will be taken through the theory and practice of basic life support, recognition of life-threatening arrhythmias, medications and the theory and practice of defibrillation skills.

Competency testing of practical and theoretical knowledge is held one month after initial training. Participants are tested in pairs using a lifelike scenario in their own work environment.
This program provides a comprehensive 2 hour update on the latest changes in ARC policy and ALS practice, and is suitable for nurses who have already completed the full initial ALS training. It is usually held prior to annual
This program aims to promote the nurses knowledge and skills in assessing and managing actual or potential airway problems in a variety of clinical situations.

Aspects addressed in this program include; assessment of the airway, differences between the adult and paediatric airway, airway adjuncts and their use, and the nurses role in assisting with endotracheal intubation.
This program explores the incidence, impact and pathophysiology of thoracic injuries.
It encompasses mechanisms of injury, assessment skills and processes and early management of the patient
with a thoracic injury. Oxygenation and the management of underwater seal drainage are included.
The aim of this program is to develop the accuracy and skills of the nurse conducting a physical
assessment and history taking of patients of all ages. Interpretation of findings, significance of results and
early identification of potential nursing problems are also addressed.

Topics within the program include:

  • Cardiopulmonary
  • Abdominal and neurological assessment
  • Age specific assessment
  • History taking
  • Documentation
  • Interpretation of results
  • and practical skills revision
Basic Life Support class size dependent
This program was designed to be used in conjunction with you annual Basic Life Support training.

By completing this program, you will strengthen and refresh your current knowledge of resuscitation methods and procedures.

This program is divided into the following sections:
  • Elements and Processes of Resuscitation.
  • Resuscitation - Infants and Children.
  • Resuscitation - Stoma / Temporary Tracheotomy Patients.

At the end of each section, you will be required to complete a number of assessment questions to test your understanding of resuscitation and Basic Life Support.

Early recognition and management of cardiac conditions including acute myocardial infraction (AMI),
acute pulmonary oedema (APO) and chest pain are vital for patient survival.
This session covers the skills, medications and nursing care required for the initial management of these patients.
This program aims to enhance the nurse's ability to manage the patient undergoing cardiac monitoring
and to achieve quality monitoring outcomes. Areas addressed include:
  • Achieving a quality tracing
  • Recognising life threatening arrhythmias
  • Recording a 12 lead ECG
  • and an introduction to the normal ECG
Many patients present with chest pain. The fundamental issues are:
  • Has the patient had an AMI / unstable angina?
  • Can the patient go home?
A thorough assessment process for differentiating types and causes of chest pain is explored in this session.
The aim of this program is to support the nurse in fulfilling the role of preceptor/clinical educator/support
nurse to undergraduate and newly registered nurses. Aspects addressed within this day include:
  • Roles and responsibilities
  • Creating a positive learning environment
  • Assessment of nursing practice using the Australian Nursing Council Competency Standards for the Registered and Enrolled Nurse
  • Providing feedback and problem solving.
This program is suitable for both Registered and Enrolled Nurses (Division 1 & 2 registered nurses in Victoria)
This pathology test is often poorly understood by the generalist nurse.

Using a simple tool, the interpretation of the results is easily understood at the completion of this session.

The relevance of the findings and the collection process are also covered.
Communication within the health care environment can be challenging and complex.

Messages between the sender and receiver are often complex and are sent under difficult circumstance.

In this program, participants will consider the theory of communication and examine the barriers that exist in their own environment that impact upon the communication process.

Once barriers are identified, the group will consider a range of strategies to enhance communication and create individual action plans to improve their own communication within their work environment.

This program uses a highly interactive approach and is designed for health care employees at any level.

As the technology used to record the 12 lead ECG has evolved, so too have the recommended practices and procedures in recording a 12 lead ECG.

This program outlines current practice in 12 lead ECG recording and includes an introduction to reading the normal ECG.

Further, changes to the ECG caused by Acute Myocardial Infarction, ischemia and conduction defects are discussed, together with the skills required to accurately determine atrial or ventricular rhythms.

This program may be delivered in a number of formats to suit your staff.

E.g. 3 x 6 hr days OR

6 x 3 hour sessions OR otherwise as required.

This program aims to familiarise nurses with the components of the cardiac cycle, rhythm interpretation and recognising the normal and abnormal ECG.

The program is designed as an introductory program for ECG interpretation and is also suitable for the nurse requiring refresher education in basic ECG interpretation.

Topics include:

  • Normal cardiac anatomy and physiology,
  • The normal ECG,
  • The Abnormal ECG,
  • Atrial and Ventricular rhythms,
  • Heart Blocks
  • and recording errors

The concept of customer service is still to be fully embraced by healthcare employees and this program is designed to assist health care staff to appreciate the need for a more customer-focussed approach to care delivery.

In this program participants consider the changing face of health care provision and customer expectations.

The principles of customer service are related to the modern healthcare environment and the factors that have impacted upon customer expectations are explored.

The challenges of meeting customer expectations and ways in which these expectations can be met are discussed using situations identified by participants.

The importance of self-care whilst working in a complex customer service environment is also considered.

This program is suitable for all healthcare staff including clinical, ancillary and administration employees.

Dementia Management As Required
Information coming soon...
Drug administration problems faced by nurses in the clinical setting are rarely 'black and white' and do not always involve drug calculations.

Using a clinical scenario, this program takes participants through an average drug round and requires the participants to recognise subtle examples of safe and unsafe practice in drug administration.

At key points within the scenario, we briefly review the theory behind safe practice.

Areas considered include; laws governing drug administration, the 5 Rights, unclear orders, drug errors, limitations in practice and drug calculations.

Participants may find the program confronting at times as we challenge nurses to reflect upon unsafe practices that may have become common within

Aim and Objectives

The aim of this program is to assist the registered nurse to maintain and demonstrate theoretical knowledge related to safe practice in drug administration.

At the completion of this program participants will demonstrate the ability to:

  • Identify unsafe drug administration practices.
  • Relate the five rights of drug administration to clinical examples.
  • Nominate appropriate action when drug orders are unclear.
  • Calculate accurate drug dosages using appropriate formulae.
  • Reflect upon own practices in drug administration.
This program is designed for experienced registered nurses and therefore recognises fundamental knowledge the experienced nurse brings to the learning environment.

We present this program using a clinical scenario that will require the participants to recognise safe and unsafe practice. The scenario may be confronting at times as we challenge the participants to reflect upon unsafe practices that may have become common within their work environment.

Drug calculations are often the primary focus of medication administration updates and competency assessments. Although extremely important, the ability to calculate medication doses accurately is but one of a multitude of factors that lead to safe practice in medication administration. The drug calculation section is a review of the formulae in common calculations, rather than an intensive maths skills program.

The intention is not only to assess the participant's theoretical knowledge of drug administration, but to also encourage nurses to reflect upon the decisions and actions they make on a daily basis. We hope this program results in discussion and debate amongst the nursing staff, and will ultimately lead to best practice in drug administration.

This program should be used as an adjunct to the organisation's policies and procedures.

Aims and Objectives

The aim of this program is to assist the registered nurse to maintain and demonstrate theoretical knowledge related to safe practice in drug administration.

At the completion of this program participants will demonstrate the ability to:

  • Relate the five rights of drug administration to clinical examples
  • State common factors that can lead to medication errors
  • Recognise unsafe drug administration practices
  • Recognise inappropriate or unclear orders
  • Identify appropriate actions to minimise risk of medication errors.
  • Calculate accurate drug dosages and intravenous rates using appropriate formulae
  • Reflect upon own practices in drug administration
The aim of this program is to increase the competence and confidence of nurses handling emergency equipment available within their own environments through practical theory demonstration and hands on application.

The focus of this program will be to explore the existing equipment and facilities within each organisation�s unique environment.
To prepare all practice staff to deal with critical illness, such as cardiac arrest, discussing priorities and teaching, practising and assessing skills as appropriate for the staff member, including initial assessment, airway clearance, basic and advanced life support skills, in line with ARC recommendations.

Program Description

Topics covered include:
  • Principles of Identifying an Emergency.
  • Initial Assessment Skills in a crisis
  • Management of Airway Obstruction
  • Age related emergency issues
  • BLS and ALS skills-theory, practise and competency testing
  • Scope of Practice Issues and Legal issues
The aim of this program is to assist the nurse in the assessment and management of environment injuries.

Specific topics can be selected from the following:

  • Envenomation,
  • Burns,
  • Hyper and Hypothermia,
  • Electrocution,
  • Immersion Injury (Drowning),
  • Overdose
  • And Anaphylaxis.
Extremity Trauma Half Day

Mechanisms of injury, assessment and early management of limb injury including fractures, sprains, dislocations and amputations are discussed in this session.

Opportunity to practice with splinting methods and devices is provided.

This program aims to develop understanding of the assessment, recognition and management of patients with fluid and electrolyte disturbance.

Assessing dehydration, blood loss and acute and maintenance fluid requirements is covered, along with fluid selection and administration methods.
Information coming soon...
Information coming soon...
IV Cannulation 2-3 hours
This program is designed for the registered nurse already educated and assessed as competent in
performing Intravenous Cannulation in the adult client.

The intent of the program is to provide the experienced registered nurse with a comprehensive theoretical review of the Intravenous Cannulation
procedure and the associated issues.

The program reflects the Victorian Department of Human Services
'Intravenous Cannulation Curriculum for Registered Nurses' and is designed to be used as the theoretical
component for maintenance of competence in Intravenous Cannulation.

It is important that this program be
used as an adjunct to the organisation's policies and procedures related to Intravenous Cannulation

Aim

To assist the registered nurse to maintain and demonstrate current theoretical knowledge related to
Intravenous Cannulation.

Objectives

At the completion of these program participants will be able to:
  • Identify pertinent medico-legal and professional responsibilities related to the practice of Intravenous Cannulation.
  • Locate and name potential Intravenous Cannulation sites.
  • Select appropriate Intravenous Cannulation equipment to suit a range of conditions.
  • Identify appropriate techniques to ensure safe practice.
  • Relate complications to their causative factors.
  • Recognise strategies to minimise complications.
The aim of this program is to raise awareness of legal responsibility.

The day includes activities, case studies and strategies to improve nurses’ awareness of legal issues, particularly around documentation, encouraging reflection on current practice and empowering nurses to implement actions to improve documentation in their workplace.
Information coming soon...
Information coming soon...
Medical Emergencies Full day/s
This day can be tailored to suit your institution�s specific needs, drawing from such topics as:

  • AMI management and Thrombolysis,
  • Diabetes,
  • COPD and Congestive Heart Failure,
  • Respiratory Conditions or Metabolic Disturbances.
Any other relevant specific topic may be included, or provide a focus for the day.
This session looks at the assessment and early management of acute conditions of the eye, including medical, traumatic and infective.
Paediatrics Full day
The aim of this program is to maintain the general nurse�s knowledge and skills related to providing paediatric care in a non-specialised environment.

Programs can be tailored to meet specific needs by selecting from the following topics:

  • Paediatric assessment,
  • Fever Management,
  • Gastroenteritis & Dehydration,
  • Paediatric Pain Management,
  • Differences between adults and children,
  • And supporting the Primary Carer.
Other subjects are available on request.

Care of the critically ill or injured child is a frightening experience for the nurse, as they are rarely seen in a non- specialised environment.

Children compensate well, but deteriorate fast. Respiratory Emergencies, Paediatric Trauma, Psychological Issues, and Paediatric Resuscitation theory and practice are topics in this session.

Trauma Management in Rural Settings Full day/s
Pain Management 8 hours
Information coming soon...
The aim of this program is to assist the nurse in providing effective education for patients in their care.

The program provides a basic introduction to the concepts of adult education and the way in which illness and stress impact upon the ability of patients� and significant others to learn new concepts related to their health.

Practical strategies that can be implemented immediately to a range of situations will be explored.

This program is designed for the nurse or midwife working with individual patients or groups, within hospital or out in the community.
This interactive workshop looks exclusively at the physical skills required for patient assessment and provides opportunity to practise these. They include chest auscultation, palpation, percussion, neurological assessment, pulse oximetry and recording a 12 lead ECG.
Information coming soon...

The aim of this program is to develop the skills to recognise and manage clinical deterioration.
It is relevant to nurses working in aged, residential, and acute care settings.

Workshop content includes:
Patient assessment – how to recognise a deteriorating patient
When to call for help (who, why and how)
Using ISBAR tools
Activities, videos and discussions around Coroner’s cases relating to delayed recognition of patient deterioration
Interactive scenarios and case studies

This program is designed to develop the participant's current knowledge of the principles and practice of respiratory assessment and management.

For the generalist registered nurse, opportunities to undertake further study related to conducting a comprehensive physical assessment may have been limited.

For this reason, the program briefly revises the anatomy and physiology of the respiratory system and the foundation physical assessment strategies of inspection, palpation, percussion and auscultation as they relate to respiratory assessment.

This comprehensive program also includes a section on the management of the patient receiving oxygen administration.

Aim

To assist the registered nurse to maintain and demonstrate theoretical knowledge related to respiratory assessment and management

Learning Outcomes

At the completion of the program participants will demonstrate the ability to:
  • Name the anatomical structure of the respiratory system
  • Identify appropriate strategies to assess airway and breathing in a variety of situations
  • Recognise the difference between a routine respiratory assessment and an emergency respiratory assessment
  • Relate characteristics of normal and abnormal breath sounds to likely causes
  • Identify use and clinical considerations of oximetry
  • Review appropriate interventions when airways and breathing is ineffective
  • Determine the most appropriate method of oxygen administration for a variety of patient presentations
  • Outline management of a patient receiving oxygen therapy
To prepare reception staff and nurses for the development and implementation of a priority access system to improve entry to health care and services, by establishing equitable access in accordance with clinical needs.

Program Description

Topics discussed include:
  • Telephone Screening Framework.
  • Customer Service Skills.
  • Service Boundaries.
  • Scope of Practice Issues.
  • Legal issues.

A daily reality for staff in health service organisations is that requests for services often exceed availability. How are staff managing this situation, on a daily basis?

How are requests prioritised? Is there a workable process in place that promotes safe, consistent, and defensible single point entry into the appropriate service?

Our Australian experience, across the General practice, Acute and Community environment, tells us that this is not happening, and that entry, screening and service allocation is, in many instances, ad-hoc at best.

Aim

To prepare reception staff and nurses for the development and implementation of a priority access system to improve entry to health care and services, by establishing equitable access in accordance with clinical need.

Program Description

Topics covered include:

  • Principles of Telephone Communication.
  • Telephone Screening Framework.
  • Customer Service Skills.
  • Scope of Practice Issues.
  • Legal issues.

Format

6 hours workshop, including reflection, scenarios, exercises and opportunities for facilitated discussion and development of strategies for implementation in the workplace.

This program aims to enhance the healthcare team leaders� understanding of the way in which effective teams build and function.
The principles of effective teamwork, roles within a team and characteristics of highly functioning teams are explored.

Participants are required to reflect upon their own work team (including their own role within the team) and identify areas in which this team could be further developed.
To prepare nurses for the rapidly expanding nursing role of telephone triage, either as a means of improving after hours access to health care, or as part of their everyday nursing roles.

Program Description

Topics covered include:
  • Telephone Triage Principles
  • Telephone Assessment Framework
  • Communication Skills
  • Perils and Pitfalls
NOTE: this unit is an introduction to the full telephone triage module, which attracts credit points at Masters and Graduate Diploma level at La Trobe University
Early management of severe trauma in the small rural hospital is an ongoing cause of anxiety for the hospital staff. This practical, informative session offers an organised framework for assessment, management and transfer of the critically injured trauma victim, who may be a child, an adult or elderly.
Triage- An Introduction Half to Full day
Triage is the process whereby health professionals ensure that patients are seen in accordance with the acuity of their symptoms.

This system has long been established in tertiary hospital emergency departments, but as patient numbers increase and waiting times to see a GP are increasing, the process also needs to be applied to rural hospital environments and GP appointment systems.

This session will provide an introduction to the principles and processes of triage, using national training tools, case studies, videos and other methods.

This session is especially beneficial for the �part time� triage nurse working in smaller health care organisations.
Shocked is a term often used but not often fully understood. The shock syndrome is complex and the
causes are many and varied. A clear explanation of the mechanisms, pathophysiology, assessment, and
management of shock will aid enormously in the treatment of this challenging condition.
Life is all about change. We are confronted by change on a daily basis and yet many staff still struggle with change in the workplace. The aim of this program is to assist staff in understanding and dealing with workplace change. Participants are introduced to the principles of change and will consider a range of practical strategies designed to assist them to work effectively within an environment of change. This program is designed for employees at all levels and within all departments and encourages participants to reflect upon their own experiences of change.
Information coming soon...