should we go or should we stay
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62
edback spider bite: Signs, symptoms and sequelae
arah Bullen
Sandringham Hospital, 193 Bluff Road, Sandringham, Vic.191, Australia
-mail address: [email protected].
The redback spider bite is the most common cause ofignificant envenomation in Australia.1 Patient signs andymptoms may range from mild and local, to both severend systemic. Therefore patient presentations to the emer-ency setting can often be diverse and atypical. The mosterious systemic sequelae of envenomation to the humanody, called latrodectism, have been readily confused withepsis, myocardial infarction, thoracic aortic dissection,cute hepatitis, acute abdomen, and torsion of the testis.2,3
reatment may consist of first aid measures, analgesia andducation and/or the use of antivenin titrated to clinicalesponse.
This session seeks to familiarise emergency nurses withhe identification, pathophysiology, treatment and manage-ent of redback spider bite inclusive of the recognition of
ocal and systemic effects of envenomation, in the contextf two Victorian patient case studies. In addition, the con-iderations for the use of antivenin, antivenin administrationnd side effect profile will be discussed.
eferences
1. Isbister GK. Spider bite: a current approach to management.Aust Prescriber 2006;29(6):156—8.
2. Nimorakiotakis B, Winkel K. Spider bite—–the redback spider andits relatives. Aust Fam Phys 2004;33(3):153—7.
3. Monaghan M, Parkinson S, Armstrong J, Cadogan M. Envenoma-tion. In: Curtis K, Ramsden C, Friendship J, editors. Emergencyand trauma nursing. Marrickville: Elsevier Australia; 2007.
eywords: Arachnidism; Bites and stings; Emergency nursing
oi:10.1016/j.aenj.2009.08.038
hould we go or should we stay
aren Croker1, Jennifer Craig1, Peter Miller1, Rick Davies2,eter Randell 2
Aeromedical & Critical Care Services, Royal Flying Doctorervice Qld Section, AustraliaAviation Royal Flying Doctor Service Qld Section, Australia
The aeromedical environment is well recognised as alatform which creates significant risk for both nursingnd medical personnel and indeed the patient being trans-orted. The Royal Flying Doctor Service-QLD Section isertainly no exception when referring to such risk. To date,etermining if the risk involved in aeromedical transporta-
ion outweighs the clinical need of the patient requiringransportation has until now been an ad hoc subjective pro-ess. Recognition of this inherent laissez-faire approach leado a comprehensive review of available risk assessment pro-esses in the aeromedical world.A
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CONFERENCE ABSTRACTS
Findings upon completion of the review were surprisingn that they indicated that currently there was no formalisk assessment available that considered both aviation risknd clinical risk together. To address this shortfall, a pro-ess was developed which incorporated risk managementnd assessment tools vital when considering both aviationisk and clinical priority in the Aeromedical environment.hrough a multi-agency approach between the RFDS-QLDnd other predominant health service delivery providers theombined Aviation and Aeromedical Risk Matrix (CAARM)as developed. Successful implementation of the same then
ollowed.This paper will discuss the risks involved in the aeromed-
cal environment. It will also explain the rationale as to whyhe development of the CAARM was such a strategic and nec-ssary step to undertake as a means to minimising the everresent risks in the aeromedical arena. The CAARM itself willlso be explained and the action steps involved.
oi:10.1016/j.aenj.2009.08.039
RAL PRESENTATIONS 3B — Education
ntegration of CENA practice standards for postgraduatemergency nursing assessment
aren Theobald ∗, Pauline Calleja, Fiona Coyer
School of Nursing & Midwifery, Queensland University ofechnology, Victoria Park Road, Kelvin Grove, Qld 4059,ustralia
-mail address: [email protected] (K. Theobald).
The use of professional competency standards to assessostgraduate nursing student’s clinical performance haseen in place since 1999, at the Queensland University ofechnology (QUT), School of Nursing & Midwifery (SONM).reviously emergency nursing students were assessed using alinical Performance Appraisal Tool (CPAT) which was basedn the Australian College of Critical Care Nurses (ACCCN)ompetency Standards.
The release of the 2008 College of Emergency Nurs-ng Australasia’s (CENA) revised Practice Standards for themergency Nursing Specialist led to the integration of theENA practice standards for clinical assessment of post-raduate students in the emergency nursing study area ofhe Graduate Certificate, Graduate Diploma and Masters ofursing courses. The QUT SONM emergency nursing studyrea team commenced the phasing in and progression ofhe CENA practice standards across emergency specific post-raduate theory/clinical units in 2009. The team carefullyonsidered how the professional standards are integratednto the teaching and assessment of the units. Using profes-ional standards for the emergency study area has helpedailor course content and learning outcomes to ensure rel-vance across a number of emergency nursing contexts in
ustralia.34 students enrolled in the core semester 1 unit, wereurveyed for feedback. Responses indicated that the CPATas focussed and clinically relevant to their practice con-
ext. The integration of the new CENA practice standards