Page 204 - Hospital Authority Convention 2017

Corporate Scholarship Presentations
HOSPITAL AUTHORITY CONVENTION 2017

C2.3 Nursing 13:15 Room 428

Nurturing a Better Peri-operative Experience for Children and Family
Law NW
Department of Anaesthesia and Operating Theatre, Queen Elizabeth Hospital, Hong Kong
Surgery is a stressful and threatening experience for both the children and families. The Hospital for Sick Children (SickKids)
in Canada promotes partnership with family to better prepare a child for upcoming operation throughout the whole peri-
operative journey. A one-stop Pre-anaesthetic Clinic enables anaesthetists and perioperative nurses to perform pre-operative
assessments, investigations and prepare the plan to optimise physical condition before operation. Additionally, peri-operative
nurses conduct pre-operative programmes including pre-operative assessment, education and psychological support with
demonstration and therapeutic play for parents and child to get familiar with the peri-operative patient flow in anaethestic and
surgical procedures.

Parental presence for induction of anaesthesia is a common practice in SickKids to reduce separation anxiety and facilitate
smooth induction process. Family-centred care is included in peri-operative service through timely information sharing with
parents about child’s surgical progress by phases via means of an electronic patient tracking system and allowing them to
take care of the children in the post-anaesthesia care unit. The best care outcomes and experience for children and family
were achieved by establishment of collaborations between surgical team and family with open communication and common
goals.

In SickKids, all anaesthestic and surgical consumables are managed by material management team. It is a good practice
to be suggested to Hong Kong hospitals to facilitate nurses focusing on direct patient care including education and
psychological support for children and families to promote positive peri-operative experience.

The most amazing experience in SickKids is the teamwork among the surgical team members (anaesthesiologists, surgeons
and peri-operative nurses). They have common goal, shared mission, value and mutual respect. Teamwork is a key to
success in peri-operative service, it is worthwhile to organise scenario-based workshop to nurture teamwork culture. By
developing trusting relationship between surgical team, children and families improve child’s safety throughout peri-operative
period.
Hong Kong Children’s Hospital is a dream for healthcare providers and families of sick children with high expectation from the
public. With the experience from SickKids, it is recommended to initiate integrated peri-operative service with family-centred
and compassionate care to enhance satisfaction and experience for children and families during their peri-operative journey.

C2.4 Nursing 13:15 Room 428

Paediatric Pain Management – Conquering the Pain
Wednesday, 17 May PAIN is a common complaint from patients upon admission. Nowadays, it is emphasised as the fifth vital sign for assessing
Lee YYT
Department of Paediatrics and Adolescent Medicine, Queen Mary Hospital, Hong Kong

patients’ condition. However, in paediatric pain management, untreated pain is a significant cause of morbidity and even
mortality. Especially in haematologic and oncologic disorders, pain can be complex and caused by multiple factors. Some
of the children may experience one single type of pain at one time, but some can be multiple types of pain at the same
occasion. This makes pain management in paediatric oncology even more challenging.

What are the nursing roles in providing safe, competent and high-quality care in paediatric pain management? With a better
understanding of pain management, children’s pain can be recognised and treated earlier. Meanwhile, understanding
children’s and their parents’ need on conquering pain will help build trust and rapport that facilitate family-centred care.

Nurses from the pain management team have been the coordinators between multiple disciplinary teams including
physicians, physiotherapist, occupational therapist, psychologist, nurses and child life specialists. Also, a pain management
coordinator can provide support to the frontline nursing staff in case of misconceptions or discrepancies. This role helps
facilitate the changes of some organisational factors like re-organising and unifying the routine on pain assessment, use of
pharmacological treatment and non-pharmacological management.

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