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Delegate Information Pack

Medical Imaging Nurses Association of Victoria

Many Parts – One Body MINA National Conference 14th & 15th October, 2017

Body Imaged Within Patient Nursed Throughout

TRADE SPONSORS

2017 MINA National Conference

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Welcome to

MINA Victoria National Conference 2017

Many Parts – One Body

Hosted by:

MINA Victoria ANMF SIG

Grand Hyatt, Melbourne

Saturday 14th & Sunday 15th October, 2017

MINA Victoria ANMF SIG thanks you for registering for the MINA National ‘Many Parts – One Body’ Conference. We look forward to delivering a very informative, diverse and interactive program for you to enjoy. Please find included in this pack the following information:

Grand Hyatt Hotel location

Car Parking Information

MINA National Conference Program: ‘Many Parts – One Body’ Provision of Information / Notes

Yours Sincerely,

MINA Victoria ANMF SIG Committee

Body Imaged Within Patient Nursed Throughout

Grand Hyatt, Melbourne is located at:

123 Collins Street

Melbourne, Victoria, Australia, 3000,

Tel: +61 3 9657 1234, Fax: +61 3 9650 3491

Car Parking Information:

. The car park located beneath the Hotel is operated by Wilson Parking

. We invite you to visit the website to view Wilson Parking's most current rates:

http://wilsonparking.com.au/go/wilson-car-parks/vic/grand-hyatt-hotel

Rates are currently as follows for our event dates & times.

- Friday (entry after 4pm, exit prior to 6am) $14 flat fee

- Saturday - Day (entry before 4pm, exit prior to 6am) $10 flat fee

- Sunday $10 flat fee all day

MINA National Conference: ‘Many Parts – One Body’ Program:

Mayfair Ballroom

Level 8

Grand Hyatt Melbourne

123 Collins St

- Please follow signage: MINA National Conference

- Access is via the lifts or escalators from either entrance of the hotel on Collins or Russell

St.

Provision of Information / Notes

Conference speakers are not obliged to provide their presentation and intellectual

property to conference delegates in the form of presentation notes. Those speakers who

are happy for their presentations to be made available to conference participants will

have their presentations placed on the MINA National & ANMF websites for members to

access.

Presentation summaries will not be written by the committee. Presentation abstracts

have been provided and extra pages have been added for delegates to take their own

notes &/or document their own summaries for personal reflection.

Body Imaged Within Patient Nursed Throughout

MINA National Conference Program Many Parts – One Body

Day 1: Saturday 14th October – Mayfair Ballroom, Level 8

8:50 am to 8:55am

Opening Address & Welcome

Deb Shears

President MINA Victoria

9:00 am to 9:20 am

Early Experience with Hybrid Angio/CT

Dr Julian Nguyen

Interventional Radiologist, Western Health / Epworth

Abstract: Availability of CT with its soft tissue differentiation and 3 dimensional volume imaging has been invaluable for interventional procedures when ultrasound or DSA has been inappropriate or inadequate. Limitations with lack of real time feedback and adjustments without a large radiation dose penalty remain a problem. Combination of the modalities on one gantry gives many more options. Discussed will be our early experience with a hybrid Angio CT suite.

9:25 am to 9:55 am

Many Departments – One Directorate

Joanne Mewis, DON & Kate Robinson, ANUM

Metro North, Queensland Health

Abstract:

MNHHS in Queensland services a local population over 900,000 from north of the Brisbane River to north of Kilcoy. The MNHHS consists of 5 hospitals - The Royal Brisbane and Women’s, The Prince Charles, Redcliffe, Caboolture and Kilcoy Hospitals. There are also 3 clinical directorates across the MNHHS – Mental Health, Oral Health and Medical Imaging. The Medical Imaging clinical directorate was formed in 2015 with its own governance structure and in 2016 a Medical Imaging Director of Nursing position was introduced. The introduction of this executive nurse leadership role has resulted in an increased emphasis and focus on nursing, safety and quality and values based leadership in the speciality of medical imaging. Joanne will take the audience through the journey 12 months in, and will share insights into the implementation of the role and what the future holds.

Kate is currently performing in the position of Associate Nurse Unit Manager. This is a new position that is being trialled for 6 months and along with the DON, is the only nursing position that works across all hospitals in the Medical Imaging Directorate. Kate has been in the position for 4 months and will describe the goal of the trial, challenges encountered, results achieved and anticipated outcomes.

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Notes & Reflection

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10:00 am to 10:25 am

Nurse Led PET & Nuclear Medicine Services

Lindsey Shepherd, CN & Carmel Porter, CN

Sir Charles Gairdner Hospital, Nuclear Medicine, WA, PET Service

Abstract:

Radioactive Iodine Ablation Therapy for Thyroid Cancer Patients Lindsey Shepherd In the Nuclear Medicine Department at Sir Charles Gairdner Hospital, WA, we provide Radioactive Iodine Therapy for approximately 100 patients a year. The therapy is used to treat patients with either Papillary or Follicular Cancers. Other thyroid cancers are treated by Endocrinologists. In this talk I will discuss: Surgical Treatment of Thyroid cancers Preparation for Radioactive Iodine Treatment and what occurs during and post Radioactive Iodine treatment and Conclude with Follow-up care for these patients Management of Paediatric PET Patients Carmel Porter As the Western Australian referral centre for paediatric patients requiring PET Scans we scanned approximately 170 paediatric patients in 2016. I will discuss the challenges associated with the management of paediatric patients in an adult environment. In this talk I will cover: people involved, patient instructions, consent, General anaesthetics and time constraints with bookings.

10:30 am to 10:45 am Morning Tea & Trade Exhibition - Grosvenor Room

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Notes & Reflection

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10:50 am to 11:20 am

Prostate Biopsy – Why & How

Dr Paul Simkin

Radiologist, Melbourne Health

Abstract:

Prostate Cancer is an important cause of morbidity and mortality. In the past, if prostate MRI identified a suspicious lesion, biopsy was either performed without any imaging guidance, or using a transurethral ultrasound, which has a much lower accuracy for lesion visualisation. With the advent of in-bore MR guided biopsy, suspicious lesions can now be targeted with the modality that they were identified with, maximising accuracy of diagnosis. This talk will cover the utility and practicalities of MR - guided prostate biopsy.

11:25 am to 12:10 pm

Stress Echo Verses the Rest

Dr Julian Castro

Principal Cardiologist, MIA, Epworth Eastern

Abstract:

Coronary heart disease is one of the commonest causes of death and morbidity in Australian society. As a society we have largely failed prevention- we aren’t a nation of bronzed Aussie life savers - in fact over 60% of the adult population is overweight with its associated risks of elevated cholesterol and blood pressure. What is the best test for diagnosing symptoms, predicting outcomes and guiding therapy? We hope to answer this question by examining the value history and examination (as a test), invasive angiography, CT angiography, calcium scores, stress echocardiograms, stress testing and nuclear cardiology.

12:15 pm to 12:30 pm

MINA National AGM followed by the MINA Vic. AGM*

*All Victorian Non-Members are kindly requested to make their way to the Trade Display during the MINA Vic. AGM and we will re-join you as a group for lunch at 12.35pm following the MINA Vic. AGM.

Thank you for your patience.

12:35pm to 1:05 pm Lunch & Trade Exhibition - Grosvenor Room

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Notes & Reflection

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1:10 pm to 1:55 pm

4096 Shades Of Grey: CT from the Clinic to Virtual Autopsy

Dr Chris O’Donnell

Clinical & Forensic Radiologist, Victorian Institute of Forensic Medicine

Abstract:

CT scanning has been available in clinical practice for the best part of 40 years. Starting in 2005, a CT scanner was installed into the mortuary of the Victorian Institute of Forensic Medicine. Since that time CT has become an integral part of medico-legal death investigation; both to triage the deceased to determine if autopsy is required and to assist the pathologist in the performance and interpretation of autopsies. More recently additional clinical radiological techniques have been used such that post-mortem CT scanning is almost the same as clinical CT scanning including angiography, biopsy, ventilated lungs and even sophisticated post-processing of the images to produce motion in the deceased.

2:00 pm to 2:30 pm

Imaging for Rare & Genetic Conditions; Complicated Needs for Unique Families

Jessica Taylor

Genetic Counsellor, FHGSA, ASGC Communications Coordinator. Genetic Medicine & Familial Cancer. RMH & Peter MacCallum Cancer Centre

Abstract:

Genetics and genomics is a rapidly evolving area that permeates through most areas of medicine. The eventual diagnosis of a genetic condition relies on assessment from a multidisciplinary team and often requires specialised investigations. Once a genetic condition has been confirmed in a family, screening for unaffected family members may also be recommended in order to establish and manage the risks of having the family-specific condition. This screening of “well” relatives is usually ongoing and can cause significant anxiety. Genetic testing may either help define the screening recommendations for these family members or add complexity when the results of genetic tests are uncertain. In addition, imaging can reveal incidental or uncertain changes, for which no clear management plan exists. This presentation aims to provide a brief overview of genetics, some condition-specific examples of imaging requests from genetics and some of the challenges that imaging raises.

2:35 pm to 3:05 pm

Surgical Aspects of the Hybrid Theatre

Jacquilene Spiers

ANUM, Vascular & Reno-Vascular Specialties, Melbourne Health

Abstract:

The Hybrid theatre is a new phenomenon at the Royal Melbourne Hospital, barely a year old. It has enabled complex interventional cases to be performed in a range of specialties including Vascular, Cardiac, Orthopaedic, and General surgery as well as being utilised for patients with chronic pain. It involves a high quality fluoro / DSA capability within a theatre complex that provides the latest in surgical technology and care as well as top end post-surgical care in the Post Anaesthetic Care Unit. Everything required for optimal surgical care of a patient is all within close vicinity of each other. The ability to perform both surgical and intravascular procedures sequentially or simultaneously has enhanced and vastly improved the surgical outcome of numerous patients at the Royal Melbourne Hospital.

Jacquie Spiers, Associate Nurse Unit Manager of RMH Operating Suite will cover some of the aspects of starting up a hybrid theatre from scratch and the ultimate benefits of a Zeego planted in your newest theatre.

3:10 pm to 3:25 pm Afternoon Tea & Trade Exhibition - Grosvenor Room

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Notes & Reflection

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3:30 pm to 4:05 pm

Lipiodol & Infertility

Shona Matthews

Nurse Coordinator, Radiology, Green Lane Clinical Centre, Auckland

Abstract:

Infertility is an increasing problem in New Zealand with one in four couples experiencing difficulty in conceiving. Uterine flushing with the oil based contrast media Lipiodol offers a simple, low invasive, inexpensive treatment option for particularly endometriosis related infertility. A number of New Zealand observational studies and randomised controlled trials provided evidence of the enhancing effect of Lipiodol. The efficacy of this treatment is now firmly supported by a recent multicentre study in the Netherlands and the Robinson Research Institute in Australia. The Radiology Department at Green Lane Clinical Centre in Auckland offers this therapeutic procedure and the process along with the supporting research material is presented.

4:10npm to 4:40 pm

TIPS Overview

Dr Andrew Owen

Interventional Radiologist, Barwon/Austin Health

Abstract:

Trans-jugular Intrahepatic Portosystemic Shunts (TIPS) are used to treat the complications of portal hypertension. In this overview, the evolution of the technique, indications, technical considerations and clinical outcomes of TIPS will be reviewed.

4:45 pm to 5:00 pm Day One Summary & Close

Delegates registered to attend the conference on Saturday only may collect their certificates

during Afternoon Tea from the Registration Desk

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Notes & Reflection

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MINA National Conference Program Many Parts – One Body

Day 2: Sunday 15th October – Mayfair Ballroom, Level 8

8:50 am to 8:55 am Presidents Welcome

Deb Shears – President MINA Victoria

9:00 am to 10:00 am

The Evolution of Mechanical Thrombectomy for Stroke

– From Merci to DAWN

Dr Steve Bush

Interventional & Neuro-Interventional Radiologist, Melbourne Health

Abstract:

Ischaemic stroke due to large vessel occlusion (LVO) has a devastating natural history. Prior to the advent of endovascular clot retrieval, no effective treatment for LVO existed. Today we will review the evolution of LVO treatment, drawing parallels with the underlying pathophysiology, and look toward the future management of this type of stroke. The role of advanced imaging techniques in patient selection, and technical aspects of the procedures will be emphasised. The challenges of workforce requirements for adequate service provision will be considered.

10:05 am to 10:35 am

Radiation Doses in Trauma

Dr Alex Rhodes

Interventional Radiologist, Melbourne Health

Abstract:

In the era of multi-detector CT and the ‘pan man scan’ our reliance on medical imaging in the assessment and management of trauma patients has rapidly expanded.

This session will:

• Provide an update on typical radiation doses of contemporary imaging modalities.

• Present data on radiation exposure of Major Trauma patients admitted to RMH between March 2015 & March 2016.

• Discuss cancer risk from radiation exposure in trauma patients

• Outline current techniques targeting dose reduction in trauma imaging

Background:

Recent data has found that the use of CT in some trauma settings has almost doubled in the last 10years1.

CT has many beneficial effects in both operative and non-operative management of trauma patients however as its use increases clinicians must be aware of the potential radiation induced adverse effects. This is particularly important in the trauma population who are typically younger and may have lengthy hospital admissions with repeated exposure to medical radiation.

Main Themes:

Radiation exposure, Effective dose, CT use in Major Trauma & Stochastic Effects

10:40 am to 10:55 am Morning Tea & Trade Exhibition - Grosvenor Room

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Notes & Reflection

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11:00 am to 11:30 am

Intra-Operative MRI (iMRI)

Angela Agostinelli

MRI Supervisor, Melbourne Health

Abstract:

In October 2016 the Royal Melbourne Hospital commenced its MRI intra-operative service.

The session will provide an overview of the multidisciplinary team effort required to ensure a safe, efficient workflow and a guide to performing an intra- operative MRI before completing the surgery. The safety considerations will be highlighted and several case studies presented to demonstrate the experience thus far.

11:35 am to 12:20 pm

Nuclear Medicine – Hot or Not

Amer Perry

Medical Imaging Coordinator, MIA Radiology

Abstract:

Nuclear Medicine patients are considered “hot” once the procedure begins. An overall introduction to Nuclear Medicine Imaging will follow with basic precautions necessary with the Nuclear Medicine patient.

Furthermore, Nuclear Medicine is thought of as “hot” spot imaging. Various case studies and pathologies will be presented to demonstrate the various diagnostic uptake patterns. Nuclear Medicine scans to be discussed include Bone Scans, Thyroid Scans, Cardiac Scans, Lung Scans and PET scans.

12:25 pm to 12:55 pm

Sedation Sensation in the MINA Nation

Grace Moscatelli

RN, Medical Imaging, Nepean Hospital, NSW

Abstract:

Although the administration of procedural sedation and analgesia is a skill used almost daily in the medical imaging department, imaging nurses may not be sedating patients in a timely manner therefore increasing the patients’ anxiety level resulting in poor patient experiences and wasted time.

The aim of the presentation is to explore the use of sedation and anaesthetics in combination with analgesia and how prior preparation can enhance patient outcomes in the radiology department. An overview of common procedural medications used and types of procedures benefiting from timely administration will be observed in the presentation.

It will identify issues which could potentially be avoided while providing empirical evidence to support the reason why diligence would be embraced to improve patient experiences and encourage staff to utilise time more effectively. The result will be of benefit not only to the patient but the team involved in the patient’s journey.

1:00 pm to 1:30 pm Lunch & Trade Exhibition - Grosvenor Room

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Notes & Reflection

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1:35 pm to 2:25 pm

How Do You Mend A Broken Heart

Claire Gibbs, CNS & Daphne Porter, CNS

St. Vincent’s Private Hospital, Melbourne

Abstract:

This presentation will cover cardiac interventions in the Cath lab including diagnostic coronary angiograms, percutaneous coronary intervention, implantation of permanent pacemakers / AICD's, change of generators and loop recorders. We will identify and discuss factors within pre Cath lab care that influence patient management within the lab, as well as the post lab care for those procedures mentioned above. We will also discuss a case study.

2:30 pm to 3:10 pm

Teaching the Wards Our World through In-Service & Education

Carmen Marlow

RN, The Alfred Hospital, Melbourne

Abstract:

With the ongoing growth of the healthcare industry, communication and education between clinical departments can often be overlooked where more urgent time - and turn-over pressures exist. This can lead to erosion of the strong collegial relationships between departments and disciplines, and create an environment where preventable complications can occur. All organisations, including that non-healthcare related, can experience this discord between daily work expectations and changing modern practices. An interdepartmental in-service education program for nurses was created to provide specialised knowledge from interventional radiology (IR) nurses to the ward staff caring for the same cohort, after various knowledge gaps were identified. Created and coordinated by IR nurses, the needs of each specialised clinical department were addressed and regular education was delivered at each ward, so as to encourage attendance and enhance relevance. This presentation at MINA National is based around the successes and learning opportunities of this program, and its ability to be implemented in any health care organisation is explored.

3:15 pm to 3:30 pm Day Two Summary & Close

Delegates registered to attend the conference on Sunday only may collect their certificates

during Afternoon Tea from the Registration Desk.

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Notes & Reflection

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On behalf of the MINA Vic. ANMF SIG Committee,

We would sincerely like to thank all our Sponsors, the extraordinary Presenters, the Grand

Hyatt & their AV Support Personnel and Teams, the MINA Vic. Committee and ‘you’ our

wonderful delegates for participating in this outstanding MINA National Conference.

We hope that you have enjoyed this weekend and we look forward to sharing our knowledge as

we continue to delve into the wonderful world of Medical Imaging and all its evolving

technologies.

Together, we look forward to seeing many of you throughout 2018 at our forthcoming MINA

Workshops. All information for coming events will be available on the MINA & ANMF Websites.

MINA Victoria ANMF SIG

www.minanational.org.au or www.anmfvic.asn.au/sigs

https://www.facebook.com/pg/MINAMNRG/about/

Take care & have a safe journey home.

Thank you