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10. Cooper JG, West RM, Clamp SE, Hassan TB. Does computer-aided clinical decision support improve the management ofacute abdominal pain? A systematic review. Emerg Med J, inpress.

11. Bennett M, for National Nursing & Nursing Education Taskforce.Priorities for nursing and midwifery research in Australia.http://www.nnnet.gov.au/downloads/rec8 m bennettpriorities report.pdf; 2006 [retrieved 27.05.11].

12. Currey J, Considine J, Khaw D. Clinical nurse research consul-tant: a clinical and academic role to advance practice and thediscipline of nursing. J Adv Nurs, in press.

oi:10.1016/j.aenj.2011.09.103

ealing from the Dilly Bag: Lessons to be learned fromraditional aboriginal spirituality and healing

ilawara Lee

NT Medical Program, Australia

The Healing from the Dilly Bag session will offer an oppor-unity for anyone involved in the medical and healing sectoro discuss and explore how western medicine practition-rs can work with traditional healers and their methods ofpiritual healing.

The presentation will set out ways of working withatients through healing the mind, body and spirit in a bicul-ural medical model, where the best in modern medicineogether with what is best in traditional healing can only beetter than either one alone.

Participants will also have the opportunity to hear wordsf wisdoms on how to bring spirituality back into their lives.n a time of financial and professionally empowerment, theost important need for spiritual empowerment is often

eglected or ignored.

oi:10.1016/j.aenj.2011.09.104

ealing from the Dilly Bag

ilawara Lee

Flinders NT Medical Program, Australia

The Healing from the Dilly Bag session will show how Abo-iginal people had their own medicines and healing practicesefore Europeans arrived and how many of the practices andeliefs continues today. The presentation will set out waysf working with patients through healing the mind, bodynd spirit in a bicultural medical model, where the best inodern medicine together with what is best in traditional

ealing can only be better than either one alone.

oi:10.1016/j.aenj.2011.09.105

asting workshop

heryl Kimber

Casting is a satisfying and rewarding skill, integral tohe care of people with musculoskeletal injuries or disor-

ers. Casts can quickly relieve pain and distress and maken immediate difference to an individual’s quality of life.

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However, if incorrectly applied can dramatically changehe outcome of a person’s condition, management and longerm functional abilities.

This workshop will provide the participants with basicnowledge and principles of casting using synthetic materialor specific types of cast/slabs typically used in the emer-ency department or general practice environment.Thistudy was sponsored by Smith & Nephew.

oi:10.1016/j.aenj.2011.09.106

ustralian Triage Process Review project

achel Nash1,2

Royal North Shore Hospital, St Leonards, Sydney 2065,ustraliaHealth Services Performance Improvement Branch, NSWealth, 73 Miller St., North Sydney 2059, Australiaeywords: Emergency Department; Triage; Complexity;treaming; Education

-mail address: renash@nsccahs.health.nsw.gov.au.

Aim: The Australian Triage Process Review (ATPR) projecteviewed the triage process in Australian Emergency Depart-ents to understand:

Current triage practices and whether alternative triagingmodels/practices exist nationally and if they are in usedin conjunction with, or in place of the ATS.Streaming into ED models of care that allow for the safeand effective referral of patients to the right model ofcare within appropriate timeframes.The need for complexity tools at triage.

This progress report of the national review is presentedn behalf of the ATPR Project Team which has been co-rdinated by NSW Health on behalf of the Health Policyriorities Principal Committee. The recommendations areased on consultation activities, survey results of 87 EDscross Australasia, international literature review, observa-ional studies and 16 ED site visits across Australia carriedut as part of the project.

Background: Health specialists and government organisa-ions recognised the need to review current Australian triagerocesses and systems to assess whether practices continueo support the clinical prioritisation of patients, needs ofhe community, and management of patients presenting formergency care, and whether the system supports servicelanning and resource management in ED.

Australian EDs face ongoing challenges that affect ser-ice delivery and have led to a change in the triage process.ncreasing interventions, at triage and in the waiting room,lace additional pressure on the role of triage. With thentroduction of new ED models of care and increasing patientomplexity, there is a need to better understand whatappens at triage and what opportunities are available tomprove the patient experience.

While the Australian Triage Scale was not the major focus

f the project, it was inevitable that its role would be con-idered in a review of the triage process and the projectould make recommendations to the Australasian College

or Emergency Medicine for consideration in their review.

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ekitlems; to move action into safety and satisfaction for patientand provider alike.

doi:10.1016/j.aenj.2011.09.111

Abstracts

This presentation describes the methodology used andthe review’s findings.

Outcomes: The key outcome of the ATPR project is a setof recommendations for the future development of triageprocesses that address the key challenges of:

• facilitation and support streamlining the triage role;• streaming and complexity principles;• triage education and competency;• quality and performance monitoring;• improving the patient experience;• Australian Triage Scale review;• future research opportunities.

doi:10.1016/j.aenj.2011.09.107

i-STAT 1 Analyser training options in the Point of Careenvironment

Michael ZiarasE-mail address: michael.ziaras@abbott.com.

The i-STAT 1 Analyser System offers a broad menu of testsfor diagnostic and treatment indicators related to diseasemanagement and clinical practice guidelines. Using just twoor three drops of blood, the system provides time sensi-tive tests at the patient bedside in just minutes. Our menucomprises blood gases, lactate, electrolyte and chemistryassays, coagulation, and cardiac markers.

This workshop would be suitable for any nursing staff whoare currently using Point of Care testing in their workingenvironment; or would like to learn about more effectiveuse of their i-STAT 1 Analyser.

In this workshop, participants will learn about, and use,the various training options, which Abbott Point of CareDivision make available to nursing staff, for training on thei-STAT 1 Analyser.

These options include a web based eLearning Tutorial,suitable for initial overview training; as well as ongoingrefresher training on the analyser and assay cartridges.

APOC also have Basic Operator and Advanced Operatortraining guides, available in soft and hard copy; both ofwhich incorporate a hands on approach to training.

The workshop will also feature best practice techniquesused while running our wide range of assay cartridges; anddiscuss suitable sample types for these assays.

doi:10.1016/j.aenj.2011.09.108

When the crime scene moves to the ED: Caring for thevictimized patient

Daniel J. SheridanE-mail address: Sher0126@flinders.edu.au.

Every day in accident and emergency departments (EDs)throughout Australasia, patients present to the ED withinjuries received as victims of crime or received during theperpetration of a crime. Often in our haste to provide emer-gency trauma nursing care, we wash away, throw away, orflush away any hope of a successful criminal prosecution.

Very few nurses are trained in school or trained on the jobthe basics of appropriate evidence collection. Every time avictimized presents to the ED, either via ambulance or atthe triage desk, the crime scene has also traveled to the

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D. On and many times, in the patient is valuable tracevidence that can and should be collected by the ED nursehile also providing specialized ED nursing care. This ses-

ion will provide an overview of the principles of evidenceollection and preservation and nursing documentation inhe medical record. Case histories will be used throughouthe presentation. In addition, the presenter will discuss theapid expansion of ED-based, nurse-run, forensic programsn the United States that provide specialized ED nursing careo patients reporting sexual assault, family and domesticiolence and elder abuse.

The presenter, Daniel J. Sheridan, PhD, RN, FNE-A, SANE-, FAAN has been an ED/trauma nurse since 1982 and a8-year member of America’s Emergency Nursing Associa-ion. He is a past President of the International Associationf Forensic Nurses and an Associate Professor at the Johnsopkins University School of Nursing in Baltimore, Maryland,SA. In the States, Professor Sheridan is a nationally certi-ed Sexual Assault Nurse Examiner and maintains an activeD practice of conducting forensic nursing examinations onatients reporting sexual assault and domestic violence. Pro-essor Sheridan has over 30 publications on the role of nursesorking with victimized patients and has given over 600

nvited lectures on forensic nursing topics all over the world.ince February 2011, Professor Sheridan has been a Visit-ng Scholar at the Flinders University School of Nursing &idwifery creating a Continuing Professional Developmentourse entitled, ‘‘Fundamentals of Forensic Healthcare: Annline Short Course’’ targeting ED nurses.

oi:10.1016/j.aenj.2011.09.109

he role of the coroner

ark Johns-mail address: coroner@courts.sa.gov.au.

Mr Johns will discuss the role of the coroner, the relevantegislation, the nature of an inquest, what factors a coroneright consider in assessing a witness, the nature of evidence

n an inquest. Mr Johns will be happy to take questions.

oi:10.1016/j.aenj.2011.09.110

ransforming healthcare: Action into safety and satisfac-ion

ary Salisbury-mail address: thecedarinstitute@cox.net.

This pithy presentation provides the journey andvidence-base underpinning the critical success factorsnown to strengthen and ensure the work of high perform-ng, highly reliable, self correcting, self improving teams;eam equipped to solve their most critical and difficult prob-