Loading Session...

Masterclass 11 - Nurse-delivered Intravitreal Injection Service in Ophthalmology II - A Local Perspective

Back to Schedule

Session Information

Masterclass 11

Nurse-delivered Intravitreal Injection Service in Ophthalmology II - A Local Perspective

Chairperson: Prof Kenneth LI Kai-wang, Chief of Service (Ophthalmology), Kowloon East Cluster, Hospital Authority, Hong Kong, The People's Republic of China
Prof Hunter YUEN Kwok-lai, Deputy Hospital Chief Executive ; Consultant Ophthalmologist, Hong Kong Eye Hospital, Hospital Authority, Hong Kong, The People's Republic of China

M11.1 Rising to the Challenge – Our Solutions for Surging Healthcare Demands from Retinal Vascular Diseases

Dr Wendy WONG Mei-hua 

Consultant Ophthalmologist, Department of Ophthalmology, National University Health System, Singapore


M11.2 Role of Allied Health Professionals and Non-Medical Practitioners in Busy Macula Service

Mr Ajay KOTAGIRI

Consultant Ophthalmologist and Clinical Director (Ophthalmology), Sunderland Eye Infirmary, Sunderland, United Kingdom


M11.3 Results of a Pilot Study Nurse-delivered Intra-vitreal Injection Service in Hong Kong 

Dr Jennifer HUNG Chien-hui 

Associate Consultant, Department of Ophthalmology, United Christian Hospital, Hospital Authority, Hong Kong, The People's Republic of China

M11.4 Experience Sharing of Nurse-delivered Intra-vitreal Injection in Hospital Authority 

Ms Monica LEE

Nurse Consultant, Ophthalmology Department, United Christian Hospital, Hospital Authority, Hong Kong, The People's Republic of China

Ms Rachel Lai-kuen NG

Associate Nurse Consultant (Ophthalmology), Eye Specialist Outpatient Department, Tseung Kwan O Hospital, Hospital Authority, Hong Kong, The People's Republic of China

M11.5 Legal Implications of Nurse-delivered Intra-vitreal Injection Clinics: A Guide for Healthcare Professionals

Dr Bernard MURPHY

Partner, Howse Williams, Hong Kong, The People's Republic of China

Masterclass
17 May 2024 10:45 AM - 12:00 Noon(Asia/Hong_Kong)
Venue : Room 224 & 225
20240517T1045 20240517T1200 Asia/Hong_Kong Masterclass 11 - Nurse-delivered Intravitreal Injection Service in Ophthalmology II - A Local Perspective

Masterclass 11

Nurse-delivered Intravitreal Injection Service in Ophthalmology II - A Local Perspective

Chairperson: Prof Kenneth LI Kai-wang, Chief of Service (Ophthalmology), Kowloon East Cluster, Hospital Authority, Hong Kong, The People's Republic of ChinaProf Hunter YUEN Kwok-lai, Deputy Hospital Chief Executive ; Consultant Ophthalmologist, Hong Kong Eye Hospital, Hospital Authority, Hong Kong, The People's Republic of China

M11.1 Rising to the Challenge – Our Solutions for Surging Healthcare Demands from Retinal Vascular Diseases

Dr Wendy WONG Mei-hua 

Consultant Ophthalmologist, Department of Ophthalmology, National University Health System, SingaporeM11.2 Role of Allied Health Professionals and Non-Medical Practitioners in Busy Macula Service

Mr Ajay KOTAGIRI

Consultant Ophthalmologist and Clinical Director (Ophthalmology), Sunderland Eye Infirmary, Sunderland, United Kingdom

M11.3 Results of a Pilot Study Nurse-delivered Intra-vitreal Injection Service in Hong Kong 

Dr Jennifer HUNG Chien-hui 

Associate Consultant, Department of Ophthalmology, United Christian Hospital, Hospital Authority, Hong Kong, The People's Republic of China

M11.4 Experience Sharing of Nurse-delivered Intra-vitreal Injection in Hospital Authority 

Ms Monica LEE

Nurse Consultant, Ophthalmology Department, United Christian Hospital, Hospital Authority, Hong Kong, The People's Republic of China

Ms Rachel Lai-kuen NG

Associate Nurse Consultant (Ophthalmology), Eye Specialist Outpatient Department, Tseung Kwan O Hospital, Hospital Authority, Hong Kong, The People's Republic of China

M11.5 Legal Implications of Nurse-delivered Intra-vitreal Injection Clinics: A Guide for Healthcare Prof ...

 Room 224 & 225 HA Convention 2024 hac.convention@gmail.com
Add to my Schedule

Sub Sessions

View Abstract

Rising to the Challenge – Our Solutions for Surging Healthcare Demands from Retinal Vascular Diseases

Speaker 10:45 AM - 12:00 Noon (Asia/Hong_Kong) 2024/05/17 02:45:00 UTC - 2024/05/17 04:00:00 UTC
This talk will shed light on the burgeoning disease burden for retinal vascular diseases and present a multifaceted approach to address this challenge by strengthening capabilities both within and outside the hospital. With an emphasis on achieving sustainability and scalability, topics that will be discussed include collaborative care models and virtual clinics. The speaker will also explore technological innovations and therapeutic advancements on the horizon that are poised to transform the current treatment landscape.


Presenters Mei-hua WONG 黄美华
Consultant Ophthalmologist, National University Health System
View Abstract

Role of Allied Health Professionals and Non-Medical Practitioners in Busy Macula Service

Speaker 10:45 AM - 12:00 Noon (Asia/Hong_Kong) 2024/05/17 02:45:00 UTC - 2024/05/17 04:00:00 UTC
Aim: The talk aims to discuss the roles, allied health professions and Non-Medical practitioners play in a busy Macula Service at a tertiary referral centre in northeast of England (Sunderland Eye Infirmary) and in UK (NHS).


Methods: The presentation goes through the rapid progress in the field of Retina and development of new treatment regimens. This leading to increased pressure on safe delivery of the service in public sector. Work force pressures lead to some of these traditional medical roles being taken by Allied Health Professionals like Nurses, Optometrists and Orthoptists.


Training each profession brings its own challenges. Even though nurses seem like a natural profession to take up doctor’s roles, examining an eye can be difficult, as eye examination is a tough skill and requires using a specialist equipment. On the Other hand, Optometrists are naturally good at examining the eye but need training to perform any procedures including intra-vitreal injections. 


Currently similar roles are being taken up by various other science graduates including Ophthalmic Photographers and others and this lead to the development of ‘Ophthalmic Specialist Practitioner’ (OSP) role.


The talk also discusses the Ophthalmic Practitioner Training (OPT) and its structure established by Royal College of Ophthalmologists, London. Developing a multi-disciplinary team working environment can bring significant benefits to overall patient care.


Conclusion: The training, governance structure needed to develop the roles for AHP’s & Non-Medical Practitioners and effective implementation of these roles is explained.


Presenters Ajay KOTAGIRI
Consultant Ophthalmologist And Clinical Director (Ophthalmology), Sunderland Eye Infirmary, Sunderland
View Abstract

Results of a Pilot Study Introducing Nurse-delivered Injection Service in Hong Kong

Speaker 10:45 AM - 12:00 Noon (Asia/Hong_Kong) 2024/05/17 02:45:00 UTC - 2024/05/17 04:00:00 UTC
Exudative age-related macular degeneration, diabetic macular oedema and retinal vein occlusion causing macular oedema are all important and common causes of blindness. Anti-VEGF intravitreal injections are gold standard treatment for these diseases, and require multiple timely injections to achieve disease control and to restore vision. As the incidence of these diseases increase in our ageing population, our healthcare system has come under immense pressure to provide timely and sustainable intravitreal injection therapy for all our patients. 


To reduce the waiting time for our patients, we have introduced a new nurse-delivered injection service, which has been shown in other countries to safely and effectively increase intravitreal injection capacity. We developed a comprehensive training program for nurses, and designed a double-blind cross-over study that compared outcomes between nurse-delivered and doctor-delivered intravitreal injections. This presentation will present the results of the study, in particular the safety outcomes and patient satisfaction rates. 
Presenters Jennifer Chien-hui HUNG 熊健慧
Associate Consultant, United Christian Hospital
View Abstract

Experience Sharing of Nurse-delivered Intravitreal injection in Hospital Authority

Speaker 10:45 AM - 12:00 Noon (Asia/Hong_Kong) 2024/05/17 02:45:00 UTC - 2024/05/17 04:00:00 UTC
In 2022, the Ophthalmology Department of Kowloon Eastern Cluster (KEC) pioneered a training program to enable certified nurses to administer anti-VEGF intravitreal injections, as part of a pilot study to introduce nurse-delivered injection services in Hong Kong. 
 
Since its implementation, our trained nurses have successfully administered over 550 intravitreal injections. This presentation will share the department's experience in implementing and managing the nurse-delivered intravitreal injection service. Attendees can expect to gain insights into the specialized training program developed for nurses and the established injection protocol. The presentation will shed light on the benefits, challenges, and outcomes associated with nurse-delivered intravitreal injections, providing valuable lessons for healthcare professionals interested in enhancing patient care and optimizing workflow in ophthalmology departments.
Presenters Monica LEE 李夢妮
Nurse Consultant, United Christian Hospital Rachel Lai-kuen NG 吳麗娟
Associate Nurse Consultant, Tseung Kwan O Hospital
View Abstract

Legal Implications of Nurse-Led Intravitreal Injection Clinics: A Guide for Healthcare Professionals

Speaker 10:45 AM - 12:00 Noon (Asia/Hong_Kong) 2024/05/17 02:45:00 UTC - 2024/05/17 04:00:00 UTC
Overview:
In this session, Bernard will explore the legal implications of nurse-led (non-steroidal) intravitreal injection clinics. He will discuss patient selection, clinical management, protocols, informed consent, documentation, and liabilities of healthcare team members. Insights from international jurisdictions offering similar services will also be shared. The presentation will address the follow areas:


1. Understanding the Legal Implications:
• Explore the legal framework of nurse-led intravitreal injection clinics.
• Identify potential medicolegal challenges in Hong Kong.
2. Patient Selection and Clinical Management:
• Criteria for selecting suitable patients for nurse-led intravitreal injections.
• Best practices for clinical management during the injection process.
3. Informed Consent and Documentation:
• Importance of informed consent in protecting patients and providers.
• Provide necessary information on procedure risks and benefits to patients.
• Documentation requirements for proper medicolegal record-keeping.
4. Liabilities of Healthcare Team Members:
• Understand the liabilities of nurses, doctors, and other team members.
• Consider collaborative approach to patient care and risk mitigation.
5. Lessons from International Jurisdictions:
• Review medicolegal issues from countries with Nurse-led Intravitreal Injection Services.
• Adapt best practices to suit the Hong Kong context.
Presenters Bernard MURPHY
Partner, Howse Williams
261 visits

Session Participants

Online
Session speakers, moderators & attendees
Dr. Mei-hua WONG 黄美华
Consultant Ophthalmologist
,
National University Health System
Mr. Ajay KOTAGIRI
Consultant Ophthalmologist and Clinical Director (Ophthalmology)
,
Sunderland Eye Infirmary, Sunderland
Dr. Jennifer Chien-hui HUNG 熊健慧
Associate Consultant
,
United Christian Hospital
Ms. Monica LEE 李夢妮
Nurse Consultant
,
United Christian Hospital
Ms. Rachel Lai-kuen NG 吳麗娟
Associate Nurse Consultant
,
Tseung Kwan O Hospital
+ 1 more speakers. View All
No moderator for this session!
No attendee has checked-in to this session!
6 attendees saved this session

Session Chat

Live Chat
Chat with participants attending this session

Need Help?

Technical Issues?

If you're experiencing playback problems, try adjusting the quality or refreshing the page.

Questions for Speakers?

Use the Q&A tab to submit questions that may be addressed in follow-up sessions.