CAMSN Newsletter - Canadian Association of Medical and … · 2018. 2. 5. · Doing CNA...
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Special Points of Interest Page 2: CAMSN Conference 2018 Poster Page 3: CNA Certification Program featuring CAMSN Member Laura Vogelsang Pages 4-5: Education Corner (Liver Dysfunction: Picture This) provided by Brenda Lane, RN, BScN, Dip Ad Ed, MN, CMSN(C) and President of CAMSN Page 6: Continuous Learning Opportunities: Case Studies & Courses featuring the third of four articles on the 5 most common allegations associated with nursing negligence lawsuits, provided by Chris Rokosh of Connect Medical Legal Experts Page 7: Further continuous learning opportunities Page 8: Ways to become more involved with CAMSN CAMSN Newsletter The official newsletter for the Canadian Association of Medical & Surgical Nurses February 2018 Individually, we are one drip. Together, we are an ocean. - Ryunosuke Satoro Our Vision To be the voice of medical and surgical nurses in Canada Our Mission Medical and surgical nurses provide nursing care to adults experiencing complex variations in health. They utilize diverse clinical knowledge and skills to care for multiple acutely ill adults and their families. They are leaders at organizing, prioritizing and coordinating care as well as working with interdisciplinary teams. The practice of medical-surgical nursing requires application of evidence-based knowledge and best practice standards to provide quality, safe and ethical care to clients across the continuum of care. The CAMSN nurse advocates, supports and promotes the integral role of medical and surgical nurses to the health care system. CAMSN is an associate member of the Canadian Nurses’ Association (CNA) EXECUTIVE CONTACT INFORMATION: PRESIDENT Brenda Lane, RN, MN, DipAdEd, CMSN(C) [email protected] PAST PRESIDENT Robbyn Peckford, RN, CNE [email protected] SECRETARY Crystal Côté, RN, BN, CMSN(C), MSc (Admin) [email protected] TREASURER Carol Ann Connors, RN, CNE [email protected] COMMUNICATIONS Esther Rees, RN, BScN, CMSN(C) [email protected] 2018 CONFERENCE COORDINATOR Laura Neal, RN, BN, MN, CMSN(C), CD [email protected] Have you ever thought about joining our team? Contact Esther Rees, Communications Executive, if you are interested in learning how you can become involved.
Transcript of CAMSN Newsletter - Canadian Association of Medical and … · 2018. 2. 5. · Doing CNA...
SpecialPointsofInterest
Page2:CAMSNConference2018PosterPage3:CNACertificationProgramfeaturingCAMSNMemberLauraVogelsangPages4-5:EducationCorner(LiverDysfunction:PictureThis)providedbyBrendaLane,RN,BScN,DipAdEd,MN,CMSN(C)andPresidentofCAMSNPage6:ContinuousLearningOpportunities:CaseStudies&Coursesfeaturingthethirdoffourarticlesonthe5mostcommonallegationsassociatedwithnursingnegligencelawsuits,providedbyChrisRokoshofConnectMedicalLegalExpertsPage7:FurthercontinuouslearningopportunitiesPage8:WaystobecomemoreinvolvedwithCAMSN
CAMSNNewsletterThe official newsletter for the Canadian
Association of Medical & Surgical Nurses February 2018
Individually,weareonedrip.Together,weareanocean.
-RyunosukeSatoro
OurVisionTobethevoiceofmedicalandsurgicalnursesinCanadaOurMissionMedicalandsurgicalnursesprovidenursingcaretoadultsexperiencingcomplexvariationsinhealth.Theyutilizediverseclinicalknowledgeandskillstocareformultipleacutelyilladultsandtheirfamilies.Theyareleadersatorganizing,prioritizingandcoordinatingcareaswellasworkingwithinterdisciplinaryteams.Thepracticeofmedical-surgicalnursingrequiresapplicationofevidence-basedknowledgeandbestpracticestandardstoprovidequality,safeandethicalcaretoclientsacrossthecontinuumofcare.TheCAMSNnurseadvocates,supportsandpromotestheintegralroleofmedicalandsurgicalnursestothehealthcaresystem.
CAMSNisanassociatememberoftheCanadianNurses’Association
(CNA)
EXECUTIVECONTACTINFORMATION:
PRESIDENTBrendaLane,RN,MN,DipAdEd,CMSN(C)[email protected],RN,[email protected]ôté,RN,BN,CMSN(C),MSc(Admin)[email protected],RN,[email protected],RN,BScN,CMSN(C)[email protected],RN,BN,MN,CMSN(C),[email protected]
Haveyoueverthoughtaboutjoiningourteam?ContactEstherRees,
CommunicationsExecutive,ifyouareinterestedinlearninghowyoucan
becomeinvolved.
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2018 CONFERENCEMedical-Surgical Nursing:It's Getting Complicated
tta a Con e ence and ent Cent e tta a nta io
June 7th & 8th, 2018 0730–1630 hrs
2-day: $250 + GST
1-day: $150 + GST
Students: $120 + GST (proof of student status)
To register online, visit: https://ccdeconference.usask.ca/index.aspx?cid=347
Numerous oral presenters, posters and topics including, but not limited to: Crack me up! Puzzling out Pelvic FracturesPsychedelic! - Review of Psychiatric Medications on the Med-Surg Floor
th t A look at cardiac issues including ECG reviewBest Practice for Surgical Incisions: Unraveling the Mystery of ProductsIn a Haze Medical Marijuana OverviewSeptic Shock & Antibiotic ReviewMedical Assistance in Dying
t How to Avoid Becoming a Legal Case Study
REGISTRATION COST (includes break ast, lunch, coffee and snacks):
Rooms have been reserved for registrants at the Hampton Inn (100 Coventry Road, Ottawa, ON). Rooms will be held until May 6th – to book yours, call 1-866-238-4218 and tell them you are with CAMSN. Rates are $135/night for single and $145/night for double.
This event is brought to you by the Canadian Association of Medical and Surgical Nurses (CAMSN). www.medsurgnurse.ca
SharetheCAMSNConferencePosterwithyourfriends&colleagues!https://medsurgnurse.files.wordpress.com/2018/02/camsn-conference-poster-2018.pdf
CAMSNConference2018
SpringRegistration&applicationwindowtoRenewbyContinuousLearningis
OPEN!!!
CNACertificationProgram
LearnmoreaboutbecomingCNACertifiedinMedical-
SurgicalNursing:
InitialCertification-Minimumof3,900hoursofexperienceasaRNinyourspecialtyareaoverthepast5years-WrittencertificationexamSeemore,includingtheapplicationprocessat:https://nurseone.ca/en/certification/get-certified
CertificationRenewal-Minimumof2,925hoursofexperienceasaRNinyourspecialtyareaduringyourcurrent5-yearcertificationterm-Demonstrateadvancedknowledgeofyourspecialtyareathrougheither:• ContinuousLearning–100hoursofcontinuouslearningactivitiesoveryour5-yearcertificationterm
• Re-writingthecertificationexam
See more at: https://nurseone.ca/en/certification/renewing-your-certification
“Obtainingmymedical-surgicalcertificationthroughtheCanadianNurses’Associationhasbeenoneofthebiggestmilestonesofmycareer.Thecredentialofbeingacertifiedmedical-surgicalnursehashelpedmetoestablishgreatertrustwithmypatientsandcolleagues.DoingCNAcertificationisajourneyinwhichyouendupfeelingvalidatedinyourknowledgeandmoreconfidentasapractitioner.Mymedical-surgicalcertificationhasbenefitedmeinmyrolesasastaffnurse,educator,andresearcher.Iamproudtonowbeofthefivemedical-surgicalcertificationnursementorsinCanadaandIhopetohelpothersbenefitfromcertificationaswell.”LauraVogelsang,RN,PhD(C),CMSN(C),CCNE(C)Don’tdoitalone.Contactoneofthefivemedical-surgicalcertificationnursementorsinCanadawhoareeagerlywaitingtosupportyouinthisjourney!Medical-SurgicalNurseMentorshaveaminimumofthreeyears’experienceandholdcurrentCNAcertificationinmedical-surgical
nursing.
https://www.cna-aiic.ca/en/certification/exam-preparation/mentorship-program
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CNACertificationDiscoveryWeek
January28th–February3rd
HaveyoueverthoughtaboutobtainingyourCNAcertificationinmedical-surgicalnursing?TheCNACertificationprogramofferstheonly
nationallyrecognizednursingspecialtycredential.Certifiednursesarecommittedtoanadvancedstandardofprofessionalcompetencedirectlycorrelatedwith
improvedpatientoutcomes.
EducationCorner
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LiverDysfunction:PictureThis
ByBrendaJ.Lane,RN,BScN,DipAdEd,MN,CMSN(C)
Mr.FailLivor,a48year-oldmale,isbeingadmittedtoyourunitwithcirrhosis.Youmentallyreviewthepotentialclinicalmanifestations,pathophysiology,andanticipatecollaborativeinterventions.PictureThis:Ascites–Peritonealfluidcollectioniscausedbyincreasedportalhypertensionandhypoalbuminemia.Duetoscarringintheliver,theportalveinpressureincreasesandthehydrostatic(“pushing”)pressureincreasesleadingtofluidshiftingintotheperitonealspace.Additionally,theliverdecreasesproductionofalbuminresultingindecreasedplasmacolloidoncoticpressure(PCOP).This“pulling”pressurehelpskeepfluidinthevascularspace(extracellularfluid);bringingfluidbackintothevascularbed.WhenthePCOPisdecreasedthehydrostatic(“pushing”)pressureisgreaterandfluidleavesthevascularbedintointerstitialspaces,liketheperitoneum.Youanticipateaparacentesistodrainofftheserousfluidtodeceaseabdominalgirthandfacilitateeaseofbreathing.AlbumininfusionsmaybeorderedtoincreasethePCOPasalbuminisalargeproteinmoleculeandwillfacilitatemovementofperitonealfluidbackintothevascularbed.Youanticipatethatthealbumininfusionswillbefollowedbyadiureticinordertopreventfluidoverload.Jaundice–Yellowingofthescleraandskinisacommonlyanticipatedclinicalmanifestation.Bilirubinconjugationisalteredandbilirubinentersintothebloodstreamandurine.Urinemayappeardarkbrownduetourobilinogen.Whenthehemoglobinbreaksdowntohemeandglobin,theliverconjugatesittoformbile.Whenthisprocessisalteredduetoliverdysfunctionthebilirubinisnot metabolizedproperlyandcolourstheskinandsclera.Also,asthereisdecreasedbileintheintestinaltract,clay-colouredstoolsmaybeanticipated.PortalHypertension–Thescarredliverincreasesthepressureintheportalveinandbloodisbackedup,mostcommonlyintothegastricandesophagealveins.Beta-blockersmaybeorderedtohelpdecreaseportalhypertension.Surgicalinterventionmayincludeplacementofashunt,whichallowsvenousbloodtobypasstheliver.Therearemanytypesofshunts.Forexample,theportalveinmaybesurgicallyattachedtotheinferiorvenacava(IVC)tobypasstheliversoblooddrainsdirectlyintotheIVCreturningtotheheart.OthertypesmayincludetherenalveinorsplenicveinsattachedtotheIVC.Surgicalintervention(TIPS-transjugularintrahepaticportosystemicshunt)isusedtobypasstheliverandreduceportalhypertension.Theinterventionalradiologistplacesastentconnectingtheportalveinandthehepaticveintocarrybloodfromtheliverbacktotheheart.Thisprocedurewillreduceportalhypertension,whichcontributestoesophagealvaricesandascites.
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EsophagealVarices-Asthepressureincreasesintheportalvein,smallermorefragilevesselsdevelopandarepronetorupturecausinglife-threateninghemorrhage.Regularlyscheduledprophylacticbandingproceduresmaybeperformedtotieoffvaricessotheydonotrupture.Bleedingmaybecomplicatedduetodeficientclottingfactors.Bleeding–DecreasedVitaminKabsorptionleadstoriskofbleeding,bruising,andchallengingcontrolofhemorrhageifthevaricesrupture.AnticipateVitaminKadministration.Additionally,mostBvitaminsarediminishedthusfolicacid,thiamine,andmulti-vitaminsarealsoanticipatedorders.CoagulopathyduetoreducedhepaticsynthesisoffactorsII,V,VII,andIXmayoccur,thusmonitoringclottingtimeswillbeaconsideration.Observeforpetechiaeandpurpura.Furthermore,alow-gradeDIC(disseminatedintravascularcoagulation)maydevelop.
HepaticEncephalopathy-Mentalconfusionandinappropriatebehaviourisduetotheaccumulationofammonia.Sincethelivercannotconvertammoniatourea,theammoniabuildsupandcausescognitivedysfunction.Elevatedammonialevelsshouldbemonitored.Lactulosewillbeordered,butnotasalaxative!Instead,itisorderedtobindwiththeammoniainthegastrointestinaltractandcauseittoberemovedviadefecation.BUT,yes,therewillbeincreasedbowelmovements.Cognitivefunctionshouldbemonitoredforimprovement.Anticipatealowproteindiet,asammoniaisaby-productofproteinmetabolism.
CaputMedusae–Duetoportalhypertension,superficialabdominalvenousengorgementmayoccuraroundtheumbilicusappearingassnake-likemeshwork.Treatmentstodecreaseportalhypertensionandascitesmaybeconsidered.
SpiderAngiomas–Spider-likebluishdiscolouredveinsmayappearonthenose,face,neckandanteriorchest.Thesemaybeduetohormonalimbalanceswithincreasedestrogen.
Gynecomastia–Inmen,breastenlargementmayoccursecondarytoanimbalanceofhormones,astestosteronedecreasesandestrogenlevelselevate.Additionally,testicularatrophymayoccur.
ItisimportanttorecognizethatMr.Livorhasacomplicatedconditionwhichrequiressafetymeasuresandregularmonitoring.Youarenowreadyforyouradmission!
Author:BrendaJ.Lane,RN,BScN,DipAdEd,MN,CMSN(C),isaProfessorintheBachelorofScienceinNursingprogramatVancouverIslandUniversity,teachingpathophysiologycoursesandclinicalpractice.Sheisalegalnurseconsultantprovidingopiniononmedical-surgicalcases.
LiverDysfunction:PictureThis(Continued)
EducationCorner
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LegalIssuesinNursing;MedicationErrorsByChrisRokoshRN,LegalNurseConsultant,CEOandFounderofConnectMedicalLegalExpertsCAMSNispleasedtosharewithyouthethirdoffourarticlesonthe5mostcommonallegationsassociatedwithnursingnegligencelawsuits.“Haveyouevermadeamedicationerror?IknowIhave;andtodateIhavenevermetanursewhohasn’t.Sadly,theseerrorsoccurmuchtoofrequently.Infact,medicationerrorsconstitutethegreatestnumberofadverseeventsinhealthcare.Fortunately,manyoftheerrorsdonotresultinharm.Forinstance,anursemaygiveapatientTylenolwhenIbuprofenwasordered.Aslongasthepatientdoesn’tsuffersignificantinjuryorseriousadversereaction,thiswouldbeconsideredabreachinthestandardofcarebutwouldnotmakeforasuccessfullawsuit.“Ontheotherhand,ifanurseadministersamedicationthatresultsinseriousinjuryordeath,thepatientcansuethenurseandmayalsosuethedoctor,pharmacistandhospital.Multiplepartiescanbesuedwithmedicationerrorsbasedonthefactthattheremaybemanycontributingfactors,andmanyindividuals,whoplayapartintheordering,dispensing,administrationanddevelopingtheprocessesformedicationadministration…”Readmore,includingafictionalcasestudyinvolvingamedicationerrorwithanadverseoutcome,at:https://medsurgnurse.ca/legal-issues-in-nursing-medication-errors/
ContinuousLearningOpportunities:
CaseStudies&Courses
CE-4031PainManagementCourse–March26th-June15th,2018Nursingcareofclientsofteninvolvesmanagingpainalongsideotherhealthconsiderations,Thiscoursebeginswithanoverviewofconceptsrelatedtopainincludingcommonmisconceptions,epidemiology,andbasicneurophysiologyofpain.Youwilllearnhowtoworkcollaborativelytoaccuratelyassesspaininyourpatientsaswellasdifferentiateacuteandchronicpainmanagementtechniques.Non-pharmacologicalpainmanagementstrategiesarealsodiscussed.Painmanagementinpediatrics,olderadults,andIndigenouspopulationsisexamined.Opioidsafety,theuseofcannabis,andendoflifepainmanagementaresomeofthetopicsdiscussedinthiscourse.Youwillcompletethiscoursearmedwithknowledgeofeffectiveevidencebasedstrategiesformanagingpain.Prerequisite:LPN/RN.Youwillberequiredtoprovideyourlicensenumberatthetimeofregistration.
OnlineRegistration:http://saskpolytech.ca/programs-and-courses/part-time-studies/course/pain-management/CE-4031/(Deadline:March16th,2018)
Introducingthe“IntroductiontoLegalNurseConsulting”CoursebyConnectMedicalLegalExperts
April17th-20th,2018Calgary,AB
ALegalNurseConsultant(LNC)isalicensed,RegisteredNursewho
performsacriticalanalysisofclinicalandadministrativenursingpractice,healthcarefactsandissuesandtheiroutcomesforthelegalandhealthcare
professions.
Learnmoreat:https://www.connectmlx.com/connect-to-education/introduction-to-legal-
course-consulting
EducationCornerContinuousLearning
Opportunities
What’stheHarminHarmReduction?ACollectiveActionCommunity-BasedConference
March29th,201808:30-15:30
Chatham-Kent,ONhttps://www.eventbrite.ca/e/whats-the-harm-in-harm-
reduction-registration-42485590545?aff=es2
CanadianAssociationofNursesinHIV/AIDSCareApril5-7,2018Vancouver,BCwww.canac.org
TrendsinCareoftheElderlyFreeportPhysiciansEducationFundMay2nd,2018at08:30-15:25
Kitchener,ONhttps://www.eventbrite.ca/e/trends-in-care-of-the-
elderly-tickets-38450235690?aff=es2
“Theroadtosuccessisalwaysunderconstruction.”
-LilyTomlin
TheNurse,theChart,andtheLaw
Wednesday,March14,201812:00-1:00PMEDTCNPSWebinarwww.cnps.ca
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May3-6,2018Victoria,BCwww.caet.ca
CanadianOrthopaedicNursesAssociation
May27-30,2018Regina,SK
www.cona-nurse.org
WaystobecomemoreinvolvedwithCAMSN…
EducationCornerAnEducationCornerhasbeenaddedtotheCanadianAssociationofMedicalandSurgicalNurses’official
website,www.medsurgnurse.ca,aswellasthequarterlynewsletters.
CAMSN’sgoalistoprovideeducationalpiecesthatbestservetheinterestandlearningneedsofmedical-surgicalnursesacrossCanada.
v DoyouhaveanideaforourEducationCorner?Isthereamedical-surgicaltopicyouwouldliketoknowmoreabout?
v Areyouinvolvedinnursingeducation?Wouldyouliketocontributeaneducationalpiece?Haveyoudonearesearchstudyrelevanttomedical-surgicalnursing?
v AreyouwritingtheMedical-SurgicalCertificationExamandthere’sanareaofnursingincludedinthecompetenciesthatyou’dliketoknowmoreabout?Telluswhatitis!Wecancreateaneducationalpiecetosupportyouinyourexampreparation.
Visit:https://medsurgnurse.ca/education-corner/foraccesstoallofthepreviouspiecesincludedintheEducationalCorner.
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innovativeCAMSNmemberswhoaremakingadifferenceinmedical-surgicalnursing.
IfyouwouldliketobefeaturedinaCAMSNnewsletterand/oronthewebsite,sendusyourworkinitiative(500-750words).
Ifyouwouldliketonominatesomeonetobefeatured,letusknowandwecancontactthem!
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upcomingworkshopyouwouldlikesharedwithfellowmembers?
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sharetheirexpertise!
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