CNA at work with nurses in Canada

We carebecause you care

Advocacy. Knowledge. Benefits.

Because you careabout your profession

We advocate for nursingThe Canadian Nurses Association (CNA) works with over 139,000 registered nurses (RNs) and nurse practitioners (NPs) across Canada to bring essential and meaningful change to health care and nursing in the country.

CNA advocacy cna-aiic.ca/onthehill

CNA at work with nurses cna-aiic.ca/atwork

YOUR PRACTICE CNA works to improve health care in Canada and is committed to maintaining a publicly funded, not-for-profit health system for all Canadians by influencing public policy.

YOUR ISSUES Because your priorities are our priorities, we continuously advocate for the vital role nurses play in our health-care system.

YOUR VOICECNA works to ensure nurses’ expertise, guidance and concerns are top of mind with government leaders and key decision-makers across Canada.

Because you careabout your patients and clients

We bring you the latest knowledgeCNA makes it easy to stay up to date with nursing specialties, current practices, ethics and public policy. Being part of CNA gives you:

• A Canadian Nurse™ subscription

• A discount on the updated Code of Ethics for Registered Nurses

• Access to Bringing the Code of Ethics to Life learning modules to help you in your practice

• Reports and position statements on current issues such as medical assistance in dying and harm reduction

• Access to more than 100 nursing specialty publications and toolkits

• Tools and online resources to help nurses improve patient health outcomes

• A library of more than 2,000 e-books

CNA’s Code of Ethicscna-aiic.ca/ethics

Nine Things Nurses and Patients Should Question

Last updated May 18, 2017

1Don’t insert an indwelling urinary catheter or leave it in

place without

daily assessment.

The use of indwelling urinary catheters among hospital patients is common. Yet it can also lead to preventable harms such as

urinary tract infection, sepsis and delirium. Guidelines support routine assessment of appropriate urinary catheter indications

—including acute urinary obstruction, critical illness and end-of-life care—and minimizing their duration of use. Strategies

consistent with CAUTI (catheter-associated urinary tract infection) guidelines regarding inappropriate urinary catheter use

have been shown to reduce health care-associated infections.

2Don’t advise routine self-monitoring of blood glucose between

appointments for clients with type 2 diabetes who are not taking insulin

or other medications that could increase risk for hypoglycemia.

Many studies show that, once target control is achieved, routine self-monitoring of blood glucose (SMBG) does little to

control blood sugar for most adults with type 2 diabetes who don’t use insulin or other medications that could increase risk

for hypoglycemia. It should be noted that SMBG may be indicated during acute illness, medication change or pregnancy;

when a history or risk of hypoglycemia exists (e.g., if using a sulfonylurea), and when individuals need monitoring to maintain

targets — considerations that should be part of assessment and client education.

3Don’t add extra layers of bedding (sheets, pads) beneath patients on

therapeutic surfaces.

Additional layers of bedding can limit the pressure-dispersing capacities of therapeutic surfaces (such as therapeutic

mattresses or cushions). As a result, extra sheets and pads can contribute to skin breakdown and impede the healing of

existing pressure wounds.

4Don’t use oxygen therapy to treat non-hypoxic dyspnea.

Oxygen is frequently used to relieve shortness of breath. However, supplemental oxygen does not benefit patients who are

short of breath but not hypoxic. Supplemental flow of air is as effective as oxygen for non-hypoxic dyspnea.

5Don’t routinely use incontinence containment products (including briefs

or pads) for older adults.

Adult incontinence containment products are frequently used for continent patients (especially women) with low mobility.

Yet the literature associates their use with multiple adverse outcomes including diminished self-esteem and perceived

quality of life, and higher incidence rates of dermatitis, pressure wounds and urinary tract infections. Among older adults,

nurses should conduct a thorough assessment to determine the risk of such outcomes before initiating or continuing the

use of incontinence containment products. The development of a continence care plan should be a shared decision-making

process that includes the known wishes of clients regarding care needs and the perspectives of carers and the health care

team.

6Don’t recommend tube feeding for clients with advanced dementia

without ensuring a shared decision-making process that includes

the known wishes of clients regarding future care needs and the

perspectives of carers and the health care team.

Tube feeding for older adults with advanced dementia offers no benefit over careful feeding assistance related to the

outcomes of aspiration pneumonia and the extension of life. While food is the preferred form of obtaining nutrition, oral

supplements may be beneficial if this intervention meets the person’s known goals of care. Tube feeding may contribute to

client discomfort and result in agitation, the use of physical and/or chemical restraint and worsening pressure wounds.

JANUARY/FEBRUARY 2017 VOL. 113 NO. 1

UNDERSTANDING

THE FENTANYL

CRISIS

B.C.’s NEW CHIEF

NURSING ADVISOR

MEDICAL

CANNABISRESEARCH CHALLENGES

& NEW REGULATIONS

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FRAMEWORK FOR THEPRACTICE OF REGISTERED NURSES

IN CANADA 2015

Staff Mix

Decision-making Framework

for Quality Nursing Care

NATIONAL NURSING FRAMEWORK

ON MEDICAL ASSISTANCE IN DYING IN CANADA

Because you careabout your career

We help you achieve your goalsOur professional development programs and events provide valuable opportunities to advance your nursing career and network with other nursing professionals.

CNA offers:

• The CNA Certification Program, Canada’s only national nursing certifi-cation credential (with savings of $200 for nurses who are part of CNA)

• 30% discount on CNA’s biennial convention

• Membership in the International Council of Nurses, which gives you the opportunity to contribute to the global nursing perspective

• Connection to the Canadian Network of Nursing Specialties

• Discounts on continuing education and specialty clinical courses

• Progress in Practice webinars on topical issues affecting nursing today

• Career development resources to help you discover the work best suited to your aspirations and skills

• Access to NursingCareersCanada.ca to browse jobs and post your resumé

• CNA Now e-newsletter

• The Dorothy Wylie Health Leaders Institute

• RNs and NPs can apply to become a Canadian Nurses Protective Society beneficiary when joining CNA in Ontario and Quebec

• An accreditation for continuing nursing education

CNA Certification getcertified.cna-aiic.ca

Canadian Network of Nursing Specialties cna-aiic.ca/network

CNA newsletters cna-aiic.ca/cnanow

Webinars webinar.cna-aiic.ca

The value of CNA

Join CNA and get a full year’s subscription to Canadian Nurse magazine included with your annual fee!

For just $57.70* a year you get access to thousands of

workshops, courses and resources, membership

in the International Council of Nurses — which

represents nursing professionals in 130 countries —

connection to 46 specialty groups, plus special discounts and offers from leading national service

providers. For more about the benefits of being a part of

CNA, visit cna-aiic.ca/benefits.

SENIORS CARE

INNOVATIONS

NURSE TO KNOW

SOPARI SOR

PUTS DOWN NEW ROOTS

FOCUS ONDEMENTIA

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OCTOBER 2016 VOLUME 112 NUMBER 7

FOOD FORTHOUGHT

MARCH/APRIL 2017 VOL. 113 NO. 2

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NURSE TO KNOW

QUEBEC RESEARCHER LUCIE LEMELIN

TRANSFORMING

THE FOOD GUIDE

THE PUSH FOR BETTER LABELLING

JANUARY/FEBRUARY 2017 VOL. 113 NO. 1

UNDERSTANDING THE FENTANYL CRISIS

B.C.’s NEW CHIEF NURSING ADVISOR

MEDICAL CANNABISRESEARCH CHALLENGES & NEW REGULATIONS

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* Plus applicable taxes. Annual fee covers CNA benefits from January 1 to December 31, 2018. For those who join between October 1 and December 31, 2017, the annual fee includes up to three free months of CNA benefits prior to 2018.

Mark your calendars for 2018Certification applications:

CANADIAN NURSES ASSOCIATION50 Driveway, Ottawa, ON K2P 1E2Tel.: 613-237-2133 or 1-800-361-8404 Fax: 613-237-3520 cna-aiic.ca

• January 10 – March 1 to write or renew by exam

• May 1 – 15 CNA certification exam window

Enjoy CNA benefitsNurses of these provincial and territorial jurisdictions are automatically part of CNA:

• June 1 – September 10 to write or renew by exam

• November 1 – 15 CNA certification exam window

• January 10 – November 1 renewal by continuous learning

SP

RIN

GFA

LL

Association of Registered Nurses of British ColumbiaCollege and Association of Registered Nurses of AlbertaSaskatchewan Registered Nurses’ AssociationAssociation of Registered Nurses of ManitobaNurses Association of New Brunswick

College of Registered Nurses of Nova ScotiaAssociation of Registered Nurses of Prince Edward IslandAssociation of Registered Nurses of Newfoundland and LabradorRegistered Nurses Association of the Northwest Territories and NunavutYukon Registered Nurses Association

Ontario and Quebec nurses

Join or renew today at join.cna-aiic.ca because CNA has more for you.

National Nursing Week #YESThisIsNursingMay 7-13

Dorothy Wylie Health Leaders Institute May 22-25, Toronto

Leadership workshopJune 17, Ottawa

Annual meeting of membersJune 18, Ottawa

Biennial conventionJune 18-20, Ottawa

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