Discipline & Regulation
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May 24, 2009 Discipline & Regulation • Aug 29, 2007 CNO Press Release – CNO will regulate 4 NP specialties…NP(A) • Scope of Practice, RN(EC) – 3 controlled acts within RN scope + 4 additional controlled acts – Self-regulating – Authorizing mechanisms (directives) • PHA (reg 965) – NPs in ambulatory to full scope….does not apply to in-patients
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Discipline & Regulation. Aug 29, 2007 CNO Press Release CNO will regulate 4 NP specialties…NP(A) Scope of Practice, RN(EC) 3 controlled acts within RN scope + 4 additional controlled acts Self-regulating Authorizing mechanisms (directives) - PowerPoint PPT Presentation
Transcript of Discipline & Regulation
May 24, 2009
Discipline & Regulation• Aug 29, 2007 CNO Press Release
– CNO will regulate 4 NP specialties…NP(A)• Scope of Practice, RN(EC)
– 3 controlled acts within RN scope + 4 additional controlled acts
– Self-regulating– Authorizing mechanisms (directives)
• PHA (reg 965) – NPs in ambulatory to full scope….does not apply to in-patients
May 24, 2009
CNPI Core Competency Framework
• Canadian Nurse Practitioners (Jan 2005)• Health Assessment & Diagnosis• Health-Care Management & therapeutic
Intervention• Health Promotion & Prevention of Illness, Injury &
Complications• Professional Role & Responsibilities
May 24, 2009
APN National Framework (CNA ’08)
• Minimum education = graduate degree in nursing
• Roles focus on clinical practice• Competencies
– Clinical, research, leadership– Consultation & collaboration
May 24, 2009
Clinical Activities…
• Start with patient & program needs– Patient flow, patient safety, QI
• Identify gaps– Patient satisfaction, best practices
• Build on strengths of teams– Maximize expertise & experience– Accept overlap and distinct focus
• Identify evaluation measures
May 24, 2009
Collaborative Practice
• Dynamic process & outcome • Shared interest • Involves synthesis of different
perspectives to understand complexity• Develops integrative solutions• More that the sum of the parts
May 24, 2009
10 Lessons in Collaboration
• Know thyself• Manage diversity• Conflict resolution• Win-win solutions• Master interpersonal & process skills• It’s a journey
• Shared decision making• Structure & spontaneous• Balance autonomy & unity• Not for all decisions
(D. Gardner, 2009)
May 24, 2009
Innovation = Our future
• 1988 – 1NNP….2009 74NPs• “not sure where this will land exactly…
but…we’re willing and possibilities will emerge”
• “we have to work together…new systems…new models…new ways”
May 24, 2009
Progress• Regulations exist• Commitment to teams and new models• Advisory Group, Courses launched,
Students engaged• Preceptors poised• Organizations willing• 1st graduates December ’09• Next cohort….
May 24, 2009
Nurses in Anesthesia Care Around the World
• 106 Countries• Role varies• Title varies• Regulations vary
May 24, 2009
May 24, 2009
NPs on the Anesthesia Care Team
FIRST IN CANADAMay 24, 2009
