Vol. xxxV no. 3 september 2014 ACCESS - ARNNL · 2 ess Vol. xxxV no. 3 september 2014 ARNNL COUNCIL...
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ACCESS IN THIS ISSUE: VOL. XXXV NO. 3 SEPTEMBER 2014 • NEW DEADLINE FOR ANNUAL LICENSURE RENEWAL 2015-16 • ELECTRONIC DEVICES IN THE WORKPLACE • SELF-EMPLOYED? CONTRIBUTE TO ACCESS! • ARNNL AWARDS FOR EXCELLENCE IN NURSING AND HONORARY MEMBERSHIP … & MORE! Attention, Nursing Students: Contest Inside! p. 6
Transcript of Vol. xxxV no. 3 september 2014 ACCESS - ARNNL · 2 ess Vol. xxxV no. 3 september 2014 ARNNL COUNCIL...
ACCESS
in this issue:
Vol. xxxV no. 3 september 2014
• NEW DEADLINE FOR ANNUAL LICENSURE RENEWAL 2015-16• ELECTRONIC DEVICES IN THE WORKPLACE• SELF-EMPLOYED? CONTRIBUTE TO ACCESS!• ARNNL AWARDS FOR EXCELLENCE IN NURSING AND
HONORARY MEMBERSHIP … & MORE! Attentio
n, Nursing Students:
Contest Inside!
p. 6
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ACCESS Vol. xxxV No. 3 SEptEmbEr 2014
ARNNL COUNCILRegina Coady President 2014-16Julie Nicholas President-Elect 2014-16Patricia Rodgers Eastern Region 2014-17Sandra Evans Central Region 2012-15Lacey Sparkes Western Region 2014-17Beverly Pittman Labrador/Grenfell Region 2012-15Dena King Advanced Practice 2013-16Lisa Jesso Practice 2013-16Madonna Manuel Education/Research 2012-15Elaine Warren Administration 2012-15Carmel Doyle Public Representative 2011-14Ray Frew Public Representative 2011-14Irene Baird Public Representative 2011-14Walter Arnold Public Representative 2011-14Lynn Power Executive Director
Representatives from nursing student societies (observers)
ARNNL STAFFLynn Power Executive Director 753-6173
Michelle Osmond Director of Regulatory Services [email protected]
Lana Littlejohn Director of Corporate Services [email protected]
Jennifer Barry Communications Officer [email protected]
Siobhainn Lewis Nursing ConsultantPolicy & Practice
Pamela King-Jesso Nursing ConsultantPolicy & Practice
Beverley McIsaac Nursing Consultant-Regulatory Services & Advanced Practice
Bradley Walsh Regulatory Officer [email protected]
Rolanda Lavallee Regulatory Officer [email protected]
Julie Wells Research & Policy Officer and ARNNL Trust Coordinator
Christine Fitzgerald Administrative AssistantExecutive Director & Council
Jeanette Gosse Administrative AssistantDirector of Regulatory Services
Jennifer Rideout Administrative AssistantPolicy & Practice
Renee Reardon(on leave)
Administrative AssistantAdvanced Practice
Jennifer Lynch Administrative AssistantRegistration
Carolyn Rose Administrative AssistantRegistration
ACCESS is the official publication of the Association of Registered Nurses of Newfoundland and Labrador.ACCESS is published three times a year in January, May and September. Subscriptions are available to non-members for $25 per year.
Advertise in the next issue of ACCESSContact Jennifer Barry [email protected] or call 709-753-6198
55 Military Road, St. John’s, NL A1C 2C5Ph: 709-753-6040 Fax: 709-753-4940 Toll Free: 1-800-563-3200email: [email protected] www.arnnl.ca
©Association of Registered Nurses of Newfoundland and Labrador (ARNNL). All rights reserved. For editorial matters, please contact the editor. The views and opinions expressed in the articles and advertisements are those of the authors or advertisers and do not necessarily represent the policies of ARNNL.
Editor Jennifer BarryCreative Design Brenda Andrews, Image 4
Contributing Editor Danielle Devereaux
Contents
Message from the President ................................... 3
From the Executive Director’s Desk ........................ 4
ARNNL Council Matters .......................................... 5
New Deadline for Annual Licensure 2015-16 .......... 6
Committed to Competence ..................................... 7
The First 30 Years ..................................................... 8
Q&A: You Asked ......................................................10
Regulatory Notes .................................................... 11
Nurses of Note ....................................................... 12
Continuing Competency from Classroom to Clinical Practice .................................................14
Advanced Practice View ........................................ 15
Goings On/Conferences and Workshops ..............16
Trust News ...............................................................18
Volunteer Spotlight ................................................19
Clinical Corner ........................................................ 20
Congratulations, Nursing Graduates ..................... 21
On the cover (left to right): Standing - Sandra Moss, Maxine Power-Murrin, Sarah-Lynn Morgan, Madonna Manuel. Sitting - Patricia Grainger, Regina Coady (ARNNL President), Louise Price.
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Message from the President
It was an absolute privilege to assume the role of ARNNL President in Gander during the June Annual Business Meeting. We received a warm reception by registered nurses in Central Newfoundland and were pleased to have representation from all regions of the province. Additionally, a large turnout at the Awards for Excellence in Nursing and the open linkage session at the ARNNL Presidents Reception were great opportunities to connect with RNs and the public. It was also a celebration of the 60th anniversary of ARNNL and self-regulation of registered nurses in our province.
I wish to acknowledge the passion and dedication demonstrated by my predecessor, ARNNL Past-President, Cathy Stratton throughout her term. I am humbled to be taking my place in the company of Cathy and all of the other visionary nursing leaders who have served before me. Beginning my two-year term on the 60th anniversary of ARNNL allowed me to look back over all that we have achieved and similarly to look ahead at all that is possible in our future. It was a good time to read once again the document prepared for the ARNNL 50th Anniversary in 2004 on the history of our organization. I invite you to read this document at www.arnnl.ca and reconnect with the great legacy of the achievements of ARNNL. In this edition of ACCESS (see p. 8) and in the January 2015 edition, we will give you a glimpse back over the 60 years of ARNNL and self regulation of registered nurses in this province.
Celebrating ARNNL’s 60 years is important. Self-regulation is a privilege entrusted to ARNNL by Government through our Act and Regulations. We are accountable to the public to ensure registered nurses are safe, competent practitioners, well prepared to meet standards of practice and our code of ethics. This accountability is the primary driver of the work of your elected Council as well as the staff of ARNNL.
In my term as President, I will focus on building active engagement with registered nurses, the public and our partners. I will focus on further strengthening our identity and visibility in the public and ensuring our voice is strong in the realm of healthy public policy, quality professional practice environments and advancing the professionalism of the registered nurse. To this end there are many initiatives and much work underway. I invite registered nurses to also increase engagement in our profession. Get involved at the employer, community, regional and provincial/national/international levels. In just the first few weeks in my role, I have met exemplary RNs in this province making a difference every day. These RNs demonstrate leadership and professionalism in everyday practice.
I especially put a challenge out to ARNNL members in this 60th anniversary year to become involved in the work of ARNNL. Visit www.arnnl.ca and review the many published standards, position statements and documents, attend continuing education teleconferences, become a workplace representative, volunteer for committee involvement, provide feedback on draft publications still under development, submit an item for ACCESS or ARNNL UPDATE, get in contact with an ARNNL Council member to discuss issues or attend the Annual Meeting in 2015. Find your voice in a way that works best for you.
Regina Coady, RN, [email protected]
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From the Executive Director’s Desk
I spent almost nine years working with the nurses of Vietnam. During this experience I learned a lot about nursing practice in Newfoundland and Labrador.
I went to Vietnam to help nurses there establish the necessary regulatory processes to enable them to confidently say that all the nurses in Vietnam provide safe, competent and ethical care. My first observation? This statement, which garnered such respect from Vietnamese nurses for the related rules and policies, left me impressed. They were working on their first code of ethics and identifying standards for practice. Their pride was contagious and evident in their commitment to memorize the standards and values that meant so much to them. At that time they didn’t have a licensure system. By comparison, this year ARNNL is celebrating 60 years of licensure. I witnessed the nurses of Vietnam working diligently to understand and promote the value of a national or at least a state-based approved educational program. In 2015, our BN Collaborative Program will undergo its third review in collaboration with the Canadian Association of Schools of Nursing. And the list of differences goes on.
Why am I musing about another country and ARNNL’s past achievements? To help you appreciate what I learned through that relationship – having a body like ARNNL makes a meaningful difference to nursing practice. When I first met them the Vietnamese nurses had little control over their scope of practice, limited engagement with nursing schools, no means of addressing public complaints about care and extremely limited access to evidenced-based materials or professional development.
I encourage you to learn about all that your Council and the over 300 volunteers on ARNNL committees do for you and the practice of nursing with the same eagerness and appreciation as our Vietnamese counterparts. If ARNNL (through your engagement) did not set the “rules,” some other body would. This past year ARNNL conducted the first formal CCP audit (see p. 7); we reported on 25 allegations of conduct deserving of a sanction; we made changes to our bylaws to reflect requirements in the RN Act which stipulate that you can’t use the title “RN” unless you have a practicing license; and, in the coming licensure year, we are introducing a new deadline date for annual licensure renewal (see p. 6). We also celebrated over 100 RNs’ achievements in ACCESS, published over 20 documents to help guide your practice (e.g., Social Media Position Statement) and met with over 1,000 RNs in their workplaces.
This past July, ARNNL took a very public stance and participated in a locally-produced documentary called Sister Morphine. This film portrays the impact drug addiction had upon the career of a former nurse. Although this nurse was not a member of ARNNL, the producers were local and thus sought from us an understanding of why regulatory bodies publish discipline decisions, a role which may be perceived as tough, but one that plays a critical role in public protection. A role that is still on Vietnam’s to-do list.
Working with the Vietnamese leadership team and their charge of almost 40,000 nurses taught me that what we take for granted in NL reflects a lot of hard work, thoughtfulness and a focus on quality nursing services for the public from all nurses of this province. In legislative jargon, it is called self- regulation. A privilege that ARNNL, with you and on upon your behalf, has held for 60 years. Read our annual report at www.arnnl.ca to learn more. You are the “self” in self-regulation. Take up your President’s challenge and join our team.
Lynn Power, RN, [email protected]
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ARNNL Council Matters
Attend an ARNNL Council meeting! The next in-house Council meeting takes place on
Oct. 23-24 at ARNNL House in St. John’s.
Contact Christine Fitzgerald, Executive Assistant, at (709) 753-6183 or [email protected] for details.
COUNCIL BESTOWS 50th HONORARY ARNNL MEMBERSHIPOn June 7, Council presented Honorary Membership to Sandra Moss, a retired nurse from Western Health. Established in 1954, Honorary Membership is awarded to individuals who have helped advance the nursing profession and/or the Association. Sandra graduated from the Salvation Army Grace General Hospital in 1973 and took her first role as a registered nurse at Channel Hospital in Channel-Port aux Basques. She graduated
from Dalhousie University in 1976 with a Diploma in Public Health Nursing, and in 2001 she received a Bachelor of Nursing degree from Memorial University of Newfoundland. Throughout her career Sandra has held various clinical and administrative roles within the community setting. She retired in 2013 as Regional Director of Community Support with Western Regional Integrated Health Board. Sandra was integral in setting up prenatal classes in Port aux Basques, and introduced a formal referral system to ensure all newborns were referred to a community health nurse for follow-up. She also played a lead role in developing home care nursing services in Southwest Newfoundland, which also incorporated palliative and end-of-life care. Locally and provincially she played a key role in expanding end-of-life care, home care and seniors’ services. Sandra was also the founding member of the Channel Chapter of ARNNL, served as an ARNNL Workplace Representative and ARNNL Council member from 1996 to 2000.
Cathy Stratton and Anne Doyle
COUNCIL MEMBERS RECOGNIZED ARNNL wishes to thank Cathy Stratton (ARNNL President from 2012-14) and Anne Doyle (Western Region Councillor from 2012-14) for their dedication and commitment to the work of Council. Cathy and Anne attended their last Council meeting in June.
ARNNL PRESIDENTS RECEPTION IN GANDER
On June 4, ARNNL Council joined RNs and members of the public at the Gander Community Centre in the Sports Hall of Fame for the ARNNL Presidents Reception. The event provided ARNNL Council with an opportunity to hear valuable input from RNs, community leaders and members of the public about where the nursing profession should be directing its attention in the future.
ARNNL WELCOMES NEW COUNCIL MEMBERSFollowing ARNNL Council Elections this past spring, three new members were elected. As reported in the May 2014 issue of ACCESS, Julie Nicholas (ARNNL’s President-Elect 2014-16) and Lacey Sparkes (Western Region Councillor 2014-17) were elected by
MEMORIAL DAY PARADE HONOURS VETERANS AND THE ROLE OF RNsARNNL President Regina Coady laid a wreath on behalf of ARNNL at the Memorial Day parade on July 1 in downtown St. John’s. In 2004, on the occasion of the 50th Anniversary of ARNNL, the anniversary planning committee started the practice of ARNNL’s participation in the July 1 ceremony at the provincial war memorial, as well as the Veterans Parade and wreath laying. Since then, both retired and practicing RNs, dressed in traditional nursing attire, take part in the annual ceremony. All are welcome next July.
*More details about the business of ARNNL’s Council are available in UPDATE, ARNNL’s e-newsletter. Email [email protected] to subscribe today!
Patricia Rodgers
acclamation. Official results for the Eastern Region Councillor election were revealed at ARNNL’s 60th Annual Business Meeting in June. Patricia Rodgers, Clinical Educator (Critical Care) with Eastern Health, is Council’s new Eastern Region Councillor (2014-17). Welcome, everyone!
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New Deadline for Annual Licensure Renewal 2015-16By: Rolanda Lavallee, RN, MN, Regulatory Officer
Practicing licenses must be renewed by March 1, 2015
A new deadline for annual licensure renewal applications comes into effect for the 2015-16 licensure year. In June, Council approved revisions to the By-Laws. The revisions require all members seeking to renew practicing licenses to submit licensure renewal applications by March 1, however, the licensure expiry date will remain unchanged at March 31. During this transition year, applications submitted after March 1 will not be subject to late application fees, however, late fees will apply as of April 1.
Why is the new March 1 deadline required?the RN Act (2008) and the RN Regulations (2013) have established criteria and requirements for licensure/membership renewal. To meet the requirements, a member may require documentation from a third party (example, verification from another regulatory body or practice hours from an employer) or direct follow-up by ARNNL staff to clarify information provided. A March 1 deadline provides 30 days in advance of the license expiry date to review and complete the application process. The new deadline supports ARNNL’s public protection mandate by reducing potential health service delivery impacts which may occur if a member is prevented from working on April 1 as he/she does not meet licensure renewal requirements.In 2014, approximately 3,000 members submitted their licensure renewal applications after March 1; 1,800 of these were submitted after March 15; 220 were submitted on March 31. Based on a review of application submission
dates over the past five years, this is a consistent trend. Submission of a licensure renewal application after March 1 increases the probability a member may not be licensed as of April 1, if outstanding documentation or clarification of information is required to meet licensure requirements.
How will the new deadline affect the Continuing Competence Program requirements?Members who submit licensure renewal applications prior to, or on March 1 with outstanding Continuing Competence Program requirements will have until March 31 to submit updated information before a conditional license is issued.If you have questions or require further information, please contact Regulatory Services at (709) 753-6040 or 1-800-563-3200 (toll free), or email [email protected].
CONTEST FOR NURSING STUDENTS
It’s 2074. You recall your nursing school days and even remember when, back in 2014, ARNNL celebrated its 60th Anniversary. Where has the time gone?
TELL US IN 400 WORDS OR LESS:• What does 2074 nursing practice look like?• Where does nursing practice take place in
2074?• What is the most important ‘tool’ being
used in 2074 nursing practice?• What is the biggest positive change in
nursing practice since 2014?
BE CREATIVE!Entries will be judged on:• Innovation• Forward-thinking• Focus on the public interest• Reflection of ethical and professional
nursing values• Consideration of advancements in
education and technology
DEADLINE FOR SUBMISSION: Friday, Oct. 24, 2014. Forward entries to: [email protected].
Three prizes of $200 each will be awarded as follows: One for the winning entry in each of the three BN Collaborative program school of nursing sites. All students currently enrolled in any year of the BN Collaborative program may enter.
Winning entries will be featured at www.arnnl.ca, and winners will be announced in the January 2015 edition of ACCESS magazine. For information and questions, please contact Siobhainn Lewis at [email protected] or 709-753-0124.
THREE PRIZES OF $200 EACH to be awarded for the winning entry
from each of the three BN Collaborative program school of nursing sites in NL
Deadline: Oct. 24, 2014
Help the Association of Registered Nurses of Newfoundland and Labrador imagine the future of practice for registered nurses. Send a message to your future self!
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ACCESS VOL. XXXV NO. 3 SEPTEMBER 2014
Anniversary
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Congratulations! RNs in NL are Committed to CompetenceContinuing Competence Program (CCP) Audit Results 2013-14 Licensure YearBy: Staff Advisory Committee on Continuing Competence1
1 (Joanne Baird, Dorothy Bragg, Cathy Burke, Patricia Grainger, Marcy Greene-Feder, Fatima Hewitt, Lisa Hoddinott, Heather Hunt-Smith, Pamela King-Jesso, Rhonda McDonald, Beverley McIsaac, Brad Walsh and Anne Rowsell)
2Audit participants were selected using a stratified random sampling process.
Overview of CCP Audit Process• In April 2014, 50 practicing members
(45 RNs and 5 NPs) were randomly selected to participate in the audit and were requested to submit their Professional Development Learning Plan, Professional Development Evaluation Form and evidence for verification of formal hours (e.g., CCP tracking forms, certificates, etc.).2
• Audited members were employed in acute care, community, long term care, education, administration and independent practice from all regions of the province.
• In May, the CCP Audit Committee met to review the submitted documents, which were de-identified.
Overall Audit Results – Great News!• 100% of audited members submitted CCP
material for the audit process. (Forty-eight of the 50 CCP documents were initially reviewed by the committee; two practicing members were granted additional time for submission due to extenuating circumstances and their documents were submitted at a later date and reviewed).
• 92% of audited members met initial audit requirements.
• Only 8% of audited members required follow-up by the ARNNL Nursing Consultant to obtain clarification on the information that was submitted and/or for educational purposes.
• Overall the CCP Audit Committee was impressed with the caliber of submissions.
Learnings from CCP Audit/Tips for helping you complete your 2014-15 CCPFollowing a review of the CCP forms submitted during the audit, the committee identified the following tips to assist you in completing your CCP:• For the 2014-15 licensure year, RNs are
required to assess their practice utilizing the 2013 Standards of Practice for Registered Nurses and NPs are required to utilize the 2013 Standards for Nurse Practitioner Practice in Newfoundland and Labrador when completing their CCP forms (see ARNNL website for revised CCP forms).
• If you are selected for audit for the 2014-15 licensure year, ensure your learning activities (conferences, educational events, etc.) fall within the licensure year, April 1, 2014-March 31, 2015.
• Ensure your learning goals have an action verb and indicate WHAT you are going to learn (e.g., “to increase my knowledge of palliative care nursing, including dealing with family members”).
• Ensure that you include the number of hours for each learning activity that you completed (e.g., “my seminar was 2 hours in length”).
• Review your target dates to ensure they include a month/year that falls within the ARNNL licensure year.
• Review your CCP forms to ensure all sections are completed accurately.
• Review the CCP tutorial and archived CCP teleconference on the ARNNL website. This will assist you in completing the CCP requirements accurately.
Plans for next year’s audit are underway. Next year the number of RNs and NPs chosen for the audit will increase and we will be looking for volunteers for the Audit Committee. Stay tuned!
CCP Audit Committee Members (left to right: Marcy Greene-Feder, Rhonda McDonald, Joanne Baird, Dorothy Bragg and Patricia Grainger)
The Association of Registered Nurses of Newfoundland and Labrador (ARNNL) celebrates 60 years of history in 2014. While the Registered Nurses Act became effective in January 1954, nurses across Newfoundland and Labrador were affiliated for many years as the Newfoundland Graduate Nurses Association. Founded in 1913, they promoted the interests of graduate nurses in the colony through the advancement of nursing and professional nursing standards.
In this issue of ACCESS, we look back at the first 30 years. Look for a retrospective of nursing’s achievements from 1984-2014 in the January 2015 issue.
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JANUARY 1, 1954RN Act came into force.A declaration proclaimed “The ARNN is responsible for the Registration of Nurses which was previously under the jurisdiction of the Department of Health, and conducts the affairs of nursing as laid down in the Newfoundland Nurses Act.”
JUNE 1954Newfoundland was received into the Canadian Nurses Association.- 673 practicing members- 114 non-practicing members.
1979A resolution was passed at the Annual General Meeting to consider placing basic nursing education at BN level; ARNN celebrates 25 years.
1981ARNN office moves to 55 Military Road in St. John’s.
1982Canadian Nurses Association Board of Directors passed a motion for Bachelor of Nursing by the year 2000 as a point of entry to practice.
1984The Canada Health Act was passed; ARNN lobbied vigorously for this new Act.- 4,602 practicing
members- 540 non-
practicing members.
The First 30 Years …
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1956Standard Curriculum for Schools of Nursing was developed.
1962The International Code of Nursing Ethics was adopted.
1964Newfoundland hosted the Canadian Nurses Association Biennial. This was recorded to be the first National Conference to be held in the province.- 1,233 practicing members- 353 non-practicing members.
1966A two-year School of Nursing Curriculum was approved for Corner Brook.
1969Medical-Nursing procedures booklet was published and distributed.
1974- 2,589 practicing members- 442 non-practicing members.
1975Newfoundland Nurses Union (NNU) was formed. Prior to this date ARNN was involved in negotiating nurses’ wages.
1978ARNN hired a nursing practice advisor to develop the standards of practice.
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ACCESS Vol. xxxV No. 3 SEptEmbEr 2014
A:Q:Q & A: You AskedBy: Siobhainn Lewis, RN, MN, ARNNL Nursing Consultant – Policy and Practice
I’ve just learned there are two new ARNNL documents: one on professionalism and one on the therapeutic nurse-client relationship. Does that mean there are new expectations for me?
No. Registered nurses have long held accountability for what they do and how they do it; in essence, My Practice – My Responsibility. The expectations related to professional behaviours, as well as the RNs responsibility to initiate, maintain and conclude the therapeutic nurse-client relationship are not new, but they are being articulated in two new documents. The new documents – Professionalism and the Registered Nurse and The Therapeutic Nurse-Client Relationship – are referred to as Interpretive Documents, meaning they help you interpret expectations indicated in the ARNNL Standards of Practice for Registered Nurses and the ARNNL Standards for Nurse Practitioner Practice in Newfoundland and Labrador.
Professionalism for the RN includes behaviours, qualities, values and attitudes that demonstrate to your client that you are accountable, visible, knowledgeable and ethical. Members of the public expect that RNs will invoke the elements of professionalism when providing nursing service, when collaborating with them, colleagues and other members of the health care team, and when advocating for healthy public policies. The Professionalism and the Registered Nurse document describes the expectations of the RN in upholding these elements of professionalism.
RNs are professionals who focus on the needs of their clients and in so doing form therapeutic relationships that are for the benefit of the client. RNs utilize relevant theories and interpersonal skills to achieve client health care needs. It is you, the RN, who sets and maintains the professional boundaries of the therapeutic relationship. As the professional you understand and utilize the therapeutic nurse-client relationship as the fundamental means of providing safe, competent, compassionate and ethical nursing care. The Therapeutic Nurse-Client Relationship document articulates several key concepts of the therapeutic relationship and, through use of practice examples, identifies how these concepts are applied in nursing practice.
So take the time to review these two new documents and reflect on your practice. How do you invoke the elements of professionalism? How do you manage the therapeutic nurse-client relationship? Is the therapeutic nurse-client relationship on your CCP radar for this year? It is your obligation as a registered nurse to know and uphold the expectations for your practice.
These new documents, as well as all documents to support your practice, are available at www.arnnl.ca. To receive copies of the poster series featuring the elements of professionalism, please email Jennifer Rideout at [email protected].
Q & A: YOU ASKED reflects member questions frequently asked about general topics. Members can access confidential practice consultation with ARNNL Nursing Staff. Visit www.arnnl.ca under “Contact Us” for ways to get in touch.
Registered nurses have long held
accountability for what they do and how they do it; in
essence, My Practice – My Responsibility.
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Regulatory NotesElectronic Devices in the Workplace: Considerations for Registered NursesBy: Michelle Osmond, RN, MS(N), Director of Regulatory Services and Professional Conduct Review
Look anywhere these days and you will see people using cell phones, iPhones/smart phones or tablet devices. With a large portion of the general public owning a mobile device it is not unexpected that these devices are finding their way into workplaces, including nursing practice environments. Mobile technology can link health professionals with an abundance of resources, such as drug references, best practice guidelines and other clinical information. Given that this technology will continue to expand, it is important for registered nurses to consider appropriate use of technology in the workplace.
Employers may have policies that state where and for what purposes mobile devices can be used in the workplace. Registered nurses need to be aware that clinical use of a mobile device for client related care requires employer authorization. Although the varied functions of a mobile device may seem to be useful tools for client care, such as taking a photo of a wound to monitor healing or forwarding INR or other results to a physician/nurse practitioner to inform treatment, using a mobile device in the workplace without authorization, in particular a personally owed mobile device, is inappropriate and can result in a breach of client confidentiality. Redacting or removing a client’s identifying information may not be sufficient to protect confidentiality. If the receiving device does not have adequate security features the information may be seen or heard by unauthorized persons. Furthermore, a physician or nurse practitioner cannot
act on de-identified client information, such as a redacted lab result. Positive client identification is fundamental to safe care and includes ensuring any results reviewed are for the right client. To date ARNNL has received one complaint related to the communication of client information via a personal mobile device.
The ease of use and speed of mobile technology may make by-passing established work processes seem harmless, however, unauthorized use of a personal device in the workplace may increase your exposure to allegations of professional misconduct and you may be subject to employer discipline. Clients have a right to privacy and confidentiality; the means by which their personal health information is collected, stored and communicated must follow appropriate policy and procedures.
“Bring your own device” (BYOD) is a growing trend in many workplaces and some employer policies may allow the use of a personal device for work purposes. Through employer protocols and organizational infrastructure, work processes are defined, and added functionality such as encryption ensures confidential information is protected. Without this protection any information communicated or stored on the devices, including emails, voicemails, videos, text messages or pictures may be exposed to unauthorized access if the device is lost, stolen or lent to another individual (e.g., co-worker, friend or spouse). Employers who require an employee to use a mobile device for work related purposes should provide the employee
with a device that has appropriate security features, such as encryption technology.
Client care is the first priority for registered nurses. Personal use of mobile devices while working may lead to concerns that the registered nurse is not available to attend to client care. Furthermore, client safety may be placed at risk if a registered nurse is distracted by his/her mobile device while providing client care. ARNNL has received one complaint regarding a registered nurse’s practice in which the use of a personal cell phone during patient care was reported. Depending on your practice role, accessing an “app” or other mobile functions may be a legitimate request to assist in client care, however, in settings where employer policy limits the use of mobile devices, registered nurses may need to initiate discussions to influence policy change.
If you are unfamiliar with your employer’s policy on mobile technology, review the policy and ask questions if clarification is needed. Some workplaces may not yet have developed policy in this area; registered nurses may bring the issue forward and offer to participate in a process to develop a policy. Resources that you can access on this topic are the Canadian Nurses Protective Society InfoLaw: Mobile Devices in the Workplace available at www.cnps.ca, and ARNNL’s Social Media Position Statement (2013).
References available upon request.
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ACCESS Vol. xxxV No. 3 SEptEmbEr 2014
Nurses of NoteBy: Jennifer Barry, BA, Communications Officer
ARNNL’s Awards for Excellence in Nursing were presented to five RNs at a luncheon ceremony on June 5. ARNNL congratulates this year’s recipients and all nominees (see insert), and is inspired by their leadership and commitment. For more information, visit www.arnnl.ca.
SARAh-LyNN MORgAN, RNStaff Nurse, Corner Brook Long Term Care home, Western healthElizabeth Summers Novice Nurse AwardIn 2013, Sarah-Lynn Morgan graduated from Western Regional School of Nursing with a Bachelor of Nursing degree and began her practice at Western Health in the Corner Brook Long Term Care Home as a staff nurse. Sarah-Lynn’s colleagues describe her as enthusiastic, professional and positive. Long term care is a complex environment, yet Sarah-Lynn handles its challenges with poise, knowledge and a calm approach. Sarah-Lynn has embraced leadership in her new role and recently became a volunteer with the ARNNL Workplace Representative Program (see p. 19). She is eager to learn and share her knowledge with colleagues to influence quality of care and a professional environment.
LOUISE PRICE, RNPublic Health Nurse, Harbour Breton, Central HealthAward for Excellence in Nursing – PracticeLouise Price is a Public Health Nurse, a role that she has fulfilled since graduating from Memorial University with a Bachelor of Nursing degree in 1984. In her practice, Louise has embraced creative and innovative approaches in implementing public health nursing practices. Louise recognizes the need to use multiple methods in order to be effective with health promotion messaging. For example, in working to educate students about the hazards of energy drinks, she videotaped a presentation on the issue and had it broadcast during a local bingo game, reaching parents who buy the groceries. As a result of Louise’s efforts, Harbour Breton is also home to an “Intergenerational Café” which brings together seniors and youth to learn from each other.
MAxiNe POWeR-MuRRiN, RNProfessional Practice Consultant, Eastern HealthAward for Excellence in Nursing – AdministrationMaxine Power-Murrin consistently applies a professional practice lens to ensure quality programs and services are maintained and supported. Maxine has always taken on leadership roles, both formal and informal throughout her 31-year nursing career, initially as a staff nurse and more recently, as a Professional Practice Consultant for Nursing with Eastern Health. She works diligently with nursing and non-nursing groups to ensure that organizational policies are based on best practices. Maxine led the Nursing Professional Practice group at Eastern Health in conducting site observational audits across the region related to peripheral IV catheters, and subsequently developed an action plan and presentation to Eastern Health Senior Executives. Maxine was nominated for a Canadian Vascular Access Association Award of Excellence for her leadership in this initiative.
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MADONNA MANUEL, RNEducator, Western Regional School of Nursing, Western Health Award for Excellence in Nursing – EducationMadonna Manuel has been a registered nurse for 27 years. Since 1989, she has centered her career on the application of teaching and learning. She has been an active member of Western Regional School of Nursing’s (WRSON) strategic planning initiatives, regularly attends Western Health’s medical rounds and is currently a member of ARNNL Council. Madonna is the primary leader of WRSON’s curriculum related to integration of Interprofessional Health Education and has contributed to curricula changes to the BN Collaborative Program on multiple levels. She is particularly dedicated to educating students about nursing issues, the Canadian health care system, health promotion across the lifespan and the complex care of clients in institutional and community settings.
PATRICIA GRAINGER, RNEducator, Centre for Nursing Studies, Eastern HealthAward for Excellence in Nursing – ResearchA nursing school faculty member since 1987, Patricia Grainger also holds the position of Coordinator of the Research Office at the Centre for Nursing Studies in St. John’s. In addition to her own practice and research interests, Patricia has been teaching nursing research to undergraduate students for 15 years. Patricia encourages partnerships between nursing education and practice, and co-chairs Eastern Health’s Nursing Education and Research Council. One of the many research projects in which she has been involved is a study regarding the safety of early ambulation of patients following left heart catheterization. Evidence that resulted from this study has influenced a change in practice. Patricia is Vice-Chair of the non-clinical trials committee of the Provincial Health Research Ethics Board.
• You are required to inform ARNNL of all your employers, including self-employment, and of any change in employer (within 30 days). To update your member profile, go to https://ereg.arnnl.ca.
• It is important to stay connected. From time to time ARNNL practice consultants may email information to self-employed RNs. Get on that list! Complete the online Self-Employed RN Form available on the self-employed RN practice webpage at www.arnnl.ca.
• Considering self-employment? See the ARNNL website or contact a Nursing Practice Consultant for information and resources to support your practice.
Future editions of ACCESS magazine will have a Self-Employed member section. If you are self-employed and would like to contribute to this section please contact Pam King-Jesso at [email protected].
For the SELFEMPLOYED
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ACCESS Vol. xxxV No. 3 SEptEmbEr 2014
Continuing Competency from Classroom to Clinical PracticeBy: Ashley Sutton
As fourth year nursing students at Western Regional School of Nursing, we see ourselves as “experts” in the role of student; however, as graduate nurses we again become “novice” in our new positions as staff nurses. Our employers assist us with the transition from novice to expert by providing orientation and mentorship programs, but who prepares us for the actual nursing registration requirements? Our nursing education program plays a pivotal role in this preparation process.
The importance of continuing competence and lifelong learning is linked with entry-level competencies, the Code of Ethics and the Standards of Nursing Practice throughout our program. This knowledge is acquired through student-led seminars in a fourth year nursing course called “Issues in Nursing and Health Care.” The seminar
leaders introduce us to the ARNNL Continuing Competency Program required for annual registration. A component of registration is maintaining educational competence through formal and self-directed learning. During the seminars our peers introduce us to the ARNNL website and the Continuing Competence tool box. This is where everything needed to complete the Continuing Competency Program is housed. As part of our clinical requirements we complete the RN Self-Assessment and rank our competencies from a novice to expert level. This is a beneficial, reflective exercise which assists us as students to identify our personal strengths as well as the areas we would like to further develop.
We also use ARNNL’s Competencies in the Context of Entry-Level Registered
Nurse Practice (2013-18) and Standards of Practice for Registered Nurses (2013) to develop a personal learning plan for implementation in our final clinical course called Consolidated Practicum. In the plan, we set our goals to assist us in meeting the following standards: (1) Responsibility and Accountability, (2) Knowledge Based Practice, (3) Client Centered Practice and (4) Public Trust. At the end of the semester, we evaluate whether or not we have met the goals identified in our learning plan. This is completed through a face-to-face meeting with faculty to discuss knowledge and expertise obtained throughout our clinical experiences. We provide faculty with clinical examples to indicate how we have met the goals identified in our plan. Working through this process as students gives us the skills and abilities to complete the continuing competency requirements set out by ARNNL for registered nurses. This experience increases our confidence as novice practitioners and helps decrease anxieties related to continuing competence for nursing registration. The whole process becomes a normal part of our nursing practice without the added stress of a steep learning curve post-graduation!
Ashley Sutton graduated from the BN (Collaborative) Program at the Western Regional School of Nursing in May 2014.
Acknowledgements: The author would like to acknowledge and thank Madonna Manuel, RN, MN, Nurse Educator/Clinical Placement Coordinator, Western Regional School of Nursing, for her tremendous support in the development of this manuscript.
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Advanced Practice ViewBy: Beverley McIsaac, RN, NP, MN (ANP), Nursing Consultant – Regulatory Services/Advanced Practice
At some point in their careers, most NPs may be faced with having to decide whether to treat a family member, a friend or even themselves. Each of these situations raises clinical and professional concerns that require deliberation. These situations can present an even greater challenge for an NP if he/she is the only provider immediately available in a community. What are the professional boundaries when it comes to self-treating or treating family members or close friends?
Sometimes it can be difficult to evaluate whether there is a close personal relationship with an individual. When this occurs, the nurse practitioner may consider the impact that knowing the individual personally could have on the care he/she provides. The NP may want to consider the following questions: • Could the relationship impact acting in
this individual’s best interests?• Would the relationship with this
person make it difficult to ask certain questions, maintain patient confidentiality or make a mandatory report?
• Would it be difficult to allow this person to make a personal health care decision that does not adhere to the health care advice provided?
Interpersonal relationships are inherent in interactions among individuals and may be personal or professional (CRNBC, 2013). The nurse-client relationship is a professional relationship established to meet the health care needs of the client and is fundamental in providing safe, competent and ethical nursing care (ARNNL, 2014). The nurse practitioner’s ability to establish and maintain that professional relationship with clients is an essential component of providing safe, competent and ethical care. When a nurse practitioner knows a client, through a personal relationship or as a family member, it is difficult to maintain the objectivity necessary to enable the nurse practitioner to enter into a professional relationship with that client.
The practice of nursing is based on a nurse-client relationship and requires acting in the best interest of clients (CNA, 2008). When the client is a family member or a close friend, it may be difficult for a nurse practitioner to obtain a detailed history, conduct sensitive examinations, convey a diagnosis or provide treatment options. Furthermore, the client may provide an inadequate history or they may not
disclose information that the client does not want the nurse practitioner, their friend or family member, to know. There are times when an NP may be required to treat a client with whom they have a personal relationship or is a family member. These situations are viewed as exceptions that can occur for minor health conditions or when there is a need for emergency care and no other provider is readily available. Under these circumstances, the nurse practitioner must transfer care to another qualified health professional (nurse practitioner or physician) as soon as possible and practical. The decision to treat or to refer the patient to another provider should be documented. In no circumstances should a nurse practitioner self treat.
Sometimes it can be difficult to evaluate whether there is a personal relationship with a client and given the complexity of a dual relationship of NP-family member or NP-friend, nurse practitioners are advised to weigh all possible options and seek guidance from their employer, colleagues or ARNNL, before assuming care for such clients.
References available upon request.
Knowing your Standards: Should a nurse practitioner treat family, close friends or oneself?
Standard 7: Therapeutic Management – The Nurse Practitioner (NP) manages and monitors the care of the client by providing safe, effective and current therapies, within the NP’s stream of practice, scope of practice and competence.
7.11 Does not prescribe drugs or other therapies for family members, close friends, or oneself when another nurse practitioner or physician is available.
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ACCESS Vol. xxxV No. 3 SEptEmbEr 2014
Goings On
MUN BOARD OF REGENTS MEMBER CELEBRATES BN GRADUATION IN CORNER BROOKMemorial University Board of Regents member Edmund Walsh recently graduated with a bachelor of nursing from Grenfell Campus, Memorial University, in partnership with Western Regional School of Nursing. To celebrate, members of the board and other VIPs who attended the ceremony took a moment to pose with Walsh.
Left to right, back: Memorial Chancellor Susan Dyer-Knight; board members Mary Cormier, Susan Murray, George Tucker, Pegi Earle, Sheila Ashton, Pat Coish-Snow, and Dr. Mary Bluechardt, vice-president (Grenfell Campus). Left to right, front: Iris Petten, board chair, Edmund Walsh, Eleanor Swanson, vice-chair, and Dr. Gary Kachanoski, president and vice-chancellor, Memorial University. Photo credit: Lori Lee Hollett, Grenfell Campus.
ARNNL LAUNCHES 60TH ANNIVERSARY DURING NATIONAL NURSING WEEKRNs participated in events in shopping malls in St. John’s, Gander and Corner Brook on May 14 to mark the 60th anniversary of the self-regulatory role of RNs in the province. The Newfoundland Registered Nurses Act came into force in 1954 and granted registered nurses in the province the privilege and responsibility of regulating nursing in the interest of public protection. The original Act remained relatively unchanged until 2008 when a new NL RN Act was passed in the House of Assembly. The number of registered nurses rose from 600 in 1954 to over 6,000 in 2014. Do you have any ideas to help us celebrate? Email [email protected].
INTERESTED IN HOLISTIC NURSING?Are you a registered nurse interested in alternative therapies, complementary therapies, energy healing and other holistic nursing approaches? Dana Ryan, the Newfoundland and Labrador Representative for the Canadian Holistic Nurses Association (CHNA) is applying for ARNNL Special Interest Group status and would like to hear from you! Contact [email protected]. Visit www.chna.ca or www.facebook.com/CHNA.ca for more information about the CHNA.
*HOT OFF THE PRESSNEW ARNNL DOCUMENTS AT www.arnnl.caProfessionalism and the Registered Nurse (2014) Interpretive Document facilitates understanding and application of the practice standards in relation to professionalism, and the interrelated elements of Accountable, Knowledgeable, Visible and Ethical nursing practice are further outlined.
The Therapeutic Nurse-Client Relationship: Expectations for Registered Nurses (2014) Interpretive Document is a motivational read which outlines clinical practice examples that draw attention to both the key concepts and phases of the therapeutic nurse-client relationship.
BOOK HIGHLIGHTS NEED FOR HOME CARE AND COMMUNITY SUPPORTSIn her latest book, Bringing it Home – A Nurse Discovers Health Care Beyond the Hospital, ICU nurse Tilda Shalof leaves the hospital behind to accompany the nurses who work in homes, from mansions to the streets, all across the country. Working with the Victorian Order of Nurses, a Canadian not-for-profit organization that provides home and community care, Tilda meets a wide variety of nursing professionals who offer untraditional care, sometimes in unlikely settings. This book not only describes a personal journey, but it also brings to light new health care issues. North America is on the cusp of change as the needs of our aging population put pressure on our health care system; more people need care in their homes and community supports to stay well. A portion of the proceeds from this book benefit The Victorian Order of Nurses. Visit www.mcclelland.com to order your copy.
Left to right: Regina Coady, ARNNL President; Steve Pike, MUNSON student; RNs Colleen O’Brien and Rosaria Fewer; and CarolAnn
Mason, ARNNL Workplace Representative
Dena King, ARNNL Councillor (Advanced Practice) and Niki Keats, ARNNL Workplace Representative
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Goings On
CONFERENCES AND WORKSHOPS
Canadian Society of Gastroenterology Nurses & Associates“Brave the Current” Conference 2014 Oct. 2-4, 2014 Scotiabank Convention Centre, Niagara Falls, ONwww.csgna.com
“Kids Rock” Janeway Emergency Pediatric Conference & WebinarOct. 3-5, 2014Bruneau Centre for Research and Innovation (MUN Campus), St. John’swww.kidsrocknl.ca
Eastern Health Wound & Skin Care Symposium “Back to Basics”Oct. 9-10, 2014St. John’s Long-Term Care [email protected]
MUNSON REUNION 2014Memorial University School of Nursing (MUNSON) is bringing together graduates from the classes of 2004, 1999, 1994, 1989, 1984, 1979 and 1974, from their MN program (years 84-92), and from their outpost nursing program as part of Reunion 2014 this fall. It’s all happening Oct. 23-28 as part of MUNdays, which is Memorial University’s flagship spirit event. The MUNSON events begin at the school on the evening of Friday, Oct. 24. Class-specific events follow the next day, Oct. 25. Class reps are: Nicole Pittman (2004); Renee Crossman and Alison Maddigan-Cox (1999); Glenys Moran (1989); Sandy LeFort (MN 84-92) and outpost nursing program; Patricia Grainger and Janet Templeton (1984); and Sharon Smith (1979). If you’d like to know more, contact Communications Coordinator Marcia Porter at [email protected], or check out the Reunion 2014 website at www.mun.ca/mundays/alumni/.
BECOME A NURSING GRAD STUDENT
RN RECEIVES GRANT FOR HEALTHY AGING RESEARCH PROJECTA registered nurse working at the Centre for Nursing Studies in St. John’s has received a project grant as part of the Department of Health and Community Services’ Healthy Aging Research Program. These grants enable a team of local and national or international researchers to be assembled to conduct research on a topic related to a priority theme. Sue Ann Mandville-Anstey received $10,050 for her research, “What is it Like for Aging Nurses to Live and Work with Cardiovascular Disease in the Province of Newfoundland and Labrador: A Phenomenological Study.” Five projects that focus on healthy aging received $58,030 through the Program. Since 2008, the Healthy Aging Research Program has provided over $963,000 in funding for 36 researchers. Congratulations, Sue Ann!
NATIONAL NURSING WEEK RECOGNIZED IN MAY
Left to right: St. Clare’s Day Surgery RNs Sheila Dominaux, Kathy Scott, Carmel Pittman, Ann Osmond, Patricia Rideout and Reshelda White
Flexibility and opportunity set Memorial’s graduate programs apart! The Master in Nursing program is offered via distance learning and offers a Practicum and Nurse Practitioner options. The new PhD in Nursing began in 2013 and is a full-time, onsite program. To learn more check out www.mun.ca/nursing/grad/.
Newfoundland & Labrador Nurse Practitioner Association“Wave of Change – Oceans of Opportunity in Advancing Health” Conference 2014Oct. 10-11, 2014Centre for Nursing Studies, St. John’swww.nlnpa.ca
Newfoundland and Labrador Nurses’ Union 40th Biennial ConventionNov. 4-7, 2014Sheraton Hotel Newfoundland, St. John’swww.nlnu.ca
Psychiatric/Mental Health Nurses Special Interest Group of Newfoundland and LabradorAnnual Education DayDec. 8, 2014www.psignal.comlu.com
Masters grads Kate Narduzzi and Carla Kennedy
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ACCESS Vol. xxxV No. 3 SEptEmbEr 2014
Trust NewsBy: Julie Wells, BSc, MSc, Research & Policy Officer and Trust Coordinator
CALL FOR APPLICATIONSApplications are now being accepted for awards in the following categories: Continuing Education AwardsBursaries for Conferences & Post Basic Courses (up to $1,000)NL Gerontological Nurses Association Bursary ($500) Nursing Leadership Awards ($500-$3,000) Peter & Elizabeth Yetman Oncology Nursing Bursary (up to $1,000) Violet Ruelokke Primary Health Care Award (up to $1,000) Bachelor of Nursing Scholarships ($1,000 each)BN Years 2, 3, 4BN Fast Track Year 2 Flo Hillyard Memorial Scholarship General Hospital School of Nursing Alumni Association Scholarship Post Basic Bachelor of Nursing Scholarships ($750 - $1,500)BN Post RN Scholarship St. Clare’s Alumni Association Scholarship ARNNL Bay St. George Chapter ScholarshipAvailable to RNs from the Bay St. George area
Graduate Scholarships ($1,000- $2,000)NL Nurses Respiratory Society Legacy ScholarshipMasters or PhD Scholarships (Nursing & Non-Nursing) ARNNL 50th Anniversary ScholarshipMarcella Linehan Scholarship RN Re-Entry Scholarship ($500)Nursing Research Awards (up to $2,500 each)
Criteria and application forms are available at: www.arnnl.ca/trust
Deadline for applications is Oct. 15. Late or incomplete applications
will not be considered.
ARNNL Education & Research Trust 25th Anniversary ScholarshipThe Trust is delighted to announce that Kathleen Stevens has been selected as the first recipient of the ARNNL Education & Research Trust 25th Anniversary Scholarship.
The scholarship, valued at $4,500, is awarded to a registered nurse from Newfoundland and Labrador who is enrolled in a doctoral program and has demonstrated academic excellence during undergraduate and graduate studies, along with leadership in the nursing profession and/or community service.
Congratulations, Kathleen!
For more information about the scholarship, please visit the Canadian Nurses Foundation website (www.cnf-ficc.ca).
Trust Elects New Board of DirectorsMembers of the Trust elected a new Board of Directors at the annual meeting on June 3. Congratulations to the members of the 2014-15 Board:
Penny Grant, PresidentJanet Templeton, President-ElectSara Smith, Eastern Urban Regional DirectorStarlene Lundrigan, Eastern Rural Regional DirectorBeverley Reid, Central Regional DirectorAnna Marie Alteen, Western Regional DirectorBrenda Eddison, Northern Regional DirectorPaulette Roberts, Labrador Regional DirectorJoan Whelan, Director-at-LargeAnita Ludlow, Director-at-LargeLynn Power, Secretary-Treasurer (non-voting)Julie Wells, Coordinator (non-voting)
The Board extends thanks to out-going members Sharon Smith (President) and Beverly Simms (Northern Regional Director). It is through the willingness of members to dedicate their time and expertise that the Trust is able to achieve its goals.
Workplace Representatives (WPRs) volunteer to represent ARNNL by supporting professional nursing practice and communicating information in their workplaces. WPRs complete an orientation and a workshop on Leadership in Professional Practice to prepare for the role. Ongoing support and development is provided through regular meetings and education sessions. Our WPRs are introduced in ACCESS so you can get to know these important volunteers.
Volunteer Spotlight: The ‘Self’ in Self-RegulationARNNL’s Workplace Representatives
SARAh-LyNN MORgAN RN, BNSarah-Lynn Morgan has been employed at the Corner Brook Long Term Care home for the past year as a staff nurse. Sarah-Lynn assumed this role as a novice nurse upon graduation with a Bachelor of Nursing degree from Western Regional School of Nursing in 2013. In the long term care setting Sarah-Lynn coordinates care for 63 residents. “Good assessment skills are important,” she says, “as elderly clients often have multiple co-morbidities.” Palliation and providing support and comfort to residents and families is an important part of the role of the RN in long term care, as is support and direction to other members of the health care team. “Although long term care was not initially my first choice, it has provided me with many opportunities for personal, educational and career advancements. I enjoy the independence in clinical decision-making.” Sarah-Lynn enjoys working with residents with dementia and with families transitioning to long term care. She is excited to be a workplace representative for her professional association. Sarah-Lynn and her husband are expecting twins in October. Sarah-Lynn Morgan was the 2014 ARNNL recipient of the Elizabeth Summers Novice Nurse Award. See page 12 for details.
STePhANie MATTheWS RN, BN, CChN(C)Stephanie Matthews graduated from the Salvation Army Grace General Hospital in 1993 and subsequently completed a Bachelor of Nursing degree from MUN in 1996. In 2010 she attained CNA certification in Community Health. Stephanie has worked as a public health nurse for 10 years, currently working out of the Charles R. Bell Building, with Eastern Health in St. John’s. In her office area there are 10 public health nurses and 12 home and community care RNs, and she welcomes the opportunity to provide a link with the professional association. Stephanie admits that the enjoyment she receives in her work comes from being able to make a difference in the lives of the children and families for whom she provides care. With three children (ages 12, 14, 16) Stephanie is also busy with school and volunteer activities, such as safe grad committees and the Church soup kitchen.
Regional Councillors:• Central• Labrador/Grenfell
Domain Councillors:• Education/Research• Administration
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Watch for the Call foR nominations early next year! aRnnl
Council Elections
2015
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ACCESS Vol. xxxV No. 3 SEptEmbEr 2014
Clinical Corner
JUST BLOWING SMOKE?Are E-cigarettes legal? Why the big controversy? Are there health and safety risks? Can E-cigarettes help smokers quit smoking? To learn more about this issue, you can view information from the Canadian based Non-Smokers’ Rights Association at www.nsra-adnf.ca.
COLONOSCOPY PREPARATIONMany people have said the preparation for their colonoscopy is more uncomfortable than the procedure itself. To reduce cramping and decrease discomfort during the prep, keep hydrated with warm liquids instead of cold. Including warm clear broths and herbal teas, but no milk, to the liquid diet preceding a colonoscopy, may relax the colon and provide much needed nutritional hydration.
Maria Clarke BScN, CGN(C)Mabel Chaytor RN, CGN(C)
St. Clare’s Hospital Endoscopy UnitEastern Health, St. John’s
STICK WITH IT!Inside enteral feeding tube packaging is a label sticker that provides information such as the manufacturer, the reference and lot number of the tube. Affixing the label sticker to the client’s health record is quick and easy and eliminates confusion regarding the tube type specifications. To provide optimal care for clients with enteral feeding tubes, it is imperative to have the date of the initial tube insertion and last replacement, current tube type, brand, French size, markings at skin level and follow-up arrangements clearly documented in the client’s record.
Valery Goulding RN, BN, GNC(C)Clinical Educator, Long Term Care,
Eastern Health
OH, BABYThe Baby-Friendly Council of Newfoundland and Labrador (NL) is the provincial committee providing leadership for the implementation of the Baby-Friendly Initiative in NL. The Baby-Friendly NL website and social media assets (Facebook, Twitter and YouTube channel) support NL families during pregnancy and in the first years after birth. The website is directed at pregnant women, breastfeeding families and health professionals. The goal of the online community is to support parents in choosing and continuing to breastfeed, and in providing access to local supports and parent and professional resources. The Baby-Friendly NL Facebook page has over 1,500 members, provides daily updates and connects women to provincial and regional supports. Check out the online resources at www.babyfriendlynl.ca.
Editor’s Note: Clinical Corner is designed for RNs to share information that they have found in their experience to be practical, safe and effective. ARNNL requires that the information provided reflects good nursing judgment. We do not confirm the validity of the submitter’s tip in the literature. ARNNL does not endorse any products identified in the submissions to this column.
HOW APPROPRIATE!Have you been vaccinated against measles? When was your last tetanus shot? What vaccinations do you need to get for your trip? Thanks to the first national, bilingual smart phone app you’ll no longer be searching for these answers or your vaccination records. This free, secure app allows people to store, manage and easily access their immunization information, as well as receive reminders about vaccine updates based on their provincial/territorial vaccine schedules. It is available for iPhone and Android operating systems, including Android-enabled BlackBerry smart phones. Access the app at Immunize Canada, www.immunize.ca.
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Abbott, Brittany Aspen CoveAdams, Rebecca St. John’s Allen, Erika Corner BrookAlteen, Laura St. John’sAyre, Karla Hawke’s BayBaker, Heidi Clarenville Banman, Sherry Kingston, NS Bennett, Angus Josh Steady BrookBenoit, Jenna Lower CoveBonnell, Reuben Little Bay EastBragg, Jenny St. John’s Brown, Olivia Lethbridge Buckle, Dawn Corner BrookBuffett, Nicole FortuneBurry, Jennifer Portugal Cove-St. Philip’sBurry, Stacy Chapel ArmBurt, Sarah Virgin ArmButler, Amanda Mount PearlButt, Christina ParadiseButton, Allison Clarenville Byrde, Keshia BurinByrne, Melissa York HarbourCanning, Heidi Conception Bay SouthCarter, Amanda Mount PearlChesher, Hillary Mississauga, ONClarke, Amanda Mount PearlClarke, Katie St. John’s Coffin, Johanna Corner BrookColbourne, Jennifer St. John’sCoombs, Cinderella Forresters PointCooper, Jacqueline Little Catalina Cormier, Julia Hanwell, NB Cranford, Jessica New HarbourCrowley, Kerry-Lynn Chapel’s CoveDay, Jasmine New HarbourDevereaux, Julie Logy BayDevereaux, Paula AvondaleDeZeeuw, Bronwyn St. John’sDodd, Evangeline St. John’s Doody, Rebecca Admiral’s BeachDoody, Shauna Admiral’s BeachDoucet, Hilary Halifax, NS Doucette, Lance St. GeorgesDoyle, Katelyn St. John’sDunn, Jacquelin ParadiseDwyer, Jody HolyroodEarle, Tiffany CarbonearEarles, Michael St. John’s Eldridge, Cassie Minto, NBElliott, Nikita River of PondsEveleigh, Heidi Conception Bay SouthEveleigh, Victoria Beaumont Fagan, Sarah Conception Bay SouthFitzgerald, Nikita Open HallFitzgerald, Rhonda Open HallFougere, Stephanie Northwest Arm, NS Francis, Tyler Deer LakeGeehan, Julie Conception Bay SouthGiffin, Samantha Fall River, NS Gifford, Jocelyn Coley’s PointGiles, Erin StephenvilleGillingham, Tiffany AppletonGoodyear, Cassandra LumsdenGould, Keirsten Bear CoveGreenham, Wendy Comfort CoveGrenning, Malinda TorbayGuinchard, Crystal-Lynn Anchor PointHackett, Krystal Benoit’s CoveHall, Chris Corner Brook
Congratulations, Nursing GraduatesOF THE BACHELOR OF NURSING (COLLABORATIVE) PROGRAM, May 2014
Hall, Nicole St. John’sHancock, Danielle Steady BrookHann, Michael Port Blandford Hann, Shaila Summerside Hawco, Victoria Conception Harbour Hayes, Jessica Goulds Hemeon, Adam BotwoodHillman, Sarah Gibsons, BCHiscock, Jennifer St. John’s Hogan, Alyssa Paradise Holwell, Alison Conception Bay SouthHopkins, Aimee Englee House, Karla BellburnsHunt, Ashley Bell IslandHunt, Jillian St. John’sHunt, Lindsay St. John’sHunt, Tara St. John’s Hurley, Chantal Millertown Hynes, Victoria DunvilleJackson, Robyn WhitewayJacobs, Megan ClarenvilleJames, Toni Casey Grand Le PierreJohn, Victoria Conne River Kelly, Lisa Mount PearlKelly, Melissa St. Alban’s Kemp, Julia North Sydney, NS Kennedy, Sherry Conception Bay SouthKennedy, Stephen Bishop’s FallsKing, Kayla Portugal Cove-St. Philip’s Kozhani, Elbonita Charlottetown, PEI Langdon, Katie LaurencetonLavers, Kaylie Port SaundersLeamon, Jenna Rose BlancheLeMessurier, Karen St. John’sLinehan, Ashley Mount CarmelLundrigan, Amy Mount PearlMaddox, Rebecca Adam’s CoveMaloney, Meghan Conception Bay SouthMarsden, Sarah Portugal Cove-St. Philip’s Matchim, Erin EastportMcIsaac, Trudi Mount PearlMcLean, Ashley St. John’sMcNeill, Nicole Richmond, PEIMcQuinn, Anna Halifax, NSMercer, Candice WhitbourneMeszaros, Kristie TraytownMifflin, Alison TorbayMilner, Rebecca Grand Falls-WindsorMoores, Jessica MarystownMorris, Michael Corner BrookMouland, Jessica Labrador CityMulle, Krista Liverpool, NSMullins, Gabrielle RameaMulrooney, Sherri-Lynn GouldsMurdoch, Ashley Deer LakeMurphy, Allison Mount PearlMurphy, Jeremy Corner BrookNorris, Courtney NewtownNorris, John NewtownNorth, Martha Halifax, NSNoseworthy, Holly Pouch CoveNugent, Amanda Conception Bay SouthOxford, Sara St. Alban’sPark, Cecilia Frenchman’s CovePark, Jennifer Corner Brook Parsons, Beth Corner BrookParsons, Natasha FlatrockParsons, Vanessa BotwoodPatey, Nikita Main Brook
Patey, Stephanie St. Lunaire-GriquetPayne, Amanda St. Paul’sPayne, Veronica Cox’s Cove Pellerin, Kristen Beaver Bank, NSPennell, Meghan Mount PearlPerry, Leah Conception Bay SouthPierce, Allison Harbour BretonPower, Sheena St. John’sPreston, Aimee Corner BrookPrice, Catherine FortunePuddester, Claudia Bay BullsPuddester, Rebecca St. John’sPynn, Gina Moncton, NBReardon, Heather St. John’sReddick, Amelia Halifax, NSRedmond, Luke Middle CoveRice, Terri-Lynn NewvilleRideout, Stephanie Conception Bay SouthRing, Jessica Dartmouth, NSRose, Miranda St. Carol’sRose, Sandralee St. John’sRowe, Brittany Heart’s ContentRowe, Jennifer St. John’sRowsell, Ashley Grand Falls-WindsorRowsell, Stephanie Norris ArmSeaward, Jamie Channel-Port aux BasquesSharpe, Jessica Upper Island CoveShea, Sara St. John’sShepherd, Jennifer Corner BrookSimmons, Brandon Random IslandSimms, Rebecca Mount PearlSingleton, Teri-Lynn Coley’s PointSkinner, Samantha Harbour BretonSmith, Lindsey Amherst, NBSpontaneo, Crystal Corner BrookStout, Alana Edmonton, ABStrugnell, Angelia Port Hope SimpsonSummers, Samantha ParadiseSutton, Ashley PasadenaTapp, Megan Port Aux BasquesTaylor, Erika Corner BrookTaylor, Hayley Forresters PointTaylor, Heather GouldsTaylor, Jessica New Maryland, NBTerry, Laura Middle ArmThomas, Ashley GlovertownThompson, Kelly Digby, NSTohsam, Anne-Marie Fukwin Bamenda, CameroonToope, Nakita Mount PearlTrickett, Brittany CarbonearTucker, Robyn St. John’sTulk, Mandy StonevilleUdo, Diana Port Harcourt, NigeriaVokey, Laura St. John’sWade, Renee Bishop’s FallsWallace, Susan New Glasgow, NSWalsh, Edmund Corner BrookWarren, Katie RameaWarren, Keith FortuneWarren, Samantha MarystownWatkins, Vanessa TwillingateWest, Samantha Logy BayWhiteway, Kelly GouldsWilson, Katlyn Kensington, PEIWiseman, Amy (Evans) West Bank, BCWoodman, Brittany New HarbourWright, Kimfa HolyroodYoung, Tasha St. John’sZhu, Xiaoqi Corner Brook
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ACCESS Vol. xxxV No. 3 SEptEmbEr 2014
FALL/WINTER 2014-2015 WORKSHOPS COMING TO NEWFOUNDLAND AND LABRADOR
WEBINARSNo matter where you live, you can easily access many of workshops right from your desk. Our 60-70 minute webinars offer you the opportunity to hear,
view and engage with our trainers.
Please visit our websites for details.
w w w . c t r i n s t i t u t e . c o m w w w . a c h i e v e c e n t r e . c o m
TO REGISTER FOR AN ACHIEVE WORKSHOP:[email protected]
204.452.0180
TO REGISTER FOR A CTRI WORKSHOP:[email protected]
204.452.9199
SUICIDE PREVENTION, INTERVENTION AND POSTVENTION STRATEGIESSt. John’s: October 20-21, 2014
DE-ESCALATING POTENTIALLY VIOLENT SITUATIONS™St. John’s: November 13, 2014
ANXIETY - Practical Intervention StrategiesSt. John’s: December 9, 2014
UNDERSTANDING MENTAL ILLNESSSt. John’s: February 12, 2015
RESTORATIVE JUSTICE - Guiding Principles for Communities and OrganizationsSt. John’s: March 11, 2015
MINDFULNESS COUNSELLING STRATEGIES - Activating Compassion and RegulationSt. John’s: April 8-9, 2015
DEALING WITH DIFFICULT PEOPLESt. John’s: October 22, 2014
MANAGEMENT AND SUPERVISION - The Crucial SkillsSt. John’s: November 14, 2014
EMOTIONAL INTELLIGENCE - Expanding InfluenceSt. John’s: December 10, 2014
COACHING STRATEGIES FOR LEADERS - Conflict, Performance, ChangeSt. John’s: February 19, 2015
CONFLICT RESOLUTION SKILLSSt. John’s: March 26, 2015
Please visit our websites in September for information on more workshops coming to St. John’s.
live the life you always wanteddiscover nursing opportunities in manitoba
For more information, please visit our website at www.manitoba.ca/health/nurses In Winnipeg: 204-788-6668 Toll Free in Canada: 1-877-681-4983 Email us at: [email protected]
Live the life you always wanted, in Manitoba.
You’ll earn a competitive salary and enjoy an incredibly affordable quality of life. Experience friendly communities, a thriving arts and cultural scene plus access to beaches, lakes and parkland and enjoy a healthier balance between your work as a nurse and your personal life.
Make your plans now and you may qualify to receive:
•Upto$5,000inrelocationassistance•$4,000inconditionalgrantfundingfornewgraduateswhochoose
to work in a rural area•$2,000ingrantmoneyifyouchoosetoworkinapersonalcarehome•$2,000ingrantmoneyifyouchoosetoworkinapositionwhere
bilingualism/French language is a hiring requirement•Continuingeducationfunding
7886-CSM-NRRF-ad [7 x 9.5 4Cp]-June2014-1.indd 1 6/25/14 10:38 AM
Under the Registered Nurses Regulations (2013), all members are required to keep their information on file with ARNNL up-to-date. This includes:
• Change in name (copy of legal documentation required)• Mailing address• Email address• Employment information
Changes must be reported to ARNNL within 30 days of the effective date of change. Members can update this information at https://ereg.arnnl.ca/.
For nurse practitioners employed with an employer other than a Regional Health Authority, declarations regarding the arrangement with a physician, including physician name and address, must be on file with ARNNL. Should any of the information with respect to this arrangement change, the NP must contact ARNNL immediately.
Keep your information up-to-date! MEMBER REMINDER:
live the life you always wanteddiscover nursing opportunities in manitoba
For more information, please visit our website at www.manitoba.ca/health/nurses In Winnipeg: 204-788-6668 Toll Free in Canada: 1-877-681-4983 Email us at: [email protected]
Live the life you always wanted, in Manitoba.
You’ll earn a competitive salary and enjoy an incredibly affordable quality of life. Experience friendly communities, a thriving arts and cultural scene plus access to beaches, lakes and parkland and enjoy a healthier balance between your work as a nurse and your personal life.
Make your plans now and you may qualify to receive:
•Upto$5,000inrelocationassistance•$4,000inconditionalgrantfundingfornewgraduateswhochoose
to work in a rural area•$2,000ingrantmoneyifyouchoosetoworkinapersonalcarehome•$2,000ingrantmoneyifyouchoosetoworkinapositionwhere
bilingualism/French language is a hiring requirement•Continuingeducationfunding
7886-CSM-NRRF-ad [7 x 9.5 4Cp]-June2014-1.indd 1 6/25/14 10:38 AM
Projet : Annonce MMI 2013
Client : TD Assurance
Dossier # : 12-MM9208-13_MMI.EN•arnnl (7.5x10)
Province : Newfoundland & Labrador
Publication : Access
Format : 7.5x10
Couleur : Quad
Épreuve # : 2
Date de tombée : 14/11/2013
Graphiste : Yannick Decosse
Hamelin-Martineau Inc. • 505, boul. de Maisonneuve O, Bureau 300 • Montréal (Québec) H3A 3C2 • T : 514 842-4416 C : [email protected]
ATTENTION : MERCI DE VÉRIFIER ATTENTIVEMENT CETTE ÉPREUVE AFIN D’ÉVITER TOUTE ERREUR/PLEASE CHECK THIS PROOF FOR ERRORS
The TD Insurance Meloche Monnex home and auto insurance program is underwritten by SECURITY NATIONAL INSURANCE COMPANY. The program is distributed by Meloche Monnex Insurance and Financial Services Inc. in Quebec and by Meloche Monnex Financial Services Inc. in the rest of Canada. For Quebec residents: We are located at 50 Place Crémazie, Montreal (Quebec) H2P 1B6.Due to provincial legislation, our auto insurance program is not offered in British Columbia, Manitoba or Saskatchewan.
*No purchase is required. There is one (1) prize to be won. The winner may choose between an amount of $60,000 CAD to build a dream kitchen of his/her choosing or $60,000 CAD cash. The winner will be responsible for choosing a supplier and for coordinating all of the required work. The contest is organized by Security National Insurance Company and Primmum Insurance Company and is open to members, employees and other eligible persons who reside in Canada and belong to an employer, professional or alumni group which has entered into an agreement with the organizers and is entitled to receive group rates from the organizers. The contest ends on October 31, 2014. The draw will be held on November 21, 2014. A skill-testing question is required. Odds of winning depend on the number of eligible entries received. The complete contest rules are available at melochemonnex.com/contest.
® The TD logo and other trade-marks are the property of The Toronto-Dominion Bank.
You’ve worked hard. Let TD Insurance recognize your efforts.
Professionals can save more.At TD Insurance, we recognize all the time and effort you put into getting where
you are. That’s why, as a member of the Association of Registered Nurses of
Newfoundland and Labrador, you have access to our TD Insurance Meloche Monnex
program which offers preferred group rates and various additional discounts.
You’ll also benefit from our highly personalized service and great protection that
suits your needs. Get a quote today and see how much you could save.
Request a quote today 1-866-269-1371 melochemonnex.com/arnnl
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You could WIN
$60,000 cashto build your dream kitchen!*
12-MM9208-13_MMI.EN•arnnl (7.5x10)-B.indd 1 13-11-25 12:08 PM
