infoVOLUME 45 ISSUE 2 FALL 2014 nursing
NANB SHARES 2014 ELECTION PRIORITIES |18
15 ONLINE 21 NANB’S NEXT VIRTUAL 29 MARIHUANA FOR MEDICAL REGISTRATION FORUM: BE PART OF PURPOSES : CHANGES TO RENEWAL OPENS THE CHANGE...NURSING LEGISLATION & NURSING OCTOBER 1, 2014 VOICES FOR CHANGE CONSIDERATIONS fall 2014 Inside
Congratulations Lucille Auffrey, the 2014 Jeanne Mance Award Recipient. See page 30
15 Online Registration Renewal 21 NANB’s Next Virtual Forum: Opens October 1, 2014 Be a Part of the Change... Nursing Voices for Change
Cover NANB Shares 2014 Election Priorities with a focus on Access, Efficiency, Effectiveness and Sustainability. See page 18
23 Communities Connecting… 29 Marihuana for Medical Shifting Towards Healthy Purposes Changes to Aging and Care: A Response Legislation & Nursing to the 2012 Summit Considerations
2 INFO NURSING FALL 2014 25 45
13 Starting Your Online Presence 31 New Brunswick Nurse Blends Love of Exploring How Digital Tools Can Improve Nursing with Her Love for Suspense Health and Healthcare By Janice Shonaman By Rob Fraser
31 National Nursing Assessment Service 22 NANB’s Invitational Forum Highlights Launched August 12, 2014
25 UNB Faculty of Nursing 19th Annual Research Day 32 CADTH Common Drug Review Creating a Culture of Scholarship By Stephanie Smith By Loretta Secco 45 Staff Profile: Always Changing 29 Marihuana for Medical Purposes Meet Jennifer Whitehead, Manager of Communications Changes to Legislation & Nursing Considerations and Government Relations By Dawn Torpe 47 NANB Board of Directors Build 30 Congratulations Lucille Auffrey Relationships with MLAs 2014 Jeanne Mance Award Recipient
the pulse
5 Message from the President 38 Ask a Practice Consultant 7 Message from the Executive Director 42 Calendar of Events 8 Boardroom Notes 44 Professional Conduct Review Decisions
FALL 2014 INFO NURSING 3 Info Nursing is published three times a year by the Nurses Association of New Brunswick, 165 Regent St., Fredericton, NB, E3B 7B4. Views expressed in articles are those of the authors and do not necessarily reflect policies and opinions held by the Association. Submissions Nurses Association of Articles submitted for publication should be sent electronically to [email protected] approximately two months prior to publication (March, September, December) New Brunswick and not exceed 1,000 words. The author’s name, credentials, contact information and a photo for the contributors’ page should accompany submissions. Logos, visuals and photos of adequate resolution for print are appreciated. The Editor will Nurses shaping nursing for healthy New Brunswickers. In pur- review and approve articles, and is not committed to publish all submissions. Change of address suit of this vision, the Nurses Association of New Brunswick is Notice should be given six weeks in advance stating old and new addresses as well as registration number. DESIGNER ROYAMA DESIGN a professional regulatory organization that exsits to protect the TRANSLATION JOSÉ OUIMET EDITOR JENNIFER WHITEHEAD Tel.: (506) 458-8731; Fax: (506) 459-2838; public and to support nurses by promoting and maintaining 1 800 442-4417; Email: [email protected] Canada Post publications mail agreement number 40009407. Circulation 10,000. ISSN 0846-524X. Copyright standards for nursing education and practice and by promoting © 2014 Nurses Association of New Brunswick. Executive Office ROXANNE TARJAN Executive Director healthy public policy. Email: [email protected] PAULETTE POIRIER Executive Assistant, Corporate Secretary 459-2858; Email: [email protected] Regulatory Services LYNDA FINLEY Director of Regulatory Services/Registrar 459-2830; Email: [email protected] ODETTE COMEAU LAVOIE The NANB Board of Directors Senior Regulatory Consultant 459-2859; Email: [email protected] DENISE LEBLANC-KWAW Regulatory Consultant: Registration 459-2856; Email: [email protected] LORRAINE BREAU Regulatory Consultant: Professional Conduct Review 459-2857; Email: [email protected] LOUISE SMITH Regulatory Consultant: Registration 459-2855; Email: [email protected] ANGELA BOURQUE Administrative Assistant: Regulatory Services Darline Cogswell Brenda Kinney Joanne Jillian Lawson 459-2866; Email: [email protected] President President-Elect LeBlanc-Chiasson Director, Region 2 Director, Region 1 STACEY VAIL Administrative Assistant: Registration 459-2851; Email: [email protected] ERIKA BISHOP Administrative Assistant: Registration 459-2869; Email: [email protected] Practice LIETTE CLÉMENT Director of Practice 459-2835; Email: [email protected] VIRGIL GUITARD Nursing Practice Consultant 783-8745; Email: [email protected] SUSANNE PRIEST Nursing Practice Consultant 459-2854; Email: [email protected] Amy McLeod Josée Soucy Thérèse Thompson Annie Boudreau DAWN TORPE Nursing Practice Consultant Director, Region 3 Director, Region 4 Director, Region 5 Director, Region 6 459-2853; Email: [email protected] JULIE MARTIN Administrative Assistant: Practice 459-2864; Email: [email protected] Corporate Services SHELLY RICKARD Manager, Corporate Services 459-2833; Email: [email protected] MARIE-CLAUDE GEDDRY-RAUTIO Bookkeeper 459-2861; Email: [email protected] Communications and Government Relations JENNIFER WHITEHEAD Manager, Communications and Government Relations 459-2852; Email: [email protected] STEPHANIE TOBIAS Lisa Kierstead Fernande Chouinard Wayne Trail Edward Dubé Administrative Assistant: Communications Johnson Public Director Public Director Public Director 459-2834; Email: [email protected] Director, Region 7
4 INFO NURSING FALL 2014 Message from THE PRESIDENT
You Are a Health Expert! Share Your Knowledge With Candidates and Vote This Election
he New Brunswick provincial election is scheduled for to candidates. Share your experience and concerns as well as TMonday, September 22, 2014. Political parties have already your solutions. Included in this edition and available on the begun communicating their vision for New Brunswick, nomi- NANB website (www.nanb.nb.ca) are the priorities identified nating their candidates for consideration by voters and have by the Board of Directors of the Nurses Association of New begun campaigning on their vision for the province garnering Brunswick. We have shared these priorities with party leaders your support on election day. and candidates and will be meeting with candidates over the It has been my experience that nurses rarely share their coming weeks to further discuss these priorities and respond political views or affiliations. This is obviously a personal to questions the candidates may have. These same candidates decision and simply an observation. What I would like you to may want your view of the priorities. They can’t do that if consider is the potential impact of nurses across this province they don’t know you are a registered nurse or nurse sharing their views and concerns with candidates. Yes, practitioner. candidates are seeking your support but consider this; they This election our request is simple. When a candidate are from your area and need to understand the priorities of approaches you identify yourself as a registered nurse or the citizens they are offering to represent. Logically, they nurse practitioner. One in 83 New Brunswick voters is a must have an interest in understanding the priorities of these registered nurse! Your opinion matters. Imagine the impact of individuals and their vision and hopes for themselves, their each of us simply making local candidates aware we are a community and the province. Considering health priorities member of this profession. We recognize this may not be a and concerns; what candidate worth considering would not comfortable action for you. Please step out and make yourself want to listen to and understand the views of a local health and your profession visible. Join us in sharing our profession’s expert? You are that health expert! Your experience within the expertise with the future leaders and policy makers of our health system and/or university nursing programs is valuable province.
DARLINE COGSWELL President [email protected]
FALL 2014 INFO NURSING 5 contributors this issue
Suzanne Rob Fraser Virgil Guitard Jodi Hall Dupuis-Blanchard
Loretta Secco Janice Shonahan Stephanie Smith Dawn Torpe
13 25 32
ROB FRASER, RN LORETTA SECCO, RN, PhD STEPHANIE SMITH, RN Guest Columnist Professor, Faculty of Nursing, UNB Captain, Critical Care Nursing Officer, Fredericton National Defence, Canadian Government
23 29 38
SUZANNE DUPUIS-BLANCHARD, PhD, RN DAWN TORPE, RN, MN VIRGIL GUITARD, RN School of Nursing and Center for Aging Nursing Practice Consultant, NANB Nursing Practice Consultant, NANB Research, UdeM, Moncton JODI HALL, BEd MHS Director of Operations, New Brunswick Nursing Home Association 31
JANICE SHONAHAN, RN Author
6 INFO NURSING FALL 2014 Message from THE EXECUTIVE DIRECTOR
‘We Know What to Do; the Time is for Action’
he provincial election is in full swing in New Brunswick Make yourself and our profession visible. Tas we are scheduled to head to the polls on Monday In June, André Picard, health columnist with the Globe and September 22, 2014. An election provides the public an oppor- Mail, reflected on the need for action in our health-system. tunity to determine the local representative and political party Picard’s reflections were a result of an announcement by who will best advance personal concerns and our province. Federal Health Minister Rona Ambrose concerning the This past February, the Board of Directors identified establishment of an advisory panel on health care innovation. nursing priorities for the upcoming election. The Nurses Picard correctly notes that since The Royal Commission on Health Association of New Brunswick has had a number of conversa- Care in 1964 over 40 additional reviews have taken place all tions with political leaders throughout the year and the with remarkably similar recommendations clearly stating: we priorities identified by the Board further advance the know what to do; the time is for action. long-term vision of this organization and our profession for I would go further to add political will; that includes both health services in New Brunswick. The Board and staff big “P” and small “p” political will and our will as health believe you, the members, and the people of New Brunswick experts and citizens. There is a wealth of evidence to support are concerned about access to health services, the efficiency and the changes proposed. Health outcomes improve and care is effectiveness of our system and its long-term sustainability. The more cost-effective and efficient when provided by a team of priorities identified by the Board and communicated to all health care experts. That team has a place for everyone and political parties are based on these areas of concern with the most importantly, it must be patient/person/family focused. objective to positively impact all New Brusnwickers. The Health services can no longer be delivered as it suits the NANB, legislated by the Nurses Act, has the responsibility and provider. New Brunswickers support the health system and accountability to advance health policy in the public interest. should expect quality service and outcomes; otherwise our The priorities document has been distributed to all political investment is worthless. party leaders and candidates and can be found on page 18. An I encourage you to read André Picard’s column (htt p://spon. election toolkit with additional support materials including: ca/what-canadian-health-care-lacks-is-action-not Elections NB resource links; tips on how to get involved; tips -innovation/2014/06/26/). It will not be new information for on how to meet candidates and more, can be found on NANB’s you as health experts but may provide you with some great website (www.nanb.nb.ca). Share these priorities with your talking points when engaging with candidates and future family and friends and get their opinions. Add your own leaders in the coming weeks. priorities to discussions with local candidates, if elected they Let your voice as RNs/NPs be the catalyst for change! will look to the expertise and advice of their constituents.
ROXANNE TARJAN Executive Director [email protected]
FALL 2014 INFO NURSING 7 BOARDROOM Notes
The Board of Directors met on May 27 & 28, 2014 at NANB Headquarters in Fredericton.
Policy Review The Board reviewed policies related to:
• Ends • Governance Process • Region 5 Director: • Executive Limitations Thérèse Thompson, RN year term effective September 1, 2014. The Board approved the following four • Region 7 Director: nominees: Organization Performance: Lisa Kierstead Johnson, RN Monitoring • Fernande Chouinard, Tracadie Sheila The Board approved monitoring reports Public Director Vacancies • Wayne Trail, Moncton for the Ends; Executive Limitations; and The Board of Directors is composed of 12 • Pauline Fournier, Petit-Rocher Governance Process policies. members, three of whom are members • Gérald Pelletier, Beresford of the public. The role of the public Board of Director’s Vacancies director is to provide the Board with a public, non-nursing, consumer perspec- The Board Approved the Following 2014 Election tive on issues as they relate to nursing Appointments to NANB Committees An election was held for Directors in and health care in New Brunswick. Region 1 and 3, candidates in Region 5 Executive Committee and 7 were elected by acclamation. The term of two public directors, The President and the President-Elect Fernande Chouinard and Wayne Trail, are members of the Executive • Region 1 Director: will expire August 31, 2014. Both public Committee along with two region Joanne LeBlanc-Chiasson, RN director positions are appointed by the directors and one public director. Lieutenant-Governor in Council from a The Board appointed the following • Region 3 Director: list of candidates submitted by the directors for a one year term effective Amy McLeod, RN NANB. The appointments are for a two September 1, 2014 to August 31, 2015:
8 INFO NURSING FALL 2014 • Erin Corrigan, staff nurse, Campbellton • Luc Drisdelle (co-chair), clinical Regional Hospital, Campbellton (new) consultant, Medline Canada, Haute-Aboujagane(re-appointment) • Acholia Theriault, Nursing Practice Coordinator, Dr. Everett Chalmers Hospital, • Shirley Avoine (chair), nurse manager, Dr. Fredericton (new) Georges-L.-Dumont University Hospital Center, Moncton (re-appointment) • Kathleen Sheppard, nurse manager, Dr. Everett Chalmers Hospital, Fredericton • Etienne Thériault, retired civil servant, (re-appointment) New Maryland, Public Member (re-appointment) • Paula Prosser, staff nurse, Moncton Hospital, Pine Glen (re-appointment) • Thérèse Roy, retired social worker, Atholville, Public Member (re-appointment) • Monique Cormier Daigle (chair), administration/education, Dr. Georges-L.- • Jo-Anne Nadeau, retired civil servant and Dumont University Hospital Center, educator, St. Charles, Public Member Moncton (re-appointment) (re-appointment)
• Roland Losier, retired educator, Moncton, • Huguette Frenette,retired guidance Public Member (re-appointment) counselor, Beresford, Public Member, (new) • Jillian Lawson, RN, Region 2 Director • Amy McLeod, RN, Region 3 Director • Aline Saintonge, S & L Transactions Ltd., • Elisabeth Goguen, retired educator, • Edward Dubé, Public Director Fredericton, Public Member Fredericton, Public Member (new) (re-appointment) Resolutions Committee The Nurse Practitioner Three nurse members from the The Discipline/Review Committee Therapeutics Committee Carleton-Victoria Chapter were September 1, 2014 to August 31, 2016 The Board of Directors approved the appointed for a two year term (2014- re-appointment of Ayub Chisti and Dr. 2016) beginning September 1, 2014: • Sharon Smyth Okana, administrative Kathy Woods and the appointment of director surgery program, Dr. Georges-L.- Dr. Yogi Seghal to the Nurse • Teresa Harris, Chair Dumont University Hospital Center, Practitioner Therapeutics Committee • Susan McCarron Moncton (new) for the term September 1st, 2014 • Karen Allison through August 31, 2016. • Odette Arseneau,mental health nurse, The Nursing Education Advisory Bathurst (new) For further information and to submit Committee nominations for consideration, mem- September 1, 2014 to August 31, 2016 • Carolyn Steeves, nursing practice bers can refer to the NANB website or coordinator, Saint John Regional Hospital, call toll free 1-800-442-4417. • Kathleen Mawhinney, nurse educator, Grandbay-Westfield (new) University of New Brunswick, UNB and UdeM NP Program Saint John (new) • Jacqueline Savoie, public health nurse, Interim Reports Miramichi (new) Based on the recommendation of the • Joanne Barry, community health nurse, St. Nursing Education Advisory Committee, Joseph’s Community Health Center, Grand • Heidi Mew, resource nurse medicine the Board of Directors accepted that the Bay-Westfield (re-appointment) program, Horizon Health Network, Saint first of two interim progress reports John (new) from the UNB and UdeM Nurse • Marjolaine Dionne Merlin, nurse Practitioner Programs which responded educator, Université de Moncton, Moncton • Dixie LaPage, manager, extra-mural to recommendations outlined in the NP (re-appointment) Perth-Andover, Knowlesville Program Approval Reports of November (re-appointment) and December 2012 respectively. • Marie-Pier Jones, recent nurse graduate, Moncton (re-appointment) • Heather Hamilton, Preoperative Clinic, Dr Everett Chalmers Hospital, Fredericton The Complaints Committee: (re-appointment) September 1, 2014 to August 31, 2016 • Nancy Sirois Walsh, Nursing Professional • Marie-Hélène Perron, staff nurse, Practice Advisor, Chaleur Regional Hospital, Oromocto Public Hospital, Oromocto (new) Bathurst, (re-appointment) page 43
FALL 2014 INFO NURSING 9 f.y.i.
VPH Class of 1969
Victoria Public Health Class of 1969 gathering at the Delta Hotel, Fredericton.
Workplace Wellness Solutions “Workplace Wellness Solutions” is a two-day conference to be held at the Hilton Hotel and Trade & Convention Centre in Saint John, New Brunswick on September 30 and October 1, 2014. This conference will offer practical strategies and tools to assist your clients in the areas of: emotional wellness, reducing tobacco dependence, managing obesity, sleep and exercise. Participants will also explore current legislation on protecting client privacy. Join us and learn how to solve the wellness puzzle—move your wellness program from good to GREAT!
For further information and to register, visit our website at www.wwsconference.ca. Nurse Practitioners in New Brunswick will Soon be Authorized to Prescribe September 30 will be jointly hosted by the Canadian Controlled Drugs and Substances Occupational Health Nurses Association and the New Nurse Practitioners who have successfully (other than testosterone), marihuana and Brunswick Occupational Health completed the approved, mandatory methadone. The revised Schedules for Nurse Group (NBOHNG). e-learning module offered through the Ordering for Nurse Practitioners will be October 1 will be solely hosted Continuing Professional Development available in PDF format at www.nanb.nb.ca. by NBOHNG. Both groups will Program for Nurse Practitioners and hold business meetings on Registered Nurses at the University of Nurse practitioners who have not completed September 29. Ottawa will be authorized to prescribe from this mandatory e-learning program by the newly revised NP Schedules for Ordering August 31, 2014, will have a limitation placed as of September 1, 2014. These revised on their registration indicating that they are Schedules for Ordering for Nurse not authorized to prescribe controlled drugs Practitioners, state that Nurse Practitioners and substances. All nurse practitioners will may prescribe controlled drugs and be required to complete this program in substances (CDS) with the exception of order to renew their 2015 NP registration heroin, opium, coca leaves, anabolic steroids with NANB.
10 INFO NURSING FALL 2014 NANB E-LEARNING MODULES
AVAILABLE AT WWW.NANB.NB.CA As a member or nursing student in New Brunswick, you can access free e-learning modules via NANB’s website Cultural Awareness for (www.nanb.nb.ca) at your convenience, 24/7, with the ability to leave and return Preceptors and Mentors of when the time is right for you. Internationally Educated Also Available: Nurses (IENs)
Internationally Educated Nurses (IENs) face a considerable challenge when attempting to enter a new country with the accompanying cultural differences. Problematic Substance Use in Nursing This e-learning module is designed to enhance your knowledge of, and sensitivity to, the unique challenges facing the internationally educated nurse (IEN) who is entering practice in a new country and a new culture. At the completion of this module, you will be able to:
• Better understand the challenges facing the IEN’s integration into the Canadian health care system; • Identify the role and responsibilities of the Nurses Association of New Brunswick (NANB) in the initial registration of IENs; It’s All About the Nurse-Client Relationship • Examine basic concepts such as culture, cultural sensitivity, ethnocentrism, discrimination and stereotypes; • Identify the impact of cultural and personal value systems on cross-cultural interactions; • Examine the concept of cultural diversity in the workplace and any initiatives within your workplace to support diversity; and • Better understand the need for structured programs and supports to assist IEN integration. f.y.i.
2014 President’s Award New Brunswick NEW WEBSITE FEATURE Recipients Multicultural Council The President’s Awards ($250)are Seeking RN Volunteers presented to an outstanding nursing graduate from each University site. New immigrants to New Brunswick with a previous nursing background need local • Maryse Collin insight and access to professional networks UdeM Edmundston that only a one-on-one connection can offer. The New Brunswick Multicultural Council • Tina Albert (NBMC) is seeking RN volunteers to be part UdeM Moncton of this network.
President’s • Danika Michaud If interested, please communicate with UdeM Shippigan Aaron Kamondo, New Brunswick Brief Multicultural Council Program Coordinator Online at www.nanb.nb.ca • Karissa McNabb at [email protected] or for more UNB Fredericton information about the New Brunswick Multicultural Council, visit www.nb-mc.ca. • Ashley McKim UNB Moncton
Did You Know? • Lauren Oulton Do you want to Every edition of NANB’s UNB Saint John receive Info Nursing e-bulletin, The Virtual Flame, is immediately posted on the • Laura Hamilton electronically? NANB website after it has been UNB Bathurst NANB offers members the distributed by email. If you have opportunity to receive Info Nursing provided NANB with your current electronically. In a continuous email address and are still not Connect with the NCLEX effort to be an environmentally receiving The Virtual Flame, it friendly Association, NANB could be blocked by your security The Summer 2014 issue of the National currently emails stakeholders and settings or filtered to SPAM/junk Council of State Boards of Nursing’s NCLEX members a direct link to your folders. To receive notification and newsletter is now available in English and nursing journal. Please email a direct link to the latest NANB French. This newsletter highlights [email protected] indicating e-Bulletin, forward your email milestones in the transition to the NCLEX, you would prefer to receive future address to [email protected] to and provides information about the exam issues of Info Nursing electronically. be added to The Virtual Flame development process and answers to notification distribution list. frequently asked questions. To read the newsletter: www.ncsbn.org/5029.htm.
Hours & Dates The NANB Office is open Monday to Friday, from 08:30 to 16:30
NANB WILL BE CLOSED DATES TO REMEMBER
OCTOBER 13 Thanksgiving Day OCTOBER 15–17 NANB Board Meeting
NOVEMBER 11 Remembrance Day DECEMBER 1 Registration Renewal Administrative Deadline
DECEMBER 31 Registration Renewal Deadline
12 INFO NURSING FALL 2014 52% OF CAREGIVERS PARTICIPATE IN ONLINE SOCIAL ACTIVITY RELATED TO HEALTH. Connecting 72% OF INTERNET USERS HAVE Nurses LOOKED FOR HEALTH INFORMATION ONLINE. 60% OF ADULTS TRACK THEIR Starting Your Online Presence WEIGHT, DIET, OR EXERCISE ROUTINE. Exploring How Digital Tools can Improve Health and Healthcare
Check out www.pewinternet.org/ topics/health for great data on how By ROB FRASER the internet, social media and mobile devices are being used for health.
hat are the top results when you professional network easier, is to confirm you wanted to join, and verify search your name online? prepare ahead of time. Make sure you the process is complete. Your email W Sometimes nothing comes up. For have the following things ready and should be your name to present a some unfortunate people, something saved somewhere on your computer or professional image. they are not proud of shows up. Others mobile device. Contact list. Social media services may have something that someone else A good picture of yourself. Most are designed to connect with others. posted, like a work biography or a quote social networks have a profile picture. It Once you have joined, they may ask you in a news article. Starting to participate makes it easier to recognize invitations for email or contacts of others. If you do online allows you to influence what to connect when you may forget a name. not have any that is fine, you can browse results come up when people search for Get a picture that’s with only you, and who is a member and others may add you online and the ability to edit it too. that is close enough so it is easy to you with time. Having a digital copy of It gives you more control over your identify you if it was a small picture on your contacts helps to get more out of professional image, and can help give a screen. If you really don’t want to use the service. you a positive reputation and open up your own picture, make an avatar (an new opportunities. icon or figure to represent you) Where to start? The previous article in the Connecting http://bitstrips.com. You can get started as soon as you have Nurses series discussed how to identify Resume and/or short biography. an email address. Remember in the last the potential of social media sites. Personal profiles are about you. Each article it is best to think about what you When you identify opportunities, most web service may have a different are trying to get out of joining the websites have similar process for amount of information you can give. network. This will help you think about signing-up. Provide an email, password Some want your career history, others what type of impression you are trying and then start completing your profile. only a few hundred characters. If you to create. If you are joining to stay up to In order to help make the process easier save a short bio it is easy to reuse, which date with professional issues, focus on and for best results this article will help makes the process easier. connecting with other individuals or give you some guidance on how to A professional email address. Most groups related to your interests and create a profile on any website you join. social media services use an email, or work. another account (like Facebook or Another useful thing to do is set a What do you need? Google) to verify who you are. After reminder in your calendar for 4 to 6 One way to make signing up for a signing up they send you an email to months from when you sign-up to
FALL 2014 INFO NURSING 13 Connecting Nurses Sign Up Create a free account in seconds » Register Now Name
Password Get instant access...
review what you have accomplished. media services require you to accept remember what you say. Focusing on Perhaps re-reading your information, connections or to allow others to find what you are passionate about or you may catch a typo or you can think you. Do not feel you have to accept what you can positively change, can about improving how you use the site. invitations. If you are contacted by help draw people to you. students, you could explain you only Complaining is unappealing and Tips for Social Networks accept colleagues or family on this others may not want to connect with For those who are new to social net- social network and they should use someone that is constantly focusing works, here are few important settings email. You do not have to accept on the negative. Highlight what you to look for after you sign up. invitations from people you do not are interested in, so others can know or are not interested in identify shared interests. • Privacy settings. Now nothing online connecting with. It is your choice is guaranteed to be private, but you and your goals, so do not let others • Highlight your value. What skills do can control and limit who might be make you feel obligated to change you have, are you known for, or able to find your profile. Take some how you use a social network. problems can you solve? Nurses have time to learn about what features a many skills, and need to market social network has so you understand Developing your Personal Brand them to other. Identify skills or who might be viewing your For any profile associated with your opportunities you are looking for, information. name or email account, it is important makes it easier for people to know to think how others will perceive you. when to get in touch with you. • Notifications. Look for the notifica- Here are a few simple tips to make a tions setting, most importantly the positive impression. These are some simple ideas to keep in email setting. Some services want to mind. Over time it will become easier to email you anytime any activity • Be polished. First impressions count remember and may even become happens, because it will bring you and if people continue to see your natural. Having your first online profile back to their website. This can create mistakes in your profile, it makes a is a great start to creating an online excess email in your inbox which is difference. Take time to proof-read presence. Even if you do not login every never fun. Look for ways to limit and spellcheck your bio and any day, being present changes how others when the service emails you. That information. It is simple and can are able to perceive you, which can pay way you only get updates you want, make a big difference. off in many different and unexpected or if you prefer none at all. ways in your career. • Be positive. If you can post positive • Accepting connections. Many social comments or content, people will
14 INFO NURSING FALL 2014 2015 Online Registration Renewal
Online registration renewal opens on October 1, 2014 and closes at 4:00 pm on December 31, 2014. In early October, members will receive an email reminder to renew registration online. If your email address has changed, please contact Registration Services at 1-800-442-4417 or 1-506-458-8731.
November 15: Payroll Deduction Renew online via your This new login page will allow you to: Deadline My Profile account Members participating in employer Log in to your secured “My Profile” • Access your nurse registration list if payroll deduction of registration fees account or create your profile at Create you are currently registered as an must renew online by November 15, my profile. Reminder: your username employer with NANB. Enter your 2014. After November 15, payroll is your registration number. user ID and password to verify the deduction fees must be returned by registration status of your nurse NANB to the employer and members Payment Options Online for Those Not employees. You may verify registra- will have to use their debit or credit card on Payroll Deduction tion of a nurse for the first time by to renew online. You have the option to pay your online entering her name or registration registration renewal fee by VISA, number and adding it to your list; December 1: Administrative Deadline MasterCard and debit. Debit (Interac) is NANB has an administrative deadline of only available to clients of ScotiaBank, • Register as an employer with NANB if December 1, 2014 to renew registration. TD, RBC or BMO. you have not done so previously. This deadline ensures the necessary Once approved, you will be able to time to assess and process all the Verification of Registration Status for create and save a list of your nurse renewal applications and to complete Employers and Members employees with their registration any follow-up prior to expiry on Employers are required under the Nurses status; December 31, 2014. Act to annually verify that nurse employ- ees are registered with NANB. A quick • Verify the registration status of an Avoid the Late Fee: Renew Your and efficient way to verify the registration individual nurse without having to Registration Early status of nurse employees is to go to the use a password. Registrations that are renewed after NANB website and access the registration January 1, 2015 will be subject to a late verification system as follows: Individual registered nurses can use the fee of $56.50. Any nurse, who practises registration verification system to verify while not being registered, is also in 1. go to the NANB website at their own registration status one violation of the Nurses Act and may be www.nanb.nb.ca; business day after completing their charged an additional unauthorized 2. select Registration from menu at the online renewal. practice fee of $250.00 plus tax. top of the screen; 3. select Registration Verification.
FALL 2014 INFO NURSING 15 2015 Online Registration Renewal Continuing Competence Program (CCP)
o renew registration for the 2015 and confidential area. examples of learning activities. T practice year you must have: This new user friendly electronic CCP information and resources, version of the CCP is available via your including downloadable forms are • completed a self-assessment to “My Profile”. Log in to “My Profile” using also available on the website at determine your learning needs; your registration number as your www.nanb.nb.ca. username along with your password. -- RNs assess their practice based on Start by clicking on “NEW” and enter CCP Audit the NANB Standards of Practice for the following information: the practice Compliance with the CCP is monitored Registered Nurses; and year, your role or position and the through an annual audit process. In practice setting in which you currently August 2014, a randomly selected group -- NPs assess their practice based on practise. You will be prompted to of RNs and NPs received notification to the NANB Standards of Practice for complete the Self-Assessment to complete a CCP Audit Questionnaire Primary Health Care Nurse identify which standard indicator(s) related to their CCP activities for the Practitioners; you will focus on. You must rate every 2013 practice year. These members are standard indicator to access the required to complete the online • developed and implemented a Learning Plan. questionnaire by September 30, 2014, learning plan that outlines learning When you reach the Learning Plan, prior to registration renewal. objectives and learning activities; you will write your learning objective(s) which relate to your identified standard • evaluated the impact of your learning indicator(s), list your learning activities activities on your practice; and and establish your targeted completion dates for each one. As you complete your Office Hours • reported on the registration renewal learning activities you will be able to The NANB office is open Monday form that you have completed the update your Learning Plan as needed. to Friday 08:30 to 16:30. Please CCP requirements for the 2014 Your Evaluation is to be completed note the office will be closed practice year. prior to the annual registration renewal December 24, 25 and 26, and may assist you in identifying 2014 and January 1, 2015. learning needs for the following year. New This Year: Complete Your You may access HELP screens as you For assistance with any registra- CCP Online progress through the electronic tion issue please contact NANB A new feature has recently been added worksheet to assist you. Some help Registration Services at to “My Profile” which gives you the screens include useful tips to guide you 1-800-442-4417 (toll-free in NB) ability to complete your CCP online. You along the way and others provide more or 1 506-458-8731. are now able to create, edit, save and specific information such as action store your CCP worksheets in a secure verbs to write learning objectives and
16 INFO NURSING FALL 2014 NANB WEBINAR SERIES
NEXT WEBINAR
When Meeting Standards Becomes a Challenge: Working with Limited Resources and Resolving Professional Practice Problems
AVAILABLE AT WWW.NANB.NB.CA Previously Recorded Webinar Presentations NANB Fall Webinars • Collaboration: Shared Goals, Different Roles
• MISSION POSSIBLE: Strategies for Thursday September 25, 2014 at 11:00 am Embracing Civility Join NANB’s webinar titled: When Meeting Standards Becomes a Challenge—Working with Limited Resources and Resolving • Safety First! Managing Registered Nurses Professional Practice Problems. with Significant Practice Problems
This webinar will explore two interrelated topics—working with • Documentation: Why all this limited resources and resolving professional practice problems. paperwork? It will offer strategies on how to address these issues in your work environment while providing safe, competent and ethical • Leadership: Every Registered nursing care. Nurse’s Responsibility
Please register before September 22, 2014 online at www.nanb.nb.ca.
Thursday, October 30, 2014 at 1:00 pm FAQs from RNs working in Nursing Homes
Thursday, December 4, 2014 at 11:00 am Problematic Substance Use—Still an Important Issue NANB SHARES 2014 ELECTION PRIORITIES NANB Shares 2014 Election Priorities
he Board of Directors of the the health status and quality of life of to the Department of Health to Nurses Association of New our population. enhance efficiency, effectiveness and T Brunswick believes that, as A newly elected governement will coordination of care across the health experts, our profession has establish 40 community, team-based lifecycle. important expertise and advice to bring primary health care clinics during to the political process, a view con- their mandate; 10 per year, enhanc- firmed by the mandate of the ing access to health services and SUSTAINABILITY: Association drawn from the Nurses Act health outcomes for over 200,000 Pharmaceuticals passed by the New Brunswick legisla- New Brunswick citizens. Pharmaceuticals are one of the fastest ture. As individuals with valuable growing and expensive therapeutic experience and expertise in the health interventions available to healthcare arena, engagement in the political EFFICIENCY & EFFECTIVENESS: practitioners. They have extended our process is a natural enactment of your Long-Term Care life-span and allowed those living with nursing standards and ethical values. New Brunswick has the second oldest chronic illness to survive and lead The NANB has communicated priorities population in Canada. Sixteen percent rewarding, productive lives. As well, it for health policy, investment and action (16%) of our total population, 122,000 of is well documented that the overuse, over many provincial elections. The 755,000 inhabitants are over the age of inappropriate use and misuse of priorities identified by the Board are 65 compared to 14% nationally. prescription drugs is a reality. informed by the mandate and values of Statistics Canada has predicted our The New Brunswick Coroner’s the Association and our profession and population will continue to age faster inquests into deaths related to prescrip- are shared with all party leaders and over the next 20 years given our tion drug overdoses in 2002, 2004 and candidates. Over the coming weeks the demographic and economic challenges. 2006 all included recommendations to President, Board of Directors and the Data from 2013 indicates there are government to implement a prescrip- NANB Executive Director will be 730 individuals awaiting assessment for tion drug monitoring system. The NB meeting with candidates; reinforcing placement in Long-Term Care. Of these Prescription Monitoring Act received Royal these priorities, answering candidates’ individuals, 491 are being cared for in Assent in December of 2009. questions and sharing nursing an acute-care facility, have been Prescription Drug Monitoring expertise. medically discharged and are waiting programs support the legitimate The priorities presented here are for placement in an alternate level of medical use of controlled substances founded on the following principles: care. Twenty-two percent (22%) of while limiting drug abuse and diversion. improving access to health services for acute-care, hospital beds in our They are effective in reducing the time all New Brunswickers, enhancing the province are occupied by alternate level required for drug diversion investiga- effectiveness and efficiency of health of care patients. tions, change prescribing behaviours, services and supporting the sustainabil- New Brunswick is the single reduce “doctor shopping” and reduce ity of our universal, publicly-funded jurisdiction in Canada where Long-Term prescription drug abuse. health system. Care services are not a part of the With the implementation of prescrip- Department of Health. We believe tive authority for nurse practitioners of Long-Term Care must be transferred to controlled drugs and substances later ACCESS: the Department of Health to ensure the this year, having a fully operational Primary Health Care responsibility and accountability for the drug monitoring program will be Implementation of the NB Primary continuum of care is integrated under essential for the NANB to support our Health Care Framework and a transition one government department and regulatory accountability and responsi- to community and team-based primary minister. New Brunswick cannot bility in this area. The completion of health care services must be a priority sustain the inefficiencies and complex- this program and its implementation for the New Brunswick government. ity this organizational model creates. must be a priority for the next New The NANB believes that a Primary We recognize the commitment and Brunswick government and will Health Care approach has the best passion of the minister and staff of the contribute to the sustainability of our potential to improve the prevention, Department of Social Development and publicly-funded, universal health identification and management of applaud the recent release of the “Home services and the quality of care and chronic and lifestyle illnesses and will First” strategy; however, to ensure support improved prescribing patterns contribute to the sustainability of our optimal coordination and congruence, public, not-for-profit health system and this change must be a priority. has the greatest potential to improve Transfer Long-Term Care Services
FALL 2014 INFO NURSING 19 NANB Shares 2014 Election Priorities
for all prescribers in New Brunswick. Nursing Resources Implementation of a comprehen- Ensuring the sustainability of our sive Prescription Drug Monitoring health system and services through Program must be an immediate Effective and Affordable Nursing priority of the newly elected New Human Resources must be a priority Brunswick government. and includes the preparation and employment of adequate numbers of Universal Pharmacare qualified RNs and NPs working to their The realization of a national compre- full scope in the Acute Care, Long Term hensive and universal, public Care and Community Care settings. pharmacare program that ensures all “Right-sizing” the production of this 2014 Canadians and New Brunswickers have workforce with employment opportuni- equitable access to necessary prescribed ties is essential to maintaining our Election pharmaceuticals, based on a national current educational programs. We formulary, evidence-informed prescrib- believe RNs and NPs are essential to our Toolkit ing guidelines and appropriate health system and evidence supports monitoring programs, has very this. New Brunswick cannot afford to significant potential to support the educate a workforce for another sustainability of publicly-funded health Canadian jurisdiction and New NANB Priorities services and support optimal prescrib- Brunswick tax-payers cannot afford to ing, safety and outcomes for all subsidize the preparation of that NB’s Political Landscape Canadians. workforce. Every developed country with a Decisions related to the preparation Elections NB universal healthcare system provides and deployment of a nursing workforce www.gnb.ca/elections/index-e.asp universal coverage of prescription drugs must include a critical analysis of the except Canada. One in ten Canadians immediate, short, mid and long-term Information for Voters cannot afford to pay for the impacts. www.gnb.ca/elections/ prescription(s) they receive. Countries 2013 NANB statistics show: provincialelections-e.asp#1 with universal drug coverage spend 15-60% less per capita on prescription • 25% (2,079) RNs/NPs are 55 years of 2014 Provincial Electoral District drugs. The rate of growth in the cost of age and older. Maps and Descriptions prescription drugs in Canada is twice www.gnb.ca/elections/ the growth of drug costs in European • 15% (1,290) RNs/NPs are 50-54 years 14prov/14provmap-e.asp countries with a universal pharmacare of age. program. Drugs costs will continue to Tips on How to Get Involved grow in Canada given our aging • 40% (3,369) RNs/NPs will be eligible population, the higher prevalence of for retirement within this decade. Tips on How to Meet chronic disease, the higher utilization a Candidate of prescription drugs by this population. The work of the newly established Managing chronic disease and improv- Nursing Collaborative must continue. It Letter to the Candidate ing the quality of life for those living must ensure the active involvement of Sample “Access” with chronic illnesses requires active all stakeholders—educators, employers, treatment and optimal control, usually funders/government and regulatory involving an appropriate and sustained bodies—to ensure the safety and access to essential, prescribed quality of nursing and health services pharmaceuticals. now and into the future. Realization of a universal, national Ensure the maintenance of a current, public pharmacare program would have transparent, nursing human resources a significant impact on ensuring the plan to meet New Brunswick health ongoing sustainability of New system needs through the collaborative Brunswick health services. efforts of nursing employers, educators, A newly-elected New Brunswick regulators, unions and government. government will work collabora- tively with all Canadian jurisdictions and the federal government to establish a comprehensive, universal, national pharmacare program.
20 INFO NURSING FALL 2014 VIRTUAL FORUM
AVAILABLE AT WWW.NANB.NB.CA Previous Virtual Forums • RN Rx: Are We There Yet? Leaders: Nursing • Professional Presence: Judging the Book and the Cover
Voices for Change • Workplace Bullying: End the Silence
In continuing with NANB’s theme at the recently hosted Invitational Forum Leaders: Nursing Voices for Change, Informed Opinions expert Shari Graydon will lead a Virtual Forum this September to encourage nurses to speak up for change!
Join the discussion between September 2 to September 19. Visit NANB’s website to share your comments. NANB’s Invitational Forum
Leaders: Nursing Voices for Change, was held on May 29, 2014, prior to the 98th Annual General Meeting at the Delta Hotel in Fredericton.
ver 125 registered nurses, nurse take part in the discussions and Attendees’ feedback demonstrated a Opractitioners and stakeholders planning of these changes. genuine interest in getting involved in joined Shari Graydon of Informed The Forum opened with a presenta- September’s provincial election Opinions to learn how exercising your tion from Ms. Graydon titled Good recognizing the need for strong, voice to communicate who you are, and Practice: Amplifying Nurses Voices followed experienced and united voices to truly what you contribute to the health care by an overview of NANB’s election make an impact and transform our delivery system is truly irreplaceable. priorities and political panel with an health care system. NANB collected Ms. Graydon delivered an inspiring call open mic session. Presentations were feedback on the priorities presented and to action for nurse leaders to speak up video recorded and are now available sought input on preferred support tools for change advocating how nurses must online at www.nanb.nb.ca. for members.
22 INFO NURSING FALL 2014 Communities Connecting…Shifting Towards Healthy Aging and Care A Response to the 2012 Summit
By SUZANNE DUPUIS-BLANCHARD AND JODI HALL
n November 2012, the Summit for committee continued to meet as it felt aspect of senior related issues, breaking Healthy Aging and Care: Innovating that it had received a grassroots down silos. The members of the I Together was the start of a meaning- mandate to create an action plan. The collaborative still exist as individual ful New Brunswick conversation on how committee wanted to determine if a entities with their own unique mission we want to experience aging in our model exists that allows for multiple and vision, but there is an adoption by province. As presented in the winter stakeholders to come together, identify each organization of the shared 2013 edition of Info Nursing, over 300 assets and recognize opportunities to philosophy that serves as an anchor individuals, ranging in age from 18 to collaborate for the betterment of seniors. point for all members. The shared 94 and representing a wide range of The concept of a collaborative was philosophy is simple and non-divisive stakeholders with various perspectives considered and how it could potentially by design to create a common anchor attended. By coming together, a better work in the province. The purpose of a point for all stakeholders in the understanding of our current reality, collaborative is to create a central focus collaborative. The philosophy statement the reasons why change is needed and a for the energy being expended by developed by the planning committee resolve for action after the summit was individual stakeholders and organiza- was seniors in New Brunswick experience achieved. It was felt by the summit tions working at both the community improved quality of life. This philosophy planning committee that a mandate was and provincial level, supporting shared serves to convene stakeholders and received from those who attended the responsibility between individuals, build a collective intention. This anchor summit to determine an action plan for communities and government. This point keeps stakeholders together in the what happens next. concept serves to harness the collective collaborative as it continues to evolve energy of multiple organizations, and develop. Building a Collaborative government departments, and individu- After the summit, the planning als who are currently working on some
FALL 2014 INFO NURSING 23 A high level collaborative framework allows for participants to be moved expressions of fear and uncertainty as it was created to serve as a map of how from one large audience to small call was felt that no one wants to take on this model could evolve and reflect what groups of four or five where the more responsibility; 2) the discussions was expressed at the summit. It is participants had small group dialogue suggested that there is a disconnect structured to create a mechanism for on specific topics. The purpose of the between the expectations of the sustainable collaboration with multiple event was to share what had been participants on the calls and govern- stakeholders at both the strategic and accomplished with key learnings from ment programs and services for the community level. Members of the the summit, and introduce the provin- future. If the concept of shared respon- collaborative align around the themes cial collaborative concept. sibility will become a reality, it will identified during the summit which Two calls were held. During the require an open dialogue to create makes it possible to identify stakehold- November 6th call, 142 English speaking shared expectations for all stakeholders. ers with a similar focus. It is anticipated individuals joined the call. On It was also clear that it is not well that this would also generate collabora- November 7th, 70 French speaking understood where Medicare ends and tion and sharing of assets to achieve individuals joined the 120 minutes call Long Term Care begins and how that common goals. Assets that are not for a total participant number of 212. relates to payment for services. enough for any one organization to use, Due to a malfunction in the session Very little feedback was offered take on new life when combined with recording, participants were asked after directly to the notion of the provincial the assets of other communities or the call to complete an on-line survey, collaborative, but no opposition was organizations, creating capacity that call or send an email with comments. In expressed and there was nothing didn’t exist before. all, 60 responses were documented, contained in the feedback that could be From the summit data, three key representing approximately a 30% construed as contrary to this effort. It themes emerged: caring communities, response rate. was noted by several people that they continuing care, and consultation and Participants were asked to respond to want to be involved and see something contribution. These themes have been two key questions during the call: 1) begin to happen at the community level. imbedded into the framework of the how can government and communities collaborative as the strategic priorities. work together in a balanced approach Next Steps These strategic priorities and the key that supports a healthy aging experi- Since the Communities Connecting event, result areas, which also emerged from ence? and, 2) what would enable you ideas have been surfacing about the data gathered at the summit, are personally and /or your organization to potential prototypes and there is now a important not only for strategic take action and be involved in this defined group of organizations who organization, but also for how the initiative? From these two questions, have formally expressed membership in collaborative supports work on the responses were organized into those the collaborative. With this, the creation ground organized through community that represent expressed needs and of a formal action plan can begin to be based prototypes. A prototype is a those that express a desired action, developed, for both the structural community lead initiative based on the either on the part of government, other development of the collaborative and unique needs of a given community and stakeholders or seniors themselves. The the operational side with prototype works to develop local leadership to nature of the responses provided was initiatives. support sustainability. A prototype often highly personal, citing many lived Prototypes are designed at the project works to identify the assets of a experiences. For this reason, a direct community level with community community and what can be achieved to response to the question poised was partners and are viewed as a learning meet needs of citizens. This allows for often difficult to ascertain as comments laboratory that is allowed to evolve the development of interdependent were more generally expressed. As depending on what need is present in systems to address issues and build noted above, the responses were the community and what assets are opportunities through the sharing of expressed as either a need or a desired available. Funding has been secured for resources. action. From this, responses to the event the development of a prototype project discussion questions can be gleaned. In on transportation in the community of Communities Connecting Event addition, comments were given about Gagetown. In partnership with collab- As the summit planning committee felt the use of the technology and the event orative stakeholders and local it has received a grassroots mandate to design which also was summarized. community gatekeepers, the goal of this determine an action plan after the A few key understandings emerged first prototype project is twofold: first, summit, and in keeping with a grass- from the analysis of the discussions to provide transportation to older adults roots methodology, the committee felt it that must be considered as part of any in need, and second, to learn about the would be necessary to go back to the future work for the collaborative, and development of such as project and the grassroots to present the collaborative recommended for any government possibility of duplication in another concept. It was decided the best way to initiatives: 1) there were expressions of community in need. do this was through a “Maestro- fear or uncertainty about the future as Finally, the next steps for the conference” event, which was held on the effects of demographic change are organization of the provincial collab- the one year anniversary of the summit. beginning to be felt in some communi- orative are being mapped out and will This technology allows for a provincial ties more so than others, with the per be shared with all interested stakehold- telephone conference call that can capita growth in the number of seniors ers once again in the near future. accommodate up to 10,000 callers, and versus youth. This lead to further
24 INFO NURSING FALL 2014 he 19th Annual Research Day: displayed on the MacLaggan Hall walls The UNB Creating a Culture of Scholarship, and were frequented throughout the day. T took place on May 9th, 2014 at the Evidence-based or ‘informed’ practice Faculty of Nursing, University of New was the flavor for most posters and Faculty of Brunswick. A mix of graduate students, presentations. One poster on Capacity nursing faculty, and community building: The foundation of sustainable Nursing representatives set the stage for lively community relationships was prepared by discussion and debate. Dr. Shelly an undergraduate Bathurst nursing th Doucet, UNB Saint John and Dr. Lesley student, Meghan Waugh, and was 19 Annual Bainbridge, UBC, set the tone for the day presented by Patty Deitch, Senior with their keynote presentation on the Teaching Associate from the Bathurst Research Day current state of evidence for site. Interprofessional Education and Within the morning session presen- Creating a Culture Collaboration Practice and the need for tations, the social issues of both nurse graduates to be prepared to bullying and abuse were prominent of Scholarship practice within the current health care among both junior and senior nursing environment. After the keynote, the faculty. In fact, several presentations scholarship culture was maintained in reflected decades of research work by the concurrent sessions which reflected senior nursing faculty such as Dr. Judith By LORETTA SECCO innovations in research, teaching, MacIntosh and Dr. Judith Wuest, who health promotion, and strategies to are both retired Honorary Research improve the health of high risk and Professors. Two past graduate nursing disadvantaged groups. Book company students of Dr. MacIntosh discussed representatives manned displays with their recent graduate research projects. the most recent textbooks to support Serena Jones Charbachi presented her teaching and practice. Research project posters were
FALL 2014 INFO NURSING 25 MN thesis work on Newcomers’ experience tation. Dr. Kathleen Cruttenden that many clients failed to achieve of workplace bullying in Canada: A grounded presented on her work related to recommended best practice diabetes theory study and Dr. Sue O’Donnell Participatory research: What makes management targets. While most of the presented on the Use of video format to Fredericton an age-friendly city? The focus presentations were on completed faculty describe how men survive workplace bullying. on social justice and disadvantaged research and education projects, two Dr. Kelly Scott Storey presented on the populations was also a theme. Some graduate nursing students in the thesis topic: Women’s health & past abuse: example populations included women stream presented their developing Implications for nurses’ practice while her who experience intimate partner abuse qualitative projects. Malory Drost mentor, Dr. Judith Wuest, presented on or violence, women with postpartum presented on ‘The lived experience of Preparing to test an online intervention for depression, employees who experience intimacy and sexuality in the transition to Canadian women experiencing violence: The workplace bullying, lesbian headed caregiver for spouses of those with dementia’ New Brunswick experience, the result of stepfamilies, and elderly individuals and Melissa Hilchey on ‘Parents many years of research in the area. with dementia. perspectives having a child with an eating The value of evidence-based While the theme of evidence disorder’. approaches to practice, teaching, and ‘informed’ practice was dominant The final session for the day was a the curriculum were demonstrated. during the morning sessions, it workshop/tour of the Joanna Briggs Dr. Krista Wilkins held an all-morning persisted throughout the afternoon. Institute Database, a recent acquisition workshop on An academic-practice Dr. Donna Bulman discussed her to the UNB Library. The presenter from partnership for evidence informed oncology teaching innovation and exploration of Ovid Technologies demonstrated how to nursing practice. The partnership usefulness of a virtual world commu- find answers and best practice guide- demonstrated collaboration among nity within a graduate nursing course. lines/updates to your clinical nursing educators, researchers, graduate Dr. Sue O’Donnell summarized evalua- questions. At the end of the day, the first students, and oncology nurses as they tion findings from an initiative to Canadian Association for Nursing uncovered the latest evidence to improve nursing education: Student Research (CANR) competition prizes understand and inform care related to assessment of abilities based learning: What (formal certificates and one-year CANR two significant practice issues: cancer- are the SAAYs saying about the UNB Nursing memberships) were awarded to related fatigue and communicating Curriculum? Dr. Marilyn Hodgins Dr. Tracey Rickards for best abstract for with cancer clients about sexuality. described findings on Self-management her project Authenticating family: Re/ Dr. Loretta Secco and Jennifer Colpitts practices of Extra Mural patients living with claiming legitimacy by the lesbian headed presented on team research project: diabetes and reported recommendations stepfamily and to Dr. Kelly Scott-Storey Telephone-based peer support intervention for to improve care and management. for her team’s poster Masculinities, postpartum depression: Real world implemen- Unfortunately, the findings underscored lifetime violence and health among men.
26 INFO NURSING FALL 2014 FALL 2014 INFO NURSING 27 28 INFO NURSING FALL 2014 Marihuana for Medical Purposes Changes to Legislation & Nursing Considerations
By DAWN TORPE
n June of 2013, new regulations for “medical document”. in Canada”.iv Iaccess to medical marihuana Since the announcement of the NANB shares the concerns raised entitled The Marihuana for Medical new regulations, health care by both CNA and CMA. As the Purposes Regulations (MMPR) came professionals across the country regulatory body for both RNs and into effect. These new regulations have raised concerns. Both the NPs it has been actively monitoring replaced the Marihuana Medical Access Canadian Nurses Associationii and the changes in legislation and Regulations (MMAR), first introduced the Canadian Medical Associationiii developing a plan to ensure safety for in 2001 to provide reasonable access have argued that there is a lack of New Brunswickers. The Standards of to marihuana for medical purposes. credible scientific information on Practice for NPs dictate that NPs “use Under the MMAR the federal the indications for marihuana’s an authoritative source of evidence- government provided a list of based drug and therapeutic sanctioned medical conditions that information when prescribing drugs would qualify an individual to be in Dried marihuana is and other interventions”. Given the possession of marihuana for afore mentioned lack of scientific therapeutic purposes. Physicians not an approved drug information regarding marihuana, filled out a form confirming their or medicine in NANB’s Board of Directors has patients’ medical conditions and affirmed the Nurse Practitioner Health Canada issued an authoriza- Canada. Health Therapeutics Committee’s recom- tion to possess marihuana. Federal mendation to restrict NPs from authorities identified that this Canada does not prescribing marihuana. created openings for abuse and “had NANB is aware that RNs in various unintended consequences for public endorse the use of clinical settings are working with health, safety and security, as a marihuana, but the clients who use medical marihuana. result of allowing individuals to NANB recommends that all agencies produce marihuana in their homes”.i courts have required develop policies to guide the use of The new MMPR shifts the medical marihuana in their facilities. responsibility and accountability reasonable access to a NANB has also revised (2013) its from federal regulators, to physi- Medication Administration: Practice cians and nurse practitioners, to legal source when Standard and advises nurses that they write “medical documents” similar authorized by may assist clients with self-adminis- to prescriptions, authorizing tration when marihuana is patients to obtain marihuana from a specified prescribers. prescribed by an authorized pre- federally licensed provider. The scriber (i.e. physician). This advice is production of medical marihuana Health Canada predicated on the assumption that will take place in licensed commer- the patient is using the product after cial facilities, under secure and discussion with their physician and sanitary conditions and is no longer therapeutic use and that patient after having given informed consent. permitted in individual residences. safety is in jeopardy given the lack of However, given the many unknowns Patients submit their “medical information on potency, dosage or regarding marihuana (e.g. strength, document” and a registration form drug interactions. Health Canada appropriate dose, drug interactions), directly to a licensed producer and has stated that “at present, while nurses are unable to safely carry out no longer apply to Health Canada for pointing to some potential benefits, the medication administration approval. The licensed producer will scientific evidence does not establish processv. In situations where the fill and ship the patient’s supply of the safety and efficacy of cannabis to patient is no longer able to self- medical marihuana based on the the extent required by the Food and administer, RNs must inform the daily amount indicated on the Drug Regulations for marketed drugs prescribing physician so that
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FALL 2014 INFO NURSING 29 CONGRATULATIONS Lucille Auffrey 2014 Jeanne Mance Award Recipient
ucille Auffrey, RN MN, is a consummate nursing leader. LOver four plus decades, she played a decisive role in key areas of nursing and the health-care system, capping off a stellar career by repositioning CNA as a strong and widely respected organization. Her vision for nursing and patient centred care is grounded in her experience as an RN. Throughout her career, she worked to strengthen the profession. And she expanded people’s vision to embrace new models and opportunities leading to enhanced responsibility. Lucille has also shaped policy in health and education. She championed countless strategic initiatives such as NurseONE and the medical-surgical specialty nursing certification program. The awards bestowed upon her, including the Canadian Healthcare Association’s Award for Distinguished Service, are testaments to her contributions. Lucille obtained a bachelor of nursing from the University of New Brunswick and a master’s of science in nursing and health studies from the University of Edinburgh.
30 INFO NURSING FALL 2014 ver since Janice Shonaman was six from her past also lead to the ideations years old, she wanted to be a nurse. and characters including The Doctor with E She would make her dolls the William Hurt, 1991 and Visiting Hours patients in a pretend hospital and with Michael Ironside, 1982. But the dutifully tend to them. Her parents, story line is all hers and for this, she is both teachers, instilled in Janice and her very proud. Janice is quick to say she has three sisters a love of reading, writing New Brunswick never met a patient such as Tony and and imagination. At the age of 10, she never hopes to! It is purely fiction. saw her first suspense movie and The Patient is not a tale for everyone. It another love was born. Now at the age of Nurse Blends is suspenseful and as Janice’s mother 49, she has combined all three and says, “heavy”. Janice sees her readers achieved a goal of writing and publish- tucked in bed at night in a darkened ing her first book,The Patient. Love of Nursing room scaring themselves silly. Those Janice has been a registered nurse in who have already purchased the New Brunswick for 30 years. Her career hardcover or paperback, or downloaded has spanned mental health, geriatrics with Her Love the eBook and read it are singing high and for the last 14 years, surgery. She praises and are begging for a sequel. has written numerous poems and short Some wouldn’t put it down until they stories and is asked to write special of Suspense were done the entire story. Janice verses for surprise parties, presents and couldn’t be prouder. retirements. For years a story of Janice will always have her love of suspense, stalking and fear sat in her nursing. She continues her surgical mind. Two years ago after working a nursing practice, just as she always particularly busy evening shift and too wanted to be in her early years. Taking tired to sleep, Janice set her ideas to type. care of patients hands-on is truly a Over the summer it was worked on and passion that has never wavered. She reworded until finally it was the story Anna’s no-nonsense approach. After mixes professionalism, caring and that she imagined for so long. After being shown up in front of his friends laughter to give her patients a nurse having her parents be the first critics and the doctor, Tony feels belittled and they can depend on and trust. And for and receiving their high praise, she embarrassed. Slowly his feelings of this she is just as proud. found the self-publishing company retaliation and retribution become more Janice’s book can be found on the FriesenPress that would bring her than fantasy and reality slips away as publisher’s site FriesenPress in any form, dream to paper. revenge takes over. as well as on Amazon and in eBook at The Patient follows a tired, burnt-out Janice’s experience with mental Indigo. Kudos to one of our professional nurse, Anna, as she struggles to cope on health and surgery has given her the nurses for expanding her career and a surgery floor. Tony is a self-loving ability to make the story more realistic attaining such an achievement. An egotist who requires minor surgery and and accurate. She received extra help achievement encompassing her true is placed in her care. His machismo and with the pharmacological aspects from loves, writing and a good scare, but womanizing are put to the test with her unit’s pharmacist. Movies and books most of all her first love, nursing.
National Nursing Assessment Service Launched August 12, 2014
Since August 12, 2014, all internation- regulatory bodies of registered nurses, International is the vendor selected to ally educated nurses, who had never licensed practical nurses and registered provide the centralized IEN application been registered to practise as a regis- psychiatric nurses in all provinces/ and assessment service to the NNAS. tered nurse in Canada, are required to territories, except Quebec. The NNAS The official launch of the NNAS was submit their documents and credentials has a 12 member Board of Directors with August 12, 2014. Applications received to the National Nursing Assessment representation from the three nursing by NANB on or after August 12, 2014 Service (NNAS) for assessment and groups. The NANB Executive Director is have been returned to the applicants verification, before applying to become currently a member of the Board of with instructions on how to begin their registered to practise with the Nurses Directors. application through NNAS prior to Association of New Brunswick (NANB). The vision of the NNAS is to provide submitting an application to NANB. The development of the NNAS has a single portal of entry for applications Applicants who had submitted a been funded by Health Canada to for registration from internationally completed application to NANB prior to enhance the efficiency, uniformity and educated nurses (IENs) and to harmo- August 12, 2014 were or will be assessed timeliness of the assessment of nize the application process by under NANB’s previous registration internationally educated nurses (IENs). centralizing document collection and process. The project is a joint initiative of the assessment of applicant files. CGFNS
FALL 2014 INFO NURSING 31 CADTH Common Drug Review
By STEPHANIE SMITH
Health Canada Patented Medicine asks: Is it safe? Prices Review Board Does it work? asks: Is the price excessive compared to other developed countries?
CADTH Common Federal, provincial Drug Review asks: & territorial drug How does it compare plans ask: Can we to existing treatment afford it? options?
ithin the health care arena, plans, the CADTH Common Drug review. Patient groups are invited to how many examples of Review has been providing comparative provide input in identifying unmet W federal, provincial, and analysis and making recommendations needs of existing options and treatment territorial collaboration can you name? for the past decade. Independent, outcomes of greatest importance to How many of those collaborations have high-quality critiques of the clinical patients. endured for over a decade? One such and economic data of more than 200 A review team made up of epidemi- example is the Canadian Agency for drugs, as compared with existing ologists, pharmacists, physicians, Drugs and Technologies in Health treatments, are publicly available at health economists, information (CADTH) Common Drug Review. www.cadth.ca. specialists, and at least one external For a new prescription drug to be sold physician with specialist expertise in in Canada, it must first be reviewed by How it works the relevant clinical area, prepare a Health Canada to ensure that it meets All publicly funded drug plans (except systematic review of the clinical Canadian standards for efficacy, safety Quebec), cooperated to build, improve, evidence and a critique of the drug and quality of manufacturing. The next and fund the CADTH Common Drug sponsor’s economic evaluation. step is to consider the relative benefits, Review. If a pharmaceutical or biotech The reports produced by the review safety and cost-effectiveness of this new company wants their drug to be team are discussed by the Canadian drug compared to existing treatment considered for inclusion on the publicly Drug Expert Committee (CDEC), options. This is where the CADTH funded drug plans formulary, they Common Drug Review fits. submit all relevant clinical and On behalf of 18 publicly funded drug economic information to CADTH for page 41
32 INFO NURSING FALL 2014 FALL 2014 INFO NURSING 33 34 INFO NURSING FALL 2014 FALL 2014 INFO NURSING 35 36 INFO NURSING FALL 2014 FALL 2014 INFO NURSING 37 Ask a PRACTICE CONSULTANT
By VIRGIL GUITARD
YOU’VE ASKED
As a registered nurse (RN), what do I need to know about handing over clients?
COMMUNICATION BETWEEN RNs the primary goal of handover is to who are changing shift or assignment is communicate important and relevant referred to as ‘’handover of patients’’ information about the patient and the (Alvarado, 2006). The Nurses plan of care, a combination of verbal Association of New Brunswick’s and written is often required. The Standards of Practice for RNs (2012) state written report ensures information is that all RNs must communicate captured and retained while the verbal effectively with colleagues. Part of this communication can offer a ‘’clearer’’ expectation involves communicating picture of the patient. RNs should relevant and detailed information to advocate for employer policies on the ensure the safe handover of care. handover of clients. These policies This fundamental component of should outline the modes of handover, nursing care is not a new concept. the retention and storage of written/ Handover of patients implies that there recorded communications, etc. A is sharing or transfer of information number of studies have demonstrated and knowledge between RNs. It ensures that communication failure during that patient care continues seamlessly handover of patients often leads to and safely, providing the oncoming RNs uncertainty in decisions about patient with relevant information about the care, which could lead to patient harm. plan of care and the patient’s condition For more information about the RN’s (Petersen, 2013). Inadequate or incorrect responsibility to communicate effec- information puts patient safety and the tively with all members of the health continuity of care at risk (Alvarado, care team, contact NANB’s Practice 2006). The Registered Nurses Department at 1-800-442-4417 or by Association of Ontario (2014) Care Handover Tips email at [email protected]. Transitions Best Practice Guideline advises that in order “to avoid repetition, Keep it client centered References duplication or omission of critical client information during information exchanges Keep it confidential Alvarado, K. and Al. 2006. ‘’Transfer of between settings or health-care providers, Accountability: Transforming Shift Handover discussion and documentation should be Use standardized methods to Enhance Patient Safety’’. Healthcare streamlined and standardized to ensure clear Quarterly, 9(10), 75-79. and accurate transfer of information”. Follow a structured approach Furthermore, the Accreditation Canada Nurses Association of New Brunswick (2012). suggest that patient safety can be Use time wisely Standards of Practice for Registered Nurses. improved by employing “effective Fredericton: Author. mechanisms for transfer of information at interface points, including shift changes” Peterson, M. and Al. 2013. Risk Management: (Alvarado, 2006). What makes handover communication Depending on the work setting, effective?Nursing Management, 44(1), 15-18. different reporting mechanisms may be used. The most common modes of Registered Nurses Association of Ontario (2014). handover are bedside, recorded or Care Transitions-Clinical Best Practice written and face-to-face reports. Since Guidelines. Toronto: Author.
38 INFO NURSING FALL 2014 ADVERTISEMENT
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FALL 2014 INFO NURSING 39 ADVERTISEMENT
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CADTH Common Drug Review disease, heart failure, ulcerative colitis, Common Drug Review, including a continued from page 32 schizophrenia, vitreomacular adhesion, short video and infographics, visit our chronic migraine, Parkinson disease, website at www.cadth.ca/en/cadth/ growth hormone deficiency in adults cdr-10th, or please contact Stephanie comprised of highly qualified health and children, Turner Syndrome, and Smith, CADTH Liaison Officer for New care experts and public members from polyarticular juvenile idiopathic Brunswick, at 506-457-4948 or across Canada, which provides advice arthritis. To be able to identify relevant [email protected]. and formulary listing recommenda- comparators and fully appreciate the The Canadian Agency for Drugs and tions. Each publicly funded drug plan clinical considerations in these diverse Technologies in Health (CADTH) is an then uses this information to make fields, CADTH relies on the support of independent, not-for-profit producer their jurisdictional listing decision. clinical experts from across Canada. and broker of health technology Experts in the fields of health econom- assessments. Federal, provincial, and Contribution by Specialists ics or review methodology are invited to territorial health care decision-makers The diversity of drugs being examined participate as required. If you are rely on our evidence-based information during any period is vast. For example, interested in becoming involved, please to make informed decisions about the right now, CADTH is reviewing drugs to contact CADTH. effectiveness and efficiency of drugs manage chronic obstructive pulmonary For more details on the CADTH and other health technologies.
40 INFO NURSING FALL 2014 Get Involved! Play an Active Role in Your Association
Committee Members Needed Do you promote your profession? Will you share your expertise? The Nurses Association of New Brunswick (NANB) is presently looking for members interested in becoming involved in various committees. Factors considered when selecting committee members are: Committee Members
• geographic area; Name • language; • gender; Address • years of nursing experience (at least five years); and • area of nursing experience. Registration No.
Current Area of Practice Public Members Needed NANB is currently seeking interested members of the Telephone No. public to serve as public directors on the Board of Directors and as public members on the Complaints Email Committee and the Discipline and Review Committee on a voluntary basis. Public members are individuals who Language r English r French are not now, and have never been, registered nurses. Public members should have:
• An interest in health and welfare matters; Areas of interest (please check): • Previous committee or board experience; • Time to devote to the roVle and some knowledge Nursing Education Advisory Committee about the nursing profession; r (currently recruiting one university nurse • Volunteer or work experience that demonstrates educator from UNBSJ) acting in the interest of the public. Complaints Committee (This committee conducts r the first step in the Professional Conduct Review (PCR) process and determines if further action is The Nurses Act mandates your professional association to required. Meetings occur by teleconference.) maintain a number of standing committees, which includes the Complaints Committee; the Discipline/ Discipline / Review Committee (This committee Review Committee; and the Nursing Education Advisory r conducts the second step in the PCR two-step Committee. These committees allow members to be a process. Committee members examine evidence, part of a process that ensures the public is protected and hold hearings and make decisions.) that New Brunswickers receive safe, competent and ethical nursing care. r Other
If you would be able to contribute to NANB’s Board of Directors or the standing committees, please forward your curriculum vitae to Jennifer Whitehead at Please return this form to NANB at 165 Regent St., [email protected] or by fax 506-459-2838. Fredericton, NB E3B 7B4 or fax to 506-459-2838. For additional information, you may contact the Association at 1-800-442-4417. CALENDAR of EVENTS
SEPTEMBER 17, 2014 SEPTEMBER 19, 2014 SEPTEMBER 21–23, 2014 CNPS Webinar: Legal Issues for New Grads New Brunswick Gerontological Nursing Canadian Association of Critical Care »» www.cnps.ca/index.php? Association General Meeting and Nurses Dynamics Conference m=234&page=22&lang=en Educational Session • Quebec City, QC • Moncton, NB »» www.caccn.ca/en/events/dynamics%20 »» [email protected] 2014/conference_information.html
SEPTEMBER 23–26, 2014 SEPTEMBER 25, 2014 SEPTEMBER 26, 2014 5th Conference on Recent Advances in NANB Webinar: When Meeting Standards NB Lung Association: New Directions in the Prevention and Management of Becomes a Challenge-Working with Limited Respiratory Disease Childhood and Adolescent Obesity: Resources and Resolving Professional • Moncton, NB Time to Focus on Strengths: Addressing Practice Problems »» www.nb.lung.ca/symposium/ Obesity in Indigenous Youth »» www.nanb.nb.ca/index.php/publications/ • Winnipeg, MB briefs-presentations »» http://interprofessional.ubc.ca/ Obesity2014/default.asp
SEPTEMBER 26, 2014 SEPTEMBER 27, 2014 SEPTEMBER 30, 2014 NCLEX 2014 Regional Workshop for CFPNA 2014 National Conference & Workplace Wellness Solutions Canadian Educators AGM: Notice to Expert: The Journey Conference • Halifax, NS • Calgary, AB • Saint John, NB »» www.nanb.nb.ca/downloads/NCLEX%20 »» www.regonline.com/Register/Checkin. »» www.wwsconference.ca/ Regional%20Workshop%20poster.pdf aspx?EventID=1540393
OCTOBER 2–4, 2014 OCTOBER 4–5, 2014 OCTOBER 6, 2014 2014 CSGNA National Conference Aboriginal Nurses Association of Canada Canadian Association of Neonatal • Niagara Falls, ON A.N.A.C. 2014 National Forum: Bridging Nurses: Late Preterm Infant—The Great Nursing Knowledge from Research to Pretender! »» www.csgna.com/en/CSGNA%202014%20 Practice: Honouring Indigenous Wisdom National%20conference/2014_csgna_ • Toronto, ON national_conference.html • Winnipeg, MB »» www.neonatalcann.ca/SitePages/ »» www.anac.on.ca/conferences.php EventDetails.aspx?itmID=26
OCTOBER 15–17, 2014 OCTOBER 16–17, 2014 OCTOBER 22–24, 2014 NANB BoD Meeting Suicide Prevention, Intervention and National Conference on Intimate Partner • NANB Headquarters, Fredericton, NB Postvention Strategies Violence: Learning and Innovating Together »» www.nanb.nb.ca • Halifax, NS »» www.ctrinstitute.com/wkshops? • Fredericton, NB field_province_state_value=8&field_city_ »» www.unb.ca/fredericton/arts/centres/ value=&field_workshop_type_target_ mmfc/news/ id=256
OCTOBER 23–25, 2014 OCTOBER 25–28, 2014 OCTOBER 26–29, 2014 Canadian Association of Perinatal and Canadian Council of Cardiovascular Canadian Association of Nurses in Women’s Health Nurses CAPWHN 4th Nurses Annual General Meeting and Oncology Conference: Patient National Conference: Expanding Horizons, Scientific Sessions Engagement Grounding Practice • Vancouver, BC • Quebec City, QC • Regina, SK »» www.cccn.ca/content.php?doc=18 »» www.cano-acio.ca/registration-2 »» www.capwhn.ca/en/capwhn/About_ CAPWHN_p3185.html
42 INFO NURSING FALL 2014 CALENDAR of EVENTS
OCT 29–NOV 1, 2014 OCTOBER 30, 2014 OCT 30–NOV 2, 2014 Critical Care Canada Forum NANB Webinar: FAQs from RNs working A Joint Education Meeting: Canadian • Toronto, ON in Nursing Homes Association of Wound Care and Canadian Association for Enterostomal Therapy »» www.criticalcarecanada.com/ »» www.nanb.nb.ca/index.php/publications/ briefs-presentations Action 2014—Skin Health for Canada • Toronto, ON »» http://cawc.net/en/index.php/conference/ abstracts/
DECEMBER 4, 2014 NANB Webinar: Problematic Substance Use—Still an Important Issue »» www.nanb.nb.ca/index.php/publications/ briefs-presentations
Boardroom Notes an opportunity to promote NANB’s nurse practitioners and stakeholders continued from page 9 regulatory role and meet our strategic joined Shari Graydon of Informed plan’s objectives. Opinions to learn how exercising your voice to communicate who you are, and Resolution to the CNA Next Meeting what you contribute to the health care Annual Meeting The next Board of Directors meeting delivery system is truly irreplaceable. The Board of Directors submitted a will be held at the NANB Headquarters Ms. Graydon delivered an inspiring call resolution to the CNA for consideration on October 15–17, 2014. to action for nurse leaders to speak up at its Annual Meeting on June 16, 2014. for change, advocating how nurses must The resolution requests that CNA Observers are welcome at all Board of take part in the discussions and continue to advocate for a comprehen- Directors meetings. Please contact planning of these changes. sive and universal, public pharmacare Paulette Poirier, Executive Assistant- program that ensures all Canadians Corporate Secretary at Presentations can be accessed via have equitable access to essential [email protected] or call NANB’s website (www.nanb.nb.ca). Pharmaceuticals. 506-459-2858 / 1-800-442-4417 98th AGM: May 29, 2014 Presentation 2013-2014 NANB Board of Directors The 98th Annual General Meeting was a • President, Darline Cogswell short business meeting which occurred NB Health Council: My Community • President-Elect, Brenda Kinney on May 29, 2014 at the Delta Hotel, at a Glance • Director, Region 1, Chantal Saumure Fredericton. An overview of the Stéphane Robichaud, Chief Executive • Director, Region 2, Jillian Lawson Auditor’s Report and highlights of Officer of the New Brunswick Health • Director, Region 3, Amy McLeod activities current and future were Council, gave a presentation to the • Director, Region 4, Josée Soucy presented. Board of Directors on the recently • Director, Region 5, Linda LePage-LeClair launched community profiles entitled • Director, Region 6, Annie Boudreau The following resolution was presented “My Community at a Glance”. • Director, Region 7, Rhonda Shaddick and approved by membership. • Public Director, Fernande Chouinard Government Relations • Public Director, Wayne Trail Be it resolved that effective 2016 the The Board hosted an MLA Breakfast on • Public Director, Edward Dubé annual NANB membership fees for RNs Wednesday April 9, 2014 earlier than and NPs shall automatically be adjusted originally planned due to the early Invitational Forum by any change in the CNA fee and any closure of the Legislature with the change in the CNPS RN and NP upcoming provincial election scheduled Leaders: Nursing Voices for Change professional liability protection fees. for September 22, 2014. Over 35 NANB hosted an invitational forum on Members of the Legislature (MLAs) May 29, 2014, prior to the 98th Annual The 2013 Annual Report including the joined NANB’s Board of Directors and General Meeting at the Delta Hotel in 2013 Auditor’s Report are available on nursing staff providing the Association Fredericton. Over 125 registered nurses, the NANB website: www.nanb.nb.ca.
FALL 2014 INFO NURSING 43 PROFESSIONAL CONDUCT REVIEW DECISIONS
CONDITIONAL REGISTRATION The Review Committee ordered that a safe manner. The Committee also In a decision dated January 16, 2014, the the suspension member’s registration ordered that she pay costs to NANB in NANB Review Committee ordered that be continued for a minimum of one year the amount of $2,000 within 12 months the suspension imposed on the and until conditions are met. At that of returning to the active practice of registration of registrant number 026741 time, the member will be eligible to nursing. be lifted immediately. The Review apply for a conditional registration. The Committee further ordered that Committee also ordered that she pay REGISTRATION SUSPENDED conditions be imposed on the regis- costs to NANB in the amount of $1,000 On April 30, 2014, the NANB Complaints trant’s registration. within 12 months of returning to the Committee suspended the registration active practice of nursing. of registrant number 027937 pending REGISTRATION SUSPENDED the outcome of a hearing before the On January 21, 2014, the NANB REGISTRATION REVOKED Review Committee. Complaints Committee suspended the On March 25, 2014, the NANB Review registration of registrant number Committee found Maria Loreto CONDITIONS LIFTED 028629 pending the outcome of a Evangelista Gurion Simeon (née Gurion), The conditions imposed on the registra- hearing before the Discipline registration number 026081, to be tion of registrant number 023808, have Committee. responsible for her conduct, acts and been fulfilled and are hereby lifted omissions in her nursing practice and effective June 12, 2014. REGISTRATION REVOKED that she demonstrated incompetence, In accordance with a decision of the dishonesty, professional misconduct, CONDITIONAL REGISTRATION NANB Discipline Committee dated conduct unbecoming a member and a In a decision dated June 11, 2014, the January 27, 2009, the registration of disregard for the welfare and safety of NANB Review Committee ordered that Tamara Mary-Ann Adele Landry, patients. the suspension imposed on the registration number 023616, is revoked The Review Committee ordered that registration of registrant number effective January 28, 2014. the member’s registration be revoked 027964 be lifted immediately. The and that she be prohibited from Review Committee further ordered that REGISTRATION SUSPENDED practising nursing or representing conditions be imposed on the regis- On February 7, 2014, the NANB herself as a nurse. She shall be eligible trant’s registration. Complaints Committee suspended the to apply for reinstatement one year from registration of registrant number the date of the Committee’s order. The REGISTRATION REVOKED 022093 pending the outcome of a Committee also ordered that she pay In a decision dated June 24, 2014, the hearing before the Review Committee. costs to NANB in the amount of $1,500. Review Committee accepted a Submission from Christine Anne REGISTRATION SUSPENDED REGISTRATION REVOKED Johnson, registration number 027318, in On February 7, 2014, the NANB On April 3, 2014, the NANB Review which she admits to serious deficiencies Complaints Committee suspended the Committee found Elaine Frances regarding her competence and safety to registration of registrant number Skov-Nielsen (née Carr), registration practise nursing. The member also 024993 pending the outcome of a number 017947, to be suffering from admitted to suffering from an ailment hearing before the Review Committee. ailments or conditions rendering her that negatively affected her ability to unfit and unsafe to practise nursing and practise nursing and rendered her SUSPENSION CONTINUED that the member demonstrated unable to safely work as a nurse at the On February 20, 2014, the NANB Review dishonesty, professional misconduct, time of the complaint. Committee found Penny Jean Dempsey conduct unbecoming a member and a The Review Committee ordered that (née Blodgett), registration number disregard for the welfare and safety of the member’s registration be revoked 016562, to be responsible for her patients. and that she be prohibited from conduct, acts and omissions in her The Review Committee ordered that practising nursing or representing nursing practice and demonstrated the member’s registration be revoked herself as a nurse. She shall be eligible professional misconduct, incompetence, and that she be prohibited from to apply for reinstatement one year from a lack of judgement, critical thinking practising nursing or representing the date of the order. The Committee and communication. The Committee herself as a nurse. She shall not be also ordered that she pay costs to NANB also found that the member failed to eligible to apply for reinstatement for a in the amount of $1,000. adhere to the standards of nursing minimum of one year from the date of practice and the Code of Ethics and the Committee’s order and until she demonstrated a disregard for the safety presents sufficient evidence that she is and welfare of patients. fit to return to the practice of nursing in
44 INFO NURSING FALL 2014 STAFF PROFILE
Meet Jennifer Whitehead Manager of Communications and Government Relations
Always Changing… “To Improve is to Change, To Perfect is to Change Often” Winston Churchill
What role does the Communications standards and documents; an electronic paperless policy where possible. NANB Department play to support NANB’s newsletter; professional journal; communicates primarily through direct mission? e-learning modules; webinars; chapters; email. The Association introduced workplace representative network; online registration renewal, online NANB’s role as the regulator is to protect interest groups; member surveys… and board elections, online surveys, the public and support nurses by more. paperless board packages, distributes an promoting and maintaining nursing electronic newsletter, provides e-learn- standards and promoting healthy public What responsibilities fall within the ing and webinar educational support, policy. Promotion occurs through Communications Department? and has entered the social media world. strategic communications to support We do however, still publish our the Board of Directors, Executive Office, In addition to being responsible for all journal Info Nursing and our Annual as well as the Regulatory and Practice communications distributed externally Report which are both archived and Departments. Communications is key to both nurses and the public, the available electronically on NANB’s to branding, marketing and the delivery Communications Department handles website at www.nanb.nb.ca. of consistent messaging. media relations, government relations and special events (i.e. National Nursing What new tools are being considered How does the Communications Week, promotional campaigns, market- within the Communications Department support nurses? ing campaigns etc.). Department?
The Communications Department is As technology evolves, how has the The Communications Department is continually revisiting, reviewing and Communications Department adapted? currently working on NANB’s social implementing tools to support nurses in media presence, improvements to the their practice in collaboration with all To improve our outreach as nurses existing website, implemention of an NANB departments. NANB offers a transition to the “virtual world’ and to variety of support to nurses including: a be an environmentally friendly public website housing all publications, organization, NANB has adopted a
FALL 2014 INFO NURSING 45 intranet site for the office, and increas- leaders of all five political parties and How has your background in ing the electronic newsletter candidates at their request, the Communications and Government distribution. Communications Department has Relations prepared you for the role as created a page on the website dedicated Manager? With a provincial election on September to this year’s provincial election. Nurses 22, 2014, what Government Relations will benefit from Elections NB resources, Fortunately, I have had diverse commu- support is the Communications party platforms, tips on how to get nications and government relations Department offering nurses? involved, tips on how to meet a candi- experience throughout my career. I was date and a sample letter to the candidate. employed in various capacities for two For decades, the NANB has developed Members of Parliament providing an priority documents and participated in Given the upcoming provincial election, opportunity to understand the com- both provincial and federal elections by what advice would you give a nurse plexities of government and the highlighting health priorities in the looking to meet with their local parliamentary process. Following my public’s interest. The Board of Directors candidate(s)? career on Parliament Hill, I joined a has identified priorities for the upcom- local communications firm with the ing election to be distributed to all party Be confident. Be prepared. Be realistic. responsibility of managing public leaders and candidates and is available All candidates will benefit from your relations and public affairs clientele. on the NANB website (www.nanb.nb.ca). expertise, you are the professional. Both opportunities provided a great Recognizing we are the largest group of Decide which priorities are most foundation for joining the NANB in health professionals with a strong and important and why. Recognize whoever 2008. I am honoured to be a part of the experienced voice, the Association has forms government, there is only so team, working alongside a group of also developed a broader election much they can do. Your ‘asks’ should be health professionals with the same strategy that includes providing reasonable and supported by facts that goals of supporting nurses and enhanc- messaging, resources and support tools benefit the public’s interest. ing health services for all New for nurses. In addition to meeting with Brunswickers.
Marihuana for Medical Purposes if changes to restrictions for NPs Proposed-Medical-Marihuana- continued from page 29 becomes warranted. Regulations_en.pdf alternatives for symptom control can be References iv Health Canada. (2007). Daily Amount Fact identified. Sheet. Retrieved May 30, 2014 from The use of marihuana for medical i Health Canada. Changes to the Reporting www.hc-sc.gc.ca/dhp-mps/marihuana/med/ purposes is a practice that requires more Requirement in the Marihuana for Medical daily-quotidienne-eng.php research and active monitoring to Purposes Regulations. Media Release: ensure public safety. In March of this March 14, 2014. Retrieved May 30, 2014 v Nurses Association of New Brunswick. (2013). year the federal Minister of Health, from www.hc-sc.gc.ca/dhp-mps/marihuana/ Medication Administration: Practice Standard. Rona Ambrose, directed Health Canada changesmmpr-changementsrmfm-eng.php Fredericton: Author to work with the medical and scientific community to produce guidelines to ii Canadian Nurses Association. (2013). CNA vi Health Canada. (2014). Government of help support treatment decisions. In response to proposed regulation on access Canada announces new steps to help the June, the federal government suggested to marihuana for medical purposes. medical community with marijuana for amendments to the MMPR to enable Retrieved May 30, 2014 from www.cnps.ca/ medical purposes. Retrieved May 20, 2014 sharing of information between upload-files/pdf_english/CNA_Medical_ from http://news.gc.ca/web/article-en. licenced marihuana producers and Marihuanan_Reglulatory_ do?nid=832889 regulatory bodies. This information will Reform_28Feb2013.pdf support the regulatory bodies’ monitor- vii Health Canada. Regulations Amending the ing of their members prescribing iii Canadian Medical Association. (2013). Narcotic Control Regulations and the practices of medical marihuana. NANB Response: Health Canada’s medical Marihuana for Medical Purposes Regulations is actively monitoring developments in marihuana regulatory proposal. Retrieved (Communication of Information). Retrieved this portfolio and evaluating informa- May 30, 2014 from www.cma.ca/ July 31, 2014 from www.gazette.gc.ca/rp-pr/ tion to help support RNs working with multimedia/CMA/Content_Images/ p1/2014/2014-06-14/html/reg1-eng.php clients using marihuana and to consider Inside_cma/Submissions/2013/
46 INFO NURSING FALL 2014 NANB Board of Directors Build Relationships with MLAs
n April 9, 2014, NANB’s Board of Directors Oand nursing staff hosted an MLA Breakfast welcoming 35 elected representatives with an objective to highlight NANB’s regulatory responsibility. This informal meeting provided an opportunity to communicate our mandate legislated by the Nurses Act to: protect the public and support nursing practice; recognize the value of self-regulation brings to the province and people of New Brunswick; and further understand NANB’s role in promoting healthy public policy in the public interest. The Board proudly recognized the impact of this initiative to enhance MLAs understanding of the Association’s role surrounded by Premier David Alward, Leader of the Official Opposition Brian Gallant, Minister of Health Ted Flemming, and Health Critic Donald Arseneault, to name just a few. You’ve paid your dues. Start paying less with TD Insurance.
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06_MM9249-14_MMI.EN•nanb (8.5x11).indd 1 14-01-02 11:51 AM Projet : Annonce MMI 2014 Province : New Brunswick Épreuve # : 1 Publication : Info Nursing Client : TD Assurance Date de tombée : 09/01/2013 Format : 8.5x11 Dossier # : 06_MM9249-14_MMI.EN•nanb (8.5x11) Couleur : Quad 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