Living Me Living Me RNAO’S Agmrecap Gender Identity
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MAY/JUNE 2017 MAY/JUNE JOURNAL Living me RNs and NPs help transgender Ontarians express their true gender identity. RNAO’s AGM recap • Nurse peer leaders track results • Nursing Week 2017 WHO DOESN’t LIKE ? FREE RNAO MEMBERSHIP FOR NEW GRADS If you have graduated from an undergraduate nursing program, and have achieved your RN designation with the College of Nurses of Ontario (CNO) within the past 12 months, you qualify to receive a complimentary RNAO membership. Sign up now at myRNAO.ca/join to get the remainder of this membership year, plus an additional year free (Nov. 1, 2017 to Oct. 31, 2018). FREE RNAO MEMBERSHIP FOR RECRUITERS When you recruit seven new members to RNAO, your membership is free for the next membership year. The seven new members can be new grads or RNs/NPs who have not been a member in the past four years. For every RN/NP you recruit as a new RNAO member, you receive a $20 RNAO gift certificate. For every undergraduate nursing student you recruit, you receive a $5 RNAO gift certificate. Use your RNAO gift certificate(s) toward your future membership fee or RNAO conferences/institutes. When you reach seven, your membership is free. Ask recruits to include your name and your RNAO number on their membership application form to ensure you get credit for bringing them on board. You can also log in to myRNAO.ca to print membership forms personalized with your name and number as the recruiter. Send those forms to friends and ask them to join. If every member recruits just one or two members, we will double or triple our membership base, and strengthen our voice to speak out for nursing and health. 2017 JUNE / Y . 3, MA O L. 29, N O V conteNts FeAtURes 14 14 COVER STORY Living me Fearing discrimination, many transgender Ontarians avoid health-care environments and ignore lingering health issues. RNs and NPs can change that. By Daniel Punch 18 Nursing Week 2017 Members across the province share images from their Nursing Week events and activities, including visits with MPPs as part of RNAO’s annual take Your MPP to Work initiative. Compiled by Kimberley Kearsey 20 AGM 2017 Values. Evidence. Courage. A look at the highlights from RNAO’s biggest gathering of the year. By Kimberley Kearsey, Daniel Punch 26 Bold strategies boost results A unique project allows four organizations to use nursing order sets to implement BPG recommendations and track results. By Daniel Punch 12 30 the LiNeUP 5 PRESIDENT’S VIEW 6 CEO DISPATCH 7 RN PROFILE 8 poLICY AT WORK 10 nursinG IN THE NEWS/OUT AND ABOUT Hannah Markham is the writer of this issue’s 13 NURSING NOTES In the End on page 30. 30 IN THE END COVER: Peterborough RN Sheena Howard (right) first met Nolan Blodgett (left) in 2014, when he was searching for “safe” health care as a transgender male. COVER PHOTO: JEFF KIRK REGISTERED NURSE JOURNAL 3 The journal of the REGISTERED NURSES’ editOR’s NOte KiMBeRLeY KeARseY ASSOCIATION OF ONTARIO (RNAO) 158 Pearl Street Toronto ON, M5H 1L3 Phone: 416-599-1925 Toll-Free: 1-800-268-7199 Fax: 416-599-1926 Website: RNAO.ca Email: [email protected] Letters to the editor: [email protected] EDITORIAL STAFF Marion Zych, Publisher Kimberley Kearsey, Managing Editor Embrace the unexpected Daniel Punch, Writer Victoria Alarcon, Editorial Assistant EDITORIAL ADVISORY COMMITTEE Laryssa Bilinsky, Desmond Devoy, Una Ferguson, Larissa Gadsby, Elizabeth Kerr, Maria Rugg ART DIRECTION & DESIGN Fresh Art & Design Inc. RNAO lOst jesse sAturno and All three experienced signifi- Maggie sicilia, two beloved cant challenges accessing ADVERTISING Registered Nurses’ Association of Ontario staff members, to cancer health care because of their Phone: 416-599-1925 Fax: 416-599-1926 earlier this year. their deaths gender identity, and as a result not only remind us just how had negative perspectives of SUBSCRIPTIONS Registered Nurse Journal, ISSN 1484-0863, is a precious and fleeting life can the health system. After years benefit to members of the RNAO. Paid subscriptions are welcome. Full subscription prices for one year be, but also that the unex- of struggling, they were (six issues), including taxes: Canada $38 (HST); pected can sweep in and relieved to finally find nurses Outside Canada: $45. Printed with vegetable-based inks on recycled paper (50 per cent recycled and change our perspective in who offered them the support 20 per cent post-consumer fibre) on acid-free paper. an instant. and understanding they were Registered Nurse Journal is published six times a May tao is a public health looking for. their negative year by RNAO. The views or opinions expressed in the editorials, articles or advertisements are those nurse and the focus of our RN experiences with the system of the authors/advertisers and do not necessarily profile in this issue (page 7). began to fade, and a more represent the policies of RNAO or the Editorial Advisory Committee. RNAO assumes no responsibility she talks about how an positive outlook prevailed. And or liability for damages arising from any error or unexpected meeting with a the profound impact on their omission or from the use of any information or advice contained in the Registered Nurse Journal starving child in Uganda quality of life was immediate. including editorials, studies, reports, letters and sharpened her perspective on Unexpected events can advertisements. All articles and photos accepted for publication become the property of RNAO. life and on her role as an RN in happen anytime and anywhere. Indexed in Cumulative Index to Nursing and Allied public health. this surprising surprises – good and bad –are Health Literature. and life-changing moment for always creeping up on us. CANADIAN POSTMASTER Undeliverable copies and change of address to: tao was one that reinforced her While most people prefer those RNAO, 158 Pearl Street, Toronto ON, M5H 1L3. decision to become a public surprises that inspire and bring Publications Mail Agreement No. 40006768. health nurse, and helped her to a smile, i’ve learned this year RNAO OFFICERS AND SENIOR MANAGEMENT Carol Timmings, RN, BScN, MEd (Admin) remain steadfast in her goals. that you also have to embrace President While tao’s brush with the the unexpected when it signals Angela Cooper Brathwaite, RN, MN, PhD unexpected pushed her forward something a little less positive. President-Elect Doris Grinspun, RN, MSN, PhD, LLD(hon), O.ONT on the path she was already on, i will always miss Jesse and Chief Executive Officer, ext. 206 these kinds of unforeseen Maggie, but i am grateful that Nancy Campbell, MBA moments in life may have the their deaths have allowed for Director, Finance and Administration, ext. 229 opposite effect on others, some much-needed reflection, Valerie Grdisa, RN, MS, PhD Director, International Affairs and Best Practice shifting their focus away from and a change in my perspective Guidelines Centre, ext. 246 what they thought they knew. on life, family and friends. i Daniel Lau, MBA Director, Membership and Services, ext. 218 that was the case for Nolan want to take this opportunity to Louis-Charles Lavallée, CMC, MBA Blodgett, Jennifer chandler thank them for reminding me Director, Information Management and Matt Warren, the patients to hug a little harder, open up a and Technology, ext. 264 Lisa Levin, B.A., M.Sc.Pl, Director, Nursing and in our cover feature about little more, and enjoy the life i Health Policy, ext. 237 transgender health (page 14). am lucky to be living today. RN Marion Zych, BA, Journalism, BA, Political Science Director, Communications, ext. 209 4 MAY/JUNE 2017 PResideNt’s vieW With cAROL tiMMiNGs A year in reflection this issue Of the journal demands seemed over- celebrate, including indepen- the second example is includes coverage of RNAO’s whelming. the dedication dent RN prescribing and an RNAO’s contribution to 2017 annual general meeting and compassion of these expanded role for NPs pre- demystifying the flu vaccine. (AGM) (page 20). i was so nurses made me so proud of scribing controlled substances. immunization advances pleased to be part of this year’s our profession. through such changes, the population health and reduces festivities. the meeting capped it is these and many other power of RNAO is making a health disparities. As RNAO my first year as your president, RNAO members that propel me – difference in the lives of the president, i was featured in a which can only be described as as your leader – to speak with people we care about most: our video watched by thousands. inspiring, thrilling and, yes, the highlight of my career. As you may know, i missed the pOweR Of rnao is A pOweR fuelled by the eNeRgy Of last year’s meeting because i “ had just lost my dear mother a its eNgAged, cOmmitted and Active membeRs.” few days before. she always inspired me and was so pleased when i had shared the news values, evidence and courage to patients, neighbours, friends Many wrote to thank me for that i was taking on this role. advance nursing and healthy and families. lending my voice, and RNAO’s she would have been so proud public policy in Ontario. Let me mention just two voice, to this worthwhile cause. of the many accomplishments the power of RNAO is a examples, among many, where colleagues, i am half-way we have achieved together over power fuelled by the energy of the impact of RNAO made me through my term and proud of the past 12 months. its engaged, committed and proud, both as a member and the journey we have walked i have met wonderful active members.