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In This Issue VOL. XXXIV NO. 3 SEPTEMBER 2013 ACCESS IN THIS ISSUE: • NEW RN REGULATIONS IN EFFECT • REVISED STANDARDS FOR NURSE PRACTITIONERS • Q & A: do I have to provide my full namE to my patient? • ARNNL AWARDS FOR EXCELLENCE IN NURSING RECIPIENTS … & mORE! Contents ARNNL COUNCIL message from the President .................................. 3 Cathy Stratton President 2012-14 Regina Coady President-Elect 2012-14 From the Executive Director’s Desk ....................... 4 Janet Templeton Eastern Region 2013-14 Sandra Evans Central Region 2012-15 ARNNL Council matters ........................................... 5 Anne Doyle Western Region 2012-14 Beverly Pittman Labrador/Grenfell Region 2012-15 Regulatory Notes ................................................... 6 Dena King Advanced Practice 2013-16 Lisa Jesso Practice 2013-16 Advanced Practice View ........................................... 8 madonna manuel Education/Research 2012-15 Elaine Warren Administration 2012-15 Nurses of Note .......................................................10 Carmel Doyle Public Representative 2011-14 Ray Frew Public Representative 2011-14 Q & A: you Asked ....................................................12 Irene Baird Public Representative 2011-14 Walter Arnold Public Representative 2011-14 A Student’s Journey ............................................... 13 Lynn Power Executive Director Representatives from nursing student societies (observers) Goings On/Conferences and Workshops ..............14 ARNNL STAFF QPPE Reflections ................................................... 16 Lynn Power Executive Director 753-6173 [email protected] Clinical Corner ........................................................ 17 michelle Osmond Director of Regulatory Services 753-6181 [email protected] Provincial Blood Coordinating Program ................ 18 Jennifer O’Neill Communications Officer 753-6198 [email protected] Discipline Decisions ............................................... 19 Elizabeth Dewling Director of Corporate Services 753-6197 [email protected] Welcome to the Nursing Profession ..................... 23 Siobhainn Lewis Nursing Consultant 753-0124 Policy & Practice [email protected] Pamela King-Jesso Nursing Consultant 753-6193 Policy & Practice [email protected] On the cover (left to right): Tina Skinner, Elaine Lundrigan, Cathy Stratton (ARNNL President), Sarah Strickland, and Janet Fox-Beer at ARNNL’s 21st Beverley mcIsaac Nursing Consultant-Regulatory 753-6174 Annual Awards for Excellence in Nursing in June. Services & Advanced Practice [email protected] Editor Jennifer O’Neill Bradley Walsh Regulatory Officer 757-3233 [email protected] Creative Design Brenda Andrews, Image 4 Contributing Editor Danielle Devereaux Julie Wells Research Analyst & ARNNL 753-6182 Administration Carolyn Rose Trust Coordinator [email protected] Christine Fitzgerald Administrative Assistant 753-6183 Advertise in the next issue of ACCESS Executive Director & Council [email protected] Contact Jennifer O’Neill at [email protected] or call 709-753-6198 Jeanette Gosse Administrative Assistant 753-6060 Director of Regulatory Services [email protected] 55 military Road, St. John’s, NL A1C 2C5 Ph: 709-753-6040 Fax: 709-753-4940 Toll Free: 1-800-563-3200 Jennifer Rideout Administrative Assistant 753-6075 email: [email protected] www.arnnl.ca Policy & Practice [email protected] ACCESS is the official publication of the Association of Renee Reardon Administrative Assistant 753-6041 Registered Nurses of Newfoundland and Labrador. Advanced Practice [email protected] ACCESS is published three times a year in January, may and September. Subscriptions are available to non-members for Jennifer Lynch Administrative Assistant 753-6040 $25 per year. Registration [email protected] ©Association of Registered Nurses of Newfoundland and Labrador (ARNNL). All Carolyn Rose Administrative Assistant 753-6088 rights reserved. For editorial matters, please contact the editor. The views and opinions expressed in the articles and advertisements are those of the authors or [email protected] advertisers and do not necessarily represent the policies of ARNNL. 2 ACCESS VOL. XXXIV NO. 3 SEPTEMBER 2013 message from the President I trust that over the last few months you have had the opportunity to spend time with family, travel, or enjoy the great outdoors. Usually the summer is a time to “recharge our batteries” and reconnect to what matters most. Over the next year, I am challenging you to take the opportunity to recharge your professional batteries and take time to reconnect to your professional association by running for Council, becoming a workplace representative, nominating a colleague for an ARNNL Award for Excellence, or writing an article for ACCESS. your involvement in the work of your professional association informs Council’s activities and helps drive our agenda to advance nursing, health care, and public policy for the citizens of our province. In recent months, the work of Council focused on the Registered Nurses Regulations (2013); these were approved and came into force on June 14. The RN Regulations, set by government under the Registered Nurses Act (2008), cover registration and licensure, approval of nursing education programs, professional conduct review, and continuing competence processes (see p. 6 for full details). ARNNL Council also recently approved Standards for Nurse Practitioner Practice in Newfoundland & Labrador (2013), which identifies what ARNNL, employers and the public expect of nurse practitioners (NPs). These Standards allow NPs to practice with autonomy and make evidence-informed decisions based on standards and competencies (see p. 8). During National Nursing Week I spoke with many registered nurses (RNs) about their challenges in practice as well as their individual and collective accomplishments. I learned more about models of nursing care and the need for everyone to be engaged. RNs also need a better understanding of their role and scope of practice. I heard that there is a need to further develop interprofessional collaboration at the individual and organizational levels. Concern about retaining the knowledge and experience of older nurses was voiced, as was concern about the impact of the provincial government’s budget cuts. RNs stressed that nursing practice requires strong nursing leadership. At the national level, my experiences as President have offered me the privilege of working on the Canadian Nurses Association (CNA) Board with leaders in our profession. At the CNA Annual General meeting in June, the progress of the National Expert Commission’s work was reported, including the top five priority indicators to improve over the next five years. The social determinants of health and the role of the RN/RN-NP are integral to moving these priorities forward. As the governance of the CNA is changing, the AGm also entailed voting on motions related to future governance. There are challenging issues facing us as a profession. The power of nursing to make a difference cannot be underestimated. Let’s focus on solutions. Council looks forward to the days ahead, and thanks you for your commitment and dedication. Share your thoughts and help guide our work. Cathy Stratton, RN, mN [email protected] 3 From the Executive Director’s Desk One Voice Informed By Many Last year ARNNL offered over 75 presentations and co-hosted numerous teleconferences, soliciting participant feedback after each activity. We also commissioned a random telephone survey to get your thoughts on a wide range of ARNNL activities, and asked for specific feedback on draft documents and specific areas of practice. ARNNL responds to over 1,000 member contacts annually, and each year we analyze our member statistics, including nurses’ age, places of employment, full time status, and manager demographic profiles. This rich information is harnessed to create one unified “voice for nursing.” Because RNs and NPs are the experts on what’s needed to ensure safe, competent, and ethical nursing practice, we use your information and feedback to be a voice on your behalf. I’d like to highlight two key messages we heard from you and assimilated into fact sheets, which your President and I had the opportunity to present to the minister of health and Community Services. The full documents are available at www.arnnl.ca under “Publications”/ “ARNNL Fact Sheets” and, as appropriate, can be used by you to raise your voice in your own circles. YOUR MESSAGE TO US: RNs and NPs report widespread barriers and a downward trend to accessing professional development. Excerpts of Fact Sheet – Supporting Professional Development to Invest in Quality Care All RNs and NPs are expected to use evidence-informed knowledge, skill, and judgment in their practice (Standard 2) and to contribute to and promote measures that optimize positive client health outcomes. When properly supported, RNs can achieve greater professional growth, enhancing their ability to provide safe, quality client care. Professional development provides opportunities to harness knowledge, nurture innovation, and build collaborative networks. It enables RNs and NPs to develop the expertise required to ensure delivery of evidence-informed and best practice approaches to improve client outcomes. Additionally, several studies have demonstrated that professional development opportunities increase job satisfaction and decrease turnover among RNs ...visit www.arnnl.ca to read more. YOUR MESSAGE TO US: NPs are established in many areas of the health care system. however,
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