cna at work with nurses in canada/media/cna/page-content/pdf... · the value of cna join cna and...
TRANSCRIPT
CNA at work with nurses in Canada
We carebecause you care
Advocacy. Knowledge. Benefits.
Because you careabout your profession
We advocate for nursingThe Canadian Nurses Association (CNA) works with over 139,000 registered nurses (RNs) and nurse practitioners (NPs) across Canada to bring essential and meaningful change to health care and nursing in the country.
CNA advocacy cna-aiic.ca/onthehill
CNA at work with nurses cna-aiic.ca/atwork
YOUR PRACTICE CNA works to improve health care in Canada and is committed to maintaining a publicly funded, not-for-profit health system for all Canadians by influencing public policy.
YOUR ISSUES Because your priorities are our priorities, we continuously advocate for the vital role nurses play in our health-care system.
YOUR VOICECNA works to ensure nurses’ expertise, guidance and concerns are top of mind with government leaders and key decision-makers across Canada.
Because you careabout your patients and clients
We bring you the latest knowledgeCNA makes it easy to stay up to date with nursing specialties, current practices, ethics and public policy. Being part of CNA gives you:
• A Canadian Nurse™ subscription
• A discount on the updated Code of Ethics for Registered Nurses
• Access to Bringing the Code of Ethics to Life learning modules to help you in your practice
• Reports and position statements on current issues such as medical assistance in dying and harm reduction
• Access to more than 100 nursing specialty publications and toolkits
• Tools and online resources to help nurses improve patient health outcomes
• A library of more than 2,000 e-books
CNA’s Code of Ethicscna-aiic.ca/ethics
Nine Things Nurses and Patients Should Question
Last updated May 18, 2017
1Don’t insert an indwelling urinary catheter or leave it in
place without
daily assessment.
The use of indwelling urinary catheters among hospital patients is common. Yet it can also lead to preventable harms such as
urinary tract infection, sepsis and delirium. Guidelines support routine assessment of appropriate urinary catheter indications
—including acute urinary obstruction, critical illness and end-of-life care—and minimizing their duration of use. Strategies
consistent with CAUTI (catheter-associated urinary tract infection) guidelines regarding inappropriate urinary catheter use
have been shown to reduce health care-associated infections.
2Don’t advise routine self-monitoring of blood glucose between
appointments for clients with type 2 diabetes who are not taking insulin
or other medications that could increase risk for hypoglycemia.
Many studies show that, once target control is achieved, routine self-monitoring of blood glucose (SMBG) does little to
control blood sugar for most adults with type 2 diabetes who don’t use insulin or other medications that could increase risk
for hypoglycemia. It should be noted that SMBG may be indicated during acute illness, medication change or pregnancy;
when a history or risk of hypoglycemia exists (e.g., if using a sulfonylurea), and when individuals need monitoring to maintain
targets — considerations that should be part of assessment and client education.
3Don’t add extra layers of bedding (sheets, pads) beneath patients on
therapeutic surfaces.
Additional layers of bedding can limit the pressure-dispersing capacities of therapeutic surfaces (such as therapeutic
mattresses or cushions). As a result, extra sheets and pads can contribute to skin breakdown and impede the healing of
existing pressure wounds.
4Don’t use oxygen therapy to treat non-hypoxic dyspnea.
Oxygen is frequently used to relieve shortness of breath. However, supplemental oxygen does not benefit patients who are
short of breath but not hypoxic. Supplemental flow of air is as effective as oxygen for non-hypoxic dyspnea.
5Don’t routinely use incontinence containment products (including briefs
or pads) for older adults.
Adult incontinence containment products are frequently used for continent patients (especially women) with low mobility.
Yet the literature associates their use with multiple adverse outcomes including diminished self-esteem and perceived
quality of life, and higher incidence rates of dermatitis, pressure wounds and urinary tract infections. Among older adults,
nurses should conduct a thorough assessment to determine the risk of such outcomes before initiating or continuing the
use of incontinence containment products. The development of a continence care plan should be a shared decision-making
process that includes the known wishes of clients regarding care needs and the perspectives of carers and the health care
team.
6Don’t recommend tube feeding for clients with advanced dementia
without ensuring a shared decision-making process that includes
the known wishes of clients regarding future care needs and the
perspectives of carers and the health care team.
Tube feeding for older adults with advanced dementia offers no benefit over careful feeding assistance related to the
outcomes of aspiration pneumonia and the extension of life. While food is the preferred form of obtaining nutrition, oral
supplements may be beneficial if this intervention meets the person’s known goals of care. Tube feeding may contribute to
client discomfort and result in agitation, the use of physical and/or chemical restraint and worsening pressure wounds.
JANUARY/FEBRUARY 2017 VOL. 113 NO. 1
UNDERSTANDING
THE FENTANYL
CRISIS
B.C.’s NEW CHIEF
NURSING ADVISOR
MEDICAL
CANNABISRESEARCH CHALLENGES
& NEW REGULATIONS
PM40
0625
99
FRAMEWORK FOR THEPRACTICE OF REGISTERED NURSES
IN CANADA 2015
Staff Mix
Decision-making Framework
for Quality Nursing Care
NATIONAL NURSING FRAMEWORK
ON MEDICAL ASSISTANCE IN DYING IN CANADA
Because you careabout your career
We help you achieve your goalsOur professional development programs and events provide valuable opportunities to advance your nursing career and network with other nursing professionals.
CNA offers:
• The CNA Certification Program, Canada’s only national nursing certifi-cation credential (with savings of $200 for nurses who are part of CNA)
• 30% discount on CNA’s biennial convention
• Membership in the International Council of Nurses, which gives you the opportunity to contribute to the global nursing perspective
• Connection to the Canadian Network of Nursing Specialties
• Discounts on continuing education and specialty clinical courses
• Progress in Practice webinars on topical issues affecting nursing today
• Career development resources to help you discover the work best suited to your aspirations and skills
• Access to NursingCareersCanada.ca to browse jobs and post your resumé
• CNA Now e-newsletter
• The Dorothy Wylie Health Leaders Institute
• RNs and NPs can apply to become a Canadian Nurses Protective Society beneficiary when joining CNA in Ontario and Quebec
• An accreditation for continuing nursing education
CNA Certification getcertified.cna-aiic.ca
Canadian Network of Nursing Specialties cna-aiic.ca/network
CNA newsletters cna-aiic.ca/cnanow
Webinars webinar.cna-aiic.ca
The value of CNA
Join CNA and get a full year’s subscription to Canadian Nurse magazine included with your annual fee!
For just $57.70* a year you get access to thousands of
workshops, courses and resources, membership
in the International Council of Nurses — which
represents nursing professionals in 130 countries —
connection to 46 specialty groups, plus special discounts and offers from leading national service
providers. For more about the benefits of being a part of
CNA, visit cna-aiic.ca/benefits.
SENIORS CARE
INNOVATIONS
NURSE TO KNOW
SOPARI SOR
PUTS DOWN NEW ROOTS
FOCUS ONDEMENTIA
PM40
0625
99
OCTOBER 2016 VOLUME 112 NUMBER 7
FOOD FORTHOUGHT
MARCH/APRIL 2017 VOL. 113 NO. 2
PM40
0625
99
NURSE TO KNOW
QUEBEC RESEARCHER LUCIE LEMELIN
TRANSFORMING
THE FOOD GUIDE
THE PUSH FOR BETTER LABELLING
JANUARY/FEBRUARY 2017 VOL. 113 NO. 1
UNDERSTANDING THE FENTANYL CRISIS
B.C.’s NEW CHIEF NURSING ADVISOR
MEDICAL CANNABISRESEARCH CHALLENGES & NEW REGULATIONS
PM40
0625
99
* Plus applicable taxes. Annual fee covers CNA benefits from January 1 to December 31, 2018. For those who join between October 1 and December 31, 2017, the annual fee includes up to three free months of CNA benefits prior to 2018.
Mark your calendars for 2018Certification applications:
CANADIAN NURSES ASSOCIATION50 Driveway, Ottawa, ON K2P 1E2Tel.: 613-237-2133 or 1-800-361-8404 Fax: 613-237-3520 cna-aiic.ca
• January 10 – March 1 to write or renew by exam
• May 1 – 15 CNA certification exam window
Enjoy CNA benefitsNurses of these provincial and territorial jurisdictions are automatically part of CNA:
• June 1 – September 10 to write or renew by exam
• November 1 – 15 CNA certification exam window
• January 10 – November 1 renewal by continuous learning
SP
RIN
GFA
LL
Association of Registered Nurses of British ColumbiaCollege and Association of Registered Nurses of AlbertaSaskatchewan Registered Nurses’ AssociationAssociation of Registered Nurses of ManitobaNurses Association of New Brunswick
College of Registered Nurses of Nova ScotiaAssociation of Registered Nurses of Prince Edward IslandAssociation of Registered Nurses of Newfoundland and LabradorRegistered Nurses Association of the Northwest Territories and NunavutYukon Registered Nurses Association
Ontario and Quebec nurses
Join or renew today at join.cna-aiic.ca because CNA has more for you.
National Nursing Week #YESThisIsNursingMay 7-13
Dorothy Wylie Health Leaders Institute May 22-25, Toronto
Leadership workshopJune 17, Ottawa
Annual meeting of membersJune 18, Ottawa
Biennial conventionJune 18-20, Ottawa
® C
AN
AD
IAN
NU
RSES
ASS
OC
IATI
ON
, the
CN
A fl
ame
desi
gn, t
he C
NA
CER
TIFI
CAT
ION
AIIC
des
ign
are
regi
ster
ed tr
adem
arks
of t
he C
anad
ian
Nur
ses
Asso
ciat
ion.
C
anad
ian
Nur
se is
a tr
adem
ark
of th
e C
anad
ian
Nur
ses
Asso
ciat
ion.
Sep
tem
ber 2
017.
Milit
ary
nurs
e co
ver p
hoto
cre
dit:
Com
bat C
amer
a