december 2015 practical nursing · practical nursing | december 2015 | college of licensed...

PRACTICAL NURSINGCOMMITTED TO EXCELLENCE

December 2015

Season’s Greetings from the Board of Directors and staff of the College of Licensed Practical Nurses of Manitoba

2Practical Nursing | December 2015 | College of Licensed Practical Nurses of Manitoba


2016 Offi ce Closure Dates

January 20, 2016

February 15, 2016

March 25, 2016

March 28, 2016

May 23, 2016

June 6, 2016

June 15, 2016

July 1, 2016

August 1, 2016

September 5, 2016

October 10, 2016

November 11, 2016

TABLE OF CONTENTS

College of Licensed Practical Nurses of Manitoba463 St. Anne’s RoadWinnipeg, MB R2M 3C9Telephone: (204) 663-1212Toll Free: 1-877-663-1212Fax: (204) 663-1207Email: [email protected]

Publications Agreement #40013238

Fragrance-Free NoticeIn response to health concerns, CLPNM has a Fragrance-Free Policy and is a scent-free environment. Please do not use scented products while on the CLPNM premises for work, education, appointments, or other business.

PRESIDENTCheryl Geisel LPN

BOARD OF DIRECTORSDistrict I – Elisa Wiebe LPNDistrict II – Camille Martyniw LPNDistrict III – Rodney Hintz LPNDistrict IV – Lindsay Maryniuk LPNDistrict V – Jodi La France LPNDistrict VI – Patricia Smythe LPNPublic Members – Darlene Barbe

– Tricia Conroy– Judy Harapiak– Diwa Marcelino– Susan Swan

EXECUTIVE DIRECTORJennifer Breton LPN, RN, BN

EXECUTIVE OFFICEVicky BeringExecutive Assistant

Barbara Palz, HB Com, CGABusiness Manager

Renata Neufeld, BA (Hons), MPAConsultant, Policy, Process and Communications

REGISTRATION DEPARTMENTCarrie Funk, LPNDeputy Registrar

Kathy Halligan, BA (Hons), CTESL, CACEConsultant, Credential Assessment

Dina BeringRegistration Coordinator

PROFESSIONAL CONDUCTDEPARTMENTJanice Benson, LPNConduct Case Manager

RECEPTIONKennedy GagawchukReceptionist

PROFESSIONAL NURSING PRACTICE DEPARTMENTTracy Olson, LPNConsultant, Practice

EDUCATION AND PROGRAM EVALUATION DEPARTMENTMichael Roach, BScNConsultant, Education and Program Evaluation

ADVERTISINGTo advertise in the Practical Nursing Journal, please contact:

McCrone Publications Inc.Email: [email protected] Free: 1-800-727-0782Fax: 1-866-413-9328

Offi ce closed 2:00pm December 23, 2015 and re-opens 9:30am January 4, 2016

President’s Message 3

Legal Issues in Nursing: Medication Errors 6

Scope of Practice - Defi ning What We Do 8

Update on the Reserved Acts 10

Returning to LPN Practice 12

January DPN Students: It is Time to Renew! 14

Ask a Practice Consultant 16

Will you be writing the Canadian Practical Nurse Registration Examination after January 2016?

17

Call for Nominations – Board of Directors 18

Nomination Rules 19

2016 CLPNM Excellence Awards 20

2016 CLPNM Excellence Awards Nomination Process 21

2016 CLPNM Excellence Awards Nomination Form 22

Practical Nursing | December 2015 | College of Licensed Practical Nurses of Manitoba4

PRESIDENT’S MESSAGE

Hello fellow members.

It is hard to believe that it has been six months since I took on the role of President. It has been an exciting learning curve, full of changes. This past six months has also been a busy time for the College of Licensed Practical Nurses of Manitoba (CLPNM). As all of you are aware, the 2016 registration renewal season opened August 15th, and at the same time, members were advised if they were selected for the Continuing Competence Program (CCP) audit. I would encourage all of our members to attend a CCP information session either at the CLPNM offi ce or by teleconference. I personally attended one at the beginning of renewal season and found it very reassuring and helpful. The session is short and is laid out very effi ciently. I expect that all participants will walk away with a clear understanding of what is expected of them. Staff at the CLPNM also continue to work tirelessly on our transition to the Regulated Health Professions Act (RHPA). The expectation is that things will begin rolling out more quickly in 2016. I am excited to see what the next 6 months will bring.

I mentioned change at the beginning. I was recently informed that next year will be the 75th Anniversary of Licensed Practical Nurses (LPNs) in Manitoba. What a milestone! With this journal I wanted to refl ect back on the history of the LPN, and how far we have come in contributing to quality care, public safety, self-regulation and autonomy.

Even early on, the LPN profession was focused largely on public safety and protection. The desire to promote

Practical Nurses Act was proclaimed, came into force and granted the practical nursing profession the authority and privilege to self-govern. The 1980s were an exciting decade for the LPN. One third of the nursing population in Manitoba were LPNs, and 40 years after the origin of the professional association, public safety was still the main focus.

Unfortunately, the 1990s were trying times for our profession; lay-off s, LPN positon eliminations, and the closure of practical nursing schools contributed to what some referred to as “phasing out the LPNs.” However, as the decade progressed, the need for the role of the LPN in Manitoba’s health care system became evident once more. In 1996, with education program revisions, the health care system began to see an increase in LPN positions, including in facilities where these positions had previously

quality standards and protect the public interest led to the formation of the organization that eventually became the CLPNM in 1941.

At the time, there were 7973 practising LPNs in Canada due to the increased need for nurses during WWII. The majority of these LPNs did not have any formal training.

A group of practical nurses in Manitoba identifi ed the importance of establishing minimum standards for the profession, in the interest of public safety. On April 20, 1941 the founding meeting of the organization that eventually became CLPNM was held, and on June 1, 1941 the organization held the fi rst Annual General Meeting. On March 23, 1945, “An Act to Provide for the Training, Examination, Licensing and Regulation of Practical Nurses” received royal assent. LPNs in Manitoba were the fi rst LPNs in all of North America to be legislated.

In April of 1945, the offi cial title of the organization became the Manitoba Association of Licensed Practical Nurses (MALPN). Membership was voluntary, and education was still primarily hospital-based. September 1946 saw the fi rst graduates of a Manitoba practical nursing program.

In the 1950s, LPNs began to articulate a desire to pursue professional self-regulation, and by the 1970s, MALPN had membership support to develop legislation that would give the association authority for licensing Manitoba’s LPNs. At the time, licensing was a function of Government. On November 19, 1980, a new Licensed

– Cheryl Geisel, LPN


been eliminated. On August 15, 2001, revisions to the LPN Act were proclaimed, and MALPN offi cially became the College of Licensed Practical Nurses of Manitoba (CLPNM). The legislation provided LPNs with greater autonomy in their practice. Changes were made to the Code of Ethics and Standards of Practice to refl ect the expansion of the LPN role in the province. The legislation also clarifi ed CLPNM’s duty to regulate its members in a manner that serves and protects the interests of the public.

For all LPNs, I believe it is vitally important that we all know our grass roots and remember that serving and protecting the public interest was, and remains, at the forefront of our profession’s values. Our journey as a profession continues, and I believe that an exciting future lies ahead for us.

Source: 60 Years of Caring

Season’s Greetings to all LPNs from the Board of Directors and staff of the College of

Licensed Practical Nurses of Manitoba.

A special thank you to all those nurses who will be working this holiday season.


According to the National Coordinating Council for Medication

Error Report and Prevention, a medication error is defi ned as

‘Any preventable event that may cause or lead to inappropriate

medication use or patient harm while the medication is in the

control of the healthcare professional…’ Based on a U.S. Food and

Drug Administration study of fatal medication errors between 1993

and 1998, the most common causes of medication errors were

performance and knowledge defi cits (44%) and communication

errors (16%). Children and older adults were identifi ed as

particularly vulnerable population groups for medication errors.

Article written by: Chris Rokosh, RN, PNC(C), Legal Nurse Consultant and president of Connect Medical Legal Experts (formerly CanLNC Incorporated). Chris is a popular speaker on medical legal issues across Canada and in the US.

Have you ever made a medication error? I know I have; and to date I have never met a nurse who hasn’t. Sadly, these errors occur much too frequently. In fact, medication errors constitute the greatest number of adverse events in healthcare. Fortunately, many of the errors do not result in harm. For instance, a nurse may give a patient Tylenol when ibuprofen was ordered. As long as the patient does not suff er an adverse reaction, this error would not result in a lawsuit.

On the other hand, if a nurse administers a medication that results in serious injury or death, the patient can sue the nurse and may also sue the doctor, pharmacist and hospital. Multiple parties can be sued due to the fact that there may be many contributing factors, and many individuals, who play a part in the ordering, dispensing, administration

any medication orders that are unclear, unusual or unsafe. Doctors can make mistakes and sometimes order the wrong medication or the wrong dose. It is considered a nurse’s responsibility to recognize errors before administering the medication and to clarify the order with the doctor. Let us learn more about this by examining a fi ctional case study with an adverse outcome.

CASE STUDY

At 5:20 p.m., 82-year-old Elizabeth presented in the emergency room of a rural hospital with complaints of abdominal pain. Over the past 3 days, she had been experiencing crampy left lower quadrant pain and had been unable to have a bowel movement. She was nauseous, feeling unwell and her abdomen was distended and tender. Bowel sounds were barely audible. Temperature was elevated to 38.2 degrees Celsius and her white blood cell count was elevated. Medical history included a previous stroke with right-sided weakness, high blood pressure, smoking, mild dementia and a history of bowel cancer. Current medications included calcium and vitamin D supplements, Valsartan HCT for high blood pressure and low-dose aspirin. Elizabeth was severely allergic to penicillin and bees. She was admitted to hospital with a working diagnosis of bowel obstruction and told to remain NPO overnight. The doctor ordered IV fl uids, IM morphine and IV Ancef. Consultation was arranged with a gastroenterologist and diagnostic testing was requisitioned for the following morning.

LEGAL ISSUES IN NURSING: MEDICATION ERRORS

This article was originally published in CARE Magazine, Spring 2015 issue, by the College of Licensed Practical Nurses of Alberta (www.clpna.com). Reprinted with permission.

and developing the processes for giving medications.

Medication administration is considered a basic nursing skill, one of the most common and frequent tasks nurses perform. Nurses have long been required to administer medication by a well-known set of 5 ‘rights’: right drug, right dose, right patient, right route, right time. Some additional ‘rights’ now include the right reason, right response, right documentation, right to refuse and right to education. Nurses are expected to stay knowledgeable about the actions, side eff ects and contraindications of all medications they give. This is no small task, but a highly necessary one, particularly when caring for high-risk population groups or administering multiple medications to the same person. Nurses are also expected to question


At 10:25 p.m., Elizabeth arrived on the medical unit and was assigned to LPN Belinda. Nurse Belinda completed an initial physical assessment and fi lled out the admission paperwork. She clearly marked the penicillin allergy in all of the required places and placed an allergy band onto Elizabeth’s arm. Vital signs were stable and Elizabeth denied pain at the time of admission. She had been given a dose of morphine in the emergency room. Elizabeth was drowsy, so Belinda settled her into bed, oriented her to her room, reminded her to remain NPO and showed her how to use the call bell. Belinda went back to the desk to complete her charting, and then into the medication room to prepare the next dose of IV Ancef.

At 12 midnight, Belinda was on her break. Nurse Winnie, who was covering for her, quietly entered Elizabeth’s room and hung the mini-bag of IV Ancef that Belinda had prepared. Elizabeth seemed to be sleeping soundly, so Winnie did not wake her or check her armband.

Shortly after 1:00 a.m., Belinda made rounds and stopped in to see how Elizabeth was doing. She seemed to be sleeping, but Belinda noticed that she was restless, frequently rubbing her eyes and scratching her arms. The IV Ancef had infused and Belinda removed the mini-bag and left the room.

At 2:15 a.m., Elizabeth rang her call bell, saying that she felt like she couldn’t catch her breath. When Belinda entered the room, she found Elizabeth sitting up in bed, struggling to breathe. Her face was swollen, her lips were blue and she was fi nding it diffi cult to swallow. She was complaining of abdominal pain and her skin was covered in bright red hives. Belinda attempted to take Elizabeth’s vital signs, but the patient was so restless that Belinda was unable to obtain either a blood pressure or a pulse. Belinda rang the call bell and asked her charge nurse to come right away.

At 2:27 a.m., Elizabeth collapsed onto the bed and stopped breathing. The E.R. doctor was called and he paged the anesthetist as

he made his way to Elizabeth’s room. The doctors were unable to intubate Elizabeth due to swelling in her airway.

At 3:12 a.m., Elizabeth was pronounced dead. The cause of death was listed as an anaphylactic reaction to the medication Ancef. Seven months after Elizabeth’s death, her daughter fi led a lawsuit against both the doctors and nurses. She alleged, among other things, that Nurses Belinda and Winnie were negligent in administering Ancef to a patient who had a serious allergy to penicillin without careful observation for signs of an allergic reaction. She further alleged that if Nurse Belinda had recognized and responded to Elizabeth’s restless eye-rubbing and arm-scratching shortly after 1:00 a.m. as potential signs of an allergic reaction, steps could have been taken to save her mother’s life.

Do you think the nurses met the standard of care?

Anaphylaxis is a serious, potentially life-threatening allergic response marked by swelling, hives, decreased blood pressure and dilated blood vessels. In severe cases, the patient can go into shock, which can be fatal. Anaphylaxis occurs when the immune system develops a specifi c allergen-fi ghting antibody (called immunoglobulin E or IGE) that initiates an exaggerated response in the body. When exposed to the substance later, the body can produce a large amount of histamine, which leads to the development of the symptoms above. It may begin with itching of the eyes and face, then progress within minutes to diffi culty breathing and swallowing, abdominal pain, vomiting, diarrhea and hives. Medications are known causes of anaphylaxis.

Ancef or cefazolin is a cephalosporin antibiotic used to treat many types of bacterial infections. Although it is in a diff erent class of drugs from penicillin, cross-sensitivity reactions can occur in up to 10% of patients. Caution and careful observation are

advised when administering Ancef to a patient with a penicillin allergy. If any signs of an allergic reaction occur, the nursing plan of care includes immediate discontinuation of the Ancef and notifi cation of the physician. The physician may then order epinephrine and other emergency measures such as oxygen, IV fl uids, IV antihistamines, steroids, blood pressure medications and airway management.

The lawyer hired a nursing expert to review the medical records and provide opinion on whether or not Nurse Belinda and Nurse Winnie breached the standard of care. The nursing expert emphasized that medication administration is so much more than a task to be completed. It requires critical thinking, skill and knowledge. She further stated that nurses must be knowledgeable of the actions, side eff ects and contraindications of all medications they administer. She stated that penicillin and Ancef are two commonly-administered medications in the hospital setting, so it was expected that Nurse Belinda and Nurse Winnie would be knowledgeable of the potential for cross-reaction.

Based on this, the nursing expert determined that the nurses failed to meet the standard in three areas: failing to question the physician for ordering Ancef, administering Ancef to a patient with a serious penicillin allergy without providing careful monitoring, and failing to intervene to signs of an allergic reaction shortly after 1:00 a.m. when Elizabeth was rubbing her eyes and scratching her arms. All of the experts who reviewed the case stated that nursing and medical intervention at 1:00 a.m. would have most likely prevented Elizabeth’s death.

When the nurses were asked if they knew of the potential for cross-reaction, they responded that they did not. They said that because the doctor knew of Elizabeth’s penicillin allergy, and ordered Ancef anyway, they assumed it


was safe to give. They were simply following the doctor’s orders. Their lack of knowledge coupled with the failure to recognize and respond to early signs of an allergic reaction provided little defense in the lawsuit. This case settled out of court. Both Nurse Belinda and Nurse Winnie were disciplined by their professional body, required to take a course in safe medication administration, and undergo a period of supervised practice.

A profession’s scope of practice refers to the full range of activities that its members are educated, competent and legally authorized to perform. A profession’s scope is often described in a scope of practice statement set out in its governing legislation. A scope of practice statement helps members of the profession, colleagues, employers, clients and all stakeholders understand the role and contribution of the profession. As the College of Licensed Practical Nurses of Manitoba (CLPNM) continues to work on the transition to the Regulated Health Professions Act (RHPA), we are presented with a rare opportunity to review and propose revisions to the scope of practice statement that describes practical nursing in Manitoba.

The goal of these revisions is not to change the profession; rather, the goal is to ensure that the scope of practice statement provides an accurate but concise description of what practical nursing is. In a previous edition of the PN Journal, the CLPNM asked for member input regarding the current

Start a Conversation

Use this case study to spark a conversation about medication administration with your colleagues. What are your thoughts on one nurse administering a medication that another nurse has prepared? How would you rate the safety of medication administration in your workplace? Have you ever witnessed or made a medication error? Did the patient suff er as a result? What is the process for reporting a medication error in your workplace? Does the process allow for open discussion, learning and improvement? If not, what can you do to promote safer medication practices? What will you do diff erently now that you know what you know? Want to learn more? Watch for more articles coming in our journal.

SCOPE OF PRACTICE

scope of practice statement. Thank you to those who contacted us to share information, professional experiences and thoughts on the matter. This input, along with information gathered from other Canadian jurisdictions, has helped to inform proposed revisions.

The CLPNM anticipates that the revised scope of practice statement in the RHPA might refer to:

• the objectives of practical nursing care, including maintenance and restoration of health, and prevention, treatment and palliation of illness and injury;

• the processes of care, including assessment, diagnosis, development and implementation of care plans, and evaluation, and

• the various roles LPNs play within the health care system, at multiple levels, including: direct care, coordination of care, supervision and evaluation of care, health teaching and advocacy for clients, education for students or other providers, management and administration as well as participation in research.

It should be noted that no one LPN is expected to play every one of these roles. A scope of practice statement describes the outer boundaries of a profession as a whole. Within those boundaries, each member of the profession will have his or her own unique scope of practice informed by employer policies, individual competencies, the context of care, and any conditions on the member’s license. To learn more, please visit: www.clpnm.ca/standards-guidelines/scope-of-practice/

Please note that the draft scope of practice statement is a work in progress. It has not yet been fi nalized or approved by Government. This early draft is shared here because the CLPNM is committed to transparency and to keep registrants updated as the RHPA transition unfolds. We will continue to keep you informed as this transition progresses.

Defining What We Do

To learn more about the RHPA, please visit the CLPNM website at: http://clpnm.ca/rhpa/

9Practical Nursing | December 2015 | College of Licensed Practical Nurses of ManitobaPractical Nursing | December 2015 | College of Licensed Practical Nurses of Manitoba


The RHPA does not yet apply to the practical nursing profession, but it soon will. To prepare for the RHPA, the College of Licensed Practical Nurses of Manitoba (CLPNM) has been consulting on the reserved acts with practical nurses, employers, educators, other LPN regulators, and stakeholders since 2013.

How will the reserved acts be decided for the practical nursing profession?

The CLPNM’s role, as a regulatory body, is to present the Government of Manitoba with a proposal identifying the reserved acts its members have the knowledge, judgment and skill to perform. This proposal will be based on LPN education, current LPN practice in Manitoba, and the scope of the profession in other Canadian jurisdictions. The proposal will refl ect current, appropriate LPN practice; the goal will not be to expand the scope of the profession.

The Government of Manitoba will make all fi nal decisions about which reserved acts to authorize for the profession. In making its decisions, Government will

consider the CLPNM’s proposal, and will also consider information from other sources and third parties.

Which reserved acts will be included in the CLPNM’s proposal? Which ones will not be?

Over the past year and a half, the CLPNM has confi rmed, to its satisfaction, that a number of the reserved acts fall within the scope of current, safe and competent LPN practice. A few examples are: making nursing diagnoses, performing wound care, initiating IVs and administering medication pursuant to orders. (Note: this does not indicate fi nal approval for these reserved acts. As indicated above, all fi nal decisions about reserved acts will be made by the Government of Manitoba.) The CLPNM has also confi rmed, to its satisfaction, that several of the reserved acts fall outside the scope of the practical nursing profession. Some examples include: selling or prescribing a drug, administering spinal adjustments and prescribing hearing instruments

or vision appliances. These are not expectations of LPN practice, or activities that LPNs generally have the competence to perform. While many of the reserved acts have been confi rmed for inclusion in or exclusion from the CLPNM’s proposal, a number still require additional information or clarifi cation.

Which reserved acts require more information?

The CLPNM is seeking information from any members who have acquired the training and competence to perform any of the following activities:

• Allergy challenge testing and/or desensitizing treatments for allergies

• Applying casts

• Applying lasers

• Applying electricity for the purposes of fulguration or coagulation

• Applying electricity for the purposes of cardioversion, transcutaneous cardiac pacing or manual defi brillation

• Establishing any type of advanced airway

• Performing procedures on the surface of the cornea

If these procedures are part of your current practice, it is important that we hear from you. Please contact the CLPNM no later than January 21, 2016. (Contact information is provided below). Providing us with information about your training and current practice will inform the CLPNM’s decisions about whether to propose these activities for LPN practice in future, under the RHPA.

The reserved acts are a list of health care activities that could pose

signifi cant risk or possible harm to the public if performed by someone

without the necessary training and competence. They are set out in

Part 2 of the Regulated Health Professions Act (RHPA). Any person who

performs a reserved act in the course of providing health care will

require authorization to do so in regulations under the RHPA. Each of

the 22 health professions that will eventually be regulated by the RHPA

will have its own unique list of the reserved acts that its members are

authorized to perform.

UPDATE ON THE RESERVED ACTS


The following reserved acts appear to fall outside the scope of current LPN practice and competence, and therefore will not be included in the CLPNM’s proposal on reserved acts, unless we receive new information and evidence about current LPN practice in Manitoba:

• Performing procedures below the cornea

• Administering substances using a hyperbaric chamber

• Applying ultrasound, for purposes other than blood fl ow or heart rate monitoring (including fetal heart rate monitoring), bladder scanning and to view veins and fi stulas

• Establishing Central Venous Access Devices, including Peripherally Inserted Central Catheters

• Applying X-rays, CAT scans, PET scans or MRIs

• Applying sutures, below the dermis

• Surgical procedures, below the dermis.

• Sharp wound debridement, below the dermis

o Note: the CLPNM’s Regulatory Bulletin on Nursing Foot Care only permits LPNs to perform sharp wound debridement (even if the debridement does not go below the dermis) if the LPN has completed additional, specifi c education on the technique for the procedure, and that education has been reviewed and recognized by the CLPNM.

If you are an LPN who has the training and competence to perform any one of these activities, please ensure that you contact the CLPNM by January 21, 2016. Unless further information is brought forward, these activities will not be included in the CLPNM’s proposal on reserved acts, and as a result, will not likely be authorized for members of the profession.

For more information, or to provide information about your current practice and activities, please contact:

Renata Neufeld, ConsultantPolicy, Process and CommunicationsCollege of Licensed Practical Nurses of Manitoba204-663-12121-877-663-1212 toll [email protected]

To read more about the RHPA, or for a complete list of the reserved acts, please visit www.clpnm.ca/rhpa.


Pre-assessment

The fi rst step in the reinstatement process is to contact the CLPNM to advise of your intentions. You will then be required to submit a reinstatement pre-assessment form to the CLPNM. Once the form is reviewed by the CLPNM, you will be emailed the appropriate reinstatement application package.

Please note that if you have unresolved issues with CLPNM’s Investigation Committee, Discipline Committee and/or the Board of Directors, you must resolve the issues before you will be considered eligible to open a reinstatement fi le with the CLPNM.

Opening a Reinstatement File

Once you receive the reinstatement package, you will be ready to open your reinstatement fi le. You must submit the following items to open a fi le:

• A completed Part 1 – CLPNM Reinstatement Assessment Application Form, and

• A non-refundable reinstatement assessment fee of $393.75 (includes GST)(Fees are subject to change.)

A reinstatement assessment fi le will not be opened until both the application form and fee have been received and processed by the CLPNM. You must open a reinstatement fi le before sending any of the additional required documents listed below. Documents received prior to opening a fi le will be held by CLPNM for 30 days. If a fi le is not opened within 30 days, all documents will be destroyed.

Required Documentation

Once you have opened a reinstatement fi le, you will have up to six (6) months to ensure all of the following documentation is submitted to the CLPNM:

• Part 2 - Unauthorized Practice Declaration Form

• Part 3 – Verifi cation of Registration Form

o You must provide this form to any regulatory authority that has licensed you to practice a profession in the past seven (7) years. This includes any authority with whom you are currently licensed, and authorities that regulate the practice of other professions in Manitoba or in any other jurisdiction.

o The CLPNM only accepts this form directly from the licensing authority.

• Part 4 - Verifi cation of Hours Form

o You must provide this form to all employers with whom you have been employed as an LPN within the last four (4) years, including any current employers if you are licensed to practice as an LPN in another jurisdiction.

o The CLPNM only accepts this form directly from the employer.

• A current (within 1 year from date of issue) Canada-wide Criminal Record Check with a Vulnerable Sector Search

• A current (within 1 year from date of issue) Manitoba-issued Child Abuse Registry Check

• A current (within 1 year from date of issue) Manitoba-issued Adult Abuse Registry Check

Documents received by email or fax will not be accepted. All photocopies must be notarized by a Notary Public.

Former Manitoba licensed practical nurses (LPNs) who wish to return to practical nursing in Manitoba must

fi rst be assessed by the College of Licensed Practical Nurses of Manitoba (CLPNM). The CLPNM must assess

every application for reinstatement onto the active practicing register.

RETURNING TO LPN PRACTICE


Assessment Process

Once the CLPNM receives all of the supportive documentation, the Registration Department will assess your fi le to determine your eligibility to return to the active practicing register. The CLPNM may request additional information or documents to assist with this assessment process. Once the assessment is complete, a letter will be sent to you by email informing you of the outcome.

Potential Outcomes

Possible outcomes of the reinstatement assessment may include one (1) or more of the following:

• Notifi cation of eligibility to apply for active practising registration. If the CLPNM anticipates that conditions will be applied to your registration, based on the fi ndings of the assessment, you will also be notifi ed at this time.

• A referral for a Clinical Competence Assessment (CCA)

• A referral to the Practical Nurse Refresher program (PNR)

• A referral to other remedial education

Costs associated with any assessments and/or education are the responsibility of the applicant and are not included in the CLPNM reinstatement fees.

Any conditions or restrictions associated with your LPN registration prior to leaving the CLPNM register in the past may be reapplied to your reinstated registration.

Registration Decision*

You will be notifi ed by email of all CLPNM registration decisions, and should your assessment provide evidence that you are eligible for reinstatement, an enrolment application form will be provided to you with the registration decision email.

For clarifi cation or for further information regarding the reinstatement process, please contact the CLPNM by email at [email protected] or by phone at 204-663-1212 or 1-877-663-1212 toll free.

* Offi cial registration decisions of the CLPNM will be communicated in writing. No verbal representations or warranties by any staff of the CLPNM will be binding on the CLPNM or relevant to the assessment process by the CLPNM or any subsequent appeal to the Board of the CLPNM.


Why do I need a student registration?

As a student in a diploma in practical nursing program, you are training to become a member of a regulated healthcare profession. Being in a self-regulated healthcare profession is a privilege that is entrusted to practical nurses by the Government. It allows members of the profession to develop a regulatory body, the College of Licensed Practical Nurses of Manitoba (CLPNM), who is responsible for creating standards of education, standards of practice, a code of ethics and oversees the conduct of its members. A regulatory body’s main duty is to ensure its members are safe to practice and to protect the public interest. The legal framework for the regulation of licensed practical nurses (LPNs) in Manitoba is through legislation, specifi cally in a document called the Licensed Practical Nurses Act (LPN Act). In the LPN Act and

Regulations it states that the CLPNM must maintain a register of students currently enrolled either full time or part-time in a practical nursing program. In other words, it is the law that anyone currently enrolled, either full-time or part-time, in a practical nursing program must be registered with the CLPNM.

Practical nurses work with clients in many diff erent healthcare environments, providing care and nursing interventions that can at times be considered high risk. That means that if you have not gained the knowledge, skills and judgement to perform a specifi c intervention, you could potentially harm the clients you are caring for. Through your education, you will gain the knowledge, skills and judgement to perform many skills safely and effi ciently. It is CLPNM’s duty to ensure all members of the profession are safe to practice. One way we do that is by creating documents like the Standards of Practice and the Code of Ethics, and ensure that our members follow them. As students, over the course of the two-year program, you will be practicing a large number of skills under the supervision of an instructor. As CLPNM’s mandate is to protect the public, holding student registration with the CLPNM ensures that protection by holding you accountable to the Standards of Practice and Code of Ethics, at the level of a learner. This means that as a student you must ensure you are practicing safely and ethically.

Are you or somebody you know a student currently enrolled in a practical nursing program that is about to enter their second year? If so, it is time to renew your student registration.

For more information about the Standards of Practice and the Code of Ethics, please go to our website at http://clpnm.ca/standards-guidelines/.

How do I know if it is time for me to renew?

Student registrations are only valid for 12 months and only while the student is in the education program. All students must renew their student registration every year, and the registration you have must represent the year of the program you are currently in. So, if you started the program in January 2015 or have re-entered the program with a group of students who started in January 2015, it is time for you to renew your registration.

The easiest way to know for sure if it is time for you to renew your registration is to search your name on the Public Register. The Public Register lists your registration number, your name, which register you are currently on (student year 1 or student year 2) and your expiry date. You must renew before your expiry date in order to avoid late fees. The public register can be found on our website at http://clpnm.ca/fi nd-an-lpn/.

How do I renew?

By now you should have received an email from the CLPNM informing you of instructions on how to renew. It is important that you keep your email

JANUARY DPN STUDENTS: IT IS TIME TO RENEW!

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address up-to-date with us to ensure you receive your notifi cation. If you have not received this email, please contact the CLPNM right away. Student renewals are all completed online.

What do I need in order to complete my online renewal?

When you fi rst enrolled with the CLPNM you should have received log-in information for the CLPNM website; this log-in information is required in order to log in to the renewal system. You must complete your registration renewal before your student registration expires, which includes paying the renewal fee of $52.50. You do not need to resubmit a Criminal Record Check for Vulnerable Sector Search, Child Abuse Registry Check, or Adult Abuse Registry check unless you have been specifi cally told to do so by the CLPNM.

I completed my online renewal; how do I know if it was successful?

Once you have submitted all of the requirements for your student registration renewal, you will receive an email from the CLPNM approving your registration. This process can take up to three (3) business days.

The quickest way to know for sure is to check the online Public Register. If your student registration has been approved, the public register will now say “Student Year 2” with a new expiry date. If several days have gone by and your information has not been updated, please contact the Registration Department at the CLPNM. Please allow three (3) business days before contacting us.

What happens if I am late or do not renew?

Registering late (after the expiration of your fi rst year student registration) means that you are in school without a student registration. You will need to complete your application form online and pay a late fee of $52.50 in addition to your student fee (for a total of $105.00).

If you wait an extended period of time, you may also be subject to an assessment by the CLPNM’s Executive Director. This assessment takes time and will cost you an additional assessment fee of $78.75 (for a total of $183.75).

If you do not renew your registration before going out on your clinical practicum, you are not able to sign SPN after your name when you are charting. Only those who are on the student register are able to sign a chart with the SPN designation. As charting is an important part of practicum, this may impact your ability to chart and be successful in your program.

In addition, if you do not renew your student registration, your eligibility to apply for graduate practical nurse (GPN) registration may be impacted. GPN registration is a requirement for you to both begin working after graduating from the program and to write the Canadian Practical Nurse Registration Examination.

My registration says it expires at a later date; why do I have to renew now?

For the majority of students this is not the case; however, this happens to students who have left and rejoined a practical nursing program for any reason. All students who are in a practical nursing program in Manitoba

have to be on the student register, and your student license has to refl ect your current program year (either year 1 or year 2). If you leave the program for any reason, your registration would be cancelled. If you then re-enter the program you would have to re-register with the CLPNM. Once you rejoin a new cohort you then follow their schedule, so when your new cohort starts their second year, you will too. This means that you will need a Student Year 2 registration. Renewing at this time is important as it allows you to remain on the register until you are eligible for your GPN registration, and a student year 2 registration is required in order to be eligible for GPN registration.

Do you want more information about student registration?

Please go to: http://clpnm.ca/registration/students-and-graduates/.

Do you know someone who is about to start their fi rst year of a practical nursing program in January 2016? If so, please direct them to the following information about student registration: http://clpnm.ca/wp-content/uploads/Student-Initial-Registration-Fact-Sheet.pdf.


Answer:

As stated in The Licensed Practical Nurses Act of Manitoba (the Act):

Representation as a licensed practical nurse

3 (1 ) No person except a licensed practical nurse shall

(a) Represent or hold out, expressly or by implication, that he or she is a licensed practical nurse or is entitled to engage in the practice of practical nursing as a licensed practical nurse; or

(b) Use any sign, display, title or advertisement implying that he or she is a licensed practical nurse.

3 (2) No person except a licensed practical nurse shall use the title “licensed practical nurse” or “practical nurse”, a variation or abbreviation of those titles, or an equivalent in another language.

With this understanding of these legal obligations under the Act and Regulations and in accordance with the mandate of pubic protection, it is the College of Licensed Practical Nurses of Manitoba’s (CLPNM) position that all members of the

ASK A PRACTICE CONSULTANT

Question: My employer has implemented a policy requiring me to wear an identifi cation (ID) badge that includes my full fi rst and last name while on duty. What if I do not agree with this direction?

public have the right to know the name and classifi cation of the person(s) providing them care. Whether the employment setting has incorporated specifi c policy surrounding the donning of ID badges or not, the public’s right to identify their care provider remains.

Per the CLPNM Standards of Practice:

Standard VII: Professional Responsibility and Accountability – The Licensed Practical Nurse is responsible and accountable for own practice and conduct.

Indicator 1. The licensed practical nurse demonstrates knowledge regarding professional responsibilities.

Indicator 3. The licensed practical nurse adheres to policies and procedures of employment setting.

In order to meet professional practice standards as determined by the CLPNM, it is the expectation that all CLPNM registrants (student practical nurses, graduate practical nurses and licensed practical nurses) adhere to employer policies that provide direction on the donning of ID badges while on active practicing duty.

Per the CLPNM Code of Ethics:

Ethical Standard 2. Compassionate, Safe, Ethical, and Competent Care.

Nurses are committed to providing quality, compassionate, safe, ethical, and competent care.

Ethical responsibilities… The Nurse:

• Advocates for discussion of ethical issues among team members, the client, family/designate, and community as necessary

• Contributes to the development of organizational policies and procedures for the delivery of competent, safe, and ethical nursing care

Ethical Standard 4. Collaboration with the Health Care Team

Nurses encourage and support collaborative, comprehensive, and integrated health care.

Ethical responsibilities… The Nurse:

• Uses eff ective interpersonal communication strategies to foster respectful and collaborative relationships with clients, colleagues, and other health care stakeholders


If you or someone you know is graduating from a diploma

in practical nursing program, or from the Practical Nursing

Qualifi cation Recognition (PNQR) pilot program and will

be writing the Canadian Practical Nurse Registration

Examination (CPNRE) in or after May 2016, you will be writing

the exam using the new Computer Based Testing format.

Computer Based Testing is a new method of delivering the CPNRE to students allowing the exam to be off ered more often and at more sites across Canada. The content of the exam itself will not change. The exam will be completed using a computer in a testing centre rather than completing the exam on a paper answer sheet. For more information about the CPNRE being off ered by computer based testing, please refer to our website at: http://clpnm.ca/wp-content/uploads/CBTNoticeSept2015.pdf.

If you will be writing the CPNRE in or after May 2016, please ensure that your email address is up-to-date with the CLPNM to ensure that you receive the most current information about the Computer Based Testing. If your email address has changed, please contact CLPNM at [email protected].

WILL YOU BE WRITING THE CANADIAN PRACTICAL NURSE REGISTRATION EXAMINATION

AFTER JANUARY 2016?

• Uses confl ict resolution skills to work toward solutions whenever confl ict occurs during any interdisciplinary interactions

If a registrant of the CLPNM has concerns related to a policy directive at their place of employment (i.e. personal safety concerns when delivering direct care to a client who exhibits symptoms of irrationality or violence), it is the expectation that the registrant opens a dialogue with their employer to address these concerns. Open and respectful communication enables all members of the health care team to come to reasonable decisions and practice expectations (i.e. authorization to remove employee ID badge from a client’s direct view while the client is exhibiting violent tendencies) that will continue to enable the safe, competent and ethical nursing care to the public.

With a practice environment that fosters respect, communication and interdisciplinary collaboration; professional practice standards and policy directives can still be met while continuing to meet clients’ health care needs safely and eff ectively.


CALL FOR NOMINATIONS – BOARD OF DIRECTORS

In accordance with Article III Section 3.5[a] of the By-Laws, election of the Board of Directors shall be held by May 1 each year. The positions of the Directors stated below expire June 6, 2016, and are now open for nomination.

All registrants on the active practicing register of the College of Licensed Practical Nurses of Manitoba who are practicing in the electoral District that is accepting nominations are invited to submit names of nominees.

District 1 – Churchill, Burntwood, Norman Regions

District 3 – Brandon and Assiniboine Regions

District 5 – South Eastman and North Eastman Regions

Process:A current resume of the nominee must be submitted with the original nomination form by February 19, 2016 at 1630hrs. Forms that are not accurately completed will not be accepted. Please refer to policy BG-4: Nominations and Elections.

Nominator Information:

We (1) Print: (full name) ____________________________________________________ , Registration Number _____________________

Signature: __________________________________________________________, Date ___________________________________,

(2) Print: (full name) ____________________________________________________ , Registration Number _____________________

Signature: __________________________________________________________, Date ___________________________________,

(3) Print: (full name) ____________________________________________________ , Registration Number _____________________

Signature: __________________________________________________________, Date ___________________________________,

Registrants in good standing on the active practicing register of the College of Licensed Practical Nurses, in accordance with approved Nomination Rules do hereby nominate

(print name) ________________________________________________to represent District _________ on the Board of Directors of CLPNM.

Nomination Acceptance:Note for Nominees: Regular attendance at board meetings is required of all board members. Future board meeting dates are available on the CLPNM website at www.clpnm.ca. Please ensure that you review these dates prior to accepting a nomination.

I (print name),__________________________________________________, registration number _____________________, a registrant in good standing on the active practicing register of the CLPNM residing or employed in District _______________ do hereby accept the nomination for election to the position of Director to the Board of CLPNM. I declare that I have reviewed the nomination rules and I confi rm that I meet the criteria for nomination as described therein. I declare that if elected I do hereby consent to serve as a Board Director for the term 2016-2018.

Signed this ____________________________________ day of ______________________________, 20_______.

Signature: ___________________________________________________________________________ (nominee).


1. Nomination forms shall be submitted to the College, attention President.

2. Each nominee is eligible to run in one (1) electoral district. The nominee must reside or be employed within the electoral district they are running for.

3. To be eligible to be an elected Board Director, a practising registrant:

a) must be in good standing;

b) must reside or be employed in the electoral district in which the registrant is seeking election, and

c) must not have any union affi liations other than that required for employment.

4. Nominations of candidates for election to the Board require:

a) the signature of at least three (3) registrants of the College who are in good standing on the active practising register, and are practising in the electoral district in which the candidate is nominated;

b) the written consent of the nominee, and

c) a current resume of the nominee.

5. To be eligible, the College must receive the completed and signed nomination form and resume of the nominee on or before the established deadline date, either electronically or via regular mail.

6. Nomination forms that have been altered or changed must be initialed by both the nominee and all three (3) nominators in order to be considered eligible.

7. If the number of nominees in any electoral district does not exceed the number of vacancies available to the Board of Directors, the nominee shall be elected by acclamation.

NOMINATION RULES


2016 CLPNM EXCELLENCE AWARDS

The Nursing Practice Award

The Nursing Practice Award recognizes a licensed practical nurse (LPN) who is actively practicing, and through the lens of person-centered care demonstrates outstanding care, commitment, and competence. The recipient is recognized by peers as one who contributes to the betterment of the profession of practical nursing and health care in general. This LPN also participates in the community, demonstrates an ability to work collaboratively, and has an innovative outlook.

The New Graduate Award

The New Graduate Award recognizes a new LPN who, within the fi rst two (2) years of practice, has contributed energy and commitment to nursing practice by participating in activities that promote the optimal utilization of LPNs in the practice setting. The recipient demonstrates the principles of interprofessional collaboration and shows commitment to personal professional development.

The Nursing Mentor/Preceptor Award

The Nursing Mentor/ Preceptor Award recognizes an LPN who enhances other’s intellectual and practice competencies, and guides them into the LPN professional community by providing advice, counsel, and support; as well as by providing feedback, imparting valuable information and teaching by example.

Do you have a colleague who deserves recognition for their ongoing commitment to their patients, their practice, or to health care in general?

The Educator Award

The Educator Award recognizes and honours the outstanding contribution of an LPN educator who has strengthened the quality of practical nursing education in Manitoba by providing leadership, commitment, creativity and innovation in the delivery of practical nursing programming. The recipient demonstrates a commitment to educating and promoting the utilization of LPNs to their full scope of practice. The educator actively promotes excellence in practical nursing education.

The Leadership Award

The Leadership Award recognizes and honours the outstanding contribution of an LPN who has played a pivotal role in licensed practical nursing by providing leadership at the regional, provincial, and/or national level. The recipient is a role model for the profession, a visionary who inspires others, is a strong communicator and demonstrates the principles of interprofessional collaboration.

The Special Recognition Award

The Special Recognition Award honours an LPN, member of the public or organization whose sustained contribution, dedication, commitment and achievement positively impact practical nursing and the health care system on a regional, provincial and/or national level.


2016 CLPNM EXCELLENCE AWARDS NOMINATION PROCESS

Please forward your completed nomination form, with attached statement, on or before February 19, 2016.

By Email: [email protected]

By Mail: ATTN: Governance Committee ChairCollege of Licensed Practical Nurses of Manitoba463 St. Anne’s RoadWinnipeg MB R2M 3C9

The College of Licensed Practical Nurses of Manitoba’s (CLPNM’s) Excellence Awards will be announced and presented on June 6, 2016 at the CLPNM’s Awards & Recognition Luncheon, following the Annual General Meeting (AGM). The AGM and Awards and Recognition Luncheon will take place at the Canad Inns Fort Garry in Winnipeg, Manitoba. Award recipients will be notifi ed in advance, so that they are able to attend the ceremony.

Nominees Must (ensure that the individual you are nominating meets the following criteria):

1. Hold an active practicing license with the CLPNM (exception is the Special Recognition Award & the Educator Award).

2. Be currently employed as an LPN in Manitoba (exception is the Special Recognition Award & the Educator Award).

3. Be actively practicing in any domain of nursing (exception is the Special Recognition Award).

4. Be in good standing with the CLPNM and any other applicable professional body.

How to Apply:

1. Ensure that the nominee meets the above criteria, as well as the criteria outlined in the award description.

2. Fill out the application portion of this form (see second page).

3. Ensure the application is signed by two nominators.

4. Attach a written statement (500 words or less).

5. Return to the CLPNM by mail or email no later than February 19, 2016.

Note:

The CLPNM may need to contact the nominee for further information if required.

Nomination Process

Submit a written statement (500 words or less) describing why the nominee deserves the award. Be clear and specifi c; support your nomination with examples of how the nominee meets the award criteria. This information will be used to determine the award winner; be as thorough as possible. Nominations will not be accepted without a written statement.

If you have any questions regarding the nomination process, please contact the CLPNM by phone at (204) 663-1212, or by email at [email protected].


2016 CLPNM EXCELLENCE AWARDS NOMINATION FORM

Please select the award (select only one):

Nursing Practice Award Educator Award Leadership Award

New Graduate Award Nursing Mentor/Preceptor Award Special Recognition Award

Nominee Information:

Name: Registration Number (if applicable) :

Address: Phone Number:

Employer (if applicable):

Education (list all formal education):

Nominator information:

Name: Registration Number (if applicable) :


1st Nominator’s Signature:

Name: Registration Number (if applicable):


2nd Nominator’s Signature:

Note: Please ensure that you have read over the nomination process, and that the nominee is eligible to receive the award. If you have any questions regarding the nomination process, please contact the CLPNM at (204) 663-1212, or by e-mail at [email protected].

Please forward your completed nomination form, with attached statement, on or before February 19, 2016.

By Email: [email protected] Mail: ATTN: Governance Committee Chair College of Licensed Practical Nurses of Manitoba 463 St. Anne’s Road Winnipeg MB R2M 3C9