SRNA NewsBulletin Summer 2013

Volume 15, Number 3, Summer 2013

SaSkatchewan RegiSteRed nuRSeS’ aSSociation

Competent, caring, knowledge-based registered nursing for the people of Saskatchewan

Providing CareIndividual and Family Centred,

Ethical and Compassionate

2013 Election Results • RN(NP) Education Days • CCP Audit Optimizing the Scope of the RN • RN(NP) Updates

Annual Meeting and Conference • Registration Renewal OnlineAnnual Meeting Award Recipients

The Saskatchewan Registered Nurses’ Association

(SRNA) is a professional licensing body established in

1917 by the Registered Nurses Act of the provincial

legislature. Its purpose is to set standards of

education and practice for the nursing profession,

and to license and support nurses as RNs to ensure

the public receives quality nursing care.

The SRNA Newsbulletin is published four times

a year by the SRNA. Its purpose is to inform RNs

about the Association’s activities, provide a forum

for discussion and information of topical interest.

Inclusion of items in the SRNA Newsbulletin does

not imply endorsement or approval by the SRNA.

A subscription is $21.40 per year, outside Canada,

$30.00 per year.

ISSN 1494-76668

Managing Editor: Shelley Svedahl

E-mail: [email protected]

The SRNA office is located at 2066 Retallack Street,

Regina, SK S4T 7X5

Phone: 306-359-4200 FAX: 306-359-0257

Toll Free: 1-800-667-9945

E-mail: [email protected]

Website: www.srna.org

SRNA COUNCILPresident: Signy Klebeck, RN 306-659-4289

President-elect: Linda Wasko-Lacey, RN 306-882-2359

Members-at-largeJeannie Coe, RN(NP) 306-425-2174 (Ext. 3)

Sherry Culham, RN 306-766-8484

Robin Evans, RN 306-337-3354

Glen-mary Christopher, RN 306-786-0420

Pamela Komonoski, RN(NP) 306-966-2397

Janice Giroux, RN 306-842-8652

Noreen Reed, RN 306-883-4471

Public RepresentativesKaren Gibbons 306-729-4306

James Leach 306-244-4800

Heather McAvoy 306-652-5442

Executive DirectorKaren Eisler, RN 306-359-4200 (Ext 235)

Copy Deadlines:

November 15 for Winter; February 10 for Spring; May

15 for Summer; and August 15 for Fall. The complete

rate sheet is available online at: http://www.srna.

org/images/stories/Communications/NewsBulletin/

srna_rate_card_2013.pdf

To place advertising in the SRNA Newsbulletin please

contact: [email protected]

SUMMER 2013 Vol.15 N0. 3

SRNA Executive Director’s Update 3

Annual Meeting Resolutions 4

ASK A PrACTICe ADVISor RN Accountability and Responsibility for Client Care 6

Revised Standards and Foundation Competencies 9

CoNNeCTIoNS Don’t Forget to Fill Your Tank 10

Optimizing the Scope of the Registered Nurse 12

Final Recommendations for the SRNA CCP Committee 14

RN(NP) Updates 16

RN(NP) Education Days 18

Continuing Competence Audit 20

eTHICS IN ACTIoN Autonomy and Informed Decision-Making 22

HeAlTH QuAlITY CouNCIl Quality Summit Informs and Inspires 24

SASKATCHeWAN SurGICAl INITIATIVe Nurse Navigators a Welcome Addition 25

Achieving Better Primary Health Care for Patients 26

Northern Communities Name Their Nursing Robots 27

Membership Survey 34

Resources 36

Calendar of Events 38

Directory 38

Contents

2 SRNA NewsBulletin SUMMER 2013

On the cover: Nurses Week Celebration on the labour and Delivery unit, regina General Hospital. (left to right) Keri lynn Jones, rN; meghan Duke, rN; Kate Simard, rN; Candace bella, rN; Holly otte, rN

mailto:[email protected]


http://www.srna.org

http://www.srna


Departments

Executive Director’s UpdateKaren eisler, rN

2013 Annual Meeting and ConferenceThank you to everyone who attended the SRNA Annual Meeting and Conference in Saskatoon. A total of 418 individuals attended one or more activities. For the third year in a row, the SRNA voting for Council and Nominations Committee positions was conducted online. Voter turnout nearly doubled from the previous year. Thank you for participating in the online elections. Congratulations to the contest winners Lori Selinger, RN, winner of the ipad; Linda Vincent, RN, winner of the ipad mini; and Paula Coleshaw, RN, winner of the ipod touch.

Congratulations and welcome to the new SRNA Council members, elected on May 1, 2013 in Saskatoon:

Linda Wasko-Lacey, RN: President-elect

SRNA Messages

Photo SRNA Council

Back Row left to right: Karen eisler, rN;Jeannie Coe, rN(NP);Karen Gibbons, Pubic rep.; Janice Giroux, rN;Noreen reed, rN;Glen-mary Christopher, rN;robin evans, rNFront Row left to right:Signy Klebeck, rN;linda Wasko-lacey, rN;Heather mcAvoy, Public rep.;James leach, Public rep.;Sherry Culham, rN;Pamela Komonoski, rN(NP)

Noreen Reed, RN: re-elected as Member-at-large for Region III

Robin Evans, RN: re-elected as Member-at- large for Region VII

Welcome to the new Nominations Committee member (2013 – 2015):

Melanie Woods, RN.Thank you to all of you who took

the leadership challenge and had the courage to let your names stand for election. If you would like to know more about the 2014 nominations

and elections, please check out the information posted on the website under: About Us/Council or contact [email protected]. Kandy Hennenfent, RN is the Chair of the Nominations Committee for 2013 – 2015.

The SRNA would like to thank the following outgoing members of Council and the Nominations Committee for their leadership and service:

Signy Klebeck, RN assumed the role of President, following her two-year term as President-elect.

Kandy Hennenfent, RN, outgoing President

Tu Cam Duong, RN, Member of the Nominations Committe

David Kline, RN, outgoing Chair, Nominations.

SRNA NewsBulletin SUMMER 2013 3

http://vimeo.com/68163948

http://vimeo.com/68163948



Annual Meeting Resolutions

Approved bylaws will be available on the SRNA website in the fall: http://www.srna.

org/index.php/nursing-practice/actbylawsstandards

Eleven resolutions passed by the membership were referred to the June council meeting.

Options for handling resolutions:1. Delegate to Executive Director

for action when consistent with Ends and/or EL work with request for reporting to membership by February, 2014; or

2. Action by Council as a committee of the whole, or by special committee (e.g. letter and/or brief presentation to a designated person/group such as the Minister of Health, Canadian Nurses Association or SAHO etc.); or

3. Decision by Council not to pursue resolution at this time; or

4. Other options as proposed by Council.

RESOLUTION # 1BE IT RESOLVED THAT all Nurse Practitioners registered with the SRNA present themselves to the public as a Nurse Practitioner regardless of their educational credential. Nurse Practitioners in Saskatchewan are educated at a wide variety of institutions and receive a different

credential from each. To aid the public to develop an understanding of the Nurse Practitioner role and scope of practice, we would suggest that Nurse Practitioners present themselves in clinical practice as a Nurse Practitioner and not as a Doctor.

RESOLUTION # 2BE IT RESOLVED THAT the SRNA works with the Saskatchewan government to address inadequacies in the Emergency Medical Services Act that prohibit EMS personnel from utilizing rural emergency rooms that have health care provider coverage which include Nurse Practitioners and physicians in the attending/on-call rotations. Report the results of the work towards changing this legislation to the SRNA membership by December 1, 2013.

RESOLUTION # 3BE IT RESOLVED THAT the SRNA will actively collaborate with the provincial government towards changes to the Vital Statistics Act legislation allowing Nurse Practitioners RN(NP) to complete Death Certificates. At present the signature for release of a body to the funeral director or family requires a signature from a physician or coroner. As this often

results in delays in rural and remote communities in Saskatchewan, changes to this act would facilitate timely and dignified release of the deceased to families. To be able to sign the medical certificate of death (C-17.1 Reg 1: Section 14, 1 B & 2 “with respect to the physician or coroner” Saskatchewan Vital Statistics Act p. 9 - 11). Report the results of the work towards changing this legislation to the SRNA membership by December 1, 2013.

RESOLUTION # 4BE IT RESOLVED THAT the SRNA actively pursues the RN(NP)s capacity to admit, manage and discharge patients in acute care facilities through lobbying for changes to the Attending Health Professionals Regulation. RN(NP)s in the province of British Columbia and Ontario have successfully changed the associated provincial regulation enabling RN(NP) acute care admission and discharge privileges in acute care facilities where this scope of practice facilitates timely competent care for patients. Report the results of the work towards changing this legislation to the membership by December 1, 2013.

2013 SRNA Bylaw Revisions and Resolutions Approved by the Membership at the Annual Meeting, May 1, 2013

http://www.srna.org/index.php/nursing-practice/actbylawsstandards


RESOLUTION # 5BE IT RESOLVED THAT the SRNA move a bylaw change to enable RN(NP)s to order radiographic diagnostic tests that include the use of contrast media test and MRI. The RN(NP) in urban, rural or remote Saskatchewan follows and coordinates care for patients. Therefore, the ordering of diagnostic tests (such as when a radiologists report returns with a recommendation for a CT or MRI and then the CT or MRI can be ordered and the patient referred to specialist with appropriate diagnostic reports available for the specialist consultation) would facilitate timely access to care for patients. Report the results of the work towards changing this legislation to the membership by December 1, 2013.

RESOLUTION # 6BE IT RESOLVED THAT the SRNA pursue changes to The Mental Health Act to include nurse practitioners in the definition of medical practitioner. Report the results of the work towards changing this legislation to the membership by December 1, 2013.

RESOLUTION # 7BE IT RESOLVED THAT the SRNA maintain the current fees for 2014 ($510) and establish a flat rate increase of $10 for each year in 2015-2016.

RESOLUTION # 8BE IT RESOLVED THAT the SRNA will implement Master’s Level education as the entry to practice standard for Nurse Practitioner in 2018.

RESOLUTION # 9BE IT RESOLVED THAT the SRNA pursue regulatory and government legislation that would allow specially trained Nurse Practitioners to prescribe Methadone. Nurse Practitioners education programs in Saskatchewan deliver pharmaceutical information. Additional education is necessary to prescribe this controlled substance. Methadone programs would benefit from the development of an interdisciplinary team that could collaborate in the care of individuals accessing methadone treatment and maintenance. The ability for NPs to be an active member of mental health teams would greatly increase access to

care for vulnerable populations that can wait many months for access to the methadone program.

RESOLUTION # 10BE IT RESOLVED THAT the SRNA Legislation and Bylaws Committee undertake a complete review of the SRNA Bylaws, specifically with a view to ensuring they are valid and accurately reflect the bylaw making powers set out in sections 15(1) and 15(2) of The Registered Nurses Act, 1988, and further, that the SRNA be in a position to bring proposed amendments to the SRNA Bylaws to ensure compliance with The Registered Nurses Act, 1988, to the 2014 SRNA Annual Meeting.

RESOLUTION # 11BE IT RESOLVED THAT the SRNA pursue updating the 2004 RN Assignment and Delegation document. As healthcare evolves it is necessary to stay abreast of these changes. Consider the use of a toolkit with standard forms/documents to create seamless assignment/ delegation process in Saskatchewan thus creating standard interpretation.


activities involved in assessment of the client. It is within the scope of other health care professionals (e.g. LPNs) to assess clients employing their knowledge base and competencies. Ongoing accurate and timely two way communication is the responsibility of all team members. In addition, the RN must employ proactive communication skills with members of the team to ensure that the necessary information is obtained in order to develop the plan of care, determine the appropriate care provider and ensure the client’s care needs are met.

Several principles should be followed by RNs when deciding what aspects of the nursing process may be performed by other members of the team:

RN Accountability and Responsibility for Client Care

entirety, however parts of the nursing process may be performed by qualified personnel.

Client Assessment. The first step in the nursing process that provides the basis for safe and appropriate client care is the initial assessment of the client. The depth and breadth of foundational knowledge possessed by RNs, in clinical practice, decision-making, critical thinking, leadership, education, policy development, research utilization, and resource management, positions them well as the nursing professional to hold the overall accountability and responsibility for client assessment. The purpose of the initial client assessment is to ascertain the client’s acuity, complexity and variability and utilize this information to determine assignment of client care to an appropriate care provider. Though the RN retains overall responsibility for the client assessment, whether initial or ongoing, this does not mean the RN must perform all the

It is important for all RNs to understand their professional

accountability and responsibility regarding client care.

RNs derive their scope of practice from The RN Act, 1988 Section 2(k), which addresses the practice of registered nursing: “...practice of registered nursing means the performance or co-ordination of health care services including but not limited to: ...observing and assessing the health status of clients, planning, implementing and evaluating nursing care......”. The Act is specific—the nursing process of assessment of the client, development of the nursing care plan, care plan implementation and evaluation of the care provided, is part of the “co-ordination” of care and therefore the responsibility of RNs. RNs utilize information gathered as part of client assessment, to assign client care to members of the nursing team and assign tasks to unregulated care providers. The RN responsibility for the nursing process cannot be assigned or delegated away in its

It is important for all RNs to understand their professional

accountability and responsibility regarding

client care.

by linda muzio, rN, Nursing Advisor, Practice

ASK A PrACTICe ADVISor

I work in a team setting with other heath care professionals and unregulated care providers (UCP) and we share the

nursing care we provide our clients. What is the RN’s responsibility when working in a team and in particular client assessments?

Q

A


The overarching goal of the nursing process is to achieve positive outcomes for the client. The RN must know the client population, client needs, the complexity of health problems and other relevant information (e.g. resources), in order to fulfill his/her professional responsibility of coordination of care. It is important to note the complexity, acuity and variability of a client’s condition influences the nursing knowledge required to provide the level of care needed by the client. As these factors increase, the depth and breadth of the competencies required to provide nursing care increase as well, and increased RN involvement (e.g. consultation, more direct client care) is required.

The RN must adhere to the current SRNA standards and foundation competencies for the practice of registered nursing, many of which directly reference components of the nursing process.

Some examples include:34. In collaboration with the client,

performs an assessment of physical, emotional, spiritual, cognitive, developmental, environmental, social, and learning needs, and the client’s beliefs about health and wellness.

35. Collects information on client status using, assessment skills such as observation, interview, history taking, interpretation of data, and where applicable, physical

assessment, including inspection, palpation, auscultation and percussion.

36. Analyzes and interprets data obtained in client assessments.

47. Develops learning plans and plans of care with clients and health care team members to promote continuity of care.

62. Employs a critical inquiry process to monitor the effectiveness of client care, in collaboration with the client, individuals, families, groups and communities, and other members of the health care team.

63. Utilizes the results of outcome evaluation to modify and individualize client care in collaboration with clients and other members of the health care team. (SRNA, 2006, p.8-9).The complete standards and

foundation competencies document is available online at: http://www.srna.org/images/stories/pdfs/nurse_resources/standards_competencies.pdf

The RN must know the scope of practice, level of competence, job description and skill of those they are assigning parts of the nursing process. This is necessary for the RN to ensure those participating in the nursing process have the ability to obtain accurate information upon which to base the care plan and provide safe, quality care. It is the RN’s responsibility to decide how best to involve others in contributing to the nursing process. Appropriate staff and skill mix is determined by the RN as she/he utilizes knowledge of the level of competence and skill of other providers to determine the most appropriate care provider who can safely and competently meet the individual needs of clients. Health care professionals such as LPNs and RPNs possess a scope of practice and competencies and are responsible for appropriately performing activities within their scope and competence. UCPs provide services driven by employer job descriptions and possess skills that may be used to contribute to parts of the nursing process as well (e.g. performing vital signs). The RN may assign client care or delegate to UCPs who have the necessary education and training.

The RN must employ best practices that effectively address collaborative practice/teamwork to facilitate positive client outcomes. Working within an interprofessional team providing nursing services is now the

It is the RN’s responsibility to

decide how best to involve others in

contributing to the nursing process.

http://www.srna.org/images/stories/pdfs/nurse_resources/standards_competencies.pdf


satisfaction. Communication between providers is a cornerstone of an effective and efficient health care enterprise.” (Government of Saskatchewan, p. 91).

This article provides guidance regarding the role, responsibility and accountability of RNs in the nursing process and principles for facilitating team work and positive client outcomes. However, it is limited in addressing the unique circumstances RNs may encounter. In these situations RNs must depend upon their knowledge, skill and judgment. You are encouraged to contact a SRNA Nursing Advisor for advice specific to your situation.

norm in health care environments. Safe and appropriate care can best be achieved through collaboration, cooperation, consultation, and good communication, while respecting the contributions and responsibilities of each professional. Utilizing best practice guidelines for collaborative practice, such as those available from the Registered Nurses Association of Ontario (RNAO) (2006), promote collaborative practice and teamwork.

Key components include:• Careproviderspracticewithin

their own level of competence and seek direction and guidance from other health professionals when aspects of care required are beyond their individual competence.

• Teammembershaveaclearunderstanding of their roles and the roles of others all of which are clearly defined and supported by employer policies.

• Clearprocessesandstructuresthat promote collaboration should be established, paramount in situations of increasing client complexity.

• Communicationisessentialto good health care. All team members are responsible to participate in ongoing, accurate and timely two-way communication about the client’s condition and care needs. From The Patient First Review Commissioner’s Report (2009):

“Positive relationships and effective communication between care providers are essential for quality patient care and professional

ASK A PrACTICe ADVISor continued

ReferencesGovernment of Saskatchewan. (2009).

For patients sake: Patient first review commissioner’s report to the Saskatchewan minister of Health. regina, SK: Author.

Government of Saskatchewan. (1988). The Registered Nurses Act, 1988. regina, SK; Author.

registered Nurses Association of ontario. (2006). Healthy workplace environments best practice guidelines: Collaborative practice among nursing teams. Toronto: Author

Saskatchewan registered Nurses Association. (2006). Standards and foundation competencies for the practice of registered nurses. regina, SK: Author.

Positive relationships and effective communication between care providers are essential for quality patient care and

professional satisfaction.


to help and would be happy to answer any of your questions.

You can find the revised standards and foundation competencies on the SRNA website at: http://www.srna.org/images/stories/Nursing_Practice/Standards_and_Competencies_Practice_of_RN_2013_02_12.pdf

Revised Standards and Foundation Competencies

There will be several education sessions over the next several months as well as ‘Open Mic’ lunch hours in September, October and November.

If you have any questions please contact a SRNA Nursing Practice Advisor at 1-800-667-9945, in Regina 306-359-4200 or by email [email protected]. We are here

At the 2013 SRNA Annual Meeting, members voted to incorporate the

revised Standards and Foundation Competencies for the Practice of Registered Nurses, 2013 into SRNA Bylaws. What does this mean for you?

As of December 1, 2013, you will be required to practice in accordance with the revised standards and competencies and this document will be used as the basis of your self-assessment for your continuing competence for 2014. The document has been streamlined in several areas. Some of the changes include:

• Reductionincompetencies to 87 from 100;

• Additionalsectionthatoutlines ways to apply the standards and competencies to all domains of practice;

• Additionalrequirementofuse of first and last name when introducing yourself to your clients;

• Inclusionofpatientsandfamilies throughout the document;

• Inclusionofcoordinationof care in the leadership competency; and

• Inclusionofthecompetencyrelated to mentorship.

As of December 1, 2013, you will be

required to practice in accordance

with the revised standards and competencies...

by Karen Turner rN, Nursing Advisor, regulatory Services, and Terri belcourt rN, Nursing Advisor, member relations

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http://www.srna.org/images/stories/Nursing_Practice/Standards_and_Competencies_Practice_of_RN_2013_02_12.pdf



DepartmentsConnections

For me, summer is a time to fill up my ‘fuel tank’. That fuel tank gets more empty over

the winter months because work and home responsibilities pile up and there is little time to refuel. Then summer arrives and the sunshine helps to energize me and the tank begins to fill up. I get excited about all the new and different activities the next year will bring, both personally and professionally.

This year is particularly exciting on a professional level as I learn more about Member Relations and the ways the SRNA currently connects with you. In the next year I will have the opportunity to work towards introducing new ways for us to build our relationship. I invite you to think about filling up your professional fuel tank by participating in at least one SRNA opportunity in the next year.

• BecomeaWorkplaceRepresentative – share SRNA information with your colleagues, be eligible for grants to attend education events, more information is found at http://www.srna.org/index.php/nursing-practice/workplace-representative-program

• JoinaProfessionalPracticeorSpecial Interest Group (PPG or SIG) or develop a new one! – check out http://www.srna.org/index.php/nursing-practice/

chapters-a-groups to see a current list of groups.

• Nominateaco-workerorhavea member nominate you for a SRNA Council position – we are electing representatives from Electoral Regions 1, 2 & 5 in 2014. More information is available at http://www.srna.org/index.php/about-us/srna-council It’s never too early to submit a nomination.

• Nominateaco-workerforaSRNA Award – More details can be found in the upcoming months at www.srna.org

• FillinaProfessionalOpportunities Interest Sheet – we use this information to fill committee appointments and more!

• AttendaSRNAWorkshopor Telehealth – over the next several months there will be

Don’t Forget to Fill Your Tank

by Terri belcourt rN, Nursing Advisor, member relations

several sessions regarding the revised Standards and Foundation Competencies and the enhanced Continuing Competence Program. These events and others are promoted on the SRNA website at http://www.srna.org/index.php/events

• WriteanarticlefortheNewsBulletin – please email Shelley at [email protected] for more information.

• Follow@SRNADialogueonTwitter – whether you are an experienced tweeter or just like to stay updated.

In addition to filling up your professional fuel tank this summer, I hope you have the chance to spend time with family, travel somewhere new or just enjoy the warm weather and sunshine in a way that fills your personal tank.

I invite you to think about filling up your professional fuel tank by participating in at least one SRNA opportunity in the

next year.

http://www.srna.org/index.php/nursing-practice/workplace-representative-program

http://www.srna.org/index.php/nursing-practice/chapters-a-groups

http://www.srna.org/index.php/about-us/srna-council

http://www.srna.org

http://www.srna.org/index.php/events

http://www.srna.org/index.php/nursing-practice/chapters-a-groups


Nurses at St. Anthony’s Hospital in Esterhazy held a nurses’ brunch

at Canalta Hotel for current nurses and retirees (both RN and LPN). The group held a vote to determine who would receive an Outstanding RN award.

The recipient was Megan McIvor, RN.

Celebration of NNW: Shaunavon Hospital and Care Center out for lunch.(Left to Right) bonnie Fritz, rN; leanne Thomas, rN; rhonda William-Johnston, rN – Shaunavon Homecare rNs

(Left to Right) Donna leslie, rN; Janette egland, rN

megan mcIvor, rN Certificate of Achievement

National Nursing Week Activities

National Nurses Week 2013 by Holly Tallon, rN

At the South Country SUN District Council Meeting, we decided that each local should try and do something special. Our group decided to have cake and coffee for our communities. For Local 139 in Lafleche we served cake, coffee, and iced tea and shared information about local health care initiatives. We provided handouts with information on Long Term Care (LTC) placement, home care services (with contact numbers), as well as handouts on “What is a Nurse” and “What is a Nurse Practitioner” and other informative handouts. What’s more, we also gave out goodies from the Healthline, SRNA, and a few other generous organizations. We served between 70-75 people and got to enjoy the beautiful day in the sunshine. We set up in our local park on Main Street from 1100-1400. It was a great turnout and now we’re already thinking of what to do next year! A couple other Locals (Assiniboia and Rockglen) were also serving cake and coffee, and I hope they had as much fun as we did in Lafleche!

DepartmentsProject Update


On May 1, 2013 SRNA members voted to approve the following documents:

2013 Draft Bylaw for Additional Authorized Practice in the RN Category; Standards, Competencies and Clinical Decision Tools for the RN with Additional Authorized Practice; and Nursing Education Program Approval Standards and Criteria for the RN with Additional Authorized Practice Courses.

The next step in the process is approval of the Bylaws by the

Ministry of Health (by September 30, 2013).

Specific work on the Prior Learning Assessment and Recognition (PLAR) process will begin as soon as possible after ministerial approval. Immediate work has begun on hiring the Project Researcher and the PLAR Facilitator, developing the details of the PLAR process, creating the Clinical Decision Tools for the RN with Additional Authorized Practice and establishing the Inter-professional Advisory Group.

by Suzanne Downie, rN, Project manager

Since 1993, The Registered Nurse Scope of Practice Special Nursing Procedures and Nursing Procedures by Transfer of Medical Functions, document has set out the criteria that allow rNs to perform special nursing procedures (SNP), and transfer of medical functions (TmF) in Saskatchewan. However, The medical Professions Act (1981) does not support physician delegation to other care providers. This means the TmF process must end. The SrNA has created two roles that will allow rNs to provide the required care, and allow for the continuation of current services rNs are providing under a TmF. These include the: rN with specialty practices and; the rN with additional authorized practice.

The RN with Additional Authorized Practice

The estimated date to complete the PLAR process for the 169 RNs who currently work in the north as Primary Care RNs, is December 2015 or sooner.

Education for the northern RNs who require formal education will begin in 2014, pending availability of appropriate courses. The SRNA Education Committee will continue to meet to finalize details on the implementation of relevant courses. Check the SRNA website for updates.


RN specialty practices, a part of the Optimizing the Scope of the RN project, is gaining momentum. Specialty practices are activities, treatments, or interventions that are within the scope of registered

nursing. They are not taught in the basic registered nursing education program because they have specific competencies that are only required in a particular setting by a select group of clients. Specialty practices can occur in any area of employment, including, but not limited to acute care, community care, corrections, medical clinics, public health, industry, and long term care. Chances are that you are performing one or more specialty practices in your work setting, and will want to keep updated on this part of the project.

The following processes are connected to specialty practices are underway:• AdocumentcalledInterpretationoftheRNScopeofPractice:RNSpecialty

Practices, is under development. It will provide a framework with the roles and responsibilities, and criteria for specialty practices. The goal is to circulate the document to members and stakeholders for feedback in the near future.

• AttheSRNAConferenceDayonMay2inSaskatoon,afocusgroupwas held with members from a variety of practice settings. The focus group discussed opportunities for implementing specialty practices and standardized clinical protocols across employment settings and provincially. The general consensus is that there are many benefits to standardization.

• AnupdateontheQuestionandAnswersforspecialtypracticeshasbeenposted on the SRNA website under the Optimizing the Scope of the RN Project link. This article provides information on key concepts with specialty practices.

• TheSRNAisworkingwiththeCollegeofPhysiciansandSurgeonsofSaskatchewan (CPSS) on the use of clinical protocols in areas where medicine and registered nursing overlap. A clinical protocol would provide authority for care when a physician is not immediately available and a client specific order cannot be obtained. The document provides direction (series of steps) for the RN to implement with a client or group of clients in a clearly delineated care situation and practice setting. Clinical protocols assist with the consistency in client care interventions and have specific criteria e.g., employer policy, additional education, based on evidenced-informed research etc. Additional information on the joint statement will be circulated with SRNA members once it is finalized.

• Educationsessionsontheoptimizingprojectareongoing.Watchformoreinformation on the Optimizing the Scope of the Registered Nurse project please click on the Optimizing the Scope logo on the SRNA website at www.srna.org.

Re: Mr. Gregory W Pittman of Saskatoon Court of Queen’s Bench Decision

The Discipline Committee of the SRNA found Mr. Pittman guilty of professional misconduct and issued their decision on January 3, 2012. Mr. Pittman appealed the decision of the Discipline Committee to the Court of Queen’s Bench.

The appeal hearing occurred before Justice Mills of the Court of Queen’s Bench on February 1, 2013. Justice Mills issued a decision on April 10, 2013. In the decision, Justice Mills directed the Discipline Committee’s finding of guilt of professional misconduct be quashed and directed a new hearing for Mr. Pittman before a new Discipline Committee.

Once established, the new hearing date will be posted on the SRNA website.

Discipline Committee

Optimizing the Scope of the RN: An update on RN specialty practices

by barb Fitz-Gerald rN Project lead for rN specialty practices

http://www.srna.org


Continuing Competence

As part of the SRNA quality improvement process, to ensure regulatory excellence, the Continuing Competence Program (CCP) underwent a

formal review. From October 2010 to January 2013, the SRNA CCP Review Ad hoc Committee met to review the existing program and put forth recommendations for revisions of the CCP. The SRNA wishes to thank the following participants for their contribution to the review: Shirley McNeil RN (Chair), Leah Currie (Public Representative), Maureen Ferguson RN, Carole Reece RN, Janet MacKasey RN, Darla Cheetham RN, Mary Ellen Andrews RN(NP), Liz Domm RN, Tracy Zambory RN (SUN Representative 2010- 2012), Beverly Balaski RN (SUN Representative 2012-2013), Tony Tung RN(NP), Cheryl Hamilton RN (SRNA Regulatory Services) and Barb Fitz-Gerald RN (SRNA Practice Services).

As part of its mandate the committee undertook several initiatives to review the CCP. These include:

• reviewedanenvironmentalscanonCCPsfromvarious national and international nursing associations/colleges, and professions from within and outside of healthcare;

• reviewedliteratureoncontinuingcompetencefromvarious sources;

• conductedamembersurveyforfeedbackontheprogram;

• heldfocusgroupsatthe2012SRNAAnnualMeeting and five other locations around the province; and

• reviewedtheexistingSRNAbylawsoncontinuingcompetence.

The committee completed its work in January 2013 and made several recommendations to the current program. In February, SRNA Council was updated on the recommendations. A revised document based on a number of recommendations was developed in May.

Recommendations including: education strategies, communication and a single personal assessment form for RN(NP)s will be implemented in the near future.

The new CCP document will come into effect on December 1, 2013 for the 2014 registration renewal year. Education sessions on the new CCP document, and the revised SRNA Standards and Foundation Competencies for the Practice of Registered Nursing, 2013 will be held in summer and fall 2013.Check out the SRNA website for upcoming details of where and when education sessions will be held; or contact the SRNA at [email protected]

Highlights of the CCP recommendations are as follows: 1. Revision of the personal assessment to use the SRNA

Standards and Foundation Competencies for the Practice of Registered Nursing, 2013 .The checklist to prioritize learning needs will be replaced with section for the RN to identify the competencies for prioritizing learning.

2. Development of an education strategy to help RNs interpret the standards and competencies to a practice role.

3. Increased focus on feedback given that it is an area that is increasing in rigour across many professions and provinces and allowance for options on how feedback is obtained (eg. use of 360 reviews), provision of additional information to help with providing and receiving feedback, and noting that the feedback that is received is dated and signed.

4. Development of clear instructions for developing a learning plan, including clarity that goals can be changed throughout the year when necessary to meet their learning needs.

5. Investigation (by the SRNA) of feasibility of implementing mandatory competencies for nurses to complete.

6. Maintenance of the evaluation component and accept a variety of methods to show it has been achieved.

Final Recommendations for the SRNA Continuing Competence Program Review (CCP) Committee

by Cheryl Hamilton, rN, Deputy registrar and barb Fitz-Gerald, rN, Nursing Advisor, Practice



7. Maintenance of the current process for annual audits. 8. Other recommendations included:

• thattheSRNApromotethepracticecompetenciesdeveloped by experts in nursing or healthcare as additional methods for RNs to better understand their nursing practice, e.g., CNA or SRNA Professional Practice Groups;

• thatapersonalassessmentformthatincorporatesthe RN standards and foundation competencies with the RN(NP) standards and competencies is developed for RN(NP) use;

• thatelectronicformsfortheCCPbedevelopedandare accessible on the SRNA website;

• thatCCPeducationincludestherationaleforCCPaudits;

• thattheterm“reflectivepractice”bedescribedinthe document;

• thatalistofoptionsforobtaininglearningbeincluded in the document, e.g., attend continuing education workshops and or conferences, critically review relevant literature by reading/critiquing professional journals, take an academic course, teach educational seminars or courses etc;

• thatvariousCCPcommunicationstrategies,e.g.,webinars, instructional on-line videos, handbook etc be included;

• thatSRNAresearchtheuseofcasereviewsforRN(NP)s practice in the future; and

• thatcontinuingnursingeducationcreditsnotbean option for maintaining continuing competence learning hours.

Additional information on the CCP review or the forthcoming CCP document can be obtained from Cheryl Hamilton RN at [email protected] or Barb Fitz-Gerald RN at [email protected]

Safety Alert

Use of Patient Owned Electrical Appliances, file 2012/13-06, March 2013

Recommendations:In partnership with the Health emergency management branch, the Acute and emergency Services branch of the ministry of Health would like to advise of the following recommendations for immediate action based upon the report of these critical incidents:

As a general policy, heat generating appliances that are not owned or approved by the health facility should not be permitted in patient care areas. This would include space heaters, coffee pots, cup warmers, electrical blankets, heating pads, etc.;

Any electrical equipment and appliances may be allowed if approved by engineering and management so that the type, certification, and electrical draw are known to be compatible with facility systems;

Where a region or facility decides there will be no use of patient owned electrical appliances and with no exceptions to the policy, a verbal policy or posting will suffice. If a region or facility decides to allow patient owned appliances to be used in certain circumstances and in order to facilitate patient comfort or treatment, a written policy should be developed to outline the conditions of the exception. A decision to provide an exception should be based upon need and approved by the engineering department.

The Saskatchewan ministry of Health can be contacted for more information.




During the one-day meeting, committee members examined the complexities of RN(NP) issues and concerns, as well as the resolutions brought forward to SRNA at the Annual Meeting. Through discussion, RN(NP) scope of practice issues were prioritized and action plans developed. The top priorities included RN(NP)s receiving provincial authority for: prescribing narcotics and controlled substances, signing death certificates, completing pre-operative assessments, and developing outcome measurement systems for the care provided by RN(NP)s. Committee members discussed background information on the issues, noting the need for increased access to health care services while maintaining patient safety, an overview of the barriers, risks

and required legislation changes, and the need for ongoing key stakeholders involvement.

Collaborative efforts are required to address RN(NP) Scope of Practice Issues. The RN(NP) Advisory Working Group is committed to working on some targeted issues and advising the SRNA on other issues that may arise. The SRNA is committed to collaborating with key stakeholders including Saskatchewan Ministry of Health, College of Physicians and Surgeons of Saskatchewan, Prescription Review Program, Saskatchewan College of Pharmacists, other regulatory bodies, and Regional Health Authorities to address RN(NP) scope of practice issues that affect public access and safety.

RN(NP) Update

Collaboration Essential for RN(NP) Scope of Practice

by Donna Cooke, rN, Nursing Advisor, Policy

(Left to Right): leah Currie, Public representative; Shelley Cal, rN(NP); laveena Trach, rN; Donna Cooke, rN; Karen Hercina, rN(NP); Joyce bruce rN(NP); moni Snell, rN(NP); mary ellen Andrews, rN(NP)

The new RN(NP) Advisory Working Group met for an initial face to face meeting

May 3, 2013. This meeting was timely, following the RN(NP) Education Conference April 16 and 17, 2013 and the SRNA Annual Meeting May 1, 2013. The purpose of this committee is to advise the SRNA on issues and concerns related to legislation, policy development, registration, practice, and administration policy framework for the registration and licensure of RN(NP)s. The committee is composed of following appointments;

• Primarycarespeciality: Shelley Cal, RN(NP)

• Neonatalspecialties: Moni Snell, RN(NP)

• NorthernRemotearea: Karen Hercina, RN(NP)

• RN(NP)ProgramHeads: Joyce Bruce, RN(NP) and Mary Ellen Andrews, RN(NP)

• ChiefNursingOfficer,Ministryof Health: Lynn Digney Davis, RN(NP)

• NPOSrepresentative: Heather Keith, RN(NP)

• Employer/Manager: Laveena Tratch, RN

• PublicRepresentative: Leah Currie, and

• SRNAStaffsupport: Donna Cooke, RN


On April 17, 2013, the 9th Annual Nurse Practitioner Education Conference in

Saskatoon was pleased to welcome Dr. Declan Quinn, a Paediatric Psychologist, to speak about Attention Deficit Hyperactivity Disorder (ADHD) in children. Dr. Quinn is presently developing education modules for NP’s to assist in the diagnosis and treatment of children with ADHD. In his presentation, Dr. Quinn suggested that ADHD should be viewed by practitioners as a common condition that can be treated in the community setting. ADHD is a neurobiological disorder with genetic or biologic origins. If a family has one child with ADHD, there is a five times greater potential for other family member to have the disorder. While ADHD is primarily a genetic disorder, it can also be caused by exposure of the developing brain to alcohol, nicotine or lead.

ADHD can be diagnosed in children as young as nine years of age. With early interventions, such as cognitive behavioural therapies and appropriate medications, children have shown marked improvements in school and interpersonal relationships. Currently, there are approximately 500 children on a waiting list to be seen by paediatric psychiatry for ADHD assessment and treatment. Dr. Quinn proposed that if NPs in the province can be provided the education, and work within an

by Jone barry rN(NP)Nurse Practitioners of Saskatchewan (NPoS) executive

Attention Deficit Hyperactivity Disorder (ADHD) Presentation by Dr. Declan Quinn

If a family has one child with ADHD, there is a five times greater potential for other family member to have the disorder.

interdisciplinary team model that this will assist with the assessment and treatment of children with ADHD, and would dramatically reduce the waiting list.

This is an opportunity for NPs to be part of an interdisciplinary team caring for children with ADHD. It comes at a time when legislative changes in Saskatchewan are occurring that will allow NPs to prescribe of psycho-stimulant medications under the New Class of Practitioner Regulations in accordance with the Controlled Drugs and Substances Act.

For more information about ADHD:www.caddac.cawww.totallyadhd.comwww.caddra.ca

http://www.caddac.ca

http://www.totallyadhd.com

http://www.caddra.ca


Once again the collaboration between the SRNA Professional Practice Group,

Nurse Practitioners of Saskatchewan (NPOS) and the Saskatchewan Association of Nurse Practitioners (SANP) was a success in bringing together NPs for a two-day education conference.

This conference occurs annually with the support of many sponsors and is open to RNs and NPs. One of the hallmarks of NP practice is ‘collaborative practice,’ which was demonstrated through presentations by Dr. Declan Quinn & Dr. Jerry Danielson, Lynn Digney-Davis RN(NP), Deanna Barlow RN(NP) & Amanda Scollan RN(NP), Julie Jensen a physiotherapist, and Loren Regier, a pharmacist with the Rx Files.

The annual education days for NPs in Saskatchewan provide an important forum for collaboration and professional networking, especially for those NPs who work alone in a practice setting. As the scope of practice for NPs expands in the province of Saskatchewan, this event is poised to communicate an ever-increasing breadth and depth of clinical information for NPs. Many

thanks to Saskatchewan employers for supporting NPs to attend the education days and acquire new practice information with their colleagues. A thank you is also extended to the SRNA, NPOS and SANP for supporting NP students to attend this event.

Also celebrated at this event was the awarding of the Queen’s Jubilee Medals earlier this spring in Ottawa. The two recipients were Pam Archibald RN(NP) and Heather Keith RN(NP). Although NP practice is still relatively new in the province of Saskatchewan, NPs appear to be making their mark as a valuable asset in the delivery of health care services. Both are very deserving of this award and highly regarded, and were nominated, by their colleagues.

RN(NP) Education Daysby mary ellen Andrews rN(NP), NPoS executive

9th Annual Nurse Practitioner Education Day 2013

This event is poised to communicate an ever-

increasing breadth and depth of clinical information for NPs.

Interview with Roy RomanowSusan Smith Brazill, Director of Communications & Corporate Services had the opportunity to speak to Roy Romanow regarding his views on

the changes in our health care system.

The full interview is available online: http://vimeo.com/channels/romanow2013april11

http://vimeo.com/channels/romanow2013april11


“Identifying the Difference NPs Can Make in Long Term Care”

(Left to Right): Wendy Quinn, rN(NP); Deanna barlow, rN(NP); leah Clement rN; Shannon Chernoff, rN(NP)

Jeannine Daku was recipient of the Saskatchewan Association of Nurse Practitioner 3rd Annual Heather Keith Award.

(Left to Right): Jeannine Daku, rN(NP) and Heather Keith, rN(NP)


identifying information was removed), to maintain confidentiality of the RN or RN(NP) member. Each submission was assigned a number which was in turn then used as a reference by the auditors. The auditors did not see the original documents sent in by the members.

The audit occurred on May 8th and 9th. RN submissions were reviewed by RN auditors and RN(NP) submissions were reviewed by RN(NP) auditors. Each RN and RN(NP) received written feedback on a separate form from the auditors. The feedback form, their original CCP documents, and an evaluation survey were returned to the member. The

DepartmentsContinuing Competence

CCP Audits for 2012 Registration Year

The RN and the RN(NP) continuing competence program (CCP) audits ran

concurrently in May 2013. Both audits encompassed the 2012 registration year.

In the middle of March 52 RNs and 14 RN(NP)s were randomly selected to participate in the CCP audit. Letters were sent out requesting half of those selected to submit an audit survey for the 2012 registration year; the other half were requested to submit both the audit survey and their continuing competence documents (personal assessment, peer feedback, learning plan, and evaluation) for 2012.

Also in March, there was a call for auditors to all RNs and RN(NP)s. Those interested were requested to submit a resume as well as a brief explanation as to why they were interested in being an auditor. The Registration and Membership Committee considered all those who had expressed an interest and selected two RNs and two RN(NP)s to be peer auditors.

As the surveys and continuing competence documents came into the SRNA office, they were blinded (all

recommendations and feedback given by the auditors was reviewed by the Registrar and will also be forwarded to the Registration and Membership Committee.

The auditors noted that one common theme emerged – members are having difficulty meeting the requirements for peer feedback. Examples of this include:

• Notobtainingpeerfeedback;• Notlinkingthepeerfeedback

to the self-assessment; • Notobtainingpeerfeedbackin

the appropriate licensure year (2013 vs 2012);

Members who did not meet the CCP requirements – one or more of the four required components (self-assessment, peer feedback, learning plan, evaluation) have had conditions placed on their licence. Failure to meet the conditions imposed will result in the member being ineligible for licensure in 2014.

The audit of 2013 CCP documents will occur in Spring 2014. If you are interested in becoming an auditor for either the RN or RN(NP) audit, please contact the SRNA at [email protected] or at 359-4200 (toll free 1-800-667-9945).

The auditors noted that one common theme emerged –

members are having difficulty meeting the requirements for peer

feedback.



My Experience as a Continuing Competence Program Auditor

by Ann-marie urban, rN

Stella was a wonderful role model in my

learning and I look forward to mentoring another RN next year.

e-RegisterThe e-Register is an on-line tool available to employers, members, and the public for verification of a member’s current licensure. Effective summer of 2013, in keeping with SRNA’s legislative responsibility to

be transparent, members; employers; and the public will be able to access the e-register (online verification) by using the RN or RN(NP)’s name. Information provided on the e-register will include: first and last name; RN number; status of licensure, including effective and expiry dates; and an asterisk to indicate if there are conditions/restrictions imposed on the licence. If you have concerns about this change, please contact the SRNA at [email protected] or call 359-4200 (1-800-667-9945 out of town).

LicencesEffective Registration Renewal 2014, the SRNA will be discontinuing paper licence cards. This is a quality assurance mechanism that is being implemented by RN regulatory bodies nationally. By using the e-register to confirm licensure, members of the public and employers will have timely and accurate information related to a RN’s licensure status. This initiative will also reduce the risk of fraud should a RN’s licence be lost or stolen.

I was accepted this year to be a CCP auditor. Our first day began with an orientation; Cheryl

Hamilton, RN, Deputy Registrar reviewed the section of the Act and the bylaws pertaining to the continuing competence process. After a thorough explanation of the process, each of us signed a confidentiality agreement. All identifying information (names, workplace) is removed from the documentation. As a new auditor, I was paired with a mentor, Stella Swertz, RN, who was an auditor last year. With Cheryl’s support we read through the 52 documents together. For two days, Cheryl supported us, answered our many questions, yet gave

us the autonomy to make decisions. We were also provided with a healthy breakfast and lunch. Many thanks to Cheryl and her team (Brenda, who checked in on us and Tony, who addressed our computer issues). Accolades to them for nurturing the mentee/mentor relationship.

Stella was a wonderful role model in my learning and I look forward to mentoring another RN next year. I would encourage all RNs to be involved in the process. Not only was it interesting, but it also gave me a real appreciation for RNs’ commitment to learning.



DepartmentsEthics in Action

Nursing is an applied discipline, and as such, nursing ethics must go

beyond the theoretical; ethics must guide nurses’ actions in real situations (Oberle & Bouchal, 2009). Involving the patient or client in planning care is one of the ways that registered nurses support patient autonomy and enable informed decision-making. As per the Standards and Foundation Competencies for the Practice of Registered Nurses (SRNA, 2006, p. 8-9), the RN:

43. Facilitates the appropriate involvement of clients in identifying their preferred health outcomes.

47. Develops learning plans and plans of care with clients and health care team members to promote continuity of care.

In Saskatchewan, RNs and RN(NP)s are held to the Canadian Nurses Association Code of Ethics for Registered Nurses (2008). It describes what the public can expect of practitioners. One of the key values of the CNA Code of Ethics (2008) is the promotion of choice for patients and families. However, the autonomy or self-determination of the patients we care for is a relatively recent concept. Until a few decades

ago, it was assumed that the health care provider knew best and it was acceptable to make all the decisions in the best interest of the patient (Oberle & Bouchal, 2009). The emergence of bioethics emphasized the notion that human beings have worth and deserve respect in determining their own destiny, and as such they need a good understanding of the situation to make informed decisions (Keatings & Smith, 2010).

In the CNA Code of Ethics, section C refers to the value of promoting and respecting informed decision making. Some of the ethical responsibilities listed in the Code are:

1. Nurses, to the extent possible, provide persons in their care with the information they need to make informed decisions related to their health and well-being. They also work to ensure that health

information is given to individuals, families, groups, populations and communities in their care in an open, accurate and transparent manner.

RNs must provide full and complete information and also ensure that the patient has the opportunity to change his/her mind. If the patient has been deemed incapable of consent, the RN must respect the laws on capacity assessment and substitute decision-making (see the Canadian Nurse Protective Society infoLAW, called Consent for the Incapable Adult).

The RN is also expected to ensure the patient has sufficient time to reflect on the alternatives, and consequences of those alternatives. Whether or not the RN participates directly in the informed consent process, the RN is obligated to advocate for the patient if the patient has not been duly informed about the plan of care, or if the wishes of the patient have not been respected (Keatings & Smith, 2010).

2. Nurses respect the wishes of capable persons to decline to receive information about their health condition.

Autonomy and Informed Decision-Making

by marg olfert, rN, Nursing Advisor, Policy

RNs must provide full and complete

information and also ensure that the patient has the opportunity to change his/her mind.


Some patients and families, due to personal or cultural viewpoints, may not wish to receive information related to their health, and this must also be respected. RNs should be aware that the most respectful approach is to offer to provide information, but not give it without permission. The refusal of information should be documented for legal purposes (Oberle & Bouchal, 2009).

3. Nurses recognize that capable persons may place a different weight on individualism and may choose to defer to family or community values in decision-making.

Relational ethics helps us understand that few people are totally independent in making decisions about their health-care. Most individuals make their decisions based on how they see themselves in relationships with others (Oberle & Bouchal, 2009).

4. Nurses respect the informed decision-making of capable persons, including choice of lifestyles or treatment not conducive to good health.

When a patient chooses not to participate in health-care activities and the RN believes those choices may be detrimental to the patient’s

health, the RN must explain the benefits and ensure the patient understands the risks and benefits, and document appropriately.

While many of the daily ethical situations faced by RNs in providing and respecting informed decision-making are not simple and may not have obvious solutions, RNs are expected to adhere to the CNA Code of Ethics in providing ethical, safe, and competent care.

As you begin to think about your learning needs and goals for the upcoming registration year, I encourage you to consider how you can increase your ‘ethical fitness’ (Storch, 1999, as cited in Oberle & Bouchal, 2009). You may wish to consider learning more about areas of ethical concerns you may be experiencing, creating an environment where diverse views are expressed,

and raising questions with colleagues and mentors about the application of ethical care in your nursing practice.

If you have questions or would like to speak with a Practice Advisor as you reflect on your ethical practice, contact the SRNA Practice Advisement Team at 306-359-4200 or 1-800-667-9945, or by email at [email protected].

Some patients and families, due to personal or cultural viewpoints, may not wish to receive information related to their health, and this must also be respected.

ReferencesCanadian Nurses Association. (2008). Code

of ethics for registered nurses. ottawa, oN: Author.

Canadian Nurses Protective Society. (December 2009). InfolAW: Consent for the incapable adult. Volume 13(3). ottawa, oN: Author. retrieved on may 11, 2013 from https://www.cnps.ca/index.php?page=102

Keatings, m. & Smith, o. (2010). ethical & legal issues in Canadian nursing (3rd ed.). Toronto: mosby elsevier.

oberle, K., & bouchal, S. r. (2009). ethics in Canadian nursing practice: Navigating the journey. Toronto: Pearson Prentice Hall.

Saskatchewan registered Nurses’ Association. (2007). Standards and foundation competencies for the practice of registered nurses. regina, SK: Author.


https://www.cnps.ca/index.php?page=102


Use of social media is growing everywhere, including in health

care. At this year’s provincial Quality Summit, April 10-11 in Regina, many of the 600 people in attendance were using Twitter to share information and inspiration.

Here’s a sampling of tweets posted by participants, presenters, patients, and providers:

This year’s Summit included 60 patients and family advisors from around Saskatchewan. Photos from the Quality Summit and PowerPoint presentations from the internationally acclaimed keynote speakers and from the 23 Saskatchewan improvement story sessions can be found at: www.qualitysummit.ca.

See you at next year’s Summit on May 7 and 8, 2014 at TCU Place in Saskatoon!

Link to the Heath Quality Council’s Twitter and Facebook accounts, and to their blog —called Qreview--from their website: www.hqc.sk.ca.

Health Quality Council

Quality Summit Informs and Inspires

http://www.qualitysummit.ca

http://www.qualitysummit.ca

http://www.hqc.sk.ca


To complement the implementation of the new Prostate Assessment Pathway,

May 1 saw a new nursing position established. The prostate nurse navigator is a specially trained RN who has comprehensive, up-to-date information on current treatments for early-stage prostate cancer, rates of complication, and the pros and cons of treatments.

This new role in nursing is helping to ensure that patients with early-stage prostate cancer are educated and informed about all available treatment options, resulting in more empowered patients and better and safer care. These nurses are improving the experiences of Saskatchewan people by putting patients first!

In the Prostate Assessment Pathway, the primary care provider initially uses the urologist-approved guidelines to help them and the patient decide on the best care plan according to existing risk factors. If the patient is appropriate for prostate biopsy, diagnostic tests can be ordered directly without specialist consult, making for a more timely assessment.

Saskatchewan Surgical Initiative

Nurse Navigators a Welcome Addition

When test results are positive for early-stage prostate cancer, the primary care provider can schedule an appointment for the patient to meet with a nurse navigator at one of the assessment centres in Saskatoon and Regina, or by phone or Telehealth videoconference. The nurse navigator can answer questions and provide patients with objective decision support.

Raising the comfort levels of patients and their family members is particularly important when a wait-and-see approach is warranted, as is often the case with prostate cancer. By providing the important but often time-consuming work of helping patients and family understand the complexities of prostate risk management and treatment options, this new brand of nurse is helping patients to make informed treatment choices.

Nurse navigators Nicole baba, rN and Karen moore, rN at Saskatoon’s Prostate Assessment Centre.

“The nurse navigator was very professional, kind and caring. She took her time to explain the treatments to us and listened to all our questions. We also appreciated the nurse

phoning us to see how we were doing and if we had

any more questions.”- Saskatoon patient


by Nicole Poirier, ministry of Health

Saskatchewan’s vision for primary health is a system that is sustainable, offers a

superior patient experience, and results in an exceptionally healthy population. Health care providers, including nurses, are key to the province’s efforts to improve primary health care.

Eight primary health care innovation sites across the province are working to better address the health needs of their residents. Nurse engagement is essential as these sites develop team-based services that are tailored to meet the unique needs of each community. Patient, family and community input and participation are an integral part of this work.

The achievements in these and the other innovation sites will be shared across the province to help other communities benefit from best practices and lessons learned.

Find out more about the exciting work taking place in the innovation sites and how those teams are making a difference at http://www.srna.org/. For more information on primary health care redesign, visit www.health.gov.sk.ca/primary-health-care.

SaSkatchewan MiniStry of health

These guidelines support a culture of moderation and help reduce risks

associated with alcohol misuse.

(Left to Right): becky lockhart, rN; melanie bauman, rN, rNs and Case managers at meadow lake Primary Health Centre

Registration Renewal 2014

effective registration renewal 2014, registration renewal forms will not be mailed out. members will complete their registration renewal form on-line. If you are unsure as to whether the SrNA has your current e-mail address, please feel free to contact us at [email protected] or call 359-4200 (1-800-667-9945 out of town).

Membership Database

The SrNA is in the process of implementing a new membership database. Anticipated Go-live is July 15, 2013. The database will enable SrNA to provide better services to our members, applicants, and stakeholders. Implementation will include a member portal on the SrNA website. members will be able to self-manage their registration and licensure, revise employer information and hours of work; and update contact information on a secure, password protected site.

Achieving Better Primary Health Care for Patients

http://www.srna.org/

http://www.health.gov.sk.ca/primary-health-care



combines “robot” and the most famous nurse of all time, Florence Nightingale.”

The nursing students in these northern communities have truly embraced this teaching method and the communities themselves are excited to be the first in Canada to use this innovative technology to deliver nursing education.

for “professional expertise remote technology”.

On February 27th, the college hosted another event, this time in Air Ronge, and announced the official name selected for the Air Ronge nursing robot as RoboGale (“Gale”), as submitted by Waldo Berg. According to Berg, “The explanation behind the name is simple. It

At the St. Joseph’s Hospital & Health Centre in Ile-a-la-Crosse on February 25th and

the Northlands College Nursing Skills Lab in Air Ronge on February 27th, the University of Saskatchewan (U of S) College of Nursing held events to announce the official names of the community nursing robots.

The College of Nursing started using Remote Presence technology to deliver nursing courses in the communities of Air Ronge and Ile-a-la-Crosse in September 2012. By using this new technology, students living in Northern Saskatchewan now have access to nursing education, without having to leave home. The goal of launching this technology is to address the critical shortage of healthcare workers in rural and remote communities. The robot removes geographical barriers to education and supports students to “learn where they live”.

In fall 2012, the college held a contest in both Ile-a-la-Crosse and Air Ronge to ask local residents and surrounding communities to name their community nursing robots. During the robot naming event on February 25th in Ile-a-la-Crosse, the college announced the official name selected for the Ile-a-la-Crosse nursing robot as IleXPERT (“Pert”), as submitted by Sharon Hoffman. When asked for the reasoning behind her submission, Hoffman says, “Ile X is our community in short hand and I thought PERT could stand

Northern Communities Name Their Nursing Robots

IleX Students “Pert” with 2nd year bSN students in Ile-a-la-Crosse

LaRonge Students la ronge 2nd year bSN students with “Gale”

by Kylie Dietrick, Communications officeruniversity of Saskatchewan College of Nursing


Departments SRNA Annual Meeting and Conferenceby Shelley Svedahl, manager of Communications & Government relations

Thank you to the moderators and panelists for their commentary.

To view all Conference and Annual Meeting presentations please go to the Events tab of the SRNA website under the SRNA Annual Meeting and Conference.

Congratulations to roxanne Franklin, rN; Winner of the SrNA Communications & Technology Innovation Challenge Award recipient

Nursing Education

Panel ‘Technology in Nursing Education – Preserving being Human’

Karen Gibbons, Council Public Representative moderated a panel with Lorna Butler, RN, PhD, Dean, College of Nursing, University of Saskatchewan; Netha Dyck, RN, EdD, Dean, SIAST Nursing Division; Tony de Padua, RN, PhD(c), Director of Health Sciences and Acting Department Head, First Nations University of Canada; and Robin Evans, RN, PhD, Associate Dean of Nursing, University of Regina.

Panelists shared insights from their respective roles in nursing education. “It’s not just about the technology - it’s about what we do with it…” Lorna Butler, RN, PhD noted. All panelists agreed that we need to be open to what others can teach us about technology.

Everyone agreed that this is an exciting time for nursing. We were left with an important question: What is the unexpected outcome for the profession of nurses thinking differently, using technology?

In a time of ipads, iphones and other iproducts, ‘I touch patients and technology’ seems to be the wave of the future.

Panel

Presentation

Steven Lewis, Health Policy and Research Consultant, moderated the panel ‘Regulating with a Human Face’ – A conversation with the Executive Directors of RN Regulatory bodies from the four western provinces.

What does relational regulation mean? A relational regulator builds positive relationships by being transparent, empathetic, inclusive, and accessible while committed to its mandate to protect the public, which it does together with RNs.

The Association sets the standards for safe, ethical, and competent care, and RNs and RN(NP)s deliver the standards and care to patients, so it is together that we protect the public.

Panelists reflected on questions like: How do we increase our interaction with our members? What’s the role of social media? How can we use plain language and change our communication style without compromising our mandate to protect the public?

This session was recorded and the live video stream was shared with members. To view the program, please go to: http://www.ustream.tv/channel/srna-annual-meeting-and-conference

http://www.ustream.tv/channel/srna-annual-meeting-and-conference


SRNA Annual Meeting and Conference

Opening Keynote Speaker: Shanti Gidwani, RN, MSN, MHA, CHE: “What is a Registered Nurse doing at a Giant Technology Company?”

One of the delightfully informative speakers of the recent 2013 SRNA Conference was Shanti Gidwani, RN, who challenged RNs to think about and engage in technology for improved patient care. The speaker opened by describing her dream of “collaborative technology,” where RNs and information technologists (IT) work together in the same room, talking about how to improve patient outcomes.

Ms Gidwani is a RN from British Columbia, and is currently the National Senior Director of Healthcare at Cisco Canada. Her responsibility lies in transforming health care across Canada, and improving patient outcomes and experiences through the use of technology. Shanti has enjoyed a career that has spanned such diverse clinical areas as maternal/child and reproductive health to medical/surgical areas, and from consulting with the World Health Organization, to teaching at the University of British Columbia.

RNs are no strangers to change and technology in the workplace—we have been learning about and using ever-evolving iterations of infusion pumps, various monitors, and the electronic entering of patient information and data for many years. Plus, RNs know what works and what

doesn’t. What must be enhanced is the RN’s direct involvement in designing and adapting technological solutions to provide the evidence-informed and safe care that we know our patients require. As Ms Gidwani suggests, merely collecting the data or using the technology is not enough. We need to be proactive in using the information to improve patient outcomes. While technology in health care is changing at the speed of light, RNs must perceive this change as a “positive disruption,” and engage in conversations with information technology departments in meaningful ways.

This speaker called on all of us to be leaders in the “interaction of high tech and high touch” for the sake of our patients, as we understand the patient’s health care needs like no other. RNs are in an ideal position to harness technology in improving patient outcomes, and working collaboratively with IT is key!

This session was recorded and the live video stream was shared with members. To view the program, please go to: http://www.ustream.tv/channel/srna-annual-meeting-and-conference

Shanti Gidwani, rN – at the 2013 SrNA Annual meeting in Saskatoon

Thursday, May 2

2013

by marg olfert, rN, Nursing Advisor, Policy

http://www.ustream.tv/channel/srna-annual-meeting-and-conference


SRNA Awards

Heather Forbes, rN – Granger Campbell Award for Clinical excellence

GRANGER CAMPBELL AWARD FOR CLINICAL EXCELLENCE

This award honours Granger Campbell who graduated

from the Montreal General Hospital and was a member of the first SRNA council in 1917 and the superintendent of nurses at the Saskatoon City Hospital.

Congratulations to Heather Forbes, RN.

brenda Person, rN – mentorship Award Pat barkman, rN – mentorship Award

MENTORSHIP AWARD

The award is presented to a SRNA practicing member who exhibits exceptional mentoring abilities in any of the nursing domains:

clinical, education, research, administration and policy. Mentorship is described as a fundamental form of human development where a mentor invests their time, energy and personal knowledge to assist another person called a ‘mentee’, in their professional growth and development. Mentors have a high degree of motivation and commitment to the profession and the growth of others within the profession. The mentor helps the mentee to “be all that we can be.” The mentor uses a supportive, interactive relationship to increase the knowledge, skills and goals of the mentee.

Congratulations to Brenda Person, RN and Pat Barkman, RN.

linda mcleod, rN – elizabeth Van Valkenburg Award for leadership in Nursing education

ELIZABETH VAN VALKENBURG AWARD FOR LEADERSHIP IN NURSING EDUCATION

This award recognizes the work of Elizabeth Van

Valkenburg who in 1907 organized the school of nursing in the Regina General Hospital.

Congratulations to Linda McLeod, RN.


MEMORIAL BOOK

To be nominated for the SRNA Memorial Book,

the nominee must have held a SRNA practicing membership at one time during their career.

This year Mary Susan Adair and Donna Johnson were added to the SRNA Memorial Book.

marian morrissey, rN – life membership Award

LIFE MEMBERSHIP AWARD

The Life membership is granted to a practicing

member or a former practicing member of the Association who is retired from registered nursing.

Congratulations to Marian Morrissey, RN.

Heather Keith, rN(NP) – Queen elizabeth II Diamond Jubilee medal

Pam Archibald, rN (NP) - Queen elizabeth II Diamond Jubilee medal

QUEEN ELIZABETH II DIAMOND JUBILEE MEDAL

The Canadian Nurses Association (CNA) recognized 30 RNs across Canada with Queen Elizabeth II Diamond Jubilee Medals. As an

organization with royal patronage, CNA and the provincial/territorial nursing colleges and associations were invited to nominate candidates who have made significant contributions to nursing and health care.

Official award presentations took place in Ottawa on March 4th, 2013 and SRNA was delighted to honour Heather Keith, RN(NP) and Pam Archibald, RN(NP) at the May SRNA Awards Recognition Event.

SRNA Annual Meeting & Conference

Thank you Sponsors and Exhibitors!SRNA gratefully acknowledges the following sponsors and exhibitors for the 2013 Annual Meeting & Conference “Communications & Technology – Transforming RN Practice”

Government of Saskatchewan, Ministry of Health

Allied Printers Ltd.

College of Nursing, University of Saskatchewan

The Saskatchewan Collaborative Bachelor of Science in Nursing (SCBScN) Program

The Saskatchewan Union of Nurses (SUN)

Saskatchewan Health Quality Council

SaskTel

Tech Markets Inc.

Canadian Agency for Drugs & Technologies in Health (CADTH)

Canadian Nurses Protective Society

CGI

Coaching Confidential

eHealth

Health Canada - First Nation and Inuit Health

Heartland Health Region

Philip’s Lifeline

Praxair Medigas

Prince Albert Parkland Health Region

Saskatchewan Association of Nurse Practitioners (SANP)

Saskatchewan Nurses Foundation

Saskatchewan Union of Nurses (SUN)

SaskTel

SIAST - SCBScN

SIAST Nursing Division

Sun Country Health Region

College of Nursing, University of Saskatchewan

Bronze Sponsors

Refreshm

ent

Breaks

Exhibitors



TOGETHER

WIN THINKING

“CELEBRATE WHO YOU ARE AT YOUR BEST”

NURSING

The Registered Psychiatric Nurses’ Association of Saskatchewan (RPNAS), the Saskatchewan Association of Licensed Practical Nurses (SALPN) and the Saskatchewan Registered Nurses’ Association (SRNA) are delighted to offer a dynamic, practical one day program that will fascinate, inform and inspire you to keep winning at higher levels in your nursing practice. This is a must attend event full of insights and tools to elevate you and your teams.

OCTOBER 22, 2013 SASKATOON INN

MORE INFO? Adele (306) 525-1436 ext.222

REGISTER: WWW.SRNA.ORG

Win thinking draws on Jeff Mac Innis’ hard won experience as a member of Canada’s downhill ski team, Arctic explorer, and business performance coach. He has delivered more than 2000 programs in 20 countries. His clients include over half of the Fortune 500.

TWITTER: #nursingtogether2013

MOMENTUMMATTERS

COURSECORRECT

ENCOURAGEEVERYONE

GATHERGREATNESS

VIVIDVISUALIZATION

GREATGOALS

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http://www.srna.org


DepartmentsMembership Survey

current standards (89%), the agreement that they can practice nursing to the full extent of their competencies (84%) and agreement that their competencies enhances their practice (45%). These scores are down slightly from 2011.

• 94%ofRNsfeelthattheSRNAis either effective or very effective in registration and licensure. RNs feel that effectiveness of the SRNA has increased in respect to setting standards for nursing practice (83% in 2013 compared to 77% in 2011). SRNA’s approval of nursing education programs increased to 73% from 65% in 2011.

• Regardingpracticingtofullscope,RN(NP)s experienced declining trends across all categories in 2013. The greatest decrease was seen ‘when prescribing drugs’ (mean of 3.9 in 2013 from 4.6 in 2011). Overall, RN(NP)s practice to their full scope ‘when assessing and diagnosing illnesses, health promotion, and when ordering diagnostic tests’ and least so in ‘performing minor surgical procedures, community development, and prescribing drugs’.

Conducted by Strategian-innovation logik

2013 SRNA Biennial Membership Survey

This year marked the fifth time that the membership survey has been undertaken

since 2005. Thank you to all members who participated in the survey.

END 1: There is profession-led regulation ensuring accountability and professionalism in the public interest.

• 63%ofRNswearnametagsoftenor always, compared to 29% who never or seldom wear them. 64% of RNs often or always introduce themselves to clients, patients, or their families, compared to 24% who seldom or never introduce themselves. 72% of RNs explain their role to clients, compared to 11% who rarely or never do. When considering the long term trends, there is an increasing tendency amongst RNs to wear their name tag and in fact the difference between 2013 and 2011 is statistically significant. The change in RNs introducing themselves has not changed statistically from 2011, but explaining their role has declined, a change which is statistically significant from the levels experienced in 2011.

• Inrespecttotheircompetenceas an RN, members displayed high levels of agreement around their clarity in respect to their legal authority (90% agree or strongly agree), confidence that their competencies match

END 2: RNs and RN(NP)s provide individual and family-centred, ethical, compassionate care for the public.

• RNsdonothaveastrongsenseoverall that the public understands the role of the RN. Only 28% of respondents indicate that the public either understands or fully understands their role. This has improved since 2011 (28% from 25%).

• RNswereaskedaquestionrelatedto the level of involvement/engagement of patients with developing realistic care plans. In 2013, 54% of members indicated that they often or always involve the patient/client. A further 16% indicated that they sometimes do, while 15% rarely or never involve the patient/client.

• Itisevidentthatfactorsinthe workplace environment continue to concern members. These included recognition and respect for unique consequences, support by the physicians, feeling value in the workplace and workplace support for care to culturally diverse and vulnerable populations. The most pressing issue appears to continue to be the lack of sufficient RNs in the


workplace to maintain patient safety.

• Memberswereaskediftheyhave helped to develop specific strategies around key areas of nursing practice. Specifically, members responded that they were most likely involved in specific strategies to advocate for better health care, support the scope for RN practice, and promote collaboration among the health care team. They were least likely to have engaged in strategies to incorporate the principles of Primary Health Care, incorporate the principles of Primary Health Care, and advance social justice.

• 35%ofmembersindicatedtheyhad referred to the ‘CNA Code of Ethics for Registered Nurses’ in the past two years to assist in addressing an ethical problem while 63% had not.

• 53%ofmembersareawareofthe process the SRNA follows to investigate and resolve the reports/concerns about professional competence or conduct of RNs or RN(NP)s, while 37% are not, and 9% did not know.

• Themostwidelyaccesseddocuments included: Continuing Competence Documents, at 65%;

The RN Scope of Practice at 46%; and Standards and Foundation Competencies for the Practice of Registered Nurses at 42%.

END 3: The nursing profession contributes collaboratively to a proactive health system that meets the present and emerging needs of the public.

• Assessmentofthecontinuingcompetence program decreased to 62% from 71% in 2011, as well as competence assurance/complaints handling through investigation and discipline down to 67% from 71% in 2011.

• 90%ofmemberseitheragreedthat professional development was their responsibility, and that they were prepared to use their personal time and money to attend (53%). 50% agreed that they are able to utilize technology such as SKYPE and telehealth, and 47% prefer to use online professional development events.

• 24%indicatedthattheywerelikely to pursue a career in nursing administration. The two largest included time constraints (42%) and lack of support in the workplace (41%).

• 20%ofmemberssurveyedplanon retiring within the next 2 years, which is unchanged from 2011. 67% indicated that they did not plan to retire, and 13% did not know.

END 4: Public policy makers have compelling evidence of; the value of a health system that is universal, accessible, publicly administered, comprehensible, portable and accountable, and; the value of primary health care.

• Thepreferredmethodsofcommunication between SRNA and members include email, the SRNA website, and electronic documents. The least preferred methods include social media and telephone consultation.

The complete results of the Biennial Membership Survey are available on the SRNA Website under the Communications Tab.


DepartmentsResources

Three Saskatchewan women known as The Smiling Mask Team co-authored

The Smiling Mask-Truths about Postpartum Depression and Parenthood, with a mission to provide awareness, acceptance and understanding of postpartum difficulties.

To purchase our resources and promote education, empowerment, encouragement and empathy visit www.thesmilingmask.com.

Courses at SIAST

Nursing Management & Leadership (NURS 1616); Leadership and Management in Perioperative/Medical Device Reprocessing (NURS 1673)

Principles of Nursing Practice for Outpatient Procedures (NURS 1658)

Register through SIAST Wascana Campus: www.gosiast.com

REQUEST FOR PHOTOS:

SASKATCHEWAN HOSPITAL DIPLOMA SCHOOLS OF NURSING

If you were a graduate from one of the following

SASKATCHEWAN HOSPITAL DIPLOMA SCHOOLS OF NURSING

(or know someone else who graduated from):

• Holy Family Hospital, Prince Albert • Victoria Hospital, Prince Albert • Regina General Hospital• Regina Grey Nuns • Saskatoon City Hospital • St. Paul’s Hospital, Saskatoon • St. Elizabeth’s Hospital, Humboldt• Providence Hospital, Moose Jaw • Moose Jaw Union Hospital • Weyburn General Hospital • Maple Creek Hospital Training School• Victoria Hospital, Yorkton • University of Saskatchewan/University Hospital diploma

We are looking for any photos and/or documents for a new book on Saskatchewan Hospital Diploma Schools of Nursing pertaining to any of the

following themes:

• Hospitals and Schools of Nursing buildings • Hospital units• Student residences ¤ Graduation photos• Events- capping and pinning choirs, sports,

graduation dances, etc.• Informal photos of students or graduates

(individuals or groups)• Other - short narratives about history of the

diploma school

Please send any photos/documents you have to us by September 1, 2013.

We will accept scanned/emailed copies, or originals that will be returned in the

same condition as they were received. Please ensure that permission is obtained

for all individuals in each photo.

For more information email: [email protected] or phone 306-798-0735

http://www.thesmilingmask.com

http://www.gosiast.com



DepartmentsSRNA Updates

Adam Lark, Technology Applications Specialist, SRNAAdam swims in the fast flowing currents where technology and people intersect. He holds a Bachelor of Fine Arts in Intermedia from the University of Regina as well as Advanced Applied Certificates in New Media Communications and Digital Graphic Design from SIAST. Adam has worked with Phoenix Group advertising as a Designer, in an instructor role with SIAST’s Digital Graphic Design Program and has worked as a freelance consultant on various graphic and communications projects. Adam also enjoys doing pro-bono design work for education and charitable organizations. In addition Adam is a certified Yoga teacher and is also qualified to teach Yang style Tai Chi. Adam is thrilled to be a part of the SRNA and looks forward to working with a passionate and inspiring team.

Amanda Schultz, Customer Relations, SRNAAmanda joined the SRNA in February and brings a breath of fresh air to the Customer Service Team. Her engaging personality shines brightest when she’s working with people. In her spare time, Amanda enjoys coaching and playing basketball, spending time with her family and friends, polishing her photography skills, and helping others.

Emery Wolfe, Multimedia Designer, SRNAEmery joined the SRNA in an administrative role in 2010. In February of this year, he accepted a permanent position as Multimedia Designer. He has a Bachelor of Fine Arts in Film and Video Productions from the University of Regina and has worked in the Saskatchewan Film industry for six years creating various documentaries and working on ventures such as Corner Gas.

New Faces at the SRNA

Michelle James, Customer Relations, SRNAMichelle is a graduate of the University of Regina where she obtained a Bachelor of Arts in English and a Certificate in Public Relations. She is excited to join the SRNA team and is looking forward to applying her talents to the Customer Service Team. She is currently finishing her Bachelor of Fine Arts and enjoys working at the Globe Theatre in her spare time. While not a native of Regina, Michelle considers it her home base. She is an avid traveller who enjoys new experiences, cultures and a good book.

The SrNA Newsbulletin reaches all Saskatchewan registered Nurses, as well as a variety of other health professionals and stakeholders.

The newsbulletin is published quarterly and distributed via mail, and through the SrNA web site, where the issues remain in full, page-turnable magazine format, including the possibility of live web links.

This represents an excellent and ongoing value for advertisers. A revised rate card is available on the SrNA web site, or by contacting Avonlea Communications.MakeYour Pitch!

Advertise in the SRNA

Newsbulletin


MAY

23 - 24Best Practices in Intrapartum Care Workshop, Saskatoon www.usask.ca/nursing/cedn

25Fetal Health Surveillance Workshop, Saskatoon www.usask.ca/nursing/cedn

29 - June 1The Canadian Gerontological Nursing Association 2013 Conference, Vancouver, BCwww.cqnaconference.ca

JUNE

13 -14Tuberculosis Symposium, Saskatoon www.usask.ca/nursing/cedn

20CSA Fundamentals of Endoscope Reprocessing www.shop.csa.ca

20 - 21Foot Care Modaliities for the Elderly Person Workshop, Saskatoon www.usask.ca/nursing/cedn

Upcoming Events 2013

To book your advertising space, please contact:

SRNA Newsbulletin Advertisingc/o Avonlea CommunicationsTelephone: 306-584-2159Email: [email protected]

SRNA DirectoryPhone (306) 359-4200/ Toll-free 1-800-667-9945

Fax: (306) 359-0257

E-mail [email protected]

Website: www.srna.org

Internationally Educated Nurses:

[email protected]

RN Registration:

[email protected]

Renew RN Registration:

[email protected]

Nursing Examinations:

[email protected]

Competence Assurance/

Discipline/Investigations:

[email protected]

Member Links:

[email protected]

SRNA Newsbulletin:

[email protected]

Executive Director:

[email protected]

General Enquiries:

[email protected]

Nursing Practice: [email protected]

SEPTEMBER

23-27Nursing Foot Care Management , Edmonton, Alberta, Deadline to register is August 30, 2013 [email protected]

26CSA Practical Guidance for Endoscope Reprocessingwww.shop.csa.ca

26U of S College of Nursing 75th Anniversary Kickoff GatheringNEW Saskatoon Health Sciences Building, 107 Wiggins Roadhttp://www.usask.ca/nursing/75th/saskatoon2013.php

TBAPromoting Healthy Weight in Children in Saskatchewan, E-Learningwww.usask.ca/nursing/cedn

http://www.usask.ca/nursing/cedn


http://www.cqnaconference.ca


http://www.shop.csa.ca




http://www.srna.org












http://www.shop.csa.ca

http://www.usask.ca/nursing/75th/saskatoon2013.php



Prince Albert Parkland Health Region The Prince Albert Parkland Health Region offers excellent opportunities for fulfilling careers while providing an exceptional

quality of life. Nursing career opportunities in:

Acute Care Home Care Public Health Community Health

Mental Health Rural Long-term Care

For detailed career opportunities and bursary incentives visit:

www.princealbertparkland.com

Applicants are invited to submit their resumes to: [email protected] or contact Human Resources

Phone: (306) 765-6481 Fax: (306) 765-6446

Human Resources Department

Prince Albert Parkland Health Region

Third Floor—1521 6th Ave. West Prince Albert, SK S6V 5K1

Healthy Living in Healthy Communities

Live Work

Play

for a Smooth Registration Renewal Help the SRNA achieve its goal of a paperless 2014

registration renewal.

1. Visit www.srna.bz This provides access to your personal information, including your 2014 registration renewal form. Access is gained with a user ID and Password. There is a “forgot password” link, if you need your user ID and password sent to you.

2. If you have never registered online please call the SrNA office and provide an email address so your login information can be emailed to you. Information related to registration renewal, the Continuing Competence Program and Approved Practice is available at www.srna.org.

3. Have your rN and rN(NP) hours calculated for the time period December 1, 2012 to November 30, 2013.

4. Compliance with the Continuing Competence Program is mandatory. See the SrNA website for program requirements.

5. read the Good Character questions carefully. If you answer “Yes” to either question, ensure you provide additional information as requested.

6. employer Paid Fees – Complete your renewal information online and select “employer paid” and submit to the SrNA office by october 10, 2013 to ensure your fees are eligible to be paid by your employer.

7. NoTe: If you are on leave (ie maternity) your employer may not cover your fees. Please check with your payroll/human resources to discuss your options.

8. member Paid Fees – Complete your renewal form (including fee payment) by November 1, 2013 to ensure that you will be licensed for December 1, 2013.

9. NoTe: All 2013 rN and rN(NP) licences expire November 30, 2013.

Registration Renewal will be available mid- September, 2013

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SRNA ClothingAre you interested in purchasing a golf or dress shirt

with the SrNA logo on it? We have made arrangements with midwest Sportswear to handle your requests for dress shirts, golf shirts or yoga jackets. To purchase

any of these items with the SrNA logo go to: http://www.kvisoft.com/flipbook-maker/

Happy Shopping!

http://www.srna.bz

http://www.srna.org

http://www.princealbertparkland.com


http://www.kvisoft.com/flipbook-maker/

reTurN uNDelIVerAble mAIl To: Saskatchewan registered Nurses’ Assoc. 2066 retallack St. regina, SK S4T 7X5

Publication Agreement #40005137