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Discipline & Regulation

Discipline & Regulation. Aug 29, 2007 CNO Press Release CNO will regulate 4 NP specialties…NP(A) Scope of Practice, RN(EC) 3 controlled acts within RN scope + 4 additional controlled acts Self-regulating Authorizing mechanisms (directives)

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Discipline & Regulation

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  1. Discipline & Regulation • Aug 29, 2007 CNO Press Release • CNO will regulate 4 NP specialties…NP(A) • Scope of Practice, RN(EC) • 3 controlled acts within RN scope + 4 additional controlled acts • Self-regulating • Authorizing mechanisms (directives) • PHA (reg 965) – NPs in ambulatory to full scope….does not apply to in-patients

  2. CNPI Core Competency Framework • Canadian Nurse Practitioners (Jan 2005) • Health Assessment & Diagnosis • Health-Care Management & therapeutic Intervention • Health Promotion & Prevention of Illness, Injury & Complications • Professional Role & Responsibilities

  3. APN National Framework (CNA ’08) • Minimum education = graduate degree in nursing • Roles focus on clinical practice • Competencies • Clinical, research, leadership • Consultation & collaboration

  4. Clinical Activities… • Start with patient & program needs • Patient flow, patient safety, QI • Identify gaps • Patient satisfaction, best practices • Build on strengths of teams • Maximize expertise & experience • Accept overlap and distinct focus • Identify evaluation measures

  5. Collaborative Practice • Dynamic process & outcome • Shared interest • Involves synthesis of different perspectives to understand complexity • Develops integrative solutions • More that the sum of the parts

  6. Know thyself Manage diversity Conflict resolution Win-win solutions Master interpersonal & process skills It’s a journey Shared decision making Structure & spontaneous Balance autonomy & unity Not for all decisions 10 Lessons in Collaboration (D. Gardner, 2009)

  7. Innovation = Our future • 1988 – 1NNP….2009 74NPs • “not sure where this will landexactly…but…we’re willing and possibilities will emerge” • “we have to work together…new systems…new models…new ways”

  8. Progress • Regulations exist • Commitment to teams and new models • Advisory Group, Courses launched, Students engaged • Preceptors poised • Organizations willing • 1st graduates December ’09 • Next cohort….

  9. Nurses in Anesthesia Care Around the World • 106 Countries • Role varies • Title varies • Regulations vary >>The Canadian Way

  10. Trailblazers! The Fab 4!

  11. NPs on the Anesthesia Care Team FIRST IN CANADA May 24, 2009

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