New Possibilities Advancing Access to Care A Sustainable Health System Great Teams

1. NAPAN 2009 • New Possibilities • Advancing • Access to Care • A Sustainable Health System • Great Teams • Healthy Work & Practice Relationships

2. FOR IMMEDIATE RELEASE (May 09) • Coming soon: nurse practitioners in anesthesia care to help alleviate surgical wait times and improve access to patient care • In a Canadian first, Bloomberg Nursing advances unique role on anesthesia care team

3. Goal: To have NPs as one member of an IPP team, contributing to patient care within the context of anesthesia service delivery Model: Collaborative Practice Model Nurse Practitioners on Anesthesia Care Teams

5. 4 NPs – 4 ACT Phase 2 Pilots • Mary – Mt. Sinai – high risk pregnancy • Jiao – UHN – pain team + & faculty • Natasha – SickKids - MRI • Lynn – Sunnybrook – orthopedic

7. Certificate in Anesthesia Care for NPs – University of Toronto • This series of courses have been designed to provide advanced education for nurse practitioners interested in developing their knowledge and skill related to in the care of patients along the continuum of anesthesia care including pre-operative, peri-operative, post-operative, and ambulatory care. Completion of these courses will promote the development of skill and knowledge in the clinical care of patients in pain and/or receiving sedation and anesthesia.

8. Education • UT only -1st Cohort started January 2009 • Post NP • 4 courses • Pain Management, Principles of Anesthesia Care for NPs, 2 Clinical courses • 700 clinical hours • Collaborative with Michener Institute

9. Competence • 700h preceptor clinical hours • Individual, team & institution factors • Evolving role so continued growth in terms of knowledge, skill, clinical judgment is expected – specialty population focus • Nursing and physician oversight • RN(EC) standards • CNPI & CNA APN National Framework

10. RN(EC) Competencies “Expected to demonstrate competence in health assessment & diagnosis, health care management & therapeutic intervention (pharmacology, complementary & counselling), health promotion, prevention of illness, injury & complications, professional roles & responsibility.”

11. RN (EC) … also expected to • Assess & provide services to clients from pre-birth to death, and to families & communities • Treat episodic illness & injury • Diagnose & manage the care of clients with acute &/or chronic physical &/or mental disease, disorder or condition • Provide specialized health services in acute illness and/or conditions • Identify, manage & monitor chronic conditions