Nurse Practitioners in Northeast Winnipeg: Success is intentional, not an accident Debra Vanance

1. Nurse Practitioners in Northeast Winnipeg: • Success is intentional, not an accident • Debra Vanance • Community Area Director • Access River East & Transcona

2. Untold Stories from the Canadian Nurse Practitioner Initiative or Truths Told Over Wine • Nightmare in New Brunswick • Car Care in Ontario • National Variation

3. CONSIDERATIONS • General Public • Patients • Colleagues • Nurse Practitioners

4. General Public • Use existing print media • Capitalize on opportunities • Access Transcona opening • Access Transcona open house

5. Primary Care Patients • Pamphlets • Informed about 2 available providers • Nurse Practitioners and Physicians • Clinic staff aware of prescribing restrictions

6. Colleagues • Role clarity required for all staff • Discussion with physician colleagues : rostering, roles • Collaborative practice model based on trust & respect • Supportive Learning – procedures • Clinical Rounds/ Winnipeg Integrated Services Rounds/ Presentation to Northeast Leadership group that includes Concordia Hospital Managers

7. Nurse Practitioners • Northeast Nurse Practitioner Committee • Identifying and creatively managing issues related to the introduction of a new role • Objectives: • A forum to discuss / share knowledge and expertise in respective clinical areas • An opportunity to collaborate, disseminate and participate in nursing research • A forum to promote evidence-based nursing practice • A forum to facilitate problem solving of various issues (clinical, non-clinical) • A mechanism to discuss and make recommendations regarding issues related to the Nurse Practitioner (NP) roles • An environment to facilitate support of group members. • Membership: • Access Centre nurse practitioners, clinical manager & community director

8. Northeast Nurse Practitioner Committee • Sample Topics • Manitoba Health Billing • WRHA Drug Formulary Issues • Performance: outputs, peer review • Referral non acceptance locally : MATC, HEPP, Specialists • Referral non acceptance: National Organizations • Updates from Regional Advanced Practice Committee • New NP orientation

9. The Intentional Unfolding of the Future • Evolution of NPs role across sectors as primary care practitioners • Review of NP Billing Information & Report system • Ensure maximal utilization of skills and knowledge • Any sole practitioners are linked with other NPs and/or physician practices • Ongoing review of barriers/issues and regional, college and government support to break them down • Effective utilization of the non clinical time support regional/local initiatives • Support for new Nurse Practitioners pre registration and through early years • Continued PR

10. Success is intentional, not an accident Thanks to the Northeast primary care team who helped with this presentation and worked together to make our implementation successful Questions