Comments for A Helping of Helga http://blogs.manitobanurses.com/helpingofhelga A blog from the Executive Director of the College of Registered Nurses of Manitoba Mon, 17 May 2010 19:22:42 -0500 http://wordpress.org/?v=2.8.6 hourly 1 Comment on Scope of Practice – We Need Your Input by Helga Bryant http://blogs.manitobanurses.com/helpingofhelga/?p=22&cpage=1#comment-344 Helga Bryant Mon, 17 May 2010 19:22:42 +0000 http://blogs.manitobanurses.com/helpingofhelga/?p=22#comment-344 Tracey, thank you for your comments; generating dialogue like this on the blog is very encouraging. Please allow me to respond to the comments and questions you have raised. Ensuring the public is aware of the role of registered nurses is certainly one aspect of the scope of practice work at this time. We are planning on mounting a public awareness campaign on the scope of practice and the consultation that we are currently undertaking will be very helpful in that regard. The practice of registered nurses goes much further and deeper than the conducting of tasks; our goal is to ensure the public sees, through the campaign, the knowledge and judgment that nurses apply to the care of their patients/clients every day. The current revisiting of scope has been prompted as we prepare for the new Regulated Health Professions Act which will be proclaimed within the next year. That Act will replace our current Registered Nurses Act and will govern registerend nurses as well as 21 other regulated health professions. As we prepare for this legislation, we had the opportunity to review our scope of practice definition and have done so through a broad consultative process that has included nurses, teams of nurses such as Nursing Practice Councils, educators of nurses as well as other health regulatory bodies and the public. As Kathy and I have toured the province over the past several months, we have been so impressed in terms of the diversity of scopes of practice; the College has the mandate to set the scope of practice and that needs to be broad enought to encompass the practice of all nurses in all settings and in all domains. Every nurse needs to be able to "see their practice" within that broad, enabling definition. Scope is an evolutionary concept and as knowledge increases so do expectations of the public; nursing will always seek to expand our influence on the health of Manitobans and on the effectiveness of the system to support health care. This document will provide the definition of registered nursing practice and guide our profession into the future. We believe that access to health care and improved overall health can be achieved through nurses understanding their scope, their role and the impact they can have on the system. Helga Bryant Tracey, thank you for your comments; generating dialogue like this on the blog is very encouraging. Please allow me to respond to the comments and questions you have raised.

Ensuring the public is aware of the role of registered nurses is certainly one aspect of the scope of practice work at this time. We are planning on mounting a public awareness campaign on the scope of practice and the consultation that we are currently undertaking will be very helpful in that regard. The practice of registered nurses goes much further and deeper than the conducting of tasks; our goal is to ensure the public sees, through the campaign, the knowledge and judgment that nurses apply to the care of their patients/clients every day.

The current revisiting of scope has been prompted as we prepare for the new Regulated Health Professions Act which will be proclaimed within the next year. That Act will replace our current Registered Nurses Act and will govern registerend nurses as well as 21 other regulated health professions. As we prepare for this legislation, we had the opportunity to review our scope of practice definition and have done so through a broad consultative process that has included nurses, teams of nurses such as Nursing Practice Councils, educators of nurses as well as other health regulatory bodies and the public.

As Kathy and I have toured the province over the past several months, we have been so impressed in terms of the diversity of scopes of practice; the College has the mandate to set the scope of practice and that needs to be broad enought to encompass the practice of all nurses in all settings and in all domains. Every nurse needs to be able to “see their practice” within that broad, enabling definition. Scope is an evolutionary concept and as knowledge increases so do expectations of the public; nursing will always seek to expand our influence on the health of Manitobans and on the effectiveness of the system to support health care.

This document will provide the definition of registered nursing practice and guide our profession into the future. We believe that access to health care and improved overall health can be achieved through nurses understanding their scope, their role and the impact they can have on the system.

Helga Bryant

]]> Comment on Scope of Practice – We Need Your Input by Tracey Fallak http://blogs.manitobanurses.com/helpingofhelga/?p=22&cpage=1#comment-335 Tracey Fallak Sun, 02 May 2010 19:40:25 +0000 http://blogs.manitobanurses.com/helpingofhelga/?p=22#comment-335 I think the discussion about scope of practice could assist the College with educating the public including governments in Canada with some clarity with what how Registered Nurses can participate in promoting, maintaining and developing the health of individuals, families and communities not only at a local or provincial level but also at a national and international levels as we are living in a global community. The scope of practice of Registered Nurses varies greatly dependent on the lived experience of Registered Nurses, areas of interest, areas of current and past nursing practice and varing degrees of education thus listing scope of practice of Registered Nurses is not the same for every Registered Nurse. The competencies provide some insight into the scope of practice of Registed Nurses but it may not be limited to these competencies. Thus I feel the regulatory and professional body representing registered nurses in Manitoba needs to be cautious in the wording of this document to ensure that it provides the public with some insight into what registrered nurses can do but at the same time it is not used in legistlation to limit our scope of practic as Registered Nurses. I understand the complexity that faces the CRNM Board of Directors in the creation of this document. I am wondering what the purpose of this document is for registered nurses in Manitoba and the purpose of this document to the Mantioba Department of Health? What was the factor that initiated the return to this topic. The scope of practice has been a repetitive discussion of the CRNM Board over the years, I know we discussed it in the early ninties. Look forward to your comments and response to my questions. Sincerly Tracey Fallak I think the discussion about scope of practice could assist the College with educating the public including governments in Canada with some clarity with what how Registered Nurses can participate in promoting, maintaining and developing the health of individuals, families and communities not only at a local or provincial level but also at a national and international levels as we are living in a global community.

The scope of practice of Registered Nurses varies greatly dependent on the lived experience of Registered Nurses, areas of interest, areas of current and past nursing practice and varing degrees of education thus listing scope of practice of Registered Nurses is not the same for every Registered Nurse. The competencies provide some insight into the scope of practice of Registed Nurses but it may not be limited to these competencies. Thus I feel the regulatory and professional body representing registered nurses in Manitoba needs to be cautious in the wording of this document to ensure that it provides the public with some insight into what registrered nurses can do but at the same time it is not used in legistlation to limit our scope of practic as Registered Nurses.

I understand the complexity that faces the CRNM Board of Directors in the creation of this document. I am wondering what the purpose of this document is for registered nurses in Manitoba and the purpose of this document to the Mantioba Department of Health? What was the factor that initiated the return to this topic. The scope of practice has been a repetitive discussion of the CRNM Board over the years, I know we discussed it in the early ninties.
Look forward to your comments and response to my questions.

Sincerly Tracey Fallak

]]> Comment on Scope of Practice – We Need Your Input by Helga Bryant http://blogs.manitobanurses.com/helpingofhelga/?p=22&cpage=1#comment-305 Helga Bryant Sat, 17 Apr 2010 16:45:04 +0000 http://blogs.manitobanurses.com/helpingofhelga/?p=22#comment-305 Eileen, thank you for your comments; the articles you cite are great sources for enabling the discussion regarding scope of practice. As Kathy and I have gone about the province on Kathy's Coffee and Conversations, we have spoken with nurses in diverse clinical settings from remote nursing stations to small rural hospitals; from health clinics in rural Manitoba to tertiary settings. It is fascinating to be reminded that while many of these nurses' have unique individual scopes of practice, their practice has adapted to meet the needs of the public they serve. We look forward to continued discussion regarding scope of practice; there are huge opportunities for nurses to claim what is nursing!!!!!!!!!!!! Helga Eileen, thank you for your comments; the articles you cite are great sources for enabling the discussion regarding scope of practice.
As Kathy and I have gone about the province on Kathy’s Coffee and Conversations, we have spoken with nurses in diverse clinical settings from remote nursing stations to small rural hospitals; from health clinics in rural Manitoba to tertiary settings. It is fascinating to be reminded that while many of these nurses’ have unique individual scopes of practice, their practice has adapted to meet the needs of the public they serve.

We look forward to continued discussion regarding scope of practice; there are huge opportunities for nurses to claim what is nursing!!!!!!!!!!!!

Helga

]]> Comment on Scope of Practice – We Need Your Input by Eileen Vodden http://blogs.manitobanurses.com/helpingofhelga/?p=22&cpage=1#comment-304 Eileen Vodden Wed, 07 Apr 2010 21:15:31 +0000 http://blogs.manitobanurses.com/helpingofhelga/?p=22#comment-304 Hi Helga: I am interested by the survey results noting that 67.3% of respondents believe they are currently practicing to full scope.For discussion purposes I am wondering if some articles like "Strengthening Client Centred Care in Hospitals" from RNAO and the CARNA document on " Scope of practice" that reinforces a primary health care model would be helpful in stimulating conversations about how scope of practice could look different. In many of our current environments we are task focused so we need other examples of RN scope of practice to get us thinking broadly. Hi Helga:
I am interested by the survey results noting that 67.3% of respondents believe they are currently practicing to full scope.For discussion purposes I am wondering if some articles like “Strengthening Client Centred Care in Hospitals” from RNAO and the CARNA document on ” Scope of practice” that reinforces a primary health care model would be helpful in stimulating conversations about how scope of practice could look different.
In many of our current environments we are task focused so we need other examples of RN scope of practice to get us thinking broadly.

]]> Comment on A New Decade Dawns by Helga Bryant http://blogs.manitobanurses.com/helpingofhelga/?p=16&cpage=1#comment-172 Helga Bryant Wed, 17 Feb 2010 01:22:36 +0000 http://blogs.manitobanurses.com/helpingofhelga/?p=16#comment-172 Karen, the staff at the College are very skilled at supporting members through the on-line registration process. This can be done by phone and in fact we also have 2 computer stations in a consultation room at the College and are more than happy to support nurses who walk in. Staff sit with them and support them through the on-line registration process. Thanks for your comments. Helga Karen, the staff at the College are very skilled at supporting members through the on-line registration process. This can be done by phone and in fact we also have 2 computer stations in a consultation room at the College and are more than happy to support nurses who walk in. Staff sit with them and support them through the on-line registration process.

Thanks for your comments.

Helga

]]> Comment on A New Decade Dawns by Helga Bryant http://blogs.manitobanurses.com/helpingofhelga/?p=16&cpage=1#comment-171 Helga Bryant Wed, 17 Feb 2010 01:19:57 +0000 http://blogs.manitobanurses.com/helpingofhelga/?p=16#comment-171 Doris, I also recall dropping off my registration in the MARN mailbox; we continue to have numerous registrations delivered in that fashion and as registration draws nigh, regular checks of the mailbox becomes part of our daily routine. On-line registration is certainly rapid and you are correct, the reply to the registrant that it has been received adds assurance. Thanks for commenting. Helga Doris, I also recall dropping off my registration in the MARN mailbox; we continue to have numerous registrations delivered in that fashion and as registration draws nigh, regular checks of the mailbox becomes part of our daily routine. On-line registration is certainly rapid and you are correct, the reply to the registrant that it has been received adds assurance.

Thanks for commenting.

Helga

]]> Comment on A New Decade Dawns by Helga Bryant http://blogs.manitobanurses.com/helpingofhelga/?p=16&cpage=1#comment-169 Helga Bryant Wed, 17 Feb 2010 01:15:09 +0000 http://blogs.manitobanurses.com/helpingofhelga/?p=16#comment-169 Sonia, thank you for your response. We are able to absolutely assure Manitoba nurses that the on-line registration renewal process and payment thereof are secure with encryption similar or exceeding that of on-line banking. Support from nurses such as yourself is so appreciated. Helga Sonia, thank you for your response. We are able to absolutely assure Manitoba nurses that the on-line registration renewal process and payment thereof are secure with encryption similar or exceeding that of on-line banking.
Support from nurses such as yourself is so appreciated.

Helga

]]> Comment on A New Decade Dawns by Caroline Park http://blogs.manitobanurses.com/helpingofhelga/?p=16&cpage=1#comment-167 Caroline Park Tue, 16 Feb 2010 21:22:04 +0000 http://blogs.manitobanurses.com/helpingofhelga/?p=16#comment-167 Firstly, I think this blog is a fabulous idea. As for completely online registration - I interpret that to mean ONLY online registration, no opting out - while I have no objection I am sure that some members will. At first I thought we should always allow choice but then remembered that there is something in the entry-level competencies about technological abilities so maybe you can defend a challenge by a member. All the best. Firstly, I think this blog is a fabulous idea.

As for completely online registration – I interpret that to mean ONLY online registration, no opting out – while I have no objection I am sure that some members will. At first I thought we should always allow choice but then remembered that there is something in the entry-level competencies about technological abilities so maybe you can defend a challenge by a member.

All the best.

]]> Comment on A New Decade Dawns by Karen Polischuk http://blogs.manitobanurses.com/helpingofhelga/?p=16&cpage=1#comment-155 Karen Polischuk Sun, 14 Feb 2010 20:16:25 +0000 http://blogs.manitobanurses.com/helpingofhelga/?p=16#comment-155 I had trouble the first year the college offered on-line registration but with the help of the college staff we figured out how to do it and it has been a slice ever since. I would never want to go back to the paper copy. I live in rural Manitoba and love the ability to register on-line. I love to save all the beautiful trees we have up here. Thanks. Karen I had trouble the first year the college offered on-line registration but with the help of the college staff we figured out how to do it and it has been a slice ever since. I would never want to go back to the paper copy. I live in rural Manitoba and love the ability to register on-line. I love to save all the beautiful trees we have up here. Thanks. Karen

]]> Comment on A New Decade Dawns by Doris S-D http://blogs.manitobanurses.com/helpingofhelga/?p=16&cpage=1#comment-56 Doris S-D Tue, 02 Feb 2010 14:08:19 +0000 http://blogs.manitobanurses.com/helpingofhelga/?p=16#comment-56 It only took memory of one instance of having to drive at night to the drop box outside the College (then MONA!) offices to convince me that on-line registration is the way to go. I love it and with the instant reply that it has been electronically recieved am always relieved that I have the priviledge to work for another year. Thanks for connecting more closely with us. This blog is a great way to engage us and give us an opportunity to see how our registration dollars are impacting nursing as a whole. Thanks Helga and Kathy! It only took memory of one instance of having to drive at night to the drop box outside the College (then MONA!) offices to convince me that on-line registration is the way to go. I love it and with the instant reply that it has been electronically recieved am always relieved that I have the priviledge to work for another year. Thanks for connecting more closely with us. This blog is a great way to engage us and give us an opportunity to see how our registration dollars are impacting nursing as a whole. Thanks Helga and Kathy!

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