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Copyright © College of Nurses of Ontario, 2018
Code of Conduct
Teleconference
February 2019
Outline
Overview of the role of CNO
Overview of the Code
Case scenarios
Practice Resources
Q & A period
Mandate, Vision, Mission
Mandate
Public Protection
Vision
To lead in regulatory excellence
Mission
Regulating nursing in the public interest
Entry
Requirements
Enforcement Standards
Quality Assurance
Public
Regulatory Functions of the College
Standards
Protect the public
Inform nurses
Goal and Objectives of Code
Goal: CNO to adapt a “code of conduct” that reflects what the
public expects of Ontario nurses
Objectives:
Ensure the Code integrates a public perspective
Adapt a Code that can be easily understood by the public
Engage a variety of stakeholders
Support timely sharing of CNO resources
Standard development process
Code of Conduct Development
Review of other
regulatory bodies
Literature review
Analysis of data
Stakeholder feedback
Feedback Received
500+ public members
400+ nurses34
academics
19 employers
10 indigenous
groups
50+ other key
stakeholders
Survey Results on Clarity
93-98%
Confidence
95%
99-100%
Public responded
yes for each
section
Nurses responded
yes for each
section
Survey Results on Understanding
97%
Confidence
95%
99%
Public responded
yes for each
section
Nurses responded
yes for each
section
Comments from the Public
“Treat us like how you would treat your loved one…” “There’s so much
about nurses that I
didn’t know that I
now know…”
How does the Code relate to other
documents?
New standard
Overarching
Some new expectations
Many align with current expectations
Principles
1. Respect the dignity of patients
2. Work together to promote patient well-being
3. Maintain patients’ trust
4. Work respectfully with colleagues
5. Act with integrity to maintain patients’ trust
6. Maintain public confidence in the nursing profession
Case Scenarios
Things to Keep In Mind:
1. What principles and indicators from the Code could apply in this scenario?
2. What other standards and guidelines could apply in this scenario?
3. How should the nurse respond?
Case Scenario One
Carmella, RN, recently started working in an intensive
care unit
Her patient, George, has been in a coma for several
months
George’s family is requesting to withdraw life support
Does not align with Carmella’s personal values
Accountabilities
Principle 1
Personal beliefs on patients
Care is not judgmental
Provide safe, compassionate
care
Reflects on practice
Principle 3
Collaborate with colleagues
Therapeutic Nurse-Client
Relationship
Ethics
Case Scenario Two
Nishma, RPN, works for a home care nursing agency
Her patient, Maria, requires a dressing change on her
coccyx
Maria’s first language is Tagalog and speaks minimal
English
Nishma does not speak Maria’s first language
Accountabilities
Principle 2
Patient is involved and at the centre of care planning
Work to resolve concerns
Meet patient’s language and communication needs
Therapeutic Nurse-Client Relationship
Case Scenario Three
Marcus, new RN, working on a busy surgical unit
within a hospital
His patient, Fred, is recovering from a transurethral
resection of his prostate.
Never cared for a patient who has had this surgery
before
Accountabilities
Principle 3
Recognizing limits: individual knowledge, skill and judgment
Reviewing accurate sources of information
Collaborates with colleagues
Introducing self
Responsive and available
Decisions About Procedures and Authority Professional Standards
Practice Resources
Practice support web page
Additional resources and tools
http://www.cno.org/en/learn-about-standards-guidelines/educational-tools
Questions
Recommended