Practical Nursing | December 2012 | College of …...District VI – Candice Davidson LPN All registrants on the active practising register of the College of Licensed Practical Nurses

1Practical Nursing | December 2012 | College of Licensed Practical Nurses of Manitoba

practical nursingcommitted to excellence

December 2012

Of the 2776 registrants who registered before the October 15, 2012, administrative deadline, Clarita Cazakoff LPN was one of three licensed practical nurses who won an iPad!

Practical Nursing | December 2012 | College of Licensed Practical Nurses of Manitoba2

Office Closure Dates

Please note that the CLPNM office will be closed December 21, 2012 at 2 p.m., reopening January 2, 2013.

Effective January 1, 2013, the College’s office hours will be 9:30 a.m. to 4:30 p.m. Monday to Friday.

College of Licensed Practical Nurses of Manitoba

463 St. Anne’s Road Winnipeg, MB R2M 3C9 Telephone: (204) 663-1212 Toll Free: 1-877-663-1212 Fax: (204) 663-1207 Email: [email protected]

Publications Agreement #40013238

table of contentspresident Christy Froese LPN

board of directors

District I – Patricia Rotzien LPNDistrict II – Elisa Wiebe LPNDistrict III – Rodney Hintz LPNDistrict IV – VacantDistrict V – Jodi La France LPNDistrict VI – Candice Davidson LPNPublic Members – Judy Harapiak

– Darlene Barbe– Tricia Conroy– Diwa Marcelino

executive director

Jennifer Breton LPN, RN, BN

clpnm staff

Consultant, Registration & Conduct – Janice Benson LPN

Consultant, Professional Nursing Practice – Tracy Olson LPN

Consultant, Professional Nursing Practice – Liezel Jacinto LPN

Consultant, Education & Credential Assessment – Emma Frost PhD

Business Manager – Barbara Palz HB Com, CGA

Executive Assistant – Vicky Bering

Coordinator of Administrative Services – Jodie Levesque

Administrative Coordinator – Melanie Jacques

Administrative Coordinator – Brenda Reid

advertisingTo advertise in the Practical Nursing Journal, please contact:

McCrone Publications Inc. Email: [email protected] Toll Free: 1-800-727-0782 Fax: 1-866-413-9328

President’s Message 3

Ask a Practice Consultant 5

Call for Nominations: Board of Directors 6

December 3, 2012, Is International Day of Persons with Disabilities

7

Meet Practical Nursing Student Carla Wurtak 8

Unauthorized Practice 11

Professional Standards and Post-Registration Renewal Obligations

12

2013 College Excellence Awards 12-13

2013 College Excellence Awards Nomination Form 13-14

Meet Amanda Fey-Lockwood LPN 16

EChart Manitoba Benefits Manitoba’s Health Care Providers

18

Dietitians of Manitoba 19


I have enjoyed meeting and speaking with LPNs, practical nursing students, educators and other stakeholders. As stated in the August issue of the PN Journal, change whether good or bad, brings about stress. I will admit that my change in roles did cause stress. I would like thank our Executive Director, Jennifer Breton, and all of the staff at the College for making my transition easier. I would also like to thank the Board members of the College. I am so grateful for the wonderful Board that we have. Many of the Board members are new to their roles, and have embraced them with enthusiasm. They aren’t scared to ask questions, and are well aware of their responsibilities and accountability, and are fully committed to upholding the mandate of public protection.

At the College, we have also seen several changes over the last year. Registration renewal opened on August 15, 2012, with the administrative deadline of October 15, 2012. The renewal process was 100 per cent online. I know that this change caused stress for some registrants, and I would like

president’s message

Season’s greetings from the College of Licensed Practical Nurses of Manitoba (CLPNM)! As we are quickly approaching the New Year, I take time to reflect on the year gone by. This past year has brought about much change, both for me personally, and for the College. Personally I have gone from bedside nursing, which is a career that I love and continue to pursue, to a career as President of the CLPNM; and here I am today.

to thank you for your cooperation and patience. Congratulations to our iPad winners! Three names were randomly selected from a pool of all registrants who applied for renewal before the October 15 deadline. Congratulations Clarita Cazakoff, Gerrit Hofman and Melanie Pritchard!


In our continued effort to “go green,” the PN Journal is now 100 per cent online. The Journal is now emailed to all registrants, and will be available on the College’s website at www.clpnm.ca.

The College continues to forge ahead with preparations for going under the Regulated Health Professions Act (RHPA). Many hours have been spent reviewing and revising our documents. The Scope of Practice statement, Standards of Practice, and Code of Ethics have been reviewed and validated by LPNs and LPN educators. Work continues to be done on this important task.

Board Highlights

The Board met on September 26 and 27, 2012 for a two-day meeting. The first day was an education day. Alan Goddard, a representative from the Crown Corporations Council of Manitoba presented on Board Governance – Roles and Responsibilities, as well as Strategic Direction. These sessions were well-received by the Board and led to a greater understanding of the responsibility of the Board, as well as its role in the Strategic Direction of the College.

The staff of the College were introduced to the Board by the Executive Director, Jennifer Breton. An overview was provided as to the staff resources available for the Board, the Board Committees and the President.

The Board also received a financial orientation from the College’s Business Manager, Barb Palz. She informed the Board of information that would be provided to them on a regular basis, and how to interpret that information.

Suzanne Nicolas, the College’s external consultant, presented an update on the RHPA work completed to date. She gave an overview as to what the RHPA is, and how it will affect the College.

Future Board Meetings

December 3, 2012 – 2013 meeting dates will be set at this meeting

January 9, 2013 – Strategic Direction meeting

June 3, 2013 – Annual General Meeting

67th Annual General Meeting

The Annual General Meeting (AGM) will be held on June 3, 2013 in Winnipeg Manitoba, at the Viscount Gort Hotel. The College Excellence Awards and Recognition dinner will be held following the AGM.

Call for Nominations

The call for nominations is included in this issue of the PN Journal. The districts open for nomination are:

District 2 – Parkland and Interlake Regions

District 4 – South Westman and Central Regions

District 6 – Winnipeg Region

The Board generally meets four to six times per year. Education is provided for all Board members, and a stipend is paid. Please see the nomination rules and form included in this journal for more information.

Committees

The College has numerous committees that require registrant involvement. If you are interested in serving on one of the following committees, please contact me. Time commitments vary depending on the committee. Stipends are paid to all committee members.

Education Approval Committee

Investigation Committee

Discipline Committee

Continuing Competence Committee

president’s message continued...

The New Year is a time to reflect on the year gone by, and to set new goals for the year to come. Looking ahead, I am anticipating another busy year. I look forward to meeting with students, graduates, LPNs, stakeholders and members of the public. I will continue to assist with the work being done on the RHPA. I am looking forward to January’s Board meeting, and the Strategic Direction planning that the Board will do. This is exciting work to undertake as we enter a new year!

The holiday season is a time to celebrate with family and friends. I would like to thank all the nurses who will be working over this holiday season, and hope that you find time to spend with family and friends. Happy Holidays!

Christy Froese, LPN President

Registration Fees

On December 3, 2012 the Board of Directors approved and is recommending a fee increase from $350 to $370 for annual active practising registration for licensed practical nurses. This increase is effective for the 2014 registration year, and will be voted on at the Annual General Meeting on June 3, 2013.

Q: Nurse Practitioners (NP) have recently been incorporated into my practice area. What is my role and expectation with NPs? Am I permitted to process their orders?

A: As stated in the College of Registered Nurses of Manitoba (CRNM) fact sheet, “Registered Nurse (Extended Practice): Information for Health Care Professionals and the Public” (2009), the designation RN(EP) refers to a registered nurse who is on the extended practice register of the CRNM. RN(EP) may also be referred to as an extended practice registered nurse, a registered nurse (extended practice) or a registered nurse, nurse practitioner. This designation signifies that the RN has completed advanced education (or has demonstrated substantially equivalent education and experience), and has passed an approved examination demonstrating extended practice competencies. Only an RN registered on the extended practice register can use the titles registered nurse (extended practice) or RN(EP); registered nurse, nurse practitioner or RN, NP; or any derivative. In Manitoba, the terms RN(EP) and NP are synonymous.

asK a practice consultant

Section X- Licensed Practical Nurse Leadership Role: Competency X-3: Organizational Structure.

- Demonstrate knowledge of common organizational structures

- Demonstrate knowledge of the vision, mission, values, and goals of an organization

- Demonstrate knowledge of the parameters of the organization such as:

• Channels of communication

• Job descriptions

• Policies

• Procedures

- Demonstrate ability to explain how the LPN role fits into a health care organization and agency structure.

- Demonstrate ability to follow appropriate channels to communicate and report throughout the organization.

LPNs are required to ensure they understand and follow employer policies and procedures in the area(s)

As per the CRNM fact sheet, in addition to the scope of practice of an RN, an RN(EP) or NP can prescribe medications, order and manage the results of screening and diagnostic tests, and perform minor surgical and invasive procedures. The Extended Practice Regulation outlines the specific services in greater detail. The RN(EP) or NP consults and collaborates with other health care professionals as appropriate to ensure that the overall health care needs of clients are met.

NPs practice in a variety of community, acute and long-term care settings throughout Manitoba. Clients can be individuals of all ages, families or a community. RN(EP)s or NPs provide nursing services in the areas of health promotion, illness prevention, management of specific illnesses, palliation and rehabilitation. Individual RN(EP)s or NPs serve a specific client population and area of nursing practice determined by their competence. (CRNM, 2009).

As per the Competency Profile for Licensed Practical Nurses of Manitoba (v. May 2007),

they practice. In addition, LPNs are expected to know the organizational structure at their place(s) of employment. This means LPNs are expected to have a clear understanding of not only their own role within the employment setting, but also to understand the role of their co-workers.

The Competency Profile for Licensed Practical Nurses of Manitoba states that the LPN will demonstrate knowledge and ability to accept, transcribe and initiate an order from an authorized health professional. This would include the RN(EP) and NP.



call for nominations: board of directors In accordance with Article III Section 3.5[a] of the by-laws, election of the Board of Directors shall be held by May 1 each year. The positions of the Directors stated below expire June 3, 2013 and are now open for nomination.

District II – Elisa Wiebe LPN

District IV – Vacant

District VI – Candice Davidson LPN

All registrants on the active practising register of the College of Licensed Practical Nurses of Manitoba who are practising in the electoral District that is accepting nominations are invited to submit names of nominees.

______________________________________________________________________________________________________________________

A current resume of the nominee must be submitted with the nomination form by February 15, 2013. Forms that are not accurately completed will not be accepted. For the complete list of nomination rules (policy BG-12), please visit the College website at www.clpnm.ca. If you have any questions, please contact the College at (204) 663-1212.

Nominator Information:

We (1) Print: (full name) _______________________________________________ , Registration Number _____________________ Signature: _____________________________________________________ , Date ___________________________________ ,

(2) Print: (full name) _______________________________________________ , Registration Number _____________________ Signature: _____________________________________________________ , Date ___________________________________ ,

(3) Print: (full name) _______________________________________________ , Registration Number _____________________ Signature: _____________________________________________________ , Date ___________________________________ ,

Registrants in good standing on the active practising register of the College of Licensed Practical Nurses, in accordance with policy BG-12: Nomination Rules, do hereby nominate

(print name) ________________________________________to represent District _____ on the Board of Directors of CLPNM.

Nomination Acceptance

I (print name),__________________________________________, registration number ___________________________, a registrant in good standing on the active practising register of the College of Licensed Practical Nurses residing or employed in District _______________ do hereby accept the nomination for election to the position of Director to the Board of the College of Licensed Practical Nurses of Manitoba, and if elected do hereby consent to serve in that capacity to the 2015 Annual General Meeting.

Signed this _______________ day of _________________, 20____. Signature: __________________________________________ (nominee).

Please Note: A resume must be completed and submitted with this nomination form to the College office on or before the deadline date of February 15, 2013. For the complete list of nomination rules (policy BG-12), please visit the College website at www.clpnm.ca.


december 3, 2012, is international day of persons with disabilities

In many parts of the world today, lack of awareness and understanding of accessibility remains an obstacle to the achievement of progress. Barriers faced by persons with disabilities are a detriment to society as a whole, and accessibility is necessary to achieve progress and development for all. When barriers are removed and persons with disabilities are empowered, entire communities benefit. The commemoration of International Day of Persons with Disabilities in 2012 (IDPD, 2012) provides an opportunity to address this exclusion by focusing on promoting accessibility and removing all types of barriers in society (United Nations, 2012).

In Canada in 2006, there were 2,457,350 people with activity limitations between the ages of 15 and 64 who potentially could have participated in the labour force. Of this group, 1,259,980 (51.3%) were employed, 119,340 (4.9%) were unemployed, and 1,078,020 (43.9%) were not in the labour force at all. Compared to the population without disabilities, there was a larger proportion of people with disabilities who were not included in the labour force (Statistics Canada, 2008).

On June 16, 2011, the Manitoba Legislature passed The Accessibility Advisory Council Act. The Act established the Accessibility Advisory Council, which is made up of members of the disability community and other affected stakeholders, including representatives of business and municipalities. The Council was designed to represent the interests of those most affected by measures aimed at achieving greater accessibility (Government of Manitoba, 2012).

Accessibility and inclusion of persons with disabilities are fundamental rights necessary to participate fully in all aspects of life and development. The Society for Manitobans with Disabilities Inc. (SMD), a non-profit organization which provides programs and services to more than 35,000 children and adults across the Province, works diligently to ensure that persons with disabilities have access to all aspects of society, on an equal basis with others (SMD, 2012). It is often through community support and advocacy that people with disabilities can live improved lives. As a multitude of organizations working together, SMD values the support and growth of those with disabilities by empowering independence.

Observance of the IDPD, 2012 provides opportunities for participation by all stakeholders, governments, civil society and organizations of persons with disabilities, to focus on issues related to the removal of barriers to create an inclusive and accessible society that would benefit all. A major focus of the day is practical action, which would help to remove barriers that limit accessibility for and participation by persons with disabilities in all aspects of society and development. By highlighting progress as well as obstacles in creating accessible and inclusive society, we can promote public awareness of existing barriers to the full inclusion of persons with disabilities in their societies.

Approximately 15 per cent of the world’s population live with some form of disability and often face barriers to participation in all aspects of society. Barriers can take a variety of forms, including those relating to the physical, technological, legislative or societal attitudes. The result is that persons with disabilities do not have equal access to society or services, including education, employment, health care, transportation, political participation or justice (United Nations, 2012).


Carla Wurtak is currently a PN student at Assiniboine Community College’s (ACC) Winnipeg Campus. She is in the second year of the two-year program and feels quite blessed to be there. When asked her reason for enrolling in a PN program, Carla responded with a sincere smile and stated that she wanted to focus on people. When asked to elaborate, she explained that historically she worked in management in the area of Human Resources (HR). “In business, the bottom line is usually money.” She revealed a personal sense of becoming disillusioned with the “for-profit” environment and as a result, decided to utilize the people skills she had honed in HR in a more person-centred way. Carla disclosed that she believes all people deserve to have a good quality of life and perhaps as a Licensed Practical Nurse (LPN), she can be instrumental in helping someone attain that goal.

At present, Carla is in Term Three of the program, which includes the courses Pharmacology 1, Nursing Arts and Assessment 2, Microbiology and Physical Health Assessment (PHA). “I am most excited to take PHA,” she states. “I have plenty of questions like, ‘Now what does the nurse do?’” While learning nursing theory is important in building a foundation of nursing knowledge, she understands the importance of applying that knowledge. “There is a thread throughout the program in which courses are taught in layers with a foundation that began in Term One.” It is this scaffolding approach that builds the student’s knowledge base and solidifies the theory being taught. Carla credits the instructors of the program with being an immense factor in her success to this point. “They are experienced professionals who are willing to share with the students.” It is these pearls of wisdom that Carla finds invaluable. “The instructors are fair, knowledgeable and approachable.” She discloses that having approachable instructors makes this difficult program a little easier. With an “open-door” philosophy, students are well aware that the instructors are there for the student’s success.

Carla describes the PN program as being tough. “You must be willing to put the time in to the program in order to succeed.” She describes the experience as a roller coaster of emotion. “At one moment I feel that I have everything under control; I know what I’m doing. And then in the next moment I wonder why I came through the door to the College.”

meet practical nursing student carla wurtaK

The College is responsible for reviewing and approving practical nursing (PN) education in Manitoba. Additionally, the College is legislated to maintain a register of student practical nurses. In this edition of the PN Journal, we sat down with a student enrolled in a practical nursing program.


Carla explained that she attempts to make things positive for herself. She disclosed that she has come to the realization that if she, as a student, makes a mistake while learning a particular skill, she must remain optimistic, “I’m human and I make mistakes. I tell myself that this is an opportunity for me to learn in a safe environment, school.”

Carla also disclosed that in order to become an LPN, she is working hard to overcome her fear of challenging those in authority when she disagrees with something. “After six months in the program I realized this was no longer a problem for me.” She credits the instructors with encouraging her to stand up for herself and find her voice. “I know that if I want to challenge a grade on a paper or a test, or simply ask for clarification I can do that without negative repercussions.” The instructors, Carla says, encourage students to speak up when they know something is not right. “This is done to build strong and professional nurses who can be autonomous practitioners.”

Carla describes her classmates as being supportive of each other. “I am thankful that my class is composed of people who are willing to help each other; to support each other.” With new intakes of 30 students beginning twice a year (September & January), new people bring new dynamics and differing personalities to each group. “I love my classmates; I feel quite supported by them.” She expresses this sentiment with a warm smile.

When asked how she is managing with balancing both home and school life, Carla explained that she has abundant support from friends, family and her church. She also disclosed feeling blessed to have four children, aged 10 to 18, who are highly supportive of her. “My children have a strong bond and are very close to each other; the older ones are very good at helping care for their younger siblings.” Carla states that her children do recognize that although at times it’s difficult, Mom going to school is good for the future of the entire family. Her older children, aged 17 and 18, make supper for the family once a week to alleviate their mother’s workload. Carla’s parents are both retired school teachers who are available to the children while Carla is focused on her own school work. “I’m a full-time nursing student so my house is unfortunately neglected. I don’t know how I could have come this far without my parents support.”

Carla firmly believes that upon completion of the PN program, she will be prepared to go out into the world and work as a nurse. “Absolutely, without a doubt, yes! The foundation is built into this program, into these courses, to prepare the student to have the necessary tools to practice nursing. It gives me a sense of comfort.”

She shares her best memory of being a student nurse so far. “Prior to going out for my first practicum experience, I was worried about how vulnerable, elderly clients would react to a stranger caring for them and the whole issue of elderspeak.”

Carla states she quickly realized that her concern was a non-issue. “It really is about how we do things and about acting as a professional. By having empathy for the client and treating them with dignity and respect, the clients were happy to see the students.”

When asked what she would advise someone who is interested in becoming an LPN, Carla has an honest and positive answer. “There is no doubt that it is a challenge, but it is very much worth the effort and the sacrifices to obtain a diploma.” She explained her own reason for enrolling in the PN program with ACC, “I realized that I could obtain a quality education that would give me a respectable profession in a two-year program.” Carla further testifies that she is completely satisfied with the program and the education she is receiving. “I would suggest this program to anyone who would like to become an LPN.”

When asked to share her own words of wisdom, Carla said, “Humour is my personal coping mechanism. You have to have a sense of humour and laugh at yourself on occasion. I have experienced my own share of stress while in this program; which is not necessarily a bad thing.”

Currently, there are four schools in Manitoba that have been approved by the College of Licensed Practical Nurses of Manitoba to offer the Practical Nursing Program. Each school can be reached directly for information on how to enroll in a PN program to become a licensed practical nurse.

Assiniboine Community College (ACC): www.assiniboine.net

CDI College: www.cdicollege.ca

University College of the North (UCN): www.ucn.ca

Université de Saint-Boniface (USB): www.ustboniface.mb.ca

Carla describes the PN program as being tough. “You must be willing to put the time in to the Program in order to succeed.”

“It really is about how we do things and about acting as a professional. By having empathy for the client and treating them with dignity and respect, the clients were happy to see the students.”



The mandate of the College is to protect the public; to ensure that vulnerable people are cared for by safe and competent LPNs. In order to fulfill this legislative directive, the College ensures that only those authorized to practice as LPNs are in fact eligible to do so.

unauthorized practice

The Licensed Practical Nurses Act (the Act), states that no person, except an LPN, will represent themselves as an LPN or is entitled to engage in the practice of practical nursing. Furthermore; the Act states that no one will use any sign, display, title or advertisement in any language, implying that he or she is an LPN unless authorized to do so. This is done to protect the public from an unscrupulous person who may decide to pose as a nurse, thereby risking the health and safety of people in care. Although the example of an unscrupulous person is the exception and not the norm, unauthorized practice inadvertently occurs every year.

Unauthorized practice usually occurs when an LPN neglects to renew his or her registration before November 30. The registration year to lawfully hold valid nursing registration begins December 1 of the current calendar year and ends November 30 of the following year. Once December 1 arrives, anyone whose renewal of registration has not been approved by the College will be in default. The default registration does not allow the nurse to practice until registration has been reactivated.

Any LPN who practices without an active registration, that is a registration which is in default or cancelled, will be subject to certain consequences.

Pursuant to Section 59(1) of the Act:

“A person who contravenes a provision of this Act or the regulations, other than Section 63 of this Act, is guilty of an offence and is liable on summary conviction

(a) for a first offence, to a fine of not more than $5,000; and

(b) for a second or subsequent offence, to a fine of not more than $15,000.”

Currently, the penalty for one act of unauthorized practice is $500 with a possible referral to the Investigation Committee for further review. Those who employ LPNs are responsible to ensure registration is current, active, and what, if any, conditions are imposed.

As per Section 66 of the Act:

“No person shall knowingly employ or continue to employ a person to perform the practice of licensed practical nursing unless the person is a licensed practical nurse or a graduate practical nurse registered under this Act.”

“Every person who employs a licensed practical nurse shall review his or her registration status annually.”

Unauthorized practice, whether deliberate or unintentional will result in the same penalty. The College encourages every registrant who is actively practising as an LPN to ensure that all criteria of registration renewal are complete and submitted prior to the College deadline each year. Registrants and employers are encouraged to contact the College with any questions or concerns related to unauthorized practice.


According to the Standards of Practice and Code of Ethics, LPNs must maintain current knowledge related to the profession and to the regulation of the profession.

The first indicator of Standard V (Self Regulation: The Licensed Practical Nurse maintains current knowledge related to the profession) is to maintain current registration. As you know, the College has implemented a registration renewal procedure that is exclusively online. Before the October 15, 2012, administrative deadline, 2776 LPNs renewed their registrations online.

Although change is never easy, the overwhelming positive response to the online registration processes demonstrates that LPNs are upholding their professional standards and are aware of the changing trends in nursing, health and society that impact practice. The willingness to adapt and change shows that LPNs in Manitoba take seriously the privilege of self-regulation in the public interest. The public have confidence in the profession because LPNs are dedicated to adhering to their professional standards, guidelines and principles.

Adhering to the Standards related to self-regulation does not end at renewal time. All registrants are obligated to ensure the College registers are up-to-date and must provide the College with accurate and current contact information throughout the year. Information includes current email address, mailing address, phone number and place of employment.

Updating your information is easier than ever. Simply log onto the College website and update your profile information. You can do this by clicking the “REGISTRATION” heading on the websites homepage, and then clicking “ANNUAL RENEWAL.” From there, you can enter your username (your registration number) and your password (given to you by the College). Under the option “VIEW YOUR PROFILE,” you can add or edit any changes to your current information.

The College communicates with registrants via the website and email. It is the responsibility of all registrants to periodically view the website and to monitor their email account for communications from the College.

Throughout the year, LPNs are responsible for ensuring their registrations are current and that they are practising within any conditions imposed. In an effort to ensure that all information is accurate and offered in real time, paper licenses have been replaced by online verifications. LPNs can check their registrations for the current year by searching the online public register. All employers can verify an employee’s registration status by logging into the College website and checking the online employer verification system. Confirmation of renewal is sent to all registrants via email before the end of the registration year.

professional standards and post-registration renewal obligations

Do you have colleagues who deserves recognition for their ongoing commitment to their patients, their practice, or to health care in general?

The Nursing Practice Award

Recognizes a licensed practical nurse who is actively practising and through the lens of patient-centred care demonstrates outstanding caring, commitment, and competence. The recipient is recognized by peers as one who contributes to the betterment of the profession of practical nursing and health care in general. This licensed practical nurse also participates in the community, demonstrates an ability to work collaboratively, and has an innovative outlook.

The New Graduate Award

Recognizes a new licensed practical nurse, who within the first two years of practice has contributed energy and commitment to nursing practice by participating in activities that promote the optimal utilization of licensed practical nurses in the practice setting. The recipient demonstrates the principles of interprofessional collaboration and shows commitment to personal professional development.

The Nursing Mentor/Preceptor Award

Recognizes a licensed practical nurse who enhances other’s intellectual and practice competencies, and guides them into the licensed practical nursing professional community by providing advice, counsel and support; providing

2013 college excellence awards


Nomination Process

Submit a written statement (500 words or less) describing why the nominee deserves the award. Be clear and specific; support your nomination with examples of how the nominee meets the award criteria. This information will be used to determine the award winner; be as thorough as possible. Nominations will not be accepted without a written statement.

Please forward your completed nomination form, with attached statement, on or before March 1, 2013.

By Email: [email protected]

By Mail: College of Licensed Practical Nurses of Manitoba ATTN: Management Committee Chair463 St. Anne’s Road Winnipeg MB R2M 3C9

The College of Licensed Practical Nurses of Manitoba’s Excellence Awards will be announced and presented on June 3, 2013 at the College’s Awards & Recognition Dinner, following the AGM. The AGM and Awards & Recognition Dinner will take place at the Viscount Gort Hotel in Winnipeg Manitoba. Award recipients will be notified in advance so they are able to attend the ceremony.

2013 college excellence awards

nomination form

Nominees Must (ensure that the individual you are nominating meets the following criteria):

1. Holds an active practising license with CLPNM (exception is the Special Recognition & the Educator Award).

2. Is currently employed as an LPN in Manitoba (exception is the Special Recognition Award & the Educator Award).

3. Is actively practising in any domain of nursing (exception is the Special Recognition Award).

4. Is in good standing with CLPNM, and any other applicable professional body.

How to Apply

1. Ensure that the nominee meets the above criteria, as well as the criteria outlined in the award description.

2. Fill out the application portion of this form (see second page).

3. Ensure the application is signed by two nominators.

4. Attach a written statement (500 words or less).

5. Return to the College by mail or email no later than March 1, 2013.

Note: The College may need to contact the nominee for further information.

feedback; imparting valuable information; and teaching by example.

The Educator Award

Recognizes and honours the outstanding contribution of a practical nurse educator who has strengthened the quality of practical nursing education in Manitoba by providing leadership, commitment, creativity and innovation in the delivery of practical nursing programming. The recipient demonstrates a commitment to educating and promoting the utilization of LPNs to their full scope of practice. The educator actively promotes excellence in practical nursing education.

The Leadership Award

Recognizes and honors the outstanding contribution of a licensed practical nurse who has played a pivotal role in licensed practical nursing by providing leadership at the regional, provincial and/or national level. The recipient is a role model for the profession, is a visionary, inspires others, is a strong communicator and demonstrates the principles of interprofessional collaboration.

The Special Recognition Award

Honours a licensed practical nurse, member of the public or organization whose sustained contribution, dedication, commitment and achievement positively impacts practical nursing and the health care system on a regional, provincial and/or national level.

If you have any questions regarding the nomination process, please contact the College office at (204) 663-1212, or by email at [email protected].

See Application Form on the following page.


2013 college excellence awards nomination form

Please select the award (select only one):

Nursing Practice Award Educator Award

New Graduate Award Leadership Award

Nursing Mentor/Preceptor Award Special Recognition Award

Nominee Information:

Name: Registration Number (if applicable):

Address: Phone Number:

Employer (if applicable):

Education (list all formal education):

Nominee Information:



1st Nominator’s Signature:



2nd Nominator’s Signature:

Note: Please ensure that you’ve read over the nomination process, and that the nominee is eligible to receive the award. If you have any questions regarding the nomination process, please contact the College office at (204) 663-1212, or by email at [email protected].

Please forward your completed nomination form, with attached statement, on or before March 1, 2013.

By Email: [email protected] Mail: College of Licensed Practical Nurses of Manitoba ATTN: Management Committee Chair

463 St. Anne’s Road Winnipeg MB R2M 3C9



She then went on to take a variety of positions within the facility and the personal care home. From dietary aide, she went on to work as a porter, then in the Central Sterile Supply Department as a health care aide (HCA), a ward clerk and an operating-room technician. Amanda knew she was within the environment she was meant to be in and one that was comfortable, but found she was still searching for her niche.

In the early 1990s, Amanda met her future husband, Dr. Anthony Lockwood. By 1995 she had left Concordia Hospital to help her husband open his first plastic surgical clinic in Winnipeg. While helping with the management of this huge endeavor, Amanda went on to obtain training in aesthetics and massage therapy.

demonstrations to physicians and nurses locally as well as nationally and internationally. Last November she provided demonstration and instruction to Manitoba and Saskatchewan physicians and nurses in the use of blunt cannulas in place of needles for the instillation of injectable fillers. From a group of experts in the field, Amanda was chosen by the Program Director of Manitoba’s Plastic Surgeon’s Residency Program to train plastic surgical residents. After providing the training to the residents, she observes and evaluates their return demonstrations in the clinic setting.

Currently, Amanda is a member of the Canadian Society of Plastic Surgical Nurses (CSPSN) as well as the American Society of Plastic Surgical Nurses (ASPSN). Her vast knowledge and experience in this specialty field has led her to engagements as the keynote speaker to other medical practitioners at various national events specializing in cosmetic injectables. Amanda recalls her first experience as a presenter in Calgary at an Introduction to Hyaluronic Dermal Fillers conference. She states that although this was a pivotal moment in her career, she walked away with some negative and frustrating feelings.

During the presentation, Amanda was challenged by a nurse in the audience who questioned her professional background and credentials. When Amanda proudly stated that she is a LPN, the nurse challenged her knowledge and abilities related to working within this specialized area of nursing. The nurse stated that Amanda was not a real nurse. With professional ease and confidence, Amanda clarified her scope of practice as a LPN in Manitoba; then continued with her presentation.

The following year she was invited to attend the same event, and although

meet amanda fey-locKwood lpn

Along with all of the hard work and dedication it took to enhance the success of the clinic, Amanda continued her pursuit of furthering her education by entering the Practical Nursing Program at Assiniboine Community College in Winnipeg. After completing the program in September 2001, and subsequently becoming an LPN, Amanda was able to expand her abilities within the clinic. For example, she was able to obtain post-basic training in injectable fillers, Endovenous Laser Treatments (EVLT ®) and sclerotherapy to name a few.

During Amanda’s career she has participated, along with other experts, in the development of training protocols for the provision of injectable fillers (i.e. botulinum toxin). Additionally, she has provided various best-practice

Amanda describes herself as having grown up in the hospital. At the age of 16 she took a position at Concordia Hospital as a dietary aide.


reluctant, she returned to participate as an informative panel member. During the conference the same nurse, who challenged Amanda’s abilities the previous year, publically apologized to her. The nurse stated that after listening to Amanda’s knowledgeable presentation, and personally researching the Manitoba LPN scope of practice, she realized that she was incorrect in her assumptions. Today, Amanda works collaboratively with this same nurse, who is known as a leader in the field of plastic surgical nursing; often providing her knowledge and insight when asked for feedback and advice.

Since the First Glance Aesthetic Clinic opened its doors, there has been continuous growth, which has necessitated the hiring of additional staff including a clinic manager, an HCA, a second LPN, a Registered Nurse and a Nurse Practitioner. In the specialty area of plastic surgical nursing, there is never a shortage of new knowledge and competencies to obtain. Amanda and the clinic staff are constantly in pursuit of current best practices regarding the highly technical lasers and the other equipment utilized within this constantly evolving practice environment.

From 2006 to 2010 Amanda embraced the opportunity to give back in the form of volunteer work. Two to three times a year, she and her husband would travel to Barbados with a colleague, an oral surgeon, to provide various surgical procedures to impoverished people in the community. These surgeries included jaw reconstruction, cleft lip/palate repairs and biopsies. Amanda remembers the challenges that arose and the moments that required the team to be creative, and at times improvising effective tools when the necessary instruments were not available.

Amanda was quick to point out that her education as a LPN not only provides her with the theoretical knowledge and the technical skills required in this practice environment, but it also enables her to better provide the necessary mental and emotional supports her clients need. Her understanding of the ageing process and the toll it may take on a client’s emotional status allows her to provide the empathy they need. “It’s nice to contribute to someone’s projected quality of life.”

When asked what advice she has to offer to new LPNs, without hesitation Amanda cites the importance of continued education and client advocacy. “Trust in your instincts as a nurse. If something doesn’t seem right, trust in your knowledge and abilities; never let others bring you down.” She also adds it’s important to be proud of your accomplishments, “Always know you can continue in your career as a nurse; knowing you can always do bigger and better; never limit yourself.”

After talking about her professional path for this article, Amanda came to realize that she was always drawn to this field, fondly remembering how she would help her grandmother with her insulin injections when she was just a child. “Talking about all of this is bringing back so many memories. After all these years I’ve been able to develop some long-standing relationships with clients. Today I am privileged to see some of their children coming to receive care at the clinic. It’s recognition that offers me the reward to continue my work. My clients place their trust in me, and I am proud to be an LPN.”


As part of ongoing improvement initiatives, the program recently completed a benefits evaluation, conducted by G. Braha and Associates, of the first 33 primary care and emergency departments that went live with eChart Manitoba between December 2010 and July 2011. The evaluation feedback provided insights into when eChart is used and which clinical information areas are being accessed.

Information in a single spot

EChart usage is increasing among physicians, nurses and nurse practitioners. The evaluation revealed that the system is used more frequently when clinicians see new patients or those with several or complex medical conditions. Users indicated that eChart provided relevant, important and reliable information that assisted them in making informed and timely decisions about their patients’ care. Frequent

users were enthusiastic about improved speed and ease of accessing information, particularly for those without prior direct access to the Drug Programs Information Network (DPIN) or the Manitoba Immunization Monitoring System (MIMS). As one doctor stated, “EChart takes away some of the detective work that the physician would have likely had to do.”

Improved patient service, patient safety, and quality of care

Study respondents indicated that the system allowed them to access and use information that ultimately provided better patient-centred care. EChart was found useful in avoiding repeat patient visits by identifying and addressing additional needs in the same visit. Respondents conveyed that they were able to focus on patient care rather than spending time gathering information and liked having the ability to share a visual display of clinical

information. Another benefit cited was improved continuity of care and exchange of information with other clinicians. “EChart provides for a richer, more fruitful patient visit,” stated one nurse.

Information is the best medicine

Respondents indicated that they were able to access information to support best practice and select appropriate interventions, such as an emergency visit follow-up in a primary-care setting. They also commented that the system supports care for “challenging patients” such as those with drug-seeking behavior or chronic diseases.

Clinicians who participated felt that they had ready access to accurate information and were able to follow through on information viewed in eChart, including identifying the need to reassess medications, verifying that medications were being taken as prescribed and altering intervention based on viewable results. One nurse stated, “EChart provides more safety for the patient by helping to avoid duplication in prescriptions; it offers ‘peace of mind’ for both the patient and the clinician.”

EChart Manitoba will utilize these findings to improve the program to support the long-term vision of connecting care throughout Manitoba’s health care system.

For more information on eChart Manitoba, or to read the Benefits Evaluation Executive Summary, go to: www.connectedcare.ca/echartmanitoba

echart manitoba benefits manitoba’s health care providers

EChart Manitoba is a secure electronic system that connects authorized health care providers to key health information contained in a single, safe electronic record currently collected from multiple points of care. The system has been running for almost two years and as of September 28, 2012, is now available in 75 locations across Manitoba.


dietitians of manitoba

developing resources for teachers to use in the classroom, or working with study participants following a specific research protocol assessing the effects of plant sterols on cardiovascular health. As LPNs, you likely familiar with the dietitian’s role as a member of the health care team but did you know that dietitians are also involved in the food industry and health promotion?

Dietitians work with the food industry in product development and consumer education. They are also involved with setting health policy and building health communities. Dietitians have a strong background in science and provide credible, evidence-based information to patients, clients and consumers. Regardless of their area of practice, dietitians have the ability to take scientific information, current research and best practices, and translate these into practical advice for their clients, be it a patient in hospital, research study participant or policy maker.

Registered Dietitians are regulated health professionals and must meet strict requirements to use the title “registered dietitian” and practice in the Province of Manitoba. Dietitians must be registered with the College of Dietitians of Manitoba. Requirements for registration are a four-year degree in Human Nutritional Sciences, completion of a dietetic internship or practicum program and passing the Canadian Dietetic Registration Exam. As with any other regulated health professional, dietitians are required to adhere to the professions standards of practice, Code of Ethics and meet the College’s continuing competency requirements on an annual basis.

So, what is the difference between a dietitian and a nutritionist? Dietitians have advanced training and must maintain and advance their knowledge by completing continuing competence activities every year.

In our continuing series focusing on collaborative practice and the importance of understanding the roles of various members of the health care team, the Dietitians of Manitoba are featured this month.

• Your child has just been diagnosed with Type 1 diabetes and you have no idea how to plan his meals and snacks...

• Your Dad has had a stroke and is choking on his meals.…

• You have no idea what all those numbers on the nutrition labels mean...

• Your neighbor just told you about this amazing detox diet that will make you feel 10 years younger...

• What on earth are plant sterols?

These are the types of situations and questions that Registered Dietitians deal with on a daily basis… and many more. With so much information being talked about through broadcast and social media, it can be difficult for consumers to make healthy food choices. Dietitians translate the science of nutrition into information that patients, clients and consumers can use to make decisions to promote health.

Sometimes these decisions involve providing appropriate food choices for the management of a child with multiple food allergies. Perhaps it involves separating fact from fiction for the latest food and diet trends, or educating a family regarding heart healthy foods. It could also involve

In Manitoba, the term nutritionist is not a protected title. This means that anyone can call themselves a nutritionist and provide nutrition advice. However, only dietitians are accountable to the College and the public for the information they provide.

Where can I get nutrition information? If you have a nutrition-related question and would like to speak to a dietitian, you can call Dial-a-Dietitian at 204-788-8248 or toll-free 1-877-830-2892. The dietitians at Dial-a-Dietitian answer questions and provide advice on food and nutrition to help individuals and families eat well, live well and stay healthy. If you would like to meet with a dietitian in person, there are a number of dietitians in Manitoba who practice privately. Their information can be found on the College of Dietitians of Manitoba website www.manitobadietitians.ca. Click on the blue box on the right “accessing a dietitian.” A listing of dietitians in private practice by location will appear (e.g. Winnipeg, Beausejour). If you click on the dietitian’s name, a description of the type of nutritional care they provide will appear. Nutritional assessment and follow-up with a Registered Dietitian is covered by many third-party insurance companies. You should check with your insurance provider to see if you have coverage and whether or not a physician’s referral is required for reimbursement.

Nutrition information can also be found on the Dietitians of Canada website www.dietitians.ca. On this site you will find tools to help you assess your eating habits and plan meals. There are also resources on a variety of topics such as adolescent nutrition, sports nutrition, weight management and vegetarian diets.



The College of Licensed Practical Nurses of Manitoba

would like to wish all nurses a

A special thank you to those nurses who

are working over the holidays, juggling

their schedules and sacrificing personal

time to accommodate the needs of

patients, residents and clients.

Happy Holiday Season!

Documents

Practical Nursing | December 2012 | College of …...District VI – Candice Davidson LPN All registrants on the active practising register of the College of Licensed Practical Nurses