LINK: Fall 2014
Transcription
LINK: Fall 2014
THE www.caet.ca LINK SEPTEMBER 2014 VOLUME 25, ISSUE 2 The Canadian Association for Enterostomal Therapy Photo Courtesy Alex Rath ET NURSES IN LTC LE LIEN SEPTEMBRE 2014 VOLUME 25, PUBLICATION 2 PM42202514 Association Canadienne des Stomothérapeutes 1 September 2014 The LINK The LINK, the official publication of the Canadian Association for Enterostomal Therapy (CAET) is published three times a year. It is indexed in the Cumulative Index to Nursing and Allied Health Literature (CINAHL) database. SEPTEMBER 2014 • VOLUME 25, ISSUE 2 The LINK accepts contributions in the form of professional news, research projects and findings, clinical papers, case studies, reports, review articles, questions for clinical corner, and letters to the editor. Advertising and news from industry are also welcome. The deadline for submissions to the next edition of The LINK is December 15th, 2014. La revue Le LIEN est une publication officielle de l’Association canadienne des stomothérapeutes publiée trois fois par année et indexée dans la banque de données «Cumulative Index to Nursing and Allied Health Literature». Le LIEN accepte toute contribution sous les formes suivantes: nouvelles professionnelles, projets de recherches, études cliniques, études de cas, rapports, revues d’articles, questions destinées à la section clinique et lettres à l’éditeur. Les publicités et nouvelles de l’industrie sont aussi les bienvenues. La date limite pour la soumission d’un écrit à paraître dans le prochain numéro de Le LIEN est le 15 decembre 2014. For further information or to submit content/ Pour de plus amples renseignements ou pour soumettre un écrit, veuillez contacter: Tel: 1-888-739-5072 Email: [email protected] The LINK is published by Clockwork Communications Inc. on behalf of CAET. Clockwork Communications Inc. PO Box 33145, Halifax, NS, B3L 4T6 Tel: 902.442.3882 Fax: 888.330.2116 www.ClockworkCanada.com Managing Editor: Deborah Murphy Art Director: Sherri Keenan Translator: Jocelyne Demers-Owoka Please forward any changes in membership status or address to: Noëlla Trudel Tel: 1-888-739-5072 Fax: 613-834-6351 E-mail: [email protected] Website: www.caet.ca/membership.htm ISSN 1701-2473 Publications Mail Agreement No. 42202514 Return Undeliverable Canadian Addresses to 66 Leopolds Drive, Ottawa, ON, K1V 7E3 [email protected] CONTENTS HIghlights FEATURE ARTICLE: 22-28 IMPACT 0F NEW ONTARIO FUNDING STRUCTURE AND ITS IMPACT ON THE INTEGRATION OF ET NURSES IN TO THE LONG TERM CARE SETTING BY: KIMBERLEY LEBLANC MN, RN, CETN(C), PHD (STUDENT) Regular Features MEMBERSHIP COMMUNIQUÉ CAET ACADEMY REGIONAL DIRECTORS' CORNER CORE PROGRAM LEADERS' CORNER ET COMMUNITY NEWS INDUSTRY NEWS 4-11 12-20 29-34 35-37 39-42 37-38 MEMBERSHIP COMMUNIQUÉ CAET PRESIDENT’S MESSAGE Submitted by: Paulo DaRosa RN, BScN, MClScWH, CETN(C). [email protected] “Realize that little things lead to bigger things. That's what Seeds is all about. And this wonderful parable in the New Testament: the sower scatters seeds. Some seeds fall in the pathway and get stamped on, and they don't grow. Some fall on the rocks, and they don't grow. But some seeds fall on fallow ground, and they grow and multiply a thousand fold. Who knows where some good little thing that you've done may bring results years later that you never dreamed of?” - Pete Seeger [2009] T through on a commitment to improving electronic systems in order to provide more helpful and timely resources and support for ETNs across Canada. The association will continue to produce and support documents and tools, in the domains of wound, ostomy and continence care, in order to better serve our members, associates, and the public. oday's healthcare system is faced with many challenges. An aging population, increased rates of chronic diseases, government financial restrictions, and scarce resources in a country with many diverse regulations across its various provinces and territories. In other words more problems with fewer resources divided among competing entities. Wouldn't it make sense to work together in order to overcome these barriers? We can all be "sowers" and despite the fact that our "seeds" do not always fall on "fallow ground" there are some that will. As Enterostomal Therapy nurses we have the knowledge, experience, and commitment to overcome the barriers that impact on individuals within our healthcare system. CAET strives to be the voice of all ETNs across Canada. It cannot, however, do it without listening to the members. CAET encourages all members to participate in CAET programs, to speak up and tell us what the "burning" issues are in their communities, and to be involved in research or studies that can better the overall healthcare system and improve the role of ETNs. CAET will, in the coming years, follow Leadership is one of the scopes of 4 September 2014 The LINK practice within the Enterostomal Therapy nursing competencies. There are many ETNs who already are known as leaders in healthcare. The association wants to build on that notion of leadership and expand on it to create opportunities for all ETNs to grow within that concept or scope. We all know the role ETNs have in increasing positive outcomes for our patients. As your new President of CAET, I stand behind the association’s strong commitment to move our profession to a new level. I challenge ETNs to continue being leaders in healthcare and to work towards improving the outcomes for individuals with needs in wound, ostomy, and continence care. Be the "sower" and CAET will ensure that your "seeds" fall on "fallow ground". cd MEMBERSHIP COMMUNIQUÉ MESSAGE DE LA PRÉSIDENTE DE CAET Soumis par : Paulo DaRosa, inf. aut., B.Sc.Inf., M. Sc. cliniques, guérison des plaies, ICS(C) [email protected] « Il faut comprendre que les petites choses mènent à des choses plus grandes, séparer le bon grain de l’ivraie comme dans cette merveilleuse parabole du Nouveau Testament : le semeur sème les grains. Quelques grains tombent dans le chemin, se font piétiner et ne poussent pas. D’autres tombent sur des roches et ne poussent pas, mais quelques grains tombent en terre fertile, ils poussent et se multiplient par mille. Qui sait? Des petits gestes que vous avez accomplis pourraient porter leurs fruits des années plus tard et vous ne vous en attendiez pas du tout! - Pete Seeger [2009] e système de soins de santé d’aujourd’hui fait face à de nombreux défis. Une population vieillissante, une augmentation des maladies chroniques, des restrictions financières du gouvernement et une pénurie de ressources dans un pays géré par différentes règles selon les provinces et territoires. En d’autres mots, davantage de problèmes avec moins de ressources, divisées parmi des entités concurrentes. Ne serait-ce pas logique de travailler ensemble pour surmonter ces obstacles? Nous pouvons tous être des « semeurs » et malgré le fait que nos « grains » ne tombent pas toujours en « terre fertile », certains s’y logeront. En tant qu’infirmières/infirmiersstomothérapeutes, nous possédons les connaissances, l’expérience et le dévouement pour faire fi des barrières qui ont des répercussions sur les personnes au sein de notre système de santé. améliorer les systèmes électroniques dans le but d’offrir des ressources et du soutien plus utiles et opportuns aux stomothérapeutes de partout au Canada. L’association continuera de produire et de soutenir les documents et les outils dans les domaines du soin des plaies, de la stomie et de la continence afin de mieux servir nos membres, nos associés et le public. compétences en soins infirmiers spécialisés en stomothérapie. Plusieurs stomothérapeutes font déjà figure de proue en tant que leader au sein du système de santé. L’association souhaite bâtir sur cette notion de leadership et l’élargir afin de créer des opportunités pour tous les stomothérapeutes de se perfectionner dans ce concept ou champ. La CAET s’efforce d’être la voix de tous les stomothérapeutes à travers le Canada. Elle ne peut cependant y parvenir sans écouter ses membres. La CAET encourage donc tous ses membres à participer aux programmes qu’offre la CAET, à s’exprimer, à nous faire part des sujets brûlants au sein de leur communauté et à participer à la recherche ou aux études pouvant améliorer le système de santé en général et rehausser le rôle des stomothérapeutes. Au cours des prochaines années, la CAET poursuivra son engagement à Le leadership constitue l’un des champs de pratique dans le cadre des Nous connaissons tous le rôle qu’ont les stomothérapeutes pour améliorer les résultats positifs pour les patients. À titre de nouveau président de la CAET, j’appuie l’engagement ferme de l’association de faire passer notre profession à un niveau supérieur. Je mets au défi les stomothérapeutes de continuer à être des leaders en soins de santé et de travailler à améliorer les résultats pour les personnes ayant des besoins dans le domaine du soin des plaies, de la stomie et de la continence. Devenez un « semeur » et la CAET s’assurera que vos grains tombent en « terre fertile ». cd L 6 September 2014 The LINK MEMBERSHIP COMMUNIQUÉ EXECUTIVE DIRECTOR’S REPORT Submitted by: Catherine Harley, RN, eMBA, CAET Executive Director. [email protected] CAET Launches New Strategic Plan for 2014-2017 C AET has been working, through a strategic planning process, on new ways of connecting with members in order to make the association more influential, accessible, responsive, and accountable to the membership. A key to the ongoing success of the Canadian Association for Enterostomal Therapy (CAET) has always been its ability to adapt to the changing healthcare environment and adopt new approaches for addressing new challenges. The challenges facing Enterostomal Therapy Nurses in the Canadian healthcare system are multiple and include budget cut backs, downsizing of staff to lesser skilled health professionals, and lack of access to products and services to assist patients. The changing nature of healthcare delivery, the aging population, and the evolution of roles between the Provincial and Federal governments, require a strong professional association that can form strategic partnerships and support ongoing advocacy. In October, 2013, the CAET Board of Directors, Core Program Leaders, Director of the CAET Academy, the Nominating Committee Chair, and the Canadian Feature Editor of the JWOCN met with industry stakeholders to create a CAET strategic plan for 2014 through 2017. The result is a fresh and sharpened vision for the association that is focused on the membership and on exceptional performance results that will address the on-going challenges that lie ahead. The process for the new strategic plan begins with building relationships with members, patients, and stakeholders. The CAET is committed to creating stronger ties with members at both a National and Regional level. As the CAET advocates to government, for specialized ET Nursing care delivery and better patient outcomes, it must also strengthen links with patient groups and all stakeholders including industry partners in the three domains of wound, ostomy, and continence care. Education and knowledge transfer will be a key focus of this strategic plan and the CAET Academy and Core Programs will continue to create and update continuing education programs, provide best practice recommendations, and focus on Professional Practice Standards. The The changing nature of healthcare delivery, the aging population, and the evolution of roles between the Provincial and Federal governments, require a strong professional association that can form strategic partnerships and support ongoing advocacy. 8 March 2014 The LINK CAET will form partnerships to develop ET Registered Nurse Leaders and strive to produce outcome-based research in ostomy and wound care as well as a patient decision aid for continence care. CAET operations will be focused on improving IT capabilities through an electronic sharing system that supports the Core Program members working in all regions of the country. The top ten strategic priorities for CAET from 2014 to 2017 are: 1) Strengthen Membership: Sustain and grow membership; 2) Demonstrate Value to all ET Nurses/Members: New programs and initiatives to build on CAET’s strengths and to ensure evaluation, revision and response to members & patients; 3) Establish a Clear Identity: Build recognition and understanding of the CAET association brand; 4) Governance, Planning, and DecisionMaking: Create a clear governance model that achieves measurable improvement in CAET Members’ understanding of how the association is governed and managed and applies a sustainability lens to all decisionmaking; 5) Outcomes research platform: Complete ostomy outcomes research to support advocacy; MEMBERSHIP COMMUNIQUÉ RAPPORT DE LA DIRECTRICE GÉNÉRALE Soumis par : Catherine Harley, IA, M.B.A. pour cadres, directrice générale de la CAET. [email protected] La CAET met en place un nouveau plan stratégique pour 2014-2017 a CAET a travaillé à l’aide d’un processus de planification stratégique à trouver de nouvelles façons de rejoindre ses membres dans le but de rendre l’association plus influente, plus accessible, plus réceptive et plus responsable envers ses membres. Une clé du succès continu de l’Association canadienne des stomothérapeutes (ACS) a toujours été sa capacité à s’adapter au milieu toujours en évolution des soins de santé et sa capacité à adopter de nouvelles approches afin de faire face aux nouveaux défis. Les défis auxquels font face les stomothérapeutes dans le système de santé canadien sont nombreux et incluent des compressions budgétaires, la réduction du personnel pour des professionnels de la santé moins qualifiés et le manque d’accès aux produits et aux services pour aider les patients. La nature en constante évolution de la prestation des soins de santé, la population vieillissante et l’évolution des rôles entre les gouvernements provinciaux et fédéraux nécessitent une association professionnelle solide pouvant établir des partenariats stratégiques et soutenir nos actions continues de plaidoyer. L En octobre 2013, le conseil d’administration de la CAET, les leaders des programmes de base, la directrice de l’Académie de l’ACS, la présidente du comité des mises en candidature et la réviseure canadienne de chroniques du JWOCN ont rencontré des intervenants de l’industrie afin d’élaborer le plan stratégique de la CAET pour 2014 à 2017. Cette rencontre s’est soldée par une nouvelle vision améliorée pour l’association qui est axée sur les 10 March 2014 The LINK membres et sur les résultats exceptionnels de rendement qui nous aideront à relever les défis continus qui nous attendent. Le processus du nouveau plan stratégique aborde d'abord le développement des liens avec les membres, les patients et les intervenants. La CAET s’engage à créer des liens plus solides avec ses membres tant au plan national que régional. Étant donné que la CAET fait le plaidoyer auprès du gouvernement pour une prestation de soins spécialisés en stomothérapie et de meilleurs résultats pour les patients, elle doit également renforcer ses liens avec les groupes de patients et tous les intervenants, y compris les partenaires de l’industrie des trois domaines spécialisés en soins des plaies, de la stomie et de la continence. L’éducation et l’échange des connaissances seront un élément clé du présent plan stratégique et l’Académie de l’ACS ainsi que les programmes de base continueront d’élaborer et de mettre à jour des programmes de formation continue, de fournir des recommandations pour les pratiques exemplaires et de se concentrer sur les normes de la pratique professionnelle. La CAET créera des partenariats afin de former des chefs de file en stomothérapie et s’efforcera d’effectuer de la recherche basée sur les résultats en stomie et en soins des plaies ainsi qu’en aide à la décision des patients pour les soins en continence. Les opérations de la CAET seront axées sur l’amélioration des capacités des TI par le biais d’un système de partage électronique qui appuie les membres des programmes de base travaillant dans toutes les provinces du Canada. Les dix priorités stratégiques de la CAET pour la période 2014 à 2017 sont : 1) Renforcer le système d’inscription des membres : Maintenir le nombre de membres et les accroître; 2) Démontrer à tous les stomothérapeutes/membres la valeur de leur adhésion : Instaurer de nouveaux programmes et de nouvelles initiatives pour tabler sur les forces de la CAET et pour s’assurer d'obtenir l’évaluation, la révision et la réaction des membres et des patients; 3) Établir nettement son identité : Développer la reconnaissance et la compréhension de la marque de l’association de la CAET; 4) Gouvernance, planification et prise de décision : Créer un modèle de gouvernance sans équivoque pouvant procurer des améliorations mesurables quant à la compréhension des membres de la CAET de la façon dont l’association est gouvernée et gérée et appliquer une perspective de durabilité à toutes les prises de décisions; 5) Plateforme pour les résultats de recherche : Effectuer de la recherche sur les résultats en stomie afin d’appuyer la défense des droits; 6) Responsabilité financière : En faire preuve aux membres de la CAET par l’entremise de la pratique d’une gestion fiscale prudente et de décisions à long terme permettant d’assurer la durabilité des MEMBERSHIP COMMUNIQUÉ RAPPORT DE LA DIRECTRICE GÉNÉRALE (suite) La nature en constante évolution de la prestation des soins de santé, la population vieillissante et l’évolution des rôles entre les gouvernements provinciaux et fédéraux nécessitent une association professionnelle solide pouvant établir des partenariats stratégiques et soutenir nos actions continues de plaidoyer. programmes de base et des services; 7) Reconnaissance nationale et internationale pour l’excellence académique en enseignement des soins des plaies, de la stomie et de la continence à l’aide des programmes de l’Académie de l’ACS; 8) Développer les capacités de leadership des stomothérapeutes en élaborant un programme de leadership de la CAET; 9) Défendre les droits et représenter les intérêts des stomothérapeutes afin d’établir des partenariats de collaboration et de renforcer la visibilité et la crédibilité de l’association; 10) Développer une infrastructure technologique pour appuyer les activités des programmes de base, améliorer les communications, les médias sociaux et l’efficacité de l’association. Le nouveau plan stratégique de la CAET permettra à l’association de mieux identifier et de se concentrer sur les besoins de ses membres, de travailler de façon plus productive avec des organismes du même domaine et d’habiliter les entrepreneurs de la CAET à atteindre leur plein potentiel grâce à une compréhension de leur engagement envers les services aux membres et une évaluation des initiatives/programmes. Nous sommes impatients de vous voir continuer à vous impliquer en tant que membre au sein de la CAET alors que nous mettons en place ce nouveau plan stratégique. N’hésitez pas à communiquer avec moi pour de plus amples renseignements. cd EXECUTIVE DIRECTOR’S REPORT (cont.) 6) Financial Responsibility demonstrated to CAET Members through the practice of prudent fiscal management and long-term decisions that allow core programs and services to be sustainable; 7) National and International Recognition for Academic Excellence in wound, ostomy and continence education through CAET Academy programs; 8) Build ET Nurse Leadership Capacities through the development of a CAET Leadership Program; 9) Advocate for, and represent, the interests of ET Nurses to build collaborative partnerships and strengthen visibility and credibility; and 10)Develop a technology infrastructure to support core program activities, enhance communications and social media, and improve efficiencies. The CAET’s new Strategic Plan will enable the association to better identify and focus on the needs of its members, work more productively with aligned organizations, and empower CAET contractors to reach their full potential through an understanding of the commitment to member service and evaluation of initiatives/programs. We look forward to your continued involvement as a member of CAET as we launch this new and exciting strategic plan. And please do not hesitate to contact me at [email protected] for further information. cd le LIEN Septembre 2014 11 CAET ACADEMY CAET ACADEMY DIRECTOR’S REPORT Submitted by: Virginia McNaughton, BA, MPA, RN, CETN(C), Director of the CAET Academy. [email protected] I t is hard to believe that September is here and the long awaited spring and summer have, once again, come and gone. We have been so busy at CAET and the CAET Academy that time just flies by! In May the CAET held its first “Virtual Annual Members Meeting” and I was amazed at how many members joined us virtually! We are always working to ensure that ET nurses can attend and benefit from these meetings and this new format appears to have great potential. For those of you who didn’t make it we hope to “see” you next time. There are lots of good reasons to attend meetings – whether they are virtual or face to face. I think one of the best reasons for me is that I get a chance to practice my consulting skills. Many nurses have asked me if I thought that one was born with the skills of a consultant or if these skills had to be learned. There is no doubt that these skills can be learned and must be practiced! I have found that close ties with my professional organization (CAET), and the amazing people involved in it, has helped me to learn these skills and attending meetings gives me ample opportunity to practice them! Consultants really need to know what is going on in their area of specialty. As an ET Nurse Consultant I just can’t think of any better way of keeping informed and staying up to date on the happenings in the ET world in Canada (and beyond) than being engaged with the CAET. As a Consultant I have had to learn to work independently and with minimal structure and on-site support. My involvement in projects initiated by CAET, such as the Best Practice Recommendations documents supported by the Informatics & Research group, has helped me to have structure in my approach to deadlines and commitments. I have learned to manage my time effectively. Even though I am very busy with other things in my life, I can, through these projects, be a productive member of the profession, impact on the care that others provide and clients receive, and help direct the future of the ET profession in Canada. That’s a pretty awesome feeling! Consultants need to be curious. I am, as my mother would have told you, constantly asking questions. I always want to know new things, why people are doing things the way they are, and how it is working out for them. I guess you could say I am “hungry for knowledge”. What my mother didn’t know was that this hunger for knowledge and need to ask questions are key strengths for a good consultant. You can learn to ask questions… come to the next meeting or join a committee and practice this skill! At the Annual Meeting my curiosity and “need to know” were well fed. I was Successful consultants are busy people… but building in time for your Professional Association will result in a return on investment that is well worth the effort. 12 September 2014 The LINK CAET ACADEMY RAPPORT DE L’ACADÉMIE DE L’ACS Soumis par : Virginia McNaughton, IA, B.A., MPA, ICS(C), directrice de l’Académie de l’ACS. [email protected] D ur à croire que septembre est déjà à nos portes et que le printemps et l’été tant attendus sont, à nouveau, déjà terminés. Chez CAET et à l’Académie de l’ACS, nous avons cependant été si occupés que le temps est passé très vite! En mai, la CAET a tenu sa première « Assemblée annuelle virtuelle des membres » et le nombre de membres qui s’y sont joints virtuellement m’a vraiment surprise! Nous nous efforçons toujours de nous assurer que les stomothérapeutes peuvent participer à ces réunions et en bénéficier et ce nouveau format semble avoir beaucoup de potentiel. Pour ceux et celles qui n’ont pu y assister, nous espérons vous « voir » la prochaine fois. Il existe de nombreuses raisons pour participer à ces réunions, qu’elles soient virtuelles ou en personne. Pour moi, je pense qu’une des meilleures raisons est que j'ai la chance d’exercer mes compétences en consultation. De nombreuses infirmières m’ont demandé si je pensais être née avec les compétences d’une consultante ou si ces compétences devaient être apprises. Il ne fait aucun doute que ces compétences peuvent être apprises et qu’elles prennent de la pratique! Je me suis rendu compte que des liens étroits avec mon organisation professionnelle (la CAET) et les formidables personnes qui la composent m’ont aidée à apprendre ces compétences. En assistant à ces réunions, j’ai plusieurs occasions de les mettre en pratique! Les consultantes doivent vraiment être au courant de ce qui se passe dans leur domaine de spécialisation. En tant que consultante-stomothérapeute, je ne peux pas penser à une meilleure façon de rester informée et au su de ce qui se passe dans le monde de la stomothérapie au Canada (et ailleurs) qu’en étant impliquée au sein de la CAET. En tant que consultante, j’ai appris à travailler de façon indépendante et avec un minimum de structure et de soutien sur place. Mon engagement dans les projets initiés par la CAET, comme les documents de recommandations pour des pratiques exemplaires, appuyés par le groupe Informatique et recherche, m’a aidée à structurer mon approche à l’égard des dates limites et de mes engagements. J’ai appris à gérer mon temps efficacement, même si je suis très occupée avec d’autres choses dans ma vie, je peux, par le biais de ces projets, être une membre productive de ma profession, influencer les soins que fournissent les autres et que les clients reçoivent et aider à orienter l’avenir de la profession de stomothérapeute au Canada. C’est une sensation assez formidable! Les consultants doivent être curieux. Je suis, comme ma mère vous l’aurait dit, toujours en train de poser des questions. Je veux constamment connaître de nouvelles choses, pourquoi les gens font Les consultants qui connaissent du succès sont des personnes occupées… mais réserver du temps à votre association professionnelle vous permettra d’avoir un bon rendement du capital investi qui en vaut vraiment la peine. 14 September 2014 The LINK le LIEN Septembre 2014 15 RAPPORT DE L’ACADÉMIE DE L’ACS (suite) cela de cette façon et comment cela fonctionne pour eux. Je pense qu’on peut dire que j’ai « soif d’apprendre ». Ce que ma mère ne savait pas par contre, c’est que cette soif d’apprendre et ce besoin de poser des questions sont d’importantes qualités pour être une bonne consultante. Vous pouvez apprendre à poser des questions… venez à la prochaine réunion ou joignez-vous à un comité et exercezvous à cette compétence! Lors de l’Assemblée annuelle, ma curiosité et mon « besoin de savoir » ont été bien servis. J’ai été exposée à beaucoup d’information et j’ai pu poser beaucoup de questions pour savoir pourquoi les choses étaient telles qu’elles l’étaient et pourquoi la CAET apportait (ou non) des changements. Je me suis renseignée sur les plans pour nos conférences nationales et j’ai ressenti beaucoup de fierté en sachant comment les planificateurs de nos conférences travaillaient en collaboration avec, et, en fait, dirigeaient, nos collègues de l’Association canadienne du soin des plaies (ACSP) dans la planification du programme éducatif. Une présentation d’experts m’a ouvert les yeux aux défis auxquels faisaient face les personnes ayant subi une stomie en Ontario quand venait le temps d’accéder à des fournitures et de les payer. J’ai découvert que la CAET fait pression sur le gouvernement afin de modifier le taux de remboursement en Ontario. J’étais très contente de pouvoir partager cette information avec mes collègues et mes clients! J’ai aussi pu fournir de l’information sur ce que faisait l’Académie de l’ACS et obtenir la rétroaction de mes collègues sur différents projets. En tant que consultante, vous devez apprendre à vous vendre et à vendre vos compétences, mais où pouvez-vous pratiquer ces compétences de vente? Les réunions et les conférences vous donnent l’occasion de pratiquer avec vos collègues et leur soutien peut vous aider à réussir. J’ai eu de nombreuses opportunités pour vendre mes idées et mes projets lors des différentes réunions du Conseil d’administration de la CAET. Lors de la dernière réunion, j’ai dû faire un exposé sur le développement du nouveau rôle de coordonnateur des précepteurs. Pour ce faire, j’ai dû rédiger une proposition pour démontrer au Conseil d’administration les coûts et les avantages prévus de ce poste. Je suis heureuse de vous dire que mon exposé a porté ses fruits et que nous avons maintenant ajouté un poste permanent de précepteur(trice) de l’Académie de l’ACS à l’équipe de l’Académie. Les consultants qui connaissent du succès sont des personnes occupées… mais réserver du temps à votre association professionnelle vous permettra d’avoir un bon rendement du capital investi qui en vaut vraiment la peine. cd CAET ACADEMY DIRECTOR’S REPORT (cont.) exposed to a lot of information and I was able to ask a lot of questions about why things were the way they are and why CAET was (or was not) making changes. I learned about the plans for our Annual Conference and felt a sense of pride at how our conference planners were working with, and in fact leading, our colleagues from Canadian Association of Wound Care (CAWC) in the planning of the educational line up. A panel presentation opened my eyes to the challenges that people with ostomies are facing in Ontario related to accessing and paying for supplies. I found out that CAET is lobbying the government to change the reimbursement rate in Ontario. This was great information for me to be able to share with my colleagues and clients! I was able to provide information on what the CAET Academy is up to and to obtain feedback from colleagues on various projects. 16 September 2014 The LINK As a consultant you have to learn to sell yourself and your skills. But where can you practice these selling skills? Meetings and conferences provide an opportunity to practice with colleagues and their support can help you succeed. I have had such great opportunities to sell my ideas and projects at various CAET Board Meetings. At the most recent meeting I had to “pitch” for the development of the new role of Preceptor Coordinator. To do this I had to write a proposal demonstrating, to the Board, the projected costs and benefits of the position. I am pleased to say the pitch was successful and we now have added a permanent position of CAET Academy Preceptor to the Academy team. Successful consultants are busy people… but building in time for your Professional Association will result in a return on investment that is well worth the effort. cd CAET Executive President: Paulo DaRosa President-Elect: Rosemary Hill Past President: Susan Mills- Zorzes Secretary: Lina Martins Treasurer: Elise Rodd- Nielsen Executive Director: Catherine Harley Regional Directors BC/Yukon: Teresa Stone Prairies/NT/Nunavut: Karen Napier Ontario: Donna Fossum Québec: Liette St. Cyr Atlantic: Kathy Mutch Core Programs Informatics and Research: Jean Brown Marketing: Susan Mills-Zorzes National Conf. Planning: Mary Hill Political Action: Kim LeBlanc Professional Development & Practice: Mary Mark CAET Staff Membership Coordinator: Noëlla Trudel Webmaster: Duane Schermerhorn Bookkeeper: Clare Business Services CAET/JWOCN Editorial Board Features Editor: Kathryn Kozell BC/Yukon: Kim LeBlanc Prairies/NWT: Mary Hill Ontario: Lina Martins Quebec & Atlantic: Kathryn Kozell CAET Academy Director: Virginia McNaughton Office Coordinator: Suzanne Sarda Academic Advisors: Maureen Clarke, Moira Coates, Nicole Denis, Marilyn Langlois, Toba Miller, Nancy Parslow, Barb Plumstead, Sue Rosenthal, Andrea Russell. IT Support: Linda Forster CAET Ad Hoc Committees Bylaws Chair: Vivien Wass Nominations Chair: Lani Williston le LIEN Septembre 2014 17 CAET ACADEMY CAET Academy’s Newest Graduates Cohort 10 Graduates David Cartwright Sarnia, ON Luce Martineau Joliette, QC Cohort 11 Graduates Joana Popet London, ON Lindsay Anderson Huntsville, ON Lisa Brown-Douglas Sioux Lookout, ON Karin Bucher Yellowknife, NT Holly Campbell Yarmouth, NS Holly-Anne Cook-Laliberté Saskatoon, SK Amy Donaghey Ottawa, ON Charlene Doyle Yellowknife, NT Tracy Fournier Miramichi, NB 18 September 2014 The LINK CAET ACADEMY Cohort 11 Graduates cont... Lovetta Helmuth Rosthern, SK Seo Young (Claire) Hwang Ancaster, ON Stephanie Kearney Ottawa, ON Sylvianne Labrie St-Eustache, QC Manon Lachapelle Montréal, QC Marie-Elen Larouche Montréal, QC Kim Mayenburg Royston, BC Wendy Mirander Waterdown, ON Kaitlyn Pile Thunder Bay, ON Misty Stephens Cloverdale, BC Marie Synnott Montréal, QC Josephine Tong London, ON le LIEN Septembre 2014 19 CAET ACADEMY Cohort 12 Graduates Farzana Amanullah Barrie, ON Doris Austin Lethbridge, AB Véronique Cyr Ottawa, ON Bethany Gloyd North Vancouver, BC Mosayeb Karimi North York, ON JoElla Klassen Saskatoon, SK Tracy Locke Port Alberni, BC Kirsten Mattick Hamilton, ON Karleen Norton-Breitkreuz Edmonton, AB Ashley Tatlock Baltimore, ON Matthew Uy Scarborough, ON Brigitte Vaughan Sault Ste. Marie, ON 20 September 2014 The LINK Upcoming Conferences CAET/CAWC Joint Conference Action 2014: Skin Health for Canada! October 31 November 2, 2014 Westin Harbour Castle Hotel Toronto, ON www.caet.ca CAET National Conference Halifax Marriott Waterfront Hotel May 21 - 24, 2015 Halifax, NS www.caet.ca click on SAWC April 30 - May 3, 2015 Henry B. Gonzalez Convention Center San Antonio, Texas www.sawcspring.com WOCN and CAET Joint Conference Palais Des Congres De Montreal June 4 - 8, 2016 Montreal, QC www.wocn.org and www.caet.ca WOCN 47th Annual Conference June 6 - 10, 2015 San Antonio, Texas www.wocn.org National Conference le LIEN Septembre 2014 21 FEATURE ARTICLE IMPACT OF NEW ONTARIO FUNDING STRUCTURE AND ITS IMPACT ON THE INTEGRATION OF ET NURSES IN TO THE LONG TERM CARE SETTING Submitted by: Kimberly LeBlanc MN, RN, CETN(C) PhD (student) Queen’s University. Kimberly is volunteering with CAET to lobby government on this issue. INTRODUCTION: O n January 1, 2013, the Ministry of Health and Long-Term Care (MOHLTC) for Ontario implemented policy changes to the High Intensity Needs Fund (HINF) for residents of Long Term Care (LTC) facilities in the province. The HINF provides for added services to assist those with particular medical conditions requiring services over and above basic levels of care (MOHLTC, 2013). The over-arching objective of the HINF is to prevent unnecessary admissions to hospitals and to facilitate the discharge of patients from hospital settings to LTC settings. Originally, the HINF covered the costs, incurred by LTCs, related to the management of complex wounds including consultation with a wound care specialist. Under the new policy only Nurse Practitioners (NPs) or Family Physicians (FPs) can verify that wounds are “chronic and intractable” and, therefore, eligible for funding. 22 September 2014 The LINK The policy change included a change to the adjudication processes that establish eligibility for access to services required to prevent and treat complex wounds as well as a shift from a ‘fee for service’ model to a global, or capitated, budget of $0.63/resident/day for non-nutrition related HINF services. This has resulted in a net loss of funding for wound management. Under the new policy only Nurse Practitioners (NPs) or Family Physicians (FPs) can verify that wounds are “chronic and intractable” and, therefore, eligible for funding. Enterostomal Therapy Nurses (ETNs) and certified and regulated wound care specialists are no longer eligible for funding. The loss of ETN expertise in managing complex wounds in LTC has been predicted to correlate with an increase in the number of severe wounds and the burden on LTCs that will need to manage larger numbers of sicker residents on fixed budgets (Michaels, 2013; Smith, 2013). BACKGROUND: Complex and Chronic Wounds: Complex and chronic wounds are breeches in skin integrity resulting in a disruption of the layers of the skin, and its underlying structures, that do not heal in a timely fashion. These wounds cause pain and suffering for the individual as well as an increased financial burden on the health care system (Holloway, Harding, Stechmiller & Schultz, 2012). The prevalence of complex wounds in LTC settings has been reported to be between 10 and 22 per cent (CIHI, 2013; LeBlanc, Christensen, Cook, & Culhane, 2013; LeBlanc et al, 2013; Woodbury & Houghton, 2005). A Canadian Institute for Health Information (CIHI) 2013 study concluded that complex wounds are endemic in the LTC setting and are a marker of the quality of care being provided. CIHI reported that many wounds are avoidable and can be effectively managed in their early stages. In order to minimize the financial and human impact of wounds the focus, across all healthcare settings, should be FEATURE ARTICLE ET NURSES IN LTC (cont.) Wound care, in Canada, is a specialty that is unregulated with no single body governing or standardizing health care professionals on the prevention and management of wounds (CIHI, 2013). The clinical literature suggests that individuals living with complex wounds require specialized care and support (Woodbury & Houghton, 2005) but not all government policies are supportive of that principle. Evidence-based practice dictates that advanced knowledge and education is required to care for these individuals (Hordienko, 2004) and that prevention is more effective when led by an ETN (Harris and Shannon, 2008). Without access to healthcare professionals who have advanced knowledge in the area of wound care the individual, and his/her care providers, can be confronted with physical (prolonged wound healing), financial (increase use of product resulting in high financial burden to the care facility) and psychological (decreased quality of life, self-image and adjustment issues) issues (Holloway et al, 2012; Waters, 2005; Ribu & Wahl, 2004). The reported prevalence of complex wounds in the LTC setting is of particular concern. Individuals living in LTC facilities are often afflicted with chronic diseases that are linked to wound development. A growing and aging population, with more individuals requiring LTC, coupled with the associated complex medical conditions results in the risk of an increased prevalence of wounds in LTC in the future. From both human and fiscal perspectives the efficient and effective management of wounds is a critical component of care in LTC facilities (McGrail, 2011; Woodbury & Houghton, 2005). 24 September 2014 The LINK Wound Care Specialists in Canada Wound care, in Canada, is a specialty that is unregulated with no single body governing or standardizing health care professionals. The specialty is also without published standards. This results in lack of clarity as to who is, or what defines, a wound care specialist. Enterostomal Therapy Nurses Enterostomal Therapy Nurses (ETNs) are baccalaureate prepared registered nurses with advanced and specialized knowledge and clinical skills in wound, ostomy and continence care. Enterostomal Therapy is the only nursing specialty with CNA certification in wound care. Enterostomal Therapy nurses must, to be CNA Certified in Canada, complete the CAET’s Enterostomal Therapy Nursing Education Program or an approved and equivalent ETNEP program. An ETN provides specialized holistic assessment and management of complex and chronic wounds and is situated to collaborate with the LTC interdisciplinary team to predict, prevent, and manage these wounds in the LTC population (Harris & Shannon 2008; Denis, 2004). Despite this extensive training and certification ETNs are, under the new HINF policy, currently excluded from the HINF model. Literature shows that healthcare professionals who receive ETN guidance become focused on prevention, best practice recommendations, and cost savings instead of being focused only on crisis intervention (Harris & Shannon, 2008). Effective prevention strategies result in the reduction in the number of chronic and complex wounds and significant cost savings. The ETN can also monitor product use in order to ensure cost-effective outcomes and reduce waste. Quality healthcare is supported, by the ETN, through teaching, mentoring, program development, and quality monitoring (Harris & Shannon, 2008). Nurse Practitioners & Family Physicians Family Physicians (FPs) receive limited training in the area of wounds (Harris & Shannon, 2008). Nurse practitioners (NPs), or Registered Nurses in the Extended Class or RN(EC), are Master’s prepared nurses who have completed a nurse practitioner program and an extended class examination (CNA, 2008) but complex wound management is not part of the NP curriculum in Canadian universities and NPs are not, in general, provided with the knowledge and skill training required to manage these complex wounds. Despite this only FPs and NPs can now, under the new HINF policy, oversee the assessment and care of complex wounds in the LTC setting. The author’s experience suggests that the rate of complications and the rate of consultation with ETNs may have increased since the changes to the HINF model. The relative cost-savings, versus new cost burden, associated with this shift has not been assessed but there are indications that these changes may have inadvertently increased the internal cost pressures to LTCs and have not even been accompanied by an improvement in care. Anecdotal evidence further suggests that the numbers of residents with severe and startling wounds is also increasing and thus exacerbating the risk and the possibility of negative media attention (Personal Communication: Bauer, S. January 22, 2014). CRITICAL ANALYSIS: Wounds are a serious health care issue that can have profound personal, FEATURE ARTICLE ET NURSES IN LTC (cont.) clinical, and economic impact. They are reported to be extremely painful and debilitating and to negatively impact on function, mobility, and quality of life as well as being a financial drain on the healthcare system (CIHI, 2013). Complex wounds also frequently become infected resulting in additional pain, further suffering, and higher costs (Holloway et al, 2012). Despite the desire, from a nursing perspective and based on clinical research, to incorporate wound care specialists in to LTC settings the majority of LTC settings in Ontario have limited or no funding available to access these specialists. One of the two major objectives behind the HINF reform, in 2013, was to achieve a more equitable distribution of funding for the high intensity needs program (with the other major objective being to establish control over costs). The over-arching objective of the HINF is to prevent unnecessary admissions to hospitals and to facilitate the discharge of patients from hospital settings to LTC settings. Originally, the HINF covered the costs, incurred by LTCs, related to the management of complex wounds including consultation with a wound care specialist. The 2013 policy change imposed a new funding model that increased the base level of funding for residents in LTC and combined it with a cost share structure for specific categories, including wound care, which had formerly been part of the HINF. This has resulted in a net loss of funding for wound management. supports will be required to meet their needs. The LTC facilities, without this additional support, would likely have to consider setting limits on the number of residents with complex needs or declining the admission of high cost residents such as those with complex wounds (Michaels, 2013; Smith, 2013). The original objective of the HINF, to prevent unnecessary hospital admissions, may not be realized if complex chronic wounds are not prevented and managed effectively in LTC. The HINF is now limited to covering the material costs associated with chronic and intractable wounds but no longer covers the cost of a consultation with a wound care specialist. While ETNs can still play a vital role in wound management their consultations are, however, no longer funded under HINF (MOHLTC, 2013). LTC settings must rely on NPs or FPs to manage complex wounds. As noted above most NPs and FPs receive limited or no wound education and are largely ill equipped to take on this challenging role. In summary, while the funding reform is still in its earliest phases there seem to have been several unanticipated negative impacts. Options and suggestions on how to improve or modify the program are outlined below. Photo © Alex Rath The rationale for the new HINF model was to counter the unequal use of the program, among the different HTC facilities in Ontario, and to increase the focus on prevention (MOHLTC, 2013). By diminishing the ETN role, and eliminating remuneration for ETNs, the policy has, inadvertently, weakened the potential for wound prevention. The financial and clinical implications of these changes will negatively affect the LTC facilities’ ability to provide quality care to residents. The change in the HINF has also placed a financial strain on the LTC facilities and resulted in program and service reductions in order to offset funding decreases (Michaels, 2013, Smith, 2013). As the needs of individuals living in LTC’s increase additional 26 September 2014 The LINK POSSIBLE SOLUTIONS: Several unanticipated issues, as identified above, have emerged in the early stages of the implementation of the HINF policy revisions. To address these issues it has been proposed by the CAET lobby group, being run by the author and the CAET Executive Director, that the HINF policy revisions be reevaluated. It is also proposed that government consultations regarding the evaluation protocol and findings be held with key stakeholders including LTC residents and families, LTC administration and staff, FPs, NPs, and ETNs. Consideration should be given to reinstating funding for ETN consultations for complex wounds in the LTC setting. This would help ensure that individuals living in LTC, across the province of Ontario, all receive the same high standard of care related to the management and prevention of these wounds. ETNs could be required to guarantee geographic coverage for the province in return for a reinstatement of their role as ‘gatekeepers’. By taking this step the MOHLTC would enhance the quality of FEATURE ARTICLE ET NURSES IN LTC (cont.) The policy changes to the HINF, as implemented by the MOHLTC in 2013, have had a potentially negative impact on the quality of care provided to residents with complex wounds living in long term care facilities. care provided to LTC residents with complex wounds while remaining faithful to its original objective of preventing unnecessary admissions to hospitals and enabling the discharge of patients from hospitals to LTC settings. ON. Retrieved January 14, 2014 from: http://www.cihi.ca/CIHI-extportal/internet/EN/document/health+sy stem+performance/quality+of+care+an d+outcomes/release_29aug13 CONCLUSION: Canadian Nurses Association (CNA) 2008, Nurse Practitioner and Clinical Specialists Retrieved January 20, 2014 from: http://www.cna-aiic.ca/en/ professional-development/nursepractitioner-and-clinical-specialists The policy changes to the HINF, as implemented by the MOHLTC in 2013, have had a potentially negative impact on the quality of care provided to residents with complex wounds living in long term care facilities. To ensure standardization of evidencebased best practices, pertaining to complex wounds in LTC, it is proposed that the MOHLTC re-evaluate the funding for wound care specialist consultations in LTC. Given the ETNs advanced knowledge, skill, and standardization through certification ETNs are ideally situated to collaborate with the LTC interdisciplinary team to predict, prevent, and manage complex and chronic wounds in the LTC population. Evaluation of the new policy is required and it is recommended that consultations regarding the evaluation protocol and findings be held with a wider group of stakeholders including LTC residents and families, LTC administration and staff, FPs, NPs, and ETNs. REFERENCES: Canadian Institute for Health Information (CIHI) 2013. Canadian Hospital Reporting Project Technical Notes - Clinical Indicators. Ottawa, 28 September 2014 The LINK Denis. N. (2004). Impact of ET Nurse Intervention on Patient Outcomes: A Secondary Analysis. The Link. June 2004. 23-25 Harris, C, Shannon, R. (2008) An Innovative Enterostomal Therapy Nurse Model of Community Wound Care Delivery: A Retrospective CostEffectiveness Analysis. Journal of Wound Ostomy and Continence Nursing. 35(5), 169-183. Holloway, S., Harding, K., Stechmiller, J.K., & Schultz, G. (2012). Acute and Chronic Wounds. In Baranoski, S., & Ayello, E.A. (Eds.), Wound Care Essentials: Practice Principles 3rd edition. (83-100). Amber, PA: Lippincott Williams &Wilkins Hordienko, G. (2004). What about Certification? The Link. April. 4-5 LeBlanc, K., Christensen, D., Cook, J., Culhane, B. (2013) Pilot Study of the Prevalence of Skin Tears in a Long Term Care Facility in Eastern Ontario, Canada. Journal of Wound Ostomy and Continence Nursing. 40(6). 580584. LeBlanc, K, Baranoski, S, Christensen, D., Langemo, D., Sammon, M., Edwards, K., Holloway, S., Gloeckner, M., Williams, A., Sibbald, G., Campbell, K., Regan, M. (2013) International Skin Tear Advisory Panel: Putting it all together, a Tool Kit to aid in the Prevention, Assessment and Treatment of Skin Tears. Advances in Skin & Wound Care 26(10) 459-476. McGrail, K (2011). Long-term care as part of a continuum. Healthcare papers 2011; 10(4): 39-43, 58-62. Michaels, D. (2013). Ministry of Health and Long Term Care Funding Changes. Retrieved January 18, 2014 from: http://www.brantfordexpositor.ca/2013 /06/05/jnh-to-adjust-budget-overprovincial-funding-changes Ministry of Health and Long-Term Care Ontario (MOHLTC), 2013. Guideline for Eligible Expenditures for Long-Term Care Homes. Retrieved January 1, 2014 from: http://data.oltca.com/funding-policyhigh-intensity-needs-fund Ribu, l., & Wahl, A .(2004). Living with diabetic foot ulcers: A life of fear, restrictions and pain. Ostomy Wound Management. 50(2). 57-67. Smith, J. (2013) Report: High Intensity Needs Funding in Long-Term Care. Retrieved January 21, 2014 from: http://www.peelregion.ca/council/ agendas/2013/2013-02-14-rc agenda.htm Woodbury, MG., & Houghton, PE.(2005). The extent of chronic wounds in Canada: What we know and what we don’t know. Wounds Canada 3(1): 18-52. Waters, N. (2005). The challenge of providing cost-effective quality wound care in Canada. Wounds Canada 3(1): 22-52. cd REGIONAL DIRECTORS’ CORNER REGIONAL REPORT FROM BC & YUKON By: Teresa Stone RN, BScN, ETN, BC & Yukon Regional Director. [email protected] Our Spring regional meeting from May 2 to 4, in Victoria, was a great success with endless thanks going out to the most committed planning committee. M y first year in the role of Regional Director has flown past. It has been a pleasure getting to know members and ETN students throughout the region. Several ET nurses celebrated ET Nurses Week in April with educational displays promoting our profession. A topic for our fall meeting agenda will be planning events for ET nurses week 2015. Get your ideas flowing! Our Spring regional meeting from May 2 to 4, in Victoria, was a great success with endless thanks going out to the most committed planning committee. This was truly a team event led by a planning committee that included Colette MacAskill, Marilyn Elder, Pam Mayor, Michelle Fleurs de Lys, Lauren Wolfe, Kim Mayenburg, Linda Borza, Maureen Mann, and myself. The meeting took place at the fabulous Empress Hotel and we truly felt like princesses at our castle on the west coast! The meeting morphed quickly into a conference with industry exhibits & expert speakers that drew in a great group of participants. The event brought together 42 members and non-members working in skin, wound, ostomy and continence care around the province. The Friday evening was dedicated to industry and included a cocktail reception and exhibits. This was followed by a day and a half of stimulating presentations, CAET business, and round table clinical discussions providing the opportunity to share challenges, solutions, and resources. Photo by T. Stone. These discussions revealed the similarities in the challenges and interests among those in our various clinical practice areas including topics like colostomy irrigation, fistula management, wading through the new wound care products, challenging wound etiologies, and an increasing level of complexity in our cases. The participants in the room represented several decades of clinical experience that contributed to lively discussion, sharing, and problem solving with such energy that it was often difficult to end discussions and move forward in the very BC ET Nurses as the 2014 Regional Meeting. full agenda. Sharing of new L to R: Linda Borza, Kim Mayenburg, programs and clinical resource Vera Busch, Teresa Stone. documents also revealed our common needs and a desire to work toward a common goal. As BC has a Provincial Skin and Wound committee it was proposed that we form a similar committee to support ostomy clinical practice and quality patient care outcomes. Feedback was, overall, very positive from both the participants and members of industry and ideas for holding similar events in future years are being considered. The key takeaways were noting the diversity of our work settings, recognition of the need for a conduit for development of practice guidelines while combining resources, and the ongoing challenge of defining and marketing ourselves as ET nurses. As the current BC Provincial Ostomy contract is in RFP the formation of the ostomy group will most likely occur in the new year. In October the co-sponsored national conference, with CAWC, will have an exciting and diverse agenda and I hope some of you will join us. May of 2015 offers a unique CAET conference format in Halifax, NS. The theme for that event will be clinical skills with toolbox workshops. I look forward to the next year of my term and I send warm regards to all! cd le LIEN Septembre 2014 29 THE CAET – JWOCN CONNECTION AUTHORS WANTED! … To share our Canadian perspective What are the benefits to you as a CAET member and Journal affiliate? • The JWOCN is rated in the top 2 percent of refereed nursing journals indexed in MEDLINE and CINAHL • This prestigious nursing journal has gained a significant increase in international readers • A Canadian ETN perspective is now part of this international nursing readership Do you have a clinical practice challenge or an innovative project which is changing or advancing ET practice? Have you developed an educational program to benefit patient and or staff and would like to communicate this to the ETN world? Have you conducted a survey, clinical trial or would like to collaborate in research? If so, contact us NOW! Your CAET Editorial Board will assist you to create a newsworthy submission to the JWOCN and help connect you to the ETN world. Writing an original manuscript for publication? Consider JWOCN first. "Our affiliation (with CAET) also enhances the quality and quantity of authors contributing to our journal, and expands networking opportunities for everyone." ( Dr. Mikel Gray, Editor in Chief, JWOCN) For more information contact your regional editorial board representative: BC/Yukon: Dorothy Phillips ([email protected]) Prairies/NWT: Mary Hill ([email protected]) Ontario: Lina Martins ([email protected]) Quebec & Atlantic: Kathryn Kozell ([email protected]) 30 September 2014 The LINK REGIONAL DIRECTORS’ CORNER REGIONAL REPORT FROM PRAIRIES / NWT / NU By: Karen Napier RN, BScN, CETN(C), Regional Director for Prairies/NWT/NU. [email protected] T he CAET board meeting in May was very productive and we have developed a clear focus for the upcoming year. Our Annual Membership Meeting (AMM) was offered via webinar for the first time. I believe that, although there were some bumps along the road, this is a great format for our association as our membership is spread so widely across the country. I hope that this will draw more participation from members in the future. A discussion panel on the topic of Ostomy reimbursement, that took place during the membership meeting, was very interesting. Each province’s sytem works quite differently leading to an inequality in what Ostomy products are covered and what reimbursement is provided from province to province. The discussion gave me a new appreciation for the funding that we receive in Alberta for ostomy supplies. It also helped me to realize the need for ETs to advocate for standard ostomy funding throughout the country. Over the last year we have had a number of ETs retire in our region. This is always to be expected but it is with great sadness that I say goodbye to these members. I wish them all the best in their retirement. It is my hope that they will stay in touch as their mentoring is very much appreciated. In the future I see a need to build a more formal process for mentoring new ETs as we see more retiring each year. If anyone has suggestions on how we can do this, moving forward, please share them with me. CAET membership is crucial to our association’s strength. I encourage you to motivate existing members to renew their membership and to recruit new members to CAET. With larger numbers we gain a stronger voice in health care in Canada and as a larger organization we can offer more to the membership. I am always looking for education requests and ideas for our local meetings. Please e-mail me any suggestions you may have. If you also have any items or resources that you would like to share with others please e-mail me. As we move into the Fall it is time, for those who have not yet written it, to apply to write the CNA Certification exam. On-line applications for initial certification will be accepted from Tuesday, September 2rd until Wednesday, November 12, 2014 at 4 pm. There is a link to certification details at www.CAET.ca (see the CNA tab at the bottom of page). I hope you have all enjoyed your summer and I wish you the best for this Fall. cd With larger numbers we gain a stronger voice in health care in Canada and as a larger organization we can offer more to the membership. le LIEN Septembre 2014 31 REGIONAL DIRECTORS’ CORNER REGIONAL REPORT FROM ONTARIO By: Donna Fossum RN, BScN, CETN(C), Ontario Regional Director. [email protected] O ntario is the second largest province in Canada and approximately 1/3 of Canada’s population calls it home. So it is no surprise that Ontario is also home to the greatest number of ETNs. Within Ontario CAET has 122 members actively enrolled with CAET and another 44 with their membership renewal pending at the time of this writing. We can be proud that Ontario also has 62 ETNs with CNA Certification. In numbers we have the strength, power and ability to make change happen. If you are ever in need of information, to support or promote your position as an ETN in an organization, www.CAET.ca contains valuable information. I have been an ETN since 2010 and earned my CNA certification in 2013. Prior to this I was a surgical nurse practicing in general surgery, urology, plastics, thoracic, ENT and orthopaedics. For the past year I have been involved with the decision aid project for self-catheterization under the Core Program of Informatics and Research led by Jean Brown of Halifax. I am new to the CAET board. My first Board meeting confirmed for me that the CAET Board works incredibly hard and seems to have a never ending supply of energy and enthusiasm. The CAET website is about to be revamped. If you have any suggestions or comments this is your chance to have input! What do you like about the website? Do you know what it has to offer? Is there something you have looked for and not found? Have you registered for the “Find an ETN” program? The Conservative Sharp Wound Debridement Recommendations and Enterocutaneous Fistula Best Practices are useful resources that are available on the site and updated regularly. The Ostomy Guidelines and Parastomal Care sections are worth checking out. If you are ever in need of information, to support or promote your position as an ETN in an organization, www.CAET.ca contains valuable information. Since becoming an ETN, I have attended every CAET conference. If you have not had the privilege of attending you may not realize what you’re missing. There is a wealth of information available at these events. We look forward to an impressive joint conference, with CAET and CAWC, in Toronto October 31 to November 2, with the theme ACTION 2014: Skin Health for Canada! I hope to see many of you there. I look forward to an exciting two years as your Ontario Regional Director. We will continue to hold meetings to share information and I will keep you up to date on developments within the association. I welcome your comments and questions. cd Remember: • Check out the CAET and CAET Academy websites if you have not done so recently; • Get certified! Prove to yourself, and your community, that you are qualified, competent, and current in Enterostomal Therapy Nursing. If you are already certified remember to keep a chart of your continuous learning hours in preparation for recertification. The CAET website has a link to the CNA certification site; • Ontario members of CAET will continue to hold meetings to share information. Let me know your preferred method of meeting; and • Lastly, and most importantly, keep your CAET membership current! And encourage other ETNs to join. If you are having problems renewing, or if you have any questions, feel free to contact me. 32 September 2014 The LINK LE COIN DES DIRECTEURS RÉGIONAUX RAPPORT RÉGIONAL DU QUÉBEC Soumis par : Liette St-Cyr IA, B.Sc., infirmière clinicienne, stomothérapeute, directrice régionale du Québec. [email protected] M embres du Québec, membres d'un bout à l'autre du Canada, je vous invite à venir naviguer sur le nouveau site de l'Association des infirmières et infirmiers stomothérapeutes du Québec : www. aiisq.com. Un travail colossal a été fait par des membres volontaires du Québec pour développer le site internet de l'association. Les membres ainsi que le public trouveront une foule d'informations générales dont les activités de l'Association du Québec et du CAET, des documents concernant le soin des plaies, des stomies et de la continence, ainsi que des nouvelles concernant les mises à jour régulières des activités de l'Association. Cette réalisation est un atout majeur pour chacun des membres et permet également de se faire connaître par le public. Un gros merci pour les membres qui sont à l'origine de ce projet. La reconnaissance de notre spécialisation est un sujet important à chacune des rencontres des membres de l'Association du Québec. Plusieurs dossiers sont actifs au sein de l'Association, que ce soit pour la reconnaissance auprès des Universités, de l'autorisation de prescription de pansements complexes ainsi que de la reconnaissance dans nos établissements respectifs. Les infirmières stomothérapeutes démontrent beaucoup de persévérance dans l'élaboration de ces projets. Même lorsque les démarches s'annoncent laborieuses, les infirmières stomothérapeutes déploient leurs énergies afin de mener à bon port les projets concernant les compétences et connaissances de notre spécialité. Toutes ces démarches sont bénéfiques pour les patients, la communauté et aussi pour les établissements de santé. On ne peut passer outre l'aspect financier qui fait partie malgré nous de la réalité du quotidien. La présence des stomothérapeutes a une influence positive directe sur le contrôle des coûts associés aux trois sphères de notre spécialité. Je profite de la présente publication ''Le Lien'' pour animer des réflexions sur les soins de plaies, de stomies et de continence dans les centres de soins de longue durée. La population vieillissante est grandissante au Québec et certaines régions sont touchées plus que d'autres. La présence de stomothérapeute dans les centres de soins longue durée semble être méconnue. Pourtant, une collaboration avec ces établissements pourrait mener à une diminution de visite de ces personnes en salle d'urgence, un aspect important dans l’optique de leur qualité de vie. Donnons-nous des moyens afin de permettre aux personnes âgées de vivre un quotidien comme il se doit, serein, paisible et sans douleur. Nous pouvons faire la différence! cd Je profite de la présente publication ''Le Lien'' pour animer des réflexions sur les soins de plaies, de stomies et de continence dans les centres de soins de longue durée. le LIEN Septembre 2014 33 REGIONAL DIRECTORS’ CORNER REPORT FROM ATLANTIC REGION By: Kathy Mutch RN, BN, CETN(C), Atlantic Regional Director. “You can't stay in your corner of the Forest waiting for others to come to you. You have to go to them sometimes.” -- Pooh's Little Instruction Book, inspired by A. A. Milne I t is my pleasure to accept the position as Atlantic Provinces Regional Director. CAET has inspired, challenged and guided my practice over the many years I have been an ET nurse. My goal as regional director is to help each member of our region feel connected and find the opportunities within CAET to advance their practice and to collectively help grow our professional association. Atlantic Canada is comprised of four unique provinces and distance is a challenge. We are a dedicated group of professionals, caring deeply for those we serve. Some of the activities our members are engaged include: - Joan Peddle, NB, has been key to helping arrange our regional meetings in Moncton over the last few years. Joan’s attention to detail adds so much to each meeting. Congratulations Joan on your new business - Joan Peddle Consulting, may you have much success. Joan is attending the WOCN meetings in Nashville this year. We look forward to hearing your news from this conference. Carla Wells, NF, is project lead for the ECF Recommendation revisions. - Jean Brown, NS, is remaining on as Core project leader for Research and Informatics. Jean has lead projects with enthusiasm, keenness to learn, and inclusiveness. - CAET’s annual conference and AMM will be held in Halifax in May 2015 34 September 2014 The LINK and Connie Harvey and Carla Lohanes are helping provide the regional input for conference planning. We look forward to welcoming everyone to our region. - Eleanore Howard, our outgoing regional director, has provided dynamitic leadership. We are very saddened to see Eleanore move from Annapolis Valley, NS but do wish her all the very best in her move to Scotland. I know she will contribute greatly to the practice of Stoma Care nursing or Tissue Viability nursing in Scotland as she has in Canada. Eleanore was recently recognized by the College of Registered Nurses of NS with the Excellence in Clinical Practice for 2014 award. Congratulations Eleanore! I have borrowed from Winne the Pooh for direction for this role as regional director: “You can't stay in your corner of the Forest waiting for others to come to you. You have to go to them sometimes.” -- Pooh's Little Instruction Book, inspired by A. A. Milne I planned to contact each of the members in Atlantic Canada to learn of their practice, it’s challenges and rewards and gather ideas on the future of enterostomal therapy nursing practice in Atlantic Canada. Our regional meeting was held in Halifax June 28, 2014. cd CORE PROGRAM LEADERS’ CORNER INFORMATICS & RESEARCH By: Jean Brown RN, BScN, ET. I nformatics and Research is a very busy portfolio. It involves the CAET database as well as specific projects assigned to volunteer working groups. These projects are created by the Board to fit in with CAET’s Mission, Vision, and Values. They also must fit within the current Strategic Plan. Progress continues on the Decision Aid project titled “Is Self Catheterization right for you?” Stakeholder feedback on the draft is now being incorporated into a focused aid for patients who are required to consider intermittent self catheterization as a treatment for urinary retention. It will include simple anatomical drawings in the one to three page long patient aid. After final editing it will be formatted into a brochure for distribution and posting on the CAET website. The CAET Board has allocated funds in the budget to ensure this document can be distributed. One of the many things discussed by the Board, while developing this year’s Strategic Plan, were challenges facing ETs in their various practices. The Enterocutaneous Fistula Recommendations revision is proceeding, under the leadership of Carla Wells. To date there have been three literature searches completed, including one with the help of the CAET Treasurer Elise Rodd-Nielson. An initial group of articles has been reviewed and another group of documents is presently under review. Project completion is scheduled for mid-September 2014. One of the many things discussed by the Board, while developing this year’s Strategic Plan, were challenges facing ETs in their various practices. A consistent theme was shrinking health care budgets and how sometimes budgets are stretched by employing people who to fill an ET role without ET qualifications. This results in a cost- savings to the employer and a decrease in the number of potential ET positions. In recent months I have spoken to a few ETs who have recently retired or are planning to do so in the near future. They all refer to the diminishing managerial support for the ET role and the substitution of people who are not ETs to do wound consults and ostomy referrals as well as teaching. One of the needs, defined by the Board, for CAET over the next year is looking at the preand post-operative impact of ET nurses on various aspects of ostomy care. The goal is to give ETs the information they need to show their employers the true value of an ET nurse. Virginia McNaughton, Director of the CAET Academy, has informed the Board that, in her volunteer position as a Board member of the Ottawa United Ostomy Association, she is acting as a liaison for a research project being conducted by first year medical students at the University of Ottawa. This exciting new project involves a quality of life survey that will seek to find, among other things, whether ostomy patients who have access to an ET nurse, at specific intervals in the post operative phase, have better quality of life outcomes than those who do not. The first year medical students have completed and are presently revising a literature search. Dr. Ian McDowell, a University of Ottawa Faculty member, is mentoring the students. The CAET has provided support by helping with volunteer insurance and by reviewing the questionnaire being developed and Virginia will keep CAET informed as to when the association can provide further assistance. We look forward to hearing more about this study as it proceeds. cd le LIEN Septembre 2014 35 CORE PROGRAM LEADERS’ CORNER NATIONAL CONFERENCE PLANNING By: Mary Hill RN, BScN, MN, CETN(C). Canadian Association of Wound Care/ Canadian Association for Enterostomal Therapy JOINT Conference Westin Harbour Castle Hotel Toronto, Ontario October 30 – Nov 2, 2014 A ction 2014: Skin Health for Canada is the theme for the first joint conference between the Canadian Association of Wound Care (CAWC) and the Canadian Association for Enterostomal Therapy (CAET). This inaugural collaboration between these two associations, in conjunction with the International Lymphedema Association supports the mutual vision to improve skin health in Canada by focusing on political advocacy, leading edge research, evidence based education and best clinical practice. Skin Health is a standard that all skin and wound clinicians strives for in the Canadian Health Care System where about 35% of persons receiving community care have a chronic wound (Health Outcomes Worldwide Research Data 2013) and 26% of persons in an acute setting have a pressure ulcer (Woodbury 2004). Ultimately, there needs to be leadership and advocacy to create recognition that prevention is the key for to maintaining skin health. This conference is a must attend for any healthcare professionals caring for people with skin and wound issues. 36 September 2014 The LINK Some of the highlights of educational program include: the • An important panel discussion on Who is a wound care specialist? This panel will discuss and debate on the necessary qualifications required for a health care professional to call themselves a wound care specialist in Canada. The panel will include an interprofesssional perspective which will include a physician/ Dermatologist, nurse educator, physiotherapy, chiropodist and Enterostomal Therapist. • Improving Wound Care Standards in Canada: Accreditation Canada will present their Required Organizational Practices (ROP) for wound care & the Canadian Institute for Health Information (CIHI) will present a research project on wound reporting in Canada. • A educational stream devoted to Diabetes and complications. • Can Social media impact wound care policy? • Action! Advocating for People living with an ostomy - A Canadian Perspective • Skin Care in Vulnerable Populations • When wounds and stomas connect • Lower limb edema and lymphedema Management And many clinically relevant topics. Wound Care Industry will be providing satellite symposia as well as a trade show featuring the latest in wound and skin technology. This conference is a must attend for any healthcare professionals caring for people with skin and wound issues. This includes but not limited to: RN, ET, Chiropodist, Podiatrists, rehab specialists, pharmacists, Diabetes educators, physicians and specialists. This program will be accredited through the college of physicians and surgeon and applying for CME. For further information or to register, please go to www.cawc.net or www.caet.ca. References: Woodbury MG, Houghton PE. Prevalence of Pressure Ulcers in Canadian Healthcare Settings, Ostomy Wound Manage, 2004;50(10):22-4. cd CORE PROGRAM LEADERS’ CORNER MARKETING T he CAET Board of Directors is happy to announce the appointment of Susan Mills-Zorzes RN, BScN, MDE, CWOCN, CETN(C) to the volunteer position of CAET Marketing Core Program Leader effective immediately. Susan is the Past President of the CAET, the former Director of the CAET ETNEP Program, has served on many CAET committees, and has been involved in strategic planning and implementation. She was instrumental in achieving CNA certification for Enterostomal Therapy Nurses. Susan will be focusing on meeting the needs of the CAET members. POLITICAL ACTION he CAET Board of Directors is happy to announce the appointment of Kim LeBlanc RN, BScN, MN, CETN(C), and PhD candidate at Queen’s University, to the volunteer position of the CAET Political Action Core Program Leader. Kim is a long standing member of the CAET and was the Chair of the 2006 CAET National Conference in Ottawa. Kim has also been recently involved in assisting CAET to advocate for the role of the ET Nurse in Ontario Long Term Care. Kim was instrumental in the The International Skin Tear Advisory Panel (ISTAP) formed to raise international awareness of the prediction, assessment, prevention, and management of skin tears. Kim will be focusing on advocating for the role of Enterostomal Therapy Nurses within the Canadian healthcare system and will support advocacy work in ostomy supplies reimbursement to support people living with an ostomy in Canada. T INDUSTRY NEWS ADVANCED HEALTH CARE Advanced Health Care Products is a key distributor of quality home health care and rehabilitation products designed to make a positive impact on the lives of people requiring assistive devices. Sold through a network of specialized home health care stores, our products are endorsed by health care specialists and most are listed for government or third party funding and assistance. AHC has been internationally recognized for both sales and service support excellence. As the exclusive distributor of our partners' products, Advanced Health Care Products provides complete marketing, sales support and service to benefit our home health care stores in order to better serve the final users of our products. These benefits include bilingual Customer Service and Order Entry departments plus a Technical Service department to assist with warranty claims, troubleshooting and repairs. Our Professional Sales Support team is constantly being re-educated through supplier training and seminars. Our Marketing Department ensures our presence at all relevant trade shows and in all appropriate trade journals. Our 25,000 square foot warehouse allows us to provide speedy and efficient delivery to all of our customers. Our contact coordinates are: (T) 800-265-9830 (F) 877-636-8944 (E) [email protected] Website: www.advancedhealthcare.ca le LIEN Septembre 2014 37 INDUSTRY NEWS STEADMED MEDICAL SIGNS DRAWTEX® HYDROCONDUCTIVE WOUND DRESSING COMMERCIAL AGREEMENT WITH QUART MEDICAL IN CANADA FORT WORTH, Texas – SteadMed Medical, a leading provider of acute and chronic wound care products, announces it has signed a commercial agreement with Quart Medical of Cambridge, Ontario to introduce key SteadMed Medical product lines across Canada, including Drawtex Hydroconductive Wound Dressing. Drawtex, a patented wound dressing with LevaFiber™ Technology, provides effective wound bed preparation through three different mechanisms of action – Capillary, Hydroconductive and Electrostatic. These forces combine to draw excessive wound exudate, harmful bacteria, deleterious cytokines and necrotic debris from the wound. SteadMed Medical International Director Jay Nisbet said “We are very pleased to combine forces with Quart Medical to offer SteadMed Medical products to the Canadian wound care market. Drawtex is the first of several new and innovative wound care products that will soon be available to help clinicians help their patients”. Quart Medical Director, Michael Quart added “It is a privilege to work with SteadMed Medical which share a patient centered approach and vision with Quart Medical. Together, we will offer healthcare providers this new Drawtex technology which will prove invaluable to the Canadian wound care sector. “ About SteadMed Medical SteadMed Medical provides innovative medical devices and therapeutic products to hospitals, wound care centres, long term care facilities and home health agencies with a focus on acute and chronic wounds, skin moisturization and incontinence care. SteadMed’s extensive portfolio of products can optimize protocols for the care and management of skin and skin breakdown. The company has dedicated customer service and clinical personnel who bring comprehensive solutions to those with wound and skin care complications. For additional information on SteadMed Medical, visit www.steadmed.com About Quart Medical Quart Medical is a Canadian based consultancy specializing in partnering with International medical device companies to drive growth of their brands in the Canadian healthcare market place. Contact Michael Quart by telephone at 416-565-5959 or by email at [email protected] 38 September 2014 The LINK ET COMMUNITY NEWS UNITED OSTOMY ASSOCIATION OF CANADA INC. REPORT Submitted By: Peter Folk, United Ostomy Association of Canada (UOAC) President www.ostomycanada.ca hanks to CAET for its help and support of people living with an ostomy in Ontario. We have formed an ad hoc committee including members of the United Ostomy Association of Canada (UOAC) and the CAET chapter presidents in Ontario to advocate for an increase in the Assistive Devices Program (ADP) Grant. A petition on this issue was created by the committee and presented to the Ontario Legislature before the June election was called and additional petitions were being presented when the government resumed sitting in the Fall. T And thanks to CAET for hosting a panel discussion on Ostomy Reimbursement during the webinar on May 24th. UOAC was pleased to be represented on the panel by Jim Fitzgerald from Toronto. As I listened from my computer in Saskatoon I was able to hear and read the information being presented and from the questions asked during the discussion. It was clear that the audience was very interested in the topic and wanted to get involved. Thank you again to all the ETs who walked in last year’s Stoma Stroll. We have formed an ad hoc committee including members of the United Ostomy Association of Canada (UOAC) and the CAET chapter presidents in Ontario to advocate for an increase in the Assistive Devices Program (ADP) Grant. Mark your calendars for the 2nd Annual Canada Ostomy Day Saturday October 4th, 2014. We extend an invitation to all ET Nurses across Canada to participate. The Virtual Walk will also take place again this year so if your chapter is not hosting a Stoma Stroll, or you can’t attend, you can still participate! Go to www.stomastroll.ca and click on Virtual Walk on the right-hand side then click on the link that says Register Now. You can ask your friends and family to support you through e-mail or social media or print out and distribute the pledge form that is on the website. What a great way to raise awareness and raise funds to support UOAC initiatives. Our UOAC Ostomy Youth Camp, in Bragg Creek, AB, continues to expand every year. Thanks to the volunteers, and the support of ETs, the campers enjoy a life-changing experience at camp and want to return year after year. The need for medical stories in Ostomy Canada magazine is one of UOAC’s biggest concerns right now. The magazine provides an important source of education and information for those dealing with Ostomies. We have re-launched the Ask the ET column and are very pleased with the response from CAET. Thank you to Karen Bruton RN, BScN, CETN(C), MClSc-WH, who wrote the first column. We all look forward to future contributions and welcome any medical stories or suggestions. cd le LIEN Septembre 2014 39 ET COMMUNITY NEWS CAET RECOGNIZES WINNERS OF PRESTIGIOUS NURSING AWARDS CAET President’s Award 2014 Dorothy Phillips RN, BScN, MN, ET is the winner of the 2014 CAET President’s Award and was presented with the award over a live webinar after the CAET Annual Members Meeting on May 4, 2014. There are many ET nurses who work for the betterment of our patients, other ET nurses, and the CAET behind the scenes and Dorothy Phillips is one such ET nurse. Prior to her recent retirement Dorothy brought many years of varied experience to her ET nursing practice and was always available to mentor and support others. During Dorothy’s years as an ET nurse she was, in addition to her nursing practice, an Academic Advisor for the CAET ETNEP, a major contributor to the development of the online Continence course, a member of the Canadian Nurses Association ET Nurse Certification committee, and a member of the CAET-JWOCN Advisory Board. Please join us in congratulating Dorothy on the recognition of her achievements as an ET nurse and as a valuable member of the CAET. Eleanore Howard: College of Registered Nurses of Nova Scotia Award for Excellence in Nursing Clinical Practice Eleanore Howard RN, BScN, MSN, CETN(C) is an Enterostomal Therapy Nurse at Annapolis Valley Health and is very involved in promoting and advancing nursing practice. Her involvements include Chair of the NS College’s Provincial Educational Advisory Committee, Academic Advisor for the CAET Academy, and membership in the WCET. She developed a new wound care documentation protocol, established the first Canadian tele-wound clinic, led three prevalence studies on pressure ulcer assessments, and was instrumental in the implementation of the BRADEN scale. Eleanore has also served on the CAET National Conference Planning Committee and as a volunteer CAET Board Member (Atlantic Regional Director). This prestigious award goes to a very special nurse who has made a difference in the lives of her patients and colleagues and Eleanore was a very deserving recipient. 40 September 2014 The LINK ET COMMUNITY NEWS NURSING AWARDS Jo Hoeflok: RNAO Recognition Awards Award of Merit The RNAO award of merit recognizes RNs who have made an outstanding contribution to RNAO and to the profession of nursing in Ontario. Winners of this award demonstrate responsibility for professional development and are exemplary role models and mentors to peers. Jo Hoeflok RN, BScN, MA, CETN(C), CGN(C), is a nurse practitioner in gastroenterology and general surgery at St. Michael’s Hospital in Toronto. She has had a positive impact on the lives of many people and is considered an expert in Enterostomal Therapy care. Jo has spoken at conferences around the world and has been published extensively in academic journals. She works to advance the practice of Enterostomal Therapy specialized care by sharing literature and opening dialogue about best practices among her peers. Jo cares for people with ostomies and has built lasting relationships through her commitment to ongoing follow up. As a mentor and protégé Jo says she has benefitted greatly from the enduring relationships with her peers and counts these as the true highlights of her career. Dorothy Phillips: CARNA Awards of Nursing Excellence - Committee’s Choice Award Dorothy Phillips RN, BScN, MN, ET recently retired as a Clinical Nurse Specialist in Wounds, Ostomy and Continence for Health Canada (Alberta Region). This position capped off an amazing career of a special nurse. Dorothy, after completing her Master’s Degree in nursing, took on a position as a Clinical Nurse Specialist in long-term care. It was during this time that she recognized that several residents had troublesome ostomies and that it was difficult to obtain timely access to an Enterostomal Therapist (ET). She decided to become an ET in order to meet those needs. In this role Dorothy continued to make a strong contribution to improving the lives of her patients and supporting her colleagues. Dorothy’s successful efforts improving home care in various communities around Alberta found a national platform from which to improve care for ostomy patients across the country – many of them in First Nations and Inuit communities. Dorothy continues to serve as an Academic Advisor for the CAET Academy. le LIEN Septembre 2014 41 ET COMMUNITY NEWS WORLD COUNCIL OF ENTEROSTOMAL THERAPISTS (WCET) Submitted By: Karen Bruton, RN, BScN, CETN(C), WCET, MCISc(WH), WCET International Delegate. [email protected] The 20th WCET Congress in Gothenburg, Sweden was a great success! Learning, sharing, making new friends, reconnecting with old friends and discovering the people and customs of Sweden! Life is a journey not a destination. There were 1400 delegates representing 51 countries. Topics included wounds, ostomy, continence care and professional practice. The Canadian contingent included Elaine Beyer, Greta Degroot, Rosemary Hill, Jo Hoeflok, Eleanore Howard, Kim Leblanc, Lina Martins, Kina PelletierCarson and Karen Bruton. Oral and poster presentations by Canadians were well received by audiences. We had a strong presence at an international event! At present there are 31 Canadian WCET members which is up from 22. Canadians actively participate on WCET committees. Louise Forest Lalonde (Quebec) is the WCET President (20122014). Virginia McNaughton (Ontario), Director of the CAET Academy participates on the WCET Education Committee. Kevin Woo participates on the WCET Editorial Advisory Board. Karen Bruton (Ontario) represents Canada as an International Delegate (2012-2016) and sits on the WCET Constitution Committee. The Canadian WCET meeting was held, post CAET annual meeting, in Toronto on May 24. There were 8 of us discussing the issues that CAET members experience within our practices from across Canada. Networking and sharing experiences reinforce the commitment we have for our clients and patients. 42 September 2014 The LINK Collaboration between WCET and CAET has enabled 2 Nepalese nurses to complete the ETNEP program through the CAET Academy which will have a positive impact for patients/clients. CAET waived the fees for 2 nurses to take the ETNEP program and WCET supported the practicum in a country near home. Kudos to Louise Forest-Lalonde (President of WCET), Cathy Harley (Executive Director, CAET), Virginia Members Only Section www.wcetn.org/member-library. There are many special projects and committees that WCET is looking for members to join – consider volunteering! McNaughton (Director CAET Academy), and many others who made it possible. and cultural/religious implications of an ostomy. It is a must to have as a tool for your practice! WCET currently has 1132 members from around the world. The WCET General Meeting, on June 17, led by the Executive presented the enormous amount of work implemented over the last 2 years. The WCET Mission is to lead the global advancement of specialized professional nursing care for people with ostomy, wound or continence needs. Read many of the informative reports under the WCET International Ostomy Guidelines Recommendations are now on sale… The 65 page guideline reviews literature covering preoperative phase; postoperative phase; client/family psychosocial needs; Look forward to the 21st WCET Congress in Cape Town, South Africa from March 13 to 17, 2016. Theme will be “Embrace the Circle of Life”. Continue to check out the WCET Congress website http://wcet2016.com for abstract deadline dates, agenda and accommodations. It’s going to be an ultimate experience with many lifelong memories! cd The views or opinions expressed in the editorial or articles are those of the authors and do not necessarily represent the policies or views of the Canadian Association for This publication is copyright in its entirety. Material may Enterestomal Therapy (CAET). Although not be reprinted without the reasonable efforts are made to ensure written permission of accuracy CAET, and its agents, take no CAET. Contact through responsibility whatsoever for errors, www.CAET.ca. omissions or any consequences of reliance on material or the accuracy of information. Publication does not constitute CAET endorsement of, or assumption of liability for, any claims made in advertisements. le LIEN Septembre 2014 43