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