Tag: nursing practice

The CRNS is updating advertising direction to its members who are self-employed and/or practice aesthetics nursing. The CRNS seeks feedback on two documents from members and external stakeholders, including the public, as part of the external consultation process. This process is in place to ensure relevant information is clearly presented. Feedback can be provided by accessing the following surveys and will be accepted until Friday, September 16, 2024, at 4:00 pm.

Self-Employed Practice Guideline Survey

Self-Employed Practice Guideline Survey

• Please note, that the focus of this survey is to seek feedback on the advertising and compensation sections of the Guideline and did not include a full review of the document content, however, minor changes have been made throughout. A full review of the document will be coming up in the future.
• For ease of providing feedback on the revised sections of the Guideline, in the survey these sections are required to answer(marked with an asterisk), and the other sections can be reviewed, and skipped if you have no further feedback.

Aesthetic Nursing Resource

Aesthetic Nursing Resource Survey

Questions or comments are welcome and can be directed to Shayna Moore at smoore@crns.ca and/or Virginia Deobald at vdeobald@crns.ca.

The Saskatchewan Health Authority began the launch of the provincial Iron Deficiency Anemia (IDA) Management program on June 3, 2024. Implementation of the program involves a mandatory outpatient IV iron order set that can be accessed here. The order set is scheduled to be gradually rolled out across the province in the coming months. A memo containing a more detailed site-specific timeline can be found here. The program will affect ALL OUTPATIENT IV iron prescribing once implemented in your community.

IDA Management Program Pharmacists are available to answer your questions. Please find their info below. Live virtual education sessions will be offered for those interested. Dates to follow.

Ben Kinsley (Regina/South)                          Brent Vanin (Saskatoon/North)

Ph: 306 766 2896                                           Ph: 306 655 6077

Ben.kinsley@saskhealthauthority.ca         brent.vanin@saskhealthauthority.ca

RNs and NPs are professionally accountable for how they convey their self-employed practice/business to the public through advertising. The purpose of advertising is to provide information so the public can make an informed decision when selecting registered nursing services from a self-employed registrant. Registrants may engage in advertising their nursing services for the purpose of promoting, maintaining or restoring health; and, preventing illness and alleviating suffering.

Registrants who advertise nursing services shall:

• comply with federal, provincial and CRNS legislation; 
• present information in a manner consistent with the current practice standards, entry-level competencies and the code of ethics;
• advertise services only within the legislated scope of the registrant; 
• state full name and protected title in the advertisement;
  • CRNS designation may only be used once you obtain Recognition of Practice (ROP) approval, or if the nursing services are designated nursing activities as interpreted by the Act; 
• provide an accurate written description of the services provided, including risks and benefits of the service; 
• address any actual, potential or perceived conflict of interest;
• obtain informed consent and always maintain client privacy and confidentiality;
• use reasonable and appropriate illustrations, images, representations or claims; 
• keep a copy of all advertisements for a reasonable time (suggested 5-year retention, or as suggested per legal counsel) for your record keeping;
• only provide and advertise health services or products that are authorized for sale in Canada by Health Canada;
• avoid comparative statements that claim or imply superiority over others or include promotional/sale advertising;
• ethically manage the potential risks associated with endorsements, refraining from endorsing products, product line or health care services that are not related to the care or services provided;
• do not mislead the public with exaggerated claims of the effectiveness of the service being provided; and,
• ensure advertisements are presented in a manner that maintains the public’s trust and are accurate, factual, evidence-based, verifiable, ethical and professional. 

CRNS Nursing Advisors are available to answer your questions. They can be contacted by phone at 1.800.667.9945 or 306.359.4227 or by email at practiceadvice@crns.ca. 

Resources

Aesthetics Nursing Resource

Self Employed Practice Guideline

Recognition of Practice (ROP) Information Page

The Canadian Code of Advertising Standards

The Registered Nurses Act, 1988

The Saskatchewan Ministry of Health has provided updated information regarding the prescribing and dispensing of COVID-19 therapeutics such as Paxlovid. The May 30, 2024 letter can be accessed here.

CRNS Nursing Advisors are available to answer your questions. They can be contacted by phone at 1.800.667.9945 or 306.359.4227 or by email at practiceadvice@crns.ca. 

There have been several questions and requests for clarification in follow up to the Long-Term Care – Authorized Prescriptions joint statement that was sent out by CPSS, CRNS, CLPNS and SCPP. Legislation requirements were included in the original joint statement. This second joint statement has been issued to provide further clarity regarding the use of verbal/telephone orders to dispense a prescription in a Long-Term Care (LTC) setting.

Pharmacists

• Must receive orders to dispense a prescription directly from a physician, NP, RN (AAP), dentist and other authorized prescribers.
• May accept a verbal/phone or faxed original prescription written and signed by an authorized prescriber.
• May receive a faxed transcribed order from a nurse as a means of communication so the pharmacist can expect an order from the authorized prescriber and alerts the pharmacist to follow up with the prescriber if the prescription is not received.

Physicians

• May provide nurses with a telephone/verbal order to facilitate timely patient care.
• Must provide pharmacists with an order directly to authorize the pharmacist to dispense a prescription.

Nurses

• May take telephone/verbal orders from an authorized prescriber and may fax the transcribed order to the pharmacist for communication purposes.
• Cannot act as a third party in the direct communication required between the authorized prescriber and the pharmacist when there is an order to dispense a prescription.

CRNS Nursing Advisors are available to answer your questions. They can be contacted by phone at 1.800.667.9945 or 306.359.4227 or by email at practiceadvice@crns.ca.

The current Health Canada section 56 exemption for all drugs under the Controlled Drugs and Substances Act (CDSA) that was set to expire on September 30, 2021, has been extended to September 30, 2026. The purpose of the exemption was to reduce regulatory barriers to support the continuity of care for patients, and as the pandemic continues and Health Canada works toward modernizing federal regulations, the extension to September 30, 2026, meets these continued needs. The Saskatchewan Prescription Review Program partners – Ministry of Health, Saskatchewan College of Pharmacy Professionals, College of Registered Nurses of Saskatchewan, College of Physicians and Surgeons, and the College of Dental Surgeons of Saskatchewan – have considered the long-term implications of the exemption, with a focus on patient safety and access.

This exemption provides prescribers, including Nurse Practitioners, the authority to issue a verbal prescription for controlled substances drugs to extend or refill a prescription. The Saskatchewan Prescription Review Program partners have agreed to accept the new exemption with the following two provisions for Saskatchewan:

• CDSA drugs may only be transferred once within Saskatchewan. While there remains risk of diversion of medications, the Patient ID Policy alleviates some risk and permitting one transfer may benefit the patient.
• Verbal prescription orders should only be accepted after every effort has been made to receive a written or e-prescription from a provider. The rationale for accepting a verbal order must be documented by the pharmacist.

As previous, Health Canada can terminate this exemption depending on the current conditions if the Minister deems that such suspension is necessary to protect public health, safety or security. If necessary, the Minister may change the terms and conditions of this exemption. Should this be the case, you will be informed. Read the Full Statement

Registered nurses (RN) are responsible and accountable to provide evidence-based, safe, competent and ethical nursing care in all practice settings. In the emergency department, “the process of triage is essential for safe and appropriate care of the emergency department patient” (National Emergency Nurses Association [NENA], 2019).

In 2019, NENA revised their position statement, Role of the Triage Nurse and includes the following key points:

• Triage is a sorting process that requires rapid assessment, critical thinking and application of a standard set of guidelines with patients that can experience instability and changes to their condition.
• The process of triage is best carried out by RNs and Nurse Practitioners (NP) with emergency nursing expertise who have completed a triage-specific educational program.

RNs and NPs work in the emergency department as part of a multidisciplinary team, where safe and appropriate care is best achieved through collaboration and respect.

This nursing practice update replaces the former Triaging in Emergency Departments CRNS and SALPN Joint Statement, 2013.

If you have questions, please contact an CRNS Practice Advisor by phone at 1.800.667.9945 or 306.359.4200 or by email practiceadvice@crns.ca

Reference:

National Emergency Nurses Association. 2019. Role of the Triage Nurse. Retrieved from https://nena.ca/w/wp-content/uploads/2014/11/Role-of-the-Triage-Nurse-2.pdf