the link v s olume ssue - nswocsoumis par : paulo darosa, inf. aut., b.sc.inf., m. sc. cliniques,...

September 2014 The LINK1

THE LINKThe Canadian Association for Enterostomal Therapy

www.caet.ca

VOLUME 25, ISSUE 2

SEPTEMBER 2014

LE LIEN VOLUME 25, PUBLICATION 2

SEPTEMBRE 2014

Association Canadienne des Stomothérapeutes

PM42202514

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The LINK, the official publication of theCanadian Association for EnterostomalTherapy (CAET) is published three times ayear. It is indexed in the Cumulative Index toNursing and Allied Health Literature(CINAHL) database.

The LINK accepts contributions in the formof professional news, research projects andfindings, clinical papers, case studies, reports,review articles, questions for clinical corner,and letters to the editor. Advertising andnews from industry are also welcome. Thedeadline for submissions to the next editionof The LINK is December 15th, 2014.

La revue Le LIEN est une publicationofficielle de l’Association canadienne desstomothérapeutes publiée trois fois par annéeet indexée dans la banque de données«Cumulative Index to Nursing and AlliedHealth Literature».

Le LIEN accepte toute contribution sous lesformes suivantes: nouvelles professionnelles,projets de recherches, études cliniques, étudesde cas, rapports, revues d’articles, questionsdestinées à la section clinique et lettres àl’éditeur. Les publicités et nouvelles del’industrie sont aussi les bienvenues. La datelimite pour la soumission d’un écrit àparaître dans le prochain numéro de LeLIEN est le 15 decembre 2014.

For further information or to submit content/Pour de plus amples renseignements ou poursoumettre un écrit, veuillez contacter:

Tel: 1-888-739-5072Email: [email protected]

The LINK is published by ClockworkCommunications Inc. on behalf of CAET.

Clockwork Communications Inc.PO Box 33145, Halifax, NS, B3L 4T6Tel: 902.442.3882 Fax: 888.330.2116

www.ClockworkCanada.com

Managing Editor: Deborah MurphyArt Director: Sherri KeenanTranslator: Jocelyne Demers-Owoka

Please forward any changes in membershipstatus or address to:Noëlla TrudelTel: 1-888-739-5072Fax: 613-834-6351E-mail: [email protected]: www.caet.ca/membership.htm

ISSN 1701-2473Publications Mail Agreement No. 42202514Return Undeliverable Canadian Addresses

to 66 Leopolds Drive, Ottawa, ON, K1V 7E3

[email protected]

CONTENTS

SEPTEMBER 2014 • VOLUME 25, ISSUE 2

HIghlights22-28

4-11

12-20

29-34

35-37

39-42

37-38

Regular Features

FEATURE ARTICLE:

IMPACT 0F NEW ONTARIO FUNDINGSTRUCTURE AND ITS IMPACT ON THE

INTEGRATION OF ET NURSES IN TOTHE LONG TERM CARE SETTING

BY: KIMBERLEY LEBLANC MN, RN,CETN(C), PHD (STUDENT)

MEMBERSHIP COMMUNIQUÉ

CAET ACADEMY

REGIONAL DIRECTORS' CORNER

CORE PROGRAM LEADERS' CORNER

ET COMMUNITY NEWS

INDUSTRY NEWS

oday's healthcare system is facedwith many challenges. An agingpopulation, increased rates of

chronic diseases, government financialrestrictions, and scarce resources in acountry with many diverse regulationsacross its various provinces andterritories. In other words moreproblems with fewer resources dividedamong competing entities. Wouldn't itmake sense to work together in order toovercome these barriers? We can all be"sowers" and despite the fact that our"seeds" do not always fall on "fallowground" there are some that will. AsEnterostomal Therapy nurses we havethe knowledge, experience, andcommitment to overcome the barriersthat impact on individuals within ourhealthcare system.

CAET will, in the coming years, follow

through on a commitment to improvingelectronic systems in order to providemore helpful and timely resources andsupport for ETNs across Canada. Theassociation will continue to produce andsupport documents and tools, in thedomains of wound, ostomy andcontinence care, in order to better serveour members, associates, and the public.

CAET strives to be the voice of all ETNsacross Canada. It cannot, however, do itwithout listening to the members. CAETencourages all members to participate inCAET programs, to speak up and tell uswhat the "burning" issues are in theircommunities, and to be involved inresearch or studies that can better theoverall healthcare system and improvethe role of ETNs.

Leadership is one of the scopes of

practice within the EnterostomalTherapy nursing competencies. Thereare many ETNs who already are knownas leaders in healthcare. The associationwants to build on that notion ofleadership and expand on it to createopportunities for all ETNs to growwithin that concept or scope.

We all know the role ETNs have inincreasing positive outcomes for ourpatients. As your new President ofCAET, I stand behind the association’sstrong commitment to move ourprofession to a new level. I challengeETNs to continue being leaders inhealthcare and to work towardsimproving the outcomes for individualswith needs in wound, ostomy, andcontinence care. Be the "sower" andCAET will ensure that your "seeds" fallon "fallow ground". cd



CAET PRESIDENT’S MESSAGESubmitted 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]

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e système de soins de santéd’aujourd’hui fait face à denombreux défis. Une population

vieillissante, une augmentation desmaladies chroniques, des restrictionsfinancières du gouvernement et unepénurie de ressources dans un pays gérépar différentes règles selon les provinceset territoires. En d’autres mots,davantage de problèmes avec moins deressources, divisées parmi des entitésconcurrentes. Ne serait-ce pas logique detravailler ensemble pour surmonter cesobstacles? Nous pouvons tous être des «semeurs » et malgré le fait que nos «grains » ne tombent pas toujours en «terre fertile », certains s’y logeront. Entant qu’infirmières/infirmiers-stomothérapeutes, nous possédons lesconnaissances, l’expérience et ledévouement pour faire fi des barrièresqui ont des répercussions sur lespersonnes au sein de notre système desanté.

Au cours des prochaines années, laCAET poursuivra son engagement à

améliorer les systèmes électroniques dansle but d’offrir des ressources et dusoutien plus utiles et opportuns auxstomothérapeutes de partout au Canada.L’association continuera de produire etde soutenir les documents et les outilsdans les domaines du soin des plaies, dela stomie et de la continence afin demieux servir nos membres, nos associéset le public.

La CAET s’efforce d’être la voix de tousles stomothérapeutes à travers leCanada. Elle ne peut cependant yparvenir sans écouter ses membres. LaCAET encourage donc tous ses membresà participer aux programmes qu’offre laCAET, à s’exprimer, à nous faire part dessujets brûlants au sein de leurcommunauté et à participer à larecherche ou aux études pouvantaméliorer le système de santé en généralet rehausser le rôle desstomothérapeutes.

Le leadership constitue l’un des champsde pratique dans le cadre des

compétences en soins infirmiersspécialisés en stomothérapie. Plusieursstomothérapeutes font déjà figure deproue en tant que leader au sein dusystème de santé. L’association souhaitebâtir sur cette notion de leadership etl’élargir afin de créer des opportunitéspour tous les stomothérapeutes de seperfectionner dans ce concept ouchamp.

Nous connaissons tous le rôle qu’ont lesstomothérapeutes pour améliorer lesrésultats positifs pour les patients. À titrede nouveau président de la CAET,j’appuie l’engagement ferme del’association de faire passer notreprofession à un niveau supérieur. Je metsau défi les stomothérapeutes decontinuer à être des leaders en soins desanté et de travailler à améliorer lesrésultats pour les personnes ayant desbesoins dans le domaine du soin desplaies, de la stomie et de la continence.Devenez un « semeur » et la CAETs’assurera que vos grains tombent en «terre fertile ». cd


MESSAGE DE LA PRÉSIDENTE DECAETSoumis par : Paulo DaRosa, inf. aut., B.Sc.Inf., M. Sc. cliniques, guérisondes 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 quelquesgrains 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]

L

AET has been working, through astrategic planning process, on newways of connecting with members

in order to make the association moreinfluential, accessible, responsive, andaccountable to the membership. A key tothe ongoing success of the CanadianAssociation for Enterostomal Therapy(CAET) has always been its ability toadapt to the changing healthcareenvironment and adopt new approachesfor addressing new challenges. Thechallenges facing Enterostomal TherapyNurses in the Canadian healthcaresystem are multiple and include budgetcut backs, downsizing of staff to lesserskilled health professionals, and lack ofaccess to products and services to assistpatients. The changing nature ofhealthcare delivery, the agingpopulation, and the evolution of rolesbetween the Provincial and Federalgovernments, require a strongprofessional association that can formstrategic partnerships and supportongoing advocacy.

In October, 2013, the CAET Board ofDirectors, Core Program Leaders,Director of the CAET Academy, the

Nominating Committee Chair, and theCanadian Feature Editor of the JWOCNmet with industry stakeholders to createa CAET strategic plan for 2014 through2017. The result is a fresh and sharpenedvision for the association that is focusedon the membership and on exceptionalperformance results that will address theon-going challenges that lie ahead.

The process for the new strategic planbegins with building relationships withmembers, patients, and stakeholders.The CAET is committed to creatingstronger ties with members at both aNational and Regional level. As theCAET advocates to government, forspecialized ET Nursing care delivery andbetter patient outcomes, it must alsostrengthen links with patient groups andall stakeholders including industrypartners in the three domains of wound,ostomy, and continence care. Educationand knowledge transfer will be a keyfocus of this strategic plan and theCAET Academy and Core Programs willcontinue to create and update continuingeducation programs, provide bestpractice recommendations, and focus onProfessional Practice Standards. The

CAET will form partnerships to developET Registered Nurse Leaders and striveto produce outcome-based research inostomy and wound care as well as apatient decision aid for continence care.CAET operations will be focused onimproving IT capabilities through anelectronic sharing system that supportsthe Core Program members working inall regions of the country.

The top ten strategic priorities for CAETfrom 2014 to 2017 are:

1) Strengthen Membership: Sustain andgrow 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 theCAET association brand;

4) Governance, Planning, and Decision-Making: Create a clear governance model that achieves measurable improvement in CAET Members’ understanding of how the associationis governed and managed and appliesa sustainability lens to all decision-making;

5) Outcomes research platform:Complete ostomy outcomes researchto support advocacy;


EXECUTIVE DIRECTOR’S REPORTSubmitted by: Catherine Harley, RN, eMBA, CAET Executive [email protected]

CAET Launches New Strategic Plan for 2014-2017

C

March 2014 The LINK8

The changing nature of healthcare delivery, the agingpopulation, and the evolution of roles between theProvincial and Federal governments, require a strongprofessional association that can form strategicpartnerships and support ongoing advocacy.


RAPPORT DE LA DIRECTRICEGÉNÉRALESoumis par : Catherine Harley, IA, M.B.A. pour cadres, directricegénérale de la CAET. [email protected]

a CAET a travaillé à l’aide d’unprocessus de planificationstratégique à trouver de nouvelles

façons de rejoindre ses membres dans lebut de rendre l’association plusinfluente, plus accessible, plus réceptiveet plus responsable envers ses membres.Une clé du succès continu del’Association canadienne desstomothérapeutes (ACS) a toujours étésa capacité à s’adapter au milieutoujours en évolution des soins de santéet sa capacité à adopter de nouvellesapproches afin de faire face auxnouveaux défis. Les défis auxquels fontface les stomothérapeutes dans lesystème de santé canadien sontnombreux et incluent des compressionsbudgétaires, la réduction du personnelpour des professionnels de la santémoins qualifiés et le manque d’accès auxproduits et aux services pour aider lespatients. La nature en constanteévolution de la prestation des soins desanté, la population vieillissante etl’évolution des rôles entre lesgouvernements provinciaux et fédérauxnécessitent une associationprofessionnelle solide pouvant établirdes partenariats stratégiques et soutenirnos actions continues de plaidoyer.

En octobre 2013, le conseild’administration de la CAET, les leadersdes programmes de base, la directrice del’Académie de l’ACS, la présidente ducomité des mises en candidature et laréviseure canadienne de chroniques duJWOCN ont rencontré des intervenantsde l’industrie afin d’élaborer le planstratégique de la CAET pour 2014 à2017. Cette rencontre s’est soldée parune nouvelle vision améliorée pourl’association qui est axée sur les

membres et sur les résultatsexceptionnels de rendement qui nousaideront à relever les défis continus quinous attendent.

Le processus du nouveau planstratégique aborde d'abord ledéveloppement des liens avec lesmembres, les patients et les intervenants.La CAET s’engage à créer des liens plussolides avec ses membres tant au plannational que régional. Étant donné quela CAET fait le plaidoyer auprès dugouvernement pour une prestation desoins spécialisés en stomothérapie et demeilleurs résultats pour les patients, elledoit également renforcer ses liens avecles groupes de patients et tous lesintervenants, y compris les partenairesde l’industrie des trois domainesspécialisés en soins des plaies, de lastomie et de la continence. L’éducationet l’échange des connaissances seront unélément clé du présent plan stratégiqueet l’Académie de l’ACS ainsi que lesprogrammes de base continuerontd’élaborer et de mettre à jour desprogrammes de formation continue, defournir des recommandations pour lespratiques exemplaires et de se concentrersur les normes de la pratiqueprofessionnelle. La CAET créera despartenariats afin de former des chefs defile en stomothérapie et s’efforcerad’effectuer de la recherche basée sur lesrésultats en stomie et en soins des plaiesainsi qu’en aide à la décision des patientspour les soins en continence. Lesopérations de la CAET seront axées surl’amélioration des capacités des TI par lebiais d’un système de partageélectronique qui appuie les membres desprogrammes de base travaillant danstoutes les provinces du Canada.

Les dix priorités stratégiques de la CAETpour la période 2014 à 2017 sont :

1) Renforcer le système d’inscription des membres : Maintenir le nombrede membres et les accroître;

2) Démontrer à tous les stomothérapeutes/membres la valeur de leur adhésion : Instaurer denouveaux 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 améliorationsmesurables quant à la compréhension des membres de la CAET de la façon dont l’associationest gouvernée et gérée et appliquer une perspective de durabilité à toutesles prises de décisions;

5) Plateforme pour les résultats de recherche : Effectuer de la recherchesur 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’unegestion fiscale prudente et de décisions à long terme permettant d’assurer la durabilité des

La CAET met en place un nouveau plan stratégiquepour 2014-2017

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March 2014 The LINK10

11le LIEN Septembre 2014

RAPPORT DE LA DIRECTRICE GÉNÉRALE (suite)


programmes de base et des services;

7) Reconnaissance nationale et internationale pour l’excellence académique en enseignement dessoins 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 stomothérapeutesen élaborant un programme de leadership de la CAET;

9) Défendre les droits et représenterles intérêts des stomothérapeutesafin d’établir des partenariats decollaboration 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 laCAET permettra à l’association demieux identifier et de se concentrer surles besoins de ses membres, detravailler de façon plus productiveavec des organismes du mêmedomaine et d’habiliter lesentrepreneurs de la CAET à atteindreleur plein potentiel grâce à unecompréhension de leur engagementenvers les services aux membres et uneévaluation des initiatives/programmes.Nous sommes impatients de vous voircontinuer à vous impliquer en tant quemembre au sein de la CAET alors quenous mettons en place ce nouveauplan stratégique. N’hésitez pas àcommuniquer avec moi pour de plusamples renseignements. cd

La nature en constante évolutionde la prestation des

soins de santé, la populationvieillissante et l’évolution

des rôles entre les gouvernements provinciaux et fédéraux nécessitent uneassociation professionnelle solide pouvant établir despartenariats stratégiques et soutenir nos actionscontinues de plaidoyer.

EXECUTIVE DIRECTOR’S REPORT (cont.)

6) Financial Responsibilitydemonstrated to CAET Membersthrough the practice of prudent fiscal management and long-termdecisions that allow core programs and services to be sustainable;

7) National and International Recognition for Academic Excellence in wound, ostomy andcontinence 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 willenable the association to betteridentify and focus on the needs ofits members, work moreproductively with alignedorganizations, and empower CAETcontractors to reach their fullpotential through an understandingof the commitment to memberservice and evaluation ofinitiatives/programs. We lookforward to your continuedinvolvement as a member of CAETas we launch this new and excitingstrategic plan. And please do nothesitate to contact me [email protected] forfurther information. cd


CAET ACADEMY

t is hard to believe that September ishere and the long awaited springand summer have, once again, come

and gone. We have been so busy atCAET and the CAET Academy thattime just flies by!

In May the CAET held its first “VirtualAnnual Members Meeting” and I wasamazed at how many members joined usvirtually! We are always working toensure that ET nurses can attend andbenefit from these meetings and this newformat appears to have great potential.For those of you who didn’t make it wehope to “see” you next time.

There are lots of good reasons to attendmeetings – whether they are virtual orface to face. I think one of the bestreasons for me is that I get a chance topractice my consulting skills. Manynurses have asked me if I thought thatone was born with the skills of aconsultant or if these skills had to belearned. There is no doubt that theseskills can be learned and must bepracticed! I have found that close tieswith my professional organization(CAET), and the amazing peopleinvolved in it, has helped me to learnthese skills and attending meetings givesme ample opportunity to practice them!

Consultants really need to know what isgoing on in their area of specialty. As anET Nurse Consultant I just can’t thinkof any better way of keeping informedand staying up to date on thehappenings in the ET world in Canada

(and beyond) than being engaged withthe CAET.

As a Consultant I have had to learn towork independently and with minimalstructure and on-site support. Myinvolvement in projects initiated byCAET, such as the Best PracticeRecommendations documentssupported by the Informatics &Research group, has helped me to havestructure in my approach to deadlinesand commitments. I have learned tomanage my time effectively. Eventhough I am very busy with other thingsin my life, I can, through these projects,be a productive member of theprofession, impact on the care thatothers provide and clients receive, andhelp direct the future of the ETprofession in Canada. That’s a prettyawesome feeling!

Consultants need to be curious. I am, asmy mother would have told you,constantly asking questions. I alwayswant to know new things, why peopleare doing things the way they are, andhow it is working out for them. I guessyou could say I am “hungry forknowledge”. What my mother didn’tknow was that this hunger forknowledge and need to ask questionsare key strengths for a good consultant.You can learn to ask questions… cometo the next meeting or join a committeeand practice this skill!

At the Annual Meeting my curiosity and“need to know” were well fed. I was

CAET ACADEMY DIRECTOR’S REPORTSubmitted by: Virginia McNaughton, BA, MPA, RN, CETN(C), Director of the CAET Academy. [email protected]

I

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.

RAPPORT DE L’ACADÉMIE DE L’ACSSoumis par : Virginia McNaughton, IA, B.A., MPA, ICS(C), directrice de l’Académie de l’[email protected]

CAET ACADEMY

ur à croire que septembre est déjàà nos portes et que le printemps etl’été tant attendus sont, à

nouveau, déjà terminés. Chez CAET età l’Académie de l’ACS, nous avonscependant été si occupés que le temps estpassé très vite!

En mai, la CAET a tenu sa première «Assemblée annuelle virtuelle desmembres » et le nombre de membres quis’y sont joints virtuellement m’avraiment surprise! Nous nous efforçonstoujours de nous assurer que lesstomothérapeutes peuvent participer àces réunions et en bénéficier et cenouveau format semble avoir beaucoupde potentiel. Pour ceux et celles quin’ont pu y assister, nous espérons vous« voir » la prochaine fois.

Il existe de nombreuses raisons pourparticiper à ces réunions, qu’elles soientvirtuelles ou en personne. Pour moi, jepense qu’une des meilleures raisons estque j'ai la chance d’exercer mescompétences en consultation. Denombreuses infirmières m’ont demandési je pensais être née avec lescompétences d’une consultante ou si cescompétences devaient être apprises. Il nefait aucun doute que ces compétencespeuvent être apprises et qu’ellesprennent de la pratique! Je me suisrendu compte que des liens étroits avecmon organisation professionnelle (laCAET) et les formidables personnes quila composent m’ont aidée à apprendreces compétences. En assistant à ces

réunions, j’ai plusieurs occasions de lesmettre en pratique!

Les consultantes doivent vraiment êtreau courant de ce qui se passe dans leurdomaine de spécialisation. En tant queconsultante-stomothérapeute, je ne peuxpas penser à une meilleure façon derester informée et au su de ce qui sepasse dans le monde de la stomothérapieau Canada (et ailleurs) qu’en étantimpliquée au sein de la CAET.

En tant que consultante, j’ai appris àtravailler de façon indépendante et avecun minimum de structure et de soutiensur place. Mon engagement dans lesprojets initiés par la CAET, comme lesdocuments de recommandations pourdes pratiques exemplaires, appuyés par legroupe Informatique et recherche, m’aaidée à structurer mon approche à l’égarddes dates limites et de mes engagements.J’ai appris à gérer mon tempsefficacement, même si je suis très occupéeavec d’autres choses dans ma vie, je peux,par le biais de ces projets, être unemembre productive de ma profession,influencer les soins que fournissent lesautres et que les clients reçoivent et aiderà orienter l’avenir de la profession destomothérapeute au Canada. C’est unesensation assez formidable!

Les consultants doivent être curieux. Jesuis, comme ma mère vous l’aurait dit,toujours en train de poser des questions.Je veux constamment connaître denouvelles choses, pourquoi les gens font

Les consultants qui connaissent du succès sont despersonnes 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.

D



RAPPORT DE L’ACADÉMIE DE L’ACS (suite)

cela de cette façon et comment celafonctionne pour eux. Je pense qu’on peutdire que j’ai « soif d’apprendre ». Ce quema mère ne savait pas par contre, c’estque cette soif d’apprendre et ce besoin deposer des questions sont d’importantesqualités pour être une bonne consultante.Vous pouvez apprendre à poser desquestions… venez à la prochaine réunionou joignez-vous à un comité et exercez-vous à cette compétence!

Lors de l’Assemblée annuelle, macuriosité et mon « besoin de savoir » ontété bien servis. J’ai été exposée àbeaucoup d’information et j’ai pu poserbeaucoup de questions pour savoirpourquoi les choses étaient telles qu’ellesl’étaient et pourquoi la CAET apportait(ou non) des changements. Je me suisrenseignée sur les plans pour nosconférences nationales et j’ai ressentibeaucoup de fierté en sachant commentles planificateurs de nos conférencestravaillaient en collaboration avec, et, en

fait, dirigeaient, nos collègues del’Association canadienne du soin desplaies (ACSP) dans la planification duprogramme éducatif. Une présentationd’experts m’a ouvert les yeux aux défisauxquels faisaient face les personnesayant subi une stomie en Ontario quandvenait le temps d’accéder à desfournitures et de les payer. J’ai découvertque la CAET fait pression sur legouvernement afin de modifier le tauxde remboursement en Ontario. J’étaistrès contente de pouvoir partager cetteinformation avec mes collègues et mesclients! J’ai aussi pu fournir del’information sur ce que faisaitl’Académie de l’ACS et obtenir larétroaction de mes collègues surdifférents projets.

En tant que consultante, vous devezapprendre à vous vendre et à vendre voscompétences, mais où pouvez-vouspratiquer ces compétences de vente? Lesréunions et les conférences vous donnent

l’occasion de pratiquer avec voscollègues et leur soutien peut vous aiderà réussir. J’ai eu de nombreusesopportunités pour vendre mes idées etmes projets lors des différentes réunionsdu Conseil d’administration de la CAET.Lors de la dernière réunion, j’ai dû faireun exposé sur le développement dunouveau rôle de coordonnateur desprécepteurs. Pour ce faire, j’ai dû rédigerune proposition pour démontrer auConseil d’administration les coûts et lesavantages prévus de ce poste. Je suisheureuse de vous dire que mon exposé aporté ses fruits et que nous avonsmaintenant ajouté un poste permanentde précepteur(trice) de l’Académie del’ACS à l’équipe de l’Académie.

Les consultants qui connaissent du succèssont des personnes occupées… maisréserver du temps à votre associationprofessionnelle vous permettra d’avoirun bon rendement du capital investi quien vaut vraiment la peine. cd

CAET ACADEMY DIRECTOR’S REPORT (cont.)

exposed to a lot of information and Iwas able to ask a lot of questions aboutwhy things were the way they are andwhy CAET was (or was not) makingchanges. I learned about the plans forour Annual Conference and felt a senseof pride at how our conference plannerswere working with, and in fact leading,our colleagues from CanadianAssociation of Wound Care (CAWC) inthe planning of the educational line up.A panel presentation opened my eyes tothe challenges that people with ostomiesare facing in Ontario related toaccessing and paying for supplies. Ifound out that CAET is lobbying thegovernment to change thereimbursement rate in Ontario. Thiswas great information for me to be ableto share with my colleagues and clients!I was able to provide information onwhat the CAET Academy is up to andto obtain feedback from colleagues onvarious projects.

As a consultant you have to learn to sellyourself and your skills. But where canyou practice these selling skills? Meetingsand conferences provide an opportunityto practice with colleagues and theirsupport can help you succeed. I have hadsuch great opportunities to sell my ideasand projects at various CAET BoardMeetings. At the most recent meeting Ihad to “pitch” for the development ofthe new role of Preceptor Coordinator.To do this I had to write a proposaldemonstrating, to the Board, theprojected costs and benefits of theposition. I am pleased to say the pitchwas successful and we now have addeda permanent position of CAET AcademyPreceptor to the Academy team.

Successful consultants are busy people…but building in time for yourProfessional Association will result in areturn on investment that is well worththe effort. cd


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

BC/Yukon: Teresa StonePrairies/NT/Nunavut: Karen NapierOntario: Donna FossumQuébec: Liette St. CyrAtlantic: Kathy Mutch

CAET/JWOCN Editorial BoardFeatures Editor: Kathryn Kozell

BC/Yukon: Kim LeBlancPrairies/NWT: Mary Hill

Ontario: Lina Martins

Quebec & Atlantic: Kathryn Kozell

CAET ExecutivePresident: Paulo DaRosaPresident-Elect: Rosemary HillPast President: Susan Mills- Zorzes

Secretary: Lina Martins

Treasurer: Elise Rodd- NielsenExecutive Director: Catherine Harley

Bylaws Chair: Vivien Wass

Nominations Chair: Lani Williston

Membership Coordinator: Noëlla TrudelWebmaster: Duane Schermerhorn Bookkeeper: Clare Business Services

Informatics and Research: Jean BrownMarketing: Susan Mills-Zorzes

National Conf. Planning: Mary Hill

Political Action: Kim LeBlancProfessional Development & Practice: Mary Mark

CAET Academy

CAET Staff

Regional Directors

Core Programs

CAET Ad Hoc Committees

CAET ACADEMY

CAET Academy’s Newest Graduates

David CartwrightSarnia, ON

Luce MartineauJoliette, QC

Joana Popet London, ON

Lindsay AndersonHuntsville, ON

Lisa Brown-DouglasSioux Lookout, ON

Karin BucherYellowknife, NT

Holly CampbellYarmouth, NS

Holly-Anne Cook-LalibertéSaskatoon, SK

Amy DonagheyOttawa, ON

Charlene DoyleYellowknife, NT

Tracy Fournier Miramichi, NB


Cohort 10 Graduates

Cohort 11 Graduates


CAET ACADEMY

Lovetta HelmuthRosthern, SK

Seo Young (Claire) HwangAncaster, ON

Stephanie KearneyOttawa, ON

Sylvianne LabrieSt-Eustache, QC

Manon LachapelleMontréal, QC

Marie-Elen LaroucheMontréal, QC

Kim MayenburgRoyston, BC

Wendy MiranderWaterdown, ON

Kaitlyn PileThunder Bay, ON

Misty StephensCloverdale, BC

Marie SynnottMontréal, QC

Josephine TongLondon, ON

Cohort 11 Graduates cont...


CAET ACADEMY

Farzana AmanullahBarrie, ON

Doris AustinLethbridge, AB

Véronique CyrOttawa, ON

Bethany GloydNorth Vancouver, BC

Mosayeb KarimiNorth York, ON

JoElla KlassenSaskatoon, SK

Tracy LockePort Alberni, BC

Kirsten MattickHamilton, ON

Karleen Norton-BreitkreuzEdmonton, AB

Ashley TatlockBaltimore, ON

Matthew UyScarborough, ON

Brigitte VaughanSault Ste. Marie, ON

Cohort 12 Graduates


CAET/CAWC JointConferenceAction 2014: Skin Health for Canada!October 31 - November 2, 2014Westin Harbour Castle HotelToronto, ONwww.caet.ca

CAET National ConferenceHalifax Marriott Waterfront HotelMay 21 - 24, 2015Halifax, NSwww.caet.ca click on National Conference

SAWCApril 30 - May 3, 2015Henry B. Gonzalez Convention CenterSan Antonio, Texaswww.sawcspring.com

WOCN and CAET Joint ConferencePalais Des Congres De MontrealJune 4 - 8, 2016Montreal, QCwww.wocn.org andwww.caet.ca

WOCN 47th Annual ConferenceJune 6 - 10, 2015San Antonio, Texaswww.wocn.org

Upcoming Conferences


INTRODUCTION:

n January 1, 2013, the Ministryof Health and Long-Term Care(MOHLTC) for Ontario

implemented policy changes to the HighIntensity Needs Fund (HINF) forresidents of Long Term Care (LTC)facilities in the province. The HINFprovides for added services to assistthose with particular medical conditionsrequiring services over and above basiclevels of care (MOHLTC, 2013).

The over-arching objective of the HINFis to prevent unnecessary admissions tohospitals and to facilitate the dischargeof patients from hospital settings to LTCsettings. Originally, the HINF coveredthe costs, incurred by LTCs, related tothe management of complex woundsincluding consultation with a woundcare specialist.

The policy change included a change tothe adjudication processes that establisheligibility for access to services requiredto prevent and treat complex wounds aswell as a shift from a ‘fee for service’model to a global, or capitated, budgetof $0.63/resident/day for non-nutritionrelated HINF services. This has resultedin a net loss of funding for woundmanagement.

Under the new policy only NursePractitioners (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 forfunding. The loss of ETN expertise inmanaging complex wounds in LTC hasbeen predicted to correlate with anincrease in the number of severe woundsand the burden on LTCs that will needto manage larger numbers of sickerresidents on fixed budgets (Michaels,2013; Smith, 2013).

BACKGROUND:

Complex and Chronic Wounds:

Complex and chronic wounds arebreeches in skin integrity resulting in adisruption of the layers of the skin, andits underlying structures, that do notheal in a timely fashion. These woundscause pain and suffering for theindividual as well as an increasedfinancial burden on the health caresystem (Holloway, Harding, Stechmiller& Schultz, 2012). The prevalence ofcomplex wounds in LTC settings hasbeen reported to be between 10 and 22per cent (CIHI, 2013; LeBlanc,Christensen, Cook, & Culhane, 2013;LeBlanc et al, 2013; Woodbury &Houghton, 2005).

A Canadian Institute for HealthInformation (CIHI) 2013 studyconcluded that complex wounds areendemic in the LTC setting and are amarker of the quality of care beingprovided. CIHI reported that manywounds are avoidable and can beeffectively managed in their early stages.In order to minimize the financial andhuman impact of wounds the focus,across all healthcare settings, should be

O

FEATURE ARTICLE

Under the new policy only Nurse Practitioners(NPs) or Family Physicians

(FPs) can verify thatwounds are “chronic and

intractable” and, therefore, eligible for funding.

IMPACT OF NEW ONTARIO FUNDINGSTRUCTURE AND ITS IMPACT ON THEINTEGRATION OF ET NURSES IN TOTHE LONG TERM CARE SETTING

Submitted by: Kimberly LeBlanc MN, RN, CETN(C) PhD (student) Queen’s University. Kimberlyis volunteering with CAET to lobby government on this issue.


FEATURE ARTICLE

on the prevention and management ofwounds (CIHI, 2013).

The clinical literature suggests thatindividuals living with complex woundsrequire specialized care and support(Woodbury & Houghton, 2005) but notall government policies are supportiveof that principle. Evidence-basedpractice dictates that advancedknowledge and education is required tocare for these individuals (Hordienko,2004) and that prevention is moreeffective when led by an ETN (Harrisand Shannon, 2008).

Without access to healthcareprofessionals who have advancedknowledge in the area of wound carethe individual, and his/her careproviders, can be confronted withphysical (prolonged wound healing),financial (increase use of productresulting in high financial burden to thecare facility) and psychological(decreased quality of life, self-image andadjustment issues) issues (Holloway etal, 2012; Waters, 2005; Ribu & Wahl,2004).

The reported prevalence of complexwounds in the LTC setting is ofparticular concern. Individuals living inLTC facilities are often afflicted withchronic diseases that are linked towound development. A growing andaging population, with more individualsrequiring LTC, coupled with theassociated complex medical conditionsresults in the risk of an increasedprevalence of wounds in LTC in thefuture. From both human and fiscalperspectives the efficient and effectivemanagement of wounds is a criticalcomponent of care in LTC facilities(McGrail, 2011; Woodbury &Houghton, 2005).

Wound Care Specialists in Canada

Wound care, in Canada, is a specialtythat is unregulated with no single bodygoverning or standardizing health careprofessionals. The specialty is alsowithout published standards. Thisresults in lack of clarity as to who is, orwhat defines, a wound care specialist.

Enterostomal Therapy Nurses

Enterostomal Therapy Nurses (ETNs)are baccalaureate prepared registerednurses with advanced and specializedknowledge and clinical skills in wound,ostomy and continence care.Enterostomal Therapy is the onlynursing specialty with CNA certificationin wound care. Enterostomal Therapynurses must, to be CNA Certified inCanada, complete the CAET’sEnterostomal Therapy NursingEducation Program or an approved andequivalent ETNEP program.

An ETN provides specialized holisticassessment and management of complexand chronic wounds and is situated tocollaborate with the LTCinterdisciplinary team to predict,prevent, and manage these wounds inthe LTC population (Harris & Shannon2008; Denis, 2004). Despite thisextensive training and certificationETNs are, under the new HINF policy,currently excluded from the HINFmodel.

Literature shows that healthcareprofessionals who receive ETN guidancebecome focused on prevention, bestpractice recommendations, and costsavings instead of being focused only oncrisis intervention (Harris & Shannon,2008). Effective prevention strategiesresult in the reduction in the number of

chronic and complex wounds andsignificant cost savings. The ETN canalso monitor product use in order toensure cost-effective outcomes andreduce waste. Quality healthcare issupported, by the ETN, throughteaching, mentoring, programdevelopment, and quality monitoring(Harris & Shannon, 2008).

Nurse Practitioners & FamilyPhysicians

Family Physicians (FPs) receive limitedtraining in the area of wounds (Harris &Shannon, 2008). Nurse practitioners(NPs), or Registered Nurses in theExtended Class or RN(EC), are Master’sprepared nurses who have completed anurse practitioner program and anextended class examination (CNA, 2008)but complex wound management is notpart of the NP curriculum in Canadianuniversities and NPs are not, in general,provided with the knowledge and skilltraining required to manage thesecomplex wounds. Despite this only FPsand NPs can now, under the new HINFpolicy, oversee the assessment and care ofcomplex wounds in the LTC setting.

The author’s experience suggests thatthe rate of complications and the rate ofconsultation with ETNs may haveincreased since the changes to the HINFmodel. The relative cost-savings, versusnew cost burden, associated with thisshift has not been assessed but there areindications that these changes may haveinadvertently increased the internal costpressures to LTCs and have not evenbeen accompanied by an improvementin care. Anecdotal evidence furthersuggests that the numbers of residentswith severe and startling wounds is alsoincreasing and thus exacerbating the riskand the possibility of negative mediaattention (Personal Communication:Bauer, S. January 22, 2014).

CRITICAL ANALYSIS:

Wounds are a serious health care issuethat can have profound personal,

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


clinical, and economic impact. They arereported to be extremely painful anddebilitating and to negatively impact onfunction, mobility, and quality of life aswell as being a financial drain on thehealthcare system (CIHI, 2013).Complex wounds also frequentlybecome infected resulting in additionalpain, further suffering, and higher costs(Holloway et al, 2012).

Despite the desire, from a nursingperspective and based on clinicalresearch, to incorporate wound carespecialists in to LTC settings themajority of LTC settings in Ontario havelimited or no funding available to accessthese specialists. One of the two majorobjectives behind the HINF reform, in2013, was to achieve a more equitabledistribution of funding for the highintensity needs program (with the othermajor objective being to establishcontrol over costs).

The over-arching objective of the HINFis to prevent unnecessary admissions tohospitals and to facilitate the discharge

of patients from hospital settings to LTCsettings. Originally, the HINF coveredthe costs, incurred by LTCs, related tothe management of complex woundsincluding consultation with a woundcare specialist. The 2013 policy changeimposed a new funding model thatincreased the base level of funding forresidents in LTC and combined it with acost share structure for specificcategories, including wound care, whichhad formerly been part of the HINF.This has resulted in a net loss of fundingfor wound management.

The HINF is now limited to covering thematerial costs associated with chronicand intractable wounds but no longercovers the cost of a consultation with awound care specialist. While ETNs canstill play a vital role in woundmanagement their consultations are,however, no longer funded under HINF(MOHLTC, 2013). LTC settings mustrely on NPs or FPs to manage complexwounds. As noted above most NPs andFPs receive limited or no woundeducation and are largely ill equipped totake on this challenging role.

The rationale for the new HINFmodel was to counter the unequaluse of the program, among thedifferent HTC facilities in Ontario,and to increase the focus onprevention (MOHLTC, 2013). Bydiminishing the ETN role, andeliminating remuneration forETNs, the policy has,inadvertently, weakened thepotential for wound prevention.The financial and clinicalimplications of these changes willnegatively affect the LTC facilities’ability to provide quality care toresidents. The change in the HINFhas also placed a financial strainon the LTC facilities and resultedin program and service reductionsin order to offset funding decreases(Michaels, 2013, Smith, 2013).

As the needs of individuals livingin LTC’s increase additional

supports will be required to meet theirneeds. The LTC facilities, without thisadditional support, would likely haveto consider setting limits on thenumber of residents with complexneeds or declining the admission ofhigh cost residents such as those withcomplex wounds (Michaels, 2013;Smith, 2013). The original objective ofthe HINF, to prevent unnecessaryhospital admissions, may not berealized if complex chronic woundsare not prevented and managedeffectively in LTC.

In summary, while the funding reform isstill in its earliest phases there seem tohave been several unanticipated negativeimpacts. Options and suggestions onhow to improve or modify the programare outlined below.

POSSIBLE SOLUTIONS:

Several unanticipated issues, asidentified above, have emerged in theearly stages of the implementation of theHINF policy revisions. To address theseissues it has been proposed by the CAETlobby group, being run by the authorand the CAET Executive Director, thatthe HINF policy revisions be re-evaluated. It is also proposed thatgovernment consultations regarding theevaluation protocol and findings be heldwith key stakeholders including LTCresidents and families, LTCadministration and staff, FPs, NPs, andETNs.

Consideration should be given toreinstating funding for ETNconsultations for complex wounds inthe LTC setting. This would help ensurethat individuals living in LTC, acrossthe province of Ontario, all receive thesame high standard of care related tothe management and prevention ofthese wounds. ETNs could be requiredto guarantee geographic coverage forthe province in return for areinstatement of their role as‘gatekeepers’. By taking this step theMOHLTC would enhance the quality of

FEATURE ARTICLE


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FEATURE ARTICLE

care provided to LTC residents withcomplex wounds while remainingfaithful to its original objective ofpreventing unnecessary admissions tohospitals and enabling the discharge ofpatients from hospitals to LTC settings.

CONCLUSION:

The policy changes to the HINF, asimplemented by the MOHLTC in2013, have had a potentially negativeimpact on the quality of care providedto residents with complex woundsliving in long term care facilities. Toensure standardization of evidence-based best practices, pertaining tocomplex wounds in LTC, it is proposedthat the MOHLTC re-evaluate thefunding for wound care specialistconsultations in LTC. Given the ETNsadvanced knowledge, skill, andstandardization through certificationETNs are ideally situated tocollaborate with the LTCinterdisciplinary team to predict,prevent, and manage complex andchronic wounds in the LTC population.

Evaluation of the new policy is requiredand it is recommended thatconsultations regarding the evaluationprotocol and findings be held with awider group of stakeholders includingLTC residents and families, LTCadministration and staff, FPs, NPs, andETNs.

REFERENCES:

Canadian Institute for HealthInformation (CIHI) 2013. CanadianHospital Reporting Project TechnicalNotes - Clinical Indicators. Ottawa,

ON. Retrieved January 14, 2014 from:http://www.cihi.ca/CIHI-ext-portal/internet/EN/document/health+system+performance/quality+of+care+and+outcomes/release_29aug13

Canadian Nurses Association (CNA)2008, Nurse Practitioner and ClinicalSpecialists Retrieved January 20, 2014from: http://www.cna-aiic.ca/en/professional-development/nurse-practitioner-and-clinical-specialists

Denis. N. (2004). Impact of ET NurseIntervention on Patient Outcomes: ASecondary Analysis. The Link. June2004. 23-25

Harris, C, Shannon, R. (2008) AnInnovative Enterostomal TherapyNurse Model of Community WoundCare Delivery: A Retrospective Cost-Effectiveness Analysis. Journal ofWound Ostomy and ContinenceNursing. 35(5), 169-183.

Holloway, S., Harding, K., Stechmiller,J.K., & Schultz, G. (2012). Acute andChronic Wounds. In Baranoski, S., &Ayello, E.A. (Eds.), Wound CareEssentials: Practice Principles 3rdedition. (83-100). Amber, PA:Lippincott Williams &Wilkins

Hordienko, G. (2004). What aboutCertification? The Link. April. 4-5

LeBlanc, K., Christensen, D., Cook, J.,Culhane, B. (2013) Pilot Study of thePrevalence of Skin Tears in a LongTerm Care Facility in Eastern Ontario,Canada. Journal of Wound Ostomyand Continence Nursing. 40(6). 580-584.

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 SkinTears. Advances in Skin & WoundCare 26(10) 459-476.

McGrail, K (2011). Long-term care aspart of a continuum. Healthcare papers2011; 10(4): 39-43, 58-62.

Michaels, D. (2013). Ministry ofHealth and Long Term Care FundingChanges. Retrieved January 18, 2014from:http://www.brantfordexpositor.ca/2013/06/05/jnh-to-adjust-budget-over-provincial-funding-changes

Ministry of Health and Long-TermCare Ontario (MOHLTC), 2013.Guideline for Eligible Expenditures forLong-Term Care Homes. RetrievedJanuary 1, 2014 from:http://data.oltca.com/funding-policy-high-intensity-needs-fund

Ribu, l., & Wahl, A .(2004). Livingwith diabetic foot ulcers: A life of fear,restrictions and pain. Ostomy WoundManagement. 50(2). 57-67.

Smith, J. (2013) Report: High IntensityNeeds Funding in Long-Term Care.Retrieved January 21, 2014 from:http://www.peelregion.ca/council/agendas/2013/2013-02-14-rcagenda.htm

Woodbury, MG., & Houghton,PE.(2005). The extent of chronicwounds in Canada: What we know andwhat we don’t know. Wounds Canada3(1): 18-52.

Waters, N. (2005). The challenge ofproviding cost-effective quality woundcare in Canada. Wounds Canada 3(1):22-52. cd


The policy changes to the HINF, as implemented by theMOHLTC in 2013, have had a potentially negative impacton the quality of care provided to residents with complex

wounds living in long term care facilities.

y first year in the role ofRegional Director has flownpast. It has been a pleasure

getting to know members and ETNstudents throughout the region.

Several ET nurses celebrated ET NursesWeek in April with educational displayspromoting our profession. A topic for ourfall meeting agenda will be planningevents for ET nurses week 2015. Get yourideas flowing!

Our Spring regional meeting from May 2to 4, in Victoria, was a great success withendless thanks going out to the mostcommitted planning committee. This wastruly a team event led by a planningcommittee that included ColetteMacAskill, Marilyn Elder, Pam Mayor,Michelle Fleurs de Lys, Lauren Wolfe,Kim Mayenburg, Linda Borza, MaureenMann, and myself.

The meeting took place at the fabulousEmpress Hotel and we truly felt likeprincesses at our castle on the westcoast! The meeting morphed quicklyinto a conference with industry exhibits& expert speakers that drew in a greatgroup of participants. The event broughttogether 42 members and non-membersworking in skin, wound, ostomy andcontinence care around the province.The Friday evening was dedicated toindustry and included a cocktailreception and exhibits. This wasfollowed by a day and a half ofstimulating presentations, CAETbusiness, and round table clinicaldiscussions providing the opportunity toshare challenges, solutions, andresources.

These discussions revealed thesimilarities in the challenges andinterests among those in our various

clinical practice areas includingtopics like colostomy irrigation,fistula management, wadingthrough the new wound careproducts, challenging woundetiologies, and an increasing levelof complexity in our cases. Theparticipants in the roomrepresented several decades ofclinical experience thatcontributed to lively discussion,sharing, and problem solvingwith such energy that it wasoften difficult to end discussionsand move forward in the veryfull agenda. Sharing of newprograms and clinical resource

documents also revealed our commonneeds and a desire to work toward acommon goal. As BC has a ProvincialSkin and Wound committee it wasproposed that we form a similarcommittee to support ostomy clinicalpractice and quality patient careoutcomes.

Feedback was, overall, very positivefrom both the participants and membersof industry and ideas for holding similarevents in future years are beingconsidered.

The key takeaways were noting thediversity of our work settings,recognition of the need for a conduit fordevelopment of practice guidelines whilecombining resources, and the ongoingchallenge of defining and marketingourselves as ET nurses. As the currentBC Provincial Ostomy contract is inRFP the formation of the ostomy groupwill most likely occur in the new year.

In October the co-sponsored nationalconference, with CAWC, will have anexciting and diverse agenda and I hopesome of you will join us. May of 2015offers a unique CAET conference formatin Halifax, NS. The theme for that eventwill be clinical skills with toolboxworkshops. I look forward to the nextyear of my term and I send warmregards to all! cd


REGIONAL REPORT FROM BC & YUKON

By: Teresa Stone RN, BScN, ETN, BC & Yukon Regional [email protected]

M

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.

REGIONAL DIRECTORS’ CORNER

BC ET Nurses as the 2014 Regional Meeting. L to R: Linda Borza, Kim Mayenburg,

Vera Busch, Teresa Stone.

Phot

o by

T. S

tone

.


THE CAET – JWOCN CONNECTION

AUTHORS WANTED! … To share our Canadian perspective

"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])

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 innovativeproject which is changing or advancing ET practice?

Have you developed an educational program to benefitpatient and or staff and would like to communicate this tothe ETN world?

Have you conducted a survey, clinical trial or would like tocollaborate in research?

If so, contact us NOW! Your CAET Editorial Board willassist you to create a newsworthy submission to the JWOCNand help connect you to the ETN world. Writing an originalmanuscript for publication? Consider JWOCN first.



he CAET board meeting in Maywas very productive and we havedeveloped a clear focus for the

upcoming year. Our Annual MembershipMeeting (AMM) was offered via webinarfor the first time. I believe that, althoughthere were some bumps along the road,this is a great format for our associationas our membership is spread so widelyacross the country. I hope that this willdraw more participation from membersin the future. A discussion panel on thetopic of Ostomy reimbursement, thattook place during the membershipmeeting, was very interesting. Eachprovince’s sytem works quite differentlyleading to an inequality in what Ostomyproducts are covered and whatreimbursement is provided from provinceto province. The discussion gave me anew appreciation for the funding that wereceive in Alberta for ostomy supplies. Italso helped me to realize the need for ETsto advocate for standard ostomy fundingthroughout the country.

Over the last year we have had a numberof ETs retire in our region. This is alwaysto be expected but it is with greatsadness that I say goodbye to thesemembers. I wish them all the best in theirretirement. It is my hope that they willstay in touch as their mentoring is verymuch appreciated. In the future I see aneed to build a more formal process for

mentoring new ETs as we see moreretiring each year. If anyone hassuggestions on how we can do this,moving forward, please share them withme.

CAET membership is crucial to ourassociation’s strength. I encourage you tomotivate existing members to renewtheir membership and to recruit newmembers to CAET. With larger numberswe gain a stronger voice in health care inCanada and as a larger organization wecan offer more to the membership.

I am always looking for educationrequests and ideas for our local meetings.Please e-mail me any suggestions youmay have. If you also have any items orresources that you would like to sharewith others please e-mail me.

As we move into the Fall it is time, forthose who have not yet written it, toapply to write the CNA Certificationexam. On-line applications for initialcertification will be accepted fromTuesday, September 2rd untilWednesday, November 12, 2014 at 4pm. There is a link to certification detailsat www.CAET.ca (see the CNA tab at thebottom of page).

I hope you have all enjoyed your summerand I wish you the best for this Fall. cd

T

REGIONAL REPORT FROM PRAIRIES /NWT / NU

By: Karen Napier RN, BScN, CETN(C), Regional Director forPrairies/NWT/NU. [email protected]

With larger numbers we gain a stronger voice inhealth care in Canada and as a larger organization

we can offer more to the membership.



ntario is the second largestprovince in Canada andapproximately 1/3 of Canada’s

population calls it home. So it is nosurprise that Ontario is also home to thegreatest number of ETNs. WithinOntario CAET has 122 membersactively enrolled with CAET andanother 44 with their membershiprenewal pending at the time of thiswriting. We can be proud that Ontarioalso has 62 ETNs with CNACertification. In numbers we have thestrength, power and ability to makechange happen.

I have been an ETN since 2010 andearned my CNA certification in 2013.Prior to this I was a surgical nursepracticing in general surgery, urology,plastics, thoracic, ENT andorthopaedics. For the past year I havebeen involved with the decision aidproject for self-catheterization under theCore Program of Informatics andResearch led by Jean Brown of Halifax.I am new to the CAET board. My firstBoard meeting confirmed for me thatthe CAET Board works incredibly hardand seems to have a never ending supplyof energy and enthusiasm.

The CAET website is about to berevamped. If you have any suggestionsor comments this is your chance to haveinput! What do you like about the

website? Do you know what it has tooffer? Is there something you havelooked for and not found? Have youregistered for the “Find an ETN”program? The Conservative SharpWound Debridement Recommendationsand Enterocutaneous Fistula BestPractices are useful resources that areavailable on the site and updatedregularly. The Ostomy Guidelines andParastomal Care sections are worthchecking out. If you are ever in need ofinformation, to support or promoteyour position as an ETN in anorganization, www.CAET.ca containsvaluable information.

Since becoming an ETN, I have attendedevery CAET conference. If you have nothad the privilege of attending you maynot realize what you’re missing. There isa wealth of information available atthese events. We look forward to animpressive joint conference, with CAETand CAWC, in Toronto October 31 toNovember 2, with the theme ACTION2014: Skin Health for Canada! I hopeto see many of you there.

I look forward to an exciting two yearsas your Ontario Regional Director. Wewill continue to hold meetings to shareinformation and I will keep you up todate on developments within theassociation. I welcome your commentsand questions. cd

O

REGIONAL REPORT FROM ONTARIO

By: Donna Fossum RN, BScN, CETN(C), Ontario Regional [email protected]

If you are ever in need ofinformation, to support orpromote your position as

an ETN in anorganization,

www.CAET.ca containsvaluable information.

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 re-certification. 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.


LE COIN DES DIRECTEURS RÉGIONAUX

embres du Québec, membresd'un bout à l'autre du Canada,je vous invite à venir naviguer

sur le nouveau site de l'Association desinfirmières et infirmiersstomothérapeutes du Québec : www.aiisq.com. Un travail colossal a été faitpar des membres volontaires du Québecpour développer le site internet del'association. Les membres ainsi que lepublic trouveront une fouled'informations générales dont lesactivités de l'Association du Québec etdu CAET, des documents concernant lesoin des plaies, des stomies et de lacontinence, ainsi que des nouvellesconcernant les mises à jour régulièresdes activités de l'Association. Cetteréalisation est un atout majeur pourchacun des membres et permetégalement de se faire connaître par lepublic. Un gros merci pour les membresqui sont à l'origine de ce projet.

La reconnaissance de notrespécialisation est un sujet important àchacune des rencontres des membres del'Association du Québec. Plusieursdossiers sont actifs au sein del'Association, que ce soit pour lareconnaissance auprès des Universités,de l'autorisation de prescription depansements complexes ainsi que de lareconnaissance dans nos établissementsrespectifs. Les infirmièresstomothérapeutes démontrent beaucoupde persévérance dans l'élaboration de

ces projets. Même lorsque les démarchess'annoncent laborieuses, les infirmièresstomothérapeutes déploient leursénergies afin de mener à bon port lesprojets concernant les compétences etconnaissances de notre spécialité.Toutes ces démarches sont bénéfiquespour les patients, la communauté etaussi pour les établissements de santé.On ne peut passer outre l'aspectfinancier qui fait partie malgré nous dela réalité du quotidien. La présence desstomothérapeutes a une influencepositive directe sur le contrôle des coûtsassociés aux trois sphères de notrespécialité.

Je profite de la présente publication ''LeLien'' pour animer des réflexions sur lessoins de plaies, de stomies et decontinence dans les centres de soins delongue durée. La populationvieillissante est grandissante au Québecet certaines régions sont touchées plusque d'autres. La présence destomothérapeute dans les centres desoins longue durée semble êtreméconnue. Pourtant, une collaborationavec ces établissements pourrait menerà une diminution de visite de cespersonnes en salle d'urgence, un aspectimportant dans l’optique de leur qualitéde vie. Donnons-nous des moyens afinde permettre aux personnes âgées devivre un quotidien comme il se doit,serein, paisible et sans douleur. Nouspouvons faire la différence! cd

RAPPORT RÉGIONAL DU QUÉBEC

Soumis par : Liette St-Cyr IA, B.Sc., infirmière clinicienne,stomothérapeute, directrice régionale du Québec. [email protected]

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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.


t is my pleasure to accept the positionas Atlantic Provinces RegionalDirector. CAET has inspired,

challenged and guided my practice overthe many years I have been an ET nurse.My goal as regional director is to helpeach member of our region feel connectedand find the opportunities within CAETto advance their practice and tocollectively help grow our professionalassociation. Atlantic Canada iscomprised of four unique provinces anddistance is a challenge. We are a dedicatedgroup of professionals, caring deeply forthose we serve.

Some of the activities our members areengaged include:

- Joan Peddle, NB, has been key tohelping arrange our regional meetings inMoncton over the last few years. Joan’sattention to detail adds so much to eachmeeting. Congratulations Joan on yournew business - Joan Peddle Consulting,may you have much success. Joan isattending the WOCN meetings inNashville this year. We look forward tohearing your news from this conference. Carla Wells, NF, is project lead for theECF Recommendation revisions.

- Jean Brown, NS, is remaining on asCore project leader for Research andInformatics. Jean has lead projects withenthusiasm, keenness to learn, andinclusiveness.

- CAET’s annual conference and AMMwill be held in Halifax in May 2015

and Connie Harvey and Carla Lohanesare helping provide the regional inputfor conference planning. We lookforward to welcoming everyone to ourregion.

- Eleanore Howard, our outgoingregional director, has provideddynamitic leadership.

We are very saddened to see Eleanoremove from Annapolis Valley, NS but dowish her all the very best in her move toScotland. I know she will contributegreatly to the practice of Stoma Carenursing or Tissue Viability nursing inScotland as she has in Canada.Eleanore was recently recognized by theCollege of Registered Nurses of NSwith the Excellence in Clinical Practicefor 2014 award. CongratulationsEleanore!

I have borrowed from Winne the Poohfor direction for this role as regionaldirector:“You can't stay in your corner of theForest waiting for others to come toyou. You have to go to themsometimes.” -- Pooh's Little InstructionBook, inspired by A. A. Milne

I planned to contact each of themembers in Atlantic Canada to learn oftheir practice, it’s challenges andrewards and gather ideas on the futureof enterostomal therapy nursing practicein Atlantic Canada. Our regionalmeeting was held in Halifax June 28,2014. cd

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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



CORE PROGRAM LEADERS’ CORNER

INFORMATICS & RESEARCHBy: Jean Brown RN, BScN, ET.

nformatics and Research is a verybusy portfolio. It involves theCAET database as well as specific

projects assigned to volunteer workinggroups. These projects are created bythe Board to fit in with CAET’s Mission,Vision, and Values. They also must fitwithin the current Strategic Plan.

Progress continues on the Decision Aidproject titled “Is Self Catheterizationright for you?” Stakeholder feedbackon the draft is now being incorporatedinto a focused aid for patients who arerequired to consider intermittent selfcatheterization as a treatment forurinary retention. It will include simpleanatomical drawings in the one to threepage long patient aid. After final editingit will be formatted into a brochure fordistribution and posting on the CAETwebsite. The CAET Board has allocatedfunds in the budget to ensure thisdocument can be distributed.

The Enterocutaneous FistulaRecommendations revision isproceeding, under the leadership ofCarla Wells. To date there have beenthree literature searches completed,including one with the help of the CAETTreasurer Elise Rodd-Nielson. An initialgroup of articles has been reviewed andanother group of documents is presentlyunder review. Project completion isscheduled for mid-September 2014.

One of the many things discussed by theBoard, while developing this year’sStrategic Plan, were challenges facingETs in their various practices. Aconsistent theme was shrinking healthcare budgets and how sometimesbudgets are stretched by employingpeople who to fill an ET role withoutET qualifications. This results in a cost-

savings to the employer and a decreasein the number of potential ET positions.In recent months I have spoken to a fewETs who have recently retired or areplanning to do so in the near future.They all refer to the diminishingmanagerial support for the ET role andthe substitution of people who are notETs to do wound consults and ostomyreferrals as well as teaching. One of theneeds, defined by the Board, for CAETover the next year is looking at the pre-and post-operative impact of ET nurseson various aspects of ostomy care. Thegoal is to give ETs the information theyneed to show their employers the truevalue of an ET nurse.

Virginia McNaughton, Director of theCAET Academy, has informed theBoard that, in her volunteer position asa Board member of the Ottawa UnitedOstomy Association, she is acting as aliaison for a research project beingconducted by first year medical studentsat the University of Ottawa. Thisexciting new project involves a qualityof life survey that will seek to find,among other things, whether ostomypatients who have access to an ETnurse, at specific intervals in the postoperative phase, have better quality oflife outcomes than those who do not.The first year medical students havecompleted and are presently revising aliterature search. Dr. Ian McDowell, aUniversity of Ottawa Faculty member,is mentoring the students. The CAEThas provided support by helping withvolunteer insurance and by reviewingthe questionnaire being developed andVirginia will keep CAET informed as towhen the association can providefurther assistance. We look forward tohearing more about this study as itproceeds. cd

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One of the many thingsdiscussed by the Board,

while developing this year’sStrategic Plan, were

challenges facing ETs in their various practices.



NATIONAL CONFERENCE PLANNINGBy: Mary Hill RN, BScN, MN, CETN(C).

This conference is a must attend for any

healthcare professionalscaring for people with

skin and wound issues.

Canadian Association of Wound Care/Canadian Association for Enterostomal Therapy

JOINT Conference Westin Harbour Castle Hotel

Toronto, OntarioOctober 30 – Nov 2, 2014

ction 2014: Skin Health for Canada is the theme for the first joint conference between the Canadian Association of WoundCare (CAWC) and the Canadian Association for Enterostomal Therapy (CAET). This inaugural collaboration betweenthese 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 bestclinical practice. Skin Health is a standard that all skin and wound clinicians strives for in the Canadian Health Care Systemwhere about 35% of persons receiving community care have a chronic wound (Health Outcomes Worldwide Research Data2013) and 26% of persons in an acute setting have a pressure ulcer (Woodbury 2004). Ultimately, there needs to be leadershipand advocacy to create recognition that prevention is the key for to maintaining skin health.

Some of the highlights of theeducational program include:

• An important panel discussion on Who is a wound care specialist? Thispanel will discuss and debate on the necessary qualifications required for ahealth 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 OrganizationalPractices (ROP) for wound care & theCanadian 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 carepolicy?

• 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 providingsatellite symposia as well as a tradeshow featuring the latest in wound andskin technology.

This conference is a must attend for anyhealthcare professionals caring forpeople with skin and wound issues.This includes but not limited to: RN, ET,Chiropodist, Podiatrists, rehabspecialists, pharmacists, Diabeteseducators, physicians and specialists.

This program will be accredited throughthe college of physicians and surgeonand applying for CME. For furtherinformation or to register, please go towww.cawc.net or www.caet.ca.

References:

Woodbury MG, Houghton PE.Prevalence of Pressure Ulcers inCanadian Healthcare Settings, OstomyWound Manage, 2004;50(10):22-4. cd

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ADVANCED HEALTH CARE

Advanced Health Care Products is a key distributor of quality home health care and rehabilitation productsdesigned to make a positive impact on the lives of people requiring assistive devices. Sold through a network ofspecialized home health care stores, our products are endorsed by health care specialists and most are listed forgovernment or third party funding and assistance. AHC has been internationally recognized for both sales andservice support excellence.

As the exclusive distributor of our partners' products, Advanced Health Care Products provides completemarketing, sales support and service to benefit our home health care stores in order to better serve the finalusers of our products. These benefits include bilingual Customer Service and Order Entry departments plus aTechnical Service department to assist with warranty claims, troubleshooting and repairs. Our ProfessionalSales Support team is constantly being re-educated through supplier training and seminars. Our MarketingDepartment ensures our presence at all relevant trade shows and in all appropriate trade journals. Our 25,000square 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

INDUSTRY NEWS

MARKETINGhe 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 PastPresident 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 forEnterostomal Therapy Nurses. Susan will be focusing on meeting the needs of the CAET members.

T

POLITICAL ACTION he CAET Board of Directors is happy to announce the appointment of Kim LeBlanc RN, BScN, MN, CETN(C), andPhD candidate at Queen’s University, to the volunteer position of the CAET Political Action Core Program Leader. Kimis 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 wasinstrumental in the The International Skin Tear Advisory Panel (ISTAP) formed to raise international awareness of theprediction, assessment, prevention, and management of skin tears. Kim will be focusing on advocating for the role ofEnterostomal Therapy Nurses within the Canadian healthcare system and will support advocacy work in ostomy suppliesreimbursement to support people living with an ostomy in Canada.

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INDUSTRY NEWS

STEADMED MEDICAL SIGNS DRAWTEX®

HYDROCONDUCTIVE WOUND DRESSINGCOMMERCIAL AGREEMENT WITH QUARTMEDICAL IN CANADA

FORT WORTH, Texas – SteadMed Medical, a leading provider of acute and chronic wound careproducts, announces it has signed a commercial agreement with Quart Medical of Cambridge,Ontario to introduce key SteadMed Medical product lines across Canada, including DrawtexHydroconductive Wound Dressing.

Drawtex, a patented wound dressing with LevaFiber™ Technology, provides effective wound bedpreparation through three different mechanisms of action – Capillary, Hydroconductive andElectrostatic. These forces combine to draw excessive wound exudate, harmful bacteria, deleteriouscytokines and necrotic debris from the wound. SteadMed Medical International Director Jay Nisbetsaid “We are very pleased to combine forces with Quart Medical to offer SteadMed Medical productsto the Canadian wound care market. Drawtex is the first of several new and innovative wound careproducts 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 Medicalwhich share a patient centered approach and vision with Quart Medical. Together, we will offerhealthcare providers this new Drawtex technology which will prove invaluable to the Canadianwound care sector. “

About SteadMed Medical

SteadMed Medical provides innovative medical devices and therapeutic products to hospitals, woundcare centres, long term care facilities and home health agencies with a focus on acute and chronicwounds, skin moisturization and incontinence care. SteadMed’s extensive portfolio of products canoptimize protocols for the care and management of skin and skin breakdown. The company hasdedicated customer service and clinical personnel who bring comprehensive solutions to those withwound and skin care complications. For additional information on SteadMed Medical, visitwww.steadmed.com

About Quart Medical

Quart Medical is a Canadian based consultancy specializing in partnering with International medicaldevice companies to drive growth of their brands in the Canadian healthcare market place.

Contact Michael Quart by telephone at 416-565-5959or by email at [email protected]


ET COMMUNITY NEWS

hanks to CAET for its helpand support of people livingwith an ostomy in Ontario.

We have formed an ad hoccommittee including members of theUnited Ostomy Association ofCanada (UOAC) and the CAETchapter presidents in Ontario toadvocate for an increase in theAssistive Devices Program (ADP)Grant. A petition on this issue wascreated by the committee andpresented to the Ontario Legislaturebefore the June election was calledand additional petitions were beingpresented when the governmentresumed sitting in the Fall.

And thanks to CAET for hosting apanel discussion on OstomyReimbursement during the webinaron May 24th. UOAC was pleasedto be represented on the panel byJim Fitzgerald from Toronto. As Ilistened from my computer inSaskatoon I was able to hear andread the information beingpresented and from the questionsasked during the discussion. It wasclear that the audience was veryinterested in the topic and wantedto get involved.

Thank you again to all the ETs whowalked in last year’s Stoma Stroll.

Mark your calendars for the 2ndAnnual Canada Ostomy DaySaturday October 4th, 2014. Weextend an invitation to all ET Nursesacross Canada to participate. TheVirtual Walk will also take placeagain this year so if your chapter isnot hosting a Stoma Stroll, or youcan’t attend, you can still participate!Go to www.stomastroll.ca and clickon Virtual Walk on the right-handside then click on the link that saysRegister Now. You can ask yourfriends and family to support youthrough e-mail or social media orprint out and distribute the pledgeform that is on the website. What agreat way to raise awareness andraise funds to support UOACinitiatives.

Our UOAC Ostomy Youth Camp, inBragg Creek, AB, continues toexpand every year. Thanks to thevolunteers, and the support of ETs,the campers enjoy a life-changingexperience at camp and want toreturn year after year.

The need for medical stories inOstomy Canada magazine is one ofUOAC’s biggest concerns right now.The magazine provides animportant source of education andinformation for those dealing withOstomies. We have re-launched theAsk the ET column and are verypleased with the response fromCAET. Thank you to Karen BrutonRN, BScN, CETN(C), MClSc-WH,who wrote the first column. We alllook forward to future contributionsand welcome any medical stories orsuggestions. cd

UNITED OSTOMY ASSOCIATION OF CANADA INC. REPORT

Submitted By: Peter Folk, United Ostomy Association of Canada (UOAC) Presidentwww.ostomycanada.ca

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We have formed an ad hoc committee including members ofthe United Ostomy Association of Canada (UOAC) and theCAET chapter presidents in Ontario to advocate for anincrease in the Assistive Devices Program (ADP) Grant.


ET COMMUNITY NEWS

CAET President’s Award 2014

Dorothy Phillips RN, BScN, MN, ET is the winner of the 2014 CAETPresident’s Award and was presented with the award over a live webinar afterthe CAET Annual Members Meeting on May 4, 2014.

There are many ET nurses who work for the betterment of our patients, otherET nurses, and the CAET behind the scenes and Dorothy Phillips is one suchET nurse. Prior to her recent retirement Dorothy brought many years ofvaried experience to her ET nursing practice and was always available tomentor and support others. During Dorothy’s years as an ET nurse she was,in addition to her nursing practice, an Academic Advisor for the CAETETNEP, a major contributor to the development of the online Continencecourse, a member of the Canadian Nurses Association ET Nurse Certificationcommittee, 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 avaluable member of the CAET.

CAET RECOGNIZES WINNERS OF PRESTIGIOUS NURSING AWARDS

Eleanore Howard: College of Registered Nurses of NovaScotia Award for Excellence in Nursing Clinical Practice

Eleanore Howard RN, BScN, MSN, CETN(C) is an Enterostomal Therapy Nurse at Annapolis ValleyHealth and is very involved in promoting and advancing nursing practice. Her involvements includeChair of the NS College’s Provincial Educational Advisory Committee, Academic Advisor for the CAETAcademy, 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 CAETNational Conference Planning Committee and as a volunteer CAET Board Member (Atlantic RegionalDirector). This prestigious award goes to a very special nurse who has made a difference in the lives ofher patients and colleagues and Eleanore was a very deserving recipient.


ET COMMUNITY NEWS

Jo Hoeflok: RNAO Recognition Awards Award of Merit

The RNAO award of merit recognizes RNs who have made an outstanding contribution to RNAO andto the profession of nursing in Ontario. Winners of this award demonstrate responsibility for professionaldevelopment 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’sHospital in Toronto. She has had a positive impact on the lives of many people and is considered anexpert in Enterostomal Therapy care. Jo has spoken at conferences around the world and has beenpublished extensively in academic journals. She works to advance the practice of Enterostomal Therapyspecialized care by sharing literature and opening dialogue about best practices among her peers. Jo caresfor people with ostomies and has built lasting relationships through her commitment to ongoing followup. As a mentor and protégé Jo says she has benefitted greatly from the enduring relationships with herpeers 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 NurseSpecialist in Wounds, Ostomy and Continence for Health Canada (AlbertaRegion). This position capped off an amazing career of a special nurse.Dorothy, after completing her Master’s Degree in nursing, took on aposition as a Clinical Nurse Specialist in long-term care. It was during thistime that she recognized that several residents had troublesome ostomiesand that it was difficult to obtain timely access to an EnterostomalTherapist (ET). She decided to become an ET in order to meet those needs.In this role Dorothy continued to make a strong contribution to improvingthe lives of her patients and supporting her colleagues. Dorothy’ssuccessful efforts improving home care in various communities aroundAlberta found a national platform from which to improve care for ostomypatients across the country – many of them in First Nations and Inuitcommunities. Dorothy continues to serve as an Academic Advisor for the CAET Academy.

NURSING AWARDS


ET COMMUNITY NEWS

The 20th WCET Congress inGothenburg, Sweden was a great success!Learning, sharing, making new friends,reconnecting with old friends anddiscovering the people and customs ofSweden! Life is a journey not adestination. There were 1400 delegatesrepresenting 51 countries. Topicsincluded wounds, ostomy, continencecare and professional practice. TheCanadian contingent included ElaineBeyer, Greta Degroot, Rosemary Hill, JoHoeflok, Eleanore Howard, KimLeblanc, Lina Martins, Kina Pelletier-Carson and Karen Bruton. Oral andposter presentations by Canadians werewell received by audiences. We had astrong presence at an international event!

At present there are 31 Canadian WCETmembers which is up from 22.Canadians actively participate on WCETcommittees. Louise Forest Lalonde(Quebec) is the WCET President (2012-2014). Virginia McNaughton (Ontario),Director of the CAET Academyparticipates on the WCET EducationCommittee. Kevin Woo participates onthe WCET Editorial Advisory Board.Karen Bruton (Ontario) representsCanada as an International Delegate(2012-2016) and sits on the WCETConstitution Committee.

The Canadian WCET meeting was held,post CAET annual meeting, in Torontoon May 24. There were 8 of usdiscussing the issues that CAETmembers experience within our practicesfrom across Canada. Networking andsharing experiences reinforce thecommitment we have for our clients andpatients.

Collaboration between WCET andCAET has enabled 2 Nepalese nurses tocomplete the ETNEP program throughthe CAET Academy which will have apositive impact for patients/clients. CAETwaived the fees for 2 nurses to take theETNEP program and WCET supportedthe practicum in a country near home.Kudos to Louise Forest-Lalonde(President of WCET), Cathy Harley(Executive Director, CAET), Virginia

McNaughton (Director CAET Academy),and many others who made it possible.

WCET currently has 1132 members fromaround the world. The WCET GeneralMeeting, on June 17, led by the Executivepresented the enormous amount of workimplemented over the last 2 years. TheWCET Mission is to lead the globaladvancement of specialized professionalnursing care for people with ostomy,wound or continence needs. Read manyof the informative reports under the

Members Only Sectionwww.wcetn.org/member-library. Thereare many special projects and committeesthat WCET is looking for members tojoin – consider volunteering!

WCET International Ostomy GuidelinesRecommendations are now on sale… The65 page guideline reviews literaturecovering preoperative phase; postoperativephase; client/family psychosocial needs;

and cultural/religious implications of anostomy. It is a must to have as a tool foryour practice!

Look forward to the 21st WCETCongress in Cape Town, South Africafrom March 13 to 17, 2016. Theme willbe “Embrace the Circle of Life”. Continueto check out the WCET Congress websitehttp://wcet2016.com for abstract deadlinedates, agenda and accommodations. It’sgoing to be an ultimate experience withmany lifelong memories! cd

WORLD COUNCIL OF ENTEROSTOMALTHERAPISTS (WCET)

Submitted By: Karen Bruton, RN, BScN, CETN(C), WCET, MCISc(WH), WCETInternational [email protected]


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

Enterestomal Therapy (CAET). Although

reasonable efforts are made to ensure

accuracy CAET, and its agents, take no

responsibility whatsoever for errors,

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.

This publication is copyright

in its entirety. Material may

not be reprinted without the

written permission of

CAET. Contact through

www.CAET.ca.

the link v s olume ssue - nswocsoumis par : paulo darosa, inf. aut., b.sc.inf., m. sc. cliniques,...

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