2012 Annual Report
CONTENTS REPORTS Introduction ........................................................................................................................................................................................ 2 President .............................................................................................................................................................................................. 4 Public Members ............................................................................................................................................................................. 5 Executive Director/Registrar .............................................................................................................................................. 6 Provincial, National, and International Initiatives ................................................................................................. 8 Research Initiatives ..................................................................................................................................................................... 10 Regulatory Services .................................................................................................................................................................... 12 Conduct ................................................................................................................................................................................................ 14 Education ............................................................................................................................................................................................ 18 Continuing Competency Program .................................................................................................................................. 20 Practice ................................................................................................................................................................................................. 21 Communications ............................................................................................................................................................................ 22
FINANCIAL HIGHLIGHTS College of Licensed Practical Nurses of Alberta .............................................................................................. 25
OUR MISSION To regulate and lead the profession in a manner that protects and serves the public through excellence in Practical Nursing.
our vision Licensed Practical Nurses are a nurse of choice, trusted partner and a valued professional in the healthcare system. The CLPNA embraces change that serves the best interests of the public, the profession and a quality healthcare system.
By 2015, the CLPNA expects to see: • Increased demand for Licensed Practical Nurses, generating continuous growth in the profession • Full utilization of Licensed Practical Nurses throughout the health care system • All Licensed Practical Nurses embrace and fully enact their professional scope of practice • Increased public understanding of the role and contributions of Licensed Practical Nurses • The College initiate and support research relevant to the Licensed Practical Nurse profession and health care system • Enhanced collaborative opportunities provincially, nationally and internationally • The College and Licensed Practical Nurses fully engaged in all decisions affecting the profession
CLPNA - 2012 Annual Report
2012 CLPNA Council (L-R, back row): Roberta Beaulieu, LPN; Valerie Paice, LPN; Gary Christopherson, Public Member (2013); Ralph Westwood, Public Member; Doris Kuelken, LPN; Dieda John, LPN; Linda Coatsworth, LPN (L-R, front row): Joshua Martynuik, LPN; Carla Koyata, LPN, Vice-President; Jo-Anne Macdonald-Watson, LPN, President; Linda Stanger, Executive Director; Allan Buck, Public Member
1
introduction
ABOUT THE COLLEGE
ORGANIZATIONAL STRUCTURE
The College of Licensed Practical Nurses of Alberta (CLPNA) is the regulatory organization for Licensed Practical Nurses (LPNs) in Alberta, Canada. CLPNA is governed by LPNs and by public members on behalf of the Minister of Health and Wellness. The organization is supported through annual registration, examination, and other regulatory fees.
Minister of Health and Wellness
CLPNA regulates the profession and ensures protection of the public by setting entry-to-practice requirements; approving practical nurse education programs leading to registration and specialty; establishing, promoting and enforcing standards of practice and a code of ethics; enhancing the care provided by members of the profession through the continuing competence program; and conducting investigation and discipline. Under provincial regulation, persons who provide professional services to the public as a LPN must qualify and be registered with CLPNA.
Council 8 Elected Council Members 3 Appointed Public Members
Regulated Committees Education Standards Advisory Committee Council Appeals Committee Hearing Tribunal Complaint Review Committee Registration and Competency Committee
Executive Director/Registrar
The organization was founded in 1985 and assumed regulatory responsibility for the profession in 1987. The CLPNA is currently regulated under Alberta’s Health Professions Act (HPA).
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Regulatory Services
The origins of the profession in Alberta can be traced back to the Alberta’s Nurses Aides Act of 1947 and development of the Certified Nursing Aide educational course. Over the years, the names have changed in compliance with legislation:
Operations
• Alberta Certified Nursing Aide Association (1961) under the Societies Act, • Alberta Association of Registered Nursing Assistants (1978) under the Nursing Assistant Registration Act; • Professional Council of Registered Nursing Assistants (1987) under the Health Disciplines Act; • Professional Council of Licensed Practical Nurses (1990) under the Health Disciplines Act; and • College of Licensed Practical Nurses of Alberta (1998).
ABOUT THE PROFESSION
(Complaints Director) (Hearings Director)
Professional Practice/Policy Communication
LPNs are professional nurses who serve individuals, families, and groups, assessing their needs and providing care and treatment as appropriate. With well-developed assessment and critical thinking skills, LPNs formulate nursing diagnoses, plan interventions, provide health education, and evaluate response to treatment in collaboration with clients and other health professionals. LPNs are expected to make autonomous decisions and take action while providing nursing care for clients, and are responsible and accountable for the decisions they make.
CLPNA - 2012 Annual Report
COMMITTEES LPNs usually work in teams, however, may assume independent, interdependent, and overlapping roles on the health care team. The level of independence for a LPN in practice may differ depending upon the needs and complexity of the client, skills of the LPN and the team around them, and supports available in the setting. GOVERNANCE The governing body of the CLPNA is the Council comprised of eight elected Council Members, three Public Members appointed by provincial government in accordance with the HPA, and the Executive Director/Registrar as an exofficio member. The Council operates on a policy governance model to fulfill its obligations outlined in the HPA, Licensed Practical Nurses Profession Regulation, and CLPNA Bylaws (June 2008).
CLPNA committees are mandated by the Health Professions Act (HPA) to assist the CLPNA in their responsibilities under the Act. They are comprised of regulated members appointed by Council, and Public Members appointed by the provincial government. Education Standards Advisory Committee (ESAC) The Education Standards Advisory Committee establishes the Standard for Program Approval for all basic and specialty education programs for practical nurses in Alberta, and approves and monitors programs to ensure compliance with this Standard. Gloria Bauer, Co-Chair Pam Lammiman, Co-Chair Linda Stanger, CLPNA Representative Teresa Bateman, CLPNA Representative Gwen Evans, LPN Mary Jean Andrada, LPN Bruce Finkel, Member at Large Pam Mangold, Employer Representative Leona Ferguson, Employer Representative Maureen McQueen, Education Representative Vi Smith, Education Representative Joyce D’Andrea, Education Representative
Council Appeals Committee (CAC) The CAC makes findings and determines disciplinary action arising from an appeal of a Hearing Tribunal Decision under the Health Professions Act. Hugh Pedersen, LPN, Chairperson Jo-Anne Macdonald-Watson, LPN, Chairperson Carla Koyata, LPN Ralph Westwood, Public Member
CLPNA - 2012 Annual Report
Hearing Tribunal (HT) The HT makes findings and determines disciplinary action at professional conduct hearings under the Health Professions Act.
Public Members for Conduct Public Members are appointed by the provincial government to sit on the Hearing Tribunal and Complaint Review Committee.
Larry Leduc, LPN, Chairperson Kelly Annesty, LPN Shelley Blaszkiewicz, LPN Danielle Canning, LPN Crystal Genoway, LPN Melanie Joyce, LPN Dawne Knibbs, LPN Minky Leba, LPN Sylvia Morison, LPN Jill Paton, LPN Kunal Sharma, LPN Patricia Standage, LPN Jamie Tanda, LPN Wanda Beaudoin, LPN L. Jean Collins, LPN Diane W. Larsen, LPN Sheana Mahlitz, LPN Ann Noseworthy, LPN Eryn Winfield, LPN
Grace Brittain Diane Adams Peter Van Bostelen Nancy Brook
Complaint Review Committee (CRC) The CRC reviews and ratifies settlements through alternative complaint resolution and conducts reviews of dismissal of complaints under the Health Professions Act. Michelle Tavenier, LPN, Chairperson Margaret Devlin, LPN Dawn Gillich, LPN Gaylene Mullett, LPN
Registration and Competence Committee (RCC) The RCC determines issues regarding registration and competence matters referred by the Executive Director/Registrar under the Health Professions Act and the Bylaws. The primary responsibility of the RCC is to guide and support the continuing competency program. Ashley Holloway, LPN, Chairperson Dianne Banks, LPN Christine Buck, LPN Cheryl Dell, LPN Lorna Diprose, LPN Michelle Rose, LPN Johanne Rousseau-Chicoine, LPN Dorothy Wurst-Thurn, LPN Teresa Bateman, CLPNA Representative Linda Findlay, CLPNA Representative
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president
I
am pleased to present the 2012 Annual Report for the College of Licensed Practical Nurses of Alberta (CLPNA), which has been approved by Council and reports on the solid foundation of regulatory service our College provides. The College of Licensed Practical Nurses of Alberta is accountable to lead our profession in a manner that protects the public. In doing, so it is our goal to build on the proud identity that makes Alberta’s Licensed Practical Nurses (LPNs) respected and recognized both provincially and nationally. Each regulated profession is expected to establish standards in registration, conduct, practice, and continuing competence to ensure their registrants maintain the highest standard of care. As the President of CLPNA, I am honoured to represent you in this dynamic process of self-regulation. I am also proud to report practical nursing is an increasingly sought after career choice. When I first started with Council in 2008, the number of LPNs in the province was 7,859. As of this 2012 Annual Report, I am excited to inform you that registered members have increased to 10,623. This growth of 35% in 5 years is a remarkable accomplishment and contribution to Alberta’s health human resource pool. With significant growth comes increased demand for prudent leadership. We are privileged to have Linda Stanger as our CLPNA Executive Director/Registrar and our full time champion. Linda and her staff are consistently monitoring the environment for opportunity and diligently paving an innovative and inclusive path for us to get there. As I look back at the accomplishments from my first days with Council to today, the deep commitment of their work is clear. Challenges will constantly present themselves in Alberta’s economy, and you can have confidence in Linda and her team to be mindful of these challenges as they proactively and collaboratively look for the opportunity in each one.
implementation in 2013, empowers us as Council to be increasingly future focused and strengthens Council leadership of the profession. In September, we said “Farewell” to Hugh Pederson who served as President 2008-2012. Hugh leads by example. He is a kind, insightful, and generous man, with strong leadership ability and he is a passionate LPN. I am thankful for his mentorship and encouragement to join the CLPNA Council. It has been my privilege to work with him as a LPN in Red Deer and through my term on Council. “Thank you Hugh for four years of strong and effective leadership of our profession.” I would be remiss in this annual statement if I did not express appreciation to all LPNs in Alberta. You are present in every aspect of delivery of health care, constantly serving the needs of your clients and their families. Thank you for continuing to conduct yourself professionally and excelling in securing public confidence in our practice. As our province faces economic challenges, there will undoubtedly be changes in health care. With increased focus on primary care, community care, supportive living, addictions and mental health services, one fact is certain - people will still need nurses with compassion, respect, and a high degree of competence. I believe Alberta LPNs are a valuable resource option for quality care delivery today and into the future. In closing, I share this quote from Maya Angelou, “They may forget your name, but they will never forget how you made them feel”. Thank you for doing that so well! Sincerely, Jo-Anne Macdonald-Watson President
Your Council works conscientiously on your behalf, bringing new and innovative ideas forward. Reinforcing the essence of what defines a LPN, they strive to represent this profession with the highest degree of professionalism. Within the last year we have undertaken a review of our governance structure and developed a plan to strengthen our policy governance model. A pure policy governance model, planned for
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CLPNA - 2012 Annual Report
public members
T
his was a busy and productive year for the College of Licensed Practical Nurses of Alberta (CLPNA), with the strong and effective leadership of the Executive Director/Registrar, Linda Stanger.
This year the CLPNA reach 10,623 registered members, a 35% increase over the past 5 years, and the highest number of members registered in the history of the college. Robert Mitchell
Allan Buck
Ralph Westwood
Several initiatives during the year serve to highlight the significant effort and success of the CLPNA: forging improved stakeholder relationships provincially and beyond; more active and effective promotion of the profession in addressing the nursing shortage; laying the groundwork for an enhanced policy governance model for Council operation; and building upon several successful Spring Conferences with another successful event in 2012. The LPN members elected to Council continue to bring practical insights to the Council decision making process, helping to ensure that LPNs provide competent and safe patient care services. We are impressed with the commitment and integrity of our fellow Council colleagues and it is a pleasure to be full partners in Council deliberations. We confirm the CLPNA and Council members effectively fulfill their roles in ways that serve and protect the public, and results in the delivery of high quality health care for Albertans. It is an honour and a pleasure to report that the CLPNA is very well-respected, managed and directed. Respectfully submitted, Robert Mitchell Allan Buck Ralph Westwood
CLPNA - 2012 Annual Report
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executive director/registrar
A
s the regulatory college for Licensed Practical Nurses in Alberta, we commit to “Regulating and leading the profession in a manner that protects and serves the public through excellence in Practical Nursing”. Self-regulation is a privilege and at the College of Licensed Practical Nurses of Alberta (CLPNA), we take this seriously. It is my honour to provide this report outlining how the CLPNA delivered on our responsibilities for 2012. The launch of a state-of-the-art Policy Framework for the CLPNA sets a new standard in guiding Licensed Practical Nurse (LPN) practice. The documents created under this Framework support the three principles of self-regulation: promote good practice, prevent poor practice, and intervene in unacceptable practice. The Framework outlines the process for development and evaluation of policy documents that are evidence-based scholarly papers, clearly referencing specific sections of legislation, regulation, by-law and case-law. CLPNA published four initial documents in 2012, with more coming in 2013. A significant Inter-Jurisdictional LPN Project (IJLPN), funded by Human Resources and Skills Development Canada (HRSDC) and designed to increase harmonization for the LPN profession in Canada, nears completion. As co-chair of this project I am pleased to announce the release of a new Code of Ethics, Standards of Practice, Entry to Practice Competency Statement, and Requisite Skills and Abilities. These documents will be adopted widely within Canadian jurisdictions and provide consistent guidance for LPN practice in Canada. Alberta Enterprise and Advanced Education Foreign Qualification Recognition (FQR) Innovation Fund provided a grant for development of tools to assist the International Educated Nurse (IEN) in understanding legislation, role and scope of the LPN in Alberta. Four projects resulted, and are highlighted in the Regulation section of this report. Of significance, this funding enabled CLPNA to repatriate the IEN assessment process within the College, aligning this work with other nursing regulators in Canada and prepares us well for future initiatives involving assessment of international applicants. In addition, a Jurisprudence examination,
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testing an applicant’s understanding of the regulation, legislation, and standards affecting LPN practice in Alberta was developed and will be introduced early in 2013 as part of initial registration with CLPNA. Many synergies have evolved in 2012 for CLPNA and the LPN profession. Collaboration is more evident today with our largest employers, Alberta Health Services, Covenant Health, and organizations represented by the Alberta Continuing Care Association, as well as with our regulatory colleagues across Canada. Workforce transformation projects are making exciting changes, enhancing LPN positions with roles that reflect today’s scope of practice, and increasing full-time equivalency in positions. We anticipate all of this work will result in improved quality of care and a more sustainable system. As you review this 2012 Annual Report you will see some significant activities: LPN membership topped 10,000 this year, practice opportunities have grown into new areas, national initiatives value the voice and competencies of LPNs, and new Alberta based scope of practice research supports collaboration and utilization of all nurses. As CLPNA launches its 27th year in 2013, we know the LPN profession is well prepared to provide quality, competent and committed care for Albertans. Thank you to our Council, staff, educators, volunteers and stakeholders for your contribution to our profession. And thank you to each Licensed Practical Nurse for your commitment to excellence, and the difference you make for Albertans each day! With respect and appreciation, Linda Stanger Executive Director/Registrar
CLPNA - 2012 Annual Report
In reality, work is challenging and rewarding because of the convergence of holistic care, a wide variety of complex medical conditions, bedside care of people you come to know well, full scope LPN practice, and continuing expansion of the LPN role and responsibilities. Nicole Martin, LPN CARE, Volume 26, 1st Edition, Spring 2012
CLPNA - 2012 Annual Report
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provincial initiatives
A
lberta Ministry of Health (AMH) (formerly Alberta Health and Wellness) continued discussion with regulatory colleges related to review of the Restricted Activities (RA) listed in the Government Organization Act (2000). CLPNA is involved in a number of committee’s and this work continues. CLPNA submitted a request to AMH for review of the Health Professions Act, LPN Profession Regulation (2003). Consultation and regulation development is expected in 2013 and will align with an update/revision to the Competency Profile for LPNs (2005). CLPNA participates in the Alberta Federation of Regulated Health Professionals (the Federation) and subcommittees related to complaints process and continuing competency. The Federation is a group of 25 health regulatory Colleges with the same mandate “to regulate our respective professions in the public interest” who work together to enhance public protection, advance healthcare regulation and to provide direction, expertise and leadership on health and related public policy. CLPNA participated in a Family Care Clinic Consultation with government to present a vision for LPNs in Family Care Clinics in January. The presentation detailed information about specific contributions the LPNs can make in primary care and outlined potential barriers to effective utilization. CLPNA is an active member on the Minister of Health’s Advisory Committee on Primary Care. CLPNA continues to participate on the Successful Transition of the Entry Level Nurse Provincial Steering Committee, with leaders from Alberta Health Services (AHS), nursing education and regulation. The focus of this work is development of a provincial strategy to foster successful transitions of new nurses into the workplace. AHS has launched several tools for new nursing grads, managers, and clinical educators for this purpose. Alberta Health Services (AHS) launched a Provincial Nursing Professional Practice Council as a forum for discussion, support, and promotion of quality patient centered health care within the nursing professions in AHS. Goals of the Council include fostering collaboration and communication within the nursing profession, across professions, across service sectors, and between zones. The Council meets quarterly
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by teleconference and involves nursing leaders from each AHS zone and sector, AHS Health Professions Strategy and Practice, Covenant Health, regulators, educators, unions, and Allied Health Discipline Practice Councils. The meetings held in 2012 focused on formation of Zone and Service Sector Nursing Councils and beginning discussion on the creation of a common vision for regulated nurses in AHS. In November, the Alberta Practical Nurse Education Programs Committee adopted revised terms of reference outlining the committee guidelines, purpose, objectives, and membership. This committee meets quarterly to share information and identify opportunities and actions to influence the on-going development and delivery of practical nurse programs and related education and practice policies in Alberta. CLPNA now hosts and co-chairs this committee, with members including practical nurse programs, government, and employers. CLPNA participated in the Collaborative Practice and Education Leaders Network Forum in November 2012 in Edmonton. The Network, representing system stakeholders, provided strategic leadership to facilitate, coordinate, align and integrate efforts among practice, education, regulatory, government and other stakeholders toward development of collaborative practice in Alberta’s healthcare environment. Alberta Enterprise and Advanced Education (AEAE) (formerly Alberta Employment and Immigration) invited several Alberta stakeholders, including CLPNA to present professional information to a delegation of the China Guanghua Nursing Development Project (Project). The broad goal of the Project is to raise the quality, standards and outcomes of the nursing profession across all of China through improved nursing education, health service standards and research. The Project is investigating opportunity for future nursing education and practice collaborations. CLPNA participates provincial and nationally in Foreign Qualification Recognition (FQR) initiatives, related to the FQR Plan for Alberta and Canada. The purpose of FQR is to facilitate recognition of prior learning, ease of licensing, and integration into the Canadian workforce for internationally educated professionals.
CLPNA - 2012 Annual Report
national / international initiatives
Canadian Council for Practical Nurse Regulators (CCPNR) The CCPNR is a federation of regulators responsible for the profession of practical nursing in their jurisdiction and provides a collective voice on matters affecting practical nurse regulation. The focus of CCPNR is promotion of regulatory excellence and continued harmonization of the LPN profession within member jurisdictions.
Framework of Guiding Principles and Essential Components for IEN Bridging Programs Self-Assessment Guide. This project was led by the Canadian Association of Schools of Nursing and funded by Health Canada.
CCPNR initiated the Inter-jurisdictional Licensed Practical Nurse Project (IJLPN) in 2011, funded by Human Resources and Skills Development Canada (HRSDC), which continued throughout 2012. This project involves development of four documents: Entry to Practice Competency Statement for LPNs, Requisite Skills and Abilities for LPNs, Code of Ethics, and Standards of Practice. The documents are near completion and to be approved in each jurisdiction in early 2013. Thank you to all stakeholders who participated in the Alberta review. CLPNA co-chairs and is fund holder for this project.
National Nursing Assessment Service (NNAS)
The work of the Evidence-Informed Nursing Care Delivery Models across the Continuum of Care project, funded by HRSDC and led by CNA, was concluded in 2012 with the publishing of the new Staff Mix Decision-Making Framework for Quality Nursing Care. This project was multidimensional and involved a comprehensive literature review, extensive consultations (surveys and focus groups across Canada), an invitational round table discussion, and a pan-Canadian Delphi survey. The new Framework, published in March 2012, is available on the Canadian Nurses Association (CNA) website. CLPNA represented CCPNR on both the steering committee and working group for this project. CLPNA participated for CCPNR on the IEN Bridging Programs Steering Committee. The purpose of the project was to facilitate the successful workforce integration of internationally educated nurses who have immigrated to Canada by developing and implementing a national framework of guiding principles and essential components to be considered in the development and maintenance of bridging programs. Two final documents were released Spring 2012 including the Pan-Canadian Framework of Guiding Principles and Essential Components for IEN Bridging Programs and Pan-Canadian
CLPNA - 2012 Annual Report
After nearly seven years of planning the NNAS was officially incorporated in June 2012. CLPNA is a member of the corporation and holds one of four LPN Director Positions on the Board. The purpose of the corporation is to coordinate a consistent national approach to the assessment of internationally educated nurses’ eligibility for registration/licensure by the provincial and territorial nursing regulatory bodies. NNAS has a four year implementation plan during which time the plan is to launch a bilingual website, a portal with a harmonized IEN application, eliminate redundancy among nursing regulators, centralize document collection and competency based assessments, create a national database for IENs, and initiate service agreements between NNAS and each nursing regulator across Canada. National Council of State Boards of Nursing (NCSBN) NCSBN is a U.S. national organization “through which boards of nursing act and counsel together on matters of common interest and concern”. All 60 U.S. nursing regulatory boards are members of the NCSBN and several Canadian and international nursing regulatory boards belong as associate members. CLPNA continues to be an active associate member of NCSBN, involved in discussions about common issues facing nursing regulators. CLPNA participated in several events in 2012, most notably with an invitation to present “LPN Education and Regulation in Canada”, to the NCSBN mid-year Executive Officer Meeting in March.
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research initiatives
Understanding LPNs Full Scope of Practice Alberta Ministry of Health funded a research project designed to evaluate the impact on quality of care and patient outcomes when LPNs work to scope. The study, Understanding LPNs Full Scope of Practice, also explores the supports and barriers in place, impacting LPNs ability to work to the full extent of their knowledge, skill, and ability. The research team, led by Dr. Rena Shimoni at Bow Valley College includes leading researchers in evaluation research (Dr. Gail Barrington) and nursing (Dr. Sean Clarke). This research is completed with the final report submitted to Alberta Ministry of Health. Public release is expected in early 2013 with additional work to promote the findings and recommendations. There were five recommendations from this research: 1. A strong case be made to Alberta Health to lead the creation and articulation of a clear, compelling and shared vision of nursing in Alberta, where there is clarity regarding the competencies and the roles of the three nursing designations, LPN, RPN, RN. 2. Regulatory bodies, employers, and individual LPNs assume joint responsibility and accountability to identify, provide, and access learning opportunities. 3. A detailed strategic plan and implementation plan be developed to assist all players with their role in implementing and facilitating change regarding scope of practice for all nursing professions. 4. Research be conducted to study the roles and opportunities for LPNs in areas such as emergency care, family care clinics and primary care, labour and delivery, mental health, home care, and leadership. 5. A knowledge translation plan be created with input from all stakeholders to ensure that the findings of the study and its recommendations are widely disseminated and used to reach the different levels of staff. CLPNA extends sincere thanks to the Steering Committee for their expertise and attention to this project. Representation included Alberta Health Services, Alberta Ministry of Health, University of Alberta Faculty of Nursing, Bow Valley College, NorQuest College, Covenant Health, Alberta Continuing Care Association, College of Registered Psychiatric Nurses of Alberta, College and Association of Registered Nurses of Alberta, CLPNA, and members of the LPN profession. CLPNA extends sincere appreciation to Alberta Ministry of Health for funding such a significant addition to research regarding the LPN profession. The full research report and executive summary are available at www.clpna.com.
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I can see the role of the LPN growing in most areas across the health system and I firmly believe that LPNs are well positioned to assume their role on the collaborative care team. Brenda Huband Senior VP Calgary Zone Alberta Health Services CARE, Volume 26, 1st Edition, Spring 2012
The growing respect for our profession provides us with a unique window of opportunity. The time is now to demonstrate our leadership competencies, collectively as a profession and individually in every setting where we practice. Executive Message CARE, Volume 26, 2nd Edition, Summer 2012
CLPNA - 2012 Annual Report
1575 11.8% 10.9% 1256 1162 9.1% 9.2% 8.0% 8.4% 964 980 850 883
9.8% 1034
2012 membership statistics 19-25
Registrations
26-30
31-35
36-40
41-45 46-50 AGE GROUPS
51-55
56-60
61-65+
Out of Province & International Registrations
LPN Registration Trends 2011
Number of LPNs
2012
Alberta NEW Graduate Applicants
769
938
International NEW Applicants
40
40
Other Canadian NEW Applicants
442
580
-
305
Reinstatements (More than 4 Years)
-
15
Re-Entry LPNs
1
5
Renewals Courtesy Applicants
8400 0
8740 0
TOTAL
9652 10623
Reinstatements (Less than 4 Years)
10623 10.0%
2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986
LPN Gender Distribution
93.5% 6.5%
9652 9015 8531 7859 7264 6863 6533 6037 5575 5172 4848 4431 4342 4606 4723 4963 5562 6196 6378 6545 6651 6736 6956 7225 7894 8643
Age of Active LPNs
Average Age: 2010 - 41.4
2011 - 41.1
2012 - 40.7
7.0% 5.7% 8.6% 8.1% 5.8% 5.0% 8.2% 8.3% 7.8% 6.7% 9.4% 2.0% -5.7% -2.5% -4.8% -10.8% -10.0% -2.9% -2.6% -1.6% -1.3% -3.2% -3.7% -8.5% -8.7%
620
601 482 413
205 53 1998
34
41
1999
2000
74
90
80
81
2001
2002
2003
2004
298
247
124
2005
2006
2007
2008
2009
2010
2011
2012
YEAR
In Migration Breakdown
BC |
SK |
MN |
ON |
QC |
NB |
NS |
PEI |
NL |
NT |
YK |
NU |
304
16
10
204
8
13
16
0
8
1
0
0
*Jamaica
USA OTHER* | |
31
9
TOTAL - 620
Distribution of Active LPNs* 18.0% 1919 14.8% 1575 11.8% 10.9% 9.8% 1256 1162 9.1% 9.2% 8.0% 8.4% 1034 964 980 850 883
19-25
CLPNA - 2012 Annual Report
Percentage of Loss/Increase
26-30
31-35
36-40
41-45 46-50 AGE GROUPS
51-55
56-60
61-65+
AHS Area
Totals
%
681
6.4%
Area 1 - South Zone (Lethbridge & Medicine Hat) 904
8.5%
Area 0 - Out of Province/Country Area 2 - Calgary Zone
2754 25.9%
Area 3 - Central Zone (Red Deer)
1508 14.2%
Area 4 - Edmonton Zone
3626 34.1%
Area 5 - North Zone
1150 10.9%
TOTAL
10623 100%
*By LPN mailing address
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Regulatory Services
I
n 2012, CLPNA registrants grew by an unprecedented 10%. While growth of the profession has been steady since 2000, the average per annum growth hovers at 6.9%. Contributing factors to the growth surge are new applicants from outside Alberta and new graduates within Alberta. Registrants educated outside Alberta (see “Out of Province and International Registrations” graph) jumped 30% to 620 from the previous year, exceeding the previously recorded high of 601 in 2008. Half of these registrants originate in British Columbia, one-third from Ontario, and the remainder from other provinces and outside Canada. New Alberta graduates rose 22% to 938, also a historical high. The average age of Alberta’s LPNs continues to decline to an average 40.7 years, making it one of the youngest jurisdictions in Canada. Foreign Qualification Recognition Project Results The Alberta Enterprise and Advanced Education - Foreign Qualification Recognition (FQR) Innovation Fund provided a grant for CLPNA projects that included development of tools to assist the International Educated Nurse (IEN) in understanding legislation and the role and scope of the LPN in Alberta. Four projects are the result of this funding: Jurisprudence Exam The Jurisprudence Exam tests understanding of key regulatory concepts including code of ethics, standards of practice, regulation, and legislation, and practice knowledge essential to safe and effective practice in the profession. This project involved development and testing of a psychometrically created jurisprudence examination for the LPN profession in Alberta. While many similarities exist across the country with respect to the Canadian health care system and working as a nurse in Canada, each province and territory is governed by its own unique legislation/regulations. Therefore, provincial Jurisprudence exams are an essential component to understanding unique jurisdictional professional practice. The Jurisprudence Exam has completed two pilot tests, primarily with new graduates, out of province members, and internationally educated nurses. The exam will be fully implemented
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in 2013. CLPNA is the second nursing regulatory body in Canada to implement a jurisprudence examination. Handbook (Career Guide) The Career Guide focuses on educating and informing people potentially interested in choosing a career as a LPN, including International Educated Nurses (IENs) and out of province applicants. The Guide will provide detailed information about the profession, the CLPNA, the work LPNs do, and what a new immigrant may expect in Canada and Alberta. There is also a section with abridged stories about LPNs in practice and includes supportive living, rural nursing, acute care - medical and surgical nursing, and community mental health. Repatriation of International Educated Nurse (IEN) Assessment CLPNA developed assessment criteria and processes for assessment of IEN nursing qualifications for licensing as an LPN in Alberta. The CLPNA began accepting applications and registering IENs in October 2012. Previously, all IEN assessment process was conducted by NorQuest College and Bow Valley College. This change to the IEN assessment process aligns CLPNA procedures with those of other Canadian nursing regulatory organizations. IEN Self-Assessment Tool The online IEN Self-Assessment Tool (http://ien.clpna.com) is part of the Repatriation project and provides an initial automated method for potential IEN applicants to determine their registration eligibility with CLPNA.
CLPNA - 2012 Annual Report
We serve a vast region with a dispersed population. We meet the educational and industry needs of rural Alberta by taking the program out to the students. We don’t expect the students to come to us. Julia Melnyk, LPN Dean of Health Careers and Program Development Northern Lakes College CARE, Volume 26, 4th Edition, Winter 2012
Canadian Practical Nurse Registration Examination (CPNRE) Jurisdictions in Canada are responsible for ensuring that those applying for registration as a practical nurse meet an acceptable level of competence to practice. This level of competence is measured, in part, by the Canadian Practical Nurse Registration Examination (CPNRE) administered by all provincial and territorial LPN regulatory authorities except Quebec. The CPNRE is the final step in the registration process and is administered three times a year in January, May, and September. Candidates have a maximum of three attempts at successfully completing the exam. The CPNRE is prepared by Assessment Strategies Incorporated (ASI) working in collaboration with representation from practical nurses, educators, and employers of practical nurses from across Canada. These individuals serve as the content experts in developing and validating the CPNRE on behalf of the regulatory authorities. CLPNA is an active participant in the development of the CPNRE with representation on the Client Advisory Group, Examination Committee, Blueprint Committee, Competency Review Committee.
Alberta CPNRE Candidates 2012* Number of Candidates
1st Exam
Repeat Exam
IEN’s
IEN’s Repeat Exam
Total Candidates
Registered
944
64
51
11
1070
Writing
943
63
48
11
1065
1
1
3
0
5
Passing
838
40
35
6
919
Failing
105
23
13
5
146
% Passing
89%
63%
Not Writing
73% 45%
86%
* Statistics prepared by Assessment Strategies Incorporated (ASI). IEN: Internationally Educated Nurse
Make a commitment today to adopt a continuous learning and inspired approach to delivering the best professional services upon which your patients depend. Albertans deserve quality health care, which we all aspired to when we began our professional careers in the first place. Executive Message CARE, Volume 26, 3rd Edition, Fall 2012
I have a passion for promoting dignity and honour with all people no matter their circumstances or background. I saw my instructors model that belief when I had my clinical rotations, and I embraced it. Tanya Swanberg, LPN CARE, Volume 26, 4th Edition, Winter 2012
CLPNA - 2012 Annual Report
13
Conduct
T
he College is committed to resolving complaints against LPNs based on the principles of procedural fairness, transparency and due diligence. Each complaint is reviewed thoroughly to determine appropriate course of action. The Health Professions Act sets out the approaches for addressing unprofessional conduct to protect the public from incompetent or unethical practitioners. Approximately 1% of the membership is involved in the conduct process each year. Employers have a legal obligation to inform the CLPNA when a LPN is terminated, suspended, or the LPN has resigned for reasons of unprofessional conduct. These matters are all addressed as a formal complaint and vary in nature and degree of seriousness. The CLPNA dismissed 18 complaints and informally resolved 56 minor complaints. Of the 25 complaints that proceeded to a Hearing, only three were contested or partially contested, requiring CLPNA to call witnesses to give evidence. In the remaining 22 complaints, CLPNA and the investigated members were able to present an Agreed Statement of Facts and Acknowledgement of Unprofessional Conduct and a Joint Submission on Penalty to the Hearing Tribunal.
Historical Comparison
2008
2009
2010
2011
2012
20
16
30
53
78
New Complaints Received
19
38
81*
89
108
Total Complaints in Process
39
54
111
142
186
Complaints in Process From Previous Year
*One reason for the increased number of New Complaints in 2010 resulted from a change in process regarding complaints against LPNs found to be practicing without a Practice Permit. Previously, these issues were resolved through registration processes and were not counted as formal complaints of unprofessional conduct.
Source of Complaints
2012
Employer
51
61
Complaints in Investigation Stage
Complaints Director
30
30
Complaint’s Pending Hearing
9
Member of Public
8
13
Hearings Completed
25
Other
0
0
Council Appeals Committee Appeal Hearings Completed
0
Protection for Persons in Care
0
4
Complaint Review Committee Review of Dismissal of Complaint
0
Alternative Complaint Resolution Decisions Ratified
0
Alternative Complaint Reviews in Progress
0
Appeals to Court
0
Type of Complaints Received
76
Abandonment
5
Section 118 - Incapacity Assessments
0
Abuse - physical, verbal, sexual
9
Complaints Dismissed
18
Boundary Issues
1
Resolved by Complaints Director (Consent Resolution)
56
Breach of Confidentiality
2
Member’s Location Unknown - File Suspended
0
Clinical Competence - Health Assessment
1
Member Deceased - File Closed
0
Clinical Competence - Medication Administration
14
Complaint Withdrawn
Clinical Competence - Multiple
24
Total Discipline Events
Criminal Charges
1
Interim Suspensions of Practice Permit
4
Health - Mental
1
Surrenders of Practice Permit by Agreement and Undertaking
2
Other
2
Suspensions/Cancellations of Practice Permit Ordered by Hearing Tribunal
4
Practicing Without A Permit
30
2 186
Substance Abuse
1
Referrals to Attorney General
2
Theft
1
Monitoring of Orders
21
Unethical Conduct
11
Files Closed (includes files from previous years and current year) 101
Workplace Conflict Non-Practice
5
Total Complaints Received
14
Disposition of Complaints Processed
2011
108
CLPNA - 2012 Annual Report
Hearings Summary Upon review of the Investigation Report, the Complaint’s Director may refer complaints to the Hearing Tribunal for a formal Hearing. Based on the evidence, the Tribunal determines if the investigated member has met the Standards of Practice of the profession. If the member is found to be guilty of unprofessional conduct, the Tribunal decides what measures are necessary to protect the public from unsafe practice and determines the appropriate steps required to remediate and rehabilitate the individual nurse. All hearings were open to the public.
File No.
Complaint Type
Finding
Outcome (Sanctioned Orders)
C-09-16
Criminal Charges
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
Full Compliance Prior to Reinstatement: - Fitness to Practice Statement from Physician - Remedial Education - Partial Hearing Costs Conditions on Practice Permit if Reinstated: - Fitness to Practice Statement from Physician at 3, 6 and 9 months - Random Drug Screens for 1 year - Self-disclosure of consumption of narcotic without a prescription - Supervised Practice for 300 hours to monitor medication administration - Progress report from supervisor at 3, 6 and 9 months - Disclosure of Decision to future employers for 2 years - Disclosure of Decision when seeking registration with any other regulatory body
C-10-09
Clinical Competence - Multiple
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Caution - Remedial Education
C-10-32
Substance Abuse
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Reprimand - Fitness to Practice Statement from Physician - Letter from a Counselor or Psychologist outlining recommendations for counseling or treatment and if treatment required updates every 6 months for duration of treatment - Partial Costs of Hearing Conditions on Practice Permit for 5 years: - Prohibited from calling or faxing prescriptions - Disclosure of Decision to future employers
C-10-14
Abuse - Verbal
Contested Unprofessional conduct on all allegations
- Reprimand - Immediate Suspension of Practice Permit Full Compliance Prior to Reinstatement: - Remedial Education - Successful completion of Anger Management workshop/program/course - Partial Costs of Hearing
C-10-68
Boundary Issues/Criminal Charges
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Cancellation of Practice Permit
C-10-75
Unethical Conduct
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Reprimand - Remedial Education
CLPNA - 2012 Annual Report
15
File No.
16
Complaint Type
Finding
Outcome (Sanctioned Orders)
C-11-55
Clinical Competence - Medication Administration
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Reprimand - Immediate Suspension pending proof of medical condition - Remedial Education
C-10-69
Misrepresentation
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Reprimand - Fitness to Practice Statement from Physician - Remedial Education - Partial Costs of Hearing - Referral to Attorney General
C-10-04
Substance Abuse
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Reprimand - Partial Costs of Hearing Condition on Practice Permit no medication administration pending full compliance: - Fitness to Practice from Physician - Remedial Education - Disclosure of Decision to any nursing employers
C-11-22
Substance Abuse
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Reprimand - Partial Costs of Hearing Condition on Practice Permit no medication administration pending full compliance: - Fitness to Practice from Physician - Remedial Education - Disclosure of Decision to any nursing employers
C-11-59
Theft
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Cancellation of Practice Permit - Conditions of remedial education to be met in addition to demonstrating qualifications in applying for reinstatement of registration
C-10-29
Clinical Competence - Documentation
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Reprimand Requirements prior to eligibility for registration: - Letter from a Counselor or Psychologist outlining recommendations for counseling or treatment - Fitness to Practice Statement from Physician - Remedial Education Conditions on Practice Permit if granted: - Supervised Practice for 300 hours to monitor administration of any narcotics - Fitness to Practice Statement from Physician at 6 and 12 months - Random Drug Screens for 1 year - Self-disclosure of consumption of narcotic without a prescription - Disclosure of Decision to future employers for 2 years
C-09-21
Unethical Conduct
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Reprimand - Partial Costs of Hearing - Remedial Education
C-11-24
Abandonment
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Reprimand - Partial Costs of Hearing - Remedial Education
C-10-71
Clinical Competence - Multiple
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Reprimand - Partial Costs of Hearing - Fine - Remedial Education CLPNA - 2012 Annual Report
File No.
Complaint Type
Finding
Outcome (Sanctioned Orders)
C-11-62
Clinical Competence - Medication Administration
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Reprimand - Partial Costs of Hearing - Fine - Remedial Education
C-10-25
Clinical Competence - Medication Administration
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Reprimand - Fine - Partial Costs of Hearing - Remedial Education
C-10-10
Clinical Competence - Multiple
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
Full Compliance Prior to Reinstatement: - Fitness to Practice Statement from Physician - Remedial Education - Fine - Partial Costs of Hearing
C-11-27
Unethical Conduct
Contested Hearing Unprofessional conduct on 2 of 6 allegations
- Caution - Partial Costs of Hearing - Remedial Education
C-10-18
Clinical Competence - Multiple
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Reprimand - Fine - Partial Costs of Hearing - Remedial Education
C-11-26
Clinical Competence - Multiple
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Caution - Partial Costs of Hearing Condition on practice permit prohibited from practicing in Team Lead Role pending completion of: - Remedial Education - Successful completion of customized language training program. Failure to show improvement results in requirement to complete CELBAN with a passing score
C-10-65
Clinical Competence - Medication Administration
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Reprimand - Partial Hearing Costs - Remedial Education
C-10-81
Clinical Competence - Medication Administration
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Reprimand Full Compliance Prior to Reinstatement: - Remedial Education
C-10-82
Clinical Competence - Multiple
Partially Contested Agreed Statement of Facts and Admission of Unprofessional Conduct for 2 of 4 allegations Unprofessional Conduct on all allegations
- Reprimand - Partial Costs of Hearing - Remedial Education - Supervised Practice for 600 hours to include 5 buddy shifts - Progress report from supervisor at 3 months and again at 6 months if deemed required - Disclosure of Decision to employer for 1 year
C-10-24
Abuse - Verbal
Agreed Statement of Facts and Admission of Unprofessional Conduct & Joint Submission on Penalty Unprofessional conduct on all allegations
- Reprimand - Remedial Education
*The above summary of hearing disposition is for informational purposes only and is intended to be a general overview of the events only.
CLPNA - 2012 Annual Report
17
education
N
ewly graduating LPNs in Alberta currently complete a two-year diploma in practical nursing offered at the college level. The program provides a minimum of 1650 instructional hours including 750 hours of theoretical instruction and 900 hours of clinical / lab experience. After program completion, LPNs must pass the Canadian Practical Nurse Registration Exam (CPNRE). The following colleges are approved to provide practical nurse education in Alberta. Some colleges deliver practical nurse programs from multiple locations: • Bow Valley College, Calgary • Columbia College, Calgary • Keyano College, Ft. McMurray • Lakeland College, Lloydminster • Lethbridge College, Lethbridge • NorQuest College, Edmonton • Northern Lakes College, Slave Lake • Medicine Hat College, Medicine Hat • Portage College, Lac La Biche/Cold Lake • Red Deer College, Red Deer
Diploma Program Reviews & Approvals The new Practical Nurse Diploma Programs proposed by Keyano College and Lakeland College were approved for implementation with the first cohort of students to be admitted in September 2012. These programs will use the nursing curriculum collaboratively developed by Keyano College, Lakeland College, Northern Lakes College and NorQuest College. ESAC Standards for Program Approval establish a maximum approval length of three years for a new program. The Practical Nurse Diploma Programs implemented by Medicine Hat College in September 2010 falls into this category. Based on our review, the program was given a three year approval. The Practical Nurse Diploma Programs offered by Bow Valley College, NorQuest College, Northern Lakes College and Portage College were reviewed and approved for five years. Based on an interim report submitted by the Practical Nurse Diploma Program offered by Red Deer College, their approval was extended for a further three years.
There are numerous post-basic learning opportunities for LPNs. Further education is available for specialization in restricted activities such as immunization, operating room, advanced orthopedics, and renal dialysis. Certificate programs include leadership, gerontology, wound care, palliative care, and foot care.
The Northern Alberta Renal Dialysis Program and the Southern Alberta Renal Dialysis Program are post-basic specialty programs specifically designed to prepare Licensed Practical Nurses to work in renal dialysis. These Programs were reviewed and granted a five year approval.
Education Standards Advisory Committee
With the addition of Keyano College and Lakeland College as standalone programs, the Practical Nurse Program is now offered by 10 colleges in Alberta. In addition to on-site programs, each of these Colleges may offer off-site programs through brokering or outreach programming.
The College of Licensed Practical Nurses of Alberta (CLPNA) is responsible for approving all basic and specialty education programs for practical nurses offered in Alberta through the Education Standards Advisory Committee (ESAC), a Standing Committee of CLPNA’s Council. ESAC is responsible for establishing the Standards for Program Approval and for reviewing and monitoring basic and specialty
18
practice programs to ensure compliance with these Standards.
Practicums and Preceptoring Programs continue to struggle to provide sound practice experiences for students in light of the capacity issues common in most clinical areas.
CLPNA - 2012 Annual Report
Simulation laboratories and use of high-fidelity simulators are proving to be valuable adjuncts ensuring that students are better prepared to cope with the demands of busy clinical areas, thus maximizing the learning that takes place. Simulation also can be used effectively to expose students to learning opportunities in critical or infrequently encountered clinical situations. In at least one college, simulation is also being used as a remedial tool for students who encounter problems in the clinical area. Preceptoring a PN student can be a rewarding professional experience. By acting as a role model, preceptors provide a unique and valuable learning experience for a student and assist students to make the critical transition to the graduate role. Thanks to all those who have preceptored students this year. ESAC encourages all LPNs to consider preceptoring at least one student each year. New ESAC Chair and Final Thoughts Pam Lammiman was appointed as Chair of ESAC in July with a six month overlap for orientation. Pam was immediately immersed in committee activities and will be a strong advocate for practical nurse education in her new role. A review and revision of the standards for program review and the review processes will be a priority activity for ESAC in 2013. ESAC commends the nurse educators in the PN Programs for their commitment to providing sound educational programs for students. Graduates are the future of the profession and ESAC is proud of the excellent work of Alberta’s nurse educators! It has been my pleasure to Chair this committee and participate in the significant changes in practical nurse education over the past 13 years. I welcome Pam Lammiman as the new Chair and wish her, the committee, and all those involved in practical nurse education success in the future. Gloria Bauer Chair, ESAC
Fredrickson-McGregor Education Foundation for LPNs The Fredrickson-McGregor Education Foundation for LPNs (Foundation) is a non-profit that raises, manages and distributes education grants, awards and bursaries to CLPNA members to enhance their nursing knowledge, skills, and ability, and honor their achievements. The Foundation administers a grant program for CLPNA with proceeds from a $3 million Endowment Fund previously provided by Alberta Ministry of Health. Education Grant Program The Fredrickson-McGregor Education Foundation for LPNs (Foundation) approves applications for funding for courses that enhance the LPN’s current role, or that will allow them to advance into another LPN role. The top 3 courses applied for are: Immunization, Foot Care, and Executive Links One Day Seminars (i.e., Diabetes Update, How to Deal with Difficult People, Sharpening Physical Assessment Skills).
You do the best with what you have. My LPN education and hands-on care orientation has been instrumental in generating the adaptability required in Africa.
In 2012, the Foundation approved 470 applications for $187,100.92. Since the Education Grant Program began in September 2006, the Foundation has approved 2330 applications for a total of $932,250.96 in grants, and distributed 66% of the approved funds.
CARE, Volume 26, 3rd Edition, Fall 2012
Operating Room Grant The Foundation’s Operating Room Grant Program was closed in February 2012 when funding was expended. The program began in 2008 with a $100,000 grant from the Alberta Government to fund Perioperative Nursing post-basic education for Licensed Practical Nurses. From July 30, 2008 and December 31, 2011, the Foundation approved 61 grant applications and distributed $100,611.83 of approved funds. Future funding requests for Perioperative Nursing are referred to the Education Grant Program.
Tina Wiebe, LPN
It costs nothing, takes no time, only a conscious commitment to respectful treatment of each other and our workforce. It’s time… Executive Message CARE, Volume 26, 4th Edition, Winter 2012
We believe in a personhood approach, you always see the person first – they may have a medical diagnosis, but they are always people first. Michelle Carew, LPN Director of Care and Building Manager, Lifestyles Options CARE, Volume 26, 2nd Edition, Summer 2012
CLPNA - 2012 Annual Report
19
continuing competency program
T
he Continuing Competency Program (CCP) is a formal system mandated by the Health Professions Act (HPA) for assessing, monitoring, and reporting on the knowledge, skills, critical thinking and clinical judgment by today’s professional health care provider. In our evolving health care system, professionals must continually enhance and expand their knowledge and skills to maintain a level of competence commensurate with their role. The CCP promotes ongoing safe, ethical, competent, lifelong practice, and offers today’s Licensed Practical Nurses (LPNs) opportunities to pursue and achieve professional growth throughout their careers. With advancements in technology and webbased learning, LPNs can participate in lifelong learning anywhere at any time. Annual Participation LPNs assess, maintain, and/or enhance competence on an ongoing basis using the tools of the CCP, which include the Competency Profile, Standards of Practice, and Self-Assessment Tool. Members self-reflect on their professional practice and develop learning goals for the next year through a self-directed, job-specific or desired learning outcome. Annual submission of a Learning Plan with a minimum of two mandatory learning objectives is necessary for Registration Renewal. The annual CCP process has been in effect since 2003. The online Registration Renewal process allows members to submit a specific Learning Plan. Throughout the year, members can access their Learning Plan on a secure member profile to review and update as necessary. During annual Registration Renewal, members identify whether they completed their Learning Plan from the previous year and, if they did not, they identify why and state alternate learning. Validation The Continuing Competency Program Validation (CCPV) process confirms commitment to the CCP through verification of learning completed in the past two years. The CCPV provides an opportunity, through self-assessment, reflection, and/or peer review, to measure the transfer of learning into behavior and the impact the learning has on professional practice.
eligible membership was chosen to participate (1420 LPNs). Of the selected LPNs, 15% (1089) were chosen for Basic Validation, which includes completion of the online CCPV review, and 5% (331) were chosen for Full Validation, which includes the online CCPV review and paper submission of verification of learning. During the second year of using an online format, participation increased significantly as more members became familiar with technology and the process. There was fifty percent decrease in CCPV materials sent by mail to members without an email address. Practice support continues for members who require support on use of the online system, as well as those who are unclear on what to report for their learning, educational activities, verification documents, and professional commitment to CCP. The increased percentage of practice inquiries related to CCPV correlates to increased CLPNA membership. Over 300 more members were chosen for validation in 2012 compared to 2011. Overall completion results for 2012 show compliance rates on par with 2011. 2010
2011
10% member participation 20% member participation
2012
20% member participation (1420 LPNs)
(350 LPNs)
(1089 LPNs)
Complete
96.0%
97.0%
96%
Incomplete
1.0%
0.5%
0.8%
Non-Compliant
2.0%
1.6%
2.3%
Exemption
1.0%
0.5%
0.4%
Retirement
1.0%
0.4%
0.6%
While non-compliance rates rose slightly in 2012, the overall percentage in the last three years is consistent. Anyone who is considered noncompliant with CCPV at year end when their practice permit expires is not eligible for registration renewal and their practice permit is suspended until CCPV requirements have been satisfied. Members who do not complete the CCPV process and are found practicing without a valid practice permit, are referred to conduct for disciplinary action.
The 2012 CCPV launched on June 14, 2012. Approximately 20% of 20
CLPNA - 2012 Annual Report
practice
T
he CLPNA provides practice consultation to members, students, employers, government and other health care stakeholders. Through consultation, the CLPNA notes that LPN practice opportunities continue to expand, with increased inquires in self-employment, immunization, clinic nursing, corrections, post-partum, neonatal intensive care, supportive living and continuing care. The Practice Department responded to 4164 inquiries in 2012, an increase of 17% from 2011 and 35% from 2010. Practice issues including continuing competence, professionalism (i.e., communication skills, workload, fitness to practice, hour requirements, etc.) and scope of practice clarity account for the majority of the inquiries. CLPNA continues to meet web-based education requests since 2011 in addition to face-to-face professional practice sessions. Employers, managers, clinical educators and members routinely seek information about documentation standards, scope of practice, leadership, registration, accountability and responsibility. We also joined our nursing college partners for collaborative practice presentations at several joint initiative nursing projects for clarity on scope of practice, regulations and restricted activities. In addition, CLPNA offers student orientation services through webinar to practical nursing students across Alberta prior to completing the nursing program. This education provides information on regulations, scope of practice, Continuing Competency Program, national examination and new graduate registration. These informative sessions provide students the opportunity to connect directly with CLPNA. New Policy Framework Launched
Four papers based on the Framework were released and more are in development. The new documents include a Practice Policy, Personal Declaration for Registration Requirements; and Supporting Documents: Duty to Report, Fitness to Practice and Incapacity, and Preventing Nurse-to-Client Transmission of Blood-Borne Virus and Other Communicable Diseases. As required by the Framework, documents are evidence-based scholarly papers that clearly reference specific sections of legislation, regulation, by-law and case-law. Six different types of documents can be produced under the Framework depending on the type of guidance needed: Policy, Practice Guideline, Interpretive Document, FACT Sheet, Position Statement, or Discussion Paper. The project will also result in a migration of current CLPNA Practice Statements and policy documents to the new Framework. Grant Funding for Occupational Health & Safety Projects CLPNA received grant funding from Alberta Human Services for Occupational Health & Safety (OH & S) Program Development and Research to increase knowledge and awareness for LPNs in relation to safe workplace practices. With this grant funding, CLPNA highlighted OH & S principles and their effect on health care workers and LPNs through articles and advertising in CARE magazine. The grant also contracted a subject matter expert to speak at our Spring Conference in 2012 on the hazards associated with horizontal hostility or intimidation that nurses experience in the workplace. Lastly, a Practice Guideline for addressing co-worker abuse in the workplace is underway to further communicate an anti-bullying message to our members, managers, stakeholders and others.
An innovative Policy Framework developed by the College of Licensed Practical Nurses of Alberta (CLPNA) in 2012 sets a new standard in guiding Licensed Practical Nurse (LPN) practice in Alberta. The documents created under this Framework support the three principles of self-regulation: promote good practice, prevent poor practice, and intervene in unacceptable practice.
CLPNA - 2012 Annual Report
21
communications
TV Ads & Web Video The CLPNA engaged in several major media campaigns in 2012 to highlight the value and role of the Licensed Practical Nurse. Two television ad campaigns and a shareable web video reinforce to the public and health care managers a strong message about the competent, committed care LPNs deliver throughout health care every day.
Several major insights arose from the Survey in the areas of social media, TV ads, web video, CARE magazine, and website usage. LPN use of social media continues to climb with increased use of Twitter and YouTube accounts. November’s TV ads were appreciated more than the May campaign, but most highly rated was the “LPNs: The
Each set of four television ads were broadcast for four weeks in May and the second set in November on Alberta’s GlobalTV news hours, and on US Cable Networks such as A&E, CNN, TLC, Spike and Peachtree. On GlobalTV alone, six million impressions were received during each campaign. For the November ads, the CLPNA held a successful casting call to find representative Alberta LPNs who could best articulate their passion for the profession. All ads are available on CLPNA’s YouTube Channel, www.youtube.com/clpna.
Practical Solution” web video. CARE magazine readership continued to be consistently high. Members were very satisfied, as well, with the CLPNA’s primary website, www.clpna.com.
“LPNs: The Practical Solution” web video is aimed helping healthcare managers understand the value of the LPN. Launched May 7 to members, employers and stakeholders, the video is available to view and share at www.clpna.com/practicalsolution. Communications Survey Nearly 1100 LPNs participated in the CLPNA’s members-only “5 Minute Communications Survey” in September and shared their likes, insights and hundreds of comments.
22
Magazine, Websites, and Social Media The CLPNA’s quarterly magazine, CARE, published feature stories on collaboration in long-term care, LPNs in leadership roles, third-world nursing, and practical nurse education by distance. The digital version of CARE is now readable on iPhone and iPad, in addition to standard computer browsers at www.issuu.com/clpna. CARE (circulation 12,000) is distributed to LPNs, LPN employers, and stakeholders on paper and online at www.issuu.com/clpna.
CLPNA - 2012 Annual Report
The CLPNA’s primary website, www.clpna.com, continues to drive communication with members, employers and stakeholders. Visits and visitors each grew by 26% over 2011. Participation continues to increase with CLPNA via social media. LinkedIn was added to Facebook (www. facebook.com/clpna), Twitter (www.twitter.com/clpna), YouTube (www.youtube.com/clpna) and Blog (blog. clpna.com). Due to the TV ads and web video, YouTube views reached a new high. Additional websites are maintained by CLPNA for Spring Conference (www.clpnaconference.com), the “It Says a Lot About You” media campaign (www. saysalotaboutyou.com), and the Fredrickson-McGregor Education Foundation for LPNs (http://foundation. clpna.com). 2012 Spring Conference The annual CLPNA Spring Conference brought more than 350 LPNs and other health care professionals together to focus on the leadership required to positively impact healthcare. Program highlights included the CLPNA’s Annual General Meeting, keynote and abstract presentations, an evening Celebration and Awards Banquet, a healthcare Tradeshow and Silent Auction fundraiser. The Conference was held May 2-4, 2012 at the Edmonton Marriott at River Cree Resort in Edmonton. Highlights included Alberta’s Minister of Health, the Honourable Fred Horne, bringing greetings from the province; an arm chair discussion on policy and healthcare in Alberta with Alberta Health Services and Alberta Ministry of Health; and keynotes by authors Kathleen Bartholomew, Michelle Cederberg and Ron Culberson.
CLPNA - 2012 Annual Report
23
Today’s practice environments need more than professionals who demonstrate competence on entry to practice. We need dedicated professionals who maintain their continuing competency and ongoing desire and will to make a difference, working with a system that has the same goals. Executive Message CARE, Volume 26, 3rd Edition, Fall 2012
24
CLPNA - 2012 Annual Report
FINANCIAL HIGHLIGHTS COLLEGE OF LICENSED PRACTICAL NURSES of Alberta
The complete audited financial statements are available by contacting CLPNA at 780.484.8886.
CLPNA - 2012 Annual Report
25
STATEMENT OF financial position 2012
As at December 31, 2012
ASSETS CURRENT Cash Cash held for restricted funds Short-term investments Accounts receivable Goods and services tax recoverable Prepaid expenses
$
658,080 243.839 6,117,473 82,718 23,031 162,890
2011
$
728,526 255,467 4,854,161 11,858 2,610 67,433
7,288,031
5,920,055
3,132,645 480,423
3,027,326 553,023
$ 10,901,099
$ 9,500,404
LIABILITIES CURRENT Accounts payable and accrued liabilities Deferred grant revenue Prepaid registration fees
$
$
Investments RESTRICTED FOR ENDOWMENT FUND Capital Assets
392,568 249,791 3,596,165
249,552 247,332 3,223,925
4,238,524
3,720,809
127,688
150,904
4,366,212
3,871,713
1,801,689
944,258
3,132,517 1,120,257 480,424 - -
3,027,085 1,103,806 553,023 519 -
6,534,887
5,628,691
$ 10,901,099
$ 9,500,404
Lease inducement NET ASSETS Unrestricted Restricted net assets Endowment Fund Refresher Bursary Fund Capital Fund Operating Room Nursing Specialty Education Fund Alberta Provider Directory Fund
Approved by the Council: President
Council member
26
CLPNA - 2012 Annual Report
STATEMENT OF operations - general fund and capital fund 2012
As at December 31, 2012
REVENUES Registration Fees Active Out of province assessment Initial Late Reinstatement Fines Associate License verification Document fees National examinations Annual general meeting Alberta Health and Wellness grant Foreign Qualifications Recognition grant International Educated Nurses Repatriation grant Labour Market Partnerships grant Occupational Health and Safety grant Continuing competency profile Program fees Advertising Interest income Miscellaneous
$ 3,584,613 91,467 40,075 33,420 14,350 16,750 21,625 10,248 524 315,120 198,172 98,725 84,976 136,064 247,420 7,603 49,620 34,225 25,171 55,329 2,245
$ 2,790,848 67,620 32,425 25,140 14,200 14,000 13,825 10,999 2,886 219,190 149,174 298,648 170,676 82,225 7,500 47,100 29,600 32,257 32,417 7,920
5,067,742
4,048,650
EXPENSES Administration Marketing Rent and occupancy costs Office and computer Amortization of capital assets Bank charges and interest Postage Professional fees Telephone and utilities Consulting fees Printing Travel Jurisprudence project Alberta Health and Wellness Foreign Qualifications Recognition International Educated Nurses Repatriation Labour Market Partnerships Occupational Health and Safety Personnel Costs Cost of Services
142,550 181,815 174,988 137,855 87,157 40,097 53,993 27,765 13,825 6,232 52,089 13,149 98,725 84,976 136,064 247,420 7,603 1,276,654 1,499,953
5,088 177,209 133,694 220,608 76,203 32,842 58,902 28,914 28,876 10,751 42,715 298,648 170,676 82,225 7,500 1,185,710 1,176,586
4,282,910
3,737,147
EXCESS OF REVENUES OVER EXPENSES CLPNA - 2012 Annual Report
2011
$
784,832
$
311,503
27
STATEMENT OF changes in net assets As at December 31, 2012
NET ASSETS AT BEGINNING OF YEAR
Unrestricted
$
944,258
Excess of revenue over (under) expenses
$
922,687
Investment in capital assets
$
NET ASSETS AT END OF YEAR
(65,256) $
1,801,689
553,023
(137,855)
65,256
480,424
519
(519)
-
-
Endowment Fund
3,027,085
105,432
-
3,132,517
Refresher Bursary Fund
1,103,806
16,451
-
1,120,257
Capital Fund Operating Room Nursing Specialty Education Fund
$
5,628,691
$
906,196
$
-
$
6,534,887
STATEMENT OF operations - endowment fund 2012
As at December 31, 2012
REVENUES Investment income Unrealized gain (loss) on portfolio investments Gain on disposal of long-term portfolio investments
95,250 121,889 16,569
$
96,932 (30,144) 47,290
233,708
114,078
EXPENSES Brokerage fee Donation to Fredrickson McGregor Education Foundation
20,692 107,584
20,016 89,530
128,276
109,546
Excess OF REVENUES OVER EXPENSES
28
$
2011
$ 105,432
$
4,532
CLPNA - 2012 Annual Report
2012 Marketing
Why are Licensed Practical Nurses so valuable?
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St. Albert Trail Place 13163 -146 Street Edmonton, AB T5L 4S8 Phone 780.484.8886 Toll Free 1.800.661.5877 Fax 780.484.9069
www.clpna.com