Joint Statement: Long Term Care – Authorized Prescriptions                 

The SCPP, the CRNS, the CLPNS, and the CPSS have issued a joint statement regarding verbal orders generated from Long Term Care (LTC) Facilities. A pharmacist may only accept a verbal or faxed original order written and signed by an authorized prescriber e.g. physician, NP, dentist. A pharmacist may not accept a verbal or faxed written order (transcribed) from an RN. The full statement can be accessed here.

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

Cervical Cancer Screening Updates

Cervical cancer screening in Saskatchewan recently changed when the revised cervical cancer screening clinical practice guidelines were updated in November 2023. Key changes to the new guidelines include:

  • Screening will start at age 25 or three years after becoming sexually active, whichever is later;
  • Routine screening will now be every three years until the age of 69; and,
  • The addition of Human Papillomavirus (HPV) reflex testing. 

These new evidence-based changes ensure people continue to benefit from screening while avoiding unnecessary tests and follow-up treatment. 

Click here to find information about the guidelines, including the new guidelines document. (link to: http://saskcancer.ca/health-professionals-article/cancer-screening-guidelines-and-resources/cervical-cancer-screening)

The SCA has collaborated with the Department of Obstetrics and Gynecology and the Division of Continuing Medical Education to create a free accredited course on the guidelines. The course will be available until July 2024. It can be found here. (link to: https://cmelearning.usask.ca/learn-here/cme-online-courses/cervical_cancer_guidelines_online-course.php)

If any questions arise about the guidelines, please feel free to reach out to the Screening Program for Cervical Cancer at ED.Coordinator@saskcancer.ca.

The Pediatric Antimicrobial Stewardship Program

On behalf of the Antimicrobial Stewardship Program:

The Saskatchewan Health Authority Antimicrobial Stewardship Program, in collaboration with Dr. Rupesh Chawla (pediatric infectious diseases & antimicrobial stewardship physician, Jim Pattison Children’s Hospital), is pleased to present a pediatric respiratory tract infection (RTI) education bundle for primary care providers. This bundle contains several resources to support clinicians with appropriate antibiotic prescribing for pediatric RTIs and tools to help patients better understand appropriate antibiotic use.

We have created a three-part video series which reviews the appropriate management of common pediatric RTIs (pharyngitis, otitis media, sinusitis, and pneumonia). The videos can be viewed on the Stewardship and Clinical Appropriateness YouTube channel.

An additional live webinar will be during the upcoming World Antimicrobial Resistance Awareness Week (Nov 18-24). The webinar will be presented by Dr. Chawla and Kristin Schmidt, one of the antimicrobial stewardship and infectious diseases pharmacists, on Tuesday, November 21, from 12:00 – 1:00 pm. You can register by sending an RSVP to antimicrobial.stewardship@saskhealthauthority.ca and have your chance to ask the experts your questions.

Supplementary to the video series and live webinar, the education bundle also includes a handout outlining amoxicillin and amoxicillin/clavulanate dosing for common pediatric RTIs. The handout can be found on the Antimicrobial Stewardship Program website.

If you haven’t already done so, the SHA provides access to a free app that you can download on your device (Apple or Android). The app is called Firstline, and it contains valuable information for prescribers, including treatment guidelines for common infections and local antibiogram information for sites across Saskatchewan. For pediatrics, there is the Jim Pattison Children’s Hospital (Mom & Kids Health Saskatchewan).

Finally, to help promote awareness about appropriate antibiotic use among patients, a new poster has been developed that may be displayed in waiting rooms or exam rooms. This is a great tool to prompt conversations with patients about appropriate antibiotic use for them or their children. 

Thank you to all primary healthcare providers who do their part every day to promote antimicrobial stewardship in our province. We hope that you will find this education bundle helpful in continuing to work towards our goals of reducing the growing rates of antimicrobial resistance in Saskatchewan and worldwide.

The National Overdose Response System (NORS)

Dr. Monty Ghosh and Nicole Bootsman prepared the following article on the National Overdose Response System (NORS). NORS is a Canada-wide, toll-free, virtual overdose monitoring service, operated by people with lived, living or shared experience around drug use. The hotline offers 24/7 * 365 individualized and trauma-informed confidential support with operators trained in Mental Health First Aid and psychosis de-escalation.

Review the full article here

IV Hydration Therapy

The evolution of independent for-profit (stand-alone) clinics providing intravenous (IV) hydration therapy has prompted many calls to the CRNS. After completing environmental scanning and a review of best practices, the CRNS has determined that it is within the scope of practice of Registered Nurses (RN) to administer IV hydration therapy and medications, vitamins, and/or electrolytes (additives) while working in stand-alone clinics so long as the nursing process is implemented and appropriate policies and supports are in place to support safe, competent, and ethical care of this client population.  

RNs and Nurse Practitioners (NP) are accountable to practice within their legislated scope of practice and personal competence and to adhere to their Practice Standards and Code of Ethics as they would in any other practice setting.  Registrants must complete the Recognition of Practice process to use the title RN and/or NP and to count the practice hours they have worked in an IV hydration clinic towards licensure.

With the growing popularity of IV hydration therapy and individuals “self-selecting” treatments – for example, to relieve the effects of a hangover, there is an increasing trend of complaints related to unsafe practices and untoward events reported in Canada and the United States.  It is essential for RNs and NPs engaged in this practice to understand that IV hydration is a medical treatment and, therefore, there must be a medical condition for the client to obtain the treatment. As with all treatments and interventions, the risks of accepting treatments should be disclosed to the client and informed consent obtained.   

To provide safe, competent nursing care and to meet the requirements for Recognition of Practice, the following must be in place when performing IV hydration therapy treatments:

  1. Appropriate policies, procedures, and resources.
  2. A health history and physical examination must be performed and documented by the prescribing NP or physician to ascertain if underlying co-morbidities, such as congestive heart failure or kidney disease, might be a contraindication to the client receiving treatment.
  3. Provision for diagnostic testing, as indicated for co-morbidities, should be completed as part of the client assessment. Diagnostic testing should be considered to establish a baseline for ongoing treatment.
  4. The infusion must be prescribed to treat a diagnosed medical condition; clients must not “self-select” treatments. 
  5. There must be an order from an NP or physician for the RN to initiate the IV and/or administer the IV solution and additives.
  6. There must be appropriate documentation, including the client assessment, client consent, treatment ordered and administered, and client response to that treatment.
  7. The supplies, including IV lines, solution, and additives, must be procured from a reputable source and stored and handled in alignment with current infection prevention and control (IPAC) best practices and principles. 
  8. There must be an ability to manage untoward events, including having the necessary emergency equipment on site.

For more information, please contact a nursing practice advisor practiceadvice@crns.ca, or to inquire about recognition of practice, please contact  regulation@crns.ca.

Nurse Practitioner Entry-Level Competencies (2023) Document 

The CRNS is pleased to announce the release of the Nurse Practitioner (NP) practice document Nurse Practitioner Entry-Level Competencies (2023). The Nurse Practitioner Entry-Level Competencies (2023) come into force and into effect on September 25, 2023.

The Entry-Level Competencies for NPs reflect the foundational knowledge, skills, and judgement required of NPs to provide safe, competent, ethical, and compassionate care. While NPs’ roles and responsibilities may vary by context and client population, this document outlines the competencies that all NPs must possess to be competent when they begin to practice. You will find this document under Nursing Practice Resources, NP Resource. 

In addition to reviewing the revised document, you may find the key summary page  helpful. In addition, we invite you to tune in to a Facebook live on September 7, 2023, at noon. The presentation can be watched on #replay if you cannot make that time.

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

External Consultation: Nurse Practitioner (NP) Practice Standards

The CRNS is collaborating with the Nurses Association of New Brunswick to revise the NP Practice Standards document. The practice standards are the expected levels of professional practice performance that guide safe and effective decision-making in nursing.

CRNS staff have reviewed and revised the existing document and are now seeking feedback from the public, partners, and registrants as part of the external consultation process. This process is in place to ensure the revised NP Practice Standards reflect current NP practices and are clearly presented. Feedback can be provided by accessing this survey and will be accepted until Monday, August 14, 2023, at midnight.

Final approval of the document is through the CRNS Council. Questions or comments are welcome and can be directed to smoore@crns.ca and/or dcooke@crns.ca.

Working with Unregulated Care Providers Resource

The CRNS, RPNAS and SALPN are pleased to share a collaborative document developed to guide your decision-making when working with Unregulated Care Providers. Regulated nurses are expected to utilize the nursing process, their knowledge, critical thinking, and judgement when making client care decisions. Not all scenarios can be captured in a document, and the responsibility remains with the regulated nurse to make decisions in the client’s best interest.  

When there are ongoing concerns, the regulated nurse is responsible for working with the health care team to resolve them. Involvement of nursing management and senior administration may be required. Entry-Level Competencies, Practice Standards, and Code of Ethics are resources to guide the discussion. Nursing Advisors are also available to assist.
 
Read the Working with Unregulated Care Providers Resource here.

For those currently working with Unregulated Care Providers, please review this resource and consider how it may relate to your practice. CRNS Nursing Advisors are available to answer your questions. They can be contacted by phone at 1.800.667.9945 or 306.359.4227 or by email at practiceadvice@crns.ca

Aesthetics Nursing Resource

The Aesthetics Nursing resource has been developed for RNs and NPs in response to the evolution of aesthetics nursing and the many questions CRNS registrants have asked regarding this practice area. In this resource, you will find information about the legislated scope of practice, personal competence, education, accountabilities, and expectations for using the nursing process in this area of nursing. In addition, you will find information on the process for obtaining recognition of practice and engaging in self-employed practice for aesthetic nursing.

For those currently practicing or planning to practice aesthetics nursing, please review this resource and consider how it may relate to your practice. CRNS Nursing Advisors are available to answer your questions. They can be contacted by phone at 1.800.667.9945 or 306.359.4227 or by email at practiceadvice@crns.ca

Posts navigation

1 2 3 4 5
Scroll to top
X