Comprehensive Report on PSA Recommendations

In response to the PSA recommendations, the CRNS has undertaken a thorough review of the complaints and investigations functions. All the recommendations made by the PSA have been addressed.  Further, with a view to continuous quality improvement (CQI), ongoing work has been incorporated into the CRNS’s 2021-2023 strategic plan.  A summary of what has been done includes, but is not limited to the following:

Standard 1 - Anybody can raise a concern, including the regulator about a member

Actions:

  1. The Investigation Committee procedure manual has been reviewed & revised
  2. Verbiage/information on the CRNS website has been updated
  3. The triage process has been reviewed & revised
  4. Process to review active cases has been implemented

Standard 2 - Information about complaints is shared with other organizations within the relevant legal frameworks

Actions:

  1. A CQI process has been developed which involves gathering feedback from complainants and respondents; analyzing allegations for trends and themes; and engaging with provincial and national regulatory bodies
  2. Collaborate with Practice to provide upstream resources/education
  3. Ongoing work has been incorporated into the CRNS strategic plan

Standard 3 – The regulator will investigate a complaint, determine if there is a case to answer & take appropriate action including imposition of sanctions.  Where necessary, the regulator will direct the person to other relevant organizations

Actions:

  1. The Investigation Committee procedure manual has been reviewed & revised
  2. Verbiage/information on the CRNS website has been updated
  3. A Decision-Making Framework has been developed
  4. The triage & case assignment processes have been reviewed & revised
  5. An orientation manual for new investigators has been developed
  6. Plan for ongoing professional development for Investigation Committee members
  7. Ongoing work has been incorporated into the CRNS strategic plan

Standard 4 – All complaints are reviewed on receipt & serious cases are prioritized

Actions:

  1. The Investigation Committee procedure manual has been reviewed & revised
  2. The triage & case assignment processes have been reviewed &revised
  3. Process to review active cases has been implemented
  4. Ongoing work has been incorporated into the CRNS strategic plan

Standard 5 – The complaints process is transparent, fair, proportionate, & focused on public protection

Actions:

  1. Plan for ongoing professional development for Investigation Committee members
  2. A Decision-Making Framework has been developed
  3. The Investigation Committee procedure manual has been reviewed & revised
  4. The triage & case assignment processes have been reviewed &revised
  5. Process to review active cases has been implemented
  6. Verbiage/information on the CRNS website has been updated
  7. Ongoing work has been incorporated into the CRNS strategic plan

Standard 6 – Complaints are dealt with as quickly as possible, taking into account the complexity & type of cases & conduct of both sides.  Delays do not result in harm or potential harm to clients

Actions:

  1. Additional human resources have been allocated to the investigation team
  2. A reporting mechanism internal to the CRNS & Council has been implemented
  3. Ongoing work has been incorporated into the CRNS strategic plan

Standard 7 – All parties to a complaint are kept updated on the progress of their case & supported to participate effectively in the process

Actions:

  1. The Investigation Committee procedure manual has been reviewed & revised
  2. A communication plan has been implemented to provide timely & regular updates throughout the investigation process
  3. The complaints & investigation database has been revised

Standard 8 – All decisions at every stage of the process are well reasoned, consistent, protect the public & maintain confidence in the profession

Actions:

  1. The Investigation Committee procedure manual has been reviewed & revised
  2. A Decision-Making Framework has been developed
  3. Plan for ongoing professional development for Investigation Committee members
  4. Ongoing work has been incorporated into the CRNS strategic plan

Standard 9 – All final decisions, apart from matters relating to the health of a nurse, are published in accordance with the legislation & communicated to relevant stakeholders

Actions:

  1. The CRNS administrative polices have been reviewed & revised
  2. The Investigation Committee procedure manual has been reviewed & revised

Standard 10 – Information about complaints is securely retained

Actions:

  1. The CRNS administrative policies have been reviewed & revised
  2. The Investigation Committee procedure manual has been reviewed & revised
  3. An orientation manual for new investigators has been developed
  4. Ongoing work has been incorporated into the CRNS strategic plan
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