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Explore NP specialties, controlled acts within RN scope, competency frameworks, collaborative practices, and the evolving role of Nurse Practitioners in healthcare. Embrace innovation, diversity management, and shared decision making for successful collaborative care. Learn from the Canadian nursing system's progress and trailblazers in anesthesia care worldwide.
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Discipline & Regulation • Aug 29, 2007 CNO Press Release • CNO will regulate 4 NP specialties…NP(A) • Scope of Practice, RN(EC) • 3 controlled acts within RN scope + 4 additional controlled acts • Self-regulating • Authorizing mechanisms (directives) • PHA (reg 965) – NPs in ambulatory to full scope….does not apply to in-patients
CNPI Core Competency Framework • Canadian Nurse Practitioners (Jan 2005) • Health Assessment & Diagnosis • Health-Care Management & therapeutic Intervention • Health Promotion & Prevention of Illness, Injury & Complications • Professional Role & Responsibilities
APN National Framework (CNA ’08) • Minimum education = graduate degree in nursing • Roles focus on clinical practice • Competencies • Clinical, research, leadership • Consultation & collaboration
Clinical Activities… • Start with patient & program needs • Patient flow, patient safety, QI • Identify gaps • Patient satisfaction, best practices • Build on strengths of teams • Maximize expertise & experience • Accept overlap and distinct focus • Identify evaluation measures
Collaborative Practice • Dynamic process & outcome • Shared interest • Involves synthesis of different perspectives to understand complexity • Develops integrative solutions • More that the sum of the parts
Know thyself Manage diversity Conflict resolution Win-win solutions Master interpersonal & process skills It’s a journey Shared decision making Structure & spontaneous Balance autonomy & unity Not for all decisions 10 Lessons in Collaboration (D. Gardner, 2009)
Innovation = Our future • 1988 – 1NNP….2009 74NPs • “not sure where this will landexactly…but…we’re willing and possibilities will emerge” • “we have to work together…new systems…new models…new ways”
Progress • Regulations exist • Commitment to teams and new models • Advisory Group, Courses launched, Students engaged • Preceptors poised • Organizations willing • 1st graduates December ’09 • Next cohort….
Nurses in Anesthesia Care Around the World • 106 Countries • Role varies • Title varies • Regulations vary >>The Canadian Way
Trailblazers! The Fab 4!
NPs on the Anesthesia Care Team FIRST IN CANADA May 24, 2009