The Future of Registered Nursing Practice in Manitoba:

Transcription

1 The Future of Registered Nursing Practice in Manitoba: The Registered Nurse Certified Prescriber Manitoba Travel Health Conference April 2013 Pamela Matson RN BN CDE Nursing Practice Consultant

2 RN Prescribing in Manitoba Goals of RN Prescribing To address areas determined as having an unmet need Increase access and capacity Support full utilization of health care providers by recognizing scope of practice

3 History of RN Prescribing The U.K. Experience England: 1992 first legislation. Narrow list of drugs by protocol 2006 any drug for any condition within individual scope of competence including some controlled drugs 2009 narcotic and controlled drugs Ireland: 1998 recommendations made in national report 2006 legislation introduced 2007 legislation proclaimed

4 Scope of Practice RN Certified Prescriber Manitoba Prescriber role of the RN has a specific scope of practice/target population; applies to those areas identified as having an unmet need. May be referred by employer as driven by client needs Prescriptive authority for clearly defined medications/diagnoses; tightly controlled

5 Scope of Practice Will require the inclusion of: Diagnosis Order/Receiving Diagnostic & Screening Tests Prescribing/Dispensing Employer support positions, policies Some overlap in competencies and scope with nurse practitioners

6 Regulation Manitoba framework Standards of Practice for Registered Nurse Prescribers Standard I: Specific Knowledge, Skill and Judgment Standard II: Consultation and Collaboration Standard III: Prescribing Drugs Standard IV: Responsibility and Accountability

7 Regulation Competencies for RN prescribers Describe the integrated knowledge, skills, judgment and attributes that guide registered nurse certified prescribers. Serve as a guide for curriculum development for course(s) of instruction. Inform the public and employer of the knowledge, skills, judgment and attributes necessary in order to meet practice expectations of registered nurse certified prescribers.

8 Regulation Education Responsibility and accountability Act of prescribing Travel health Reproductive health/sexually transmitted infections and blood bourne pathogens Policy Development Notation on registration specific to education

9 Regulation Development of supports for employers and RN(CP)s Communication plan Evaluation plan Process evaluation referral mechanism to education; registration process Outcome evaluation audits, stakeholder feedback, RN prescriber feedback Stats on numbers of RN prescribers, sites/practice settings

10 Education Requirements RN in Manitoba Employer referral Focus on public health, community health and primary care nurses as initial areas of practice Complete Certified Prescriber course Areas of focus Travel health Reproductive health/sexually transmitted Infections and bloodbourne pathogens

11 Scope of Practice Certified Prescribers RN(CP) Prescriber role of the RN has a more specific scope of practice/target population; applies to those areas identified as having an unmet need. Referred by employer/driven by client needs Prescriptive authority for clearly defined medications/diagnoses; tightly controlled. Nurse practitioners RN(EP) or RN, NP Practice in a wide variety of settings and possess a broader scope of practice. Education driven by individual Prescriptive authority for NPs currently expanding; broad range of diagnoses.

12 Next steps: Education program approval Regulated Health Professions Act: to authorize this scope of practice Anticipate RN Regulation by end of December 2013?

13 Contact information College of Registered Nurses of Manitoba Pamela Matson RN BN CDE Consultant, Nursing Practice