Practical Nursing Program Provincial Articulation Meeting Oct.20, 2011

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1 Attendees Carly Hall, Camosun Jacquie Scobie, C of New Caledonia Cheryl Mackie, College of the Rockies Marti Harder, Nicola Valley Institute Laurie Bird, North Island Charleigh Rudy, Northern Lights College Sabine Lundmann, NWCC Norma Stubbert, Okanagan College Rhonda McCreight, TRU Janine Brown, UFV Laureen Duerksen, Seabird Island, satellite VCC Kathy Fukuyama, VCC Deans Liaison Leslie Stuart, VCC Continuing Education Deb Freeborn, VIU Lynne MacFadgen, VIU Marion Anderson, LPNABC Richelle Drinovz, LPNABC Fe Forteza, Private College Liaison Denise Delane, VCH Diana Campbell, VIHA Professional Practice Anita Dickson, Fraser Health Chris Kincaid, HEU John Fitzgibbon, BCAAT Regrets Elaine Baxter, CLPNBC Pat Bawtinheimer, VCC Approval of Minutes Jacquie approved and Leslie seconded CLPNBC Report Report attached Practical Nursing Program Provincial Articulation Meeting Oct.20, 2011 LPNABC Report Working on restructuring Have been meeting with stakeholders, looking to get themselves back on the map There is a brand new website: Education role

2 Doing a project with Ont. and PEI in regards to the association role Recently had an annual meeting Requested to include Colleges offering PN education in future notification of AGM CPNA no report available CAPNE Report Conference in Halifax, well attended by 12 educators from BC 2012 Conference Oct.1 3 at Delta Point, Victoria Now have an annual award component to the conference, educators are nominated by their peers Bev McNamara rec d the Mentorship Award, also an Innovation in Education award, and a Leadership Award Pgms. across the country have PN programs ranging from weeks HEU Report Using Care Aide Day as a marketing strategy to increase awareness BC Health Education foundation 2.5 million for training needs for LPNs and CA as mentioned last year, approx seats in total Residential care training for LPNs in Leadership at VCC LPN non residential care education focused on 5 specialty areas maternity, renal, ER, MH and perioperative, over 200 LPNs doing the MH program 1 st level at Douglas Pushing for LPNs to have benchmark wages/recognition for those who have materially more complex work role and that the education req d 3 6 mths. additional education above the generic program o Question from VCA rep whether HEU had considered the educator role currently 2 LPN mentor positions at Lions Gate Interested in the Restricted Activity component for LPN how this will restrict or increase their autonomy and role within healthcare teams. They had a conference with LPNs promoting discussions of LPN regulatory issues. HEU feels that the education PNs receive should be the guiding factor in determining role. Deans and Directors Liaison (Kathy Fukiyama sitting in for Pat Bawtinheimer) Kathy read a message from Pat Today at the Deans/Directors mtg. the public educators will be signing an agreement of collaboration Next liaison for Articulation form the Deans and Directors will be Jocelyne Van Neste Kenny from North Island College Brief discussion about the credential application and concerns about raising tuition, still sitting with the Ministry Continuing Studies Report Leslie Stuart, VCC CLPNBC looking at a recertification for immunization Have noted a drop in LPNs interested Huge increase in request for HCA med administration

3 Have the IV course for LPNs up and running interested to know if the new competencies will drive an IV med administration. VCC does not guarantee competencies Taking Leadership Course on the road one in Victoria and one in Nanaimo CPRNE prep course is well attended primarily by the private college students, and public education students take it if they have failed. Issues with students seem to be related to language ASI workshop at CAPNE did a research project looking at failures of the CPNRE, marks do not increase that much with the 2 nd attempt generally go up a very small % (2 3%) and this is in the knowledge area. The new exam will have fewer knowledge questions and more critical thinking, application questions. College Reports highlights presented by college rep. Nicola Valley running on line 6 month course in A&P find that students have to be motivated and attentive to the suggested schedule to complete successfully o Some finished in 3 months o Expect to have who will not complete and need to re register Okanagan college running an on line A&P course that has some open seats for those outside the college but they do have a strong PN applicant pool VCC has developed the PN Access program for the new curriculum (about 13 months) and this is sitting with the CLPNBC awaiting approval. When approved it will be available to all public and private colleges. Assiniboine, Manitoba has an on line A&P course, 2 levels, with the first level has no lab and this is accepted for PN program, but the 2 nd level has the labs and if they take both they are eligible for UT and BSN entrance CLPNABC looking to offer annual education days Practice Issues VCH (Denise) aware of acute care education needs for LPNs and this is under discussion o Continue to look at need for a LPN new grad program (eligible if FT) in VCH, until now the hiring #s have not indicated a need but the numbers are increasing o Have established a list of competencies o All community settings looking at how to use LPNs what is the appropriate skill mix Fraser Health (Anita) also looking at developing a new grad pgm prompted by # of new hires, the latter continues to be a stumbling block o Market flooded with LPN, no growth for LPN jobs o Gets a number of calls from potential students who are interested in educating as a PN and then moving into the RN Anita advises them to do the RN given the lack of LPN positions available o Role confusion an issue between RNs and LPNs, RNs working as LPNs o FH developing ER guidelines and education for LPNs, 12 doing a pilot course in emergency

4 o Putting 5 LPNs through the Grant McGewan peri operative course o Developing a competency tool for different practice area e.g. have a set of competencies ambulatory day care o 90 LPNs going through a leadership course o Over 225 LPNs going through a critical thinking course o Also developed a palliative care course o 5 LPNs taking MH and addiction course o LPNs will have IV initiation as part of their skill sets, Surrey Memorial has 5 LPNs on 24 hr. per day o Issues have come to light about HCAs who have completed the PNA and then jump the job queue secondary to seniority and find themselves in positions that are complex and high level for a new grad VIHA (Dianna) has developed a working group to look at the future staffing needs for the island, very new group that has just started looking at what is needed in staff o Cohesive working group between post secondary and health authority Looking at new PN curriculum and impact on practice placement and capacity o Expanded new grad pgm. to all health fields, some has been taken up by allied health. The funds are divided amongst the program area has not been taken up by program areas for PN new grad hires. BCAAT, John Fitzgibbon Handout on the role of BCAAT, started 20 yrs. ago Originally started with UT credits between college and institutions within BC and this still underlies the system in BC Coordinator of the transfer of credits between one institution and another work with admissions to smooth the process of transferring credits all post secondary programs are on this system with tuition info, etc. has courses and block transfer agreements related to entrance to a BSN nursing program or any other program Do research on admission/transfer issues o Movement of students now goes from colleges to universities, universities to college, and from one college or institution to another o 23,000 students move institutions every year in BC The outdated nature of the PN curriculum prevented smooth articulation between institutions, the new curriculum will address this issue as all public colleges, and private colleges, update to the new curriculum o RN programs do not articulate in BC, all programs are different and have different access points/expectations for LPNs. o All have a requirement related to LPN registration, some of hours worked, and all expect the LPN to complete the BSN academic pre reqs

5 A&P course offered at NVIT and one institution came back to say they would not accept their on line A&P unless it was 2 semesters. The PN A&P is only transferable to other PN programs, in essence a dead end course for other avenues. John suggested that we be invited to the Health Educators BIO/science group to discuss the issue related to A&P he will facilitate this Next year s Articulation dates 2012 PN meeting is tentatively booked for April 18, 2012

6 Update from the Department of Practice Date: October 17, 2011 Prepared by: E. Baxter (Director, Practice & Policy) The Department of Practice update is divided into five sections: 1. Practice Support 2. Education (and the new Provincial PN Curriculum) 3. Immunization 4. Regulations & Restricted Activities Project 5. Quality Assurance 1.0 Practice Support In June, Bev Kordi joined the College in the Nursing Practice Advisor (NPA) inoffice role. In collaboration with Janice Harvey (Nursing Practice Consultant), Bev responds to inquiries from registrants, and is beginning to take on other projects related to the Quality Assurance (QA) work of the department. There are two new regional NPAs in the department, bringing the total to four. Further expansion is being considered for early Northern Health Authority Tammi Guimond (new) started on August 22/11. Vancouver Island Health Authority Shelley Trimblett has returned to work in the regional role as of August 29/11. Interior Health Authority Denice Evanishin (east/south/kootenays) and Tracy Patenaude (west/north/okanagan). Both Tracy and Denice are working with individual projects in addition to responding to registrant inquiries. The NPA tour (previously call road trip ) to a variety of sites in the Interior Health Authority (Kootenay region) in May was very well received, and another was recently completed in the western region. The goal of the tours is to establish further contacts in the area and to orient the other NPAs to the activities surrounding planning a tour. Denice also attended two skills fairs (Salmon Arm and Williams Lake); CLPNBC board member, Muriel Overton, joined her at the Williams Lake event. 2.0 Education (and the new Provincial PN Curriculum) The Ministry of Advanced Education assigned responsibility and funding for the development of a new Practical Nurse Provincial Curriculum to the BC Academic Health Council (BCAHC) in January Under the stewardship of the BCAHC, the Project Steering Committee was charged with oversight of the curriculum development process and approval of the new curriculum. The Practical Nurse

7 Education Project Steering Committee formally approved the new Generic Practical Nursing (PN) Curriculum in B.C. in July The CLPNBC Board of Directors has passed a resolution that, as of January 1, 2012, the new Provincial Practical Nurse Curriculum (July 2011) will be the only curriculum recognized for Practical Nurse education in B.C. Accordingly, pursuant to the authority conferred on the CLPNBC under the Health Professions Act, RSBC 1996, c.183, s. 19, and the College Bylaws to recognize PN programs, the CLPNBC will only grant program recognition to those educational institutions that adhere to the Provincial PN Curriculum. Note: The moratorium on recognition of any new educational programs (private and public) based on the OLD curriculum for practical nurses (pursuant to Schedule B of the CLPNBC Bylaws) will continue. The College is beginning the process of formal recognition of educational programs (private and public) based on the new Generic PN Curriculum (Provincial Practical Nurse Curriculum - July 2011). Recognition of programs must be completed by June 30, 2012, after which time educational programs running under the old curriculum will cease to be recognized and program graduates may be ineligible to obtain licensure with the CLPNBC. Information is being posted to the website and sent regularly to the PN program leaders and Clinical Education Leaders in the Health Authorities. The Standards of Education Committee has been involved in the plans for curriculum changes and will be reviewing the PNEPR development regularly over the next few months. A draft of the PNEPR process (summary and framework) has been sent to all PN education programs and is attached for your information. The documents outline the overall process, as well as the progressive steps in order for a PN program to achieve recognition. The summary outlines what will be required from each program in Phase 1. We anticipate that the process of recognizing a PN program will take at least three months from start to finish, but review times may be extended due to any number of factors. A preparation guide is in development, and we anticipate distribution to institutions in the next two weeks. The guide will help institutions to better prepare for the documentation preparation and site visit(s). 3.0 Immunization An evaluation of the Immunization Competency Workshop has been completed and has been discussed with the British Columbia Centre for Disease Control (BCCDC) and the Ministry of Health (MOH). It has been decided that a program more specific to LPNs be developed, and we are now working with the person who developed the existing BCCDC Online immunization course to revise the content. As well, we are considering other options for re-certification of LPNs

8 who have been actively immunizing over the past three years. We will provide more information about these initiatives as soon as it is available. 4.0 Regulations & Restricted Activities Project The College is waiting for the posting of the revised regulation by the Ministry of Health (MOH) before formal consultations with key groups of registrants, employers, unions, and other regulatory organizations can begin. We continue to connect with staff at the MOH and keep them updated on additional findings as we work through this exciting project. 5.0 Quality Assurance The Quality Assurance Committee (QAC) has met twice over the summer and is overseeing two projects to gain more information about particular groups of registrants: Unemployed & underemployed LPNs, Self-employed LPNs The Continuing Competence project is ongoing. In addition, the staff is preparing a briefing note about the potential of implementing required hours of practice. Finally, in 2012 the QAC will oversee the three-year review/revision of the CLPNBC document entitled Baseline Competencies for Licensed Practical Nurses Professional Practice (2009). The QAC will also oversee the next document revisions due in 2013 which are the Standards of Practice (2010) and the Practice Guidelines (2010).