CNA Webinar Series: Progress in Practice. Earn the Canadian national professional credential in your nursing specialty. Become CNA-Certified.

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1 CNA Webinar Series: Progress in Practice Earn the Canadian national professional credential in your nursing specialty. Become CNA-Certified. Leslie Anne Patry Manager, Certification and Credentialing September 23, 2014 Canadian Nurses Association, 2012

2 Leslie Anne Patry, RN, MScN Manager, Certification and Credentialing Professional Practice Division Canadian Nurses Association

3

4 CNA Certification Florence Nightingale, RN BScN ENC(C) Jeanne Mance, Inf., B. Sc. Inf., CSU (C)

5 VOLUNTARY PROCESS Certification

6 Certification VOLUNTARY PROCESS RN - with experience in nursing specialty

7 Certification VOLUNTARY PROCESS RN - with experience in nursing specialty RN - writes CNA certification exam

8 Certification VOLUNTARY PROCESS RN - with experience in nursing specialty RN - CNA Certification Renewal every 5 years to Maintain CNA credential RN - writes CNA certification exam

9 Benefits of Certification Benefits of Specialty Certification Certification benefits the entire health-care community

10 Benefits of Certification Benefits of Specialty Certification Certification benefits the entire health-care community National nursing recognition

11 Benefits of Certification Benefits of Specialty Certification Certification benefits the entire health-care community National nursing recognition Nursing excellence

12 Benefits of Certification Benefits of Specialty Certification Certification benefits the entire health-care community National nursing recognition Nursing excellence Continuing Competence

13 Benefits of Certification Benefits of Specialty Certification Certification benefits the entire health-care community National nursing recognition Nursing excellence Continuing Competence Job satisfaction

14 Historical Perspective 1991:First official CNA certification exam

15 Historical Perspective 1991:First official CNA certification exam 2011:CNA celebrates the 20 th year of the program.

16 Historical Perspective 1991:First official CNA certification exam 2011:CNA celebrates the 20 th year of the program. 2014:PeriAnesthesia 20th specialty

17 CNA Certification Specialty/Area of Practice Cardiovascular 846 Community Health 907 Critical Care 1,285 Critical Care Pediatric 132 Emergency 1,253 Enterostomal Therapy 120 Gastroenterology 265 Gerontology 2,520 Hospice Palliative Care 1,399 Medical-Surgical 539 Nephrology 1,225 # Specialty/Area of Practice Neuroscience 313 Occupational Health 716 Oncology 1,896 Orthopaedic 182 PeriAnesthesia 99 Perinatal 753 Perioperative 1,554 Psychiatric/Mental Health 1,725 Rehabilitation 292 Total all specialties 18,021 #

18 Current Status Exam administration annual administration

19 Current Status Exam administration annual administration 20 specialties/areas of nursing practice

20 Current Status Exam administration annual administration 20 specialties/areas of nursing practice bilingual exams

21 Current Status Exam administration annual administration 20 specialties/areas of nursing practice bilingual exams 2,000+ candidates

22 Current Status Exam administration Annual administration 20 specialties/areas of nursing practice Bilingual exams 2,000+ candidates 70+ writing centres across Canada

23 Eligibility Criteria Current registration/licensure in Canada as an RN

24 Eligibility Criteria Current registration/licensure in Canada as an RN Education and experience in the speciality/area of nursing practice

25 Eligibility Criteria Education and experience in the speciality/area of nursing practice:* Accumulated a minimum of 3,900 hours of experience as an RN in the nursing specialty over the past FIVE years in full-time, part time or casual employment

26 Eligibility Criteria Education and experience in the speciality/area of nursing practice:* Accumulated a minimum of 3,900 hours of experience as an RN in the nursing specialty over the past FIVE years in full-time, part time or casual employment or If you have successfully completed a formal post-basic nursing program in your specialty of at least 300 hours, you may apply with a minimum of 2,925 hours in your specialty over the past FIVE years * Enterostomal therapy nursing has different eligibility criteria.

27 Eligibility Criteria Current registration/licensure in Canada as an RN Education and experience in the speciality/area of nursing practice Endorsement from supervisor

28 Eligibility Criteria Current registration/licensure in Canada as an RN Education and experience in the speciality/area of nursing practice Endorsement from supervisor Submit applicable documents and appropriate fees

29 2015 Certification Administration Next administration: April 18, 2015 Applications accepted from September 2 to November 12, 2014 Candidates can apply online or by mail

30 Exam Development Subject matter experts volunteer to develop exam content.

31 3.5-hour exam Certification Exams

32 Certification Exams 3.5-hour exam 160 to 165 questions

33 Certification Exams 3.5-hour exam 160 to 165 questions multiple-choice questions

34 Types of Questions 1. Knowledge/comprehension

35 Types of Questions 1. Knowledge/comprehension 2. Application

36 Types of Questions 1. Knowledge/comprehension 2. Application 3. Critical thinking

37 Knowledge/Comprehension Questions 15 25%

38 Application Questions 50 60%

39 Example: Application (Psychiatry and Mental health) Madison, 15 years old, is attending an outpatient appointment for the first time. She states that she has had trouble sleeping and has stopped attending classes regularly. She also states that she thinks she is stupid and there is no point going to school. What should the psychiatric and mental health nurse do first? 1. Assess Madison for substance abuse 2. Provide health education regarding sleep hygiene 3. Assess Madison s sense of self 4. Discuss with Madison her support systems

40 Answer and Rationale Madison,. 15 years old, is attending an outpatient appointment for the first time. She states that she has had trouble sleeping and has stopped attending classes regularly. She also states that she thinks she is stupid and there is no point going to school. What should the psychiatric and mental health nurse do first? 1. Assess Madison for substance abuse. 2. Provide health education regarding sleep hygiene. 3. Assess Madison s sense of self. 4. Discuss with Madison her support systems. Rationale: By assessing Madison s sense of self, the nurse will be able to develop interventions to address poor coping and self-esteem issues. References: Townsend (2012), pp Competency: 3.9 Promotes the person s sense of identity, meaning in life, resiliency, self-esteem, power and hope.

41 Critical Thinking Questions 20-30%

42 Example: Critical Thinking (Emergency) Mr. Van Bruin, 38 years old, presents with right flank pain radiating to his groin with nausea and vomiting. His HR is 112, RR 18, BP 140/76 and pain is 10/10. He is restless and pale. The urine dipstick is positive for microscopic blood. He has no history of this type of pain. What priority interventions should the emergency nurse anticipate for this client? 1. Obtaining urethral discharge specimen and antibiotics 2. Administering narcotics and ketorolac (Toradol) 3. Obtaining urine cultures and administering antibiotics 4. Keeping him n.p.o. and preparing him for surgery

43 Answer and Rationale Mr. Van Bruin, 38 years old, presents with right flank pain radiating to his groin with nausea and vomiting. His HR is 112, RR 18, BP 140/76 and pain is 10/10. He is restless and pale. The urine dipstick is positive for microscopic blood. He has no history of this type of pain. What priority interventions should the emergency nurse anticipate for this client? 1. Obtaining urethral discharge specimen and antibiotics 2. Administering narcotics and ketorolac (Toradol) 3. Obtaining urine cultures and administering antibiotics 4. Keeping him n.p.o. and preparing him for surgery Rationale: Pain management is a priority for clients with renal or urinary calculi. References: Emergency Nurses Association (2010), p Competency: 08-02b Selects nursing interventions associated with the following alterations in genitourinary system: renal colic.

44 Online Practice test

45 Resources to Prepare for the Exam

46 Successful Result Congratulations! Félicitations! CNA-certified nurses can use designation after their name Florence Nightingale, RN, BScN, GNC(C) Jeanne Mance, inf.aut., B.Sc. inf., CSIG(C)

47 Maintaining the Credential Valid for a five-year term

48 Maintaining the Credential Valid for a five-year term Supports the concept of continuing competence

49 Maintaining the Credential Valid for a five-year term Supports the concept of continuing competence Renewal requirements

50 Maintaining the Credential

51 Employer Recognition Award Congratulations to Leisureworld Senior Care Corporation!

52 2014 Recipients Leisureworld Senior Care Corporation Toronto Public Health Centre hospitalier de l Université de Montréal

53

54 For more information: Photo credits: istock Canadian Nurses Association, 2012

55 Upcoming Webinar Learn how the first-ever diabetes charter for Canada can inform your practice October 7, 2014 Canadian Nurses Association, 2012

56 NEW! Retired Membership Planning for retirement? Make CNA part of your plan For an annual fee of $54.95 (plus tax), you can: Stay connected to your nursing community Receive Canadian Nurse magazine Share your knowledge & experience on projects and committees Enjoy significant savings on cellphone plans and insurance Visit join.cna-aiic.ca today!

57 Thank you! Canadian Nurses Association, 2012

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