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info nur sing
V O L U M E 49 ISSUE 1 SPRING 2018
Dr. Bill Howatt Chantal Léonard
Join us for this year’s keynote speakers ... 29
16 NANB ELECTION 2018: 20 2017 CCP AUDIT 33 GET INVOLVED! PLAY AN
REGION 3 VOTES! RESULTS ACTIVE ROLE IN YOUR
(YORK-SUNBURY) ASSOCIATION
N A N B EL ECT I ON 2018
Region 3 Votes!
Only NANB members residing in Region 3 (York-Sunbury) are eligible to vote.
Voting begins on April 16 and remains open for two weeks, closing April 30.
For details on how to vote and candidate profiles see page 15 and 16.
Teresa Harris Diane Murray Nathaniel Wickett
12 NANB AGM 2018: Early 16 NANB Election 2018: Meet
Nurse, Wins the Prize! the Candidates
Cover
All nurses are invited to
NANB’s AGM on May 10 at
the Fredericton Convention
Centre. We have an eventful
agenda welcoming CNA
President Barb Shellian and
keynote speakers Dr. Bill
Howatt, Morneau Shepell
and Chantal Léonard, CNPS.
You must register for this
free event, please see 20 2017 CCP Audit Results 22 Nurse Practitioner Outcomes
page 29 for details. in New Brunswick 2002-2017
2 INFO NURSING SPRING 2018
26 39
14 Canadian Nurses Foundation Announces New 31 Proxy Voting
Brunswick Scholarship Recipients What You Need to Know
19 NANB Webinars & E-Learning 33 Get Involved
Play an Active Role in Your Association
26 NANB Participates in CNA’s Annual Parliament
Hill Lobby Day 39 Compassion Fatigue Workshops
Provincial Tour
28 Nurse Practitioners Prescribing Methadone
By Susanne Priest
the
pulse
5 Message from the President 35 Ask a Practice Consultant
5 Message from the Executive Director 36 Professional Conduct Review Decisions
7 Boardroom Notes 38 Calendar of Events
SPRING 2018 INFO NURSING 3
Info Nursing is published twice annually by the Nurses
Association of New Brunswick, 165 Regent St., Fredericton,
NB, E3B 7B4. Views expressed in articles are those of the
authors and do not necessarily reflect policies and opinions
held by the Association.
Nurses Association of Submissions
Articles submitted for publication should be sent
electronically to jwhitehead@nanb.nb.ca approximately two
New Brunswick months prior to publication (April, October) and not exceed
1,000 words. The author’s name, credentials, contact
information and a photo for the contributors’ page should
accompany submissions. Logos, visuals and photos of
adequate resolution for print are appreciated. The Editor will
Nurses shaping nursing for healthy New Brunswickers. In pur- review and approve articles, and is not committed to publish
all submissions.
Change of address
suit of this vision, the Nurses Association of New Brunswick Notice should be given six weeks in advance stating old and
new addresses as well as registration number.
DESIGNER ROYAMA DESIGN
regulates registered nurses and nurse practitioners in New TRANSLATION JOSÉ OUIMET
EDITOR JENNIFER WHITEHEAD
Tel.: (506) 458-8731; Fax: (506) 459-2838;
Brunswick to ensure the provision of safe, competent and ethical 1 800 442-4417; Email: jwhitehead@nanb.nb.ca
Canada Post publications mail agreement number
40009407. Circulation 10,000. ISSN 0846-524X. Copyright
nursing care in the interest of the public. © 2018 Nurses Association of New Brunswick.
Executive Office
LAURIE JANES
Executive Director
Email: ljanes@nanb.nb.ca
SARAH O’LEARY
Executive Assistant, Corporate Secretary
459-2858; Email: soleary@nanb.nb.ca
Regulatory Services
SOPHIE NOËL
Senior Legal Counsel/ Registrar
459-2830; Email: snoel@nanb.nb.ca
The NANB Board of Directors LORRAINE BREAU
Nursing Consultant
459-2857; Email: lbreau@nanb.nb.ca
DAWN TORPE
Nursing Consultant
459-2853; Email: dtorpe@nanb.nb.ca
PAULETTE POIRIER
Administrative Assistant: Regulatory Services
459-2866; Email: ppoirier@nanb.nb.ca
STACEY VAIL
Administrative Assistant: Registration
459-2851; Email: svail@nanb.nb.ca
Practice
Karen Frenette Maureen Wallace Joanne Rosanne Thorne KATE SHEPPARD
President President-Elect LeBlanc-Chiasson Director, Region 2 Senior Advisor Nursing Education and Practice
Director, Region 1 459-2835; Email: ksheppard@nanb.nb.ca
VIRGIL GUITARD
Nursing Consultant
543-1873; Email: vguitard@nanb.nb.ca
SUSANNE PRIEST
Nursing Consultant
459-2854; Email: spriest@nanb.nb.ca
SYLVETTE GUITARD
Nursing Consultant
740-1734; Email: sguitard@nanb.nb.ca
JULIE MARTIN
Administrative Assistant: Practice
Amy McLeod Vicky Doiron Thérèse Thompson Anne Marie Lavigne 459-2864; Email: jmartin@nanb.nb.ca
Director, Region 3 Director, Region 4 Director, Region 5 Director, Region 6 Corporate Services
SHELLY RICKARD
Director of Corporate Services
459-2833; Email: srickard@nanb.nb.ca
MARIE-CLAUDE GEDDRY-RAUTIO
Corporate Services Assistant
459-2861; Email: mcgeddry@nanb.nb.ca
Communications and Government Relations
JENNIFER WHITEHEAD
Manager, Communications and Government Relations
459-2852; Email: jwhitehead@nanb.nb.ca
STEPHANIE TOBIAS
Administrative Assistant: Communications
459-2834; Email: stobias@nanb.nb.ca
Lisa Keirstead Rebecca Butler Joanne Sonier Pauline
Johnson Public Director Public Director Banville-Pérusse
Director, Region 7 Public Director
4 INFO NURSING SPRING 2018
M e s s ag e f r o m
THE PRESIDENT &
E XECUTIVE DIREC TOR
NANB’s Strategic Plan Begins Working for You to Advance
to Take Shape Nursing Issues
As stated in my fall 2017 message, the NANB has developed NANB staff continues to work hard on current files that
a three-year Strategic Plan (2017-2020) and is already one impact nursing practice and public health. In October of
year into the implementation of this plan. The major focus 2017, NANB participated in discussion with CNA and federal
in the first year has been on “Member Engagement” and government officials regarding a harm reduction approach
“Governance”. These two pillars will once again be the to non-medical cannabis. Move forward to 2018, and NANB
priority in year two. In September of 2017, NANB hosted a is preparing to present members with further information
Chapter’s Forum, with the goal of exploring methods to regarding marijuana in the workplace during a keynote
engage our membership at the local and provincial level address at the Annual General Meeting. All members are
and to support our Chapters. It is evident that status quo invited but must register for this free event at www.nanb.
was no longer a viable option. Several Chapters are not nb.ca as space is limited.
active at present. The ability of the Chapters to connect with Nurses in New Brunswick care for victims of addiction
their membership was very limited. Several action items and their families every day. NANB has submitted a request
were identified from the robust discussion and brainstorm- to the Hon. Benoît Bourque, Minister of Health to allow NPs
ing with Chapter Presidents and Chapter Representatives. to prescribe methadone, and will be engaging RNs in
These action items included the addition of a question on discussion regarding a nurses role in administration of
the licencing renewal form to permit sharing of contact naloxone during opioid overdose emergencies, in both work
information with their local Chapter to facilitate communi- and non-work environments.
cation. In addition, NANB will establish an ongoing The average age of a registered nurse in New Brunswick
dialogue with the Chapters to strengthen the relationship is 44 years; with a significant number of nurses in the over
with membership. 50 years of age group. These figures are similar for many
A Governance Committee has been working diligently in other health professions groups in NB and represent a
developing Terms of Reference, a Board Charter, and a work crossroads for necessary change to meet the health care
plan as well as other support documents. There is much work needs of persons in our communities. For registered nurses
to do and monthly meetings will be held to advance the in NB, this means working more collaboratively with LPNs
dossier of governance review. The transformation of NANB and reflecting on where the scopes of practice best meet the
has begun. needs of clients/patients. As care providers, such as resident
The nursing shortage is being felt throughout our attendants, in long-term care settings move toward
province. Another priority item from NANB’s strategic plan standardized education and regulation ---further change
is to address and continue monitoring this immediate health and collaboration will be necessary. NANB is actively
page 13 page 13
KAREN FRENETTE LAURIE JANES
President Executive Director
president@nanb.nb.ca ljanes@nanb.nb.ca
SPRING 2018 INFO NURSING 5
contributors this issue
20 22 22
DAWN TORPE, RN, MN SHARON HAMILTON, RN MN NP TRACEY RICKARDS, RN, PhD
Nursing Consultant, NANB Senior Teaching Associate, Faculty of Assistant Professor/Embedded Clinician
Nursing, University of New Brunswick Researcher, Faculty of Nursing,
University of New Brunswick
28 35
SUSANNE PRIEST, RN, MN VIRGIL GUITARD, RN
Nursing Consultant, NANB Nursing Consultant, NANB
Call For Entries
Do you have a story idea or article you Jennifer Whitehead,
would like to see in Info Nursing? Do you Manager of Communications and
have someone you’d like to see profiled Government Relations
or an aspect of nursing you’d like to
read more about? Please submit your jwhitehead@nanb.nb.ca
ideas and suggestions to: 165 Regent St, Fredericton, NB E3B 7B4
6 INFO NURSING SPRING 2018
BOARDROOM
N ote s
The Board of Directors met
on February 26 & 27, 2018 at
the NANB Headquarters in
Fredericton
Governance Committee • When the rules require publication of director mandates, and provide
As we look forward to the next 100 years, a decision summary in INFO Nursing, flexibility to support Chapters in their
recognizing a need to strengthen nurse the same summary should also be efforts to engage and support
leadership in these changing and published on NANB’s website; membership.
challenging times; a Governance
Committee comprised of the Board was • Decision summaries should stay on Approved resolutions will be circulated
established determining a Board the website for a period of at least five once vetted by the Resolutions
Charter and Terms of Reference. This years to match the requirements under Committee to all membership via direct
Committee ultimately replaces the the Nurses Act; and email invitation, the April e-bulletin
Executive Committee and is tasked with and posted on NANB’s website
added responsibilities. • Decision summaries should include www.nanb.nb.ca.
more detail on the nature of the
Professional Conduct misconduct. Retired Nurses
Review Decisions A growing and active group, retired
A working group established by the Changes will be in effect immediately. nurses have been recognized by the
Board was tasked with reviewing Additional information can be found on Board as continued ambassadors of the
NANB’s current rules for what informa- NANB’s website www.nanb.nb.ca. nursing profession. This retired network
tion is shared regarding professional is essential to providing an expert voice
conduct review (PCR) decisions and how Resolutions and mentoring the future nurse leaders.
this aligns with other nurse regulators Furthering support to advance the NANB would welcome continued
across the country. In an effort to Strategic Plan, the Board recognized a communication with retired members
increase transparency, and incorporate need to propose house-keeping resolu- and ask that you keep us informed of
best practice, the Board approved tions at the upcoming Annual General potential retirement plans. Please
changes to the rules that include: Meeting scheduled for May 10, 2018 at consider staying connected after
the Fredericton Convention Centre. retirement by ensuring we have an
• The name of the member should These proposed resolutions will up-to-date email address.
accompany the registration number; consider staggering and lengthening
SPRING 2018 INFO NURSING 7
BOARDROOM
N ote s
Chapters Please visit NANB’s website
Recognizing a need to engage member- 2018–2019 NANB Chapters www.nanb.nb.ca for the
ship and support nursing practice, President’s contact informa-
Bathurst Péninsule acadienne
NANB provides active Chapters funding tion. Inactive chapters may
Rachel Boudreau St.-Eloy Inactive
based on the number of nurses in their also be reinstated by an
respective regions, as per established Carleton-Victoria Restigouche active member. Interested
policy. Members are encouraged to Amy McLeod Inactive nurses should contact
become involved and participate in their Charlotte County Saint John Jennifer Whitehead, Manager
local Chapter, as we will be looking to Inactive Rosanne Thorne of Communications and
nurses for advice and expertise to guide Government Relations for
us into the future. Edmundston Sussex further information.
Vicky Doiron Debbie Marks
NANB currently supports the seven Miramichi York-Sunbury
active chapters out of the eleven in the Susan Prince Heather McQuinn
following regions:
Moncton
Inactive
Infograph
Supporting nurses through two nursing organizations, NANB partnered with NBNU to develop a communications tool/
infograph that would highlight the roles of each organization while identifying overlapping responsibilities.
8 INFO NURSING SPRING 2018
f.y.i.
#YESThisIsNursing
Showcase Nursing’s Diversity
Send Us Your Pics to be Shared
on Social Media
For the second year, the
2018 theme for National
Nursing Week is
#YESThisIsNursing.
Starting May 7 through
Mental Health Awareness: May 13, help NANB
showcase the diversity of
Bell Let’s Talk Day the nursing profession by
capturing a photo of New
Brunswick nurses in their
work environment; at a nursing event; or as a group
of colleagues and tag NANB on Facebook. Don’t
forget to hashtag #YESThisIsNursing so that you can
Research shows, 1 in 5 Canadians On January 31, NANB launched a be part of the trending conversation.
suffer from mental illness at some social media campaign whereby a $10
point in their lifetime and 1 in 8 New donation would be made up to $1,000 The nurse who posts the photo with the most likes
Brunswickers experience depression to mental health initiatives for each will win a $200 pre-paid VISA! The winner will be
in their lifetime. Nurses are often the member that liked and followed our contacted directly by NANB and announced on
public’s first point of contact in the Facebook page. Having surpassed our Facebook. Any active member of NANB is eligible
health system and can advise of goal, NANB made a donation of to win. Please ensure anyone appearing in the
support services available to those $1,000 to the Canadian Mental Health photo is aware the picture may be used in future
suffering. Association of New Brunswick. NANB communication publications.
SPRING 2018 INFO NURSING 9
f.y.i.
New NANB Staff
We are pleased to announce that the Sunbury Chapter. Kate is also bilingual. In regulatory mandate, and Board of Director
Nurses Association of New Brunswick this role, Kate will oversee nursing end goals. She has a diverse portfolio of
(NANB) has added three new staff education and practice responsibilities core organizational and project work and
members: Kate Sheppard; Sylvette Guitard including: nursing standards review; will be leading presentations to various
and Sarah O’Leary. program approval review and continuing stakeholders and partners.
competency program.
Kate Sheppard, Sarah O’Leary
RN MN Sylvette Guitard, Sarah O’Leary,
Kate Sheppard RN MN accepted the
assumed her role Sylvette Guitard position as
as Senior Advisor accepted the Executive Assistant
Education and position of Nursing and Secretary to
Practice on Consultant and the Board of
November 20, 2017. started with the Directors effective
A registered nurse for over 18 years, Kate Association on October 10, 2017. With a professional
has worked in a variety of settings November 6, 2017. Fluently bilingual, association background, having worked as
including: Staff Nurse in Paediatrics; Nurse Sylvette joins the team remotely working the Executive Assistant at the Saint John
Clinician at UNB Fredericton; Nurse from Edmundston with an objective to Real Estate Board for over seven years, she
Manager of the Cardiac Care Unit and strengthen nursing networks in that region brings experience with board operations
Family Medicine Unit at the Dr. Everett of the province. Having numerous roles in including an in-depth knowledge of policy
Chalmers Regional Hospital (DECRH) and clinical nursing including: surgery; development and governance. Sarah is
most recently as Acting Administrative geriatrics; and palliative care, Sylvette also fluently bilingual with an educational
Director for Critical Care and Family adds over 11 years of experience as a Nurse background in business administration.
Medicine and the DECRH. Kate has been Educator at Université de Moncton, Her combination of knowledge and
actively involved with the Association campus d’Edmundston. Over the years, she experience allows her to provide a strong
volunteering as past member of the has taught a variety of courses, with a network of support to the Executive Office
Professional Conduct Review Committee specialty in geriatrics and palliative care. and NANB’s Board of Directors.
and as an active member of the York- Sylvette is engaged in supporting the
Follow and Like MAY 11, 2018
NANB on Facebook UNB Faculty of Nursing
23rd Annual Research Day
and Twitter! Embracing the Spirit of Inquiry
NANB has joined the world of An opportunity for sharing and learning about
social media, as an added media research projects relevant to healthcare providers,
presence and monitoring tool; as educators, and policy makers as well as users of
well as an opportunity to promote healthcare services. Submissions invited from those
to members, both existing and in all health disciplines and sectors.
future, of the Association’s events,
supports and services available Presentations may include:
while increasing traffic to our • Original research completed or in progress
existing website. • Innovations in education or practice
• Reviews for initiating practice or policy change
You can follow NANB at • Issues warranting investigation
www.twitter.com/nanb_aiinb
There is also a direct link to the Submission Deadline: Friday, April 20, 2018
account from our website Email abstract to Francis Perry at fperry@unb.ca
homepage www.nanb.nb.ca.
10 INFO NURSING SPRING 20182018 NANB ANNUAL GENERAL MEETING
EARLY
NURSE,
WINS THE
PRIZE!
Get registered before April 15th and qualify to be one of two randomly selected members to win:
• One night hotel accommodation • Reimbursement for gas with
(May 9, Delta Hotel Fredericton) submission of receipt(s) All Members Are
• One ticket to the President’s • Meal(s) according to NANB Invited!
Awards Reception expense policy You won’t want to miss this year’s Annual
General Meeting (AGM) on May 10 at the
Randomly selected winners will be contacted by Wednesday April 18, 2018. Fredericton Convention Centre, welcoming
Winners will be announced on NANB’s website and through social media. special guest Barb Shellian, President of the
Should the winner not be able to attend or accept the prize, an alternate Canadian Nurses Association and featuring
pre-registered member will be chosen. keynote speakers: Chantal Léonard, CNPS;
and Bill Howatt, Morneau Shepell.
Learn more about this year’s AGM on page 29.
12 INFO NURSING SPRING 2018f.y.i.
Hours & Dates
The NANB Office is open Monday to Friday, from 08:30 to 16:30
NANB WILL BE CLOSED DATES TO REMEMBER
March 30 Good Friday May 7–13 National Nursing Week
April 2 Easter Monday May 8 & 9 NANB Board of Director’s Meeting
May 21 Victoria Day May 10 NANB Annual General Meeting
July 2 Canada Day
August 6 New Brunswick Day
Notice of Annual NANB’s Strategic Plan Begins to
Take Shape
Working for You to Advance
Nursing Issues
Meeting continued from page 5 continued from page 5
human resource challenge. In doing so, participating in several provincial
In accordance with Article XIII of the NANB had recent discussions with the initiatives, and with other specific
bylaws, notice is given of an annual Ministers of Health, Post-Secondary nursing groups to support nurses in the
meeting to be held May 10th, 2018 at the Education and Labour, Employment and provision of safe, competent care to our
Fredericton Convention Centre, Population Growth, proposing possible public.
Fredericton, NB. The purpose of the best practices implemented by other Issues with nursing competence
meeting is to conduct the affairs of the provinces affected by this workforce regarding medication administration
Nurses Association of New Brunswick challenge. A provincial steering remains the most frequent contributing
(NANB). committee, which includes NANB, has factor leading to a review of a nurse’s
been established to bring stakeholders practice. There are many reasons for
Practising and non-practising members together to find solutions. NANB will this, and NANB is engaged with nurses,
of NANB are eligible to attend the annual continue to collaborate with NBNU and employers, and other organizations to
meeting. Only practising members may ANBLPN to ensure actions are met. explore processes that can support
vote. Confirmation of membership will Working together is key to strategy nurses in the safe provision of services.
be required for admission. Nursing development and success. As 2018 is an election year, NANB
students are welcome as observers. Board of Directors and staff are prepar-
ing key messages for election
Voting candidates. Messaging for 2018 focuses
Pursuant to Article XII, each practising on: public access to health services;
nurse member may vote on resolutions nursing workforce enhancement to best
and motions at the annual meeting either meet public healthcare needs; and
in person or by proxy. public access to required health needs
such as medication. The NANB contin-
Laurie Janes ues to monitor trends and prioritize
Executive Director, NANB files that directly affect delivery of safe,
competent nursing practice. Stay tuned,
there is more information to come.
SPRING 2018 INFO NURSING 13f.y.i.
Canadian Nurses Anne Pelletier travel and immunization, and health across
NANB CNA Centennial the lifespan.
Foundation Announces Award
New Brunswick As soon as I began
university, I knew that
Becoming a school nurse in Fort Knox,
Kentucky ignited the spark that led to my
Scholarship Recipients nursing would not be current studies. Entitled Investigating the
dull! For six years now, this career has Roles of Nurses in School-based Positive
been the source of varied and unique Mental Health Initiatives in New Brunswick,
Isabelle Wallace experiences. I had always wanted to work my dissertation will focus on strength-
NANB Nursing Award with people, and being a nurse has made based approaches to health promotion. I
I grew up in the Madawaska this wish come true. As I thrive on change believe that nurses can be leaders in the
Maliseet First Nation in New and new challenges, I appreciate the many creation of healthy learning environments
Brunswick. While I was career development opportunities in store for children and school staff.
pursuing an undergraduate for me. After completing my bachelor
degree in psychology, I did degree, I decided to pursue graduate Once again, I am so grateful for this CNF
research work that gave me the opportunity studies to enhance my advancement Scholarship! It will enable me to study an
of seeing nurses at work. I readily fell in love potential. My strongest motivation comes area that I hope will not only help children,
with this profession and I redirected my from my desire to learn new things, make a but also contribute to the profession of
studies toward nursing. I became a difference in people’s lives and acquire nursing.
registered nurse in 2016 and decided to research expertise.
move on to graduate studies right away. As I
am highly aware of the healthcare needs of My goal is to earn a doctorate degree that Tina Emond
Canada’s Indigenous peoples, it is very will allow me to pursue an academic career NANB/TD Meloche
important for me to orient my master’s to share my passion and my knowledge Monnex
research toward this population. with future nurses. My varied clinical Centennial Doctoral
experience and my current work as a Scholarship
For the past few years, I have been specialized clinical nurse are just as I have been a practicing
involved within my community and with fulfilling as my studies. I am proud to have nurse for 14 years. I
various associations such as the Nurses chosen nursing as a profession, as it offers became a nurse because I wanted to work
Association of New Brunswick (NANB), the endless possibilities. I want to thank NANB with people. Knowing that I could make a
Canadian Indigenous Nurses Association and CNF for the NANB award that will help difference in the lives of patients has
(CINA) and the Canadian Nurses me succeed in my career! always been a great source of motivation in
Association (CNA). I was also privileged to my career.
take part in the “One Million in One Year
for Indigenous Nursing Education & Mary Lou Batty After working as a staff nurse in diverse
Research” fundraising campaign of the New Brunswick PhD settings, I began sharing my passion for
Canadian Nurses Foundation (CNF). Nursing Scholarship our profession by teaching nursing at the
Moreover, I am a Junior Nurse Consultant I am grateful to receive Edmundston Campus of the University of
for the First Nations and Inuit Health CNF Funding! Although Moncton at the undergraduate level. I am
Branch (Government of Canada). I did not anticipate currently teaching academic and clinical
waiting until now, courses. I have a special interest for
I believe that Indigenous nurses have an doctoral studies have been a dream of perinatal care both as an educator and a
important role to play within these mine since I was a new graduate in 1988! researcher. In my community, I am
communities, particularly on providing involved on a volunteer basis in projects
culturally competent care. I hope that my I have always enjoyed working with related to breastfeeding and perinatal
involvement, my background and the families, teaching, and relationship bereavement support.
knowledge gained during my training will building. Therefore, I have worked as a
be an asset in helping the Indigenous staff nurse in post-partum or labour and I am completing a PhD in Nursing at
population. delivery units in Lahr, Germany, Halifax, Université Laval. Pursuing doctoral studies
N.S, Moncton and Fredericton, N.B. I gives me an excellent opportunity to
I wish to thank CNF, CNA and NANB for became an International Board Certified influence the development of our profes-
selecting me as a recipient of this award. I Lactation Consultant in 1997, completed my sion. In my research, I am focusing on the
also want to take the opportunity to thank MN in 1999, taught prenatal classes and personal experiences of couples and the
CNF for allowing me to become a voice for peppered this with university teaching professional experiences of nurses with
Indigenous nursing students, and for contracts. I have also worked with VON as early perinatal death. For some parents,
supporting me in becoming the nurse I am staff nurse and Manager. This reinforced experiencing early perinatal loss can be
today. I hope this will inspire other the importance of community nursing and distressing and challenging. For this reason,
Indigenous nursing students to pursue prevention. It also broadened my the goal of my research is to improve the
their graduate studies! understanding of workplace wellness, support provided in these circumstances.
14 INFO NURSING SPRING 2018NANB ELECTION 2018
Region 3
Votes!
Visit www.nanb.nb.ca
Voting Takes 2 Minutes and
is Completely Confidential!
Voting period begins Monday, April 16 at 9:00 am
and ends Monday, April 30 at 5:00 pm. All you need to vote is:
All registered members in Region 3 (York-Sunbury) will 1. Be a registered member of the Association;
be eligible to vote for their regional director in the
upcoming NANB elections. Regions 1 (Moncton), 2. Access ‘My Profile’ through NANB’s website
5 (Restigouche) and 7 (Miramichi) have been for your 8-digit personal PIN # (this is not
acclaimed. Candidate profiles can be found on page 16. your NANB registration number); and
If you do not have access to the internet, you will need 3. Follow the link for online voting.
to contact NANB’s Communications Department via
1-800-442-4417 and authorize staff to provide you your
PIN #. NANB assistance is available during business
hours Monday through Friday 8:30 am to 4:30 pm.
SPRING 2018 INFO NURSING 15NANB ELECTION 2018
MEET THE
CANDIDATES
REGION 1
JOSEPH GALLANT Community Advisory Committee, Committee (disbanded), Member
ACCLAIMED Member
2011: Preceptor for an RN student and
Education 2014–Present: Horizon Health Network an Internationally Educated Nurse, The
2009: Bachelor of Regional Clinical Documentation Moncton Hospital
Science in Nursing, Committee, Member
University of Prince Nominated By
Edward Island 2014–Present: Horizon Health Network Susan Bennett and Gloria Smith
Primary Health Care Clinical
Additional Education Documentation Committee, Chair Reason for Accepting Nomination
2016: LEADS in a Caring Environment I am passionate about nursing practice
Workshops, Horizon Health Network 2014–Present: Connecting Albert and advancing the roles of RNs and
County Board of Directors, Chair NPs. Over the past eight years, I have
2015: CNA Certification in Community worked in both Acute and Community
Health Nursing 2014–Present: Tele-Drive Albert County Care and have seen the variety of
Board of Directors, Director issues that can face nurses in both
2013: CNA Code of Ethics for settings: for example, insufficient
RNs Modules 2014–2017: Anglophone East School human resources, model of care
District Community Health Advisory restructuring, and complex care. I
2013: Nursing Clinical Leadership Committee, Member believe that my experience working
Program, Horizon Health Network with policy and supporting nursing
2013–Present: Horizon Health Network practice in Horizon, as well as my
2012: Immunization Competencies Primary Health Care Nursing Standards experience working on multiple boards,
Education Program, Advancing Practice and Policy Committee, Chair has equipped me to represent our
region and continue the work of
Present Position 2013–Present: Westmorland-Albert advancing the nursing profession and
Clinical Leader & Community Developer, Action Board of Directors, currently protecting the public.
Albert County Health and Wellness Vice-President
Centre, Horizon Health Network
2013–Present: Nurses Association
Professional Activities of New Brunswick Workplace REGION 3
Aug 2017–Present: Canadian Vascular Representative
Access Association, Member TERESA HARRIS
2012–Present: Horizon Health Network CANDIDATE
2016–Present: Horizon Health Network Regional Immunization Quality
Nursing Standards and Policy Improvement Committee, Member Education
Committee, Member 2012: Master of
2012–Present: Horizon Health Nursing Program:
2015–Present: Community Health Network Community Developers Generalist Stream,
Nurses of Canada, Member Network, Member Athabasca University, Alberta
2015–Present: Albert County Area 2012–2015: Albert County Health and 2006: Bachelor of Nursing Program,
Community Health Needs Assessment Wellness Centre Community Advisory University of New Brunswick, Fredericton
16 INFO NURSING SPRING 2018NANB ELECTION 2018
1984: Nursing Diploma Program, Reason for Accepting Nomination NATHANIEL
Saint John School of Nursing I love nursing! I love transitioning new WICKETT
graduate nurses to competent staff CANDIDATE
Additional Education nurses on the medical unit and then
2015: Rosetta Stone French seeing these nurses flourish throughout Education
Training Program all environments of health care includ- 2002: Bachelor of
ing community, nursing homes and Nursing, University of
2011: LEADS Management Education hospital settings. I promote and support New Brunswick
ongoing learning. Quality professional
2003: Emergency Nurse Pediatric registered nurses providing competent Additional Education
Program (ENPCC) healthcare services is very rewarding. I 2016: Master of Health Studies,
value the Nurses Association of New Athabasca University
2003: Trauma Nursing Core Brunswick as a regulatory body and want
Course (TNCC) to do more with the association. 2016: LEADS, Horizon Health Network
1986: Post Basic Critical Care Course, 2013: Lean Six Sigma Black Belt,
Saint John School of Nursing Government of New Brunswick
Present Position DIANE MURRAY Present Positions
Nurse Manager: Upper River CANDIDATE Process Improvement Facilitator, DECH
Valley Hospital
Education Clinical Bed Access Coordinator, DECH
Professional Activities 2008: Bachelor of
June 2014–Fall 2016: NANB Resolutions Nursing, UNB Professional Activities
Committee, Chairperson 2016–present: NANB Discipline
1981: Diploma, St. John School of Committee
New Brunswick Provincial Bioethics Nursing
Consortium since 2008 later became 2011, 2013: Camp Rotary Nurse
Bioethics Committee within Horizon Present Position
Health Network(HHN) Regional Standards Coordinator, 2011: DECH Medical Staff Award
Horizon Health Network, Area 3,
Family Medicine Network, HHN Fredericton 2007: Medical Mission to Sierra
Leone Team Member
Health and Aging Network, HHN Professional Activities
NBNU - Vice President of the DECH 2006: Professional Advisory Committee
Regional Nurse Recruitment Local and President of the EMP Local,
Committee, HHN Fredericton and Oromocto 2005–2007: Nursing Council Clinical
Representative
Upper River Valley Area Falls NANB Annual Meeting scrutineer
Prevention (Chairperson) Nominated By
Active member of NANB York Nicole Moore and Jennifer Little
Horizon Falls Committee, HHN Sunbury Chapter
Reason for Accepting Nomination
Palliative Care Network, HHN Nominated By Public opinion continues to indicate that
Paula Pickard and Darline Cogswell nurses are one of the most trusted groups
Local Palliative Care Committee, of professionals. Participating on the
Fredericton and Upper River Valley Area Reason for Accepting Nomination board that helps maintain and progress
My lengthy and diverse career has standards for such a profession would be
Senior Population Steering Committee afforded me an understanding of the an honour. This opportunity expands
& Accreditation Team Member scope, challenges, responsibilities and my professional citizenship beyond the
opportunities for registered nurses in structure of the regional health authority.
In Patient Care Committee Chair New Brunswick. I have a keen interest It would allow the opportunity to
Person, URVH in community advocacy and feel transfer gained experiential knowledge,
strongly that the New Brunswick nurse and continue my professional develop-
Nominated By must speak out regarding issues related ment, through expanding opportunities
Susan McCarron and Denise Brown to not only nursing, but health care and to develop leadership skills while
in particular, primary and secondary acquiring new knowledge.
prevention and primary health care.
SPRING 2018 INFO NURSING 17NANB ELECTION 2018
General Leadership conference across
REGION 5 Canada (total of 17 days). This confer- REGION 7
ence strengthened leadership skills,
enhanced communication skills and
LAURA GOULD provided opportunity to work alongside DEBORAH WALLS
ACCLAIMED a diverse group of individuals. The ACCLAIMED
opportunity to be one of the 225
Education individuals across Canada to be chosen Education
2011: Master’s in for this conference was a privilege. 1992: Bachelor of
Nursing/Nurse Nursing, UNB
Practitioner, UNB 2002–2011: Member of the Appeals
Fredericton Tribunal of Work Safe NB 1984: Nursing Diploma, Bathurst School
of Nursing
2006: Bachelor of Nursing Local president NBNU Nurse Managers
and Nurse Supervisor (2 yr term) Additional Education
Additional Education 1998: MED, UNB
Advanced Cardiac Life Support, Trauma Local President NBNU nurses group
Nursing Critical Care, Basic Critical (9 yr term) 1994: Nurse Management Certificate,
Care, Nursing Unit Administration McMaster University
certificate, Certified Canadian Diabetes Chair of professional practice
Educator, Certified Insulin Pump committee Present Position
Trainer, Immunization Certificate, Foot Administrator, Mount Saint Joseph
care certificate, OMEGA, Insulin Chair of grievance committee Nursing Home
adjustment course supervisor.
Member of the Provincial Professional Professional Activities
Present Position Practice Committee Past member NANB Board of Director
Full Time: Nurse Practitioner (Family
Practice), Expertise in diabetes, St. Member of the Provincial committee for Past member New Brunswick
Joseph Community Health Center the “Common Front for Social Justice” Association of Nursing Home Board
Professional Activities Nominated By Past member Miramichi Chamber of
2015–current: President elect NPNB Thérèse Thompson and Commerce Board
interest group Dominique Doucet
Nominated By
2015–current: Member for National Reason for Accepting Nomination Susan Prince and Lisa Keirstead
Nurse Practitioner Exam review I am interested in this position as I Johnson
committee believe strongly in the advancement of
the nursing profession and the impor- Reason for Accepting Nomination
2006–ongoing: Nurse coordinator for tance of strong voices in moving our I believe very strongly that nurses should
Camp Dia-best (children’s diabetes camp) profession forward. I enjoy working in participate in the Nurses Association,
collaboration with many professionals to both at the local and provincial level, as a
2016: member advisory committee for strengthen our goals and improve access means of advocating for and influencing
Université de Moncton to healthcare. I believe nurses are key decisions that affect nurses every day
stakeholders in health reform, enhancing work life. Only by actively participating,
2009–2011: Student representative UNB health and wellness for the people of New can we make sure that our opinions are
Nurse Practitioner group for the UNB Brunswick and Canada. The importance heard and that our Region is well
advisory committee. of regulating practice to ensure the represented. I look forward to represent-
highest quality of care is provided to the ing my Region 7 colleagues at the
2006: Worked in collaboration with New Brunswick people is of utmost provincial level and welcome their input
multiple professionals, unions and importance. I am ready to work with the so that I do my best to bring their
associations to bring the First Annual team to assure safe and competent care is concerns and issues forward.
Summit for Poverty to NB. provided to all New Brunswick people
assuring the nursing profession contin-
2004: Participated in the Governor ues to provide high quality care.
18 INFO NURSING SPRING 2018NANB Webinars
& E-learning
WEBINARS E-LEARNING
• Nursing in the Anthropocene: the • Frequently Asked Questions from RNs • Cultural Awareness for
challenge of nursing practice in an Working in Nursing Homes Preceptors and Mentors of
age of environmental turmoil Internationally Educated
• Collaboration: Shared Goals, Nurses (IENs)
• RNs and LPNs Working Together: Different Roles
Bringing the Best of Both Professions • It’s All About the Nurse-Client
to Patient Care. • MISSION POSSIBLE: Strategies Relationship
for Embracing Civility
• Advancing RNs’ Scope of Practice: • Problematic Substance Use
Who decides? • Safety First! Managing Registered in Nursing
Nurses with Significant Practice
• Problematic Substance Use In Problems • Committed to Professionalism,
Nursing—Still an Important Issue Committed to Care
• Documentation: Why all this
• When Meeting Standards Becomes a paper work?
Challenge-Working with Limited
Resources and Resolving Professional • Leadership: Every Registered
Practice Problems Nurse’s Responsibility
AVA I L A B LE AT W W W. N A N B. N B.C AContinuing Competence Mandatory Registration
Requirement
Program (CCP) CCP requirements must be met
annually by all RNs and NPs to
renew registration. However:
Audit Results • Recent graduates are exempt
when they renew their
registration the first time
B y DAW N T O R P E • Members on extended leave
may be exempt
Members who have questions
N ANB’s CCP is based on the
following principles:
selected to answer a series of questions
on an audit questionnaire to illustrate
what learning activities they have
related to CCP should visit the
Nursing Practice section of the
NANB website for information
• continuing competence is a neces- implemented during the past year, how about the CCP or contact a
sary component of practice and the they relate to their self-assessment, and Nursing Consultant at
public interest is best served when how the learning activities informed 1-800-442-4417.
nurses enhance their knowledge, and influenced their professional
skill and judgement on an ongoing practice.
basis; and This past fall 390 members (380 RNs
and 10 NPs) participated in the audit
• reflective practice, or the process of process.
continually assessing one’s practice
to identify learning needs and
opportunities for growth, is the key Results
to continuing competence. The audit revealed that members
actively engaged in the type of reflective
The CCP requires registered nurses and practice expected of the CCP and
nurse practitioners to reflect on their developed learning goals on such varied
nursing practice through self-assess- topics as anticoagulation, hemodialysis,
ment, the development and bullying and violence, mindfullness
implementation of a learning plan, and and dementia.
the evaluation of the impact of the NANB Consultants contacted
learning activities on nursing practice. 13 members in follow-up to their
It is an approach through which each submissions. These calls
registered nurse and nurse practitioner provided an opportunity to
reflects in a formalized manner on their obtain clarification of
practice at least once annually. NANB information provided
has developed paper based and online and to review
tools that nurses can use to complete the program with
each of the steps of the CCP. members.
Compliance with the CCP is moni-
tored through an audit process. Each
year 5% of registered nurses and 10% of
nurse practitioners are randomly390 Members Audited
380 RNs and 10 NPs
TABLE 1 Language
RN NP
English 250 7
French 130 3
TABLE 2 Areas of practice
RN NP
Direct care 335 8
Administration 22 0
Education 18 1
Research 3 0
Other 2 1
TABLE 3 Employment setting
RN NP
Hospital 265 1
Community 62 8
Nursing Home 32 0
Educational Institution 10 1
Other 11 0
SPRING 2018 INFO NURSING 21Congratulations to Sharon and
Tracey for completing and sharing
this important research on NP
outcomes in New Brunswick.
Nurse Practitioner
Outcomes in
New Brunswick
2002-2017
B y S H A R O N H A M I LT O N A N D T R A C E Y R I C K A R D S
22 INFO NURSING SPRING 2018N urse practitioners (NPs) were incorporated into the
Canadian health care system primarily as a response
to population need for increased accessibility to
primary health care (PHC) providers. The integration of NPs
in New Brunswick (NB) began in 2002 with a revision to the
discussion with the research team, resulting in a survey of
35 questions. The patients were also invited to respond to
“Please comment on the advantages/disadvantages of having a
nurse practitioner as your primary care provider.”
The patient experience survey involved the distribution of
Nurses Act, enabling legislation permitting NP licensure in an 2300 surveys (1300 English, 1000 French) in November 2016;
advanced practice role while practicing with a collaborative 498 English and 201 French surveys were returned by April
physician (NANB, 1998). 2017 for a total of 699 surveys (30% return rate).
Standards and Competencies for NPs were established by
the provincial regulatory body, NANB, and continue to be
updated regularly (2015, 2016). In March 2017, there were 112 NP Practice Findings
NPs registered in NB. Regional Health Authorities employ the NPs are generally satisfied with practice conditions. Most NPs
majority of NPs who work in community health clinics, long (80%) reported office visits between 15–30 minutes. NPs saw
term care, emergency departments, correctional facilities, between 6–25 patients daily (avg. of 14); nine patients per day
schools, and public health. are affected by two comorbidities, seven patients with greater
A research study conducted at the University of New than two comorbidities. The majority of NPs (75% ) rated
Brunswick (UNB) in 2016/2017 by Hamilton and Rickards appointment times as satisfactory/very satisfactory. Many
examined whether the implementation of the NP role in NB stated they set aside one or two same-day appointments for
was successful. A mixed method descriptive survey design was urgent care.
used to meet the following objectives. To 1) understand the Practice facilitators were: administrative/manager support,
practice patterns of NPs in NB, 2) evaluate NP outcomes within adequate human/physical resources, time allotted to provide
NB, and 3) provide foundational documentation to aid ongoing patient care; adequate administrative time; and educational
evaluation of the NP role in NB. Research questions were: opportunities.
• What are the practice patterns of NPs in NB?
Patient Experience Findings
• What are the services provided by NPs? Perceived advantages of seeing a nurse practitioner as a PHC
provider closely alligned with NPs’ perceived contributions to
• What are the facilitators and barriers to practicing at full PHC. See Table 1.
scope? (Full scope defined by Dekeyser-Ganz, Toren, & Although patients were given opportunity and anonymity
Fadlon (2016) as “actions, functions, and procedures that to submit both negative and positive comments regarding
NPs are legally able to perform”). patient care provided by an NP , no negative comments were
submitted. Examples of typical comments provided by
• What are the experiences of patients who see NPs patients were as follows:
for their PHC?
“The NP is able to take the time to fully address issues that I have. It is
Data collection took place between July 2016–March 2017. much easier to get an appointment. Because I have time to address my
The response rate to the NP Practice Patterns survey was health concerns, I do not need to be seen nearly as often. They (or at
87.5% (n = 97 of 112 NPs surveyed); two were not actively least my NP) does an amazing job!”
practicing and completed demographics only. Of the 95 NPs
who completed the survey, 89 were English speaking and “I have found the care I receive has been exceptional...it seems more
eight French speaking. personal… I appreciate the concern for my emotional and spiritual
health; I see it very connected to medical issues.”
NP Practice Survey
The NP survey sought to understand practice conditions, NP’s TABLE 1 Perceived NP Contributions to PHC
perceptions of greatest facilitators and barriers to practice
and NP’s perceived contributions to primary health care NPs Patients
(PHC). The survey was designed to include both closed and
open-ended questions, with a total of 42 questions. Accessibility to PHC Accessibility to PHC
Unlimited number of concerns Opportunity to discuss
Patient Experience Survey / visit multiple health issues
The patient experience survey collected quantitative and Providing a patient centered Providers partner with
qualitative data related to patient experiences receiving PHC approach patients in health care
from NPs. The patient experience survey guided by the decisions
Canadian Institute for Health Information’s Patient Health promotion/education Health promotion/education
Experiences in Primary Health Care Survey (CIHI, 2017)
collected quantitative and qualitative data related to patient Provision of evidence-based NP knowledge of medical
experiences receiving primary health care from NPs. The practice for chronic disease history and management of
CIHI survey included 87 questions that were refined through management health problems
SPRING 2018 INFO NURSING 23“My NP…Gives education patiently and listens to me thoroughly to 1. Acknowledge the success of the NP role, changing the
understand medical issues. Goes over blood tests with me, emphasizes language used in reports to reflect the need for every
the importance of hydration, exercise, mental and spiritual health. patient to have access to a health care provider that
Apologizes if running late (although I have no problem waiting because includes either a family physician or an NP.
I know the high level of care she gives each patient). Makes sure that I
have no further questions. Calm, never hurried.” 2. Continue to advance the NP role, seeking salient solutions
to the management of patients with chronic illness,
These comments speak to the underpinning philosophy of mental illness, and comprehensive care for all populations
patient-centered care that is practiced by NPs in PHC. Patients through inclusion of NPs in family health teams,
respect the knowledge, level of care, willingness to listen, and Unattached Patient Lists, and other PHC programs.
the NP’s desire to partner together for optimal healthy
outcomes. 3. Provide funded positions for all NP graduates in NB,
thereby contributing to the fulfillment of the commitment
that all patients have access to an appropriate health care
Disadvantages/Barriers provider.
Perceived disadvantages of seeing a nurse practitioner for
healthcare mirrored the barriers to practice cited by NPs in 4. Update regulations in New Brunswick health care systems
New Brunswick and across Canada. See Table 2. to be better aligned with NP practice, developing a plan to
Following are representative comments by patients eliminate legislative and policy barriers to NP practice.
expressing disadvantages to seeing NPs;
“I wish she had admitting privileges at the hospital so she could be
present for the birth/care of our newborn, rather than a stranger.” Conclusion
This study provides a baseline to understand the practice
“I have not experienced any disadvantages regarding my health care. patterns of NPs in New Brunswick and how they contribute to
However, when I had a document for the government that I needed my the improvement, delivery and sustainability of PHC in New
HCP to sign, my NP required the co-signature of the doctor ... This Brunswick. Results demonstrate that initiation of NPs to
delayed my file by several weeks.” increase accessibility to health care was and continues to be
successful in a fiscally responsible manner. This study will
“I encountered some resistance and disregard by staff at “Regional” help guide nursing leaders, regulatory bodies, and stakehold-
hospital when referred by my NP. There has been some improvement ers in future evaluations as the NP role continues to evolve.
but large center staff need ‘education’.” The results can help influence changes to a health care system
that has traditionally deified the physician while discounting
Comments such as these demonstrate that perceived the tremendous contributions possible when including NPs
disadvantages faced by patients are not due to the provision in collaborative PHC practice.
of PHC by NPs but from systemic/extraneous influences.
Multiple recommendations have come out of this study
including: That stakeholders, including government and References
regional health authorities: Canadian Institute for Health Information (2017) The Canadian Institute for
Health Information’s Patient Experiences in Primary Health Care Survey
Retrieved from: https://www.cihi.ca/sites/default/files/
TABLE 2 Barriers to Practice info_phc_patient_en.pdf
NPs Patients Dekeyser-Ganz, F., Toren, O., & Fadlon, Y. (2016). Factors associated with
full implementation of scope of practice. Journal of Nursing Scholarship,
Systemic issues: i.e.inability to 48 (3), 285-293.
admit to hospital or EMP (NPs Systemic issues: i.e. inability
were given license to admit to of NP to follow them into Nurses Association of New Brunswick (1998). The Future of Health Care in
EMP in Fall 2017 after the results hospital or EMP New Brunswick: The Nursing Contribution. Fredericton, NB.
of this study)
Policy issues: i.e. the inability Nurses Association of New Brunswick (2015). Standards for the practice of
Policy issues: i.e. having to primary health care nurse npractitioners. Fredericton, NB.
to sign forms (insurance, Form
wait for MD to sign forms
1) autonomously
Nurses Association of New Brunswick (2016). Entry-level competencies for
Perceived limitations in scope nurse practitioners. Fredericton, NB.
of practice by public and other
Lack of a provincial EMR
health professionals (ie.
nurses, physicians)
Lack of physical/human
Perceived lack of respect for
resources (i.e. adequate office
NPs by physicians
space, equipment, office staff)
24 INFO NURSING SPRING 2018Legislated to practice in NB since
2002, NPs are demonstrating their
invaluable contribution to the
province’s health system.
SPRING 2018 INFO NURSING 25NANB PARTICIPATES IN CNA’S ANNUAL PARLIAMENT HILL LOBBY DAY 26 INFO NURSING SPRING 2018
C NA co-hosted a parliamentary
reception on November 21 welcoming
several MPs and Senators. CNA president
Barb Shellian delivered a talk about how
to reduce the harms of non-medical can-
nabis use with New Brunswick MP Serge
Cormier in attendance.
A Facebook live coffee-break was a high-
light featuring federal Health Minister
Ginette Petitpas Taylor answering ques-
tions on healthy eating, seniors and home
care, the opioid crisis, as well as impor-
tant issues such as pharmacare and the
proposed new federal legislation on
cannabis.
SPRING 2018 INFO NURSING 27NURSE PRACTITIONERS
Prescribing
Methadone
By SUSANNE PRIEST
I n New Brunswick, a nurse
practitioner (NP) is a registered
nurse who has completed a nurse
care provider for thousands of New
Brunswickers, and because of the
current opioid crisis, NANB success-
Nurses Association of New
Brunswick (NANB).
NPs who have successfully
practitioner program, (in primary fully obtained additional prescribing completed the required learning and
health care or Family All Ages) and authority from the provincial clinical practice expectations, as
has advanced knowledge and clinical minister of health for NPs to outlined by the NANB and who have
expertise. Within the competencies prescribe methadone for opioid received an exemption from Health
and standards established by the dependency and methadone for pain. Canada, will be authorized to
NANB Board of Directors, NPs have However, the NANB is not mandat- prescribe methadone.
the authority to prescribe drugs and ing that all NPs must seek federal For additional information on the
since September 2014, NPs have been exemption to prescribe methadone. exemption process, please contact
prescribing controlled drugs and These changes are similar to NP the NANB Practice Department.
substances.1 practice in Newfoundland/Labrador,
In 2012, federal regulations under Nova Scotia and Manitoba.
the Controlled Drugs and Substances Act
(CDSA) authorized NPs to prescribe At the time of print, NANB
controlled drugs and substances, Prescribing Methadone was awaiting the final approval
with the exception of cocoa leaves, To prescribe methadone, NPs are from Health Canada for NPs in
heroin, opium, and anabolic steroids subject to the Government of Canada’s New Brunswick to apply for
(excluding testosterone). Following Narcotic Control Regulations subsec- exemption to prescribe
the changes, NANB and the provin- tion 53 (3), which requires methadone. Once this final
cial Minister of Health, authorized practitioners to obtain a section 56 approval is received, NANB will
NPs to prescribe controlled drugs exemption under the Controlled communicate directly with NPs,
and substances, but added two Drugs and Substances Act (CDSA). their employers and other key
additional exceptions: cannabis and Health Canada will issue exemp- stakeholders.
methadone.2 tions to NPs to prescribe methadone
Seeing that NPs are the primary upon recommendation from the
1
The NANB required all NPs in New Brunswick to complete additional education regarding controlled drugs and substances, in order to renew
NP registration for the 2015 practice year.
2
The prescribing authority for NPs in New Brunswick can be found in the Schedules for Ordering for Nurse Practitioners - in Appendix 2 of the
document Standards for the Practice of Primary Health Care Nurse Practitioners (NANB, 2017).
28 INFO NURSING SPRING 2018You can also read
